|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$20,634.17
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$9,844.05 |
| Max. Negotiated Rate |
$20,634.17 |
| Rate for Payer: Aetna Medicare |
$10,776.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,952.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,952.70
|
| Rate for Payer: BCBS MAPPO |
$10,362.16
|
| Rate for Payer: BCBS Trust/PPO |
$19,765.72
|
| Rate for Payer: BCN Commercial |
$19,765.72
|
| Rate for Payer: BCN Medicare Advantage |
$10,362.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,362.16
|
| Rate for Payer: Mclaren Medicare |
$10,362.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,880.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,916.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,398.38
|
| Rate for Payer: Nomi Health Commercial |
$16,330.11
|
| Rate for Payer: PACE Medicare |
$9,844.05
|
| Rate for Payer: PACE SWMI |
$10,362.16
|
| Rate for Payer: PHP Medicare Advantage |
$10,362.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20,409.02
|
| Rate for Payer: Priority Health Medicare |
$10,362.16
|
| Rate for Payer: Priority Health Tiered Network |
$16,327.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10,362.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,634.17
|
| Rate for Payer: UHC Core |
$17,263.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,362.16
|
| Rate for Payer: UHC Exchange |
$14,098.33
|
| Rate for Payer: VA VA |
$10,362.16
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$40,577.77
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$16,760.06 |
| Max. Negotiated Rate |
$40,577.77 |
| Rate for Payer: Aetna Medicare |
$18,347.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,052.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,052.71
|
| Rate for Payer: BCBS MAPPO |
$17,642.17
|
| Rate for Payer: BCBS Trust/PPO |
$40,577.77
|
| Rate for Payer: BCN Commercial |
$40,577.77
|
| Rate for Payer: BCN Medicare Advantage |
$17,642.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,642.17
|
| Rate for Payer: Mclaren Medicare |
$17,642.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,524.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,288.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,406.39
|
| Rate for Payer: Nomi Health Commercial |
$28,481.91
|
| Rate for Payer: PACE Medicare |
$16,760.06
|
| Rate for Payer: PACE SWMI |
$17,642.17
|
| Rate for Payer: PHP Medicare Advantage |
$17,642.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$35,596.07
|
| Rate for Payer: Priority Health Medicare |
$17,642.17
|
| Rate for Payer: Priority Health Tiered Network |
$28,476.85
|
| Rate for Payer: Railroad Medicare Medicare |
$17,642.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,988.77
|
| Rate for Payer: UHC Core |
$30,109.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,642.17
|
| Rate for Payer: UHC Exchange |
$24,589.38
|
| Rate for Payer: VA VA |
$17,642.17
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$17,502.16
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$8,233.99 |
| Max. Negotiated Rate |
$17,502.16 |
| Rate for Payer: Aetna Medicare |
$9,014.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,834.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,834.20
|
| Rate for Payer: BCBS MAPPO |
$8,667.36
|
| Rate for Payer: BCBS Trust/PPO |
$17,502.16
|
| Rate for Payer: BCN Commercial |
$17,502.16
|
| Rate for Payer: BCN Medicare Advantage |
$8,667.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,667.36
|
| Rate for Payer: Mclaren Medicare |
$8,667.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,100.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,967.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,534.10
|
| Rate for Payer: Nomi Health Commercial |
$13,501.14
|
| Rate for Payer: PACE Medicare |
$8,233.99
|
| Rate for Payer: PACE SWMI |
$8,667.36
|
| Rate for Payer: PHP Medicare Advantage |
$8,667.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,873.43
|
| Rate for Payer: Priority Health Medicare |
$8,667.36
|
| Rate for Payer: Priority Health Tiered Network |
$13,498.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,667.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,059.58
|
| Rate for Payer: UHC Core |
$14,272.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,667.36
|
| Rate for Payer: UHC Exchange |
$11,655.98
|
| Rate for Payer: VA VA |
$8,667.36
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$17,295.31
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$16,471.73 |
| Max. Negotiated Rate |
$17,295.31 |
| Rate for Payer: BCBS Complete |
$17,295.31
|
| Rate for Payer: Mclaren Medicaid |
$16,471.73
|
| Rate for Payer: Meridian Medicaid |
$17,295.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,471.73
|
| Rate for Payer: UHC Medicaid |
$16,471.73
|
| Rate for Payer: UHCCP Medicaid |
$16,471.73
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,859.29
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$4,627.90 |
| Max. Negotiated Rate |
$4,859.29 |
| Rate for Payer: BCBS Complete |
$4,859.29
|
| Rate for Payer: Mclaren Medicaid |
$4,627.90
|
| Rate for Payer: Meridian Medicaid |
$4,859.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.90
|
| Rate for Payer: UHC Medicaid |
$4,627.90
|
| Rate for Payer: UHCCP Medicaid |
$4,627.90
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,700.65
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,524.43 |
| Max. Negotiated Rate |
$3,700.65 |
| Rate for Payer: BCBS Complete |
$3,700.65
|
| Rate for Payer: Mclaren Medicaid |
$3,524.43
|
| Rate for Payer: Meridian Medicaid |
$3,700.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,524.43
|
| Rate for Payer: UHC Medicaid |
$3,524.43
|
| Rate for Payer: UHCCP Medicaid |
$3,524.43
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$8,918.83
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$8,494.12 |
| Max. Negotiated Rate |
$8,918.83 |
| Rate for Payer: BCBS Complete |
$8,918.83
|
| Rate for Payer: Mclaren Medicaid |
$8,494.12
|
| Rate for Payer: Meridian Medicaid |
$8,918.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,494.12
|
| Rate for Payer: UHC Medicaid |
$8,494.12
|
| Rate for Payer: UHCCP Medicaid |
$8,494.12
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$65,909.91
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$22,819.25 |
| Max. Negotiated Rate |
$65,909.91 |
| Rate for Payer: Aetna Medicare |
$24,981.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,025.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,025.33
|
| Rate for Payer: BCBS MAPPO |
$24,020.26
|
| Rate for Payer: BCBS Trust/PPO |
$65,909.91
|
| Rate for Payer: BCN Commercial |
$65,909.91
|
| Rate for Payer: BCN Medicare Advantage |
$24,020.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,020.26
|
| Rate for Payer: Mclaren Medicare |
$24,020.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,221.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,623.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$26,422.29
|
| Rate for Payer: Nomi Health Commercial |
$39,128.28
|
| Rate for Payer: PACE Medicare |
$22,819.25
|
| Rate for Payer: PACE SWMI |
$24,020.26
|
| Rate for Payer: PHP Medicare Advantage |
$24,020.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48,901.68
|
| Rate for Payer: Priority Health Medicare |
$24,020.26
|
| Rate for Payer: Priority Health Tiered Network |
$39,121.33
|
| Rate for Payer: Railroad Medicare Medicare |
$24,020.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,441.16
|
| Rate for Payer: UHC Core |
$41,363.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24,020.26
|
| Rate for Payer: UHC Exchange |
$33,780.75
|
| Rate for Payer: VA VA |
$24,020.26
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$34,969.21
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$14,711.68 |
| Max. Negotiated Rate |
$34,969.21 |
| Rate for Payer: Aetna Medicare |
$16,105.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,357.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,357.47
|
| Rate for Payer: BCBS MAPPO |
$15,485.98
|
| Rate for Payer: BCBS Trust/PPO |
$34,969.21
|
| Rate for Payer: BCN Commercial |
$34,969.21
|
| Rate for Payer: BCN Medicare Advantage |
$15,485.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,485.98
|
| Rate for Payer: Mclaren Medicare |
$15,485.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,260.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,808.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,034.58
|
| Rate for Payer: Nomi Health Commercial |
$24,882.81
|
| Rate for Payer: PACE Medicare |
$14,711.68
|
| Rate for Payer: PACE SWMI |
$15,485.98
|
| Rate for Payer: PHP Medicare Advantage |
$15,485.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$31,098.00
|
| Rate for Payer: Priority Health Medicare |
$15,485.98
|
| Rate for Payer: Priority Health Tiered Network |
$24,878.39
|
| Rate for Payer: Railroad Medicare Medicare |
$15,485.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,441.07
|
| Rate for Payer: UHC Core |
$26,304.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,485.98
|
| Rate for Payer: UHC Exchange |
$21,482.16
|
| Rate for Payer: VA VA |
$15,485.98
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$45,181.97
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$20,900.84 |
| Max. Negotiated Rate |
$45,181.97 |
| Rate for Payer: Aetna Medicare |
$22,880.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,501.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,501.10
|
| Rate for Payer: BCBS MAPPO |
$22,000.88
|
| Rate for Payer: BCBS Trust/PPO |
$37,417.69
|
| Rate for Payer: BCN Commercial |
$37,417.69
|
| Rate for Payer: BCN Medicare Advantage |
$22,000.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,000.88
|
| Rate for Payer: Mclaren Medicare |
$22,000.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,100.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,301.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,200.97
|
| Rate for Payer: Nomi Health Commercial |
$35,757.51
|
| Rate for Payer: PACE Medicare |
$20,900.84
|
| Rate for Payer: PACE SWMI |
$22,000.88
|
| Rate for Payer: PHP Medicare Advantage |
$22,000.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44,688.96
|
| Rate for Payer: Priority Health Medicare |
$22,000.88
|
| Rate for Payer: Priority Health Tiered Network |
$35,751.16
|
| Rate for Payer: Railroad Medicare Medicare |
$22,000.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,181.97
|
| Rate for Payer: UHC Core |
$37,800.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,000.88
|
| Rate for Payer: UHC Exchange |
$30,870.65
|
| Rate for Payer: VA VA |
$22,000.88
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,026.04
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$8,596.22 |
| Max. Negotiated Rate |
$9,026.04 |
| Rate for Payer: BCBS Complete |
$9,026.04
|
| Rate for Payer: Mclaren Medicaid |
$8,596.22
|
| Rate for Payer: Meridian Medicaid |
$9,026.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,596.22
|
| Rate for Payer: UHC Medicaid |
$8,596.22
|
| Rate for Payer: UHCCP Medicaid |
$8,596.22
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$25,367.38
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$24,159.41 |
| Max. Negotiated Rate |
$25,367.38 |
| Rate for Payer: BCBS Complete |
$25,367.38
|
| Rate for Payer: Mclaren Medicaid |
$24,159.41
|
| Rate for Payer: Meridian Medicaid |
$25,367.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,159.41
|
| Rate for Payer: UHC Medicaid |
$24,159.41
|
| Rate for Payer: UHCCP Medicaid |
$24,159.41
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$16,671.56
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$15,877.68 |
| Max. Negotiated Rate |
$16,671.56 |
| Rate for Payer: BCBS Complete |
$16,671.56
|
| Rate for Payer: Mclaren Medicaid |
$15,877.68
|
| Rate for Payer: Meridian Medicaid |
$16,671.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,877.68
|
| Rate for Payer: UHC Medicaid |
$15,877.68
|
| Rate for Payer: UHCCP Medicaid |
$15,877.68
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,663.79
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$11,108.37 |
| Max. Negotiated Rate |
$11,663.79 |
| Rate for Payer: Mclaren Medicaid |
$11,108.37
|
| Rate for Payer: BCBS Complete |
$11,663.79
|
| Rate for Payer: Meridian Medicaid |
$11,663.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,108.37
|
| Rate for Payer: UHC Medicaid |
$11,108.37
|
| Rate for Payer: UHCCP Medicaid |
$11,108.37
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$51,766.79
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$15,235.89 |
| Max. Negotiated Rate |
$51,766.79 |
| Rate for Payer: Aetna Medicare |
$16,679.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,047.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,047.22
|
| Rate for Payer: BCBS MAPPO |
$16,037.78
|
| Rate for Payer: BCBS Trust/PPO |
$51,766.79
|
| Rate for Payer: BCN Commercial |
$51,766.79
|
| Rate for Payer: BCN Medicare Advantage |
$16,037.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,037.78
|
| Rate for Payer: Mclaren Medicare |
$16,037.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,839.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,443.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,641.56
|
| Rate for Payer: Nomi Health Commercial |
$25,803.87
|
| Rate for Payer: PACE Medicare |
$15,235.89
|
| Rate for Payer: PACE SWMI |
$16,037.78
|
| Rate for Payer: PHP Medicare Advantage |
$16,037.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32,249.12
|
| Rate for Payer: Priority Health Medicare |
$16,037.78
|
| Rate for Payer: Priority Health Tiered Network |
$25,799.29
|
| Rate for Payer: Railroad Medicare Medicare |
$16,037.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,604.89
|
| Rate for Payer: UHC Core |
$27,278.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16,037.78
|
| Rate for Payer: UHC Exchange |
$22,277.34
|
| Rate for Payer: VA VA |
$16,037.78
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,746.41
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$11,813.87 |
| Max. Negotiated Rate |
$30,746.41 |
| Rate for Payer: Aetna Medicare |
$12,933.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,544.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,544.56
|
| Rate for Payer: BCBS MAPPO |
$12,435.65
|
| Rate for Payer: BCBS Trust/PPO |
$30,746.41
|
| Rate for Payer: BCN Commercial |
$30,746.41
|
| Rate for Payer: BCN Medicare Advantage |
$12,435.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,435.65
|
| Rate for Payer: Mclaren Medicare |
$12,435.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,057.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,301.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,679.22
|
| Rate for Payer: Nomi Health Commercial |
$19,791.18
|
| Rate for Payer: PACE Medicare |
$11,813.87
|
| Rate for Payer: PACE SWMI |
$12,435.65
|
| Rate for Payer: PHP Medicare Advantage |
$12,435.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,734.59
|
| Rate for Payer: Priority Health Medicare |
$12,435.65
|
| Rate for Payer: Priority Health Tiered Network |
$19,787.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12,435.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,007.46
|
| Rate for Payer: UHC Core |
$20,921.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,435.65
|
| Rate for Payer: UHC Exchange |
$17,086.39
|
| Rate for Payer: VA VA |
$12,435.65
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,586.47
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$13,891.88 |
| Max. Negotiated Rate |
$14,586.47 |
| Rate for Payer: BCBS Complete |
$14,586.47
|
| Rate for Payer: Mclaren Medicaid |
$13,891.88
|
| Rate for Payer: Meridian Medicaid |
$14,586.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,891.88
|
| Rate for Payer: UHC Medicaid |
$13,891.88
|
| Rate for Payer: UHCCP Medicaid |
$13,891.88
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$10,913.91
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$10,394.20 |
| Max. Negotiated Rate |
$10,913.91 |
| Rate for Payer: BCBS Complete |
$10,913.91
|
| Rate for Payer: Mclaren Medicaid |
$10,394.20
|
| Rate for Payer: Meridian Medicaid |
$10,913.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,394.20
|
| Rate for Payer: UHC Medicaid |
$10,394.20
|
| Rate for Payer: UHCCP Medicaid |
$10,394.20
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$42,268.84
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$40,256.03 |
| Max. Negotiated Rate |
$42,268.84 |
| Rate for Payer: BCBS Complete |
$42,268.84
|
| Rate for Payer: Mclaren Medicaid |
$40,256.03
|
| Rate for Payer: Meridian Medicaid |
$42,268.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,256.03
|
| Rate for Payer: UHC Medicaid |
$40,256.03
|
| Rate for Payer: UHCCP Medicaid |
$40,256.03
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$21,256.82
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$20,244.59 |
| Max. Negotiated Rate |
$21,256.82 |
| Rate for Payer: BCBS Complete |
$21,256.82
|
| Rate for Payer: Mclaren Medicaid |
$20,244.59
|
| Rate for Payer: Meridian Medicaid |
$21,256.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,244.59
|
| Rate for Payer: UHC Medicaid |
$20,244.59
|
| Rate for Payer: UHCCP Medicaid |
$20,244.59
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$10,032.75
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$9,555.00 |
| Max. Negotiated Rate |
$10,032.75 |
| Rate for Payer: BCBS Complete |
$10,032.75
|
| Rate for Payer: Mclaren Medicaid |
$9,555.00
|
| Rate for Payer: Meridian Medicaid |
$10,032.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,555.00
|
| Rate for Payer: UHC Medicaid |
$9,555.00
|
| Rate for Payer: UHCCP Medicaid |
$9,555.00
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$23,157.88
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$22,055.12 |
| Max. Negotiated Rate |
$23,157.88 |
| Rate for Payer: BCBS Complete |
$23,157.88
|
| Rate for Payer: Mclaren Medicaid |
$22,055.12
|
| Rate for Payer: Meridian Medicaid |
$23,157.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,055.12
|
| Rate for Payer: UHC Medicaid |
$22,055.12
|
| Rate for Payer: UHCCP Medicaid |
$22,055.12
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$19,479.01
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$18,551.44 |
| Max. Negotiated Rate |
$19,479.01 |
| Rate for Payer: BCBS Complete |
$19,479.01
|
| Rate for Payer: Mclaren Medicaid |
$18,551.44
|
| Rate for Payer: Meridian Medicaid |
$19,479.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,551.44
|
| Rate for Payer: UHC Medicaid |
$18,551.44
|
| Rate for Payer: UHCCP Medicaid |
$18,551.44
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$13,286.80
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$12,654.10 |
| Max. Negotiated Rate |
$13,286.80 |
| Rate for Payer: BCBS Complete |
$13,286.80
|
| Rate for Payer: Mclaren Medicaid |
$12,654.10
|
| Rate for Payer: Meridian Medicaid |
$13,286.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,654.10
|
| Rate for Payer: UHC Medicaid |
$12,654.10
|
| Rate for Payer: UHCCP Medicaid |
$12,654.10
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,248.72
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$10,713.07 |
| Max. Negotiated Rate |
$11,248.72 |
| Rate for Payer: BCBS Complete |
$11,248.72
|
| Rate for Payer: Mclaren Medicaid |
$10,713.07
|
| Rate for Payer: Meridian Medicaid |
$11,248.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,713.07
|
| Rate for Payer: UHC Medicaid |
$10,713.07
|
| Rate for Payer: UHCCP Medicaid |
$10,713.07
|
|