|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,288.90
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$10,264.62 |
| Max. Negotiated Rate |
$22,288.90 |
| Rate for Payer: Aetna Commercial |
$13,197.38
|
| Rate for Payer: Aetna Medicare |
$19,600.80
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,067.20
|
| Rate for Payer: Amerigroup Medicare |
$13,067.20
|
| Rate for Payer: BCBS of TX Blue Essentials |
$14,018.36
|
| Rate for Payer: BCBS of TX Medicare |
$13,067.20
|
| Rate for Payer: BCBS of TX PPO |
$15,576.56
|
| Rate for Payer: Cigna Commercial |
$15,109.53
|
| Rate for Payer: Cigna Medicare |
$13,067.20
|
| Rate for Payer: Employer Direct Commercial |
$13,067.20
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,067.20
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,067.20
|
| Rate for Payer: Molina Medicare |
$13,067.20
|
| Rate for Payer: Multiplan Auto |
$22,288.90
|
| Rate for Payer: Multiplan Commercial |
$22,288.90
|
| Rate for Payer: Multiplan Workers Comp |
$22,288.90
|
| Rate for Payer: Scott and White EPO/PPO |
$10,264.62
|
| Rate for Payer: Scott and White Medicare |
$13,067.20
|
| Rate for Payer: Superior Health Plan EPO |
$13,067.20
|
| Rate for Payer: Superior Health Plan Medicare |
$13,067.20
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,067.20
|
| Rate for Payer: Universal American Medicare |
$13,067.20
|
| Rate for Payer: Wellcare Medicare |
$13,067.20
|
| Rate for Payer: Wellmed Medicare |
$13,067.20
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,845.00
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$19,731.25 |
| Max. Negotiated Rate |
$42,845.00 |
| Rate for Payer: Aetna Commercial |
$25,368.75
|
| Rate for Payer: Aetna Medicare |
$34,433.44
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$22,955.63
|
| Rate for Payer: Amerigroup Medicare |
$22,955.63
|
| Rate for Payer: BCBS of TX Blue Essentials |
$26,124.61
|
| Rate for Payer: BCBS of TX Medicare |
$22,955.63
|
| Rate for Payer: BCBS of TX PPO |
$29,028.47
|
| Rate for Payer: Cigna Commercial |
$29,044.40
|
| Rate for Payer: Cigna Medicare |
$22,955.63
|
| Rate for Payer: Employer Direct Commercial |
$22,955.63
|
| Rate for Payer: Humana Medicare/TRICARE |
$22,955.63
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$22,955.63
|
| Rate for Payer: Molina Medicare |
$22,955.63
|
| Rate for Payer: Multiplan Auto |
$42,845.00
|
| Rate for Payer: Multiplan Commercial |
$42,845.00
|
| Rate for Payer: Multiplan Workers Comp |
$42,845.00
|
| Rate for Payer: Scott and White EPO/PPO |
$19,731.25
|
| Rate for Payer: Scott and White Medicare |
$22,955.63
|
| Rate for Payer: Superior Health Plan EPO |
$22,955.63
|
| Rate for Payer: Superior Health Plan Medicare |
$22,955.63
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$22,955.63
|
| Rate for Payer: Universal American Medicare |
$22,955.63
|
| Rate for Payer: Wellcare Medicare |
$22,955.63
|
| Rate for Payer: Wellmed Medicare |
$22,955.63
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,236.80
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$7,938.00 |
| Max. Negotiated Rate |
$17,236.80 |
| Rate for Payer: Aetna Commercial |
$10,206.00
|
| Rate for Payer: Aetna Medicare |
$13,992.90
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,328.60
|
| Rate for Payer: Amerigroup Medicare |
$9,328.60
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,657.64
|
| Rate for Payer: BCBS of TX Medicare |
$9,328.60
|
| Rate for Payer: BCBS of TX PPO |
$9,619.97
|
| Rate for Payer: Cigna Commercial |
$11,684.74
|
| Rate for Payer: Cigna Medicare |
$9,328.60
|
| Rate for Payer: Employer Direct Commercial |
$9,328.60
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,328.60
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,328.60
|
| Rate for Payer: Molina Medicare |
$9,328.60
|
| Rate for Payer: Multiplan Auto |
$17,236.80
|
| Rate for Payer: Multiplan Commercial |
$17,236.80
|
| Rate for Payer: Multiplan Workers Comp |
$17,236.80
|
| Rate for Payer: Scott and White EPO/PPO |
$7,938.00
|
| Rate for Payer: Scott and White Medicare |
$9,328.60
|
| Rate for Payer: Superior Health Plan EPO |
$9,328.60
|
| Rate for Payer: Superior Health Plan Medicare |
$9,328.60
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,328.60
|
| Rate for Payer: Universal American Medicare |
$9,328.60
|
| Rate for Payer: Wellcare Medicare |
$9,328.60
|
| Rate for Payer: Wellmed Medicare |
$9,328.60
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$14,016.30
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$6,454.88 |
| Max. Negotiated Rate |
$14,016.30 |
| Rate for Payer: Aetna Commercial |
$8,299.12
|
| Rate for Payer: Aetna Medicare |
$12,178.56
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$8,119.04
|
| Rate for Payer: Amerigroup Medicare |
$8,119.04
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,417.30
|
| Rate for Payer: BCBS of TX Medicare |
$8,119.04
|
| Rate for Payer: BCBS of TX PPO |
$8,241.76
|
| Rate for Payer: Cigna Commercial |
$9,501.58
|
| Rate for Payer: Cigna Medicare |
$8,119.04
|
| Rate for Payer: Employer Direct Commercial |
$8,119.04
|
| Rate for Payer: Humana Medicare/TRICARE |
$8,119.04
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$8,119.04
|
| Rate for Payer: Molina Medicare |
$8,119.04
|
| Rate for Payer: Multiplan Auto |
$14,016.30
|
| Rate for Payer: Multiplan Commercial |
$14,016.30
|
| Rate for Payer: Multiplan Workers Comp |
$14,016.30
|
| Rate for Payer: Scott and White EPO/PPO |
$6,454.88
|
| Rate for Payer: Scott and White Medicare |
$8,119.04
|
| Rate for Payer: Superior Health Plan EPO |
$8,119.04
|
| Rate for Payer: Superior Health Plan Medicare |
$8,119.04
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$8,119.04
|
| Rate for Payer: Universal American Medicare |
$8,119.04
|
| Rate for Payer: Wellcare Medicare |
$8,119.04
|
| Rate for Payer: Wellmed Medicare |
$8,119.04
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$19,186.20
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$8,835.75 |
| Max. Negotiated Rate |
$19,186.20 |
| Rate for Payer: Aetna Commercial |
$11,360.25
|
| Rate for Payer: Aetna Medicare |
$15,792.27
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,528.18
|
| Rate for Payer: Amerigroup Medicare |
$10,528.18
|
| Rate for Payer: BCBS of TX Blue Essentials |
$10,608.96
|
| Rate for Payer: BCBS of TX Medicare |
$10,528.18
|
| Rate for Payer: BCBS of TX PPO |
$11,788.19
|
| Rate for Payer: Cigna Commercial |
$13,006.22
|
| Rate for Payer: Cigna Medicare |
$10,528.18
|
| Rate for Payer: Employer Direct Commercial |
$10,528.18
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,528.18
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,528.18
|
| Rate for Payer: Molina Medicare |
$10,528.18
|
| Rate for Payer: Multiplan Auto |
$19,186.20
|
| Rate for Payer: Multiplan Commercial |
$19,186.20
|
| Rate for Payer: Multiplan Workers Comp |
$19,186.20
|
| Rate for Payer: Scott and White EPO/PPO |
$8,835.75
|
| Rate for Payer: Scott and White Medicare |
$10,528.18
|
| Rate for Payer: Superior Health Plan EPO |
$10,528.18
|
| Rate for Payer: Superior Health Plan Medicare |
$10,528.18
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,528.18
|
| Rate for Payer: Universal American Medicare |
$10,528.18
|
| Rate for Payer: Wellcare Medicare |
$10,528.18
|
| Rate for Payer: Wellmed Medicare |
$10,528.18
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,760.52
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$4,478.25 |
| Max. Negotiated Rate |
$9,760.52 |
| Rate for Payer: Aetna Commercial |
$5,757.75
|
| Rate for Payer: Aetna Medicare |
$9,760.52
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$6,507.01
|
| Rate for Payer: Amerigroup Medicare |
$6,507.01
|
| Rate for Payer: BCBS of TX Blue Essentials |
$4,956.22
|
| Rate for Payer: BCBS of TX Medicare |
$6,507.01
|
| Rate for Payer: BCBS of TX PPO |
$5,507.12
|
| Rate for Payer: Cigna Commercial |
$6,591.98
|
| Rate for Payer: Cigna Medicare |
$6,507.01
|
| Rate for Payer: Employer Direct Commercial |
$6,507.01
|
| Rate for Payer: Humana Medicare/TRICARE |
$6,507.01
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$6,507.01
|
| Rate for Payer: Molina Medicare |
$6,507.01
|
| Rate for Payer: Multiplan Auto |
$9,724.20
|
| Rate for Payer: Multiplan Commercial |
$9,724.20
|
| Rate for Payer: Multiplan Workers Comp |
$9,724.20
|
| Rate for Payer: Scott and White EPO/PPO |
$4,478.25
|
| Rate for Payer: Scott and White Medicare |
$6,507.01
|
| Rate for Payer: Superior Health Plan EPO |
$6,507.01
|
| Rate for Payer: Superior Health Plan Medicare |
$6,507.01
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$6,507.01
|
| Rate for Payer: Universal American Medicare |
$6,507.01
|
| Rate for Payer: Wellcare Medicare |
$6,507.01
|
| Rate for Payer: Wellmed Medicare |
$6,507.01
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$95,735.30
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$38,811.25 |
| Max. Negotiated Rate |
$95,735.30 |
| Rate for Payer: Aetna Commercial |
$56,685.38
|
| Rate for Payer: Aetna Medicare |
$58,216.88
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$38,811.25
|
| Rate for Payer: Amerigroup Medicare |
$38,811.25
|
| Rate for Payer: BCBS of TX Blue Advantage |
$60,947.34
|
| Rate for Payer: BCBS of TX Blue Essentials |
$67,859.81
|
| Rate for Payer: BCBS of TX Medicare |
$38,811.25
|
| Rate for Payer: BCBS of TX PPO |
$75,402.71
|
| Rate for Payer: Cigna Commercial |
$64,898.46
|
| Rate for Payer: Cigna Medicare |
$38,811.25
|
| Rate for Payer: Employer Direct Commercial |
$38,811.25
|
| Rate for Payer: Humana Medicare/TRICARE |
$38,811.25
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$38,811.25
|
| Rate for Payer: Molina Medicare |
$38,811.25
|
| Rate for Payer: Multiplan Auto |
$95,735.30
|
| Rate for Payer: Multiplan Commercial |
$95,735.30
|
| Rate for Payer: Multiplan Workers Comp |
$95,735.30
|
| Rate for Payer: Scott and White EPO/PPO |
$44,088.62
|
| Rate for Payer: Scott and White Medicare |
$38,811.25
|
| Rate for Payer: Superior Health Plan EPO |
$38,811.25
|
| Rate for Payer: Superior Health Plan Medicare |
$38,811.25
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$38,811.25
|
| Rate for Payer: Universal American Medicare |
$38,811.25
|
| Rate for Payer: Wellcare Medicare |
$38,811.25
|
| Rate for Payer: Wellmed Medicare |
$38,811.25
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$60,412.40
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$25,544.59 |
| Max. Negotiated Rate |
$60,412.40 |
| Rate for Payer: Aetna Commercial |
$35,770.50
|
| Rate for Payer: Aetna Medicare |
$38,316.88
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$25,544.59
|
| Rate for Payer: Amerigroup Medicare |
$25,544.59
|
| Rate for Payer: BCBS of TX Blue Advantage |
$40,814.74
|
| Rate for Payer: BCBS of TX Blue Essentials |
$47,966.84
|
| Rate for Payer: BCBS of TX Medicare |
$25,544.59
|
| Rate for Payer: BCBS of TX PPO |
$53,298.55
|
| Rate for Payer: Cigna Commercial |
$40,953.25
|
| Rate for Payer: Cigna Medicare |
$25,544.59
|
| Rate for Payer: Employer Direct Commercial |
$25,544.59
|
| Rate for Payer: Humana Medicare/TRICARE |
$25,544.59
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$25,544.59
|
| Rate for Payer: Molina Medicare |
$25,544.59
|
| Rate for Payer: Multiplan Auto |
$60,412.40
|
| Rate for Payer: Multiplan Commercial |
$60,412.40
|
| Rate for Payer: Multiplan Workers Comp |
$60,412.40
|
| Rate for Payer: Scott and White EPO/PPO |
$27,821.50
|
| Rate for Payer: Scott and White Medicare |
$25,544.59
|
| Rate for Payer: Superior Health Plan EPO |
$25,544.59
|
| Rate for Payer: Superior Health Plan Medicare |
$25,544.59
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$25,544.59
|
| Rate for Payer: Universal American Medicare |
$25,544.59
|
| Rate for Payer: Wellcare Medicare |
$25,544.59
|
| Rate for Payer: Wellmed Medicare |
$25,544.59
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,378.70
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$8,348.88 |
| Max. Negotiated Rate |
$18,378.70 |
| Rate for Payer: Aetna Commercial |
$10,882.12
|
| Rate for Payer: Aetna Medicare |
$14,636.22
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,757.48
|
| Rate for Payer: Amerigroup Medicare |
$9,757.48
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,348.88
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,863.93
|
| Rate for Payer: BCBS of TX Medicare |
$9,757.48
|
| Rate for Payer: BCBS of TX PPO |
$10,960.35
|
| Rate for Payer: Cigna Commercial |
$12,458.82
|
| Rate for Payer: Cigna Medicare |
$9,757.48
|
| Rate for Payer: Employer Direct Commercial |
$9,757.48
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,757.48
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,757.48
|
| Rate for Payer: Molina Medicare |
$9,757.48
|
| Rate for Payer: Multiplan Auto |
$18,378.70
|
| Rate for Payer: Multiplan Commercial |
$18,378.70
|
| Rate for Payer: Multiplan Workers Comp |
$18,378.70
|
| Rate for Payer: Scott and White EPO/PPO |
$8,463.88
|
| Rate for Payer: Scott and White Medicare |
$9,757.48
|
| Rate for Payer: Superior Health Plan EPO |
$9,757.48
|
| Rate for Payer: Superior Health Plan Medicare |
$9,757.48
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,757.48
|
| Rate for Payer: Universal American Medicare |
$9,757.48
|
| Rate for Payer: Wellcare Medicare |
$9,757.48
|
| Rate for Payer: Wellmed Medicare |
$9,757.48
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,776.50
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,865.46 |
| Max. Negotiated Rate |
$39,776.50 |
| Rate for Payer: Aetna Commercial |
$23,551.88
|
| Rate for Payer: Aetna Medicare |
$26,691.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$17,794.13
|
| Rate for Payer: Amerigroup Medicare |
$17,794.13
|
| Rate for Payer: BCBS of TX Blue Advantage |
$16,865.46
|
| Rate for Payer: BCBS of TX Blue Essentials |
$20,876.37
|
| Rate for Payer: BCBS of TX Medicare |
$17,794.13
|
| Rate for Payer: BCBS of TX PPO |
$23,196.86
|
| Rate for Payer: Cigna Commercial |
$26,964.28
|
| Rate for Payer: Cigna Medicare |
$17,794.13
|
| Rate for Payer: Employer Direct Commercial |
$17,794.13
|
| Rate for Payer: Humana Medicare/TRICARE |
$17,794.13
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$17,794.13
|
| Rate for Payer: Molina Medicare |
$17,794.13
|
| Rate for Payer: Multiplan Auto |
$39,776.50
|
| Rate for Payer: Multiplan Commercial |
$39,776.50
|
| Rate for Payer: Multiplan Workers Comp |
$39,776.50
|
| Rate for Payer: Scott and White EPO/PPO |
$18,318.12
|
| Rate for Payer: Scott and White Medicare |
$17,794.13
|
| Rate for Payer: Superior Health Plan EPO |
$17,794.13
|
| Rate for Payer: Superior Health Plan Medicare |
$17,794.13
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$17,794.13
|
| Rate for Payer: Universal American Medicare |
$17,794.13
|
| Rate for Payer: Wellcare Medicare |
$17,794.13
|
| Rate for Payer: Wellmed Medicare |
$17,794.13
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,161.30
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,817.90 |
| Max. Negotiated Rate |
$13,161.30 |
| Rate for Payer: Aetna Commercial |
$7,792.88
|
| Rate for Payer: Aetna Medicare |
$11,696.88
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,797.92
|
| Rate for Payer: Amerigroup Medicare |
$7,797.92
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,817.90
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,752.66
|
| Rate for Payer: BCBS of TX Medicare |
$7,797.92
|
| Rate for Payer: BCBS of TX PPO |
$8,614.41
|
| Rate for Payer: Cigna Commercial |
$8,921.98
|
| Rate for Payer: Cigna Medicare |
$7,797.92
|
| Rate for Payer: Employer Direct Commercial |
$7,797.92
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,797.92
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,797.92
|
| Rate for Payer: Molina Medicare |
$7,797.92
|
| Rate for Payer: Multiplan Auto |
$13,161.30
|
| Rate for Payer: Multiplan Commercial |
$13,161.30
|
| Rate for Payer: Multiplan Workers Comp |
$13,161.30
|
| Rate for Payer: Scott and White EPO/PPO |
$6,061.12
|
| Rate for Payer: Scott and White Medicare |
$7,797.92
|
| Rate for Payer: Superior Health Plan EPO |
$7,797.92
|
| Rate for Payer: Superior Health Plan Medicare |
$7,797.92
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,797.92
|
| Rate for Payer: Universal American Medicare |
$7,797.92
|
| Rate for Payer: Wellcare Medicare |
$7,797.92
|
| Rate for Payer: Wellmed Medicare |
$7,797.92
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$62,054.00
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$25,401.82 |
| Max. Negotiated Rate |
$62,054.00 |
| Rate for Payer: Aetna Commercial |
$36,742.50
|
| Rate for Payer: Aetna Medicare |
$39,241.71
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$26,161.14
|
| Rate for Payer: Amerigroup Medicare |
$26,161.14
|
| Rate for Payer: BCBS of TX Blue Advantage |
$25,401.82
|
| Rate for Payer: BCBS of TX Blue Essentials |
$32,593.59
|
| Rate for Payer: BCBS of TX Medicare |
$26,161.14
|
| Rate for Payer: BCBS of TX PPO |
$36,216.51
|
| Rate for Payer: Cigna Commercial |
$42,066.08
|
| Rate for Payer: Cigna Medicare |
$26,161.14
|
| Rate for Payer: Employer Direct Commercial |
$26,161.14
|
| Rate for Payer: Humana Medicare/TRICARE |
$26,161.14
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$26,161.14
|
| Rate for Payer: Molina Medicare |
$26,161.14
|
| Rate for Payer: Multiplan Auto |
$62,054.00
|
| Rate for Payer: Multiplan Commercial |
$62,054.00
|
| Rate for Payer: Multiplan Workers Comp |
$62,054.00
|
| Rate for Payer: Scott and White EPO/PPO |
$28,577.50
|
| Rate for Payer: Scott and White Medicare |
$26,161.14
|
| Rate for Payer: Superior Health Plan EPO |
$26,161.14
|
| Rate for Payer: Superior Health Plan Medicare |
$26,161.14
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$26,161.14
|
| Rate for Payer: Universal American Medicare |
$26,161.14
|
| Rate for Payer: Wellcare Medicare |
$26,161.14
|
| Rate for Payer: Wellmed Medicare |
$26,161.14
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,801.10
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$8,041.86 |
| Max. Negotiated Rate |
$17,801.10 |
| Rate for Payer: Aetna Commercial |
$10,540.12
|
| Rate for Payer: Aetna Medicare |
$14,310.82
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,540.55
|
| Rate for Payer: Amerigroup Medicare |
$9,540.55
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,041.86
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,711.21
|
| Rate for Payer: BCBS of TX Medicare |
$9,540.55
|
| Rate for Payer: BCBS of TX PPO |
$10,790.65
|
| Rate for Payer: Cigna Commercial |
$12,067.27
|
| Rate for Payer: Cigna Medicare |
$9,540.55
|
| Rate for Payer: Employer Direct Commercial |
$9,540.55
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,540.55
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,540.55
|
| Rate for Payer: Molina Medicare |
$9,540.55
|
| Rate for Payer: Multiplan Auto |
$17,801.10
|
| Rate for Payer: Multiplan Commercial |
$17,801.10
|
| Rate for Payer: Multiplan Workers Comp |
$17,801.10
|
| Rate for Payer: Scott and White EPO/PPO |
$8,197.88
|
| Rate for Payer: Scott and White Medicare |
$9,540.55
|
| Rate for Payer: Superior Health Plan EPO |
$9,540.55
|
| Rate for Payer: Superior Health Plan Medicare |
$9,540.55
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,540.55
|
| Rate for Payer: Universal American Medicare |
$9,540.55
|
| Rate for Payer: Wellcare Medicare |
$9,540.55
|
| Rate for Payer: Wellmed Medicare |
$9,540.55
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$30,772.40
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$14,171.50 |
| Max. Negotiated Rate |
$30,772.40 |
| Rate for Payer: Aetna Commercial |
$18,220.50
|
| Rate for Payer: Aetna Medicare |
$21,618.51
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14,412.34
|
| Rate for Payer: Amerigroup Medicare |
$14,412.34
|
| Rate for Payer: BCBS of TX Blue Advantage |
$14,380.06
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,846.80
|
| Rate for Payer: BCBS of TX Medicare |
$14,412.34
|
| Rate for Payer: BCBS of TX PPO |
$18,719.39
|
| Rate for Payer: Cigna Commercial |
$20,860.45
|
| Rate for Payer: Cigna Medicare |
$14,412.34
|
| Rate for Payer: Employer Direct Commercial |
$14,412.34
|
| Rate for Payer: Humana Medicare/TRICARE |
$14,412.34
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14,412.34
|
| Rate for Payer: Molina Medicare |
$14,412.34
|
| Rate for Payer: Multiplan Auto |
$30,772.40
|
| Rate for Payer: Multiplan Commercial |
$30,772.40
|
| Rate for Payer: Multiplan Workers Comp |
$30,772.40
|
| Rate for Payer: Scott and White EPO/PPO |
$14,171.50
|
| Rate for Payer: Scott and White Medicare |
$14,412.34
|
| Rate for Payer: Superior Health Plan EPO |
$14,412.34
|
| Rate for Payer: Superior Health Plan Medicare |
$14,412.34
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14,412.34
|
| Rate for Payer: Universal American Medicare |
$14,412.34
|
| Rate for Payer: Wellcare Medicare |
$14,412.34
|
| Rate for Payer: Wellmed Medicare |
$14,412.34
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,302.50
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$5,665.62 |
| Max. Negotiated Rate |
$12,302.50 |
| Rate for Payer: Aetna Commercial |
$7,284.38
|
| Rate for Payer: Aetna Medicare |
$11,213.07
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,475.38
|
| Rate for Payer: Amerigroup Medicare |
$7,475.38
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,672.56
|
| Rate for Payer: BCBS of TX Blue Essentials |
$6,980.80
|
| Rate for Payer: BCBS of TX Medicare |
$7,475.38
|
| Rate for Payer: BCBS of TX PPO |
$7,756.75
|
| Rate for Payer: Cigna Commercial |
$8,339.80
|
| Rate for Payer: Cigna Medicare |
$7,475.38
|
| Rate for Payer: Employer Direct Commercial |
$7,475.38
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,475.38
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,475.38
|
| Rate for Payer: Molina Medicare |
$7,475.38
|
| Rate for Payer: Multiplan Auto |
$12,302.50
|
| Rate for Payer: Multiplan Commercial |
$12,302.50
|
| Rate for Payer: Multiplan Workers Comp |
$12,302.50
|
| Rate for Payer: Scott and White EPO/PPO |
$5,665.62
|
| Rate for Payer: Scott and White Medicare |
$7,475.38
|
| Rate for Payer: Superior Health Plan EPO |
$7,475.38
|
| Rate for Payer: Superior Health Plan Medicare |
$7,475.38
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,475.38
|
| Rate for Payer: Universal American Medicare |
$7,475.38
|
| Rate for Payer: Wellcare Medicare |
$7,475.38
|
| Rate for Payer: Wellmed Medicare |
$7,475.38
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$41,739.20
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$17,844.14 |
| Max. Negotiated Rate |
$41,739.20 |
| Rate for Payer: Aetna Commercial |
$24,714.00
|
| Rate for Payer: Aetna Medicare |
$27,796.92
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$18,531.28
|
| Rate for Payer: Amerigroup Medicare |
$18,531.28
|
| Rate for Payer: BCBS of TX Blue Advantage |
$17,844.14
|
| Rate for Payer: BCBS of TX Blue Essentials |
$22,048.61
|
| Rate for Payer: BCBS of TX Medicare |
$18,531.28
|
| Rate for Payer: BCBS of TX PPO |
$24,499.40
|
| Rate for Payer: Cigna Commercial |
$28,294.78
|
| Rate for Payer: Cigna Medicare |
$18,531.28
|
| Rate for Payer: Employer Direct Commercial |
$18,531.28
|
| Rate for Payer: Humana Medicare/TRICARE |
$18,531.28
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$18,531.28
|
| Rate for Payer: Molina Medicare |
$18,531.28
|
| Rate for Payer: Multiplan Auto |
$41,739.20
|
| Rate for Payer: Multiplan Commercial |
$41,739.20
|
| Rate for Payer: Multiplan Workers Comp |
$41,739.20
|
| Rate for Payer: Scott and White EPO/PPO |
$19,222.00
|
| Rate for Payer: Scott and White Medicare |
$18,531.28
|
| Rate for Payer: Superior Health Plan EPO |
$18,531.28
|
| Rate for Payer: Superior Health Plan Medicare |
$18,531.28
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$18,531.28
|
| Rate for Payer: Universal American Medicare |
$18,531.28
|
| Rate for Payer: Wellcare Medicare |
$18,531.28
|
| Rate for Payer: Wellmed Medicare |
$18,531.28
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$81,295.30
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$33,112.58 |
| Max. Negotiated Rate |
$81,295.30 |
| Rate for Payer: Aetna Commercial |
$48,135.38
|
| Rate for Payer: Aetna Medicare |
$50,081.76
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$33,387.84
|
| Rate for Payer: Amerigroup Medicare |
$33,387.84
|
| Rate for Payer: BCBS of TX Blue Advantage |
$33,112.58
|
| Rate for Payer: BCBS of TX Blue Essentials |
$41,025.25
|
| Rate for Payer: BCBS of TX Medicare |
$33,387.84
|
| Rate for Payer: BCBS of TX PPO |
$45,585.38
|
| Rate for Payer: Cigna Commercial |
$55,109.66
|
| Rate for Payer: Cigna Medicare |
$33,387.84
|
| Rate for Payer: Employer Direct Commercial |
$33,387.84
|
| Rate for Payer: Humana Medicare/TRICARE |
$33,387.84
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$33,387.84
|
| Rate for Payer: Molina Medicare |
$33,387.84
|
| Rate for Payer: Multiplan Auto |
$81,295.30
|
| Rate for Payer: Multiplan Commercial |
$81,295.30
|
| Rate for Payer: Multiplan Workers Comp |
$81,295.30
|
| Rate for Payer: Scott and White EPO/PPO |
$37,438.62
|
| Rate for Payer: Scott and White Medicare |
$33,387.84
|
| Rate for Payer: Superior Health Plan EPO |
$33,387.84
|
| Rate for Payer: Superior Health Plan Medicare |
$33,387.84
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$33,387.84
|
| Rate for Payer: Universal American Medicare |
$33,387.84
|
| Rate for Payer: Wellcare Medicare |
$33,387.84
|
| Rate for Payer: Wellmed Medicare |
$33,387.84
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,340.90
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$11,209.62 |
| Max. Negotiated Rate |
$24,340.90 |
| Rate for Payer: Aetna Commercial |
$14,412.38
|
| Rate for Payer: Aetna Medicare |
$17,995.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$11,996.80
|
| Rate for Payer: Amerigroup Medicare |
$11,996.80
|
| Rate for Payer: BCBS of TX Blue Advantage |
$11,653.00
|
| Rate for Payer: BCBS of TX Blue Essentials |
$13,913.11
|
| Rate for Payer: BCBS of TX Medicare |
$11,996.80
|
| Rate for Payer: BCBS of TX PPO |
$15,459.61
|
| Rate for Payer: Cigna Commercial |
$16,500.57
|
| Rate for Payer: Cigna Medicare |
$11,996.80
|
| Rate for Payer: Employer Direct Commercial |
$11,996.80
|
| Rate for Payer: Humana Medicare/TRICARE |
$11,996.80
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$11,996.80
|
| Rate for Payer: Molina Medicare |
$11,996.80
|
| Rate for Payer: Multiplan Auto |
$24,340.90
|
| Rate for Payer: Multiplan Commercial |
$24,340.90
|
| Rate for Payer: Multiplan Workers Comp |
$24,340.90
|
| Rate for Payer: Scott and White EPO/PPO |
$11,209.62
|
| Rate for Payer: Scott and White Medicare |
$11,996.80
|
| Rate for Payer: Superior Health Plan EPO |
$11,996.80
|
| Rate for Payer: Superior Health Plan Medicare |
$11,996.80
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$11,996.80
|
| Rate for Payer: Universal American Medicare |
$11,996.80
|
| Rate for Payer: Wellcare Medicare |
$11,996.80
|
| Rate for Payer: Wellmed Medicare |
$11,996.80
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$19,495.90
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$7,912.86 |
| Max. Negotiated Rate |
$19,495.90 |
| Rate for Payer: Aetna Commercial |
$11,543.62
|
| Rate for Payer: Aetna Medicare |
$15,265.62
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,177.08
|
| Rate for Payer: Amerigroup Medicare |
$10,177.08
|
| Rate for Payer: BCBS of TX Blue Advantage |
$7,912.86
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,733.91
|
| Rate for Payer: BCBS of TX Medicare |
$10,177.08
|
| Rate for Payer: BCBS of TX PPO |
$10,815.88
|
| Rate for Payer: Cigna Commercial |
$13,216.17
|
| Rate for Payer: Cigna Medicare |
$10,177.08
|
| Rate for Payer: Employer Direct Commercial |
$10,177.08
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,177.08
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,177.08
|
| Rate for Payer: Molina Medicare |
$10,177.08
|
| Rate for Payer: Multiplan Auto |
$19,495.90
|
| Rate for Payer: Multiplan Commercial |
$19,495.90
|
| Rate for Payer: Multiplan Workers Comp |
$19,495.90
|
| Rate for Payer: Scott and White EPO/PPO |
$8,978.38
|
| Rate for Payer: Scott and White Medicare |
$10,177.08
|
| Rate for Payer: Superior Health Plan EPO |
$10,177.08
|
| Rate for Payer: Superior Health Plan Medicare |
$10,177.08
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,177.08
|
| Rate for Payer: Universal American Medicare |
$10,177.08
|
| Rate for Payer: Wellcare Medicare |
$10,177.08
|
| Rate for Payer: Wellmed Medicare |
$10,177.08
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$33,994.80
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$13,557.04 |
| Max. Negotiated Rate |
$33,994.80 |
| Rate for Payer: Aetna Commercial |
$20,128.50
|
| Rate for Payer: Aetna Medicare |
$23,433.93
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$15,622.62
|
| Rate for Payer: Amerigroup Medicare |
$15,622.62
|
| Rate for Payer: BCBS of TX Blue Advantage |
$13,557.04
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,634.23
|
| Rate for Payer: BCBS of TX Medicare |
$15,622.62
|
| Rate for Payer: BCBS of TX PPO |
$18,483.19
|
| Rate for Payer: Cigna Commercial |
$23,044.90
|
| Rate for Payer: Cigna Medicare |
$15,622.62
|
| Rate for Payer: Employer Direct Commercial |
$15,622.62
|
| Rate for Payer: Humana Medicare/TRICARE |
$15,622.62
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$15,622.62
|
| Rate for Payer: Molina Medicare |
$15,622.62
|
| Rate for Payer: Multiplan Auto |
$33,994.80
|
| Rate for Payer: Multiplan Commercial |
$33,994.80
|
| Rate for Payer: Multiplan Workers Comp |
$33,994.80
|
| Rate for Payer: Scott and White EPO/PPO |
$15,655.50
|
| Rate for Payer: Scott and White Medicare |
$15,622.62
|
| Rate for Payer: Superior Health Plan EPO |
$15,622.62
|
| Rate for Payer: Superior Health Plan Medicare |
$15,622.62
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$15,622.62
|
| Rate for Payer: Universal American Medicare |
$15,622.62
|
| Rate for Payer: Wellcare Medicare |
$15,622.62
|
| Rate for Payer: Wellmed Medicare |
$15,622.62
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$14,713.60
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,075.04 |
| Max. Negotiated Rate |
$14,713.60 |
| Rate for Payer: Aetna Commercial |
$8,712.00
|
| Rate for Payer: Aetna Medicare |
$12,571.41
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$8,380.94
|
| Rate for Payer: Amerigroup Medicare |
$8,380.94
|
| Rate for Payer: BCBS of TX Blue Advantage |
$6,075.04
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,613.36
|
| Rate for Payer: BCBS of TX Medicare |
$8,380.94
|
| Rate for Payer: BCBS of TX PPO |
$8,459.61
|
| Rate for Payer: Cigna Commercial |
$9,974.27
|
| Rate for Payer: Cigna Medicare |
$8,380.94
|
| Rate for Payer: Employer Direct Commercial |
$8,380.94
|
| Rate for Payer: Humana Medicare/TRICARE |
$8,380.94
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$8,380.94
|
| Rate for Payer: Molina Medicare |
$8,380.94
|
| Rate for Payer: Multiplan Auto |
$14,713.60
|
| Rate for Payer: Multiplan Commercial |
$14,713.60
|
| Rate for Payer: Multiplan Workers Comp |
$14,713.60
|
| Rate for Payer: Scott and White EPO/PPO |
$6,776.00
|
| Rate for Payer: Scott and White Medicare |
$8,380.94
|
| Rate for Payer: Superior Health Plan EPO |
$8,380.94
|
| Rate for Payer: Superior Health Plan Medicare |
$8,380.94
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$8,380.94
|
| Rate for Payer: Universal American Medicare |
$8,380.94
|
| Rate for Payer: Wellcare Medicare |
$8,380.94
|
| Rate for Payer: Wellmed Medicare |
$8,380.94
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$25,116.10
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$10,545.32 |
| Max. Negotiated Rate |
$25,116.10 |
| Rate for Payer: Aetna Commercial |
$14,871.38
|
| Rate for Payer: Aetna Medicare |
$18,431.91
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$12,287.94
|
| Rate for Payer: Amerigroup Medicare |
$12,287.94
|
| Rate for Payer: BCBS of TX Blue Advantage |
$10,545.32
|
| Rate for Payer: BCBS of TX Blue Essentials |
$13,737.68
|
| Rate for Payer: BCBS of TX Medicare |
$12,287.94
|
| Rate for Payer: BCBS of TX PPO |
$15,264.69
|
| Rate for Payer: Cigna Commercial |
$17,026.07
|
| Rate for Payer: Cigna Medicare |
$12,287.94
|
| Rate for Payer: Employer Direct Commercial |
$12,287.94
|
| Rate for Payer: Humana Medicare/TRICARE |
$12,287.94
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$12,287.94
|
| Rate for Payer: Molina Medicare |
$12,287.94
|
| Rate for Payer: Multiplan Auto |
$25,116.10
|
| Rate for Payer: Multiplan Commercial |
$25,116.10
|
| Rate for Payer: Multiplan Workers Comp |
$25,116.10
|
| Rate for Payer: Scott and White EPO/PPO |
$11,566.62
|
| Rate for Payer: Scott and White Medicare |
$12,287.94
|
| Rate for Payer: Superior Health Plan EPO |
$12,287.94
|
| Rate for Payer: Superior Health Plan Medicare |
$12,287.94
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$12,287.94
|
| Rate for Payer: Universal American Medicare |
$12,287.94
|
| Rate for Payer: Wellcare Medicare |
$12,287.94
|
| Rate for Payer: Wellmed Medicare |
$12,287.94
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$15,152.50
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,511.92 |
| Max. Negotiated Rate |
$15,152.50 |
| Rate for Payer: Aetna Commercial |
$8,971.88
|
| Rate for Payer: Aetna Medicare |
$12,818.68
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$8,545.79
|
| Rate for Payer: Amerigroup Medicare |
$8,545.79
|
| Rate for Payer: BCBS of TX Blue Advantage |
$6,511.92
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,360.45
|
| Rate for Payer: BCBS of TX Medicare |
$8,545.79
|
| Rate for Payer: BCBS of TX PPO |
$9,289.75
|
| Rate for Payer: Cigna Commercial |
$10,271.80
|
| Rate for Payer: Cigna Medicare |
$8,545.79
|
| Rate for Payer: Employer Direct Commercial |
$8,545.79
|
| Rate for Payer: Humana Medicare/TRICARE |
$8,545.79
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$8,545.79
|
| Rate for Payer: Molina Medicare |
$8,545.79
|
| Rate for Payer: Multiplan Auto |
$15,152.50
|
| Rate for Payer: Multiplan Commercial |
$15,152.50
|
| Rate for Payer: Multiplan Workers Comp |
$15,152.50
|
| Rate for Payer: Scott and White EPO/PPO |
$6,978.12
|
| Rate for Payer: Scott and White Medicare |
$8,545.79
|
| Rate for Payer: Superior Health Plan EPO |
$8,545.79
|
| Rate for Payer: Superior Health Plan Medicare |
$8,545.79
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$8,545.79
|
| Rate for Payer: Universal American Medicare |
$8,545.79
|
| Rate for Payer: Wellcare Medicare |
$8,545.79
|
| Rate for Payer: Wellmed Medicare |
$8,545.79
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,985.40
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$7,659.16 |
| Max. Negotiated Rate |
$17,985.40 |
| Rate for Payer: Aetna Commercial |
$10,649.25
|
| Rate for Payer: Aetna Medicare |
$14,414.66
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$9,609.77
|
| Rate for Payer: Amerigroup Medicare |
$9,609.77
|
| Rate for Payer: BCBS of TX Blue Advantage |
$7,659.16
|
| Rate for Payer: BCBS of TX Blue Essentials |
$9,114.77
|
| Rate for Payer: BCBS of TX Medicare |
$9,609.77
|
| Rate for Payer: BCBS of TX PPO |
$10,127.92
|
| Rate for Payer: Cigna Commercial |
$12,192.21
|
| Rate for Payer: Cigna Medicare |
$9,609.77
|
| Rate for Payer: Employer Direct Commercial |
$9,609.77
|
| Rate for Payer: Humana Medicare/TRICARE |
$9,609.77
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$9,609.77
|
| Rate for Payer: Molina Medicare |
$9,609.77
|
| Rate for Payer: Multiplan Auto |
$17,985.40
|
| Rate for Payer: Multiplan Commercial |
$17,985.40
|
| Rate for Payer: Multiplan Workers Comp |
$17,985.40
|
| Rate for Payer: Scott and White EPO/PPO |
$8,282.75
|
| Rate for Payer: Scott and White Medicare |
$9,609.77
|
| Rate for Payer: Superior Health Plan EPO |
$9,609.77
|
| Rate for Payer: Superior Health Plan Medicare |
$9,609.77
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$9,609.77
|
| Rate for Payer: Universal American Medicare |
$9,609.77
|
| Rate for Payer: Wellcare Medicare |
$9,609.77
|
| Rate for Payer: Wellmed Medicare |
$9,609.77
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$29,225.80
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$12,243.82 |
| Max. Negotiated Rate |
$29,225.80 |
| Rate for Payer: Aetna Commercial |
$17,304.75
|
| Rate for Payer: Aetna Medicare |
$20,747.20
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$13,831.47
|
| Rate for Payer: Amerigroup Medicare |
$13,831.47
|
| Rate for Payer: BCBS of TX Blue Advantage |
$12,243.82
|
| Rate for Payer: BCBS of TX Blue Essentials |
$14,926.43
|
| Rate for Payer: BCBS of TX Medicare |
$13,831.47
|
| Rate for Payer: BCBS of TX PPO |
$16,585.57
|
| Rate for Payer: Cigna Commercial |
$19,812.02
|
| Rate for Payer: Cigna Medicare |
$13,831.47
|
| Rate for Payer: Employer Direct Commercial |
$13,831.47
|
| Rate for Payer: Humana Medicare/TRICARE |
$13,831.47
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$13,831.47
|
| Rate for Payer: Molina Medicare |
$13,831.47
|
| Rate for Payer: Multiplan Auto |
$29,225.80
|
| Rate for Payer: Multiplan Commercial |
$29,225.80
|
| Rate for Payer: Multiplan Workers Comp |
$29,225.80
|
| Rate for Payer: Scott and White EPO/PPO |
$13,459.25
|
| Rate for Payer: Scott and White Medicare |
$13,831.47
|
| Rate for Payer: Superior Health Plan EPO |
$13,831.47
|
| Rate for Payer: Superior Health Plan Medicare |
$13,831.47
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$13,831.47
|
| Rate for Payer: Universal American Medicare |
$13,831.47
|
| Rate for Payer: Wellcare Medicare |
$13,831.47
|
| Rate for Payer: Wellmed Medicare |
$13,831.47
|
|
