Reimbursement rates for hospital & health related services under no-fault. (See also CL 4 (1979) and CL 14 (1980) both on this listing).

NEW YORK INSURANCE NOTICES AND BULLETINS March 4, 1980 SUBJECT: INSURANCE Circular LETTER NO. 4 (1980) WITHDRAWN TO: ALL INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE SUBJECT: REIMBURSEMENT RATES FOR HOSPITAL AND HEALTH RELATED SERVICES UNDER NO-FAULT Pursuant to the provisions of 11 NYCRR 68.2 (Regulation 83), on and after January 1, 1978, the schedule of all inclusive rates for hospital services and health related services, including home health services, provided pursuant 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. Pursuant to the provisions of Regulation 83 and effective with services rendered on and after January 1, 1980, through December 31, 1980, the attached schedules shall be utilized by no-fault insurers for payment of hospital outpatient and inpatient services. The rates appearing in the attached schedules have been developed in accordance with Chapter 767 of the Laws of 1977 as amended by Chapter 213 of the Laws of 1978 and Chapter 271 of the Laws of 1979 (extending the provisions of Chapter 767 for an additional year) and have been approved by the Chairman of the Workers" Compensation Board. Also attached is a schedule of revised rates certified by the Commissioner of Health and approved by the Chairman of the Workers" Compensation Board relating to specified facilities. Pursuant to the provisions of Regulation 83 these revised rates shall be utilized by no-fault insurers for payment of hospital inpatient services for the effective periods set forth in the schedule. Very truly yours, [SIGNATURE] ALBERT B. LEWIS Superintendent of Insurance This schedule of revised 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 213, Laws of 1978 and Chapter 271, Laws of 1979, these rates are for use in payment of claims under the Workers" Compensation Law and Volunteer Firemen's Benefit Law. These rates apply to the following facilities for the periods indicated: NEW YORK CITY REGION - REVISED RATES INPATIENT FROM TO EFFECTIVE PERIOD Hosp. for Joint Diseases $ 241.00 $ 339.00 1/1/79 - 1/31/79 ("Old" Facility) 241.00 341.00 2/1/79 - 7/9/79 Orthopedica Institute 0 524.00 7/10/79 - 10/31/79 0 534.00 11/1/79 - 12/31/79 North General Hospital 0 240.00 7/10/79 - 12/31/79 [SIGNATURE] Chairman DISTRIBUTION: BS STATE OF NEW YORK WORKERS" COMPENSATION BOARD OFFICE OF THE CHAIRMAN HOSPITAL FEE SCHEDULE Effective January 1, 1980 This schedule 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 213, Laws of 1978 and Chapter 271, Laws of 1979, these rates are for use in payment of claims under the Workers" Compensation Law and the Volunteer Firemen's Benefit Law. [SIGNATURE] Chairman WORKERS" COMPENSATION SCHEDULE OF RATES FOR THE PERIOD JANUARY 1, 1980 THROUGH DECEMBER 31, 1980 Rates for Outpatient Services Room other than operating room or operating room when used for minor surgery or emergency treatment: For the medical service provided whether by employed staff, $ 13.00 attending staff or by contractual arrangement with the physician groups the fee for this service is limited to the first visit fee of as appears on line 90010 of the Schedule of Medical Fees. For the hospital providing intern or resident staffing $ 36.00 or by physician group contractual coverage the total fee is When the care is provided by an attending, the hospital fee $ 23.00 is 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 some time ago 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 at the discretion of the hospital should be considered as covered by the applicable Emergency Room rate. No charge should be made for [A> ANY <A] drugs, whether or not listed hereunder, in connection with hospitalized patients. Current List of "No Charge" Drugs and Pharmaceutical Supplies Alcohol 70% Alcohol for burning Alkaline Aromatic (Seilers) Tablets (Used as a mouth wash) Aluminum Hydroxide Gel. Ammonium Chloride Tabs. A. P. C. Aromatic Sp. Ammonia Aromatic Fl. Ext. Cascara Aspirin Atropine Sulphate H.T.'s Belladonna Tincture Benedicts Qualitative Solution Benzalkonium Chloride Benzoin Tincture Calamine Lotion Carbon Tetrachloride Castor Oil Chloral Hydrate Citrocarbonate Granules Clinitest Tablets Codeine Sulphate H.T. Cold Cream Ointment Collodian Flexible Comp. Licorice Powd. Comp. Tr. Benzoin Demoral Dicumarol Tabs. Digitoxin Tabs. O.1. mg. Distilled Water Inject. Ferric Chloride Solution Ferric Subsulphate (Mansels) Solution Ferrous Sulphate Glycerin Glycerin Supp. H. I. Syrup Hydrogen Peroxide Iodine Iron Quinine & Strychnine Elixir Laxative Tabs. Liquid Soap Lubricating Jelly Magnesium Sulphate Metaphen Tincture Methiolate Sol. Methyl Salicylate Milk of Magnesia Mineral Oil Morphine Injection Mouth Wash Nitroglycerine H.T.'s Normal Saline Inject. Pento Barbital Sodium Capsules Peppermint Petralatum Phenobarbital Procaine HCL Rhubarb & Soda Mixture Rubbing Alcohol Scopolamine H.T. Secobarbital Sodium Caps Silver Nitrate Appl. Sodium Bicarbonate Sodium Salicylate Tabs. Talcum Powder Terpin Hydrate El. Tuberculin Purified Protein Derivative (1st and 2nd strength) Witch Hazel Xylocaine 1%, 2% with or without Epinephrine Zinc Oxide Ointment Zinc Stearate Powder WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE WESTERN NEW YORK REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: ALLEGANY CUBA MEMORIAL HOSPITAL INC $ 183.00 ALL INCLUSIVE INPATIENT ACUTE CARE MEMORIAL HOSPITAL OF WM F & GERTRUDE F JONES A/K/A JONES MEMORIAL INPATIENT ACUTE CARE $ 164.00 ALL INCLUSIVE CATTARAUGUS OLEAN GENERAL HOSPITAL INPATIENT ACUTE CARE $ 163.00 ALL INCLUSIVE SALAMANCA HOSPITAL DISTRICT AUTHORITY INPATIENT ACUTE CARE $ 129.00 B,C ST FRANCIS HOSPITAL INPATIENT ACUTE CARE $ 157.00 B TRI-COUNTY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 133.00 B CHAUTAUQUA BROOKS MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 134.00 A,B JAMESTOWN GENERAL HOSPITAL INPATIENT ACUTE CARE $ 147.00 A,B,C LAKE SHORE HOSPITAL INC INPATIENT ACUTE CARE $ 143.00 A,B WESTFIELD MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 114.00 B,C WOMANS CHRISTIAN ASSOCIATION INPATIENT ACUTE CARE $ 155.00 A,B ERIE BERTRAND CHAFFEE HOSPITAL INPATIENT ACUTE CARE $ 161.00 A BRY-LIN HOSPITAL PSYCHIATRIC CARE $ 135.00 A BUFFALO COLUMBUS HOSPITAL INPATIENT ACUTE CARE $ 108.00 A,C,D BUFFALO GENERAL HOSPITAL INPATIENT ACUTE CARE $ 198.00 ALL INCLUSIVE CHILDRENS HOSPITAL INPATIENT ACUTE CARE $ 281.00 A ERIE COUNTY MEDICAL CENTER INPATIENT ACUTE CARE $ 281.00 ALL INCLUSIVE KENMORE MERCY HOSPITAL INPATIENT ACUTE CARE $ 158.00 A, OTHER: EKG LAFAYETTE GENERAL HOSPITAL INPATIENT ACUTE CARE $ 128.00 A MERCY HOSPITAL INPATIENT ACUTE CARE $ 153.00 A MILLARD FILLMORE HOSPITAL INPATIENT ACUTE CARE $ 202.00 A OUR LADY OF VICTORY HOSPITAL OF LACKAWANNA INPATIENT ACUTE CARE $ 154.00 A,B ERIE ROSWELL PARK MEMORIAL INSTITUTE INPATIENT ACUTE CARE $ 251.00 ALL INCLUSIVE SAINT FRANCIS HOSPITAL OF BUFFALO INPATIENT ACUTE CARE $ 139.00 A SHEEHAN MEMORIAL EMERGENCY HOSPITAL INC INPATIENT ACUTE CARE $ 158.00 A,B SHERIDAN PARK HOSPITAL INC INPATIENT ACUTE CARE $ 141.00 A SISTERS OF CHARITY HOSPITAL INPATIENT ACUTE CARE $ 154.00 A ST JOSEPH INTERCOMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 128.00 A GENESEE GENESEE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 155.00 A ST JEROME HOSPITAL INPATIENT ACUTE CARE $ 164.00 A NIAGARA DEGRAFF MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 149.00 A INTER-COMMUNITY MEMORIAL HOSPITAL AT NEWFANE INC INPATIENT ACUTE CARE $ 140.00 A LOCKPORT MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 155.00 A,B MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS INPATIENT ACUTE CARE $ 144.00 A NIAGARA FALLS MEMORIAL MEDICAL CENTER INPATIENT ACUTE CARE $ 160.00 A ORLEANS ARNOLD GREGORY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 156.00 A,C MEDINA MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 145.00 A,B WYOMING WYOMING COUNTY COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 169.00 A A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE ROCHESTER NEW YORK REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: CHEMUNG ARNOT-OGDEN MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 178.00 A ST JOSEPHS HOSPITAL INPATIENT ACUTE CARE $ 149.00 A LIVINGSTON NICHOLAS H NOYES MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 172.00 A MONROE GENESEE HOSPITAL INPATIENT ACUTE CARE $ 266.00 A HIGHLAND HOSPITAL INPATIENT ACUTE CARE $ 223.00 A,B LAKESIDE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 176.00 A MONROE COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 292.00 ALL INCLUSIVE PARK RIDGE HOSPITAL INPATIENT ACUTE CARE $ 208.00 A,B ROCHESTER GENERAL HOSPITAL INPATIENT ACUTE CARE $ 262.00 A ST MARYS HOSPITAL INPATIENT ACUTE CARE $ 210.00 A,C STRONG MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 300.00 A, Other-Diagnostic Radio ONTARIO CLIFTON SPRINGS HOSPITAL AND CLINIC INPATIENT ACUTE CARE $ 162.00 A F F THOMPSON HOSPITAL INPATIENT ACUTE CARE $ 143.00 A GENEVA GENERAL HOSPITAL INPATIENT ACUTE CARE $ 187.00 A SCHUYLER SCHUYLER HOSPITAL INPATIENT ACUTE CARE $ 178.00 A SENECA SENECA FALLS HOSPITAL INPATIENT ACUTE CARE $ 171.00 ALL INCLUSIVE WATERLOO MEMORIAL HOSPITAL INC D/B/A TAYLOR-BROWN MEMORIAL HOSP INPATIENT ACUTE CARE $ 149.00 A STEUBEN BETHESDA HOSPITAL INPATIENT ACUTE CARE $ 153.00 A CORNING HOSPITAL INPATIENT ACUTE CARE $ 164.00 A IRA DAVENPORT MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 151.00 A, C ST JAMES MERCY HOSPITAL INPATIENT ACUTE CARE $ 143.00 A WAYNE MYERS COMMUNITY HOSPITAL FOUNDATION INC INPATIENT ACUTE CARE $ 153.00 A NEWARK-WAYNE COMMUNITY HOSPITAL INC INPATIENT ACUTE CARE $ 168.00 A YATES SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC INPATIENT ACUTE CARE $ 165.00 A A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE CENTRAL NEW YORK REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: BROOME BINGHAMTON GENERAL HOSPITAL INPATIENT ACUTE CARE $ 178.00 A,B,C CHARLES S WILSON MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 209.00 A IDEAL HOSPITAL OF ENDICOTT INPATIENT ACUTE CARE $ 131.00 A,B,C OUR LADY OF LOURDES MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 175.00 A, OTHER: DIAGNOSTIC RADIOLOGY, ULTRASOUND DIAGNOSTIC CAYUGA AUBURN MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 160.00 A CHENANGO CHENANGO MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 209.00 A CORTLAND CORTLAND MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 202.00 A,B HERKIMER HERKIMER MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 170.00 A LITTLE FALLS HOSPITAL INPATIENT ACUTE CARE $ 144.00 A MOHAWK VALLEY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 148.00 A JEFFERSON CARTHAGE AREA HOSPITAL INC INPATIENT ACUTE CARE $ 158.00 A,B EDWARD JOHN NOBLE HOSPITAL OF ALEXANDRIA BAY INPATIENT ACUTE CARE $ 173.00 ALL INCLUSIVE HOUSE OF THE GOOD SAMARITAN INPATIENT ACUTE CARE $ 167.00 A,B,C MERCY HOSPITAL OF WATERTOWN INPATIENT ACUTE CARE $ 176.00 A,B,C LEWIS LEWIS COUNTY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 160.00 B MADISON COMMUNITY MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 185.00 A ONEIDA CITY HOSPITAL INPATIENT ACUTE CARE $ 154.00 A,D ONEIDA CHILDRENS HOSPITAL AND REHABILITATION CENTER REHABILITATION $ 177.00 A,C, OTHER: EMG ONEIDA FAXTON HOSPITAL INPATIENT ACUTE CARE $ 173.00 A,C, OTHER; EMG ROME HOSPITAL AND MURPHY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 154.00 A,C ROSE HOSPITAL INPATIENT ACUTE CARE $ 144.00 A ST ELIZABETH HOSPITAL INPATIENT ACUTE CARE $ 187.00 A ST LUKES MEMORIAL HOSPITAL CENTER INPATIENT ACUTE CARE $ 188.00 A,C ONONDAGA BENJAMIN RUSH CENTER PSYCHIATRIC CARE $ 119.00 ALL INCLUSIVE COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE INPATIENT ACUTE CARE $ 230.00 A CROUSE-IRVING MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 271.00 A,B,D, OTHERS: Nuclear Medicine, EEG, ECG ST JOSEPHS HOSPITAL HEALTH CENTER INPATIENT ACUTE CARE $ 226.00 A,B,C STATE UNIVERSITY HOSPITAL UPSTATE MEDICAL CENTER INPATIENT ACUTE CARE $ 247.00 A,C OSWEGO ALBERT LINDLEY LEE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 159.00 A OSWEGO HOSPITAL INPATIENT ACUTE CARE $ 168.00 A ST. LAWRENCE A BARTON HEPBURN HOSPITAL INPATIENT ACUTE CARE $ 197.00 A CENTRAL ST LAWRENCE HLTH SERVICES OF POTSDAM HOSP UNIT INPATIENT ACUTE CARE $ 180.00 A CLIFTON-FINE HOSPITAL INPATIENT ACUTE CARE $ 183.00 ALL INCLUSIVE EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR INPATIENT ACUTE CARE $ 128.00 ALL INCLUSIVE MASSENA MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 170.00 A TIOGA TIOGA GENERAL HOSPITAL INPATIENT ACUTE CARE $ 163.00 A,C TOMPKINS TOMPKINS COUNTY HOSPITAL INPATIENT ACUTE CARE $ 216.00 A A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE NORTHEASTERN NEW YORK REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: ALBANY ALBANY MEDICAL CENTER HOSPITAL INPATIENT ACUTE CARE $ 207.00 B CHILDS HOSPITAL INPATIENT ACUTE CARE $ 160.00 A COHOES MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 150.00 A,B MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 195.00 A ST PETERS HOSPITAL INPATIENT ACUTE CARE $ 202.00 A,B CLINTON CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR INPATIENT ACUTE CARE $ 138.00 A,B COLUMBIA COLUMBIA MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 168.00 B DELAWARE A LINDSAY & OLIVE B OCONNOR HOSPITAL INPATIENT ACUTE CARE $ 169.00 A COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 177.00 ALL INCLUSIVE DELAWARE VALLEY HOSPITAL INC INPATIENT ACUTE CARE $ 201.00 ALL INCLUSIVE MARGARETVILLE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 195.00 ALL INCLUSIVE READ MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 170.00 A,B THE HOSPITAL INPATIENT ACUTE CARE $ 160.00 A,B, OTHER: Ultrasound, Electro-Cardiology ESSEX ELIZABETHTOWN COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 163.00 B MOSES-LUDINGTON HOSPITAL INPATIENT ACUTE CARE $ 159.00 A,B,C,D PLACID MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 158.00 A FRANKLIN ALICE HYDE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 143.00 B GENERAL HOSPITAL OF SARANAC LAKE INPATIENT ACUTE CARE $ 155.00 A,B,C MERCY GENERAL HOSPITAL OF TUPPER LAKE INPATIENT ACUTE CARE $ 164.00 A FULTON JOHNSTOWN HOSPITAL INPATIENT ACUTE CARE $ 162.00 A,C NATHAN LITTAUER HOSPITAL INPATIENT ACUTE CARE $ 155.00 A GREENE MEMORIAL HOSPITAL OF GREENE COUNTY INPATIENT ACUTE CARE $ 177.00 ALL INCLUSIVE MONTGOMERY AMSTERDAM MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 157.00 A ST MARYS HOSPITAL AT AMSTERDAM INPATIENT ACUTE CARE $ 153.00 A,C OTSEGO AURELIA OSBORN FOX MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 193.00 A,C, OTHER: Ear,Nose,Throa MARY IMOGENE BASSETT HOSPITAL INPATIENT ACUTE CARE $ 185.00 ALL INCLUSIVE RENSSELAER LEONARD HOSPITAL INPATIENT ACUTE CARE $ 166.00 B,C SAMARITAN HOSPITAL INPATIENT ACUTE CARE $ 169.00 A ST MARYS HOSPITAL OF TROY INPATIENT ACUTE CARE $ 168.00 A,B, OTHER: Physical Medicine SARATOGA ADIRONDACK REGIONAL HOSPITAL INPATIENT ACUTE CARE $ 136.00 ALL INCLUSIVE BENEDICT MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 71.00 A,C SARATOGA HOSPITAL INPATIENT ACUTE CARE $ 169.00 A,B SCHENECTADY BELLEVUE MATERNITY HOSPITAL INC INPATIENT ACUTE CARE $ 268.00 A ELLIS HOSPITAL INPATIENT ACUTE CARE $ 183.00 A,B,C, OTHER; Nuclear Medicine ST CLARES HOSPITAL INPATIENT ACUTE CARE $ 180.00 A,B SUNNYVIEW HOSPITAL AND REHABILITATION CENTER INPATIENT ACUTE CARE $ 160.00 A,C SCHOHARIE COMMUNITY HOSPITAL OF SCHOHARIE COUNTY INC INPATIENT ACUTE CARE $ 149.00 ALL INCLUSIVE WARREN GLENS FALLS HOSPITAL INPATIENT ACUTE CARE $ 173.00 A,B,C WASHINGTON EMMA LAING STEVENS HOSPITAL INPATIENT ACUTE CARE $ 145.00 ALL INCLUSIVE MARY MCCLELLAN HOSPITAL INPATIENT ACUTE CARE $ 154.00 A A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE NORTHERN METROPOLITAN REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: DUTCHESS HIGHLAND HOSPITAL INPATIENT ACUTE CARE $ 153.00 A NORTHERN DUTCHESS HOSPITAL INPATIENT ACUTE CARE $ 166.00 A ST FRANCIS HOSPITAL INPATIENT ACUTE CARE $ 202.00 A,B,C, OTHER: Psychiatric VASSAR BROTHERS HOSPITAL INPATIENT ACUTE CARE $ 193.00 A,C, OTHER- Diagnostic Radiology ORANGE ARDEN HILL HOSPITAL INPATIENT ACUTE CARE $ 223.00 A,C CORNWALL HOSPITAL INPATIENT ACUTE CARE $ 170.00 A DOCTORS SUNNYSIDE HOSPITAL INPATIENT ACUTE CARE $ 165.00 ALL INCLUSIVE E A HORTON MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 183.00 A FALKIRK HOSPITAL PSYCHIATRIC CARE $ 125.00 ALL INCLUSIVE ST ANTHONY COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 187.00 A ST FRANCIS HOSPITAL OF PORT JERVIS NEW YORK INPATIENT ACUTE CARE $ 185.00 A,C ST LUKES HOSPITAL OF NEWBURGH INPATIENT ACUTE CARE $ 207.00 A TUXEDO MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 143.00 A PUTNAM JULIA L BUTTERFIELD MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 94.00 ALL INCLUSIVE PUTNAM COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 204.00 A ROCKLAND COMMUNITY HOSPITAL OF ROCKLAND COUNTY INPATIENT ACUTE CARE $ 129.00 A GOOD SAMARITAN HOSPITAL OF SUFFERN INPATIENT ACUTE CARE $ 246.00 A HELEN HAYES HOSPITAL INPATIENT ACUTE CARE $ 260.00 ALL INCLUSIVE NYACK HOSPITAL INPATIENT ACUTE CARE $ 230.00 A,B SUMMIT PARK HOSPITAL-ROCKLAND COUNTY INFIRMARY INPATIENT ACUTE CARE $ 251.00 ALL INCLUSIVE PSYCHIATRIC CARE $ 119.00 ALL INCLUSIVE SULLIVAN COMMUNITY GENERAL HOSPITAL OF SULLIVAN COUNTY INPATIENT ACUTE CARE $ 256.00 A COMMUNITY GENERAL HOSPITAL OF SULLIVAN COUNTY G HERMAN DIV INPATIENT ACUTE CARE $ 150.00 A HAMILTON AVENUE HOSPITAL INPATIENT ACUTE CARE $ 138.00 A A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST [See table in printed version.] WORKERS" COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE DAILY 01/01/80 - 12/31/80 RATE EXCLUSIONS: ASTORIA GENERAL HOSPITAL INPATIENT ACUTE CARE $ 194.00 A,C, OTHER: EEG, Nuclear Medicine BAPTIST HOSPITAL OF NEW YORK INPATIENT ACUTE CARE $ 144.00 A BEEKMAN DOWNTOWN HOSPITAL INPATIENT ACUTE CARE $ 273.00 A BETH ISRAEL MEDICAL CENTER INPATIENT ACUTE CARE $ 344.00 A BOOTH MEMORIAL MEDICAL CENTER INPATIENT ACUTE CARE $ 287.00 A BOULEVARD HOSPITAL INPATIENT ACUTE CARE $ 174.00 A BRONX-LEBANON HOSPITAL CENTER-FULTON DIVISION $ 304.00 A,C INPATIENT ACUTE CARE 1/1/80--2/15/80 2/16/80--12/31/80 268.00 BROOKDALE HOSPITAL MEDICAL CENTER INPATIENT ACUTE CARE $ 317.00 A,C BROOKLYN HOSPITAL INPATIENT ACUTE CARE $ 286.00 A CABRINI HEALTH CARE CTR INPATIENT ACUTE CARE $ 273.00 A,C, OTHER: EEG, EKG, Sonography CALEDONIAN HOSPITAL OF THE CITY OF NY INPATIENT ACUTE CARE $ 196.00 A CALVARY HOSPITAL INPATIENT ACUTE CARE $ 332.00 ALL INCLUSIVE CATHOLIC MEDICAL CENTER INPATIENT ACUTE CARE $ 294.00 ALL INCLUSIVE CMC ST JOHN'S QUEENS DIV INPATIENT ACUTE CARE $ 294.00 A COMMUNITY HOSPITAL OF BROOKLYN INC INPATIENT ACUTE CARE $ 172.00 A Nuclear Medicine, Ultra Sound DEEPDALE GENERAL HOSPITAL INPATIENT ACUTE CARE $ 199.00 A,C DOCTORS HOSPITAL INC INPATIENT ACUTE CARE $ 223.00 A,C DOCTORS HOSPITAL OF STATEN ISLAND INPATIENT ACUTE CARE $ 204.00 A FLATBUSH GENERAL HOSPITAL INPATIENT ACUTE CARE $ 196.00 ALL INCLUSIVE FLUSHING HOSPITAL AND MEDICAL CENTER INPATIENT ACUTE CARE $ 256.00 A GRACIE SQUARE GENERAL HOSPITAL INPATIENT ACUTE CARE $ 217.00 ALL INCLUSIVE PSYCHIATRIC CARE $ 149.00 ALL INCLUSIVE H I P HOSPITAL INC INPATIENT ACUTE CARE $ 257.00 A HILLCREST GENERAL HOSPITAL-GHI INPATIENT ACUTE CARE $ 245.00 A HOSPITAL FOR JOINT DISEASES AND MEDICAL CENTER ORTHOPEDIC INSTI INPATIENT ACUTE CARE $ 466.00 A HOSPITAL FOR SPECIAL SURGERY INPATIENT ACUTE CARE $ 328.00 A INSTITUTE OF REHAB MEDICINE NY UNIVERSITY REHABILITATION $ 292.00 A,C,D INTERBORO GENERAL HOSPITAL INPATIENT ACUTE CARE $ 221.00 A JAMAICA HOSPITAL INPATIENT ACUTE CARE $ 258.00 A,C JEWISH HOSPITAL AND MEDICAL CENTER OF BROOKLYN INPATIENT ACUTE CARE $ 258.00 A JEWISH MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 198.00 A JOINT DISEASES NORTH GENERAL HOSPITAL INPATIENT ACUTE CARE $ 239.00 A KINGS HIGHWAY HOSPITAL INPATIENT ACUTE CARE $ 203.00 A,C KINGSBROOK JEWISH MEDICAL CENTER INPATIENT ACUTE CARE $ 254.00 A,B,C,D LENOX HILL HOSPITAL INPATIENT ACUTE CARE $ 324.00 A LEROY HOSPITAL INPATIENT ACUTE CARE $ 210.00 A LONG ISLAND COLLEGE HOSPITAL INPATIENT ACUTE CARE $ 319.00 A LONG ISLAND JEWISH-HILLSIDE MED CTR INPATIENT ACUTE CARE $ 342.00 A LUTHERAN MEDICAL CENTER INPATIENT ACUTE CARE $ 298.00 A MAIMONIDES MEDICAL CENTER INPATIENT ACUTE CARE $ 296.00 A MANHATTAN EYE EAR AND THROAT HOSPITAL INPATIENT ACUTE CARE $ 230.00 A,C MEDICAL ARTS CENTER HOSPITAL INPATIENT ACUTE CARE $ 199.00 A,C MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES INPATIENT ACUTE CARE $ 501.00 ALL INCLUSIVE METHODIST HOSPITAL OF BROOKLYN INPATIENT ACUTE CARE $ 267.00 A MISERICORDIA HOSPITAL MEDICAL CENTER INPATIENT ACUTE CARE $ 230.00 A,D, OTHER: Ambulance MONTEFIORE HOSPITAL & MEDICAL CENTER INPATIENT ACUTE CARE $ 389.00 A MOUNT SINAI HOSPITAL INPATIENT ACUTE CARE $ 382.00 A,C NY EYE AND EAR INFIRMARY INPATIENT ACUTE CARE $ 252.00 A NY INFIRMARY INPATIENT ACUTE CARE $ 273.00 A NY UNIVERSITY MEDICAL CENTER INPATIENT ACUTE CARE $ 337.00 A,C PARKWAY HOSPITAL INPATIENT ACUTE CARE $ 218.00 A,C PARSONS HOSPITAL INPATIENT ACUTE CARE $ 181.00 A PAYNE WHITNEY AND NEW YORK HOSPITAL COMBINED INPATIENT ACUTE CARE $ 381.00 A PELHAM BAY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 187.00 A,B,C, OTHER: EKG, EEG PENINSULA HOSPITAL CENTER INPATIENT ACUTE CARE $ 220.00 A PHYSICIANS HOSPITAL INPATIENT ACUTE CARE $ 208.00 A PRESBYTERIAN HOSPITAL IN THE CITY OF NEW YORK INPATIENT ACUTE CARE $ 351.00 A,B PROSPECT HOSPITAL INPATIENT ACUTE CARE $ 168.00 A RICHMOND MEMORIAL HOSPITAL AND HEALTH CENTER INPATIENT ACUTE CARE $ 215.00 A ROCKEFELLER UNIVERSITY HOSPITAL INPATIENT ACUTE CARE $ .00 ALL INCLUSIVE ROOSEVELT HOSPITAL INPATIENT ACUTE CARE $ 330.00 A DETOXIFICATION UNIT $ 88.00 A ST BARNABAS HOSPITAL INPATIENT ACUTE CARE $ 236.00 ALL INCLUSIVE ST CLARES HOSPITAL AND HEALTH CENTER INPATIENT ACUTE CARE $ 246.00 A ST ELIZABETHS DIVISION OF ST CLARES HOSPITAL AND HEALTH CENTER INPATIENT ACUTE CARE $ 246.00 A ST JOHNS EPISCOPAL HOSPITAL INPATIENT ACUTE CARE $ 236.00 A ST JOHNS EPISCOPAL HOSPITAL-SO SHORE DIV INPATIENT ACUTE CARE $ 236.00 A ST LUKES HOSPITAL CENTER INPATIENT ACUTE CARE $ 330.00 A ST MARYS HOSPITAL OF BROOKLYN INPATIENT ACUTE CARE $ 343.00 ALL INCLUSIVE ST VINCENTS HOSPITAL AND MEDICAL CENTER OF NY INPATIENT ACUTE CARE $ 315.00 A ST VINCENTS MEDICAL CENTER OF RICHMOND INPATIENT ACUTE CARE $ 272.00 ALL INCLUSIVE STATE UNIVERSITY HOSPITAL DOWNSTATE MEDICAL CENTER INPATIENT ACUTE CARE $ 275.00 A STATEN ISLAND HOSPITAL INPATIENT ACUTE CARE $ 288.00 A TERRACE HEIGHTS HOSPITAL INPATIENT ACUTE CARE $ 201.00 A UNION HOSPITAL OF THE BRONX INPATIENT ACUTE CARE $ 172.00 A,C VICTORY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 192.00 A WESTCHESTER SQUARE HOSPITAL INPATIENT ACUTE CARE $ 168.00 A,C, OTHER: Nuclear WYCKOFF HEIGHTS HOSPITAL INPATIENT ACUTE CARE $ 221.00 A,C HEALTH AND HOSPITAL CORPORATION BELLEVUE HOSPITAL CENTER INPATIENT ACUTE CARE $ 298.00 ALL INCLUSIVE EXCLUDING PHYSICIANS $ 288.00 BIRD S COLER MEMORIAL HOSPITAL AND HOME INPATIENT ACUTE CARE $ 229.00 ALL INCLUSIVE BRONX MUNICIPAL HOSPITAL CENTER INPATIENT ACUTE CARE $ 311.00 ALL INCLUSIVE CITY HOSPITAL CENTER AT ELMHURST INPATIENT ACUTE CARE $ 289.00 ALL INCLUSIVE CONEY ISLAND HOSPITAL INPATIENT ACUTE CARE $ 309.00 ALL INCLUSIVE EXCLUDING PHYSICIANS 301.00 CUMBERLAND HOSPITAL INPATIENT ACUTE CARE $ 336.00 ALL INCLUSIVE GOLDWATER MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 184.00 ALL INCLUSIVE GREENPOINT HOSPITAL INPATIENT ACUTE CARE $ 323.00 ALL INCLUSIVE HARLEM HOSPITAL CENTER INPATIENT ACUTE CARE $ 288.00 ALL INCLUSIVE EXCLUDING PHYSICIANS 272.00 KINGS COUNTY HOSPITAL CENTER INPATIENT ACUTE CARE $ 292.00 ALL INCLUSIVE LINCOLN MEDICAL & MENTAL HEALTH CENTER INPATIENT ACUTE CARE $ 382.00 ALL INCLUSIVE METROPOLITAN HOSPITAL CENTER INPATIENT ACUTE CARE $ 374.00 ALL INCLUSIVE EXCLUSING PHYSICIANS 358.00 NORTH CENTRAL BRONX HOSPITAL INPATIENT ACUTE CARE $ 417.00 ALL INCLUSIVE QUEENS HOSPITAL CENTER INPATIENT ACUTE CARE $ 290.00 ALL INCLUSIVE SYDENHAM HOSPITAL INPATIENT ACUTE CARE $ 250.00 ALL INCLUSIVE A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST