|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,531.20
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$9,531.20 |
| Max. Negotiated Rate |
$9,531.20 |
| Rate for Payer: BCBS Commercial |
$9,531.20
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$19,855.38
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$19,855.38 |
| Max. Negotiated Rate |
$19,855.38 |
| Rate for Payer: BCBS Commercial |
$19,855.38
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,032.86
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$7,032.86 |
| Max. Negotiated Rate |
$7,032.86 |
| Rate for Payer: BCBS Commercial |
$7,032.86
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$14,240.19
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$14,240.19 |
| Max. Negotiated Rate |
$14,240.19 |
| Rate for Payer: BCBS Commercial |
$14,240.19
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$8,426.47
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$8,426.47 |
| Max. Negotiated Rate |
$8,426.47 |
| Rate for Payer: BCBS Commercial |
$8,426.47
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,115.12
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$9,115.12 |
| Max. Negotiated Rate |
$9,115.12 |
| Rate for Payer: BCBS Commercial |
$9,115.12
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$14,441.04
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$14,441.04 |
| Max. Negotiated Rate |
$14,441.04 |
| Rate for Payer: BCBS Commercial |
$14,441.04
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,965.40
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$6,965.40 |
| Max. Negotiated Rate |
$6,965.40 |
| Rate for Payer: BCBS Commercial |
$6,965.40
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$21,152.11
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$21,152.11 |
| Max. Negotiated Rate |
$21,152.11 |
| Rate for Payer: BCBS Commercial |
$21,152.11
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$31,397.38
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$31,397.38 |
| Max. Negotiated Rate |
$31,397.38 |
| Rate for Payer: BCBS Commercial |
$31,397.38
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,573.84
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$15,573.84 |
| Max. Negotiated Rate |
$15,573.84 |
| Rate for Payer: BCBS Commercial |
$15,573.84
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$31,644.74
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$31,644.74 |
| Max. Negotiated Rate |
$31,644.74 |
| Rate for Payer: BCBS Commercial |
$31,644.74
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,037.26
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$46,037.26 |
| Max. Negotiated Rate |
$46,037.26 |
| Rate for Payer: BCBS Commercial |
$46,037.26
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,860.03
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$23,860.03 |
| Max. Negotiated Rate |
$23,860.03 |
| Rate for Payer: BCBS Commercial |
$23,860.03
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$9,033.49
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$9,033.49 |
| Max. Negotiated Rate |
$9,033.49 |
| Rate for Payer: BCBS Commercial |
$9,033.49
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$5,100.87
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$5,100.87 |
| Max. Negotiated Rate |
$5,100.87 |
| Rate for Payer: BCBS Commercial |
$5,100.87
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$16,144.62
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$16,144.62 |
| Max. Negotiated Rate |
$16,144.62 |
| Rate for Payer: BCBS Commercial |
$16,144.62
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$10,957.68
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$10,957.68 |
| Max. Negotiated Rate |
$10,957.68 |
| Rate for Payer: BCBS Commercial |
$10,957.68
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$18,126.17
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$18,126.17 |
| Max. Negotiated Rate |
$18,126.17 |
| Rate for Payer: BCBS Commercial |
$18,126.17
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$11,439.13
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$11,439.13 |
| Max. Negotiated Rate |
$11,439.13 |
| Rate for Payer: BCBS Commercial |
$11,439.13
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$11,630.79
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$11,630.79 |
| Max. Negotiated Rate |
$11,630.79 |
| Rate for Payer: BCBS Commercial |
$11,630.79
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$16,173.94
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$16,173.94 |
| Max. Negotiated Rate |
$16,173.94 |
| Rate for Payer: BCBS Commercial |
$16,173.94
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$24,778.66
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$24,778.66 |
| Max. Negotiated Rate |
$24,778.66 |
| Rate for Payer: BCBS Commercial |
$24,778.66
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$10,739.77
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$10,739.77 |
| Max. Negotiated Rate |
$10,739.77 |
| Rate for Payer: BCBS Commercial |
$10,739.77
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$8,958.03
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$8,958.03 |
| Max. Negotiated Rate |
$8,958.03 |
| Rate for Payer: BCBS Commercial |
$8,958.03
|
|
