|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$21,523.00
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$7,742.00 |
| Max. Negotiated Rate |
$21,523.00 |
| Rate for Payer: Aetna Managed Medicare |
$7,742.00
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$16,784.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$12,864.80
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$12,222.40
|
| Rate for Payer: Anthem Medicare Advantage |
$7,742.00
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$7,742.00
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$7,742.00
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$7,742.00
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$13,567.98
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$7,742.00
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$15,551.25
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$7,742.00
|
| Rate for Payer: Independent Care Health Plan Medicare |
$7,742.00
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$7,742.00
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$7,742.00
|
| Rate for Payer: NAPHCARE Commercial |
$11,613.00
|
| Rate for Payer: Quartz Medicare Advantage |
$7,742.00
|
| Rate for Payer: The Alliance Commercial |
$21,523.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,742.00
|
| Rate for Payer: United Healthcare PPO |
$12,106.85
|
| Rate for Payer: Wellcare Medicare |
$7,742.00
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$25,487.00
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$9,167.88 |
| Max. Negotiated Rate |
$25,487.00 |
| Rate for Payer: Aetna Managed Medicare |
$9,167.88
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$19,931.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$15,276.95
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$14,514.10
|
| Rate for Payer: Anthem Medicare Advantage |
$9,167.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$9,167.88
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$9,167.88
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$9,167.88
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$16,111.98
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$9,167.88
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$18,458.70
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$9,167.88
|
| Rate for Payer: Independent Care Health Plan Medicare |
$9,167.88
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$9,167.88
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$9,167.88
|
| Rate for Payer: NAPHCARE Commercial |
$13,751.82
|
| Rate for Payer: Quartz Medicare Advantage |
$9,167.88
|
| Rate for Payer: The Alliance Commercial |
$25,487.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,167.88
|
| Rate for Payer: United Healthcare PPO |
$14,370.33
|
| Rate for Payer: Wellcare Medicare |
$9,167.88
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$41,215.00
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$14,825.52 |
| Max. Negotiated Rate |
$41,215.00 |
| Rate for Payer: Aetna Managed Medicare |
$14,825.52
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$32,309.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$24,764.74
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$23,528.12
|
| Rate for Payer: Anthem Medicare Advantage |
$14,825.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$14,825.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$14,825.52
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$14,825.52
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$26,118.37
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$14,825.52
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$29,994.90
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$14,825.52
|
| Rate for Payer: Independent Care Health Plan Medicare |
$14,825.52
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$14,825.52
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$14,825.52
|
| Rate for Payer: NAPHCARE Commercial |
$22,238.28
|
| Rate for Payer: Quartz Medicare Advantage |
$14,825.52
|
| Rate for Payer: The Alliance Commercial |
$41,215.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$14,825.52
|
| Rate for Payer: United Healthcare PPO |
$23,351.41
|
| Rate for Payer: Wellcare Medicare |
$14,825.52
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,748.00
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$6,384.01 |
| Max. Negotiated Rate |
$17,748.00 |
| Rate for Payer: Aetna Managed Medicare |
$6,384.01
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$13,846.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$10,613.46
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,083.48
|
| Rate for Payer: Anthem Medicare Advantage |
$6,384.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$6,384.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$6,384.01
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$6,384.01
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,193.59
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$6,384.01
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$12,782.25
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$6,384.01
|
| Rate for Payer: Independent Care Health Plan Medicare |
$6,384.01
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$6,384.01
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$6,384.01
|
| Rate for Payer: NAPHCARE Commercial |
$9,576.02
|
| Rate for Payer: Quartz Medicare Advantage |
$6,384.01
|
| Rate for Payer: The Alliance Commercial |
$17,748.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,384.01
|
| Rate for Payer: United Healthcare PPO |
$9,951.15
|
| Rate for Payer: Wellcare Medicare |
$6,384.01
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$46,327.00
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$16,664.55 |
| Max. Negotiated Rate |
$46,327.00 |
| Rate for Payer: Aetna Managed Medicare |
$16,664.55
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$36,295.40
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$27,820.13
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$26,430.94
|
| Rate for Payer: Anthem Medicare Advantage |
$16,664.55
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16,664.55
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16,664.55
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16,664.55
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$29,340.77
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16,664.55
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$33,744.75
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16,664.55
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16,664.55
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16,664.55
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16,664.55
|
| Rate for Payer: NAPHCARE Commercial |
$24,996.82
|
| Rate for Payer: Quartz Medicare Advantage |
$16,664.55
|
| Rate for Payer: The Alliance Commercial |
$46,327.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,664.55
|
| Rate for Payer: United Healthcare PPO |
$26,270.72
|
| Rate for Payer: Wellcare Medicare |
$16,664.55
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$88,735.00
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$31,918.96 |
| Max. Negotiated Rate |
$88,735.00 |
| Rate for Payer: Aetna Managed Medicare |
$31,918.96
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$69,863.40
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$53,549.73
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$50,875.74
|
| Rate for Payer: Anthem Medicare Advantage |
$31,918.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$31,918.96
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$31,918.96
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$31,918.96
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$56,476.73
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$31,918.96
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$64,849.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$31,918.96
|
| Rate for Payer: Independent Care Health Plan Medicare |
$31,918.96
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$31,918.96
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$31,918.96
|
| Rate for Payer: NAPHCARE Commercial |
$47,878.44
|
| Rate for Payer: Quartz Medicare Advantage |
$31,918.96
|
| Rate for Payer: The Alliance Commercial |
$88,735.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,918.96
|
| Rate for Payer: United Healthcare PPO |
$50,485.93
|
| Rate for Payer: Wellcare Medicare |
$31,918.96
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,785.00
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$11,793.01 |
| Max. Negotiated Rate |
$32,785.00 |
| Rate for Payer: Aetna Managed Medicare |
$11,793.01
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$25,595.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$19,618.82
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$18,639.16
|
| Rate for Payer: Anthem Medicare Advantage |
$11,793.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$11,793.01
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$11,793.01
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$11,793.01
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$20,691.18
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$11,793.01
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$23,811.45
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$11,793.01
|
| Rate for Payer: Independent Care Health Plan Medicare |
$11,793.01
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$11,793.01
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$11,793.01
|
| Rate for Payer: NAPHCARE Commercial |
$17,689.52
|
| Rate for Payer: Quartz Medicare Advantage |
$11,793.01
|
| Rate for Payer: The Alliance Commercial |
$32,785.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,793.01
|
| Rate for Payer: United Healthcare PPO |
$18,537.52
|
| Rate for Payer: Wellcare Medicare |
$11,793.01
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$60,479.00
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$21,755.09 |
| Max. Negotiated Rate |
$60,479.00 |
| Rate for Payer: Wellcare Medicare |
$21,755.09
|
| Rate for Payer: Aetna Managed Medicare |
$21,755.09
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$47,414.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$36,343.06
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$34,528.28
|
| Rate for Payer: Anthem Medicare Advantage |
$21,755.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$21,755.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$21,755.09
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$21,755.09
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$38,329.55
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$21,755.09
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$44,124.60
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$21,755.09
|
| Rate for Payer: Independent Care Health Plan Medicare |
$21,755.09
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$21,755.09
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$21,755.09
|
| Rate for Payer: NAPHCARE Commercial |
$32,632.64
|
| Rate for Payer: Quartz Medicare Advantage |
$21,755.09
|
| Rate for Payer: The Alliance Commercial |
$60,479.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,755.09
|
| Rate for Payer: United Healthcare PPO |
$34,351.57
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$107,050.00
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$38,507.10 |
| Max. Negotiated Rate |
$107,050.00 |
| Rate for Payer: Aetna Managed Medicare |
$38,507.10
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$84,129.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$64,484.81
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$61,264.78
|
| Rate for Payer: Anthem Medicare Advantage |
$38,507.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$38,507.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$38,507.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$38,507.10
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$68,009.52
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$38,507.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$78,282.75
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$38,507.10
|
| Rate for Payer: Independent Care Health Plan Medicare |
$38,507.10
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$38,507.10
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$38,507.10
|
| Rate for Payer: NAPHCARE Commercial |
$57,760.65
|
| Rate for Payer: Quartz Medicare Advantage |
$38,507.10
|
| Rate for Payer: The Alliance Commercial |
$107,050.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,507.10
|
| Rate for Payer: United Healthcare PPO |
$60,944.12
|
| Rate for Payer: Wellcare Medicare |
$38,507.10
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,442.00
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$13,468.50 |
| Max. Negotiated Rate |
$37,442.00 |
| Rate for Payer: Aetna Managed Medicare |
$13,468.50
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$29,372.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$22,513.40
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$21,389.20
|
| Rate for Payer: Anthem Medicare Advantage |
$13,468.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$13,468.50
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$13,468.50
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$13,468.50
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$23,743.97
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$13,468.50
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$27,227.85
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$13,468.50
|
| Rate for Payer: Independent Care Health Plan Medicare |
$13,468.50
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$13,468.50
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$13,468.50
|
| Rate for Payer: NAPHCARE Commercial |
$20,202.75
|
| Rate for Payer: Quartz Medicare Advantage |
$13,468.50
|
| Rate for Payer: The Alliance Commercial |
$37,442.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,468.50
|
| Rate for Payer: United Healthcare PPO |
$21,197.23
|
| Rate for Payer: Wellcare Medicare |
$13,468.50
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$116,286.00
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$41,829.40 |
| Max. Negotiated Rate |
$116,286.00 |
| Rate for Payer: Aetna Managed Medicare |
$41,829.40
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$91,472.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$70,113.16
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$66,612.08
|
| Rate for Payer: Anthem Medicare Advantage |
$41,829.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$41,829.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$41,829.40
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$41,829.40
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$73,945.51
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$41,829.40
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$85,057.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$41,829.40
|
| Rate for Payer: Independent Care Health Plan Medicare |
$41,829.40
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$41,829.40
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$41,829.40
|
| Rate for Payer: NAPHCARE Commercial |
$62,744.10
|
| Rate for Payer: Quartz Medicare Advantage |
$41,829.40
|
| Rate for Payer: The Alliance Commercial |
$116,286.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41,829.40
|
| Rate for Payer: United Healthcare PPO |
$66,218.00
|
| Rate for Payer: Wellcare Medicare |
$41,829.40
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$59,501.00
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$21,403.16 |
| Max. Negotiated Rate |
$59,501.00 |
| Rate for Payer: Aetna Managed Medicare |
$21,403.16
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$46,785.40
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$35,860.63
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$34,069.94
|
| Rate for Payer: Anthem Medicare Advantage |
$21,403.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$21,403.16
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$21,403.16
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$21,403.16
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$37,820.76
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$21,403.16
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$43,407.00
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$21,403.16
|
| Rate for Payer: Independent Care Health Plan Medicare |
$21,403.16
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$21,403.16
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$21,403.16
|
| Rate for Payer: NAPHCARE Commercial |
$32,104.74
|
| Rate for Payer: Quartz Medicare Advantage |
$21,403.16
|
| Rate for Payer: The Alliance Commercial |
$59,501.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,403.16
|
| Rate for Payer: United Healthcare PPO |
$33,792.91
|
| Rate for Payer: Wellcare Medicare |
$21,403.16
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$16,006.00
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$5,757.61 |
| Max. Negotiated Rate |
$16,006.00 |
| Rate for Payer: Aetna Managed Medicare |
$5,757.61
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$12,378.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$9,487.79
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$9,014.02
|
| Rate for Payer: Anthem Medicare Advantage |
$5,757.61
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5,757.61
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5,757.61
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5,757.61
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$10,006.39
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5,757.61
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$11,505.00
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5,757.61
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5,757.61
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5,757.61
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5,757.61
|
| Rate for Payer: NAPHCARE Commercial |
$8,636.42
|
| Rate for Payer: Quartz Medicare Advantage |
$5,757.61
|
| Rate for Payer: The Alliance Commercial |
$16,006.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,757.61
|
| Rate for Payer: United Healthcare PPO |
$8,956.79
|
| Rate for Payer: Wellcare Medicare |
$5,757.61
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$67,243.00
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$24,187.99 |
| Max. Negotiated Rate |
$67,243.00 |
| Rate for Payer: Aetna Managed Medicare |
$24,187.99
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$52,869.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$40,524.12
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$38,500.56
|
| Rate for Payer: Anthem Medicare Advantage |
$24,187.99
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$24,187.99
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$24,187.99
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$24,187.99
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$42,739.15
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$24,187.99
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$49,085.40
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$24,187.99
|
| Rate for Payer: Independent Care Health Plan Medicare |
$24,187.99
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$24,187.99
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$24,187.99
|
| Rate for Payer: NAPHCARE Commercial |
$36,281.98
|
| Rate for Payer: Quartz Medicare Advantage |
$24,187.99
|
| Rate for Payer: The Alliance Commercial |
$67,243.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,187.99
|
| Rate for Payer: United Healthcare PPO |
$38,213.61
|
| Rate for Payer: Wellcare Medicare |
$24,187.99
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,477.00
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$13,121.35 |
| Max. Negotiated Rate |
$36,477.00 |
| Rate for Payer: Wellcare Medicare |
$13,121.35
|
| Rate for Payer: Aetna Managed Medicare |
$13,121.35
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$28,532.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$21,870.16
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$20,778.08
|
| Rate for Payer: Anthem Medicare Advantage |
$13,121.35
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$13,121.35
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$13,121.35
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$13,121.35
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$23,065.57
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$13,121.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$26,520.00
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$13,121.35
|
| Rate for Payer: Independent Care Health Plan Medicare |
$13,121.35
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$13,121.35
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$13,121.35
|
| Rate for Payer: NAPHCARE Commercial |
$19,682.02
|
| Rate for Payer: Quartz Medicare Advantage |
$13,121.35
|
| Rate for Payer: The Alliance Commercial |
$36,477.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,121.35
|
| Rate for Payer: United Healthcare PPO |
$20,646.16
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$271,891.00
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$97,802.41 |
| Max. Negotiated Rate |
$271,891.00 |
| Rate for Payer: Aetna Managed Medicare |
$97,802.41
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$214,205.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$164,187.01
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$155,988.38
|
| Rate for Payer: Anthem Medicare Advantage |
$97,802.41
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$97,802.41
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$97,802.41
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$97,802.41
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$173,161.40
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$97,802.41
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$199,188.60
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$97,802.41
|
| Rate for Payer: Independent Care Health Plan Medicare |
$97,802.41
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$97,802.41
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$97,802.41
|
| Rate for Payer: NAPHCARE Commercial |
$146,703.62
|
| Rate for Payer: Quartz Medicare Advantage |
$97,802.41
|
| Rate for Payer: The Alliance Commercial |
$271,891.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$97,802.41
|
| Rate for Payer: United Healthcare PPO |
$155,070.88
|
| Rate for Payer: Wellcare Medicare |
$97,802.41
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$56,994.00
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$20,501.34 |
| Max. Negotiated Rate |
$56,994.00 |
| Rate for Payer: Aetna Managed Medicare |
$20,501.34
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$43,848.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$33,609.29
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$31,931.02
|
| Rate for Payer: Anthem Medicare Advantage |
$20,501.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$20,501.34
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$20,501.34
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$20,501.34
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$35,446.36
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$20,501.34
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,702.35
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$20,501.34
|
| Rate for Payer: Independent Care Health Plan Medicare |
$20,501.34
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$20,501.34
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$20,501.34
|
| Rate for Payer: NAPHCARE Commercial |
$30,752.01
|
| Rate for Payer: Quartz Medicare Advantage |
$20,501.34
|
| Rate for Payer: The Alliance Commercial |
$56,994.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,501.34
|
| Rate for Payer: United Healthcare PPO |
$31,687.30
|
| Rate for Payer: Wellcare Medicare |
$20,501.34
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$104,295.00
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$37,516.36 |
| Max. Negotiated Rate |
$104,295.00 |
| Rate for Payer: Aetna Managed Medicare |
$37,516.36
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$82,031.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$62,876.71
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$59,736.98
|
| Rate for Payer: Anthem Medicare Advantage |
$37,516.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37,516.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37,516.36
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37,516.36
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$66,313.52
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37,516.36
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$76,262.55
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37,516.36
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37,516.36
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37,516.36
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37,516.36
|
| Rate for Payer: NAPHCARE Commercial |
$56,274.54
|
| Rate for Payer: Quartz Medicare Advantage |
$37,516.36
|
| Rate for Payer: The Alliance Commercial |
$104,295.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,516.36
|
| Rate for Payer: United Healthcare PPO |
$59,371.37
|
| Rate for Payer: Wellcare Medicare |
$37,516.36
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,908.00
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$15,434.71 |
| Max. Negotiated Rate |
$42,908.00 |
| Rate for Payer: Aetna Managed Medicare |
$15,434.71
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$33,568.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$25,729.60
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$24,444.80
|
| Rate for Payer: Anthem Medicare Advantage |
$15,434.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$15,434.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$15,434.71
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$15,434.71
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$27,135.97
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$15,434.71
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$31,237.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$15,434.71
|
| Rate for Payer: Independent Care Health Plan Medicare |
$15,434.71
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$15,434.71
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$15,434.71
|
| Rate for Payer: NAPHCARE Commercial |
$23,152.06
|
| Rate for Payer: Quartz Medicare Advantage |
$15,434.71
|
| Rate for Payer: The Alliance Commercial |
$42,908.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15,434.71
|
| Rate for Payer: United Healthcare PPO |
$24,318.44
|
| Rate for Payer: Wellcare Medicare |
$15,434.71
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$29,179.00
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$10,496.21 |
| Max. Negotiated Rate |
$29,179.00 |
| Rate for Payer: Aetna Managed Medicare |
$10,496.21
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$22,868.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$17,528.29
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$16,653.02
|
| Rate for Payer: Anthem Medicare Advantage |
$10,496.21
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$10,496.21
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$10,496.21
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$10,496.21
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$18,486.38
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$10,496.21
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$21,167.25
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$10,496.21
|
| Rate for Payer: Independent Care Health Plan Medicare |
$10,496.21
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$10,496.21
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$10,496.21
|
| Rate for Payer: NAPHCARE Commercial |
$15,744.32
|
| Rate for Payer: Quartz Medicare Advantage |
$10,496.21
|
| Rate for Payer: The Alliance Commercial |
$29,179.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$10,496.21
|
| Rate for Payer: United Healthcare PPO |
$16,478.98
|
| Rate for Payer: Wellcare Medicare |
$10,496.21
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$55,946.00
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$20,124.54 |
| Max. Negotiated Rate |
$55,946.00 |
| Rate for Payer: Aetna Managed Medicare |
$20,124.54
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$43,848.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$33,609.29
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$31,931.02
|
| Rate for Payer: Anthem Medicare Advantage |
$20,124.54
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$20,124.54
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$20,124.54
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$20,124.54
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$35,446.36
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$20,124.54
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$40,799.85
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$20,124.54
|
| Rate for Payer: Independent Care Health Plan Medicare |
$20,124.54
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$20,124.54
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$20,124.54
|
| Rate for Payer: NAPHCARE Commercial |
$30,186.81
|
| Rate for Payer: Quartz Medicare Advantage |
$20,124.54
|
| Rate for Payer: The Alliance Commercial |
$55,946.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,124.54
|
| Rate for Payer: United Healthcare PPO |
$31,763.21
|
| Rate for Payer: Wellcare Medicare |
$20,124.54
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,683.00
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$6,720.64 |
| Max. Negotiated Rate |
$18,683.00 |
| Rate for Payer: Wellcare Medicare |
$6,720.64
|
| Rate for Payer: Aetna Managed Medicare |
$6,720.64
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$14,476.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$11,095.89
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,541.82
|
| Rate for Payer: Anthem Medicare Advantage |
$6,720.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$6,720.64
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$6,720.64
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$6,720.64
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,702.39
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$6,720.64
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$13,468.65
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$6,720.64
|
| Rate for Payer: Independent Care Health Plan Medicare |
$6,720.64
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$6,720.64
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$6,720.64
|
| Rate for Payer: NAPHCARE Commercial |
$10,080.96
|
| Rate for Payer: Quartz Medicare Advantage |
$6,720.64
|
| Rate for Payer: The Alliance Commercial |
$18,683.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,720.64
|
| Rate for Payer: United Healthcare PPO |
$10,485.52
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$46,710.00
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$16,802.25 |
| Max. Negotiated Rate |
$46,710.00 |
| Rate for Payer: Aetna Managed Medicare |
$16,802.25
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$36,505.20
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$27,980.94
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$26,583.72
|
| Rate for Payer: Anthem Medicare Advantage |
$16,802.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16,802.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16,802.25
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16,802.25
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$29,510.37
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16,802.25
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$34,025.55
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16,802.25
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16,802.25
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16,802.25
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16,802.25
|
| Rate for Payer: NAPHCARE Commercial |
$25,203.38
|
| Rate for Payer: Quartz Medicare Advantage |
$16,802.25
|
| Rate for Payer: The Alliance Commercial |
$46,710.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,802.25
|
| Rate for Payer: United Healthcare PPO |
$26,489.33
|
| Rate for Payer: Wellcare Medicare |
$16,802.25
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$27,209.00
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$9,787.58 |
| Max. Negotiated Rate |
$27,209.00 |
| Rate for Payer: Aetna Managed Medicare |
$9,787.58
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$21,189.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$16,241.81
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$15,430.78
|
| Rate for Payer: Anthem Medicare Advantage |
$9,787.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$9,787.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$9,787.58
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$9,787.58
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$17,129.58
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$9,787.58
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$19,722.30
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$9,787.58
|
| Rate for Payer: Independent Care Health Plan Medicare |
$9,787.58
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$9,787.58
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$9,787.58
|
| Rate for Payer: NAPHCARE Commercial |
$14,681.37
|
| Rate for Payer: Quartz Medicare Advantage |
$9,787.58
|
| Rate for Payer: The Alliance Commercial |
$27,209.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,787.58
|
| Rate for Payer: United Healthcare PPO |
$15,354.06
|
| Rate for Payer: Wellcare Medicare |
$9,787.58
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$27,459.00
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$9,877.48 |
| Max. Negotiated Rate |
$27,459.00 |
| Rate for Payer: Aetna Managed Medicare |
$9,877.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$21,399.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$16,402.62
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$15,583.56
|
| Rate for Payer: Anthem Medicare Advantage |
$9,877.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$9,877.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$9,877.48
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$9,877.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$17,299.18
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$9,877.48
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$19,905.60
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$9,877.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$9,877.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$9,877.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$9,877.48
|
| Rate for Payer: NAPHCARE Commercial |
$14,816.22
|
| Rate for Payer: Quartz Medicare Advantage |
$9,877.48
|
| Rate for Payer: The Alliance Commercial |
$27,459.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9,877.48
|
| Rate for Payer: United Healthcare PPO |
$15,496.76
|
| Rate for Payer: Wellcare Medicare |
$9,877.48
|
|
