|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,454.50
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$5,723.30 |
| Max. Negotiated Rate |
$12,454.50 |
| Rate for Payer: Aetna Commercial |
$7,374.38
|
| Rate for Payer: Aetna Medicare |
$11,298.70
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,532.47
|
| Rate for Payer: Amerigroup Medicare |
$7,532.47
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,723.30
|
| Rate for Payer: BCBS of TX Blue Essentials |
$6,809.51
|
| Rate for Payer: BCBS of TX Medicare |
$7,532.47
|
| Rate for Payer: BCBS of TX PPO |
$7,566.41
|
| Rate for Payer: Cigna Commercial |
$8,442.84
|
| Rate for Payer: Cigna Medicare |
$7,532.47
|
| Rate for Payer: Employer Direct Commercial |
$7,532.47
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,532.47
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,532.47
|
| Rate for Payer: Molina Medicare |
$7,532.47
|
| Rate for Payer: Multiplan Auto |
$12,454.50
|
| Rate for Payer: Multiplan Commercial |
$12,454.50
|
| Rate for Payer: Multiplan Workers Comp |
$12,454.50
|
| Rate for Payer: Scott and White EPO/PPO |
$5,735.62
|
| Rate for Payer: Scott and White Medicare |
$7,532.47
|
| Rate for Payer: Superior Health Plan EPO |
$7,532.47
|
| Rate for Payer: Superior Health Plan Medicare |
$7,532.47
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,532.47
|
| Rate for Payer: Universal American Medicare |
$7,532.47
|
| Rate for Payer: Wellcare Medicare |
$7,532.47
|
| Rate for Payer: Wellmed Medicare |
$7,532.47
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$32,879.50
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$15,141.88 |
| Max. Negotiated Rate |
$32,879.50 |
| Rate for Payer: Aetna Commercial |
$19,468.12
|
| Rate for Payer: Aetna Medicare |
$22,805.61
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$15,203.74
|
| Rate for Payer: Amerigroup Medicare |
$15,203.74
|
| Rate for Payer: BCBS of TX Medicare |
$15,203.74
|
| Rate for Payer: Cigna Commercial |
$22,288.84
|
| Rate for Payer: Cigna Medicare |
$15,203.74
|
| Rate for Payer: Employer Direct Commercial |
$15,203.74
|
| Rate for Payer: Humana Medicare/TRICARE |
$15,203.74
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$15,203.74
|
| Rate for Payer: Molina Medicare |
$15,203.74
|
| Rate for Payer: Multiplan Auto |
$32,879.50
|
| Rate for Payer: Multiplan Commercial |
$32,879.50
|
| Rate for Payer: Multiplan Workers Comp |
$32,879.50
|
| Rate for Payer: Scott and White EPO/PPO |
$15,141.88
|
| Rate for Payer: Scott and White Medicare |
$15,203.74
|
| Rate for Payer: Superior Health Plan EPO |
$15,203.74
|
| Rate for Payer: Superior Health Plan Medicare |
$15,203.74
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$15,203.74
|
| Rate for Payer: Universal American Medicare |
$15,203.74
|
| Rate for Payer: Wellcare Medicare |
$15,203.74
|
| Rate for Payer: Wellmed Medicare |
$15,203.74
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,186.40
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$26,586.47 |
| Max. Negotiated Rate |
$63,186.40 |
| Rate for Payer: Aetna Commercial |
$37,413.00
|
| Rate for Payer: Aetna Medicare |
$39,879.70
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$26,586.47
|
| Rate for Payer: Amerigroup Medicare |
$26,586.47
|
| Rate for Payer: BCBS of TX Medicare |
$26,586.47
|
| Rate for Payer: Cigna Commercial |
$42,833.73
|
| Rate for Payer: Cigna Medicare |
$26,586.47
|
| Rate for Payer: Employer Direct Commercial |
$26,586.47
|
| Rate for Payer: Humana Medicare/TRICARE |
$26,586.47
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$26,586.47
|
| Rate for Payer: Molina Medicare |
$26,586.47
|
| Rate for Payer: Multiplan Auto |
$63,186.40
|
| Rate for Payer: Multiplan Commercial |
$63,186.40
|
| Rate for Payer: Multiplan Workers Comp |
$63,186.40
|
| Rate for Payer: Scott and White EPO/PPO |
$29,099.00
|
| Rate for Payer: Scott and White Medicare |
$26,586.47
|
| Rate for Payer: Superior Health Plan EPO |
$26,586.47
|
| Rate for Payer: Superior Health Plan Medicare |
$26,586.47
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$26,586.47
|
| Rate for Payer: Universal American Medicare |
$26,586.47
|
| Rate for Payer: Wellcare Medicare |
$26,586.47
|
| Rate for Payer: Wellmed Medicare |
$26,586.47
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,200.90
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$10,684.62 |
| Max. Negotiated Rate |
$23,200.90 |
| Rate for Payer: Aetna Commercial |
$13,737.38
|
| Rate for Payer: Aetna Medicare |
$17,352.94
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$11,568.63
|
| Rate for Payer: Amerigroup Medicare |
$11,568.63
|
| Rate for Payer: BCBS of TX Medicare |
$11,568.63
|
| Rate for Payer: Cigna Commercial |
$15,727.77
|
| Rate for Payer: Cigna Medicare |
$11,568.63
|
| Rate for Payer: Employer Direct Commercial |
$11,568.63
|
| Rate for Payer: Humana Medicare/TRICARE |
$11,568.63
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$11,568.63
|
| Rate for Payer: Molina Medicare |
$11,568.63
|
| Rate for Payer: Multiplan Auto |
$23,200.90
|
| Rate for Payer: Multiplan Commercial |
$23,200.90
|
| Rate for Payer: Multiplan Workers Comp |
$23,200.90
|
| Rate for Payer: Scott and White EPO/PPO |
$10,684.62
|
| Rate for Payer: Scott and White Medicare |
$11,568.63
|
| Rate for Payer: Superior Health Plan EPO |
$11,568.63
|
| Rate for Payer: Superior Health Plan Medicare |
$11,568.63
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$11,568.63
|
| Rate for Payer: Universal American Medicare |
$11,568.63
|
| Rate for Payer: Wellcare Medicare |
$11,568.63
|
| Rate for Payer: Wellmed Medicare |
$11,568.63
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$42,993.20
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$18,666.30 |
| Max. Negotiated Rate |
$42,993.20 |
| Rate for Payer: Aetna Commercial |
$25,456.50
|
| Rate for Payer: Aetna Medicare |
$28,503.40
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$19,002.27
|
| Rate for Payer: Amerigroup Medicare |
$19,002.27
|
| Rate for Payer: BCBS of TX Blue Advantage |
$18,666.30
|
| Rate for Payer: BCBS of TX Blue Essentials |
$24,133.05
|
| Rate for Payer: BCBS of TX Medicare |
$19,002.27
|
| Rate for Payer: BCBS of TX PPO |
$26,815.53
|
| Rate for Payer: Cigna Commercial |
$29,144.86
|
| Rate for Payer: Cigna Medicare |
$19,002.27
|
| Rate for Payer: Employer Direct Commercial |
$19,002.27
|
| Rate for Payer: Humana Medicare/TRICARE |
$19,002.27
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$19,002.27
|
| Rate for Payer: Molina Medicare |
$19,002.27
|
| Rate for Payer: Multiplan Auto |
$42,993.20
|
| Rate for Payer: Multiplan Commercial |
$42,993.20
|
| Rate for Payer: Multiplan Workers Comp |
$42,993.20
|
| Rate for Payer: Scott and White EPO/PPO |
$19,799.50
|
| Rate for Payer: Scott and White Medicare |
$19,002.27
|
| Rate for Payer: Superior Health Plan EPO |
$19,002.27
|
| Rate for Payer: Superior Health Plan Medicare |
$19,002.27
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$19,002.27
|
| Rate for Payer: Universal American Medicare |
$19,002.27
|
| Rate for Payer: Wellcare Medicare |
$19,002.27
|
| Rate for Payer: Wellmed Medicare |
$19,002.27
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$76,275.50
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$28,808.28 |
| Max. Negotiated Rate |
$76,275.50 |
| Rate for Payer: Aetna Commercial |
$45,163.12
|
| Rate for Payer: Aetna Medicare |
$47,253.74
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$31,502.49
|
| Rate for Payer: Amerigroup Medicare |
$31,502.49
|
| Rate for Payer: BCBS of TX Blue Advantage |
$28,808.28
|
| Rate for Payer: BCBS of TX Blue Essentials |
$37,922.32
|
| Rate for Payer: BCBS of TX Medicare |
$31,502.49
|
| Rate for Payer: BCBS of TX PPO |
$42,137.55
|
| Rate for Payer: Cigna Commercial |
$51,706.76
|
| Rate for Payer: Cigna Medicare |
$31,502.49
|
| Rate for Payer: Employer Direct Commercial |
$31,502.49
|
| Rate for Payer: Humana Medicare/TRICARE |
$31,502.49
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$31,502.49
|
| Rate for Payer: Molina Medicare |
$31,502.49
|
| Rate for Payer: Multiplan Auto |
$76,275.50
|
| Rate for Payer: Multiplan Commercial |
$76,275.50
|
| Rate for Payer: Multiplan Workers Comp |
$76,275.50
|
| Rate for Payer: Scott and White EPO/PPO |
$35,126.88
|
| Rate for Payer: Scott and White Medicare |
$31,502.49
|
| Rate for Payer: Superior Health Plan EPO |
$31,502.49
|
| Rate for Payer: Superior Health Plan Medicare |
$31,502.49
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$31,502.49
|
| Rate for Payer: Universal American Medicare |
$31,502.49
|
| Rate for Payer: Wellcare Medicare |
$31,502.49
|
| Rate for Payer: Wellmed Medicare |
$31,502.49
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,529.70
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$12,217.62 |
| Max. Negotiated Rate |
$26,529.70 |
| Rate for Payer: Aetna Commercial |
$15,708.38
|
| Rate for Payer: Aetna Medicare |
$19,228.29
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$12,818.86
|
| Rate for Payer: Amerigroup Medicare |
$12,818.86
|
| Rate for Payer: BCBS of TX Blue Advantage |
$12,947.30
|
| Rate for Payer: BCBS of TX Blue Essentials |
$15,834.51
|
| Rate for Payer: BCBS of TX Medicare |
$12,818.86
|
| Rate for Payer: BCBS of TX PPO |
$17,594.58
|
| Rate for Payer: Cigna Commercial |
$17,984.34
|
| Rate for Payer: Cigna Medicare |
$12,818.86
|
| Rate for Payer: Employer Direct Commercial |
$12,818.86
|
| Rate for Payer: Humana Medicare/TRICARE |
$12,818.86
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$12,818.86
|
| Rate for Payer: Molina Medicare |
$12,818.86
|
| Rate for Payer: Multiplan Auto |
$26,529.70
|
| Rate for Payer: Multiplan Commercial |
$26,529.70
|
| Rate for Payer: Multiplan Workers Comp |
$26,529.70
|
| Rate for Payer: Scott and White EPO/PPO |
$12,217.62
|
| Rate for Payer: Scott and White Medicare |
$12,818.86
|
| Rate for Payer: Superior Health Plan EPO |
$12,818.86
|
| Rate for Payer: Superior Health Plan Medicare |
$12,818.86
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$12,818.86
|
| Rate for Payer: Universal American Medicare |
$12,818.86
|
| Rate for Payer: Wellcare Medicare |
$12,818.86
|
| Rate for Payer: Wellmed Medicare |
$12,818.86
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$82,876.10
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$33,981.56 |
| Max. Negotiated Rate |
$82,876.10 |
| Rate for Payer: Aetna Commercial |
$49,071.38
|
| Rate for Payer: Aetna Medicare |
$50,972.34
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$33,981.56
|
| Rate for Payer: Amerigroup Medicare |
$33,981.56
|
| Rate for Payer: BCBS of TX Medicare |
$33,981.56
|
| Rate for Payer: Cigna Commercial |
$56,181.27
|
| Rate for Payer: Cigna Medicare |
$33,981.56
|
| Rate for Payer: Employer Direct Commercial |
$33,981.56
|
| Rate for Payer: Humana Medicare/TRICARE |
$33,981.56
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$33,981.56
|
| Rate for Payer: Molina Medicare |
$33,981.56
|
| Rate for Payer: Multiplan Auto |
$82,876.10
|
| Rate for Payer: Multiplan Commercial |
$82,876.10
|
| Rate for Payer: Multiplan Workers Comp |
$82,876.10
|
| Rate for Payer: Scott and White EPO/PPO |
$38,166.62
|
| Rate for Payer: Scott and White Medicare |
$33,981.56
|
| Rate for Payer: Superior Health Plan EPO |
$33,981.56
|
| Rate for Payer: Superior Health Plan Medicare |
$33,981.56
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$33,981.56
|
| Rate for Payer: Universal American Medicare |
$33,981.56
|
| Rate for Payer: Wellcare Medicare |
$33,981.56
|
| Rate for Payer: Wellmed Medicare |
$33,981.56
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$42,294.00
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$18,739.65 |
| Max. Negotiated Rate |
$42,294.00 |
| Rate for Payer: Aetna Commercial |
$25,042.50
|
| Rate for Payer: Aetna Medicare |
$28,109.48
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$18,739.65
|
| Rate for Payer: Amerigroup Medicare |
$18,739.65
|
| Rate for Payer: BCBS of TX Medicare |
$18,739.65
|
| Rate for Payer: Cigna Commercial |
$28,670.88
|
| Rate for Payer: Cigna Medicare |
$18,739.65
|
| Rate for Payer: Employer Direct Commercial |
$18,739.65
|
| Rate for Payer: Humana Medicare/TRICARE |
$18,739.65
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$18,739.65
|
| Rate for Payer: Molina Medicare |
$18,739.65
|
| Rate for Payer: Multiplan Auto |
$42,294.00
|
| Rate for Payer: Multiplan Commercial |
$42,294.00
|
| Rate for Payer: Multiplan Workers Comp |
$42,294.00
|
| Rate for Payer: Scott and White EPO/PPO |
$19,477.50
|
| Rate for Payer: Scott and White Medicare |
$18,739.65
|
| Rate for Payer: Superior Health Plan EPO |
$18,739.65
|
| Rate for Payer: Superior Health Plan Medicare |
$18,739.65
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$18,739.65
|
| Rate for Payer: Universal American Medicare |
$18,739.65
|
| Rate for Payer: Wellcare Medicare |
$18,739.65
|
| Rate for Payer: Wellmed Medicare |
$18,739.65
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$11,210.00
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$5,162.50 |
| Max. Negotiated Rate |
$11,210.00 |
| Rate for Payer: Aetna Commercial |
$6,637.50
|
| Rate for Payer: Aetna Medicare |
$10,597.58
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,065.05
|
| Rate for Payer: Amerigroup Medicare |
$7,065.05
|
| Rate for Payer: BCBS of TX Blue Advantage |
$7,949.84
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,238.69
|
| Rate for Payer: BCBS of TX Medicare |
$7,065.05
|
| Rate for Payer: BCBS of TX PPO |
$9,154.45
|
| Rate for Payer: Cigna Commercial |
$7,599.20
|
| Rate for Payer: Cigna Medicare |
$7,065.05
|
| Rate for Payer: Employer Direct Commercial |
$7,065.05
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,065.05
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,065.05
|
| Rate for Payer: Molina Medicare |
$7,065.05
|
| Rate for Payer: Multiplan Auto |
$11,210.00
|
| Rate for Payer: Multiplan Commercial |
$11,210.00
|
| Rate for Payer: Multiplan Workers Comp |
$11,210.00
|
| Rate for Payer: Scott and White EPO/PPO |
$5,162.50
|
| Rate for Payer: Scott and White Medicare |
$7,065.05
|
| Rate for Payer: Superior Health Plan EPO |
$7,065.05
|
| Rate for Payer: Superior Health Plan Medicare |
$7,065.05
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,065.05
|
| Rate for Payer: Universal American Medicare |
$7,065.05
|
| Rate for Payer: Wellcare Medicare |
$7,065.05
|
| Rate for Payer: Wellmed Medicare |
$7,065.05
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$47,826.80
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$20,817.66 |
| Max. Negotiated Rate |
$47,826.80 |
| Rate for Payer: Aetna Commercial |
$28,318.50
|
| Rate for Payer: Aetna Medicare |
$31,226.49
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$20,817.66
|
| Rate for Payer: Amerigroup Medicare |
$20,817.66
|
| Rate for Payer: BCBS of TX Blue Advantage |
$23,693.00
|
| Rate for Payer: BCBS of TX Blue Essentials |
$26,850.04
|
| Rate for Payer: BCBS of TX Medicare |
$20,817.66
|
| Rate for Payer: BCBS of TX PPO |
$29,834.53
|
| Rate for Payer: Cigna Commercial |
$32,421.54
|
| Rate for Payer: Cigna Medicare |
$20,817.66
|
| Rate for Payer: Employer Direct Commercial |
$20,817.66
|
| Rate for Payer: Humana Medicare/TRICARE |
$20,817.66
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$20,817.66
|
| Rate for Payer: Molina Medicare |
$20,817.66
|
| Rate for Payer: Multiplan Auto |
$47,826.80
|
| Rate for Payer: Multiplan Commercial |
$47,826.80
|
| Rate for Payer: Multiplan Workers Comp |
$47,826.80
|
| Rate for Payer: Scott and White EPO/PPO |
$22,025.50
|
| Rate for Payer: Scott and White Medicare |
$20,817.66
|
| Rate for Payer: Superior Health Plan EPO |
$20,817.66
|
| Rate for Payer: Superior Health Plan Medicare |
$20,817.66
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$20,817.66
|
| Rate for Payer: Universal American Medicare |
$20,817.66
|
| Rate for Payer: Wellcare Medicare |
$20,817.66
|
| Rate for Payer: Wellmed Medicare |
$20,817.66
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,840.00
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$11,173.98 |
| Max. Negotiated Rate |
$25,840.00 |
| Rate for Payer: Aetna Commercial |
$15,300.00
|
| Rate for Payer: Aetna Medicare |
$18,839.73
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$12,559.82
|
| Rate for Payer: Amerigroup Medicare |
$12,559.82
|
| Rate for Payer: BCBS of TX Blue Advantage |
$11,173.98
|
| Rate for Payer: BCBS of TX Blue Essentials |
$12,629.42
|
| Rate for Payer: BCBS of TX Medicare |
$12,559.82
|
| Rate for Payer: BCBS of TX PPO |
$14,033.24
|
| Rate for Payer: Cigna Commercial |
$17,516.80
|
| Rate for Payer: Cigna Medicare |
$12,559.82
|
| Rate for Payer: Employer Direct Commercial |
$12,559.82
|
| Rate for Payer: Humana Medicare/TRICARE |
$12,559.82
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$12,559.82
|
| Rate for Payer: Molina Medicare |
$12,559.82
|
| Rate for Payer: Multiplan Auto |
$25,840.00
|
| Rate for Payer: Multiplan Commercial |
$25,840.00
|
| Rate for Payer: Multiplan Workers Comp |
$25,840.00
|
| Rate for Payer: Scott and White EPO/PPO |
$11,900.00
|
| Rate for Payer: Scott and White Medicare |
$12,559.82
|
| Rate for Payer: Superior Health Plan EPO |
$12,559.82
|
| Rate for Payer: Superior Health Plan Medicare |
$12,559.82
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$12,559.82
|
| Rate for Payer: Universal American Medicare |
$12,559.82
|
| Rate for Payer: Wellcare Medicare |
$12,559.82
|
| Rate for Payer: Wellmed Medicare |
$12,559.82
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$194,081.20
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$75,748.20 |
| Max. Negotiated Rate |
$194,081.20 |
| Rate for Payer: Aetna Commercial |
$114,916.50
|
| Rate for Payer: Aetna Medicare |
$113,622.30
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$75,748.20
|
| Rate for Payer: Amerigroup Medicare |
$75,748.20
|
| Rate for Payer: BCBS of TX Blue Advantage |
$138,525.36
|
| Rate for Payer: BCBS of TX Blue Essentials |
$132,971.67
|
| Rate for Payer: BCBS of TX Medicare |
$75,748.20
|
| Rate for Payer: BCBS of TX PPO |
$147,752.02
|
| Rate for Payer: Cigna Commercial |
$131,566.62
|
| Rate for Payer: Cigna Medicare |
$75,748.20
|
| Rate for Payer: Employer Direct Commercial |
$75,748.20
|
| Rate for Payer: Humana Medicare/TRICARE |
$75,748.20
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$75,748.20
|
| Rate for Payer: Molina Medicare |
$75,748.20
|
| Rate for Payer: Multiplan Auto |
$194,081.20
|
| Rate for Payer: Multiplan Commercial |
$194,081.20
|
| Rate for Payer: Multiplan Workers Comp |
$194,081.20
|
| Rate for Payer: Scott and White EPO/PPO |
$89,379.50
|
| Rate for Payer: Scott and White Medicare |
$75,748.20
|
| Rate for Payer: Superior Health Plan EPO |
$75,748.20
|
| Rate for Payer: Superior Health Plan Medicare |
$75,748.20
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$75,748.20
|
| Rate for Payer: Universal American Medicare |
$75,748.20
|
| Rate for Payer: Wellcare Medicare |
$75,748.20
|
| Rate for Payer: Wellmed Medicare |
$75,748.20
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$39,658.70
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$18,066.72 |
| Max. Negotiated Rate |
$39,658.70 |
| Rate for Payer: Aetna Commercial |
$23,482.12
|
| 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 |
$20,255.58
|
| Rate for Payer: BCBS of TX Blue Essentials |
$22,609.96
|
| Rate for Payer: BCBS of TX Medicare |
$18,066.72
|
| Rate for Payer: BCBS of TX PPO |
$25,123.15
|
| Rate for Payer: Cigna Commercial |
$26,884.42
|
| 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 |
$39,658.70
|
| Rate for Payer: Multiplan Commercial |
$39,658.70
|
| Rate for Payer: Multiplan Workers Comp |
$39,658.70
|
| Rate for Payer: Scott and White EPO/PPO |
$18,263.88
|
| 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
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$74,307.10
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$30,763.19 |
| Max. Negotiated Rate |
$74,307.10 |
| Rate for Payer: Aetna Commercial |
$43,997.62
|
| Rate for Payer: Aetna Medicare |
$46,144.78
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$30,763.19
|
| Rate for Payer: Amerigroup Medicare |
$30,763.19
|
| Rate for Payer: BCBS of TX Blue Advantage |
$38,542.62
|
| Rate for Payer: BCBS of TX Blue Essentials |
$40,718.77
|
| Rate for Payer: BCBS of TX Medicare |
$30,763.19
|
| Rate for Payer: BCBS of TX PPO |
$45,244.84
|
| Rate for Payer: Cigna Commercial |
$50,372.39
|
| Rate for Payer: Cigna Medicare |
$30,763.19
|
| Rate for Payer: Employer Direct Commercial |
$30,763.19
|
| Rate for Payer: Humana Medicare/TRICARE |
$30,763.19
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$30,763.19
|
| Rate for Payer: Molina Medicare |
$30,763.19
|
| Rate for Payer: Multiplan Auto |
$74,307.10
|
| Rate for Payer: Multiplan Commercial |
$74,307.10
|
| Rate for Payer: Multiplan Workers Comp |
$74,307.10
|
| Rate for Payer: Scott and White EPO/PPO |
$34,220.38
|
| Rate for Payer: Scott and White Medicare |
$30,763.19
|
| Rate for Payer: Superior Health Plan EPO |
$30,763.19
|
| Rate for Payer: Superior Health Plan Medicare |
$30,763.19
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$30,763.19
|
| Rate for Payer: Universal American Medicare |
$30,763.19
|
| Rate for Payer: Wellcare Medicare |
$30,763.19
|
| Rate for Payer: Wellmed Medicare |
$30,763.19
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,436.10
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$13,078.02 |
| Max. Negotiated Rate |
$30,436.10 |
| Rate for Payer: Aetna Commercial |
$18,021.38
|
| Rate for Payer: Aetna Medicare |
$21,429.06
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14,286.04
|
| Rate for Payer: Amerigroup Medicare |
$14,286.04
|
| Rate for Payer: BCBS of TX Blue Advantage |
$13,078.02
|
| Rate for Payer: BCBS of TX Blue Essentials |
$15,405.24
|
| Rate for Payer: BCBS of TX Medicare |
$14,286.04
|
| Rate for Payer: BCBS of TX PPO |
$17,117.59
|
| Rate for Payer: Cigna Commercial |
$20,632.47
|
| Rate for Payer: Cigna Medicare |
$14,286.04
|
| Rate for Payer: Employer Direct Commercial |
$14,286.04
|
| Rate for Payer: Humana Medicare/TRICARE |
$14,286.04
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14,286.04
|
| Rate for Payer: Molina Medicare |
$14,286.04
|
| Rate for Payer: Multiplan Auto |
$30,436.10
|
| Rate for Payer: Multiplan Commercial |
$30,436.10
|
| Rate for Payer: Multiplan Workers Comp |
$30,436.10
|
| Rate for Payer: Scott and White EPO/PPO |
$14,016.62
|
| Rate for Payer: Scott and White Medicare |
$14,286.04
|
| Rate for Payer: Superior Health Plan EPO |
$14,286.04
|
| Rate for Payer: Superior Health Plan Medicare |
$14,286.04
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14,286.04
|
| Rate for Payer: Universal American Medicare |
$14,286.04
|
| Rate for Payer: Wellcare Medicare |
$14,286.04
|
| Rate for Payer: Wellmed Medicare |
$14,286.04
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$20,624.50
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$9,111.70 |
| Max. Negotiated Rate |
$20,624.50 |
| Rate for Payer: Aetna Commercial |
$12,211.88
|
| Rate for Payer: Aetna Medicare |
$15,901.46
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,600.97
|
| Rate for Payer: Amerigroup Medicare |
$10,600.97
|
| Rate for Payer: BCBS of TX Blue Advantage |
$9,111.70
|
| Rate for Payer: BCBS of TX Blue Essentials |
$11,112.53
|
| Rate for Payer: BCBS of TX Medicare |
$10,600.97
|
| Rate for Payer: BCBS of TX PPO |
$12,347.74
|
| Rate for Payer: Cigna Commercial |
$13,981.24
|
| Rate for Payer: Cigna Medicare |
$10,600.97
|
| Rate for Payer: Employer Direct Commercial |
$10,600.97
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,600.97
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,600.97
|
| Rate for Payer: Molina Medicare |
$10,600.97
|
| Rate for Payer: Multiplan Auto |
$20,624.50
|
| Rate for Payer: Multiplan Commercial |
$20,624.50
|
| Rate for Payer: Multiplan Workers Comp |
$20,624.50
|
| Rate for Payer: Scott and White EPO/PPO |
$9,498.12
|
| Rate for Payer: Scott and White Medicare |
$10,600.97
|
| Rate for Payer: Superior Health Plan EPO |
$10,600.97
|
| Rate for Payer: Superior Health Plan Medicare |
$10,600.97
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,600.97
|
| Rate for Payer: Universal American Medicare |
$10,600.97
|
| Rate for Payer: Wellcare Medicare |
$10,600.97
|
| Rate for Payer: Wellmed Medicare |
$10,600.97
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,753.70
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$17,785.56 |
| Max. Negotiated Rate |
$39,753.70 |
| Rate for Payer: Aetna Commercial |
$23,538.38
|
| Rate for Payer: Aetna Medicare |
$26,678.34
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$17,785.56
|
| Rate for Payer: Amerigroup Medicare |
$17,785.56
|
| Rate for Payer: BCBS of TX Blue Advantage |
$22,761.62
|
| Rate for Payer: BCBS of TX Blue Essentials |
$22,009.40
|
| Rate for Payer: BCBS of TX Medicare |
$17,785.56
|
| Rate for Payer: BCBS of TX PPO |
$24,455.83
|
| Rate for Payer: Cigna Commercial |
$26,948.82
|
| Rate for Payer: Cigna Medicare |
$17,785.56
|
| Rate for Payer: Employer Direct Commercial |
$17,785.56
|
| Rate for Payer: Humana Medicare/TRICARE |
$17,785.56
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$17,785.56
|
| Rate for Payer: Molina Medicare |
$17,785.56
|
| Rate for Payer: Multiplan Auto |
$39,753.70
|
| Rate for Payer: Multiplan Commercial |
$39,753.70
|
| Rate for Payer: Multiplan Workers Comp |
$39,753.70
|
| Rate for Payer: Scott and White EPO/PPO |
$18,307.62
|
| Rate for Payer: Scott and White Medicare |
$17,785.56
|
| Rate for Payer: Superior Health Plan EPO |
$17,785.56
|
| Rate for Payer: Superior Health Plan Medicare |
$17,785.56
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$17,785.56
|
| Rate for Payer: Universal American Medicare |
$17,785.56
|
| Rate for Payer: Wellcare Medicare |
$17,785.56
|
| Rate for Payer: Wellmed Medicare |
$17,785.56
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,123.30
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$5,710.40 |
| Max. Negotiated Rate |
$13,123.30 |
| Rate for Payer: Aetna Commercial |
$7,770.38
|
| Rate for Payer: Aetna Medicare |
$11,675.49
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,783.66
|
| Rate for Payer: Amerigroup Medicare |
$7,783.66
|
| Rate for Payer: BCBS of TX Blue Advantage |
$5,710.40
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,923.96
|
| Rate for Payer: BCBS of TX Medicare |
$7,783.66
|
| Rate for Payer: BCBS of TX PPO |
$8,804.74
|
| Rate for Payer: Cigna Commercial |
$8,896.22
|
| Rate for Payer: Cigna Medicare |
$7,783.66
|
| Rate for Payer: Employer Direct Commercial |
$7,783.66
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,783.66
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,783.66
|
| Rate for Payer: Molina Medicare |
$7,783.66
|
| Rate for Payer: Multiplan Auto |
$13,123.30
|
| Rate for Payer: Multiplan Commercial |
$13,123.30
|
| Rate for Payer: Multiplan Workers Comp |
$13,123.30
|
| Rate for Payer: Scott and White EPO/PPO |
$6,043.62
|
| Rate for Payer: Scott and White Medicare |
$7,783.66
|
| Rate for Payer: Superior Health Plan EPO |
$7,783.66
|
| Rate for Payer: Superior Health Plan Medicare |
$7,783.66
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,783.66
|
| Rate for Payer: Universal American Medicare |
$7,783.66
|
| Rate for Payer: Wellcare Medicare |
$7,783.66
|
| Rate for Payer: Wellmed Medicare |
$7,783.66
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$33,153.10
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$12,417.54 |
| Max. Negotiated Rate |
$33,153.10 |
| Rate for Payer: Aetna Commercial |
$19,630.12
|
| Rate for Payer: Aetna Medicare |
$22,959.74
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$15,306.49
|
| Rate for Payer: Amerigroup Medicare |
$15,306.49
|
| Rate for Payer: BCBS of TX Blue Advantage |
$12,417.54
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,081.13
|
| Rate for Payer: BCBS of TX Medicare |
$15,306.49
|
| Rate for Payer: BCBS of TX PPO |
$17,868.61
|
| Rate for Payer: Cigna Commercial |
$22,474.31
|
| Rate for Payer: Cigna Medicare |
$15,306.49
|
| Rate for Payer: Employer Direct Commercial |
$15,306.49
|
| Rate for Payer: Humana Medicare/TRICARE |
$15,306.49
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$15,306.49
|
| Rate for Payer: Molina Medicare |
$15,306.49
|
| Rate for Payer: Multiplan Auto |
$33,153.10
|
| Rate for Payer: Multiplan Commercial |
$33,153.10
|
| Rate for Payer: Multiplan Workers Comp |
$33,153.10
|
| Rate for Payer: Scott and White EPO/PPO |
$15,267.88
|
| Rate for Payer: Scott and White Medicare |
$15,306.49
|
| Rate for Payer: Superior Health Plan EPO |
$15,306.49
|
| Rate for Payer: Superior Health Plan Medicare |
$15,306.49
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$15,306.49
|
| Rate for Payer: Universal American Medicare |
$15,306.49
|
| Rate for Payer: Wellcare Medicare |
$15,306.49
|
| Rate for Payer: Wellmed Medicare |
$15,306.49
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$19,216.60
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$7,067.48 |
| Max. Negotiated Rate |
$19,216.60 |
| Rate for Payer: Aetna Commercial |
$11,378.25
|
| Rate for Payer: Aetna Medicare |
$15,108.28
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,072.19
|
| Rate for Payer: Amerigroup Medicare |
$10,072.19
|
| Rate for Payer: BCBS of TX Blue Advantage |
$7,067.48
|
| Rate for Payer: BCBS of TX Blue Essentials |
$8,975.47
|
| Rate for Payer: BCBS of TX Medicare |
$10,072.19
|
| Rate for Payer: BCBS of TX PPO |
$9,973.13
|
| Rate for Payer: Cigna Commercial |
$13,026.83
|
| Rate for Payer: Cigna Medicare |
$10,072.19
|
| Rate for Payer: Employer Direct Commercial |
$10,072.19
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,072.19
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,072.19
|
| Rate for Payer: Molina Medicare |
$10,072.19
|
| Rate for Payer: Multiplan Auto |
$19,216.60
|
| Rate for Payer: Multiplan Commercial |
$19,216.60
|
| Rate for Payer: Multiplan Workers Comp |
$19,216.60
|
| Rate for Payer: Scott and White EPO/PPO |
$8,849.75
|
| Rate for Payer: Scott and White Medicare |
$10,072.19
|
| Rate for Payer: Superior Health Plan EPO |
$10,072.19
|
| Rate for Payer: Superior Health Plan Medicare |
$10,072.19
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,072.19
|
| Rate for Payer: Universal American Medicare |
$10,072.19
|
| Rate for Payer: Wellcare Medicare |
$10,072.19
|
| Rate for Payer: Wellmed Medicare |
$10,072.19
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,395.20
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$8,908.74 |
| Max. Negotiated Rate |
$19,395.20 |
| Rate for Payer: Aetna Commercial |
$11,484.00
|
| Rate for Payer: Aetna Medicare |
$15,208.90
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$10,139.27
|
| Rate for Payer: Amerigroup Medicare |
$10,139.27
|
| Rate for Payer: BCBS of TX Blue Advantage |
$8,908.74
|
| Rate for Payer: BCBS of TX Blue Essentials |
$10,606.90
|
| Rate for Payer: BCBS of TX Medicare |
$10,139.27
|
| Rate for Payer: BCBS of TX PPO |
$11,785.90
|
| Rate for Payer: Cigna Commercial |
$13,147.90
|
| Rate for Payer: Cigna Medicare |
$10,139.27
|
| Rate for Payer: Employer Direct Commercial |
$10,139.27
|
| Rate for Payer: Humana Medicare/TRICARE |
$10,139.27
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$10,139.27
|
| Rate for Payer: Molina Medicare |
$10,139.27
|
| Rate for Payer: Multiplan Auto |
$19,395.20
|
| Rate for Payer: Multiplan Commercial |
$19,395.20
|
| Rate for Payer: Multiplan Workers Comp |
$19,395.20
|
| Rate for Payer: Scott and White EPO/PPO |
$8,932.00
|
| Rate for Payer: Scott and White Medicare |
$10,139.27
|
| Rate for Payer: Superior Health Plan EPO |
$10,139.27
|
| Rate for Payer: Superior Health Plan Medicare |
$10,139.27
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$10,139.27
|
| Rate for Payer: Universal American Medicare |
$10,139.27
|
| Rate for Payer: Wellcare Medicare |
$10,139.27
|
| Rate for Payer: Wellmed Medicare |
$10,139.27
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$31,433.60
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$13,468.46 |
| Max. Negotiated Rate |
$31,433.60 |
| Rate for Payer: Aetna Commercial |
$18,612.00
|
| Rate for Payer: Aetna Medicare |
$21,991.04
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$14,660.69
|
| Rate for Payer: Amerigroup Medicare |
$14,660.69
|
| Rate for Payer: BCBS of TX Blue Advantage |
$13,468.46
|
| Rate for Payer: BCBS of TX Blue Essentials |
$16,666.22
|
| Rate for Payer: BCBS of TX Medicare |
$14,660.69
|
| Rate for Payer: BCBS of TX PPO |
$18,518.74
|
| Rate for Payer: Cigna Commercial |
$21,308.67
|
| Rate for Payer: Cigna Medicare |
$14,660.69
|
| Rate for Payer: Employer Direct Commercial |
$14,660.69
|
| Rate for Payer: Humana Medicare/TRICARE |
$14,660.69
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$14,660.69
|
| Rate for Payer: Molina Medicare |
$14,660.69
|
| Rate for Payer: Multiplan Auto |
$31,433.60
|
| Rate for Payer: Multiplan Commercial |
$31,433.60
|
| Rate for Payer: Multiplan Workers Comp |
$31,433.60
|
| Rate for Payer: Scott and White EPO/PPO |
$14,476.00
|
| Rate for Payer: Scott and White Medicare |
$14,660.69
|
| Rate for Payer: Superior Health Plan EPO |
$14,660.69
|
| Rate for Payer: Superior Health Plan Medicare |
$14,660.69
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$14,660.69
|
| Rate for Payer: Universal American Medicare |
$14,660.69
|
| Rate for Payer: Wellcare Medicare |
$14,660.69
|
| Rate for Payer: Wellmed Medicare |
$14,660.69
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,457.70
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$6,197.62 |
| Max. Negotiated Rate |
$13,457.70 |
| Rate for Payer: Aetna Commercial |
$7,968.38
|
| Rate for Payer: Aetna Medicare |
$11,863.88
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$7,909.25
|
| Rate for Payer: Amerigroup Medicare |
$7,909.25
|
| Rate for Payer: BCBS of TX Blue Advantage |
$6,392.38
|
| Rate for Payer: BCBS of TX Blue Essentials |
$7,839.34
|
| Rate for Payer: BCBS of TX Medicare |
$7,909.25
|
| Rate for Payer: BCBS of TX PPO |
$8,710.72
|
| Rate for Payer: Cigna Commercial |
$9,122.90
|
| Rate for Payer: Cigna Medicare |
$7,909.25
|
| Rate for Payer: Employer Direct Commercial |
$7,909.25
|
| Rate for Payer: Humana Medicare/TRICARE |
$7,909.25
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$7,909.25
|
| Rate for Payer: Molina Medicare |
$7,909.25
|
| Rate for Payer: Multiplan Auto |
$13,457.70
|
| Rate for Payer: Multiplan Commercial |
$13,457.70
|
| Rate for Payer: Multiplan Workers Comp |
$13,457.70
|
| Rate for Payer: Scott and White EPO/PPO |
$6,197.62
|
| Rate for Payer: Scott and White Medicare |
$7,909.25
|
| Rate for Payer: Superior Health Plan EPO |
$7,909.25
|
| Rate for Payer: Superior Health Plan Medicare |
$7,909.25
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$7,909.25
|
| Rate for Payer: Universal American Medicare |
$7,909.25
|
| Rate for Payer: Wellcare Medicare |
$7,909.25
|
| Rate for Payer: Wellmed Medicare |
$7,909.25
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$45,261.80
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$19,391.28 |
| Max. Negotiated Rate |
$45,261.80 |
| Rate for Payer: Aetna Commercial |
$26,799.75
|
| Rate for Payer: Aetna Medicare |
$29,781.45
|
| Rate for Payer: Amerigroup Dual Medicare/Medicaid |
$19,854.30
|
| Rate for Payer: Amerigroup Medicare |
$19,854.30
|
| Rate for Payer: BCBS of TX Blue Advantage |
$19,391.28
|
| Rate for Payer: BCBS of TX Blue Essentials |
$23,858.56
|
| Rate for Payer: BCBS of TX Medicare |
$19,854.30
|
| Rate for Payer: BCBS of TX PPO |
$26,510.54
|
| Rate for Payer: Cigna Commercial |
$30,682.74
|
| Rate for Payer: Cigna Medicare |
$19,854.30
|
| Rate for Payer: Employer Direct Commercial |
$19,854.30
|
| Rate for Payer: Humana Medicare/TRICARE |
$19,854.30
|
| Rate for Payer: Molina Dual Medicare/Medicaid |
$19,854.30
|
| Rate for Payer: Molina Medicare |
$19,854.30
|
| Rate for Payer: Multiplan Auto |
$45,261.80
|
| Rate for Payer: Multiplan Commercial |
$45,261.80
|
| Rate for Payer: Multiplan Workers Comp |
$45,261.80
|
| Rate for Payer: Scott and White EPO/PPO |
$20,844.25
|
| Rate for Payer: Scott and White Medicare |
$19,854.30
|
| Rate for Payer: Superior Health Plan EPO |
$19,854.30
|
| Rate for Payer: Superior Health Plan Medicare |
$19,854.30
|
| Rate for Payer: Universal American Dual Medicare/Medicaid |
$19,854.30
|
| Rate for Payer: Universal American Medicare |
$19,854.30
|
| Rate for Payer: Wellcare Medicare |
$19,854.30
|
| Rate for Payer: Wellmed Medicare |
$19,854.30
|
|
