|
MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$7,600.16
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$7,600.16 |
| Max. Negotiated Rate |
$7,600.16 |
| Rate for Payer: BCBS Commercial |
$7,600.16
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$9,560.69
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$9,560.69 |
| Max. Negotiated Rate |
$9,560.69 |
| Rate for Payer: BCBS Commercial |
$9,560.69
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$17,131.28
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$17,131.28 |
| Max. Negotiated Rate |
$17,131.28 |
| Rate for Payer: BCBS Commercial |
$17,131.28
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$6,931.91
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$6,931.91 |
| Max. Negotiated Rate |
$6,931.91 |
| Rate for Payer: BCBS Commercial |
$6,931.91
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$10,097.34
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$10,097.34 |
| Max. Negotiated Rate |
$10,097.34 |
| Rate for Payer: BCBS Commercial |
$10,097.34
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$15,365.26
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$15,365.26 |
| Max. Negotiated Rate |
$15,365.26 |
| Rate for Payer: BCBS Commercial |
$15,365.26
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$6,608.69
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$6,608.69 |
| Max. Negotiated Rate |
$6,608.69 |
| Rate for Payer: BCBS Commercial |
$6,608.69
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$20,055.68
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$20,055.68 |
| Max. Negotiated Rate |
$20,055.68 |
| Rate for Payer: BCBS Commercial |
$20,055.68
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,534.48
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$36,534.48 |
| Max. Negotiated Rate |
$36,534.48 |
| Rate for Payer: BCBS Commercial |
$36,534.48
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,926.36
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$16,926.36 |
| Max. Negotiated Rate |
$16,926.36 |
| Rate for Payer: BCBS Commercial |
$16,926.36
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$10,858.28
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$10,858.28 |
| Max. Negotiated Rate |
$10,858.28 |
| Rate for Payer: BCBS Commercial |
$10,858.28
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$19,598.42
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$19,598.42 |
| Max. Negotiated Rate |
$19,598.42 |
| Rate for Payer: BCBS Commercial |
$19,598.42
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,535.57
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$8,535.57 |
| Max. Negotiated Rate |
$8,535.57 |
| Rate for Payer: BCBS Commercial |
$8,535.57
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$30,293.03
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$30,293.03 |
| Max. Negotiated Rate |
$30,293.03 |
| Rate for Payer: BCBS Commercial |
$30,293.03
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$22,152.04
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$22,152.04 |
| Max. Negotiated Rate |
$22,152.04 |
| Rate for Payer: BCBS Commercial |
$22,152.04
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$21,584.01
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$21,584.01 |
| Max. Negotiated Rate |
$21,584.01 |
| Rate for Payer: BCBS Commercial |
$21,584.01
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$20,132.23
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$20,132.23 |
| Max. Negotiated Rate |
$20,132.23 |
| Rate for Payer: BCBS Commercial |
$20,132.23
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,984.13
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$14,984.13 |
| Max. Negotiated Rate |
$14,984.13 |
| Rate for Payer: BCBS Commercial |
$14,984.13
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$18,291.53
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$18,291.53 |
| Max. Negotiated Rate |
$18,291.53 |
| Rate for Payer: BCBS Commercial |
$18,291.53
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,046.47
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$12,046.47 |
| Max. Negotiated Rate |
$12,046.47 |
| Rate for Payer: BCBS Commercial |
$12,046.47
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$15,725.25
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$15,725.25 |
| Max. Negotiated Rate |
$15,725.25 |
| Rate for Payer: BCBS Commercial |
$15,725.25
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$8,918.72
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,918.72 |
| Max. Negotiated Rate |
$8,918.72 |
| Rate for Payer: BCBS Commercial |
$8,918.72
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$25,498.73
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$25,498.73 |
| Max. Negotiated Rate |
$25,498.73 |
| Rate for Payer: BCBS Commercial |
$25,498.73
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$43,367.50
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$43,367.50 |
| Max. Negotiated Rate |
$43,367.50 |
| Rate for Payer: BCBS Commercial |
$43,367.50
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,732.50
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$16,732.50 |
| Max. Negotiated Rate |
$16,732.50 |
| Rate for Payer: BCBS Commercial |
$16,732.50
|
|