|
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$25,472.01
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$12,023.10 |
| Max. Negotiated Rate |
$25,472.01 |
| Rate for Payer: Aetna Medicare |
$13,162.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,819.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,819.86
|
| Rate for Payer: BCBS MAPPO |
$12,655.89
|
| Rate for Payer: BCBS Trust/PPO |
$23,302.66
|
| Rate for Payer: BCN Commercial |
$23,302.66
|
| Rate for Payer: BCN Medicare Advantage |
$12,655.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,655.89
|
| Rate for Payer: Mclaren Medicare |
$12,655.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,288.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,554.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,921.48
|
| Rate for Payer: Nomi Health Commercial |
$20,158.83
|
| Rate for Payer: PACE Medicare |
$12,023.10
|
| Rate for Payer: PACE SWMI |
$12,655.89
|
| Rate for Payer: PHP Medicare Advantage |
$12,655.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,194.07
|
| Rate for Payer: Priority Health Medicare |
$12,655.89
|
| Rate for Payer: Priority Health Tiered Network |
$20,155.25
|
| Rate for Payer: Railroad Medicare Medicare |
$12,655.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,472.01
|
| Rate for Payer: UHC Core |
$21,310.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,655.89
|
| Rate for Payer: UHC Exchange |
$17,403.79
|
| Rate for Payer: VA VA |
$12,655.89
|
|
|
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,843.49
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$6,093.11 |
| Max. Negotiated Rate |
$13,843.49 |
| Rate for Payer: Aetna Medicare |
$6,670.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,017.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,017.25
|
| Rate for Payer: BCBS MAPPO |
$6,413.80
|
| Rate for Payer: BCBS Trust/PPO |
$13,843.49
|
| Rate for Payer: BCN Commercial |
$13,843.49
|
| Rate for Payer: BCN Medicare Advantage |
$6,413.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,413.80
|
| Rate for Payer: Mclaren Medicare |
$6,413.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,734.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,375.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,055.18
|
| Rate for Payer: Nomi Health Commercial |
$9,739.50
|
| Rate for Payer: PACE Medicare |
$6,093.11
|
| Rate for Payer: PACE SWMI |
$6,413.80
|
| Rate for Payer: PHP Medicare Advantage |
$6,413.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,172.22
|
| Rate for Payer: Priority Health Medicare |
$6,413.80
|
| Rate for Payer: Priority Health Tiered Network |
$9,737.77
|
| Rate for Payer: Railroad Medicare Medicare |
$6,413.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,306.50
|
| Rate for Payer: UHC Core |
$10,295.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,413.80
|
| Rate for Payer: UHC Exchange |
$8,408.43
|
| Rate for Payer: VA VA |
$6,413.80
|
|
|
RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$12,570.75
|
|
|
Service Code
|
APR-DRG 1364
|
| Min. Negotiated Rate |
$11,972.14 |
| Max. Negotiated Rate |
$12,570.75 |
| Rate for Payer: BCBS Complete |
$12,570.75
|
| Rate for Payer: Mclaren Medicaid |
$11,972.14
|
| Rate for Payer: Meridian Medicaid |
$12,570.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,972.14
|
| Rate for Payer: UHC Medicaid |
$11,972.14
|
| Rate for Payer: UHCCP Medicaid |
$11,972.14
|
|
|
RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$8,218.26
|
|
|
Service Code
|
APR-DRG 1363
|
| Min. Negotiated Rate |
$7,826.91 |
| Max. Negotiated Rate |
$8,218.26 |
| Rate for Payer: BCBS Complete |
$8,218.26
|
| Rate for Payer: Mclaren Medicaid |
$7,826.91
|
| Rate for Payer: Meridian Medicaid |
$8,218.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,826.91
|
| Rate for Payer: UHC Medicaid |
$7,826.91
|
| Rate for Payer: UHCCP Medicaid |
$7,826.91
|
|
|
RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,113.10
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$5,822.00 |
| Max. Negotiated Rate |
$6,113.10 |
| Rate for Payer: BCBS Complete |
$6,113.10
|
| Rate for Payer: Mclaren Medicaid |
$5,822.00
|
| Rate for Payer: Meridian Medicaid |
$6,113.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.00
|
| Rate for Payer: UHC Medicaid |
$5,822.00
|
| Rate for Payer: UHCCP Medicaid |
$5,822.00
|
|
|
RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,653.72
|
|
|
Service Code
|
APR-DRG 1362
|
| Min. Negotiated Rate |
$6,336.88 |
| Max. Negotiated Rate |
$6,653.72 |
| Rate for Payer: BCBS Complete |
$6,653.72
|
| Rate for Payer: Mclaren Medicaid |
$6,336.88
|
| Rate for Payer: Meridian Medicaid |
$6,653.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,336.88
|
| Rate for Payer: UHC Medicaid |
$6,336.88
|
| Rate for Payer: UHCCP Medicaid |
$6,336.88
|
|
|
RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$19,068.16
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$8,413.14 |
| Max. Negotiated Rate |
$19,068.16 |
| Rate for Payer: Aetna Medicare |
$9,210.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,069.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,069.92
|
| Rate for Payer: BCBS MAPPO |
$8,855.94
|
| Rate for Payer: BCBS Trust/PPO |
$19,068.16
|
| Rate for Payer: BCN Commercial |
$19,068.16
|
| Rate for Payer: BCN Medicare Advantage |
$8,855.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,855.94
|
| Rate for Payer: Mclaren Medicare |
$8,855.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,298.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,184.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,741.53
|
| Rate for Payer: Nomi Health Commercial |
$13,815.90
|
| Rate for Payer: PACE Medicare |
$8,413.14
|
| Rate for Payer: PACE SWMI |
$8,855.94
|
| Rate for Payer: PHP Medicare Advantage |
$8,855.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,266.81
|
| Rate for Payer: Priority Health Medicare |
$8,855.94
|
| Rate for Payer: Priority Health Tiered Network |
$13,813.45
|
| Rate for Payer: Railroad Medicare Medicare |
$8,855.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,457.30
|
| Rate for Payer: UHC Core |
$14,605.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,855.94
|
| Rate for Payer: UHC Exchange |
$11,927.73
|
| Rate for Payer: VA VA |
$8,855.94
|
|
|
RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$30,645.75
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$13,515.69 |
| Max. Negotiated Rate |
$30,645.75 |
| Rate for Payer: Aetna Medicare |
$14,796.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,783.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,783.80
|
| Rate for Payer: BCBS MAPPO |
$14,227.04
|
| Rate for Payer: BCBS Trust/PPO |
$30,645.75
|
| Rate for Payer: BCN Commercial |
$30,645.75
|
| Rate for Payer: BCN Medicare Advantage |
$14,227.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,227.04
|
| Rate for Payer: Mclaren Medicare |
$14,227.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,938.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,361.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,649.74
|
| Rate for Payer: Nomi Health Commercial |
$22,781.40
|
| Rate for Payer: PACE Medicare |
$13,515.69
|
| Rate for Payer: PACE SWMI |
$14,227.04
|
| Rate for Payer: PHP Medicare Advantage |
$14,227.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,471.70
|
| Rate for Payer: Priority Health Medicare |
$14,227.04
|
| Rate for Payer: Priority Health Tiered Network |
$22,777.36
|
| Rate for Payer: Railroad Medicare Medicare |
$14,227.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,785.80
|
| Rate for Payer: UHC Core |
$24,082.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,227.04
|
| Rate for Payer: UHC Exchange |
$19,667.94
|
| Rate for Payer: VA VA |
$14,227.04
|
|
|
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,152.87
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$6,084.31 |
| Max. Negotiated Rate |
$12,152.87 |
| Rate for Payer: Aetna Medicare |
$6,660.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,005.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,005.68
|
| Rate for Payer: BCBS MAPPO |
$6,404.54
|
| Rate for Payer: BCBS Trust/PPO |
$9,384.27
|
| Rate for Payer: BCN Commercial |
$9,384.27
|
| Rate for Payer: BCN Medicare Advantage |
$6,404.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,404.54
|
| Rate for Payer: Mclaren Medicare |
$6,404.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,724.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,365.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,044.99
|
| Rate for Payer: Nomi Health Commercial |
$9,597.60
|
| Rate for Payer: PACE Medicare |
$6,084.31
|
| Rate for Payer: PACE SWMI |
$6,404.54
|
| Rate for Payer: PHP Medicare Advantage |
$6,404.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,152.87
|
| Rate for Payer: Priority Health Medicare |
$6,404.54
|
| Rate for Payer: Priority Health Tiered Network |
$9,722.29
|
| Rate for Payer: Railroad Medicare Medicare |
$6,404.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,127.20
|
| Rate for Payer: UHC Core |
$10,145.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,404.54
|
| Rate for Payer: UHC Exchange |
$8,285.93
|
| Rate for Payer: VA VA |
$6,404.54
|
|
|
RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$14,690.86
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$6,477.84 |
| Max. Negotiated Rate |
$14,690.86 |
| Rate for Payer: Aetna Medicare |
$7,091.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,523.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,523.48
|
| Rate for Payer: BCBS MAPPO |
$6,818.78
|
| Rate for Payer: BCBS Trust/PPO |
$14,690.86
|
| Rate for Payer: BCN Commercial |
$14,690.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,818.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,818.78
|
| Rate for Payer: Mclaren Medicare |
$6,818.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,159.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,841.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,500.66
|
| Rate for Payer: Nomi Health Commercial |
$10,415.46
|
| Rate for Payer: PACE Medicare |
$6,477.84
|
| Rate for Payer: PACE SWMI |
$6,818.78
|
| Rate for Payer: PHP Medicare Advantage |
$6,818.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,017.02
|
| Rate for Payer: Priority Health Medicare |
$6,818.78
|
| Rate for Payer: Priority Health Tiered Network |
$10,413.61
|
| Rate for Payer: Railroad Medicare Medicare |
$6,818.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,160.62
|
| Rate for Payer: UHC Core |
$11,010.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,818.78
|
| Rate for Payer: UHC Exchange |
$8,992.01
|
| Rate for Payer: VA VA |
$6,818.78
|
|
|
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,025.88
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$2,881.79 |
| Max. Negotiated Rate |
$3,025.88 |
| Rate for Payer: BCBS Complete |
$3,025.88
|
| Rate for Payer: Mclaren Medicaid |
$2,881.79
|
| Rate for Payer: Meridian Medicaid |
$3,025.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,881.79
|
| Rate for Payer: UHC Medicaid |
$2,881.79
|
| Rate for Payer: UHCCP Medicaid |
$2,881.79
|
|
|
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$11,267.64
|
|
|
Service Code
|
APR-DRG 1444
|
| Min. Negotiated Rate |
$10,731.08 |
| Max. Negotiated Rate |
$11,267.64 |
| Rate for Payer: BCBS Complete |
$11,267.64
|
| Rate for Payer: Mclaren Medicaid |
$10,731.08
|
| Rate for Payer: Meridian Medicaid |
$11,267.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,731.08
|
| Rate for Payer: UHC Medicaid |
$10,731.08
|
| Rate for Payer: UHCCP Medicaid |
$10,731.08
|
|
|
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,155.93
|
|
|
Service Code
|
APR-DRG 1443
|
| Min. Negotiated Rate |
$6,815.17 |
| Max. Negotiated Rate |
$7,155.93 |
| Rate for Payer: BCBS Complete |
$7,155.93
|
| Rate for Payer: Mclaren Medicaid |
$6,815.17
|
| Rate for Payer: Meridian Medicaid |
$7,155.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,815.17
|
| Rate for Payer: UHC Medicaid |
$6,815.17
|
| Rate for Payer: UHCCP Medicaid |
$6,815.17
|
|
|
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,384.43
|
|
|
Service Code
|
APR-DRG 1442
|
| Min. Negotiated Rate |
$5,128.03 |
| Max. Negotiated Rate |
$5,384.43 |
| Rate for Payer: BCBS Complete |
$5,384.43
|
| Rate for Payer: Mclaren Medicaid |
$5,128.03
|
| Rate for Payer: Meridian Medicaid |
$5,384.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,128.03
|
| Rate for Payer: UHC Medicaid |
$5,128.03
|
| Rate for Payer: UHCCP Medicaid |
$5,128.03
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$44,803.81
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$20,730.51 |
| Max. Negotiated Rate |
$44,803.81 |
| Rate for Payer: Aetna Medicare |
$22,694.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,276.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,276.99
|
| Rate for Payer: BCBS MAPPO |
$21,821.59
|
| Rate for Payer: BCBS Trust/PPO |
$41,488.34
|
| Rate for Payer: BCN Commercial |
$41,488.34
|
| Rate for Payer: BCN Medicare Advantage |
$21,821.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,821.59
|
| Rate for Payer: Mclaren Medicare |
$21,821.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,912.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,094.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,003.75
|
| Rate for Payer: Nomi Health Commercial |
$35,458.23
|
| Rate for Payer: PACE Medicare |
$20,730.51
|
| Rate for Payer: PACE SWMI |
$21,821.59
|
| Rate for Payer: PHP Medicare Advantage |
$21,821.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44,314.93
|
| Rate for Payer: Priority Health Medicare |
$21,821.59
|
| Rate for Payer: Priority Health Tiered Network |
$35,451.94
|
| Rate for Payer: Railroad Medicare Medicare |
$21,821.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,803.81
|
| Rate for Payer: UHC Core |
$37,484.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21,821.59
|
| Rate for Payer: UHC Exchange |
$30,612.27
|
| Rate for Payer: VA VA |
$21,821.59
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$27,760.91
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$26,438.96 |
| Max. Negotiated Rate |
$27,760.91 |
| Rate for Payer: BCBS Complete |
$27,760.91
|
| Rate for Payer: Mclaren Medicaid |
$26,438.96
|
| Rate for Payer: Meridian Medicaid |
$27,760.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,438.96
|
| Rate for Payer: UHC Medicaid |
$26,438.96
|
| Rate for Payer: UHCCP Medicaid |
$26,438.96
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$24,865.17
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$23,681.11 |
| Max. Negotiated Rate |
$24,865.17 |
| Rate for Payer: BCBS Complete |
$24,865.17
|
| Rate for Payer: Mclaren Medicaid |
$23,681.11
|
| Rate for Payer: Meridian Medicaid |
$24,865.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,681.11
|
| Rate for Payer: UHC Medicaid |
$23,681.11
|
| Rate for Payer: UHCCP Medicaid |
$23,681.11
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$18,343.88
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$17,470.36 |
| Max. Negotiated Rate |
$18,343.88 |
| Rate for Payer: BCBS Complete |
$18,343.88
|
| Rate for Payer: Mclaren Medicaid |
$17,470.36
|
| Rate for Payer: Meridian Medicaid |
$18,343.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,470.36
|
| Rate for Payer: UHC Medicaid |
$17,470.36
|
| Rate for Payer: UHCCP Medicaid |
$17,470.36
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$14,415.63
|
|
|
Service Code
|
APR-DRG 1301
|
| Min. Negotiated Rate |
$13,729.17 |
| Max. Negotiated Rate |
$14,415.63 |
| Rate for Payer: BCBS Complete |
$14,415.63
|
| Rate for Payer: Mclaren Medicaid |
$13,729.17
|
| Rate for Payer: Meridian Medicaid |
$14,415.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,729.17
|
| Rate for Payer: UHC Medicaid |
$13,729.17
|
| Rate for Payer: UHCCP Medicaid |
$13,729.17
|
|
|
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$129,127.89
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$47,792.45 |
| Max. Negotiated Rate |
$129,127.89 |
| Rate for Payer: Aetna Medicare |
$52,320.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,884.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,884.80
|
| Rate for Payer: BCBS MAPPO |
$50,307.84
|
| Rate for Payer: BCBS Trust/PPO |
$129,127.89
|
| Rate for Payer: BCN Commercial |
$129,127.89
|
| Rate for Payer: BCN Medicare Advantage |
$50,307.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,307.84
|
| Rate for Payer: Mclaren Medicare |
$50,307.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,823.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,854.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$55,338.62
|
| Rate for Payer: Nomi Health Commercial |
$83,007.63
|
| Rate for Payer: PACE Medicare |
$47,792.45
|
| Rate for Payer: PACE SWMI |
$50,307.84
|
| Rate for Payer: PHP Medicare Advantage |
$50,307.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$103,741.13
|
| Rate for Payer: Priority Health Medicare |
$50,307.84
|
| Rate for Payer: Priority Health Tiered Network |
$82,992.89
|
| Rate for Payer: Railroad Medicare Medicare |
$50,307.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104,885.61
|
| Rate for Payer: UHC Core |
$87,750.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50,307.84
|
| Rate for Payer: UHC Exchange |
$71,663.25
|
| Rate for Payer: VA VA |
$50,307.84
|
|
|
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$16,528.20
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$7,994.66 |
| Max. Negotiated Rate |
$16,528.20 |
| Rate for Payer: Aetna Medicare |
$8,752.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,519.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,519.29
|
| Rate for Payer: BCBS MAPPO |
$8,415.43
|
| Rate for Payer: BCBS Trust/PPO |
$15,990.00
|
| Rate for Payer: BCN Commercial |
$15,990.00
|
| Rate for Payer: BCN Medicare Advantage |
$8,415.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,415.43
|
| Rate for Payer: Mclaren Medicare |
$8,415.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,836.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,677.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,256.97
|
| Rate for Payer: Nomi Health Commercial |
$13,080.60
|
| Rate for Payer: PACE Medicare |
$7,994.66
|
| Rate for Payer: PACE SWMI |
$8,415.43
|
| Rate for Payer: PHP Medicare Advantage |
$8,415.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,347.85
|
| Rate for Payer: Priority Health Medicare |
$8,415.43
|
| Rate for Payer: Priority Health Tiered Network |
$13,078.28
|
| Rate for Payer: Railroad Medicare Medicare |
$8,415.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,528.20
|
| Rate for Payer: UHC Core |
$13,827.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,415.43
|
| Rate for Payer: UHC Exchange |
$11,292.92
|
| Rate for Payer: VA VA |
$8,415.43
|
|
|
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$39,128.81
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$16,163.89 |
| Max. Negotiated Rate |
$39,128.81 |
| Rate for Payer: Aetna Medicare |
$17,695.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,268.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,268.28
|
| Rate for Payer: BCBS MAPPO |
$17,014.62
|
| Rate for Payer: BCBS Trust/PPO |
$39,128.81
|
| Rate for Payer: BCN Commercial |
$39,128.81
|
| Rate for Payer: BCN Medicare Advantage |
$17,014.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,014.62
|
| Rate for Payer: Mclaren Medicare |
$17,014.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,865.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,566.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$18,716.08
|
| Rate for Payer: Nomi Health Commercial |
$27,434.43
|
| Rate for Payer: PACE Medicare |
$16,163.89
|
| Rate for Payer: PACE SWMI |
$17,014.62
|
| Rate for Payer: PHP Medicare Advantage |
$17,014.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$34,286.96
|
| Rate for Payer: Priority Health Medicare |
$17,014.62
|
| Rate for Payer: Priority Health Tiered Network |
$27,429.56
|
| Rate for Payer: Railroad Medicare Medicare |
$17,014.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,665.21
|
| Rate for Payer: UHC Core |
$29,001.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,014.62
|
| Rate for Payer: UHC Exchange |
$23,685.06
|
| Rate for Payer: VA VA |
$17,014.62
|
|
|
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,430.13
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$5,190.08 |
| Max. Negotiated Rate |
$11,430.13 |
| Rate for Payer: Aetna Medicare |
$5,681.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,829.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,829.05
|
| Rate for Payer: BCBS MAPPO |
$5,463.24
|
| Rate for Payer: BCBS Trust/PPO |
$11,430.13
|
| Rate for Payer: BCN Commercial |
$11,430.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,463.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,463.24
|
| Rate for Payer: Mclaren Medicare |
$5,463.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,736.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,282.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,009.56
|
| Rate for Payer: Nomi Health Commercial |
$8,152.80
|
| Rate for Payer: PACE Medicare |
$5,190.08
|
| Rate for Payer: PACE SWMI |
$5,463.24
|
| Rate for Payer: PHP Medicare Advantage |
$5,463.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,189.19
|
| Rate for Payer: Priority Health Medicare |
$5,463.24
|
| Rate for Payer: Priority Health Tiered Network |
$8,151.35
|
| Rate for Payer: Railroad Medicare Medicare |
$5,463.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,301.60
|
| Rate for Payer: UHC Core |
$8,618.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,463.24
|
| Rate for Payer: UHC Exchange |
$7,038.58
|
| Rate for Payer: VA VA |
$5,463.24
|
|
|
REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$57,483.58
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$26,441.70 |
| Max. Negotiated Rate |
$57,483.58 |
| Rate for Payer: Aetna Medicare |
$28,946.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,791.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,791.71
|
| Rate for Payer: BCBS MAPPO |
$27,833.37
|
| Rate for Payer: BCBS Trust/PPO |
$50,949.85
|
| Rate for Payer: BCN Commercial |
$50,949.85
|
| Rate for Payer: BCN Medicare Advantage |
$27,833.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,833.37
|
| Rate for Payer: Mclaren Medicare |
$27,833.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,225.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,008.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$30,616.71
|
| Rate for Payer: Nomi Health Commercial |
$45,493.14
|
| Rate for Payer: PACE Medicare |
$26,441.70
|
| Rate for Payer: PACE SWMI |
$27,833.37
|
| Rate for Payer: PHP Medicare Advantage |
$27,833.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56,856.34
|
| Rate for Payer: Priority Health Medicare |
$27,833.37
|
| Rate for Payer: Priority Health Tiered Network |
$45,485.06
|
| Rate for Payer: Railroad Medicare Medicare |
$27,833.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,483.58
|
| Rate for Payer: UHC Core |
$48,092.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27,833.37
|
| Rate for Payer: UHC Exchange |
$39,275.74
|
| Rate for Payer: VA VA |
$27,833.37
|
|
|
REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$84,848.02
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$38,767.13 |
| Max. Negotiated Rate |
$84,848.02 |
| Rate for Payer: Aetna Medicare |
$42,439.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,009.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,009.39
|
| Rate for Payer: BCBS MAPPO |
$40,807.51
|
| Rate for Payer: BCBS Trust/PPO |
$73,208.52
|
| Rate for Payer: BCN Commercial |
$73,208.52
|
| Rate for Payer: BCN Medicare Advantage |
$40,807.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,807.51
|
| Rate for Payer: Mclaren Medicare |
$40,807.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,847.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,928.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$44,888.26
|
| Rate for Payer: Nomi Health Commercial |
$67,149.66
|
| Rate for Payer: PACE Medicare |
$38,767.13
|
| Rate for Payer: PACE SWMI |
$40,807.51
|
| Rate for Payer: PHP Medicare Advantage |
$40,807.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$83,922.19
|
| Rate for Payer: Priority Health Medicare |
$40,807.51
|
| Rate for Payer: Priority Health Tiered Network |
$67,137.74
|
| Rate for Payer: Railroad Medicare Medicare |
$40,807.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84,848.02
|
| Rate for Payer: UHC Core |
$70,986.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$40,807.51
|
| Rate for Payer: UHC Exchange |
$57,972.54
|
| Rate for Payer: VA VA |
$40,807.51
|
|
