|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$22,883.60
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$10,362.14 |
| Max. Negotiated Rate |
$22,883.60 |
| Rate for Payer: Aetna Commercial |
$13,549.50
|
| Rate for Payer: Aetna Medicare |
$17,174.16
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$11,449.44
|
| Rate for Payer: Amerigroup Medicare |
$11,449.44
|
| Rate for Payer: BCBS of TX Blue Advantage |
$10,362.14
|
| Rate for Payer: BCBS of TX Blue Essentials |
$12,429.24
|
| Rate for Payer: BCBS of TX Medicare |
$11,449.44
|
| Rate for Payer: BCBS of TX PPO |
$13,810.80
|
| Rate for Payer: Cigna Commercial |
$15,512.67
|
| Rate for Payer: Cigna Medicare |
$11,449.44
|
| Rate for Payer: Employer Direct Commercial |
$11,449.44
|
| Rate for Payer: Humana Medicare/TRICARE |
$11,449.44
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$11,449.44
|
| Rate for Payer: Molina Medicare |
$11,449.44
|
| Rate for Payer: Multiplan Auto |
$22,883.60
|
| Rate for Payer: Multiplan Commercial |
$22,883.60
|
| Rate for Payer: Multiplan Workers Comp |
$22,883.60
|
| Rate for Payer: Scott and White EPO/PPO |
$10,538.50
|
| Rate for Payer: Scott and White Medicare |
$11,449.44
|
| Rate for Payer: Superior Health Plan EPO |
$11,449.44
|
| Rate for Payer: Superior Health Plan Medicare |
$11,449.44
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$11,449.44
|
| Rate for Payer: Universal American Medicare |
$11,449.44
|
| Rate for Payer: Wellcare Medicare |
$11,449.44
|
| Rate for Payer: Wellmed Medicare |
$11,449.44
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$41,611.90
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$18,483.47 |
| Max. Negotiated Rate |
$41,611.90 |
| Rate for Payer: Aetna Commercial |
$24,638.62
|
| Rate for Payer: Aetna Medicare |
$27,725.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$18,483.47
|
| Rate for Payer: Amerigroup Medicare |
$18,483.47
|
| Rate for Payer: BCBS of TX Blue Advantage |
$18,682.64
|
| Rate for Payer: BCBS of TX Blue Essentials |
$22,177.59
|
| Rate for Payer: BCBS of TX Medicare |
$18,483.47
|
| Rate for Payer: BCBS of TX PPO |
$24,642.73
|
| Rate for Payer: Cigna Commercial |
$28,208.49
|
| Rate for Payer: Cigna Medicare |
$18,483.47
|
| Rate for Payer: Employer Direct Commercial |
$18,483.47
|
| Rate for Payer: Humana Medicare/TRICARE |
$18,483.47
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$18,483.47
|
| Rate for Payer: Molina Medicare |
$18,483.47
|
| Rate for Payer: Multiplan Auto |
$41,611.90
|
| Rate for Payer: Multiplan Commercial |
$41,611.90
|
| Rate for Payer: Multiplan Workers Comp |
$41,611.90
|
| Rate for Payer: Scott and White EPO/PPO |
$19,163.38
|
| Rate for Payer: Scott and White Medicare |
$18,483.47
|
| Rate for Payer: Superior Health Plan EPO |
$18,483.47
|
| Rate for Payer: Superior Health Plan Medicare |
$18,483.47
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$18,483.47
|
| Rate for Payer: Universal American Medicare |
$18,483.47
|
| Rate for Payer: Wellcare Medicare |
$18,483.47
|
| Rate for Payer: Wellmed Medicare |
$18,483.47
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$19,085.50
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$8,072.82 |
| Max. Negotiated Rate |
$19,085.50 |
| Rate for Payer: Aetna Commercial |
$11,300.62
|
| Rate for Payer: Aetna Medicare |
$15,034.42
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,022.95
|
| Rate for Payer: Amerigroup Medicare |
$10,022.95
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,072.82
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,514.12
|
| Rate for Payer: BCBS of TX Medicare |
$10,022.95
|
| Rate for Payer: BCBS of TX PPO |
$10,571.65
|
| Rate for Payer: Cigna Commercial |
$12,937.96
|
| Rate for Payer: Cigna Medicare |
$10,022.95
|
| Rate for Payer: Employer Direct Commercial |
$10,022.95
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,022.95
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,022.95
|
| Rate for Payer: Molina Medicare |
$10,022.95
|
| Rate for Payer: Multiplan Auto |
$19,085.50
|
| Rate for Payer: Multiplan Commercial |
$19,085.50
|
| Rate for Payer: Multiplan Workers Comp |
$19,085.50
|
| Rate for Payer: Scott and White EPO/PPO |
$8,789.38
|
| Rate for Payer: Scott and White Medicare |
$10,022.95
|
| Rate for Payer: Superior Health Plan EPO |
$10,022.95
|
| Rate for Payer: Superior Health Plan Medicare |
$10,022.95
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,022.95
|
| Rate for Payer: Universal American Medicare |
$10,022.95
|
| Rate for Payer: Wellcare Medicare |
$10,022.95
|
| Rate for Payer: Wellmed Medicare |
$10,022.95
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$63,266.20
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$26,616.43 |
| Max. Negotiated Rate |
$63,266.20 |
| Rate for Payer: Aetna Commercial |
$37,460.25
|
| Rate for Payer: Aetna Medicare |
$39,924.64
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$26,616.43
|
| Rate for Payer: Amerigroup Medicare |
$26,616.43
|
| Rate for Payer: BCBS of TX Blue Advantage |
$28,299.16
|
| Rate for Payer: BCBS of TX Blue Essentials |
$32,754.57
|
| Rate for Payer: BCBS of TX Medicare |
$26,616.43
|
| Rate for Payer: BCBS of TX PPO |
$36,395.38
|
| Rate for Payer: Cigna Commercial |
$42,887.82
|
| Rate for Payer: Cigna Medicare |
$26,616.43
|
| Rate for Payer: Employer Direct Commercial |
$26,616.43
|
| Rate for Payer: Humana Medicare/TRICARE |
$26,616.43
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$26,616.43
|
| Rate for Payer: Molina Medicare |
$26,616.43
|
| Rate for Payer: Multiplan Auto |
$63,266.20
|
| Rate for Payer: Multiplan Commercial |
$63,266.20
|
| Rate for Payer: Multiplan Workers Comp |
$63,266.20
|
| Rate for Payer: Scott and White EPO/PPO |
$29,135.75
|
| Rate for Payer: Scott and White Medicare |
$26,616.43
|
| Rate for Payer: Superior Health Plan EPO |
$26,616.43
|
| Rate for Payer: Superior Health Plan Medicare |
$26,616.43
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$26,616.43
|
| Rate for Payer: Universal American Medicare |
$26,616.43
|
| Rate for Payer: Wellcare Medicare |
$26,616.43
|
| Rate for Payer: Wellmed Medicare |
$26,616.43
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$35,752.30
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$16,282.71 |
| Max. Negotiated Rate |
$35,752.30 |
| Rate for Payer: Aetna Commercial |
$21,169.12
|
| Rate for Payer: Aetna Medicare |
$24,424.06
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16,282.71
|
| Rate for Payer: Amerigroup Medicare |
$16,282.71
|
| Rate for Payer: BCBS of TX Blue Advantage |
$17,777.06
|
| Rate for Payer: BCBS of TX Blue Essentials |
$20,532.75
|
| Rate for Payer: BCBS of TX Medicare |
$16,282.71
|
| Rate for Payer: BCBS of TX PPO |
$22,815.05
|
| Rate for Payer: Cigna Commercial |
$24,236.30
|
| Rate for Payer: Cigna Medicare |
$16,282.71
|
| Rate for Payer: Employer Direct Commercial |
$16,282.71
|
| Rate for Payer: Humana Medicare/TRICARE |
$16,282.71
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16,282.71
|
| Rate for Payer: Molina Medicare |
$16,282.71
|
| Rate for Payer: Multiplan Auto |
$35,752.30
|
| Rate for Payer: Multiplan Commercial |
$35,752.30
|
| Rate for Payer: Multiplan Workers Comp |
$35,752.30
|
| Rate for Payer: Scott and White EPO/PPO |
$16,464.88
|
| Rate for Payer: Scott and White Medicare |
$16,282.71
|
| Rate for Payer: Superior Health Plan EPO |
$16,282.71
|
| Rate for Payer: Superior Health Plan Medicare |
$16,282.71
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16,282.71
|
| Rate for Payer: Universal American Medicare |
$16,282.71
|
| Rate for Payer: Wellcare Medicare |
$16,282.71
|
| Rate for Payer: Wellmed Medicare |
$16,282.71
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$47,199.80
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$20,582.18 |
| Max. Negotiated Rate |
$47,199.80 |
| Rate for Payer: Aetna Commercial |
$27,947.25
|
| Rate for Payer: Aetna Medicare |
$30,873.27
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$20,582.18
|
| Rate for Payer: Amerigroup Medicare |
$20,582.18
|
| Rate for Payer: BCBS of TX Blue Advantage |
$20,723.42
|
| Rate for Payer: BCBS of TX Blue Essentials |
$24,595.34
|
| Rate for Payer: BCBS of TX Medicare |
$20,582.18
|
| Rate for Payer: BCBS of TX PPO |
$27,329.21
|
| Rate for Payer: Cigna Commercial |
$31,996.50
|
| Rate for Payer: Cigna Medicare |
$20,582.18
|
| Rate for Payer: Employer Direct Commercial |
$20,582.18
|
| Rate for Payer: Humana Medicare/TRICARE |
$20,582.18
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$20,582.18
|
| Rate for Payer: Molina Medicare |
$20,582.18
|
| Rate for Payer: Multiplan Auto |
$47,199.80
|
| Rate for Payer: Multiplan Commercial |
$47,199.80
|
| Rate for Payer: Multiplan Workers Comp |
$47,199.80
|
| Rate for Payer: Scott and White EPO/PPO |
$21,736.75
|
| Rate for Payer: Scott and White Medicare |
$20,582.18
|
| Rate for Payer: Superior Health Plan EPO |
$20,582.18
|
| Rate for Payer: Superior Health Plan Medicare |
$20,582.18
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$20,582.18
|
| Rate for Payer: Universal American Medicare |
$20,582.18
|
| Rate for Payer: Wellcare Medicare |
$20,582.18
|
| Rate for Payer: Wellmed Medicare |
$20,582.18
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$37,276.10
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$15,558.26 |
| Max. Negotiated Rate |
$37,276.10 |
| Rate for Payer: Aetna Commercial |
$22,071.38
|
| Rate for Payer: Aetna Medicare |
$25,282.50
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16,855.00
|
| Rate for Payer: Amerigroup Medicare |
$16,855.00
|
| Rate for Payer: BCBS of TX Blue Advantage |
$15,558.26
|
| Rate for Payer: BCBS of TX Blue Essentials |
$18,485.46
|
| Rate for Payer: BCBS of TX Medicare |
$16,855.00
|
| Rate for Payer: BCBS of TX PPO |
$20,540.19
|
| Rate for Payer: Cigna Commercial |
$25,269.27
|
| Rate for Payer: Cigna Medicare |
$16,855.00
|
| Rate for Payer: Employer Direct Commercial |
$16,855.00
|
| Rate for Payer: Humana Medicare/TRICARE |
$16,855.00
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16,855.00
|
| Rate for Payer: Molina Medicare |
$16,855.00
|
| Rate for Payer: Multiplan Auto |
$37,276.10
|
| Rate for Payer: Multiplan Commercial |
$37,276.10
|
| Rate for Payer: Multiplan Workers Comp |
$37,276.10
|
| Rate for Payer: Scott and White EPO/PPO |
$17,166.62
|
| Rate for Payer: Scott and White Medicare |
$16,855.00
|
| Rate for Payer: Superior Health Plan EPO |
$16,855.00
|
| Rate for Payer: Superior Health Plan Medicare |
$16,855.00
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16,855.00
|
| Rate for Payer: Universal American Medicare |
$16,855.00
|
| Rate for Payer: Wellcare Medicare |
$16,855.00
|
| Rate for Payer: Wellmed Medicare |
$16,855.00
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,711.50
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$11,589.36 |
| Max. Negotiated Rate |
$27,711.50 |
| Rate for Payer: Aetna Commercial |
$16,408.12
|
| Rate for Payer: Aetna Medicare |
$19,894.08
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,262.72
|
| Rate for Payer: Amerigroup Medicare |
$13,262.72
|
| Rate for Payer: BCBS of TX Blue Advantage |
$11,589.36
|
| Rate for Payer: BCBS of TX Blue Essentials |
$14,513.67
|
| Rate for Payer: BCBS of TX Medicare |
$13,262.72
|
| Rate for Payer: BCBS of TX PPO |
$16,126.93
|
| Rate for Payer: Cigna Commercial |
$18,785.48
|
| Rate for Payer: Cigna Medicare |
$13,262.72
|
| Rate for Payer: Employer Direct Commercial |
$13,262.72
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,262.72
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,262.72
|
| Rate for Payer: Molina Medicare |
$13,262.72
|
| Rate for Payer: Multiplan Auto |
$27,711.50
|
| Rate for Payer: Multiplan Commercial |
$27,711.50
|
| Rate for Payer: Multiplan Workers Comp |
$27,711.50
|
| Rate for Payer: Scott and White EPO/PPO |
$12,761.88
|
| Rate for Payer: Scott and White Medicare |
$13,262.72
|
| Rate for Payer: Superior Health Plan EPO |
$13,262.72
|
| Rate for Payer: Superior Health Plan Medicare |
$13,262.72
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,262.72
|
| Rate for Payer: Universal American Medicare |
$13,262.72
|
| Rate for Payer: Wellcare Medicare |
$13,262.72
|
| Rate for Payer: Wellmed Medicare |
$13,262.72
|
|
|
MAJOR PROCEDURE - BREAST
|
Facility
|
OP
|
$10,000.00
|
|
|
Service Code
|
CPT 19328
|
| Hospital Charge Code |
36019328
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$76.89 |
| Max. Negotiated Rate |
$10,000.00 |
| Rate for Payer: Aetna Commercial |
$4,635.00
|
| Rate for Payer: Aetna Medicare |
$5,229.02
|
| Rate for Payer: Amerigroup CHIP/Medicaid |
$963.66
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$3,486.01
|
| Rate for Payer: Amerigroup Medicare |
$3,486.01
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,059.35
|
| Rate for Payer: BCBS of TX Blue Essentials |
$6,059.10
|
| Rate for Payer: BCBS of TX Medicare |
$3,486.01
|
| Rate for Payer: BCBS of TX PPO |
$7,634.47
|
| Rate for Payer: Cigna Commercial |
$7,896.82
|
| Rate for Payer: Cigna Medicaid |
$963.66
|
| Rate for Payer: Cigna Medicare |
$3,486.01
|
| Rate for Payer: Employer Direct Commercial |
$3,486.01
|
| Rate for Payer: Humana Medicare/TRICARE |
$3,486.01
|
| Rate for Payer: Molina CHIP/Medicaid |
$963.66
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$3,486.01
|
| Rate for Payer: Molina Medicare |
$3,486.01
|
| Rate for Payer: Multiplan Auto |
$10,000.00
|
| Rate for Payer: Multiplan Commercial |
$10,000.00
|
| Rate for Payer: Multiplan Workers Comp |
$10,000.00
|
| Rate for Payer: Parkland Medicaid |
$963.66
|
| Rate for Payer: Scott and White EPO/PPO |
$76.89
|
| Rate for Payer: Scott and White Medicare |
$3,486.01
|
| Rate for Payer: Superior Health Plan CHIP/Medicaid |
$963.66
|
| Rate for Payer: Superior Health Plan EPO |
$3,486.01
|
| Rate for Payer: Superior Health Plan Medicare |
$3,486.01
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$3,486.01
|
| Rate for Payer: Universal American Medicare |
$3,486.01
|
| Rate for Payer: Wellcare Medicare |
$3,486.01
|
| Rate for Payer: Wellmed Medicare |
$3,486.01
|
|
|
MAJOR PROCEDURE, ORTHOPEDIC - OTHER
|
Facility
|
OP
|
$10,000.00
|
|
|
Service Code
|
CPT 22852
|
| Hospital Charge Code |
36022852
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,216.34 |
| Max. Negotiated Rate |
$10,000.00 |
| Rate for Payer: Aetna Commercial |
$7,210.00
|
| Rate for Payer: BCBS of TX Blue Advantage |
$1,216.34
|
| Rate for Payer: BCBS of TX Blue Essentials |
$1,456.70
|
| Rate for Payer: BCBS of TX PPO |
$1,835.44
|
| Rate for Payer: Multiplan Auto |
$10,000.00
|
| Rate for Payer: Multiplan Commercial |
$10,000.00
|
| Rate for Payer: Multiplan Workers Comp |
$10,000.00
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$40,502.30
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$16,791.50 |
| Max. Negotiated Rate |
$40,502.30 |
| Rate for Payer: Aetna Commercial |
$23,981.62
|
| Rate for Payer: Aetna Medicare |
$27,100.08
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$18,066.72
|
| Rate for Payer: Amerigroup Medicare |
$18,066.72
|
| Rate for Payer: BCBS of TX Blue Advantage |
$16,791.50
|
| Rate for Payer: BCBS of TX Blue Essentials |
$20,044.66
|
| Rate for Payer: BCBS of TX Medicare |
$18,066.72
|
| Rate for Payer: BCBS of TX PPO |
$22,272.70
|
| Rate for Payer: Cigna Commercial |
$27,456.30
|
| Rate for Payer: Cigna Medicare |
$18,066.72
|
| Rate for Payer: Employer Direct Commercial |
$18,066.72
|
| Rate for Payer: Humana Medicare/TRICARE |
$18,066.72
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$18,066.72
|
| Rate for Payer: Molina Medicare |
$18,066.72
|
| Rate for Payer: Multiplan Auto |
$40,502.30
|
| Rate for Payer: Multiplan Commercial |
$40,502.30
|
| Rate for Payer: Multiplan Workers Comp |
$40,502.30
|
| Rate for Payer: Scott and White EPO/PPO |
$18,652.38
|
| Rate for Payer: Scott and White Medicare |
$18,066.72
|
| Rate for Payer: Superior Health Plan EPO |
$18,066.72
|
| Rate for Payer: Superior Health Plan Medicare |
$18,066.72
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$18,066.72
|
| Rate for Payer: Universal American Medicare |
$18,066.72
|
| Rate for Payer: Wellcare Medicare |
$18,066.72
|
| Rate for Payer: Wellmed Medicare |
$18,066.72
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,246.00
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$12,547.50 |
| Max. Negotiated Rate |
$27,246.00 |
| Rate for Payer: Aetna Commercial |
$16,132.50
|
| Rate for Payer: Aetna Medicare |
$19,631.84
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,087.89
|
| Rate for Payer: Amerigroup Medicare |
$13,087.89
|
| Rate for Payer: BCBS of TX Blue Advantage |
$14,491.00
|
| Rate for Payer: BCBS of TX Blue Essentials |
$14,935.72
|
| Rate for Payer: BCBS of TX Medicare |
$13,087.89
|
| Rate for Payer: BCBS of TX PPO |
$16,595.89
|
| Rate for Payer: Cigna Commercial |
$18,469.92
|
| Rate for Payer: Cigna Medicare |
$13,087.89
|
| Rate for Payer: Employer Direct Commercial |
$13,087.89
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,087.89
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,087.89
|
| Rate for Payer: Molina Medicare |
$13,087.89
|
| Rate for Payer: Multiplan Auto |
$27,246.00
|
| Rate for Payer: Multiplan Commercial |
$27,246.00
|
| Rate for Payer: Multiplan Workers Comp |
$27,246.00
|
| Rate for Payer: Scott and White EPO/PPO |
$12,547.50
|
| Rate for Payer: Scott and White Medicare |
$13,087.89
|
| Rate for Payer: Superior Health Plan EPO |
$13,087.89
|
| Rate for Payer: Superior Health Plan Medicare |
$13,087.89
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,087.89
|
| Rate for Payer: Universal American Medicare |
$13,087.89
|
| Rate for Payer: Wellcare Medicare |
$13,087.89
|
| Rate for Payer: Wellmed Medicare |
$13,087.89
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$41,325.00
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$17,374.58 |
| Max. Negotiated Rate |
$41,325.00 |
| Rate for Payer: Aetna Commercial |
$24,468.75
|
| Rate for Payer: Aetna Medicare |
$27,563.58
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$18,375.72
|
| Rate for Payer: Amerigroup Medicare |
$18,375.72
|
| Rate for Payer: BCBS of TX Blue Advantage |
$17,374.58
|
| Rate for Payer: BCBS of TX Blue Essentials |
$20,502.82
|
| Rate for Payer: BCBS of TX Medicare |
$18,375.72
|
| Rate for Payer: BCBS of TX PPO |
$22,781.80
|
| Rate for Payer: Cigna Commercial |
$28,014.00
|
| Rate for Payer: Cigna Medicare |
$18,375.72
|
| Rate for Payer: Employer Direct Commercial |
$18,375.72
|
| Rate for Payer: Humana Medicare/TRICARE |
$18,375.72
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$18,375.72
|
| Rate for Payer: Molina Medicare |
$18,375.72
|
| Rate for Payer: Multiplan Auto |
$41,325.00
|
| Rate for Payer: Multiplan Commercial |
$41,325.00
|
| Rate for Payer: Multiplan Workers Comp |
$41,325.00
|
| Rate for Payer: Scott and White EPO/PPO |
$19,031.25
|
| Rate for Payer: Scott and White Medicare |
$18,375.72
|
| Rate for Payer: Superior Health Plan EPO |
$18,375.72
|
| Rate for Payer: Superior Health Plan Medicare |
$18,375.72
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$18,375.72
|
| Rate for Payer: Universal American Medicare |
$18,375.72
|
| Rate for Payer: Wellcare Medicare |
$18,375.72
|
| Rate for Payer: Wellmed Medicare |
$18,375.72
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$19,171.00
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,317.06 |
| Max. Negotiated Rate |
$19,171.00 |
| Rate for Payer: Aetna Commercial |
$11,351.25
|
| Rate for Payer: Aetna Medicare |
$15,082.60
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,055.07
|
| Rate for Payer: Amerigroup Medicare |
$10,055.07
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,317.06
|
| Rate for Payer: BCBS of TX Blue Essentials |
$10,437.67
|
| Rate for Payer: BCBS of TX Medicare |
$10,055.07
|
| Rate for Payer: BCBS of TX PPO |
$11,597.86
|
| Rate for Payer: Cigna Commercial |
$12,995.92
|
| Rate for Payer: Cigna Medicare |
$10,055.07
|
| Rate for Payer: Employer Direct Commercial |
$10,055.07
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,055.07
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,055.07
|
| Rate for Payer: Molina Medicare |
$10,055.07
|
| Rate for Payer: Multiplan Auto |
$19,171.00
|
| Rate for Payer: Multiplan Commercial |
$19,171.00
|
| Rate for Payer: Multiplan Workers Comp |
$19,171.00
|
| Rate for Payer: Scott and White EPO/PPO |
$8,828.75
|
| Rate for Payer: Scott and White Medicare |
$10,055.07
|
| Rate for Payer: Superior Health Plan EPO |
$10,055.07
|
| Rate for Payer: Superior Health Plan Medicare |
$10,055.07
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,055.07
|
| Rate for Payer: Universal American Medicare |
$10,055.07
|
| Rate for Payer: Wellcare Medicare |
$10,055.07
|
| Rate for Payer: Wellmed Medicare |
$10,055.07
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$45,069.90
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$19,782.21 |
| Max. Negotiated Rate |
$45,069.90 |
| Rate for Payer: Aetna Commercial |
$26,686.12
|
| Rate for Payer: Aetna Medicare |
$29,673.32
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$19,782.21
|
| Rate for Payer: Amerigroup Medicare |
$19,782.21
|
| Rate for Payer: BCBS of TX Blue Advantage |
$21,848.30
|
| Rate for Payer: BCBS of TX Blue Essentials |
$26,037.93
|
| Rate for Payer: BCBS of TX Medicare |
$19,782.21
|
| Rate for Payer: BCBS of TX PPO |
$28,932.16
|
| Rate for Payer: Cigna Commercial |
$30,552.65
|
| Rate for Payer: Cigna Medicare |
$19,782.21
|
| Rate for Payer: Employer Direct Commercial |
$19,782.21
|
| Rate for Payer: Humana Medicare/TRICARE |
$19,782.21
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$19,782.21
|
| Rate for Payer: Molina Medicare |
$19,782.21
|
| Rate for Payer: Multiplan Auto |
$45,069.90
|
| Rate for Payer: Multiplan Commercial |
$45,069.90
|
| Rate for Payer: Multiplan Workers Comp |
$45,069.90
|
| Rate for Payer: Scott and White EPO/PPO |
$20,755.88
|
| Rate for Payer: Scott and White Medicare |
$19,782.21
|
| Rate for Payer: Superior Health Plan EPO |
$19,782.21
|
| Rate for Payer: Superior Health Plan Medicare |
$19,782.21
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$19,782.21
|
| Rate for Payer: Universal American Medicare |
$19,782.21
|
| Rate for Payer: Wellcare Medicare |
$19,782.21
|
| Rate for Payer: Wellmed Medicare |
$19,782.21
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,819.20
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$35,086.93 |
| Max. Negotiated Rate |
$85,819.20 |
| Rate for Payer: Aetna Commercial |
$50,814.00
|
| Rate for Payer: Aetna Medicare |
$52,630.40
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$35,086.93
|
| Rate for Payer: Amerigroup Medicare |
$35,086.93
|
| Rate for Payer: BCBS of TX Blue Advantage |
$42,666.32
|
| Rate for Payer: BCBS of TX Blue Essentials |
$51,519.67
|
| Rate for Payer: BCBS of TX Medicare |
$35,086.93
|
| Rate for Payer: BCBS of TX PPO |
$57,246.30
|
| Rate for Payer: Cigna Commercial |
$58,176.38
|
| Rate for Payer: Cigna Medicare |
$35,086.93
|
| Rate for Payer: Employer Direct Commercial |
$35,086.93
|
| Rate for Payer: Humana Medicare/TRICARE |
$35,086.93
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$35,086.93
|
| Rate for Payer: Molina Medicare |
$35,086.93
|
| Rate for Payer: Multiplan Auto |
$85,819.20
|
| Rate for Payer: Multiplan Commercial |
$85,819.20
|
| Rate for Payer: Multiplan Workers Comp |
$85,819.20
|
| Rate for Payer: Scott and White EPO/PPO |
$39,522.00
|
| Rate for Payer: Scott and White Medicare |
$35,086.93
|
| Rate for Payer: Superior Health Plan EPO |
$35,086.93
|
| Rate for Payer: Superior Health Plan Medicare |
$35,086.93
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$35,086.93
|
| Rate for Payer: Universal American Medicare |
$35,086.93
|
| Rate for Payer: Wellcare Medicare |
$35,086.93
|
| Rate for Payer: Wellmed Medicare |
$35,086.93
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,768.00
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$14,295.78 |
| Max. Negotiated Rate |
$31,768.00 |
| Rate for Payer: Aetna Commercial |
$18,810.00
|
| Rate for Payer: Aetna Medicare |
$22,179.42
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14,786.28
|
| Rate for Payer: Amerigroup Medicare |
$14,786.28
|
| Rate for Payer: BCBS of TX Blue Advantage |
$14,295.78
|
| Rate for Payer: BCBS of TX Blue Essentials |
$17,487.61
|
| Rate for Payer: BCBS of TX Medicare |
$14,786.28
|
| Rate for Payer: BCBS of TX PPO |
$19,431.43
|
| Rate for Payer: Cigna Commercial |
$21,535.36
|
| Rate for Payer: Cigna Medicare |
$14,786.28
|
| Rate for Payer: Employer Direct Commercial |
$14,786.28
|
| Rate for Payer: Humana Medicare/TRICARE |
$14,786.28
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14,786.28
|
| Rate for Payer: Molina Medicare |
$14,786.28
|
| Rate for Payer: Multiplan Auto |
$31,768.00
|
| Rate for Payer: Multiplan Commercial |
$31,768.00
|
| Rate for Payer: Multiplan Workers Comp |
$31,768.00
|
| Rate for Payer: Scott and White EPO/PPO |
$14,630.00
|
| Rate for Payer: Scott and White Medicare |
$14,786.28
|
| Rate for Payer: Superior Health Plan EPO |
$14,786.28
|
| Rate for Payer: Superior Health Plan Medicare |
$14,786.28
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14,786.28
|
| Rate for Payer: Universal American Medicare |
$14,786.28
|
| Rate for Payer: Wellcare Medicare |
$14,786.28
|
| Rate for Payer: Wellmed Medicare |
$14,786.28
|
|
|
MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$27,789.40
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$11,351.14 |
| Max. Negotiated Rate |
$27,789.40 |
| Rate for Payer: Aetna Commercial |
$16,454.25
|
| Rate for Payer: Aetna Medicare |
$19,937.98
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,291.99
|
| Rate for Payer: Amerigroup Medicare |
$13,291.99
|
| Rate for Payer: BCBS of TX Blue Advantage |
$11,351.14
|
| Rate for Payer: BCBS of TX Blue Essentials |
$14,552.89
|
| Rate for Payer: BCBS of TX Medicare |
$13,291.99
|
| Rate for Payer: BCBS of TX PPO |
$16,170.50
|
| Rate for Payer: Cigna Commercial |
$18,838.29
|
| Rate for Payer: Cigna Medicare |
$13,291.99
|
| Rate for Payer: Employer Direct Commercial |
$13,291.99
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,291.99
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,291.99
|
| Rate for Payer: Molina Medicare |
$13,291.99
|
| Rate for Payer: Multiplan Auto |
$27,789.40
|
| Rate for Payer: Multiplan Commercial |
$27,789.40
|
| Rate for Payer: Multiplan Workers Comp |
$27,789.40
|
| Rate for Payer: Scott and White EPO/PPO |
$12,797.75
|
| Rate for Payer: Scott and White Medicare |
$13,291.99
|
| Rate for Payer: Superior Health Plan EPO |
$13,291.99
|
| Rate for Payer: Superior Health Plan Medicare |
$13,291.99
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,291.99
|
| Rate for Payer: Universal American Medicare |
$13,291.99
|
| Rate for Payer: Wellcare Medicare |
$13,291.99
|
| Rate for Payer: Wellmed Medicare |
$13,291.99
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$20,609.30
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$9,491.12 |
| Max. Negotiated Rate |
$20,609.30 |
| Rate for Payer: Aetna Commercial |
$12,202.88
|
| Rate for Payer: Aetna Medicare |
$15,892.90
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,595.27
|
| Rate for Payer: Amerigroup Medicare |
$10,595.27
|
| Rate for Payer: BCBS of TX Blue Advantage |
$9,653.50
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,040.30
|
| Rate for Payer: BCBS of TX Medicare |
$10,595.27
|
| Rate for Payer: BCBS of TX PPO |
$12,267.47
|
| Rate for Payer: Cigna Commercial |
$13,970.94
|
| Rate for Payer: Cigna Medicare |
$10,595.27
|
| Rate for Payer: Employer Direct Commercial |
$10,595.27
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,595.27
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,595.27
|
| Rate for Payer: Molina Medicare |
$10,595.27
|
| Rate for Payer: Multiplan Auto |
$20,609.30
|
| Rate for Payer: Multiplan Commercial |
$20,609.30
|
| Rate for Payer: Multiplan Workers Comp |
$20,609.30
|
| Rate for Payer: Scott and White EPO/PPO |
$9,491.12
|
| Rate for Payer: Scott and White Medicare |
$10,595.27
|
| Rate for Payer: Superior Health Plan EPO |
$10,595.27
|
| Rate for Payer: Superior Health Plan Medicare |
$10,595.27
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,595.27
|
| Rate for Payer: Universal American Medicare |
$10,595.27
|
| Rate for Payer: Wellcare Medicare |
$10,595.27
|
| Rate for Payer: Wellmed Medicare |
$10,595.27
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$35,197.50
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$16,074.33 |
| Max. Negotiated Rate |
$35,197.50 |
| Rate for Payer: Aetna Commercial |
$20,840.62
|
| Rate for Payer: Aetna Medicare |
$24,111.50
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16,074.33
|
| Rate for Payer: Amerigroup Medicare |
$16,074.33
|
| Rate for Payer: BCBS of TX Blue Advantage |
$16,432.02
|
| Rate for Payer: BCBS of TX Blue Essentials |
$19,001.41
|
| Rate for Payer: BCBS of TX Medicare |
$16,074.33
|
| Rate for Payer: BCBS of TX PPO |
$21,113.49
|
| Rate for Payer: Cigna Commercial |
$23,860.20
|
| Rate for Payer: Cigna Medicare |
$16,074.33
|
| Rate for Payer: Employer Direct Commercial |
$16,074.33
|
| Rate for Payer: Humana Medicare/TRICARE |
$16,074.33
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16,074.33
|
| Rate for Payer: Molina Medicare |
$16,074.33
|
| Rate for Payer: Multiplan Auto |
$35,197.50
|
| Rate for Payer: Multiplan Commercial |
$35,197.50
|
| Rate for Payer: Multiplan Workers Comp |
$35,197.50
|
| Rate for Payer: Scott and White EPO/PPO |
$16,209.38
|
| Rate for Payer: Scott and White Medicare |
$16,074.33
|
| Rate for Payer: Superior Health Plan EPO |
$16,074.33
|
| Rate for Payer: Superior Health Plan Medicare |
$16,074.33
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16,074.33
|
| Rate for Payer: Universal American Medicare |
$16,074.33
|
| Rate for Payer: Wellcare Medicare |
$16,074.33
|
| Rate for Payer: Wellmed Medicare |
$16,074.33
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$18,804.30
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$5,754.26 |
| Max. Negotiated Rate |
$18,804.30 |
| Rate for Payer: Aetna Commercial |
$11,134.12
|
| Rate for Payer: Aetna Medicare |
$14,876.01
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,917.34
|
| Rate for Payer: Amerigroup Medicare |
$9,917.34
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,754.26
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,049.85
|
| Rate for Payer: BCBS of TX Medicare |
$9,917.34
|
| Rate for Payer: BCBS of TX PPO |
$8,944.63
|
| Rate for Payer: Cigna Commercial |
$12,747.34
|
| Rate for Payer: Cigna Medicare |
$9,917.34
|
| Rate for Payer: Employer Direct Commercial |
$9,917.34
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,917.34
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,917.34
|
| Rate for Payer: Molina Medicare |
$9,917.34
|
| Rate for Payer: Multiplan Auto |
$18,804.30
|
| Rate for Payer: Multiplan Commercial |
$18,804.30
|
| Rate for Payer: Multiplan Workers Comp |
$18,804.30
|
| Rate for Payer: Scott and White EPO/PPO |
$8,659.88
|
| Rate for Payer: Scott and White Medicare |
$9,917.34
|
| Rate for Payer: Superior Health Plan EPO |
$9,917.34
|
| Rate for Payer: Superior Health Plan Medicare |
$9,917.34
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,917.34
|
| Rate for Payer: Universal American Medicare |
$9,917.34
|
| Rate for Payer: Wellcare Medicare |
$9,917.34
|
| Rate for Payer: Wellmed Medicare |
$9,917.34
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$21,171.70
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$9,328.42 |
| Max. Negotiated Rate |
$21,171.70 |
| Rate for Payer: Aetna Commercial |
$12,535.88
|
| Rate for Payer: Aetna Medicare |
$16,209.72
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,806.48
|
| Rate for Payer: Amerigroup Medicare |
$10,806.48
|
| Rate for Payer: BCBS of TX Blue Advantage |
$9,328.42
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,366.38
|
| Rate for Payer: BCBS of TX Medicare |
$10,806.48
|
| Rate for Payer: BCBS of TX PPO |
$12,629.80
|
| Rate for Payer: Cigna Commercial |
$14,352.18
|
| Rate for Payer: Cigna Medicare |
$10,806.48
|
| Rate for Payer: Employer Direct Commercial |
$10,806.48
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,806.48
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,806.48
|
| Rate for Payer: Molina Medicare |
$10,806.48
|
| Rate for Payer: Multiplan Auto |
$21,171.70
|
| Rate for Payer: Multiplan Commercial |
$21,171.70
|
| Rate for Payer: Multiplan Workers Comp |
$21,171.70
|
| Rate for Payer: Scott and White EPO/PPO |
$9,750.12
|
| Rate for Payer: Scott and White Medicare |
$10,806.48
|
| Rate for Payer: Superior Health Plan EPO |
$10,806.48
|
| Rate for Payer: Superior Health Plan Medicare |
$10,806.48
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,806.48
|
| Rate for Payer: Universal American Medicare |
$10,806.48
|
| Rate for Payer: Wellcare Medicare |
$10,806.48
|
| Rate for Payer: Wellmed Medicare |
$10,806.48
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$35,621.20
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$14,546.04 |
| Max. Negotiated Rate |
$35,621.20 |
| Rate for Payer: Aetna Commercial |
$21,091.50
|
| Rate for Payer: Aetna Medicare |
$24,350.19
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$16,233.46
|
| Rate for Payer: Amerigroup Medicare |
$16,233.46
|
| Rate for Payer: BCBS of TX Blue Advantage |
$14,546.04
|
| Rate for Payer: BCBS of TX Blue Essentials |
$17,126.44
|
| Rate for Payer: BCBS of TX Medicare |
$16,233.46
|
| Rate for Payer: BCBS of TX PPO |
$19,030.12
|
| Rate for Payer: Cigna Commercial |
$24,147.42
|
| Rate for Payer: Cigna Medicare |
$16,233.46
|
| Rate for Payer: Employer Direct Commercial |
$16,233.46
|
| Rate for Payer: Humana Medicare/TRICARE |
$16,233.46
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$16,233.46
|
| Rate for Payer: Molina Medicare |
$16,233.46
|
| Rate for Payer: Multiplan Auto |
$35,621.20
|
| Rate for Payer: Multiplan Commercial |
$35,621.20
|
| Rate for Payer: Multiplan Workers Comp |
$35,621.20
|
| Rate for Payer: Scott and White EPO/PPO |
$16,404.50
|
| Rate for Payer: Scott and White Medicare |
$16,233.46
|
| Rate for Payer: Superior Health Plan EPO |
$16,233.46
|
| Rate for Payer: Superior Health Plan Medicare |
$16,233.46
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$16,233.46
|
| Rate for Payer: Universal American Medicare |
$16,233.46
|
| Rate for Payer: Wellcare Medicare |
$16,233.46
|
| Rate for Payer: Wellmed Medicare |
$16,233.46
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,380.50
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$6,326.16 |
| Max. Negotiated Rate |
$15,380.50 |
| Rate for Payer: Aetna Commercial |
$9,106.88
|
| Rate for Payer: Aetna Medicare |
$12,947.12
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$8,631.41
|
| Rate for Payer: Amerigroup Medicare |
$8,631.41
|
| Rate for Payer: BCBS of TX Blue Advantage |
$6,326.16
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,111.85
|
| Rate for Payer: BCBS of TX Medicare |
$8,631.41
|
| Rate for Payer: BCBS of TX PPO |
$7,902.37
|
| Rate for Payer: Cigna Commercial |
$10,426.36
|
| Rate for Payer: Cigna Medicare |
$8,631.41
|
| Rate for Payer: Employer Direct Commercial |
$8,631.41
|
| Rate for Payer: Humana Medicare/TRICARE |
$8,631.41
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$8,631.41
|
| Rate for Payer: Molina Medicare |
$8,631.41
|
| Rate for Payer: Multiplan Auto |
$15,380.50
|
| Rate for Payer: Multiplan Commercial |
$15,380.50
|
| Rate for Payer: Multiplan Workers Comp |
$15,380.50
|
| Rate for Payer: Scott and White EPO/PPO |
$7,083.12
|
| Rate for Payer: Scott and White Medicare |
$8,631.41
|
| Rate for Payer: Superior Health Plan EPO |
$8,631.41
|
| Rate for Payer: Superior Health Plan Medicare |
$8,631.41
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$8,631.41
|
| Rate for Payer: Universal American Medicare |
$8,631.41
|
| Rate for Payer: Wellcare Medicare |
$8,631.41
|
| Rate for Payer: Wellmed Medicare |
$8,631.41
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$20,913.30
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$9,631.12 |
| Max. Negotiated Rate |
$20,913.30 |
| Rate for Payer: Aetna Commercial |
$12,382.88
|
| Rate for Payer: Aetna Medicare |
$16,064.16
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,709.44
|
| Rate for Payer: Amerigroup Medicare |
$10,709.44
|
| Rate for Payer: BCBS of TX Blue Advantage |
$9,834.10
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,721.35
|
| Rate for Payer: BCBS of TX Medicare |
$10,709.44
|
| Rate for Payer: BCBS of TX PPO |
$13,024.23
|
| Rate for Payer: Cigna Commercial |
$14,177.02
|
| Rate for Payer: Cigna Medicare |
$10,709.44
|
| Rate for Payer: Employer Direct Commercial |
$10,709.44
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,709.44
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,709.44
|
| Rate for Payer: Molina Medicare |
$10,709.44
|
| Rate for Payer: Multiplan Auto |
$20,913.30
|
| Rate for Payer: Multiplan Commercial |
$20,913.30
|
| Rate for Payer: Multiplan Workers Comp |
$20,913.30
|
| Rate for Payer: Scott and White EPO/PPO |
$9,631.12
|
| Rate for Payer: Scott and White Medicare |
$10,709.44
|
| Rate for Payer: Superior Health Plan EPO |
$10,709.44
|
| Rate for Payer: Superior Health Plan Medicare |
$10,709.44
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,709.44
|
| Rate for Payer: Universal American Medicare |
$10,709.44
|
| Rate for Payer: Wellcare Medicare |
$10,709.44
|
| Rate for Payer: Wellmed Medicare |
$10,709.44
|
|
