|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$12,045.68
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$12,045.68 |
| Max. Negotiated Rate |
$12,045.68 |
| Rate for Payer: BCBS Commercial |
$12,045.68
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$5,740.22
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$5,740.22 |
| Max. Negotiated Rate |
$5,740.22 |
| Rate for Payer: BCBS Commercial |
$5,740.22
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,491.84
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$22,491.84 |
| Max. Negotiated Rate |
$22,491.84 |
| Rate for Payer: BCBS Commercial |
$22,491.84
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$28,610.94
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$28,610.94 |
| Max. Negotiated Rate |
$28,610.94 |
| Rate for Payer: BCBS Commercial |
$28,610.94
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,857.94
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$14,857.94 |
| Max. Negotiated Rate |
$14,857.94 |
| Rate for Payer: BCBS Commercial |
$14,857.94
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,475.71
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$9,475.71 |
| Max. Negotiated Rate |
$9,475.71 |
| Rate for Payer: BCBS Commercial |
$9,475.71
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$14,341.72
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$14,341.72 |
| Max. Negotiated Rate |
$14,341.72 |
| Rate for Payer: BCBS Commercial |
$14,341.72
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,784.99
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$6,784.99 |
| Max. Negotiated Rate |
$6,784.99 |
| Rate for Payer: BCBS Commercial |
$6,784.99
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$18,198.33
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$18,198.33 |
| Max. Negotiated Rate |
$18,198.33 |
| Rate for Payer: BCBS Commercial |
$18,198.33
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$35,042.28
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$35,042.28 |
| Max. Negotiated Rate |
$35,042.28 |
| Rate for Payer: BCBS Commercial |
$35,042.28
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,168.31
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$12,168.31 |
| Max. Negotiated Rate |
$12,168.31 |
| Rate for Payer: BCBS Commercial |
$12,168.31
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$37,327.73
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$37,327.73 |
| Max. Negotiated Rate |
$37,327.73 |
| Rate for Payer: BCBS Commercial |
$37,327.73
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$62,708.57
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$62,708.57 |
| Max. Negotiated Rate |
$62,708.57 |
| Rate for Payer: BCBS Commercial |
$62,708.57
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$26,269.52
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$26,269.52 |
| Max. Negotiated Rate |
$26,269.52 |
| Rate for Payer: BCBS Commercial |
$26,269.52
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$17,464.19
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$17,464.19 |
| Max. Negotiated Rate |
$17,464.19 |
| Rate for Payer: BCBS Commercial |
$17,464.19
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$32,572.79
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$32,572.79 |
| Max. Negotiated Rate |
$32,572.79 |
| Rate for Payer: BCBS Commercial |
$32,572.79
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,509.93
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$12,509.93 |
| Max. Negotiated Rate |
$12,509.93 |
| Rate for Payer: BCBS Commercial |
$12,509.93
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$15,106.33
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$15,106.33 |
| Max. Negotiated Rate |
$15,106.33 |
| Rate for Payer: BCBS Commercial |
$15,106.33
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$7,863.68
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$7,863.68 |
| Max. Negotiated Rate |
$7,863.68 |
| Rate for Payer: BCBS Commercial |
$7,863.68
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$18,067.47
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$18,067.47 |
| Max. Negotiated Rate |
$18,067.47 |
| Rate for Payer: BCBS Commercial |
$18,067.47
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$33,385.83
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$33,385.83 |
| Max. Negotiated Rate |
$33,385.83 |
| Rate for Payer: BCBS Commercial |
$33,385.83
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,212.84
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$13,212.84 |
| Max. Negotiated Rate |
$13,212.84 |
| Rate for Payer: BCBS Commercial |
$13,212.84
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$15,343.97
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$15,343.97 |
| Max. Negotiated Rate |
$15,343.97 |
| Rate for Payer: BCBS Commercial |
$15,343.97
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$28,197.96
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$28,197.96 |
| Max. Negotiated Rate |
$28,197.96 |
| Rate for Payer: BCBS Commercial |
$28,197.96
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,344.72
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$12,344.72 |
| Max. Negotiated Rate |
$12,344.72 |
| Rate for Payer: BCBS Commercial |
$12,344.72
|
|