|
OTHER EYE INFECTION DIAGNOSES
|
Facility
|
OP
|
$98.27
|
|
|
Service Code
|
EAPG 00557
|
| Min. Negotiated Rate |
$94.49 |
| Max. Negotiated Rate |
$98.27 |
| Rate for Payer: Anthem Medicaid |
$94.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$94.49
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$94.49
|
| Rate for Payer: Dean Health Medicaid |
$94.49
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$94.49
|
| Rate for Payer: Managed Health Services Medicaid |
$98.27
|
| Rate for Payer: Molina Healthcare Medicaid |
$94.49
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$94.49
|
| Rate for Payer: United Healthcare Medicaid |
$94.49
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$16,646.24
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$4,764.73 |
| Max. Negotiated Rate |
$16,646.24 |
| Rate for Payer: Aetna Managed Medicare |
$4,764.73
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$12,131.48
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$9,298.68
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$8,834.35
|
| Rate for Payer: Anthem Medicare Advantage |
$4,764.73
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$4,764.73
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$4,764.73
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$4,764.73
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$9,806.94
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$4,764.73
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$11,965.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$4,764.73
|
| Rate for Payer: Independent Care Health Plan Medicare |
$4,764.73
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$4,764.73
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$4,764.73
|
| Rate for Payer: NAPHCARE Commercial |
$7,147.09
|
| Rate for Payer: Quartz Medicare Advantage |
$4,764.73
|
| Rate for Payer: The Alliance Commercial |
$16,646.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$4,764.73
|
| Rate for Payer: United Healthcare PPO |
$9,315.06
|
| Rate for Payer: Wellcare Medicare |
$4,764.73
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES
|
Facility
|
OP
|
$85.17
|
|
|
Service Code
|
EAPG 00752
|
| Min. Negotiated Rate |
$81.89 |
| Max. Negotiated Rate |
$85.17 |
| Rate for Payer: Anthem Medicaid |
$81.89
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$81.89
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$81.89
|
| Rate for Payer: Dean Health Medicaid |
$81.89
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$81.89
|
| Rate for Payer: Managed Health Services Medicaid |
$85.17
|
| Rate for Payer: Molina Healthcare Medicaid |
$81.89
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$81.89
|
| Rate for Payer: United Healthcare Medicaid |
$81.89
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,415.51
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$11,916.50 |
| Max. Negotiated Rate |
$13,415.51 |
| Rate for Payer: Anthem Medicaid |
$12,846.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$12,846.09
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$12,846.09
|
| Rate for Payer: Dean Health Medicaid |
$12,846.09
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$11,916.50
|
| Rate for Payer: Managed Health Services Medicaid |
$13,415.51
|
| Rate for Payer: Molina Healthcare Medicaid |
$12,846.09
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$12,846.09
|
| Rate for Payer: United Healthcare Medicaid |
$12,846.09
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$35,160.92
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$31,232.13 |
| Max. Negotiated Rate |
$35,160.92 |
| Rate for Payer: Anthem Medicaid |
$33,668.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$33,668.52
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$33,668.52
|
| Rate for Payer: Dean Health Medicaid |
$33,668.52
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$31,232.13
|
| Rate for Payer: Managed Health Services Medicaid |
$35,160.92
|
| Rate for Payer: Molina Healthcare Medicaid |
$33,668.52
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$33,668.52
|
| Rate for Payer: United Healthcare Medicaid |
$33,668.52
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$21,219.31
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$18,848.32 |
| Max. Negotiated Rate |
$21,219.31 |
| Rate for Payer: Anthem Medicaid |
$20,318.66
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$20,318.66
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$20,318.66
|
| Rate for Payer: Dean Health Medicaid |
$20,318.66
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$18,848.32
|
| Rate for Payer: Managed Health Services Medicaid |
$21,219.31
|
| Rate for Payer: Molina Healthcare Medicaid |
$20,318.66
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$20,318.66
|
| Rate for Payer: United Healthcare Medicaid |
$20,318.66
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,066.85
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$7,165.48 |
| Max. Negotiated Rate |
$8,066.85 |
| Rate for Payer: Anthem Medicaid |
$7,724.45
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$7,724.45
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$7,724.45
|
| Rate for Payer: Dean Health Medicaid |
$7,724.45
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$7,165.48
|
| Rate for Payer: Managed Health Services Medicaid |
$8,066.85
|
| Rate for Payer: Molina Healthcare Medicaid |
$7,724.45
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$7,724.45
|
| Rate for Payer: United Healthcare Medicaid |
$7,724.45
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$69,932.72
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$20,169.97 |
| Max. Negotiated Rate |
$69,932.72 |
| Rate for Payer: Aetna Managed Medicare |
$20,169.97
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$56,022.98
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$42,941.16
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$40,796.90
|
| Rate for Payer: Anthem Medicare Advantage |
$20,169.97
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$20,169.97
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$20,169.97
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$20,169.97
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$45,288.30
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$20,169.97
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$51,048.82
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$20,169.97
|
| Rate for Payer: Independent Care Health Plan Medicare |
$20,169.97
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$20,169.97
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$20,169.97
|
| Rate for Payer: NAPHCARE Commercial |
$30,254.95
|
| Rate for Payer: Quartz Medicare Advantage |
$20,169.97
|
| Rate for Payer: The Alliance Commercial |
$69,932.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,169.97
|
| Rate for Payer: United Healthcare PPO |
$39,742.15
|
| Rate for Payer: Wellcare Medicare |
$20,169.97
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,936.08
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$11,808.74 |
| Max. Negotiated Rate |
$37,936.08 |
| Rate for Payer: Aetna Managed Medicare |
$11,808.74
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$32,200.78
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$24,681.63
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$23,449.16
|
| Rate for Payer: Anthem Medicare Advantage |
$11,808.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$11,808.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$11,808.74
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$11,808.74
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$26,030.72
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$11,808.74
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$27,580.80
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$11,808.74
|
| Rate for Payer: Independent Care Health Plan Medicare |
$11,808.74
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$11,808.74
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$11,808.74
|
| Rate for Payer: NAPHCARE Commercial |
$17,713.11
|
| Rate for Payer: Quartz Medicare Advantage |
$11,808.74
|
| Rate for Payer: The Alliance Commercial |
$37,936.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,808.74
|
| Rate for Payer: United Healthcare PPO |
$21,472.01
|
| Rate for Payer: Wellcare Medicare |
$11,808.74
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$15,519.91
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$13,785.75 |
| Max. Negotiated Rate |
$15,519.91 |
| Rate for Payer: Anthem Medicaid |
$14,861.17
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$14,861.17
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$14,861.17
|
| Rate for Payer: Dean Health Medicaid |
$14,861.17
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$13,785.75
|
| Rate for Payer: Managed Health Services Medicaid |
$15,519.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$14,861.17
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$14,861.17
|
| Rate for Payer: United Healthcare Medicaid |
$14,861.17
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,559.52
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$4,050.05 |
| Max. Negotiated Rate |
$4,559.52 |
| Rate for Payer: Anthem Medicaid |
$4,365.99
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$4,365.99
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$4,365.99
|
| Rate for Payer: Dean Health Medicaid |
$4,365.99
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$4,050.05
|
| Rate for Payer: Managed Health Services Medicaid |
$4,559.52
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,365.99
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$4,365.99
|
| Rate for Payer: United Healthcare Medicaid |
$4,365.99
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$8,417.58
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$7,477.02 |
| Max. Negotiated Rate |
$8,417.58 |
| Rate for Payer: Anthem Medicaid |
$8,060.29
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$8,060.29
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$8,060.29
|
| Rate for Payer: Dean Health Medicaid |
$8,060.29
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$7,477.02
|
| Rate for Payer: Managed Health Services Medicaid |
$8,417.58
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,060.29
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$8,060.29
|
| Rate for Payer: United Healthcare Medicaid |
$8,060.29
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$5,699.40
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$5,062.56 |
| Max. Negotiated Rate |
$5,699.40 |
| Rate for Payer: Anthem Medicaid |
$5,457.49
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$5,457.49
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$5,457.49
|
| Rate for Payer: Dean Health Medicaid |
$5,457.49
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$5,062.56
|
| Rate for Payer: Managed Health Services Medicaid |
$5,699.40
|
| Rate for Payer: Molina Healthcare Medicaid |
$5,457.49
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$5,457.49
|
| Rate for Payer: United Healthcare Medicaid |
$5,457.49
|
|
|
OTHER GASTROINTESTINAL SYSTEM DIAGNOSES
|
Facility
|
OP
|
$95.65
|
|
|
Service Code
|
EAPG 00624
|
| Min. Negotiated Rate |
$91.97 |
| Max. Negotiated Rate |
$95.65 |
| Rate for Payer: Anthem Medicaid |
$91.97
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$91.97
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$91.97
|
| Rate for Payer: Dean Health Medicaid |
$91.97
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$91.97
|
| Rate for Payer: Managed Health Services Medicaid |
$95.65
|
| Rate for Payer: Molina Healthcare Medicaid |
$91.97
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$91.97
|
| Rate for Payer: United Healthcare Medicaid |
$91.97
|
|
|
OTHER GYNECOLOGICAL PROCEDURES
|
Facility
|
OP
|
$403.57
|
|
|
Service Code
|
EAPG 00209
|
| Min. Negotiated Rate |
$388.05 |
| Max. Negotiated Rate |
$403.57 |
| Rate for Payer: Anthem Medicaid |
$388.05
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$388.05
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$388.05
|
| Rate for Payer: Dean Health Medicaid |
$388.05
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$388.05
|
| Rate for Payer: Managed Health Services Medicaid |
$403.57
|
| Rate for Payer: Molina Healthcare Medicaid |
$388.05
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$388.05
|
| Rate for Payer: United Healthcare Medicaid |
$388.05
|
|
|
OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$15,344.54
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$13,629.98 |
| Max. Negotiated Rate |
$15,344.54 |
| Rate for Payer: Anthem Medicaid |
$14,693.25
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$14,693.25
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$14,693.25
|
| Rate for Payer: Dean Health Medicaid |
$14,693.25
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$13,629.98
|
| Rate for Payer: Managed Health Services Medicaid |
$15,344.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$14,693.25
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$14,693.25
|
| Rate for Payer: United Healthcare Medicaid |
$14,693.25
|
|
|
OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$23,586.75
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$20,951.23 |
| Max. Negotiated Rate |
$23,586.75 |
| Rate for Payer: Anthem Medicaid |
$22,585.62
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$22,585.62
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$22,585.62
|
| Rate for Payer: Dean Health Medicaid |
$22,585.62
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$20,951.23
|
| Rate for Payer: Managed Health Services Medicaid |
$23,586.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$22,585.62
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$22,585.62
|
| Rate for Payer: United Healthcare Medicaid |
$22,585.62
|
|
|
OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$12,012.58
|
|
|
Service Code
|
APR-DRG 5201
|
| Min. Negotiated Rate |
$10,670.33 |
| Max. Negotiated Rate |
$12,012.58 |
| Rate for Payer: Anthem Medicaid |
$11,502.71
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$11,502.71
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$11,502.71
|
| Rate for Payer: Dean Health Medicaid |
$11,502.71
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$10,670.33
|
| Rate for Payer: Managed Health Services Medicaid |
$12,012.58
|
| Rate for Payer: Molina Healthcare Medicaid |
$11,502.71
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$11,502.71
|
| Rate for Payer: United Healthcare Medicaid |
$11,502.71
|
|
|
OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$44,367.65
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$39,410.11 |
| Max. Negotiated Rate |
$44,367.65 |
| Rate for Payer: Anthem Medicaid |
$42,484.47
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$42,484.47
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$42,484.47
|
| Rate for Payer: Dean Health Medicaid |
$42,484.47
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$39,410.11
|
| Rate for Payer: Managed Health Services Medicaid |
$44,367.65
|
| Rate for Payer: Molina Healthcare Medicaid |
$42,484.47
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$42,484.47
|
| Rate for Payer: United Healthcare Medicaid |
$42,484.47
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$282,766.64
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$76,759.45 |
| Max. Negotiated Rate |
$282,766.64 |
| Rate for Payer: Aetna Managed Medicare |
$76,759.45
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$217,253.77
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$166,523.26
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$158,207.97
|
| Rate for Payer: Anthem Medicare Advantage |
$76,759.45
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$76,759.45
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$76,759.45
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$76,759.45
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$175,625.35
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$76,759.45
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$207,156.14
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$76,759.45
|
| Rate for Payer: Independent Care Health Plan Medicare |
$76,759.45
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$76,759.45
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$76,759.45
|
| Rate for Payer: NAPHCARE Commercial |
$115,139.17
|
| Rate for Payer: Quartz Medicare Advantage |
$76,759.45
|
| Rate for Payer: The Alliance Commercial |
$282,766.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$76,759.45
|
| Rate for Payer: United Healthcare PPO |
$161,273.72
|
| Rate for Payer: Wellcare Medicare |
$76,759.45
|
|
|
OTHER HEMATOLOGICAL DIAGNOSES
|
Facility
|
OP
|
$103.51
|
|
|
Service Code
|
EAPG 00780
|
| Min. Negotiated Rate |
$99.53 |
| Max. Negotiated Rate |
$103.51 |
| Rate for Payer: Anthem Medicaid |
$99.53
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$99.53
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$99.53
|
| Rate for Payer: Dean Health Medicaid |
$99.53
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$99.53
|
| Rate for Payer: Managed Health Services Medicaid |
$103.51
|
| Rate for Payer: Molina Healthcare Medicaid |
$99.53
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$99.53
|
| Rate for Payer: United Healthcare Medicaid |
$99.53
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$59,273.76
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$17,262.14 |
| Max. Negotiated Rate |
$59,273.76 |
| Rate for Payer: Aetna Managed Medicare |
$17,262.14
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$47,738.23
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$36,590.96
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$34,763.81
|
| Rate for Payer: Anthem Medicare Advantage |
$17,262.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$17,262.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$17,262.14
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$17,262.14
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$38,591.01
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$17,262.14
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$42,330.44
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$17,262.14
|
| Rate for Payer: Independent Care Health Plan Medicare |
$17,262.14
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$17,262.14
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$17,262.14
|
| Rate for Payer: NAPHCARE Commercial |
$25,893.21
|
| Rate for Payer: Quartz Medicare Advantage |
$17,262.14
|
| Rate for Payer: The Alliance Commercial |
$59,273.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$17,262.14
|
| Rate for Payer: United Healthcare PPO |
$32,954.79
|
| Rate for Payer: Wellcare Medicare |
$17,262.14
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$108,466.80
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$32,311.28 |
| Max. Negotiated Rate |
$108,466.80 |
| Rate for Payer: Aetna Managed Medicare |
$32,311.28
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$90,615.14
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$69,455.77
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$65,987.52
|
| Rate for Payer: Anthem Medicare Advantage |
$32,311.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$32,311.28
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$32,311.28
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$32,311.28
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$73,252.19
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$32,311.28
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$79,313.05
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$32,311.28
|
| Rate for Payer: Independent Care Health Plan Medicare |
$32,311.28
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$32,311.28
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$32,311.28
|
| Rate for Payer: NAPHCARE Commercial |
$48,466.92
|
| Rate for Payer: Quartz Medicare Advantage |
$32,311.28
|
| Rate for Payer: The Alliance Commercial |
$108,466.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,311.28
|
| Rate for Payer: United Healthcare PPO |
$61,746.22
|
| Rate for Payer: Wellcare Medicare |
$32,311.28
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$44,624.32
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$11,996.38 |
| Max. Negotiated Rate |
$44,624.32 |
| Rate for Payer: Aetna Managed Medicare |
$11,996.38
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$32,735.35
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$25,091.38
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$23,838.45
|
| Rate for Payer: Anthem Medicare Advantage |
$11,996.38
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$11,996.38
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$11,996.38
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$11,996.38
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$26,462.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$11,996.38
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$32,486.53
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$11,996.38
|
| Rate for Payer: Independent Care Health Plan Medicare |
$11,996.38
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$11,996.38
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$11,996.38
|
| Rate for Payer: NAPHCARE Commercial |
$17,994.57
|
| Rate for Payer: Quartz Medicare Advantage |
$11,996.38
|
| Rate for Payer: The Alliance Commercial |
$44,624.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$11,996.38
|
| Rate for Payer: United Healthcare PPO |
$25,291.18
|
| Rate for Payer: Wellcare Medicare |
$11,996.38
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$14,818.44
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$13,162.67 |
| Max. Negotiated Rate |
$14,818.44 |
| Rate for Payer: Anthem Medicaid |
$14,189.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$14,189.48
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$14,189.48
|
| Rate for Payer: Dean Health Medicaid |
$14,189.48
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$13,162.67
|
| Rate for Payer: Managed Health Services Medicaid |
$14,818.44
|
| Rate for Payer: Molina Healthcare Medicaid |
$14,189.48
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$14,189.48
|
| Rate for Payer: United Healthcare Medicaid |
$14,189.48
|
|
