2801 SOUTH MAYHILL, DENTON, TX, 76208
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 17 | — | — | $1,458 | $10,376 | $47,454 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 17 | — | — | $2,778 | $17,242 | $66,966 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 17 | — | — | $2,778 | $8,814.07 | $34,234 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 17 | — | — | $2,778 | $5,965.91 | $23,172 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | — | — | $2,778 | $14,011 | $54,419 |
| COPD w MCC | MS-DRG | 190 | 17 | — | — | $2,778 | $9,733.69 | $37,806 |
| COPD w CC | MS-DRG | 191 | 17 | — | — | $2,778 | $7,446.32 | $28,922 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | — | — | $2,778 | $5,609.66 | $21,788 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | — | — | $2,778 | $7,107.42 | $27,605 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | — | — | $2,778 | $5,397.3 | $20,963 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | — | — | $10,769 | $16,005 | $55,258 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | — | — | $6,048.05 | $9,167.56 | $31,032 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | — | — | $4,757.46 | $7,210.93 | $24,410 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | — | — | $2,778 | $11,309 | $43,926 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | — | — | $2,778 | $7,464.51 | $28,992 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | — | — | $2,778 | $4,755.91 | $18,472 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | — | — | $2,778 | $10,452 | $40,597 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | — | — | $2,778 | $6,407.94 | $24,889 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | — | — | $2,778 | $4,849.52 | $18,836 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | — | — | $2,778 | $8,545.37 | $33,190 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | — | — | $2,778 | $5,518.65 | $21,435 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | — | — | $2,778 | $6,763.33 | $26,269 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 17 | — | — | $2,778 | $13,217 | $51,336 |
| Kidney/UTI w MCC | MS-DRG | 689 | 17 | — | — | $2,778 | $10,144 | $39,398 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 17 | — | — | $2,778 | $6,956.6 | $27,020 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 17 | — | — | $2,778 | $17,007 | $66,054 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 17 | — | — | $2,778 | $8,936.29 | $34,709 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | — | — | $6,182 | $39,801 | $154,586 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | — | — | $6,182 | $20,488 | $79,574 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | — | — | $6,182 | $14,310 | $55,581 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | — | — | $6,182 | $14,374 | $55,830 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | — | — | $6,182 | $11,420 | $44,357 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | — | — | $6,182 | $30,592 | $118,821 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $35,308 | $69,759 | $107,476 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $35,308 | $38,474 | $59,276 |
| Major joint replacement w MCC | MS-DRG | 469 | 18 | — | — | $21,446 | $34,122 | $110,041 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 18 | — | — | $12,371 | $19,621 | $63,475 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | — | — | $9,144 | $25,399 | $99,009 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | — | — | $9,144 | $17,919 | $69,852 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | — | — | $9,144 | $13,701 | $53,406 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $6,182 | $24,920 | $91,788 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $6,182 | $14,993 | $53,763 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $6,182 | $13,723 | $49,212 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 17 | — | — | $6,182 | $10,390 | $40,354 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 17 | — | — | $6,182 | $16,936 | $65,781 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 45 | $18,187 |
| healthsmart | 45 | $10,081 |
| Blue Cross Blue Shield | 45 | $15,158 |
| Humana | 45 | $6,182 |
| employers health network | 45 | $13,367 |
| corvel | 43 | $9,440.47 |
| healthspring | 43 | $9,462.1 |
| prime health services | 43 | $9,440.47 |
| procare advantage | 43 | $9,462.1 |
| superior health plan | 43 | $9,462.1 |
| triwest | 43 | $9,011.52 |
| UnitedHealthcare | 43 | $30,811 |
| university of mary hardin-baylor | 43 | $11,228 |
| Ambetter | 43 | $20,366 |
| american health plan | 43 | $9,462.1 |
| baylor scott & white health plan | 43 | $10,738 |
| Cigna | 43 | $14,082 |
| private health care system | 13 | $28,880 |
