If you have any questions regarding the information contained in the links below, please contact the Medical Director's Office at (800) 781-2362 or email disputedmedicalbills@wcb.ny.gov.
Effective 01/01/2023 - 12/31/2023
- Department of Health Letter for Updated Hospital Reimbursement Rates Effective 01/01/2023 - 12/31/2023
- Inpatient Exempt Unit Rates Effective 01/01/2023 - 12/31/2023 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2023 - 12/31/2023 (MS Excel)
- Calculation Worksheet Effective 01/01/2023 - 12/31/2023 (MS Excel)
Effective 04/01/2023 - 12/31/2023
- Department of Health Letter for Updated Hospital Reimbursement Rates Effective 04/01/2023 - 12/31/2023
- Inpatient Exempt Unit Rates Effective 04/01/2023 - 12/31/2023 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 04/01/2023 - 12/31/2023 (MS Excel)
- Calculation Worksheet Effective 04/01/2023 - 12/31/2023 (MS Excel)
Effective 01/01/2022 - 12/31/2022
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 01/01/2022 - 12/31/2022
- Inpatient Exempt Unit Rates Effective 01/01/2022 - 12/31/2022 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2022 - 12/31/2022 (MS Excel)
- Calculation Worksheet Effective 01/01/2022 - 12/31/2022 (MS Excel)
- John T Mather Hospital Inpatient Rate Appeal 1/1/2016 - 12/31/2019
- Department of Health Letter for Revised Hospital Reimbursement Rates Effective 1/1/2016 - 12/31/2019
- Inpatient Exempt Unit Rates Effective 1/1/2016 - 12/31/2019
Effective 04/01/2022 - 12/31/2022
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 04/01/2022 - 12/31/2022
- Inpatient Exempt Unit Rates Effective 04/01/2022 - 12/31/2022 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 04/01/2022 - 12/31/2022 (MS Excel)
- Calculation Worksheet Effective 04/01/2022 - 12/31/2022 (MS Excel)
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 01/01/2021 - 12/31/2021
- Inpatient Exempt Unit Rates Effective 01/01/2021 - 12/31/2021
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2021 - 12/31/2021
- Calculation Worksheet Effective 01/01/2021 - 12/31/2021 (MS Excel)
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 1/1/2020 - 12/31/2020
- Inpatient Exempt Unit Rates Effective 01/01/2020 - 12/31/2020
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2020 - 12/31/2020
- Calculation Worksheet Effective 01/01/2020 - 12/31/2020 (MS Excel)
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 01/01/2019 - 12/31/2019
- Inpatient Exempt Unit Rates Effective 01/01/2019 - 12/31/2019
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2019 - 12/31/2019
- Calculation Worksheet Effective 01/01/2019 - 12/31/2019
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 01/01/2018 - 12/31/2018
- Inpatient Case Payment Rates Effective 01/01/2018 - 12/31/2018
- Inpatient Exempt Unit Rates Effective 01/01/2018 - 12/31/2018
- Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 01/01/2018 - 12/31/2018 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2018 - 12/31/2018
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 07/01/18 - 12/31/18
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 07/01/2018 - 12/31/2018
- APR-DRG Service Intensity Weights, Average Length of Stay and High Cost Outlier Thresholds July 1, 2018 Effective 07/01/2018 - 12/31/2018
- Calculation Worksheet Effective 07/01/2018 - 12/31/2018
- Department of Health Letter for Updated Inpatient Psychiatric Exempt Unit Services - Effective 7/1/2018 - 12/31/2018
- Psychiatric Reform Calculation Worksheet Effective 07/01/2018 - 12/31/2018
- Psychiatric Inpatient Exempt Case Payment Rates Effective 07/01/2018 - 12/31/2018
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 04/01/2017 - 12/31/2017
- Inpatient Case Payment Rates (update summary) Effective 04/01/2017 - 12/31/2017
- Inpatient Case Payment Rates Effective 04/01/2017 - 12/31/2017
- Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 04/01/2017 - 12/31/2017 (MS Excel)
- Inpatient Exempt Unit Rates Effective 04/01/2017 - 12/31/2017
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 04/01/2017 - 12/31/2017
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 01/01/2017 - 12/31/2017
- Calculation Worksheet Effective 01/01/2017 - 12/31/2017 (MS Excel)
- 2014 SIWs and ALOS cost threshold
- Inpatient Case Payment Rates Effective 01/01/2017 - 12/31/2017
- Inpatient Exempt Unit Rates Effective 01/01/2017 - 12/31/2017
- Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 01/01/2017 - 12/31/2017 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2017 - 12/31/2017
- Department of Health Letters for 2016 hospital reimbursement Rates Effective 01/01/2016 - 12/31/2016
- Inpatient Case Payment Rates Effective 01/01/2016 - 12/31/2016
- Inpatient Exempt Unit Rates Effective 01/01/2016 - 12/31/2016
- Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 01/01/2016 - 12/31/2016
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2016 - 12/31/2016
- Calculation Worksheet Effective 01/01/2016 - 12/31/2016 (MS Excel)
- Department of Health Letters for Updated Hospital Reimbursement Rates Effective 04/01/2015 - 12/31/2015
- 2015 WCNF and Exempt Rates Update Summary
- Inpatient Case Payment Rates Effective 04/01/2015 - 12/31/2015
- Inpatient Exempt Unit Rates Effective 04/01/2015 - 12/31/2015
- Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 04/01/2015 - 12/31/2015 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 04/01/2015 - 12/31/2015
- Calculation Worksheet Effective 04/01/2015 - 12/31/2015 (MS Excel)
- Department of Health Letter for revised Inpatient Psychiatric Rates Effective 1/1/2015 - 12/31/2015
- 2015 Jan-Dec revised Hospital Inpatient Psychiatric Rates
- Department of Health Letter and Hospital Inpatient Fee Schedule Effective 01/01/2015 - 12/31/2015
- Inpatient Case Payment Rates Effective 01/01/2015 - 12/31/2015 (MS Excel)
- Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2015 - 12/31/2015 (MS Excel)
- Calculation Worksheet Effective 01/01/2015 - 12/31/2015
2015 New Facility Schedules
- Department of Health Letter for Revised Inpatient Psychiatric Rates Effective 7/1/2014 - 12/31/2014
- 2014 Jul-Dec Revised Hospital Inpatient Psychiatric Rates
- Department of Health Letter - Inpatient Rates Effective July 1, 2014 - December 31, 2014
- Inpatient Rates Effective 07/01/2014 - 12/31/2014
- APR-DRG Service Intensity Weights and Average Length of Stay July 1, 2014
- Department of Health Letter and Calculation Worksheet - Inpatient Rates Effective 01/01/2014 - 03/31/2014
- Department of Health Letter - Inpatient Rates Effective 4/1/2014 - 6/30/2014
- Detox Billing Instructions 2014
- 2014 Inpatient Chemical Dependency Detox Per Diem
- Inpatient Rates Effective 01/01/2014 - 03/31/2014
- Inpatient Rates Effective 04/01/2014 - 06/30/2014
- Inpatient Exempt Unit Rates Effective 01/01/2014-12/31/2014
2014 New Facility Schedules
- Department of Health - 2013 Inpatient Rates Letter
- 2013 Inpatient Chemical Dependency Detox Per Diem
- 2013 Inpatient Rates
2013 New Facility Schedules
- New York Eye Surgical Center
- Rochester Ambulatory Surgery Center
- Brooklyn Ambulatory Surgery Center
- Surgery Center at Orthopedic Associates
- Plastic Surgery Center of Westchester
- Western NY Medical Management
- Syracuse Surgery Center
2013 Revised/Updated Facility Schedules
- 2012 Jan-Dec Hospital Inpatient Fee Schedule
- 2012 Jan-Dec Final APR-DRG SIWs Thresholds
- 2012 Jan-Dec Hospital Inpatient Fee Schedule (MS Excel - Zip File)
2012 Revised/Updated Facility Schedules
2012 New Facility Schedules
For Psychiatric Reform Rates for 1/1/11 to 12/31/11, please see 2012 fee schedule.
- Camillus Surgery Center
- 2011-Jan-Dec Hospital Inpatient Fee-Facility Update-Jan 10 2012
- 2011-Jan-Mar-Corrected Hospital Inpatient-Chemical Dependency Detox Rates-Changes Jan 10 2012
- 2011 Jan-Mar Corrected Hospital Inpatient-Chemical Dependency Detox Rates
- 2011 Jan-Mar Hospital Inpatient-Chemical Dependency Detox Rates
- 2011 Jan-Dec Hospital Inpatient Fee Schedule
- 2011 Jan-Mar Hospital Inpatient Fee Schedule
2011 New Facility Schedules
For Psychiatric Reform Rates from 10/20/10 to 12/31/10, please see 2012 fee schedule.
- 2010-Oct-Dec-Hospital Inpatient Fee-Facility Update- Jan 10 2012
- 2010 Apr-Dec Hospital Inpatient-Chemical Dependency Detox Rates
- 2010 Jan-Mar Hospital Inpatient-Chemical Dependency Detox Rates
- 2010 Oct-Dec Hospital Inpatient Fee Schedule
- 2010 Apr-Sep Hospital Inpatient Fee Schedule
- 2010 Jan-Mar Hospital Inpatient Fee Schedule
- 2010 Crystal Run Ambulatory Surgery Fee Schedule
- 2010 Physician's Choice Surgi Center Ambulatory Surgery Center Fee Schedule (2009-2010)
- 2010 Linden Oaks Surgery Center Fee Schedule
- 2010 Surgicare of Manhattan Ambulatory Surgery Fee Schedule
- 2010-11 South Shore Surgery Center Ambulatory Surgery Fee Schedule
- 2010 Rye Ambulatory Surgery Center Ambulatory Surgery Fee Schedule
2010 New Facility Schedules
- 2009 Jan-Nov Revised (12/30/11) Hospital Inpatient Fee Schedules
- 2009 Revised Jan-Dec Hospital Inpatient-Chemical Dependency Detox Rates
- 2009 Apr-Dec Hospital Inpatient-Chemical Dependency Detox Rates
- 2009 Jan-Mar Hospital Inpatient-Chemical Dependency Detox Rates
- 2009 Jan-Nov Revised (5/14/10) Hospital Inpatient Fee Schedules
- 2009 Dec Revised Hospital Inpatient Fee Schedules
- 2009 Dec Hospital Inpatient Fee Schedules
2009 Revised/Updated Facility Schedules
2009 New Facility Schedules
- 2008 Dec Hospital Inpatient-Chemical Dependency Detox Rates
- 2008 July-Dec Hospital Inpatient Revised Fee Schedules (revised effective 11/13/09)
- 2008 July-Dec Hospital Inpatient Revised Fee Schedules
- 2008 Jan-Dec Hospital Inpatient Fee Schedule
2008 Revised/Updated Facility Schedules
2008 Newly Added Facilities
- 2007 Jan-Dec Hospital Inpatient Fee Schedule
- 2007 Jan-Dec Revised Hospital Inpatient Fee Schedule
2007 Revised/Updated Facility Schedules
2006 DRG Update
- 2006 Revised Hospital Inpatient Fee Schedule for Various Hospitals
- DRG Update
- 2006 DRG Update (MS Excel - Zip File)
- 2006 Hospital Inpatient Fee Schedule
- PDF
Effective 01/01/2006 - 12/31/2006 - (MS Excel - Zip File)
Effective 01/01/2006 - 12/31/2006
- PDF
- 2006 Updated Hospital Inpatient Fee Schedule
- PDF
Effective 01/01/2006 - 12/31/2006 - (MS Excel - Zip File)
Effective 01/01/2006 - 12/31/2006
- PDF
- Frequently Asked Questions for Subject Number 046-166 - Payments to Hospitals for Spinal Procedures
2006 Revised/Updated Facility Schedules
- 2005 Hospital Inpatient Fee Schedule - July through December
- PDF
Effective 07/01/2005 - 12/31/2005 - (MS Excel - Zip File)
Effective 07/01/2005 - 12/31/2005
- PDF
- 2005 Hospital Inpatient Fee Schedule
- PDF
Effective 01/01/2005 - 12/31/2005 - (MS Excel - Zip File)
Effective 01/01/2005 - 12/31/2005
- PDF
- 2004 Hospital Inpatient Fee Schedule - July through December
- PDF
Effective 07/01/2004 - 12/31/2004 - (MS Excel - Zip File)
Effective 07/01/2004 - 12/31/2004
- PDF
- 2004 Hospital Inpatient Fee Schedule
- PDF
Effective 01/01/2004 - 12/31/2004 - (MS Excel - Zip File)
Effective 01/01/2004 - 12/31/2004
- PDF
- 2003 Hospital Inpatient Fee Schedule - July through December
Effective 07/01/2003 - 12/31/2003 - 2003 Hospital Inpatient Fee Schedule (MS Excel - Zip File)
- 2003 Ambulatory Fee Schedule Memos
- 2003 Fee Schedule for Licensed Free Standing Ambulatory Surgery Centers
- 2003 Ambulatory Fee Schedule for Hospitals
- 2003 Ambulatory Fee Schedule for Surgery Centers (MS Excel)
2003 Revised/Updated Facility Schedules
2003 Newly Added Facilities (PDF files)
- All City Family Healthcare Center
- Brighton Surgery Center
- Boulevard Surgical Center
- Buffalo Surgery Center
- Cataract Center of the Adirondacks
- East Tremont Medical Center
- Eye Surgery Center of Westchester
- North Country Orthopaedic A.S.C.
- Progressive Surgery Center
- South Shore Ambulatory Surgery Center
- Specialists One-Day Surgery Center Inc.
- Sterling Surgical Center
- Suffolk Surgery Center
- Westchester Ambulatory Surgery Center