|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$39,018.98
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$34,659.09 |
| Max. Negotiated Rate |
$39,018.98 |
| Rate for Payer: Anthem Medicaid |
$37,362.82
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$37,362.82
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$37,362.82
|
| Rate for Payer: Dean Health Medicaid |
$37,362.82
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$34,659.09
|
| Rate for Payer: Managed Health Services Medicaid |
$39,018.98
|
| Rate for Payer: Molina Healthcare Medicaid |
$37,362.82
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$37,362.82
|
| Rate for Payer: United Healthcare Medicaid |
$37,362.82
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$22,622.24
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$20,094.48 |
| Max. Negotiated Rate |
$22,622.24 |
| Rate for Payer: Anthem Medicaid |
$21,662.04
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$21,662.04
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$21,662.04
|
| Rate for Payer: Dean Health Medicaid |
$21,662.04
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$20,094.48
|
| Rate for Payer: Managed Health Services Medicaid |
$22,622.24
|
| Rate for Payer: Molina Healthcare Medicaid |
$21,662.04
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$21,662.04
|
| Rate for Payer: United Healthcare Medicaid |
$21,662.04
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$139,650.16
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$38,394.95 |
| Max. Negotiated Rate |
$139,650.16 |
| Rate for Payer: Aetna Managed Medicare |
$38,394.95
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$107,948.31
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$82,741.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$78,609.83
|
| Rate for Payer: Anthem Medicare Advantage |
$38,394.95
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$38,394.95
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$38,394.95
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$38,394.95
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$87,264.12
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$38,394.95
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$102,184.84
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$38,394.95
|
| Rate for Payer: Independent Care Health Plan Medicare |
$38,394.95
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$38,394.95
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$38,394.95
|
| Rate for Payer: NAPHCARE Commercial |
$57,592.42
|
| Rate for Payer: Quartz Medicare Advantage |
$38,394.95
|
| Rate for Payer: The Alliance Commercial |
$139,650.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$38,394.95
|
| Rate for Payer: United Healthcare PPO |
$79,552.20
|
| Rate for Payer: Wellcare Medicare |
$38,394.95
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$88,247.12
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$24,626.26 |
| Max. Negotiated Rate |
$88,247.12 |
| Rate for Payer: Aetna Managed Medicare |
$24,626.26
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$68,719.57
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$52,672.99
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$50,042.78
|
| Rate for Payer: Anthem Medicare Advantage |
$24,626.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$24,626.26
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$24,626.26
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$24,626.26
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$55,552.08
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$24,626.26
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$64,482.29
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$24,626.26
|
| Rate for Payer: Independent Care Health Plan Medicare |
$24,626.26
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$24,626.26
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$24,626.26
|
| Rate for Payer: NAPHCARE Commercial |
$36,939.40
|
| Rate for Payer: Quartz Medicare Advantage |
$24,626.26
|
| Rate for Payer: The Alliance Commercial |
$88,247.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,626.26
|
| Rate for Payer: United Healthcare PPO |
$50,200.29
|
| Rate for Payer: Wellcare Medicare |
$24,626.26
|
|
|
OTHER CARDIOVASCULAR SYSTEM DIAGNOSES
|
Facility
|
OP
|
$41.11
|
|
|
Service Code
|
EAPG 00592
|
| Min. Negotiated Rate |
$39.52 |
| Max. Negotiated Rate |
$41.11 |
| Rate for Payer: Anthem Medicaid |
$39.52
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$39.52
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$39.52
|
| Rate for Payer: Dean Health Medicaid |
$39.52
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$39.52
|
| Rate for Payer: Managed Health Services Medicaid |
$41.11
|
| Rate for Payer: Molina Healthcare Medicaid |
$39.52
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$39.52
|
| Rate for Payer: United Healthcare Medicaid |
$39.52
|
|
|
OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES
|
Facility
|
OP
|
$34.53
|
|
|
Service Code
|
EAPG 00524
|
| Min. Negotiated Rate |
$33.20 |
| Max. Negotiated Rate |
$34.53 |
| Rate for Payer: Anthem Medicaid |
$33.20
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$33.20
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$33.20
|
| Rate for Payer: Dean Health Medicaid |
$33.20
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$33.20
|
| Rate for Payer: Managed Health Services Medicaid |
$34.53
|
| Rate for Payer: Molina Healthcare Medicaid |
$33.20
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$33.20
|
| Rate for Payer: United Healthcare Medicaid |
$33.20
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$29,690.96
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$8,364.09 |
| Max. Negotiated Rate |
$29,690.96 |
| Rate for Payer: Aetna Managed Medicare |
$8,364.09
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$22,386.50
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$17,159.07
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$16,302.24
|
| Rate for Payer: Anthem Medicare Advantage |
$8,364.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$8,364.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$8,364.09
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$8,364.09
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$18,096.98
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$8,364.09
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$21,533.30
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$8,364.09
|
| Rate for Payer: Independent Care Health Plan Medicare |
$8,364.09
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$8,364.09
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$8,364.09
|
| Rate for Payer: NAPHCARE Commercial |
$12,546.13
|
| Rate for Payer: Quartz Medicare Advantage |
$8,364.09
|
| Rate for Payer: The Alliance Commercial |
$29,690.96
|
| Rate for Payer: United Healthcare Medicare Advantage |
$8,364.09
|
| Rate for Payer: United Healthcare PPO |
$16,763.96
|
| Rate for Payer: Wellcare Medicare |
$8,364.09
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$49,811.84
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$13,256.14 |
| Max. Negotiated Rate |
$49,811.84 |
| Rate for Payer: Aetna Managed Medicare |
$13,256.14
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$36,324.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$27,842.51
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$26,452.21
|
| Rate for Payer: Anthem Medicare Advantage |
$13,256.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$13,256.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$13,256.14
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$13,256.14
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$29,364.38
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$13,256.14
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$36,291.06
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$13,256.14
|
| Rate for Payer: Independent Care Health Plan Medicare |
$13,256.14
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$13,256.14
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$13,256.14
|
| Rate for Payer: NAPHCARE Commercial |
$19,884.21
|
| Rate for Payer: Quartz Medicare Advantage |
$13,256.14
|
| Rate for Payer: The Alliance Commercial |
$49,811.84
|
| Rate for Payer: United Healthcare Medicare Advantage |
$13,256.14
|
| Rate for Payer: United Healthcare PPO |
$28,253.06
|
| Rate for Payer: Wellcare Medicare |
$13,256.14
|
|
|
OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,982.48
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$6,297.92 |
| Max. Negotiated Rate |
$21,982.48 |
| Rate for Payer: Aetna Managed Medicare |
$6,297.92
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$16,499.68
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$12,646.87
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$12,015.35
|
| Rate for Payer: Anthem Medicare Advantage |
$6,297.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$6,297.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$6,297.92
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$6,297.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$13,338.14
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$6,297.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$15,879.24
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$6,297.92
|
| Rate for Payer: Independent Care Health Plan Medicare |
$6,297.92
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$6,297.92
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$6,297.92
|
| Rate for Payer: NAPHCARE Commercial |
$9,446.88
|
| Rate for Payer: Quartz Medicare Advantage |
$6,297.92
|
| Rate for Payer: The Alliance Commercial |
$21,982.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$6,297.92
|
| Rate for Payer: United Healthcare PPO |
$12,362.19
|
| Rate for Payer: Wellcare Medicare |
$6,297.92
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$8,592.94
|
|
|
Service Code
|
APR-DRG 6962
|
| Min. Negotiated Rate |
$7,632.79 |
| Max. Negotiated Rate |
$8,592.94 |
| Rate for Payer: Anthem Medicaid |
$8,228.22
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$8,228.22
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$8,228.22
|
| Rate for Payer: Dean Health Medicaid |
$8,228.22
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$7,632.79
|
| Rate for Payer: Managed Health Services Medicaid |
$8,592.94
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,228.22
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$8,228.22
|
| Rate for Payer: United Healthcare Medicaid |
$8,228.22
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$25,603.47
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$22,742.60 |
| Max. Negotiated Rate |
$25,603.47 |
| Rate for Payer: Anthem Medicaid |
$24,516.73
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$24,516.73
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$24,516.73
|
| Rate for Payer: Dean Health Medicaid |
$24,516.73
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$22,742.60
|
| Rate for Payer: Managed Health Services Medicaid |
$25,603.47
|
| Rate for Payer: Molina Healthcare Medicaid |
$24,516.73
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$24,516.73
|
| Rate for Payer: United Healthcare Medicaid |
$24,516.73
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$13,941.61
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$12,383.81 |
| Max. Negotiated Rate |
$13,941.61 |
| Rate for Payer: Anthem Medicaid |
$13,349.86
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$13,349.86
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$13,349.86
|
| Rate for Payer: Dean Health Medicaid |
$13,349.86
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$12,383.81
|
| Rate for Payer: Managed Health Services Medicaid |
$13,941.61
|
| Rate for Payer: Molina Healthcare Medicaid |
$13,349.86
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$13,349.86
|
| Rate for Payer: United Healthcare Medicaid |
$13,349.86
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$6,839.28
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$6,075.08 |
| Max. Negotiated Rate |
$6,839.28 |
| Rate for Payer: Anthem Medicaid |
$6,548.99
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$6,548.99
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$6,548.99
|
| Rate for Payer: Dean Health Medicaid |
$6,548.99
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$6,075.08
|
| Rate for Payer: Managed Health Services Medicaid |
$6,839.28
|
| Rate for Payer: Molina Healthcare Medicaid |
$6,548.99
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$6,548.99
|
| Rate for Payer: United Healthcare Medicaid |
$6,548.99
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,997.94
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$4,439.48 |
| Max. Negotiated Rate |
$4,997.94 |
| Rate for Payer: Anthem Medicaid |
$4,785.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$4,785.80
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$4,785.80
|
| Rate for Payer: Dean Health Medicaid |
$4,785.80
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$4,439.48
|
| Rate for Payer: Managed Health Services Medicaid |
$4,997.94
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,785.80
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$4,785.80
|
| Rate for Payer: United Healthcare Medicaid |
$4,785.80
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,557.46
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$8,489.53 |
| Max. Negotiated Rate |
$9,557.46 |
| Rate for Payer: Anthem Medicaid |
$9,151.79
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$9,151.79
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$9,151.79
|
| Rate for Payer: Dean Health Medicaid |
$9,151.79
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$8,489.53
|
| Rate for Payer: Managed Health Services Medicaid |
$9,557.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$9,151.79
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$9,151.79
|
| Rate for Payer: United Healthcare Medicaid |
$9,151.79
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,576.23
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$5,841.42 |
| Max. Negotiated Rate |
$6,576.23 |
| Rate for Payer: Anthem Medicaid |
$6,297.10
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$6,297.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$6,297.10
|
| Rate for Payer: Dean Health Medicaid |
$6,297.10
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$5,841.42
|
| Rate for Payer: Managed Health Services Medicaid |
$6,576.23
|
| Rate for Payer: Molina Healthcare Medicaid |
$6,297.10
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$6,297.10
|
| Rate for Payer: United Healthcare Medicaid |
$6,297.10
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$17,887.35
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$15,888.66 |
| Max. Negotiated Rate |
$17,887.35 |
| Rate for Payer: Anthem Medicaid |
$17,128.13
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$17,128.13
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$17,128.13
|
| Rate for Payer: Dean Health Medicaid |
$17,128.13
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$15,888.66
|
| Rate for Payer: Managed Health Services Medicaid |
$17,887.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$17,128.13
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$17,128.13
|
| Rate for Payer: United Healthcare Medicaid |
$17,128.13
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$27,078.48
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$7,883.92 |
| Max. Negotiated Rate |
$27,078.48 |
| Rate for Payer: Aetna Managed Medicare |
$7,883.92
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$21,018.44
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$16,110.46
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$15,305.99
|
| Rate for Payer: Anthem Medicare Advantage |
$7,883.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$7,883.92
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$7,883.92
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$7,883.92
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$16,991.05
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$7,883.92
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$19,616.84
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$7,883.92
|
| Rate for Payer: Independent Care Health Plan Medicare |
$7,883.92
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$7,883.92
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$7,883.92
|
| Rate for Payer: NAPHCARE Commercial |
$11,825.88
|
| Rate for Payer: Quartz Medicare Advantage |
$7,883.92
|
| Rate for Payer: The Alliance Commercial |
$27,078.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$7,883.92
|
| Rate for Payer: United Healthcare PPO |
$15,271.96
|
| Rate for Payer: Wellcare Medicare |
$7,883.92
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$58,217.12
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,475.66 |
| Max. Negotiated Rate |
$58,217.12 |
| Rate for Payer: Aetna Managed Medicare |
$16,475.66
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$45,497.40
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$34,873.39
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$33,131.99
|
| Rate for Payer: Anthem Medicare Advantage |
$16,475.66
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$16,475.66
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$16,475.66
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$16,475.66
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$36,779.55
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$16,475.66
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$42,456.18
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$16,475.66
|
| Rate for Payer: Independent Care Health Plan Medicare |
$16,475.66
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$16,475.66
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$16,475.66
|
| Rate for Payer: NAPHCARE Commercial |
$24,713.49
|
| Rate for Payer: Quartz Medicare Advantage |
$16,475.66
|
| Rate for Payer: The Alliance Commercial |
$58,217.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,475.66
|
| Rate for Payer: United Healthcare PPO |
$33,052.68
|
| Rate for Payer: Wellcare Medicare |
$16,475.66
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,486.48
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,730.44 |
| Max. Negotiated Rate |
$19,486.48 |
| Rate for Payer: Aetna Managed Medicare |
$5,730.44
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$14,882.88
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$11,407.60
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$10,837.97
|
| Rate for Payer: Anthem Medicare Advantage |
$5,730.44
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$5,730.44
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$5,730.44
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$5,730.44
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$12,031.14
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$5,730.44
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14,047.96
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$5,730.44
|
| Rate for Payer: Independent Care Health Plan Medicare |
$5,730.44
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$5,730.44
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$5,730.44
|
| Rate for Payer: NAPHCARE Commercial |
$8,595.66
|
| Rate for Payer: Quartz Medicare Advantage |
$5,730.44
|
| Rate for Payer: The Alliance Commercial |
$19,486.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5,730.44
|
| Rate for Payer: United Healthcare PPO |
$10,936.52
|
| Rate for Payer: Wellcare Medicare |
$5,730.44
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$90,636.00
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$26,089.74 |
| Max. Negotiated Rate |
$90,636.00 |
| Rate for Payer: Aetna Managed Medicare |
$26,089.74
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$72,889.22
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$55,869.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$53,079.19
|
| Rate for Payer: Anthem Medicare Advantage |
$26,089.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$26,089.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$26,089.74
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$26,089.74
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$58,922.77
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$26,089.74
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$66,234.48
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$26,089.74
|
| Rate for Payer: Independent Care Health Plan Medicare |
$26,089.74
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$26,089.74
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$26,089.74
|
| Rate for Payer: NAPHCARE Commercial |
$39,134.61
|
| Rate for Payer: Quartz Medicare Advantage |
$26,089.74
|
| Rate for Payer: The Alliance Commercial |
$90,636.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$26,089.74
|
| Rate for Payer: United Healthcare PPO |
$51,564.40
|
| Rate for Payer: Wellcare Medicare |
$26,089.74
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$14,467.71
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$12,851.12 |
| Max. Negotiated Rate |
$14,467.71 |
| Rate for Payer: Anthem Medicaid |
$13,853.63
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$13,853.63
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$13,853.63
|
| Rate for Payer: Dean Health Medicaid |
$13,853.63
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$12,851.12
|
| Rate for Payer: Managed Health Services Medicaid |
$14,467.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$13,853.63
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$13,853.63
|
| Rate for Payer: United Healthcare Medicaid |
$13,853.63
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$12,714.05
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$11,293.41 |
| Max. Negotiated Rate |
$12,714.05 |
| Rate for Payer: Anthem Medicaid |
$12,174.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$12,174.40
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$12,174.40
|
| Rate for Payer: Dean Health Medicaid |
$12,174.40
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$11,293.41
|
| Rate for Payer: Managed Health Services Medicaid |
$12,714.05
|
| Rate for Payer: Molina Healthcare Medicaid |
$12,174.40
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$12,174.40
|
| Rate for Payer: United Healthcare Medicaid |
$12,174.40
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$20,956.26
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$18,614.66 |
| Max. Negotiated Rate |
$20,956.26 |
| Rate for Payer: Anthem Medicaid |
$20,066.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$20,066.77
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$20,066.77
|
| Rate for Payer: Dean Health Medicaid |
$20,066.77
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$18,614.66
|
| Rate for Payer: Managed Health Services Medicaid |
$20,956.26
|
| Rate for Payer: Molina Healthcare Medicaid |
$20,066.77
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$20,066.77
|
| Rate for Payer: United Healthcare Medicaid |
$20,066.77
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$33,757.99
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$29,985.96 |
| Max. Negotiated Rate |
$33,757.99 |
| Rate for Payer: Anthem Medicaid |
$32,325.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO |
$32,325.14
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$32,325.14
|
| Rate for Payer: Dean Health Medicaid |
$32,325.14
|
| Rate for Payer: Independent Care Health Plan Medicaid |
$29,985.96
|
| Rate for Payer: Managed Health Services Medicaid |
$33,757.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$32,325.14
|
| Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP |
$32,325.14
|
| Rate for Payer: United Healthcare Medicaid |
$32,325.14
|
|
