|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,159.20
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$14,437.33 |
| Max. Negotiated Rate |
$15,159.20 |
| Rate for Payer: BCBS Complete |
$15,159.20
|
| Rate for Payer: Mclaren Medicaid |
$14,437.33
|
| Rate for Payer: Meridian Medicaid |
$15,159.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,437.33
|
| Rate for Payer: UHC Medicaid |
$14,437.33
|
| Rate for Payer: UHCCP Medicaid |
$14,437.33
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$21,253.38
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$20,241.31 |
| Max. Negotiated Rate |
$21,253.38 |
| Rate for Payer: BCBS Complete |
$21,253.38
|
| Rate for Payer: Mclaren Medicaid |
$20,241.31
|
| Rate for Payer: Meridian Medicaid |
$21,253.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,241.31
|
| Rate for Payer: UHC Medicaid |
$20,241.31
|
| Rate for Payer: UHCCP Medicaid |
$20,241.31
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$33,306.44
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$31,720.42 |
| Max. Negotiated Rate |
$33,306.44 |
| Rate for Payer: BCBS Complete |
$33,306.44
|
| Rate for Payer: Mclaren Medicaid |
$31,720.42
|
| Rate for Payer: Meridian Medicaid |
$33,306.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,720.42
|
| Rate for Payer: UHC Medicaid |
$31,720.42
|
| Rate for Payer: UHCCP Medicaid |
$31,720.42
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,477.23
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,359.27 |
| Max. Negotiated Rate |
$2,477.23 |
| Rate for Payer: BCBS Complete |
$2,477.23
|
| Rate for Payer: Mclaren Medicaid |
$2,359.27
|
| Rate for Payer: Meridian Medicaid |
$2,477.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,359.27
|
| Rate for Payer: UHC Medicaid |
$2,359.27
|
| Rate for Payer: UHCCP Medicaid |
$2,359.27
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$6,200.24
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,904.99 |
| Max. Negotiated Rate |
$6,200.24 |
| Rate for Payer: BCBS Complete |
$6,200.24
|
| Rate for Payer: Mclaren Medicaid |
$5,904.99
|
| Rate for Payer: Meridian Medicaid |
$6,200.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,904.99
|
| Rate for Payer: UHC Medicaid |
$5,904.99
|
| Rate for Payer: UHCCP Medicaid |
$5,904.99
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$11,166.16
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$10,634.44 |
| Max. Negotiated Rate |
$11,166.16 |
| Rate for Payer: BCBS Complete |
$11,166.16
|
| Rate for Payer: Mclaren Medicaid |
$10,634.44
|
| Rate for Payer: Meridian Medicaid |
$11,166.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,634.44
|
| Rate for Payer: UHC Medicaid |
$10,634.44
|
| Rate for Payer: UHCCP Medicaid |
$10,634.44
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,134.07
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,937.21 |
| Max. Negotiated Rate |
$4,134.07 |
| Rate for Payer: BCBS Complete |
$4,134.07
|
| Rate for Payer: Mclaren Medicaid |
$3,937.21
|
| Rate for Payer: Meridian Medicaid |
$4,134.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,937.21
|
| Rate for Payer: UHC Medicaid |
$3,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,937.21
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$29,444.32
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$13,812.31 |
| Max. Negotiated Rate |
$29,444.32 |
| Rate for Payer: Aetna Medicare |
$15,120.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,174.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,174.09
|
| Rate for Payer: BCBS MAPPO |
$14,539.27
|
| Rate for Payer: BCBS Trust/PPO |
$21,717.94
|
| Rate for Payer: BCN Commercial |
$21,717.94
|
| Rate for Payer: BCN Medicare Advantage |
$14,539.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,539.27
|
| Rate for Payer: Mclaren Medicare |
$14,539.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,266.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,720.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,993.20
|
| Rate for Payer: Nomi Health Commercial |
$23,302.56
|
| Rate for Payer: PACE Medicare |
$13,812.31
|
| Rate for Payer: PACE SWMI |
$14,539.27
|
| Rate for Payer: PHP Medicare Advantage |
$14,539.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,123.03
|
| Rate for Payer: Priority Health Medicare |
$14,539.27
|
| Rate for Payer: Priority Health Tiered Network |
$23,298.42
|
| Rate for Payer: Railroad Medicare Medicare |
$14,539.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,444.32
|
| Rate for Payer: UHC Core |
$24,633.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,539.27
|
| Rate for Payer: UHC Exchange |
$20,117.88
|
| Rate for Payer: VA VA |
$14,539.27
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,684.72
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$11,668.49 |
| Max. Negotiated Rate |
$24,684.72 |
| Rate for Payer: Aetna Medicare |
$12,773.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,353.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,353.27
|
| Rate for Payer: BCBS MAPPO |
$12,282.62
|
| Rate for Payer: BCBS Trust/PPO |
$14,608.93
|
| Rate for Payer: BCN Commercial |
$14,608.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,282.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,282.62
|
| Rate for Payer: Mclaren Medicare |
$12,282.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,896.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,125.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,510.88
|
| Rate for Payer: Nomi Health Commercial |
$19,535.76
|
| Rate for Payer: PACE Medicare |
$11,668.49
|
| Rate for Payer: PACE SWMI |
$12,282.62
|
| Rate for Payer: PHP Medicare Advantage |
$12,282.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,415.37
|
| Rate for Payer: Priority Health Medicare |
$12,282.62
|
| Rate for Payer: Priority Health Tiered Network |
$19,532.29
|
| Rate for Payer: Railroad Medicare Medicare |
$12,282.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,684.72
|
| Rate for Payer: UHC Core |
$20,651.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,282.62
|
| Rate for Payer: UHC Exchange |
$16,865.87
|
| Rate for Payer: VA VA |
$12,282.62
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$21,452.31
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$20,430.77 |
| Max. Negotiated Rate |
$21,452.31 |
| Rate for Payer: BCBS Complete |
$21,452.31
|
| Rate for Payer: Mclaren Medicaid |
$20,430.77
|
| Rate for Payer: Meridian Medicaid |
$21,452.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,430.77
|
| Rate for Payer: UHC Medicaid |
$20,430.77
|
| Rate for Payer: UHCCP Medicaid |
$20,430.77
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$5,978.37
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$5,693.69 |
| Max. Negotiated Rate |
$5,978.37 |
| Rate for Payer: BCBS Complete |
$5,978.37
|
| Rate for Payer: Mclaren Medicaid |
$5,693.69
|
| Rate for Payer: Meridian Medicaid |
$5,978.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,693.69
|
| Rate for Payer: UHC Medicaid |
$5,693.69
|
| Rate for Payer: UHCCP Medicaid |
$5,693.69
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,560.93
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,438.98 |
| Max. Negotiated Rate |
$2,560.93 |
| Rate for Payer: BCBS Complete |
$2,560.93
|
| Rate for Payer: Mclaren Medicaid |
$2,438.98
|
| Rate for Payer: Meridian Medicaid |
$2,560.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,438.98
|
| Rate for Payer: UHC Medicaid |
$2,438.98
|
| Rate for Payer: UHCCP Medicaid |
$2,438.98
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$9,697.37
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$9,235.59 |
| Max. Negotiated Rate |
$9,697.37 |
| Rate for Payer: BCBS Complete |
$9,697.37
|
| Rate for Payer: Mclaren Medicaid |
$9,235.59
|
| Rate for Payer: Meridian Medicaid |
$9,697.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,235.59
|
| Rate for Payer: UHC Medicaid |
$9,235.59
|
| Rate for Payer: UHCCP Medicaid |
$9,235.59
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$48,735.46
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$16,119.85 |
| Max. Negotiated Rate |
$48,735.46 |
| Rate for Payer: Aetna Medicare |
$17,646.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,210.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,210.33
|
| Rate for Payer: BCBS MAPPO |
$16,968.26
|
| Rate for Payer: BCBS Trust/PPO |
$48,735.46
|
| Rate for Payer: BCN Commercial |
$48,735.46
|
| Rate for Payer: BCN Medicare Advantage |
$16,968.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,968.26
|
| Rate for Payer: Mclaren Medicare |
$16,968.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,816.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,513.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$18,665.09
|
| Rate for Payer: Nomi Health Commercial |
$27,357.03
|
| Rate for Payer: PACE Medicare |
$16,119.85
|
| Rate for Payer: PACE SWMI |
$16,968.26
|
| Rate for Payer: PHP Medicare Advantage |
$16,968.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$34,190.22
|
| Rate for Payer: Priority Health Medicare |
$16,968.26
|
| Rate for Payer: Priority Health Tiered Network |
$27,352.17
|
| Rate for Payer: Railroad Medicare Medicare |
$16,968.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,567.41
|
| Rate for Payer: UHC Core |
$28,919.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16,968.26
|
| Rate for Payer: UHC Exchange |
$23,618.24
|
| Rate for Payer: VA VA |
$16,968.26
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$17,644.75
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,497.57 |
| Max. Negotiated Rate |
$17,644.75 |
| Rate for Payer: Aetna Medicare |
$9,302.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,181.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,181.01
|
| Rate for Payer: BCBS MAPPO |
$8,944.81
|
| Rate for Payer: BCBS Trust/PPO |
$12,944.62
|
| Rate for Payer: BCN Commercial |
$12,944.62
|
| Rate for Payer: BCN Medicare Advantage |
$8,944.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,944.81
|
| Rate for Payer: Mclaren Medicare |
$8,944.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,392.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,286.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,839.29
|
| Rate for Payer: Nomi Health Commercial |
$13,964.25
|
| Rate for Payer: PACE Medicare |
$8,497.57
|
| Rate for Payer: PACE SWMI |
$8,944.81
|
| Rate for Payer: PHP Medicare Advantage |
$8,944.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,452.22
|
| Rate for Payer: Priority Health Medicare |
$8,944.81
|
| Rate for Payer: Priority Health Tiered Network |
$13,961.77
|
| Rate for Payer: Railroad Medicare Medicare |
$8,944.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,644.75
|
| Rate for Payer: UHC Core |
$14,762.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,944.81
|
| Rate for Payer: UHC Exchange |
$12,055.80
|
| Rate for Payer: VA VA |
$8,944.81
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$40,655.01
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$18,149.85 |
| Max. Negotiated Rate |
$40,655.01 |
| Rate for Payer: Aetna Medicare |
$19,869.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,881.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,881.39
|
| Rate for Payer: BCBS MAPPO |
$19,105.11
|
| Rate for Payer: BCBS Trust/PPO |
$40,655.01
|
| Rate for Payer: BCN Commercial |
$40,655.01
|
| Rate for Payer: BCN Medicare Advantage |
$19,105.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,105.11
|
| Rate for Payer: Mclaren Medicare |
$19,105.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,060.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,970.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$21,015.62
|
| Rate for Payer: Nomi Health Commercial |
$30,923.88
|
| Rate for Payer: PACE Medicare |
$18,149.85
|
| Rate for Payer: PACE SWMI |
$19,105.11
|
| Rate for Payer: PHP Medicare Advantage |
$19,105.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$38,647.99
|
| Rate for Payer: Priority Health Medicare |
$19,105.11
|
| Rate for Payer: Priority Health Tiered Network |
$30,918.39
|
| Rate for Payer: Railroad Medicare Medicare |
$19,105.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,074.36
|
| Rate for Payer: UHC Core |
$32,690.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19,105.11
|
| Rate for Payer: UHC Exchange |
$26,697.62
|
| Rate for Payer: VA VA |
$19,105.11
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$74,922.95
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$34,296.70 |
| Max. Negotiated Rate |
$74,922.95 |
| Rate for Payer: Aetna Medicare |
$37,545.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,127.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,127.24
|
| Rate for Payer: BCBS MAPPO |
$36,101.79
|
| Rate for Payer: BCBS Trust/PPO |
$67,063.92
|
| Rate for Payer: BCN Commercial |
$67,063.92
|
| Rate for Payer: BCN Medicare Advantage |
$36,101.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,101.79
|
| Rate for Payer: Mclaren Medicare |
$36,101.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,906.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,517.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$39,711.97
|
| Rate for Payer: Nomi Health Commercial |
$59,294.85
|
| Rate for Payer: PACE Medicare |
$34,296.70
|
| Rate for Payer: PACE SWMI |
$36,101.79
|
| Rate for Payer: PHP Medicare Advantage |
$36,101.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$74,105.42
|
| Rate for Payer: Priority Health Medicare |
$36,101.79
|
| Rate for Payer: Priority Health Tiered Network |
$59,284.32
|
| Rate for Payer: Railroad Medicare Medicare |
$36,101.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,922.95
|
| Rate for Payer: UHC Core |
$62,682.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36,101.79
|
| Rate for Payer: UHC Exchange |
$51,191.22
|
| Rate for Payer: VA VA |
$36,101.79
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,796.04
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$12,905.60 |
| Max. Negotiated Rate |
$29,796.04 |
| Rate for Payer: Aetna Medicare |
$14,128.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,981.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,981.05
|
| Rate for Payer: BCBS MAPPO |
$13,584.84
|
| Rate for Payer: BCBS Trust/PPO |
$29,796.04
|
| Rate for Payer: BCN Commercial |
$29,796.04
|
| Rate for Payer: BCN Medicare Advantage |
$13,584.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,584.84
|
| Rate for Payer: Mclaren Medicare |
$13,584.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,264.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,622.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,943.32
|
| Rate for Payer: Nomi Health Commercial |
$21,709.41
|
| Rate for Payer: PACE Medicare |
$12,905.60
|
| Rate for Payer: PACE SWMI |
$13,584.84
|
| Rate for Payer: PHP Medicare Advantage |
$13,584.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$27,131.95
|
| Rate for Payer: Priority Health Medicare |
$13,584.84
|
| Rate for Payer: Priority Health Tiered Network |
$21,705.56
|
| Rate for Payer: Railroad Medicare Medicare |
$13,584.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,431.27
|
| Rate for Payer: UHC Core |
$22,949.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,584.84
|
| Rate for Payer: UHC Exchange |
$18,742.46
|
| Rate for Payer: VA VA |
$13,584.84
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$12,118.42
|
|
|
Service Code
|
APR-DRG 2302
|
| Min. Negotiated Rate |
$11,541.35 |
| Max. Negotiated Rate |
$12,118.42 |
| Rate for Payer: BCBS Complete |
$12,118.42
|
| Rate for Payer: Mclaren Medicaid |
$11,541.35
|
| Rate for Payer: Meridian Medicaid |
$12,118.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,541.35
|
| Rate for Payer: UHC Medicaid |
$11,541.35
|
| Rate for Payer: UHCCP Medicaid |
$11,541.35
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$28,364.02
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$27,013.35 |
| Max. Negotiated Rate |
$28,364.02 |
| Rate for Payer: BCBS Complete |
$28,364.02
|
| Rate for Payer: Mclaren Medicaid |
$27,013.35
|
| Rate for Payer: Meridian Medicaid |
$28,364.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,013.35
|
| Rate for Payer: UHC Medicaid |
$27,013.35
|
| Rate for Payer: UHCCP Medicaid |
$27,013.35
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,308.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$6,960.41 |
| Max. Negotiated Rate |
$7,308.43 |
| Rate for Payer: BCBS Complete |
$7,308.43
|
| Rate for Payer: Mclaren Medicaid |
$6,960.41
|
| Rate for Payer: Meridian Medicaid |
$7,308.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,960.41
|
| Rate for Payer: UHC Medicaid |
$6,960.41
|
| Rate for Payer: UHCCP Medicaid |
$6,960.41
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$17,830.78
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$16,981.69 |
| Max. Negotiated Rate |
$17,830.78 |
| Rate for Payer: BCBS Complete |
$17,830.78
|
| Rate for Payer: Mclaren Medicaid |
$16,981.69
|
| Rate for Payer: Meridian Medicaid |
$17,830.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,981.69
|
| Rate for Payer: UHC Medicaid |
$16,981.69
|
| Rate for Payer: UHCCP Medicaid |
$16,981.69
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,101.79
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$11,525.51 |
| Max. Negotiated Rate |
$12,101.79 |
| Rate for Payer: BCBS Complete |
$12,101.79
|
| Rate for Payer: Mclaren Medicaid |
$11,525.51
|
| Rate for Payer: Meridian Medicaid |
$12,101.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,525.51
|
| Rate for Payer: UHC Medicaid |
$11,525.51
|
| Rate for Payer: UHCCP Medicaid |
$11,525.51
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,053.39
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$9,574.66 |
| Max. Negotiated Rate |
$10,053.39 |
| Rate for Payer: BCBS Complete |
$10,053.39
|
| Rate for Payer: Mclaren Medicaid |
$9,574.66
|
| Rate for Payer: Meridian Medicaid |
$10,053.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,574.66
|
| Rate for Payer: UHC Medicaid |
$9,574.66
|
| Rate for Payer: UHCCP Medicaid |
$9,574.66
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$17,040.20
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$16,228.76 |
| Max. Negotiated Rate |
$17,040.20 |
| Rate for Payer: BCBS Complete |
$17,040.20
|
| Rate for Payer: Mclaren Medicaid |
$16,228.76
|
| Rate for Payer: Meridian Medicaid |
$17,040.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,228.76
|
| Rate for Payer: UHC Medicaid |
$16,228.76
|
| Rate for Payer: UHCCP Medicaid |
$16,228.76
|
|