|
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC
|
Facility
|
IP
|
$36,001.20
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$15,971.92 |
| Max. Negotiated Rate |
$36,001.20 |
| Rate for Payer: BCBS of TX Blue Advantage |
$15,971.92
|
| Rate for Payer: BCBS of TX Blue Essentials |
$19,164.45
|
| Rate for Payer: BCBS of TX PPO |
$21,294.66
|
|
|
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC
|
Facility
|
IP
|
$12,386.10
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$5,704.12 |
| Max. Negotiated Rate |
$12,386.10 |
| Rate for Payer: BCBS of TX Blue Advantage |
$5,983.88
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,179.96
|
| Rate for Payer: BCBS of TX PPO |
$7,978.04
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$17,974.00
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$8,074.54 |
| Max. Negotiated Rate |
$17,974.00 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$11,834.79
|
| Rate for Payer: Amerigroup Medicare |
$11,834.79
|
| Rate for Payer: BCBS of TX Medicare |
$11,834.79
|
| Rate for Payer: Cigna Commercial |
$12,433.06
|
| Rate for Payer: Cigna Medicare |
$11,834.79
|
| Rate for Payer: Employer Direct Commercial |
$11,834.79
|
| Rate for Payer: Humana Medicare/TRICARE |
$11,834.79
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$11,834.79
|
| Rate for Payer: Molina Medicare |
$11,834.79
|
| Rate for Payer: Multiplan Auto |
$17,974.00
|
| Rate for Payer: Multiplan Commercial |
$17,974.00
|
| Rate for Payer: Multiplan Workers Comp |
$17,974.00
|
| Rate for Payer: Scott and White EPO/PPO |
$8,277.50
|
| Rate for Payer: Scott and White Medicare |
$11,834.79
|
| Rate for Payer: Superior Health Plan EPO |
$11,834.79
|
| Rate for Payer: Superior Health Plan Medicare |
$11,834.79
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$11,834.79
|
| Rate for Payer: Universal American Medicare |
$11,834.79
|
| Rate for Payer: Wellcare Medicare |
$11,834.79
|
| Rate for Payer: Wellmed Medicare |
$11,834.79
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$36,001.20
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$15,971.92 |
| Max. Negotiated Rate |
$36,001.20 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$17,913.49
|
| Rate for Payer: Amerigroup Medicare |
$17,913.49
|
| Rate for Payer: BCBS of TX Medicare |
$17,913.49
|
| Rate for Payer: Cigna Commercial |
$23,115.74
|
| Rate for Payer: Cigna Medicare |
$17,913.49
|
| Rate for Payer: Employer Direct Commercial |
$17,913.49
|
| Rate for Payer: Humana Medicare/TRICARE |
$17,913.49
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$17,913.49
|
| Rate for Payer: Molina Medicare |
$17,913.49
|
| Rate for Payer: Multiplan Auto |
$36,001.20
|
| Rate for Payer: Multiplan Commercial |
$36,001.20
|
| Rate for Payer: Multiplan Workers Comp |
$36,001.20
|
| Rate for Payer: Scott and White EPO/PPO |
$16,579.50
|
| Rate for Payer: Scott and White Medicare |
$17,913.49
|
| Rate for Payer: Superior Health Plan EPO |
$17,913.49
|
| Rate for Payer: Superior Health Plan Medicare |
$17,913.49
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$17,913.49
|
| Rate for Payer: Universal American Medicare |
$17,913.49
|
| Rate for Payer: Wellcare Medicare |
$17,913.49
|
| Rate for Payer: Wellmed Medicare |
$17,913.49
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,386.10
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$5,704.12 |
| Max. Negotiated Rate |
$12,386.10 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,888.20
|
| Rate for Payer: Amerigroup Medicare |
$9,888.20
|
| Rate for Payer: BCBS of TX Medicare |
$9,888.20
|
| Rate for Payer: Cigna Commercial |
$9,012.14
|
| Rate for Payer: Cigna Medicare |
$9,888.20
|
| Rate for Payer: Employer Direct Commercial |
$9,888.20
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,888.20
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,888.20
|
| Rate for Payer: Molina Medicare |
$9,888.20
|
| Rate for Payer: Multiplan Auto |
$12,386.10
|
| Rate for Payer: Multiplan Commercial |
$12,386.10
|
| Rate for Payer: Multiplan Workers Comp |
$12,386.10
|
| Rate for Payer: Scott and White EPO/PPO |
$5,704.12
|
| Rate for Payer: Scott and White Medicare |
$9,888.20
|
| Rate for Payer: Superior Health Plan EPO |
$9,888.20
|
| Rate for Payer: Superior Health Plan Medicare |
$9,888.20
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,888.20
|
| Rate for Payer: Universal American Medicare |
$9,888.20
|
| Rate for Payer: Wellcare Medicare |
$9,888.20
|
| Rate for Payer: Wellmed Medicare |
$9,888.20
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$20,959.64
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$19,761.48 |
| Max. Negotiated Rate |
$20,959.64 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$19,761.48
|
| Rate for Payer: Cigna Medicaid |
$19,761.48
|
| Rate for Payer: Molina CHIP/Medicaid |
$19,761.48
|
| Rate for Payer: Parkland Medicaid |
$19,761.48
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$20,959.64
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,926.77
|
|
|
Service Code
|
APR-DRG 2823
|
| Min. Negotiated Rate |
$5,587.97 |
| Max. Negotiated Rate |
$5,926.77 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$5,587.97
|
| Rate for Payer: Cigna Medicaid |
$5,587.97
|
| Rate for Payer: Molina CHIP/Medicaid |
$5,587.97
|
| Rate for Payer: Parkland Medicaid |
$5,587.97
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$5,926.77
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,534.71
|
|
|
Service Code
|
APR-DRG 2821
|
| Min. Negotiated Rate |
$2,389.81 |
| Max. Negotiated Rate |
$2,534.71 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$2,389.81
|
| Rate for Payer: Cigna Medicaid |
$2,389.81
|
| Rate for Payer: Molina CHIP/Medicaid |
$2,389.81
|
| Rate for Payer: Parkland Medicaid |
$2,389.81
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$2,534.71
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,501.07
|
|
|
Service Code
|
APR-DRG 2822
|
| Min. Negotiated Rate |
$3,300.93 |
| Max. Negotiated Rate |
$3,501.07 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$3,300.93
|
| Rate for Payer: Cigna Medicaid |
$3,300.93
|
| Rate for Payer: Molina CHIP/Medicaid |
$3,300.93
|
| Rate for Payer: Parkland Medicaid |
$3,300.93
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$3,501.07
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
|
Facility
|
IP
|
$16,526.20
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$7,415.78 |
| Max. Negotiated Rate |
$16,526.20 |
| Rate for Payer: BCBS of TX Blue Advantage |
$7,415.78
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,898.07
|
| Rate for Payer: BCBS of TX PPO |
$9,887.13
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$16,526.20
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$7,415.78 |
| Max. Negotiated Rate |
$16,526.20 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,925.26
|
| Rate for Payer: Amerigroup Medicare |
$10,925.26
|
| Rate for Payer: BCBS of TX Medicare |
$10,925.26
|
| Rate for Payer: Cigna Commercial |
$10,834.66
|
| Rate for Payer: Cigna Medicare |
$10,925.26
|
| Rate for Payer: Employer Direct Commercial |
$10,925.26
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,925.26
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,925.26
|
| Rate for Payer: Molina Medicare |
$10,925.26
|
| Rate for Payer: Multiplan Auto |
$16,526.20
|
| Rate for Payer: Multiplan Commercial |
$16,526.20
|
| Rate for Payer: Multiplan Workers Comp |
$16,526.20
|
| Rate for Payer: Scott and White EPO/PPO |
$7,610.75
|
| Rate for Payer: Scott and White Medicare |
$10,925.26
|
| Rate for Payer: Superior Health Plan EPO |
$10,925.26
|
| Rate for Payer: Superior Health Plan Medicare |
$10,925.26
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,925.26
|
| Rate for Payer: Universal American Medicare |
$10,925.26
|
| Rate for Payer: Wellcare Medicare |
$10,925.26
|
| Rate for Payer: Wellmed Medicare |
$10,925.26
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$31,490.60
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$14,088.52 |
| Max. Negotiated Rate |
$31,490.60 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16,707.86
|
| Rate for Payer: Amerigroup Medicare |
$16,707.86
|
| Rate for Payer: BCBS of TX Medicare |
$16,707.86
|
| Rate for Payer: Cigna Commercial |
$20,996.98
|
| Rate for Payer: Cigna Medicare |
$16,707.86
|
| Rate for Payer: Employer Direct Commercial |
$16,707.86
|
| Rate for Payer: Humana Medicare/TRICARE |
$16,707.86
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16,707.86
|
| Rate for Payer: Molina Medicare |
$16,707.86
|
| Rate for Payer: Multiplan Auto |
$31,490.60
|
| Rate for Payer: Multiplan Commercial |
$31,490.60
|
| Rate for Payer: Multiplan Workers Comp |
$31,490.60
|
| Rate for Payer: Scott and White EPO/PPO |
$14,502.25
|
| Rate for Payer: Scott and White Medicare |
$16,707.86
|
| Rate for Payer: Superior Health Plan EPO |
$16,707.86
|
| Rate for Payer: Superior Health Plan Medicare |
$16,707.86
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16,707.86
|
| Rate for Payer: Universal American Medicare |
$16,707.86
|
| Rate for Payer: Wellcare Medicare |
$16,707.86
|
| Rate for Payer: Wellmed Medicare |
$16,707.86
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$11,521.60
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$5,306.00 |
| Max. Negotiated Rate |
$11,521.60 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,314.35
|
| Rate for Payer: Amerigroup Medicare |
$9,314.35
|
| Rate for Payer: BCBS of TX Medicare |
$9,314.35
|
| Rate for Payer: Cigna Commercial |
$8,003.63
|
| Rate for Payer: Cigna Medicare |
$9,314.35
|
| Rate for Payer: Employer Direct Commercial |
$9,314.35
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,314.35
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,314.35
|
| Rate for Payer: Molina Medicare |
$9,314.35
|
| Rate for Payer: Multiplan Auto |
$11,521.60
|
| Rate for Payer: Multiplan Commercial |
$11,521.60
|
| Rate for Payer: Multiplan Workers Comp |
$11,521.60
|
| Rate for Payer: Scott and White EPO/PPO |
$5,306.00
|
| Rate for Payer: Scott and White Medicare |
$9,314.35
|
| Rate for Payer: Superior Health Plan EPO |
$9,314.35
|
| Rate for Payer: Superior Health Plan Medicare |
$9,314.35
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,314.35
|
| Rate for Payer: Universal American Medicare |
$9,314.35
|
| Rate for Payer: Wellcare Medicare |
$9,314.35
|
| Rate for Payer: Wellmed Medicare |
$9,314.35
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC
|
Facility
|
IP
|
$31,490.60
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$14,088.52 |
| Max. Negotiated Rate |
$31,490.60 |
| Rate for Payer: BCBS of TX Blue Advantage |
$14,088.52
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,904.59
|
| Rate for Payer: BCBS of TX PPO |
$18,783.60
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC
|
Facility
|
IP
|
$11,521.60
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$5,306.00 |
| Max. Negotiated Rate |
$11,521.60 |
| Rate for Payer: BCBS of TX Blue Advantage |
$5,343.18
|
| Rate for Payer: BCBS of TX Blue Essentials |
$6,411.19
|
| Rate for Payer: BCBS of TX PPO |
$7,123.83
|
|
|
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$1,735.45
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$1,636.24 |
| Max. Negotiated Rate |
$1,735.45 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$1,636.24
|
| Rate for Payer: Cigna Medicaid |
$1,636.24
|
| Rate for Payer: Molina CHIP/Medicaid |
$1,636.24
|
| Rate for Payer: Parkland Medicaid |
$1,636.24
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$1,735.45
|
|
|
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$2,071.90
|
|
|
Service Code
|
APR-DRG 7522
|
| Min. Negotiated Rate |
$1,953.46 |
| Max. Negotiated Rate |
$2,071.90 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$1,953.46
|
| Rate for Payer: Cigna Medicaid |
$1,953.46
|
| Rate for Payer: Molina CHIP/Medicaid |
$1,953.46
|
| Rate for Payer: Parkland Medicaid |
$1,953.46
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$2,071.90
|
|
|
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$30,675.50
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$11,351.14 |
| Max. Negotiated Rate |
$30,675.50 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$19,171.15
|
| Rate for Payer: Amerigroup Medicare |
$19,171.15
|
| Rate for Payer: BCBS of TX Medicare |
$19,171.15
|
| Rate for Payer: Cigna Commercial |
$25,325.94
|
| Rate for Payer: Cigna Medicare |
$19,171.15
|
| Rate for Payer: Employer Direct Commercial |
$19,171.15
|
| Rate for Payer: Humana Medicare/TRICARE |
$19,171.15
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$19,171.15
|
| Rate for Payer: Molina Medicare |
$19,171.15
|
| Rate for Payer: Multiplan Auto |
$30,675.50
|
| Rate for Payer: Multiplan Commercial |
$30,675.50
|
| Rate for Payer: Multiplan Workers Comp |
$30,675.50
|
| Rate for Payer: Scott and White EPO/PPO |
$14,126.88
|
| Rate for Payer: Scott and White Medicare |
$19,171.15
|
| Rate for Payer: Superior Health Plan EPO |
$19,171.15
|
| Rate for Payer: Superior Health Plan Medicare |
$19,171.15
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$19,171.15
|
| Rate for Payer: Universal American Medicare |
$19,171.15
|
| Rate for Payer: Wellcare Medicare |
$19,171.15
|
| Rate for Payer: Wellmed Medicare |
$19,171.15
|
|
|
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$13,937.51
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$13,140.77 |
| Max. Negotiated Rate |
$13,937.51 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$13,140.77
|
| Rate for Payer: Cigna Medicaid |
$13,140.77
|
| Rate for Payer: Molina CHIP/Medicaid |
$13,140.77
|
| Rate for Payer: Parkland Medicaid |
$13,140.77
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$13,937.51
|
|
|
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$5,109.40
|
|
|
Service Code
|
APR-DRG 7523
|
| Min. Negotiated Rate |
$4,817.32 |
| Max. Negotiated Rate |
$5,109.40 |
| Rate for Payer: Amerigroup CHIP/Medicaid |
$4,817.32
|
| Rate for Payer: Cigna Medicaid |
$4,817.32
|
| Rate for Payer: Molina CHIP/Medicaid |
$4,817.32
|
| Rate for Payer: Parkland Medicaid |
$4,817.32
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$5,109.40
|
|
|
DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$30,675.50
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$11,351.14 |
| Max. Negotiated Rate |
$30,675.50 |
| Rate for Payer: BCBS of TX Blue Advantage |
$11,351.14
|
| Rate for Payer: BCBS of TX Blue Essentials |
$13,620.05
|
| Rate for Payer: BCBS of TX PPO |
$15,133.97
|
|
|
DISORDERS OF THE BILIARY TRACT W CC
|
Facility
|
IP
|
$20,892.40
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$9,181.36 |
| Max. Negotiated Rate |
$20,892.40 |
| Rate for Payer: BCBS of TX Blue Advantage |
$9,181.36
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,016.56
|
| Rate for Payer: BCBS of TX PPO |
$12,241.10
|
|
|
DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$20,892.40
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$9,181.36 |
| Max. Negotiated Rate |
$20,892.40 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$12,780.96
|
| Rate for Payer: Amerigroup Medicare |
$12,780.96
|
| Rate for Payer: BCBS of TX Medicare |
$12,780.96
|
| Rate for Payer: Cigna Commercial |
$14,095.87
|
| Rate for Payer: Cigna Medicare |
$12,780.96
|
| Rate for Payer: Employer Direct Commercial |
$12,780.96
|
| Rate for Payer: Humana Medicare/TRICARE |
$12,780.96
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$12,780.96
|
| Rate for Payer: Molina Medicare |
$12,780.96
|
| Rate for Payer: Multiplan Auto |
$20,892.40
|
| Rate for Payer: Multiplan Commercial |
$20,892.40
|
| Rate for Payer: Multiplan Workers Comp |
$20,892.40
|
| Rate for Payer: Scott and White EPO/PPO |
$9,621.50
|
| Rate for Payer: Scott and White Medicare |
$12,780.96
|
| Rate for Payer: Superior Health Plan EPO |
$12,780.96
|
| Rate for Payer: Superior Health Plan Medicare |
$12,780.96
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$12,780.96
|
| Rate for Payer: Universal American Medicare |
$12,780.96
|
| Rate for Payer: Wellcare Medicare |
$12,780.96
|
| Rate for Payer: Wellmed Medicare |
$12,780.96
|
|
|
DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$31,629.30
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$13,853.74 |
| Max. Negotiated Rate |
$31,629.30 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$17,006.15
|
| Rate for Payer: Amerigroup Medicare |
$17,006.15
|
| Rate for Payer: BCBS of TX Medicare |
$17,006.15
|
| Rate for Payer: Cigna Commercial |
$21,521.19
|
| Rate for Payer: Cigna Medicare |
$17,006.15
|
| Rate for Payer: Employer Direct Commercial |
$17,006.15
|
| Rate for Payer: Humana Medicare/TRICARE |
$17,006.15
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$17,006.15
|
| Rate for Payer: Molina Medicare |
$17,006.15
|
| Rate for Payer: Multiplan Auto |
$31,629.30
|
| Rate for Payer: Multiplan Commercial |
$31,629.30
|
| Rate for Payer: Multiplan Workers Comp |
$31,629.30
|
| Rate for Payer: Scott and White EPO/PPO |
$14,566.12
|
| Rate for Payer: Scott and White Medicare |
$17,006.15
|
| Rate for Payer: Superior Health Plan EPO |
$17,006.15
|
| Rate for Payer: Superior Health Plan Medicare |
$17,006.15
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$17,006.15
|
| Rate for Payer: Universal American Medicare |
$17,006.15
|
| Rate for Payer: Wellcare Medicare |
$17,006.15
|
| Rate for Payer: Wellmed Medicare |
$17,006.15
|
|
|
DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$15,422.30
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$6,837.00 |
| Max. Negotiated Rate |
$15,422.30 |
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,823.39
|
| Rate for Payer: Amerigroup Medicare |
$10,823.39
|
| Rate for Payer: BCBS of TX Medicare |
$10,823.39
|
| Rate for Payer: Cigna Commercial |
$10,655.62
|
| Rate for Payer: Cigna Medicare |
$10,823.39
|
| Rate for Payer: Employer Direct Commercial |
$10,823.39
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,823.39
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,823.39
|
| Rate for Payer: Molina Medicare |
$10,823.39
|
| Rate for Payer: Multiplan Auto |
$15,422.30
|
| Rate for Payer: Multiplan Commercial |
$15,422.30
|
| Rate for Payer: Multiplan Workers Comp |
$15,422.30
|
| Rate for Payer: Scott and White EPO/PPO |
$7,102.38
|
| Rate for Payer: Scott and White Medicare |
$10,823.39
|
| Rate for Payer: Superior Health Plan EPO |
$10,823.39
|
| Rate for Payer: Superior Health Plan Medicare |
$10,823.39
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,823.39
|
| Rate for Payer: Universal American Medicare |
$10,823.39
|
| Rate for Payer: Wellcare Medicare |
$10,823.39
|
| Rate for Payer: Wellmed Medicare |
$10,823.39
|
|
