|
WOUND DEBRIDEMENTS FOR INJURIES WITH CC
|
Facility
|
IP
|
$28,086.87
|
|
|
Service Code
|
MSDRG 902
|
| Min. Negotiated Rate |
$19,303.91 |
| Max. Negotiated Rate |
$28,086.87 |
| Rate for Payer: AlohaCare Medicare |
$19,303.91
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$28,086.87
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$19,303.91
|
| Rate for Payer: Humana Medicare |
$19,303.91
|
| Rate for Payer: Kaiser Permanente Medicare |
$19,303.91
|
| Rate for Payer: Ohana Health Plan Medicare |
$19,303.91
|
| Rate for Payer: UnitedHealthcare Medicare |
$19,303.91
|
|
|
WOUND DEBRIDEMENTS FOR INJURIES WITH MCC
|
Facility
|
IP
|
$41,794.83
|
|
|
Service Code
|
MSDRG 901
|
| Min. Negotiated Rate |
$28,086.87 |
| Max. Negotiated Rate |
$41,794.83 |
| Rate for Payer: AlohaCare Medicare |
$41,794.83
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$28,086.87
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$41,794.83
|
| Rate for Payer: Humana Medicare |
$41,794.83
|
| Rate for Payer: Kaiser Permanente Medicare |
$41,794.83
|
| Rate for Payer: Ohana Health Plan Medicare |
$41,794.83
|
| Rate for Payer: UnitedHealthcare Medicare |
$41,794.83
|
|
|
WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,086.87
|
|
|
Service Code
|
MSDRG 903
|
| Min. Negotiated Rate |
$11,962.65 |
| Max. Negotiated Rate |
$28,086.87 |
| Rate for Payer: AlohaCare Medicare |
$11,962.65
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$28,086.87
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$11,962.65
|
| Rate for Payer: Humana Medicare |
$11,962.65
|
| Rate for Payer: Kaiser Permanente Medicare |
$11,962.65
|
| Rate for Payer: Ohana Health Plan Medicare |
$11,962.65
|
| Rate for Payer: UnitedHealthcare Medicare |
$11,962.65
|
|
