809 UNIVERSITY BLVD EAST, TUSCALOOSA, AL, 010092
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 13 | — | — | $771.01 | $11,848 | $23,712 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $3,356 | $15,083 | $18,987 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $3,313 | $7,577.25 | $11,232 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $2,493 | $5,338.32 | $8,705.99 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $2,493 | $14,378 | $25,854 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $2,493 | $10,668 | $19,977 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $2,493 | $8,508.92 | $16,559 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $2,493 | $6,960.7 | $13,962 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $2,493 | $8,206.38 | $16,079 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $2,493 | $6,910.44 | $13,788 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $3,313 | $14,716 | $26,389 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $3,356 | $9,129.52 | $17,541 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $3,356 | $7,531.14 | $15,010 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $3,313 | $12,104 | $22,252 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $2,493 | $8,557.86 | $16,636 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $2,493 | $6,677.75 | $12,981 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $3,313 | $11,453 | $21,221 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $3,313 | $7,633.9 | $15,173 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $3,313 | $6,678.12 | $12,982 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $3,313 | $9,631.86 | $18,337 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $3,313 | $6,917.51 | $13,812 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $3,313 | $7,991.9 | $15,740 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $3,313 | $14,419 | $25,919 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $2,493 | $11,096 | $20,657 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $3,313 | $8,235.73 | $16,126 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $3,313 | $17,475 | $30,760 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $2,493 | $9,979.27 | $18,887 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $3,356 | $37,876 | $65,040 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $3,356 | $21,183 | $36,633 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $3,356 | $15,358 | $27,407 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $3,356 | $15,429 | $27,519 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $3,356 | $12,772 | $23,311 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $3,356 | $28,930 | $49,678 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $3,356 | $26,117 | $44,848 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $3,356 | $17,364 | $30,584 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $3,356 | $25,463 | $43,286 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $3,356 | $18,864 | $32,723 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $3,356 | $14,935 | $26,737 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $3,356 | $25,021 | $42,965 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $3,356 | $14,685 | $26,340 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $3,356 | $13,935 | $25,153 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $3,356 | $11,752 | $21,695 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $3,313 | $18,345 | $32,137 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Workers Comp | 43 | $3,356 |
| Blue Cross Blue Shield | 43 | $8,005.68 |
| Cigna | 43 | $11,380 |
| Health Net | 43 | $9,628.5 |
| Humana | 43 | $11,751 |
| viva | 43 | $3,500 |
| Aetna | 43 | $12,306 |
| choicecare | 41 | $5,872.53 |
| Medicare | 40 | $13,401 |
| seven corners | 40 | $22,782 |
| simpra | 40 | $13,401 |
| UnitedHealthcare | 40 | $13,089 |
| healthspring | 1 | $771.01 |
