|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$38,233.91
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$38,233.91 |
| Max. Negotiated Rate |
$38,233.91 |
| Rate for Payer: BCBS Commercial |
$38,233.91
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,158.76
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$12,158.76 |
| Max. Negotiated Rate |
$12,158.76 |
| Rate for Payer: BCBS Commercial |
$12,158.76
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$8,866.71
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$8,866.71 |
| Max. Negotiated Rate |
$8,866.71 |
| Rate for Payer: BCBS Commercial |
$8,866.71
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$13,502.59
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$13,502.59 |
| Max. Negotiated Rate |
$13,502.59 |
| Rate for Payer: BCBS Commercial |
$13,502.59
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$6,942.41
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,942.41 |
| Max. Negotiated Rate |
$6,942.41 |
| Rate for Payer: BCBS Commercial |
$6,942.41
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$12,443.46
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$12,443.46 |
| Max. Negotiated Rate |
$12,443.46 |
| Rate for Payer: BCBS Commercial |
$12,443.46
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$7,428.78
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$7,428.78 |
| Max. Negotiated Rate |
$7,428.78 |
| Rate for Payer: BCBS Commercial |
$7,428.78
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$8,240.24
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$8,240.24 |
| Max. Negotiated Rate |
$8,240.24 |
| Rate for Payer: BCBS Commercial |
$8,240.24
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$13,270.14
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$13,270.14 |
| Max. Negotiated Rate |
$13,270.14 |
| Rate for Payer: BCBS Commercial |
$13,270.14
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,674.12
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$6,674.12 |
| Max. Negotiated Rate |
$6,674.12 |
| Rate for Payer: BCBS Commercial |
$6,674.12
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$15,634.20
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$15,634.20 |
| Max. Negotiated Rate |
$15,634.20 |
| Rate for Payer: BCBS Commercial |
$15,634.20
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$20,817.63
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$20,817.63 |
| Max. Negotiated Rate |
$20,817.63 |
| Rate for Payer: BCBS Commercial |
$20,817.63
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,155.38
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$8,155.38 |
| Max. Negotiated Rate |
$8,155.38 |
| Rate for Payer: BCBS Commercial |
$8,155.38
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,815.73
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$20,815.73 |
| Max. Negotiated Rate |
$20,815.73 |
| Rate for Payer: BCBS Commercial |
$20,815.73
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$32,990.42
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$32,990.42 |
| Max. Negotiated Rate |
$32,990.42 |
| Rate for Payer: BCBS Commercial |
$32,990.42
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,508.25
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$12,508.25 |
| Max. Negotiated Rate |
$12,508.25 |
| Rate for Payer: BCBS Commercial |
$12,508.25
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,672.56
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$36,672.56 |
| Max. Negotiated Rate |
$36,672.56 |
| Rate for Payer: BCBS Commercial |
$36,672.56
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$20,782.98
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$20,782.98 |
| Max. Negotiated Rate |
$20,782.98 |
| Rate for Payer: BCBS Commercial |
$20,782.98
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$6,062.09
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$6,062.09 |
| Max. Negotiated Rate |
$6,062.09 |
| Rate for Payer: BCBS Commercial |
$6,062.09
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$24,086.36
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$24,086.36 |
| Max. Negotiated Rate |
$24,086.36 |
| Rate for Payer: BCBS Commercial |
$24,086.36
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,991.96
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$12,991.96 |
| Max. Negotiated Rate |
$12,991.96 |
| Rate for Payer: BCBS Commercial |
$12,991.96
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$105,058.71
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$105,058.71 |
| Max. Negotiated Rate |
$105,058.71 |
| Rate for Payer: BCBS Commercial |
$105,058.71
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$18,311.74
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$18,311.74 |
| Max. Negotiated Rate |
$18,311.74 |
| Rate for Payer: BCBS Commercial |
$18,311.74
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$32,974.88
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$32,974.88 |
| Max. Negotiated Rate |
$32,974.88 |
| Rate for Payer: BCBS Commercial |
$32,974.88
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,102.75
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$13,102.75 |
| Max. Negotiated Rate |
$13,102.75 |
| Rate for Payer: BCBS Commercial |
$13,102.75
|
|