Circular Letter No. 6 (1983): Reimbursement Rates for Hospital and Health related services under No-Fault for treatment rendered on and after January 1, 1983. - WITHDRAWN

April 14, 1983

SUBJECT: INSURANCE

CIRCULAR LETTER NO. 6 (1983)

WITHDRAWN

TO: ALL INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE

SUBJECT: Reimbursement Rates for Hospital and Health related services under No-Fault for treatment rendered on and after January 1, 1983.

Pursuant to the provisions of 11NYCRR 68.2 (Regulation 83), on and after January 1, 1978, the schedule of all inclusive rates for hospital services and health related services provided in conformance to Section 671(1)(a) of the Insurance Law shall be the rates approved by the Chairman of the Workers" Compensation Board in accordance with the provisions of Chapter 767 of the Laws of 1977 as amended.

The attached schedule of rates has been approved by the Chairman, and shall be used by no-fault insurers for payment of hospital outpatient and inpatient services rendered on and after January 1, 1983 through December 31, 1983.

Very truly yours,

[SIGNATURE]

JAMES P. CORCORAN

Superintendent of Insurance

JPC/bmb

Attach.

STATE OF NEW YORK

WORKERS" COMPENSATION BOARD

OFFICE OF THE CHAIRMAN

HOSPITAL FEE SCHEDULE

Effective January 1, 1983

This revision of the Hospital Fee Schedule Inpatient Rates was recommended and certified by the State Commissioner of Health and approved by the Chairman of the Workers" Compensation Board. Pursuant to Chapter 767, Laws of 1977, as amended by Chapter 536 of the Laws of 1982 and Part 86 of the Commissioner of Health Administrative Rules and Regulations, these rates are for the use in payment of claims under the Workers" Compensation Law and the Volunteer Firemen's Benefit Law.

The third column of this schedule applies to emergency service.

[SIGNATURE]

CHAIRMAN

WORKERS" COMPENSATION

SCHEDULE OF RATES FOR THE PERIOD

JANUARY 1, 1983 THROUGH DECEMBER 31, 1983

Rates for Outpatient Services

Room other than operating room when used for minor surgery or emergency treatment:

For the medical service provided whether by employed staff, attending staff or by contractual arrangement with the physician groups the fee for this service is the fee as appears on Line 90010 of the Schedule of Medical Fees.

For the hospital providing intern or resident staffing or by physician group contractual coverage the total fee is the fee for physician services as appears on Line 90010 of the Schedule of Medical Fees plus the fee for use of the Emergency Service Room as shown in this schedule.

When the care is provided by an attending physician, the hospital fee is the Emergency Service Room fee as shown in this schedule, with the physician billing separately.

Note: These fees include common or ordinary medications

Crutches, mechanical splints and appliances	Rental or
	Sale at Cost
Plaster Cast and/or Splint	Cost of Plaster
Radium and deep therapy	A & A *
E.K.G., E.E.G., X-ray, P.T., and Laboratory
Charges	Rates in
	Schedule of
	Medical Fees
	Promulgated
	by the Chairman
	Workers"
	Compensation Board
Materials supplied by the Emergency Room (i.e. sterile
trays, medications, etc.) over and above those usually
included with the Emergency Room visit may be charged
for separately.
Itemize these on the bill submitted.
__________*"Authorization and Arrangement"

COMMON OR ORDINARY DRUGS COVERED BY THE EMERGENCY ROOM HOSPITAL RATES

A study was undertaken to determine the low-cost drugs which a large number of hospitals in New York State regard as fairly common or ordinary and for which no charges are made apart from the inclusive Emergency Room rates. A partial list of such drugs is furnished below. It is expected that the list will be enlarged or augmented from time to time. In the meanwhile, the drugs shown below or on any future similar list or heretofore regarded as common or ordinary or any additional drugs so regarded should be considered as covered by the applicable Emergency Room rate. No charge should be made for any drugs, whether or not listed hereunder, in connection with hospitalized patients.

Current List of "No Charge" Drugs and Pharmaceutical Supplies

Acetaminophen 325 mg. tablet

Alcohol 70 percent

Alcohol swabs

Antacid (e.g. Mylanta, Maalox, etc.)

Aspirin 325 mg. tablet

Aromatic Spirits of Ammonia

Atropine 2 percent Ophthalmic Solution

Atropine 0.4 mg/ml

Bacitracin ointment

Castor Oil

Calamine lotion

Collodion Flexible

Cold Cream

Clinitest tablets

Dibucaine 1 percent ointment (e.g. Nupercainal)

Epinephrine Injection

Ethyl Chloride spray

Gelfoam

Glycerin suppository

Hematest tablets

Hydrocortisone 1 percent ointment

Hydrogen Peroxide

Iodine

Ipecac Syrup

Lidocaine 2 percent viscous (e.g. Xylocaine)

Lidocaine 1 percent with/without Epinephrine

Lidocaine 2 percent with/without Epinephrine

Lidocaine 5 percent ointment

Lindane lotion (e.g. Kwell)

Lubricating jelly

Magnesium Sulfate

Meperidine injection (e.g. Demerol)

Merthiolate

Neomycin and Polymyxin B Sulfates w/Hydrocortisone ophthalmic suspension (e.g. Cortisporin)

Nitroglycerin 0.4 mg. s. 1. tablet

Nitroglycerin 0.6 mg. s. 1. tablet

Peppermint Spirit

Petrolatum

Providone-Iodine solution (e.g. Betadine)

Pralidoxime Chloride (e.g. Protopam)

Silver Nitrate Sticks

Silver Sulfadiazine cream (e.g. Silvadene)

Sodium Chloride - injection

Sodium Chloride for irrigation

Sterile Water for irrigation

Talcum powder

Tetanus Toxoid

Tuberculin PPD (1st and 2nd strength)

Witch Hazel

Zinc Oxide ointment

WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
WESTERN NEW YORK REGION
EFFECTIVE 01/01/83 - 12/31/83
									EMERGENCY
			DAILY						SERVICE
			RATE			EXCLUSIONS:			ROOM RATE
ALLEGANY
CUBA MEMORIAL HOSPITAL INC			$ 259.00			ALL INCLUSIVE			$ 27.00
INPATIENT ACUTE CARE
MEMORIAL HOSPITAL OF WM F &
GERTRUDE F JONES A/K/A
JONES MEMORIAL
INPATIENT ACUTE CARE			$ 232.00			ALL INCLUSIVE			$ 26.00
CATTARAUGUS
OLEAN GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 260.00			A			$ 35.00
SALAMANCA HOSPITAL DISTRICT
AUTHORITY INPATIENT			$ 190.00			ALL INCLUSIVE			$ 27.00
ACUTE CARE
ST FRANCIS HOSPITAL OF OLEAN
INPATIENT ACUTE CARE			$ 229.00			B. OTHER: ER PHYS			$ 35.00
TRI-COUNTY MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 228.00			A,B			$ 26.00
CHAUTAUQUA
BROOKS MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 248.00			A,B			$ 27.00
JAMESTOWN GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 236.00			A,B			$ 26.00
LAKE SHORE HOSPITAL INC
INPATIENT ACUTE CARE			$ 208.00			B, OTHER: EKG			$ 27.00
WESTFIELD MEMORIAL HOSPITAL INC						STRESS TESTING
INPATIENT ACUTE CARE			$ 244.00			B			$ 35.00
WOMANS CHRISTIAN ASSOCIATION
INPATIENT ACUTE CARE			$ 239.00			A,B			$ 27.00
ERIE
BERTRAND CHAFFEE HOSPITAL
INPATIENT ACUTE CARE			$ 227.00			ALL INCLUSIVE			$ 26.00
BUFFALO COLUMBUS HOSPITAL
INPATIENT ACUTE CARE			$ 267.00			ALL INCLUSIVE			$ 26.00
BUFFALO GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 305.00			A			$ 30.00
CHILDRENS HOSPITAL
INPATIENT ACUTE CARE			$ 375.00			A			$ 26.00
ERIE COUNTY MEDICAL CENTER
INPATIENT ACUTE CARE			$ 378.00			A,B,C,D			$ 35.00
KENMORE MERCY HOSPITAL
INPATIENT ACUTE CARE			$ 229.00			A,OTHER: EKG			$ 27.00
LAFAYETTE GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 215.00			A,B			$ 26.00
MERCY HOSPITAL OF BUFFALO
INPATIENT ACUTE CARE			$ 245.00			A			$ 26.00
MILLARD FILLMORE HOSPITAL
INPATIENT ACUTE CARE			$ 293.00			A			$ 30.00
OUR LADY OF VICTORY HOSPITAL
OF LACKAWANNA
INPATIENT ACUTE CARE			$ 238.00			A,B. OTHER:			$ 30.00
						ENDOSCOPY, STRESS
						TESTS-SONOGRAMS,
						ENDOCARDIOGRAMS,
						ELECTROMIOGRAPHS
ERIE
ROSWELL PARK MEMORIAL INSTITUTE
INPATIENT ACUTE CARE			$ 456.00			ALL INCLUSIVE			NO E.R. SERVICE
SAINT FRANCIS HOSPITAL OF
BUFFALO
INPATIENT ACUTE CARE			$ 188.00			A			$ 27.00
SHEEHAN MEMORIAL EMERGENCY
HOSPITAL INC
INPATIENT ACUTE CARE			$ 239.00			A,B			$ 35.00
SHERIDAN PARK HOSPITAL INC
INPATIENT ACUTE CARE			$ 274.00			A			$ 26.00
SISTERS OF CHARITY HOSPITAL
INPATIENT ACUTE CARE			$ 234.00			A			$ 35.00
ST JOSEPH INTERCOMMUNITY
HOSPITAL
INPATIENT ACUTE CARE			$ 201.00			A			$ 27.00
GENESEE
GENESEE MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 212.00			A			$ 27.00
ST JEROME HOSPITAL
INPATIENT ACUTE CARE			$ 213.00			A			$ 30.00
NIAGARA
DEGRAFF MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 225.00			A			$ 26.00
INTER-COMMUNITY MEMORIAL
HOSPITAL AT NEWFANE INC
INPATIENT ACUTE CARE			$ 186.00			A			$ 27.00
LOCKPORT MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 196.00			A,B. OTHER: EKG,			$ 30.00
						EEG,
MOUNT ST MARYS HOSPITAL OF						NUCLEAR MEDICINE
NIAGARA FALLS
INPATIENT ACUTE CARE			$ 259.00			A			$ 26.00
NIAGARA FALLS MEMORIAL
MEDICAL CENTER
INPATIENT ACUTE CARE			$ 227.00			A			$ 35.00
ORLEANS
ARNOLD GREGORY MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE			$ 247.00			A			$ 26.00
MEDINA MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 198.00			A,B			$ 27.00
WYOMING
WYOMING COUNTY COMMUNITY
HOSPITAL			$ 273.00			A,B			$ 30.00
INPATIENT ACUTE CARE
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
ROCHESTER NEW YORK REGION
EFFECTIVE 01/01/83 - 12/31/83
			DAILY					EMERGENCY SERVICE
			RATE			EXCLUSIONS:		ROOM RATE
CHEMUNG
ARNOT-OGDEN MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE			$ 346.00			A,B*		$ 30.00
ST JOSEPHS HOSPITAL OF
ELMIRA
INPATIENT ACUTE CARE			$ 263.00			A		$ 35.00
LIVINGSTON
NICHOLAS H NOYES MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE			$ 234.00			A,B		$ 30.00
MONROE
GENESEE HOSPITAL
INPATIENT ACUTE CARE			$ 347.00			A,B		$ 35.00
HIGHLAND HOSPITAL
INPATIENT ACUTE CARE			$ 188.00			A,B		$ 35.00
LAKESIDE MEMORIAL HOSPITAL
INPATIENT ACUTE CARE			$ 118.00			A,B		$ 30.00
MONROE COMMUNITY HOSPITAL
INPATIENT ACUTE CARE			$ 358.00			ALL INCLUSIVE		NO E.R. SERVICE
PARK RIDGE HOSPITAL
INPATIENT ACUTE CARE			$ 379.00			A,B,C		$ 35.00
ROCHESTER GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 367.00			A,B		$ 35.00
ST MARYS HOSPITAL OF
ROCHESTER
INPATIENT ACUTE CARE			$ 308.00			A,B,C, OTHER:		$ 35.00
						EKG
STRONG MEMORIAL HOSPITAL						ECHOCARDIOGRAMS, STRESS TESTING
INPATIENT ACUTE CARE			$ 560.00			A,B		$ 35.00
ONTARIO
CLIFTON SPRINGS HOSPITAL
AND CLINIC
INPATIENT ACUTE CARE			$ 318.00			B, OTHER: EKG		$ 35.00
F F THOMPSON HOSPITAL
INPATIENT ACUTE CARE			$ 126.00			ALL INCLUSIVE		$ 35.00
GENEVA GENERAL HOSPITAL
INPATIENT ACUTE CARE			$ 258.00			A		$ 35.00
SCHUYLER
SCHUYLER HOSPITAL
INPATIENT ACUTE CARE			$ 281.00			A,B		$ 26.00
SENECA
SENECA FALLS HOSPITAL
INPATIENT ACUTE CARE			$ 329.00			A		$ 35.00
WATERLOO MEMORIAL HOSPITAL INC D/B/A TAYLOR-BROWN MEMORIAL HOSP
INPATIENT ACUTE CARE			$ 151.00			A		$ 27.00
STEUBEN
BETHESDA HOSPITAL
INPATIENT ACUTE CARE			$ 210.00			A,B,C		$ 27.00
CORNING HOSPITAL
INPATIENT ACUTE CARE			$ 273.00			A		$ 35.00
IRA DAVENPORT MEMORIAL
HOSPITAL INC
INPATIENT ACUTE CARE			$ 265.00			A,C		$ 35.00
ST JAMES MERCY HOSPITAL
INPATIENT ACUTE CARE			$ 235.00			A,B		$ 35.00
WAYNE
MYERS COMMUNITY HOSPITAL
FOUNDATION INC
INPATIENT ACUTE CARE			$ 188.00			A		$ 35.00
NEWARK-WAYNE COMMUNITY HOSPITAL
INC INPATIENT ACUTE CARE			$ 201.00			A		$ 35.00
YATES
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC
INPATIENT ACUTE CARE			$ 153.00			A		$ 30.00
*EFFECTIVE 7/1/82 - 12/31/83
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
CENTRAL NEW YORK REGION
EFFECTIVE 01/01/83 - 12/31/83
	DAILY							EMERGENCY SERVICE
	RATE			EXCLUSIONS:				ROOM RATE
BROOME
OUR LADY OF LOURDES
MEMORIAL HOSPITAL
INPATIENT ACUTE CARE	$ 309.00			A,B				$ 27.00
UNITED HEALTH SERVICES INC
INPATIENT ACUTE CARE	$ 406.00			A,B				$ 30.00
CAYUGA
AUBURN MEMORIAL HOSPITAL
INPATIENT ACUTE CARE	$ 206.00			A				$ 30.00
CHENANGO
CHENANGO MEMORIAL HOSPITAL
INC
INPATIENT ACUTE CARE	$ 302.00			A				$ 30.00
CORTLAND
CORTLAND MEMORIAL HOSPITAL
INC
INPATIENT ACUTE CARE	$ 243.00			A,B,C				$ 35.00
HERKIMER
HERKIMER MEMORIAL HOSPITAL
INC
INPATIENT ACUTE CARE	$ 197.00			A,B				$ 26.00
LITTLE FALLS HOSPITAL
INPATIENT ACUTE CARE	$ 192.00			A,B,C				$ 35.00
MOHAWK VALLEY GENERAL
HOSPITAL
INPATIENT ACUTE CARE	$ 220.00			ALL INCLUSIVE				$ 26.00
JEFFERSON
CARTHAGE AREA HOSPITAL INC
INPATIENT ACUTE CARE	$ 236.00			B				$ 30.00
EDWARD JOHN NOBLE HOSPITAL
OF ALEXANDRIA BAY
INPATIENT ACUTE CARE	$ 234.00			B				$ 27.00
HOUSE OF THE GOOD
SAMARITAN
INPATIENT ACUTE CARE	$ 243.00			A,B				$ 35.00
MERCY HOSPITAL OF
WATERTOWN
INPATIENT ACUTE CARE	$ 260.00			A,B				$ 35.00
LEWIS
LEWIS COUNTY GENERAL
HOSPITAL
INPATIENT ACUTE CARE	$ 322.00			B				$ 35.00
MADISON
COMMUNITY MEMORIAL
HOSPITAL INC
INPATIENT ACUTE CARE	$ 207.00			A				$ 27.00
ONEIDA CITY HOSPITAL
INPATIENT ACUTE CARE	$ 265.00			A,B				$ 27.00
ONEIDA
CHILDRENS HOSPITAL AND
REHABILITATION CENTER
REHABILITATION	$ 241.00			A,C,OTHER: EMG,				NO E.R. SERVICE
				Cardiology
ONEIDA
FAXTON HOSPITAL
INPATIENT ACUTE CARE	$ 245.00			A,C, OTHER:				$ 27.00
				EMG, Cardiology
ROME HOSPITAL AND MURPHY
MEMORIAL HOSPITAL
INPATIENT ACUTE CARE	$ 232.00			A,C				$ 30.00
ROSE HOSPITAL
INPATIENT ACUTE CARE	$ 248.00			A				$ 27.00
ST ELIZABETH HOSPITAL
INPATIENT ACUTE CARE	$ 328.00			A,B,C				$ 35.00
ST LUKES MEMORIAL HOSPITAL
CENTER
INPATIENT ACUTE CARE	$ 269.00			A,C, OTHER:				$ 30.00
				EKG, EEG
ONONDAGA
COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE
INPATIENT ACUTE CARE	$ 296.00			A,B,OTHER:				$ 35.00
				NUCLEAR MEDICINE,
				NON-INVASIVE
				VASCULAR LAB
CROUSE - IRVING MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE	$ 363.00			A,B,D, OTHER:				$ 35.00
				CARDIOLOGY, NUCLEAR
				MEDICINE, PSYCHIATRY,
				NEUROLOGY
ST JOSEPHS HOSPITAL HEALTH
CENTER
INPATIENT ACUTE CARE	$ 339.00			A,B,C, OTHER:				$ 27.00
				PERIPHERAL VASCULAR LAB,
				PULMONARY FUNCTION LAB,
				PATHOLOGY, FROZEN
				SECTIONS, CARDIO
				VASCULAR LAB
STATE UNIVERSITY HOSPITAL UPSTATE
MEDICAL CENTER
INPATIENT ACUTE CARE	$ 444.00			A,B				$ 35.00
OSWEGO
ALBERT LINDLEY LEE
MEMORIAL HOSPITAL
INPATIENT ACUTE CARE	$ 244.00			A,B				$ 30.00
OSWEGO HOSPITAL
INPATIENT ACUTE CARE	$ 231.00			A				$ 35.00
ST LAWRENCE
A BARTON HEPBURN HOSPITAL
INPATIENT ACUTE CARE	$ 295.00			A				$ 27.00
CANTON-POTSDAM HOSPITAL
INPATIENT ACUTE CARE	$ 252.00			A				$ 27.00
CLIFTON-FINE HOSPITAL
INPATIENT ACUTE CARE	$ 351.00			ALL INCLUSIVE				$ 26.00
EDWARD JOHN NOBLE HOSPITAL
OF GOUVERNEUR
INPATIENT ACUTE CARE	$ 286.00			ALL INCLUSIVE				$ 30.00
MASSENA MEMORIAL HOSPITAL
INPATIENT ACUTE CARE	$ 258.00			A				$ 27.00
TIOGA
TIOGA GENERAL HOSPITAL
INPATIENT ACUTE CARE	$ 372.00			A				$ 35.00
TOMPKINS
TOMPKINS COUNTY HOSPITAL
INPATIENT ACUTE CARE	$ 238.00			A,B				$ 35.00
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
NORTHEASTERN NEW YORK REGION
EFFECTIVE 01/01/83 - 12/31/83
		DAILY						EMERGENCY SERVICE
		RATE			EXCLUSIONS:			ROOM RATE
ALBANY
ALBANY MEDICAL CENTER
HOSPITAL
INPATIENT ACUTE CARE		$ 400.00			A,B, OTHER:			$ 35.00
					ULTRASOUND
CHILDS HOSPITAL
INPATIENT ACUTE CARE		$ 246.00			A			NO E.R. SERVICE
COHOES MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 218.00			A,B,C			$ 35.00
MEMORIAL HOSPITAL OF ALBANY
INPATIENT ACUTE CARE		$ 269.00			A,B,C, OTHER:			$ 35.00
					ULTRASOUND,
					NUCLEAR MEDICINE
ST PETERS HOSPITAL
INPATIENT ACUTE CARE		$ 266.00			A,B			$ 35.00
CLINTON
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR
INPATIENT ACUTE CARE		$ 201.00			A,B, OTHER: EKG			$ 27.00
COLUMBIA
COLUMBIA MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 262.00			B			$ 30.00
DELAWARE
A LINDSAY & OLIVE B OCONNOR
HOSPITAL
INPATIENT ACUTE CARE		$ 347.00			A,C			$ 26.00
COMMUNITY HOSPITAL OF
STAMFORD
INPATIENT ACUTE CARE		$ 231.00			A			$ 26.00
DELAWARE VALLEY HOSPITAL INC
INPATIENT ACUTE CARE		$ 327.00			ALL INCLUSIVE			$ 26.00
MARGARETVILLE MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE		$ 411.00			ALL INCLUSIVE			$ 30.00
THE HOSPITAL
INPATIENT ACUTE CARE		$ 237.00			A,B, OTHER:			$ 30.00
					ULTRASOUND,
					ELECTRO-
					CARDIOLOGY
ESSEX
ELIZABETHTOWN COMMUNITY
HOSPITAL
INPATIENT ACUTE CARE		$ 235.00			B, OTHER:			$ 30.00
					ELECTROCARDIOLOGY
MOSES LUDINGTON HOSPITAL
INPATIENT ACUTE CARE		$ 422.00			ALL INCLUSIVE			$ 35.00
PLACID MEMORIAL HOSPITAL INC
INPATIENT ACUTE CARE		$ 348.00			B			$ 26.00
FRANKLIN
ALICE HYDE MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 191.00			B			$ 26.00
GENERAL HOSPITAL OF SARANAC
LAKE
INPATIENT ACUTE CARE		$ 204.00			A,B,C			$ 27.00
MERCY GENERAL HOSPITAL OF
TUPPER LAKE
INPATIENT ACUTE CARE		$ 214.00			B			NO E.R. SERVICE
FULTON
JOHNSTOWN HOSPITAL
INPATIENT ACUTE CARE		$ 213.00			A,C			$ 35.00
NATHAN LITTAUER HOSPITAL
INPATIENT ACUTE CARE		$ 234.00			A,B,C			$ 30.00
GREENE
MEMORIAL HOSPITAL OF
GREENE COUNTY
INPATIENT ACUTE CARE		$ 282.00			B,C			$ 35.00
MONTGOMERY
AMSTERDAM MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE		$ 244.00			A,C			$ 27.00
ST MARYS HOSPITAL AT
AMSTERDAM
INPATIENT ACUTE CARE		$ 268.00			A,C			$ 35.00
OTSEGO
AURELIA OSBORN FOX MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE		$ 264.00			A,B,C			$ 35.00
MARY IMOGENE BASSETT
HOSPITAL
INPATIENT ACUTE CARE		$ 440.00			ALL INCLUSIVE			$ 30.00
RENSSELAER
LEONARD HOSPITAL
INPATIENT ACUTE CARE		$ 235.00			A,B,C			$ 35.00
SAMARITAN HOSPITAL OF TROY
INPATIENT ACUTE CARE		$ 227.00			A,B			$ 30.00
ST MARYS HOSPITAL OF TROY
INPATIENT ACUTE CARE		$ 232.00			A,B,C			$ 30.00
SARATOGA
ADIRONDACK REGIONAL
HOSPITAL
INPATIENT ACUTE CARE		$ 245.00			B			$ 26.00
SARATOGA HOSPITAL
INPATIENT ACUTE CARE		$ 269.00			A,B			$ 35.00
SCHENECTADY
BELLEVUE MATERNITY HOSPITAL
INC
INPATIENT ACUTE CARE		$ 312.00			A			NO E.R. SERVICE
ELLIS HOSPITAL
INPATIENT ACUTE CARE		$ 351.00			A,B,C, OTHER:			$ 35.00
					NUCLEAR MEDICINE,
					SPEC. HEMATOLOGY
					LAB
ST CLARES HOSPITAL OF
SCHENECTADY
INPATIENT ACUTE CARE		$ 307.00			A,B, OTHER: NUCLEAR			$ 30.00
					MEDICINE, GASTROENTEROLOGY
					PROCTOLOGY
SUNNYVIEW HOSPITAL AND
REHABILITATION CENTER
INPATIENT ACUTE CARE		$ 220.00			A,B,C,D			NO E.R. SERVICE
SCHOHARIE
COMMUNITY HOSPITAL OF
SCHOHARIE COUNTY INC
INPATIENT ACUTE CARE		$ 254.00			C			$ 35.00
WARREN
GLENS FALLS HOSPITAL
INPATIENT ACUTE CARE		$ 248.00			A,B, OTHER: EMG			$ 27.00
WASHINGTON
EMMA LAING STEVENS HOSPITAL
INPATIENT ACUTE CARE		$ 208.00			ALL INCLUSIVE			$ 35.00
MARY MCCLELLAN HOSPITAL
INPATIENT ACUTE CARE		$ 251.00			C			$ 35.00
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
NORTHERN METROPOLITAN REGION
EFFECTIVE 01/01/83 - 12/31/83
		DAILY						EMERGENCY SERVICE
		RATE			EXCLUSIONS:			ROOM RATE
DUTCHESS
HIGHLAND HOSPITAL OF BEACON
INPATIENT ACUTE CARE		$ 273.00			A			$ 27.00
NORTHERN DUTCHESS HOSPITAL
INPATIENT ACUTE CARE		$ 236.00			A			$ 35.00
ST FRANCIS HOSPITAL OF
POUGHKEEPSIE
INPATIENT ACUTE CARE		$ 319.00			A,B			$ 35.00
VASSAR BROTHERS HOSPITAL
INPATIENT ACUTE CARE		$ 287.00			A,B, OTHER:			$ 30.00
					RADIATION THERAPY
ORANGE
ARDEN HILLHOSPITAL
INPATIENT ACUTE CARE		$ 300.00			A, OTHER: EMG			$ 35.00
CORNWALL HOSPITAL
INPATIENT ACUTE CARE		$ 274.00			A,B,OTHER:			$ 30.00
					NUCLEAR MEDICINE,
					ULTRASOUND
DOCTORS SUNNYSIDE HOSPITAL
INPATIENT ACUTE CARE		$ 238.00			ALL INCLUSIVE			$ 30.00
E A HORTON MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 303.00			A			$ 35.00
ST ANTHONY COMMUNITY
HOSPITAL
INPATIENT ACUTE CARE		$ 313.00			A			$ 35.00
ST FRANCIS HOSPITAL OF PORT
JERVIS NEW YORK
INPATIENT ACUTE CARE		$ 276.00			A,C			$ 26.00
ST LUKES HOSPITAL OF
NEWBURGH
INPATIENT ACUTE CARE		$ 264.00			A			$ 30.00
TUXEDO MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 238.00			A			$ 35.00
PUTNAM
JULIA BUTTERFIELD MEMORIAL
HOSPITAL
INPATIENT ACUTE CARE		$ 282.00			A,C			$ 35.00
PUTNAM COMMUNITY HOSPITAL
INPATIENT ACUTE CARE		$ 272.00			A			$ 27.00
ROCKLAND
GOOD SAMARITAN HOSPITAL OF
SUFFERN
INPATIENT ACUTE CARE		$ 344.00			A, OTHER: EMG			$ 35.00
HELEN HAYES HOSPITAL
INPATIENT ACUTE CARE		$ 541.00			ALL INCLUSIVE			NO E.R. SERVICE
NYACK HOSPITAL
INPATIENT ACUTE CARE		$ 319.00			A,B			$ 27.00
SUMMIT PARK HOSPITAL-ROCKLAND COUNTY
INFIRMARY
INPATIENT ACUTE CARE		$ 217.00			ALL INCLUSIVE			NO E.R. SERVICE
PSYCHIATRIC CARE		$ 177.00			ALL INCLUSIVE			NO E.R. SERVICE
SULLIVAN
COMMUNITY GENERAL HOSPITAL OF SULLIVAN
COUNTY - HARRIS
INPATIENT ACUTE CARE		$ 326.00			A			$ 35.00
COMMUNITY GENERAL HOSPITAL OF SULLIVAN
COUNTY G HERMAN DIV
INPATIENT ACUTE CARE		$ 281.00			A			$ 35.00
ULSTER
BENEDICTINE HOSPITAL
INPATIENT ACUTE CARE		$ 266.00			A			$ 35.00
ELLENVILLE COMMUNITY
HOSPITAL
INPATIENT ACUTE CARE		$ 258.00			ALL INCLUSIVE			$ 26.00
KINGSTON HOSPITAL
INPATIENT ACUTE CARE		$ 249.00			A			$ 30.00
WESTCHESTER
BLYTHEDALE CHILDRENS
HOSPITAL
INPATIENT ACUTE CARE		$ 314.00			ALL INCLUSIVE			NO E.R. SERVICE
BURKE REHABILITATION CENTER
INPATIENT ACUTE CARE		$ 388.00			ALL INCLUSIVE			NO E.R. SERVICE
DOBBS FERRY HOSPITAL
INPATIENT ACUTE CARE		$ 229.00			A			$ 26.00
LAWRENCE HOSPITAL
INPATIENT ACUTE CARE		$ 303.00			A			$ 35.00
MOUNT VERNON HOSPITAL
INPATIENT ACUTE CARE		$ 301.00			A			$ 30.00
NEW ROCHELLE HOSPITAL
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 385.00			A,B			$ 35.00
NEW YORK HOSPITAL-CORNELL MEDICAL CENTER
WESTCHESTER DIVISION
PSYCHIATRIC CARE		$ 325.00			ALL INCLUSIVE			NO E.R. SERVICE
NORTHERN WESTCHESTER
HOSPITAL
INPATIENT ACUTE CARE		$ 386.00			A,B,C, OTHER:			$ 35.00
					ULTRASOUND, CATSCANS,
					RADIATION THERAPY
PEEKSKILL HOSPITAL
INPATIENT ACUTE CARE		$ 297.00			A			$ 30.00
PHELPS MEMORIAL HOSPITAL
ASSOCIATION
INPATIENT ACUTE CARE		$ 364.00			A,B,C, OTHER:			$ 35.00
					NUCLEAR MEDICINE,
					ULTRASOUND
					RADIOISOTOPES
ST AGNES HOSPITAL
INPATIENT ACUTE CARE		$ 320.00			A,C			$ 35.00
ST JOHNS RIVERSIDE HOSPITAL
INPATIENT ACUTE CARE		$ 327.00			A, OTHER: EMG			$ 26.00
ST JOSEPHS HOSPITAL YONKERS
INPATIENT ACUTE CARE		$ 288.00			ALL INCLUSIVE			$ 35.00
ST VINCENTS HOSP AND MEDICAL CTR OF NY WESTCHESTER BRANCH
PSYCHIATRIC CARE		$ 272.00			A			NO E.R. SERVICE
UNITED HOSPITAL
INPATIENT ACUTE CARE		$ 359.00			A,B			$ 30.00
WESTCHESTER COUNTY MEDICAL
CENTER
INPATIENT ACUTE CARE		$ 546.00			A,B,C, OTHER:			$ 35.00
					ALL PROF. SERVICES
WHITE PLAINS HOSPITAL
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 350.00			A,C			$ 35.00
YONKERS GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 254.00			A,C			$ 35.00
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
LONG ISLAND REGION
EFFECTIVE 01/01/83 - 12/31/83
		DAILY						EMERGENCY SERVICE
		RATE			EXCLUSIONS:			ROOM RATE
NASSAU
CENTRAL GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 305.00			A,B			$ 35.00
COMMUNITY HOSPITAL AT GLEN
COVE
INPATIENT ACUTE CARE		$ 350.00			A			$ 27.00
FRANKLIN GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 308.00			A			$ 30.00
HEMPSTEAD GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 339.00			A, B, C			$ 30.00
LONG BEACH MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 289.00			A			$ 30.00
LONG ISLAND JEWISH -
HILLSIDE MEDICAL
CENTER
(MANHASSET DIV.)
INPATIENT ACUTE CARE		$ 490.00			A, OTHER: CARDIAC			$ 35.00
					CATHERIZATION
LYDIA E HALL HOSPITAL
INPATIENT ACUTE CARE		$ 317.00			A,B, OTHER:			$ 30.00
					NUCLEAR MEDICINE
MASSAPEQUA GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 384.00			A			$ 30.00
MERCY HOSPITAL OF ROCKVILLE
CENTER
INPATIENT ACUTE CARE		$ 315.00			A			$ 35.00
MID-ISLAND HOSPITAL
INPATIENT ACUTE CARE		$ 309.00			A,C			$ 27.00
NASSAU COUNTY MEDICAL CENTER
EAST
MEADOW DIV
INPATIENT ACUTE CARE		$ 513.00			ALL INCLUSIVE			$ 30.00
NASSAU HOSPITAL
INPATIENT ACUTE CARE		$ 366.00			A,B,C			$ 35.00
NORTH SHORE UNIVERSITY
HOSPITAL
INPATIENT ACUTE CARE		$ 463.00			A			$ 35.00
SOUTH NASSAU COMMUNITIES
HOSPITAL
INPATIENT ACUTE CARE		$ 278.00			A			$ 26.00
ST FRANCIS HOSPITAL OF
ROSLYN
INPATIENT ACUTE CARE		$ 464.00			A,C			$ 35.00
SUFFOLK
BROOKHAVEN MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 326.00			A,C			$ 35.00
BRUNSWICK HOSPITAL CENTER
INC
INPATIENT ACUTE CARE		$ 393.00			A,C, OTHER: EKG,			$ 35.00
					EEG,
					ELECTROMYOGRAPHY,
					NUCLEAR SCANS,
					SONOGRAMS
REHABILITATION		$ 385.00			A,C
CENTRAL SUFFOLK HOSPITAL
ASSOCIATION
INPATIENT ACUTE CARE		$ 261.00			A			$ 27.00
EASTERN LONG ISLAND HOSPITAL
INPATIENT ACUTE CARE		$ 373.00			A			$ 35.00
GOOD SAMARITAN HOSPITAL OF
WEST ISLIP
INPATIENT ACUTE CARE		$ 296.00			A			$ 30.00
HUNTINGTON HOSPITAL
INPATIENT ACUTE CARE		$ 301.00			A, OTHER: DIALYSIS,			$ 27.00
					CHEMOTHERAPY,
					RESPIRATORY THERAPY
SUFFOLK
JOHN T MATHER MEMORIAL
HOSPITAL OF
PORT
JEFFERSON NEW YORK INC
INPATIENT ACUTE CARE		$ 299.00			A,C			$ 35.00
SMITHTOWN GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 311.00			A			$ 27.00
SOUTHAMPTON HOSPITAL
INPATIENT ACUTE CARE		$ 334.00			A			$ 27.00
SOUTHSIDE HOSPITAL
INPATIENT ACUTE CARE		$ 301.00			A,C			$ 30.00
ST CHARLES HOSPITAL
INPATIENT ACUTE CARE		$ 309.00			A			$ 27.00
ST JOHNS EPISCOPAL HOSPITAL
SMITHTOWN
INPATIENT ACUTE CARE		$ 352.00			A,B,C			$ 35.00
UNIVERSITY HOSPITAL OF STONY
BROOK
INPATIENT ACUTE CARE		$ 583.00			A,C			$ 35.00
WORKERS" COMPENSATION
HOSPITAL RATE SCHEDULE
NEW YORK CITY REGION
EFFECTIVE 01/01/83 - 12/31/83
		DAILY					EMERGENCY SERVICE
		RATE			EXCLUSIONS:		ROOM RATE
ASTORIA GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 284.00			A,OTHER:EEG,		$ 27.00
					NUCLEAR MEDICINE
BAPTIST MEDICAL CENTER OF
NEW YORK
INPATIENT ACUTE CARE		$ 368.00			A		$ 27.00
BAYLEY SETON HOSPITAL
INPATIENT ACUTE CARE		$ 710.00			ALL INCLUSIVE		$ 35.00
BETH ISRAEL MEDICAL CENTER
INPATIENT ACUTE CARE		$ 531.00			A,OTHER:		$ 35.00
					PHYSICIANS
					SERVICES
BOOTH MEMORIAL MEDICAL
CENTER
INPATIENT ACUTE CARE		$ 472.00			A,B		$ 35.00
BOULEVARD HOSPITAL
INPATIENT ACUTE CARE		$ 243.00			A,OTHER:		$ 26.00
					NUCLEAR
BRONX-LEBANON HOSPITAL					MEDICINE
CENTER
INPATIENT ACUTE CARE		$ 430.00			A,C		$ 30.00
BROOKDALE HOSPITAL MEDICAL
CENTER
INPATIENT ACUTE CARE		$ 412.00			A,C		$ 35.00
BROOKLYN HOSPITAL
INPATIENT ACUTE CARE		$ 489.00			A,OTHER:		$ 27.00
					RADIOLOGICAL
					SURGICAL INTERVENTION PROCEDURES
					PHYSIOTHERAPY CONSULTANTS
CABRINI HEALTH CARE CTR
INPATIENT ACUTE CARE		$ 437.00			A,B,C, OTHER: EEG,		$ 35.00
					EKG,
					RADIOISOTOPES,
					ULTRASOUND
CALEDONIAN HOSPITAL OF THE
CITY OF NY
INPATIENT ACUTE CARE		(SEE BROOKLYN HOSPITAL)

CALVARY HOSPITAL
INPATIENT ACUTE CARE		$ 384.00			ALL INCLUSIVE		NO E.R. SERVICE
CATHOLIC MEDICAL CENTER
INPATIENT ACUTE CARE		$ 490.00			ALL INCLUSIVE		$ 27.00
COMMUNITY HOSPITAL OF
BROOKLYN INC.
INPATIENT ACUTE CARE		$ 318.00			A,OTHER:		$ 26.00
					NUCLEAR MEDICINE,
					ULTRASOUND
DEEPDALE GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 290.00			A,B,C		$ 26.00
DOCTORS HOSPITAL INC
INPATIENT ACUTE CARE		$ 385.00			A,C		$ 35.00
DOCTORS HOSPITAL OF STATEN
ISLAND
INPATIENT ACUTE CARE		$ 313.00			A		$ 27.00
FLATBUSH GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 306.00			A		$ 26.00
FLUSHING HOSPITAL AND
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 370.00			A		$ 30.00
H I P HOSPITAL INC
INPATIENT ACUTE CARE		$ 370.00			A		$ 35.00
HOSPITAL FOR JOINT DISEASES
AND MEDICAL
CENTER ORTHOPEDIC INSTITUTE
INPATIENT ACUTE CARE		$ 718.00			A,C		NO E.R. SERVICE
HOSPITAL FOR SPECIAL SURGERY
INPATIENT ACUTE CARE		$ 511.00			A,B		NO E.R. SERVICE
INSTITUTE OF REHAB MEDICINE
NY UNIVERSITY
REHABILITATION		$ 403.00			A,C,D		NO E.R. SERVICE
JAMAICA HOSPITAL
INPATIENT ACUTE CARE		$ 412.00			A,B,D		$ 27.00
JEWISH HOSPITAL AND MEDICAL CENTER
OF BROOKLYN
INPATIENT ACUTE CARE		$ 452.00			A		$ 35.00
JEWISH MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 272.00			A		$ 35.00
JOINT DISEASES NORTH
GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 407.00			ALL INCLUSIVE		$ 35.00
KINGS HIGHWAY HOSPITAL
INPATIENT ACUTE CARE		$ 298.00			A,C		$ 27.00
KINGSBROOK JEWISH MEDICAL
CENTER
INPATIENT ACUTE CARE		$ 399.00			A,B,C		$ 35.00
LENOX HILL HOSPITAL
INPATIENT ACUTE CARE		$ 468.00			A,C,OTHER: EMG		$ 35.00
LONG ISLAND COLLEGE
HOSPITAL
INPATIENT ACUTE CARE		$ 470.00			A,B,C		$ 30.00
LONG ISLAND JEWISH-HILLSIDE
MED CTR
INPATIENT ACUTE CARE		$ 490.00			A,B,OTHER:		$ 35.00
					CARDIAC-
					CATHERIZATION
LUTHERAN MEDICAL CENTER
INPATIENT ACUTE CARE		$ 381.00			A		$ 30.00
MAIMONIDES MEDICAL CENTER
INPATIENT ACUTE CARE		$ 506.00			A,B		$ 35.00
MANHATTAN EYE EAR AND
THROAT HOSPITAL
INPATIENT ACUTE CARE		$ 473.00			A,B,C, OTHER: EKG		$ 26.00**
MEDICAL ARTS CENTER
HOSPITAL
INPATIENT ACUTE CARE		$ 302.00			A		$ 26.00
MEMORIAL HOSPITAL FOR CANCER AND
ALLIED DISEASES
INPATIENT ACUTE CARE		$ 751.00			ALL INCLUSIVE		NO E.R. SERVICE
METHODIST HOSPITAL OF
BROOKLYN
INPATIENT ACUTE CARE		$ 435.00			A, OTHER:		$ 35.00
					PSYCHIATRY
MISERICORDIA HOSPITAL
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 359.00			A,B,OTHER: CARDIO-		$ 35.00
					PULMONARY, RENAL
MONTEFIORE HOSPITAL &
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 598.00			A,B, OTHER:		$ 35.00
					NUCLEAR
					MEDICINE (RADIOISTOPES)
MOUNT SINAI HOSPITAL
INPATIENT ACUTE CARE		$ 577.00			A,B, OTHER: EKG,		$ 30.00
					NUCLEAR MEDICINE
NY EYE AND EAR INFIRMARY
INPATIENT ACUTE CARE		$ 462.00			A		NO E.R. SERVICE
NEW YORK HOSPITAL AND PAYNE WHITNEY
PSYCHIATRIC CLINIC
INPATIENT ACUTE CARE		$ 541.00			A,B. OTHER:		$ 35.00
					SURGICAL
					PATHOLOGY,
					CYTOLOGY
NY INFIRMARY BEEKMAN
DOWNTOWN HOSPITAL
INPATIENT ACUTE CARE		$ 494.00			ALL INCLUSIVE		$ 35.00
NY UNIVERSITY MEDICAL
CENTER
INPATIENT ACUTE CARE		$ 530.00			A,B,C		$ 35.00
OSTEOPATHIC HOSPITAL AND
CLINIC
OF NEW YORK D/B/A
HILLCREST GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 309.00			A		$ 27.00
PARKWAY HOSPITAL
INPATIENT ACUTE CARE		$ 298.00			A		$ 27.00
PARSONS HOSPITAL
INPATIENT ACUTE CARE		$ 241.00			A,C		$ 30.00
PELHAM BAY GENERAL HOSPITAL
INPATIENT ACUTE CARE		$ 329.00			A,C		$ 27.00
PENINSULA HOSPITAL CENTER
INPATIENT ACUTE CARE		$ 377.00			A,B,C,OTHER:		$ 30.00
					NUCLEAR
					MEDICINE,
					ULTRASOUND
					RADIATION THERAPY
PHYSICIANS HOSPITAL
INPATIENT ACUTE CARE		$ 278.00			A		$ 26.00
PRESBYTERIAN HOSPITAL IN
THE CITY OF NEW YORK
INPATIENT ACUTE CARE		$ 545.00			A,B		$ 30.00
PROSPECT HOSPITAL
INPATIENT ACUTE CARE		$ 209.00			A		$ 26.00
RICHMOND MEMORIAL HOSPITAL
AND HEALTH CENTER
INPATIENT ACUTE CARE		$ 299.00			A		$ 35.00
ROCKEFELLER UNIVERSITY
HOSPITAL
INPATIENT ACUTE CARE		$ 278.00			ALL INCLUSIVE		NO E.R. SERVICE
ST BARNABAS HOSPITAL
INPATIENT ACUTE CARE		$ 366.00			B		$ 35.00
ST CLARES HOSPITAL AND
HEALTH CENTER
INPATIENT ACUTE CARE		$ 376.00			A,B,C		$ 30.00
ST JOHNS EPISCOPAL HOSPITAL
INPATIENT ACUTE CARE		$ 352.00			A,B,C		$ 35.00
ST LUKES - ROOSEVELT
HOSPITAL CENTER
INPATIENT ACUTE CARE		$ 485.00			A		$ 30.00
DETOXIFICATION UNIT		$ 181.00
ST MARYS HOSPITAL OF
BROOKLYN
INPATIENT ACUTE CARE		$ 474.00			ALL INCLUSIVE		$ 35.00
ST VINCENTS HOSPITAL AND
MEDICAL CENTER OF NY
INPATIENT ACUTE CARE		$ 493.00			A,B		$ 27.00
ST VINCENTS MEDICAL CENTER
OF RICHMOND
INPATIENT ACUTE CARE		$ 362.00			B		$ 35.00
STATE UNIVERSITY HOSPITAL DOWNSTATE
MEDICAL CENTER
INPATIENT ACUTE CARE		$ 493.00			A,B		NO E.R. SERVICE
STATEN ISLAND HOSPITAL
INPATIENT ACUTE CARE		$ 472.00			A,B, OTHER:		$ 35.00
TERRACE HEIGHTS HOSPITAL					PULMONARY
INPATIENT ACUTE CARE		$ 266.00			A		$ 27.00
UNION HOSPITAL OF THE BRONX
INPATIENT ACUTE CARE		$ 264.00			A,C		$ 26.00
VICTORY MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 305.00			A,B,C,OTHER: EKG		$ 26.00
WESTCHESTER SQUARE HOSPITAL
INPATIENT ACUTE CARE		$ 367.00			A		$ 35.00
WYCKOFF HEIGHTS HOSPITAL
INPATIENT ACUTE CARE		$ 328.00			A,C,OTHER:		$ 35.00
					CARDIOLOGY
HEALTH AND HOSPITAL
CORPORATION
BELLEVUE HOSPITAL CENTER
INPATIENT ACUTE CARE		$ 527.00			ALL INCLUSIVE		$ 35.00
EXCLUDING PHYSICIANS		$ 513.00
BRONX MUNICIPAL HOSPITAL
CENTER
INPATIENT ACUTE CARE		$ 590.00			ALL INCLUSIVE		$ 30.00
CITY HOSPITAL CENTER AT
ELMHURST
INPATIENT ACUTE CARE		$ 514.00			ALL INCLUSIVE		$ 27.00
EXCLUDING PHYSICIANS		$ 488.00
COLER MEMORIAL HOSPITAL
AND HOME
INPATIENT ACUTE CARE		$ 278.00			ALL INCLUSIVE		NO E.R. SERVICE
CONEY ISLAND HOSPITAL
INPATIENT ACUTE CARE		$ 491.00			A,C		$ 30.00
EXCLUDING PHYSICIANS		$ 480.00
CUMBERLAND HOSPITAL
INPATIENT ACUTE CARE		$ 629.00			ALL INCLUSIVE		$ 26.00
GOLDWATER MEMORIAL HOSPITAL
INPATIENT ACUTE CARE		$ 237.00			ALL INCLUSIVE		NO E.R. SERVICE
HARLEM HOSPITAL CENTER
INPATIENT ACUTE CARE		$ 633.00			ALL INCLUSIVE		$ 30.00
EXCLUDING PHYSICIANS		$ 615.00
KINGS COUNTY HOSPITAL
CENTER
INPATIENT ACUTE CARE		$ 512.00			ALL INCLUSIVE		$ 26.00
LINCOLN MEDICAL & MENTAL
HEALTH CENTER
INPATIENT ACUTE CARE		$ 535.00			ALL INCLUSIVE		$ 35.00
METROPOLITAN HOSPITAL
CENTER
INPATIENT ACUTE CARE		$ 607.00			ALL INCLUSIVE		$ 35.00
EXCLUDING PHYSICIANS		$ 585.00
NORTH CENTRAL BRONX
HOSPITAL
INPATIENT ACUTE CARE		$ 637.00			ALL INCLUSIVE		$ 35.00
QUEENS HOSPITAL CENTER
INPATIENT ACUTE CARE		$ 573.00			ALL INCLUSIVE		$ 35.00
WOODHULL MEDICAL AND
MENTAL HEALTH CENTER
INPATIENT ACUTE CARE		$ 647.00			ALL INCLUSIVE		$ 35.00
**EFECTIVE 1/1/82 - 12/31/83

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