1814 ROSELAND BLVD, TYLER, TX, 75701
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $2,804 | $11,013 | $19,221 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $2,804 | $73,048 | $86,405 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $2,804 | $41,335 | $48,893 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $2,804 | $32,166 | $38,048 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $2,804 | $30,472 | $36,044 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $2,804 | $26,018 | $30,776 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $22,382 | $41,913 | $49,577 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $12,570 | $30,472 | $36,044 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $9,887.46 | $30,472 | $36,044 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $2,804 | $38,987 | $46,116 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $2,804 | $27,632 | $32,684 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $2,804 | $27,632 | $32,684 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $2,804 | $39,480 | $46,699 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $2,804 | $39,480 | $46,699 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $2,804 | $22,937 | $27,131 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $2,804 | $35,177 | $41,609 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $2,804 | $39,480 | $46,699 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $2,804 | $32,286 | $38,190 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $2,804 | $26,395 | $31,222 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $2,804 | $45,854 | $54,238 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $2,804 | $31,940 | $37,780 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $6,368 | $78,065 | $92,339 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $6,368 | $78,065 | $92,339 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $6,368 | $30,472 | $36,044 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $6,368 | $34,498 | $40,806 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $6,368 | $34,498 | $40,806 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $6,368 | $38,721 | $48,128 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $36,390 | $44,089 | $52,151 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $36,390 | $39,480 | $46,699 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $36,028 | $78,065 | $92,339 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $34,290 | $78,065 | $92,339 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $9,424 | $78,065 | $92,339 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $9,424 | $78,065 | $92,339 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $9,424 | $78,065 | $92,339 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $37,179 | $78,065 | $92,339 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $21,777 | $74,883 | $88,576 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $19,933 | $74,883 | $88,576 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $6,368 | $78,065 | $92,339 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $6,368 | $39,480 | $46,699 |
| Payer | Codes covered | Median rate |
|---|---|---|
| healthsmart | 45 | $10,081 |
| Blue Cross Blue Shield | 44 | $38,854 |
| careworks fka rockport | 44 | $45,959 |
| corvel | 44 | $38,765 |
| injury management organization | 44 | $45,959 |
| procare advantage | 44 | $38,854 |
| american health plan | 44 | $38,854 |
| sedgwick | 44 | $45,959 |
