|
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$9,421.61
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$8,972.96 |
| Max. Negotiated Rate |
$9,421.61 |
| Rate for Payer: BCBS Complete |
$9,421.61
|
| Rate for Payer: Mclaren Medicaid |
$8,972.96
|
| Rate for Payer: Meridian Medicaid |
$9,421.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,972.96
|
| Rate for Payer: UHC Medicaid |
$8,972.96
|
| Rate for Payer: UHCCP Medicaid |
$8,972.96
|
|
|
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,645.61
|
|
|
Service Code
|
APR-DRG 3441
|
| Min. Negotiated Rate |
$3,472.01 |
| Max. Negotiated Rate |
$3,645.61 |
| Rate for Payer: BCBS Complete |
$3,645.61
|
| Rate for Payer: Mclaren Medicaid |
$3,472.01
|
| Rate for Payer: Meridian Medicaid |
$3,645.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,472.01
|
| Rate for Payer: UHC Medicaid |
$3,472.01
|
| Rate for Payer: UHCCP Medicaid |
$3,472.01
|
|
|
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,729.23
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$7,361.17 |
| Max. Negotiated Rate |
$7,729.23 |
| Rate for Payer: BCBS Complete |
$7,729.23
|
| Rate for Payer: Mclaren Medicaid |
$7,361.17
|
| Rate for Payer: Meridian Medicaid |
$7,729.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,361.17
|
| Rate for Payer: UHC Medicaid |
$7,361.17
|
| Rate for Payer: UHCCP Medicaid |
$7,361.17
|
|
|
OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$21,129.69
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$10,067.24 |
| Max. Negotiated Rate |
$21,129.69 |
| Rate for Payer: Aetna Medicare |
$11,020.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,246.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,246.36
|
| Rate for Payer: BCBS MAPPO |
$10,597.09
|
| Rate for Payer: BCBS Trust/PPO |
$18,328.46
|
| Rate for Payer: BCN Commercial |
$18,328.46
|
| Rate for Payer: BCN Medicare Advantage |
$10,597.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,597.09
|
| Rate for Payer: Mclaren Medicare |
$10,597.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,126.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,186.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,656.80
|
| Rate for Payer: Nomi Health Commercial |
$16,722.27
|
| Rate for Payer: PACE Medicare |
$10,067.24
|
| Rate for Payer: PACE SWMI |
$10,597.09
|
| Rate for Payer: PHP Medicare Advantage |
$10,597.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20,899.13
|
| Rate for Payer: Priority Health Medicare |
$10,597.09
|
| Rate for Payer: Priority Health Tiered Network |
$16,719.30
|
| Rate for Payer: Railroad Medicare Medicare |
$10,597.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,129.69
|
| Rate for Payer: UHC Core |
$17,677.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,597.09
|
| Rate for Payer: UHC Exchange |
$14,436.89
|
| Rate for Payer: VA VA |
$10,597.09
|
|
|
OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$32,106.11
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$15,011.23 |
| Max. Negotiated Rate |
$32,106.11 |
| Rate for Payer: Aetna Medicare |
$16,433.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,751.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,751.61
|
| Rate for Payer: BCBS MAPPO |
$15,801.29
|
| Rate for Payer: BCBS Trust/PPO |
$25,290.00
|
| Rate for Payer: BCN Commercial |
$25,290.00
|
| Rate for Payer: BCN Medicare Advantage |
$15,801.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,801.29
|
| Rate for Payer: Mclaren Medicare |
$15,801.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,591.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,171.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,381.42
|
| Rate for Payer: Nomi Health Commercial |
$25,409.13
|
| Rate for Payer: PACE Medicare |
$15,011.23
|
| Rate for Payer: PACE SWMI |
$15,801.29
|
| Rate for Payer: PHP Medicare Advantage |
$15,801.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$31,755.78
|
| Rate for Payer: Priority Health Medicare |
$15,801.29
|
| Rate for Payer: Priority Health Tiered Network |
$25,404.62
|
| Rate for Payer: Railroad Medicare Medicare |
$15,801.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,106.11
|
| Rate for Payer: UHC Core |
$26,860.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,801.29
|
| Rate for Payer: UHC Exchange |
$21,936.55
|
| Rate for Payer: VA VA |
$15,801.29
|
|
|
OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,694.57
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$6,331.00 |
| Max. Negotiated Rate |
$12,694.57 |
| Rate for Payer: Aetna Medicare |
$6,930.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,330.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,330.26
|
| Rate for Payer: BCBS MAPPO |
$6,664.21
|
| Rate for Payer: BCBS Trust/PPO |
$9,669.84
|
| Rate for Payer: BCN Commercial |
$9,669.84
|
| Rate for Payer: BCN Medicare Advantage |
$6,664.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,664.21
|
| Rate for Payer: Mclaren Medicare |
$6,664.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,997.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,663.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,330.63
|
| Rate for Payer: Nomi Health Commercial |
$9,952.35
|
| Rate for Payer: PACE Medicare |
$6,331.00
|
| Rate for Payer: PACE SWMI |
$6,664.21
|
| Rate for Payer: PHP Medicare Advantage |
$6,664.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,694.57
|
| Rate for Payer: Priority Health Medicare |
$6,664.21
|
| Rate for Payer: Priority Health Tiered Network |
$10,155.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6,664.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,575.45
|
| Rate for Payer: UHC Core |
$10,520.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,664.21
|
| Rate for Payer: UHC Exchange |
$8,592.20
|
| Rate for Payer: VA VA |
$6,664.21
|
|
|
OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; WITH BONE GRAFT FOR NONUNION OR MALUNION (INCLUDES OBTAINING GRAFT AND/OR NECESSARY FIXATION)
|
Facility
|
OP
|
$41,369.85
|
|
|
Service Code
|
CPT 23485
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,690.48 |
| Max. Negotiated Rate |
$41,369.85 |
| Rate for Payer: Aetna Medicare |
$13,304.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,990.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,990.64
|
| Rate for Payer: BCBS Complete |
$7,025.65
|
| Rate for Payer: BCBS MAPPO |
$12,792.51
|
| Rate for Payer: BCBS Trust/PPO |
$7,814.91
|
| Rate for Payer: BCN Commercial |
$7,814.91
|
| Rate for Payer: BCN Medicare Advantage |
$12,792.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,792.51
|
| Rate for Payer: Mclaren Medicaid |
$6,690.48
|
| Rate for Payer: Mclaren Medicare |
$12,792.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,432.14
|
| Rate for Payer: Meridian Medicaid |
$13,432.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,711.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,071.76
|
| Rate for Payer: Nomi Health Commercial |
$38,377.53
|
| Rate for Payer: PACE Medicare |
$12,152.88
|
| Rate for Payer: PACE SWMI |
$12,792.51
|
| Rate for Payer: PHP Medicare Advantage |
$12,792.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,690.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$41,369.85
|
| Rate for Payer: Priority Health Medicare |
$12,792.51
|
| Rate for Payer: Priority Health Tiered Network |
$33,095.88
|
| Rate for Payer: Railroad Medicare Medicare |
$12,792.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,792.51
|
| Rate for Payer: UHC Medicaid |
$6,690.48
|
| Rate for Payer: UHCCP Medicaid |
$6,690.48
|
| Rate for Payer: VA VA |
$12,792.51
|
|
|
OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL
|
Facility
|
OP
|
$23,381.57
|
|
|
Service Code
|
CPT 28306
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,217.09 |
| Max. Negotiated Rate |
$23,381.57 |
| Rate for Payer: Aetna Medicare |
$7,519.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,037.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,037.65
|
| Rate for Payer: BCBS Complete |
$3,970.78
|
| Rate for Payer: BCBS MAPPO |
$7,230.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,217.09
|
| Rate for Payer: BCN Commercial |
$2,217.09
|
| Rate for Payer: BCN Medicare Advantage |
$7,230.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,230.12
|
| Rate for Payer: Mclaren Medicaid |
$3,781.35
|
| Rate for Payer: Mclaren Medicare |
$7,230.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,591.63
|
| Rate for Payer: Meridian Medicaid |
$7,591.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,314.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,953.13
|
| Rate for Payer: Nomi Health Commercial |
$21,690.36
|
| Rate for Payer: PACE Medicare |
$6,868.61
|
| Rate for Payer: PACE SWMI |
$7,230.12
|
| Rate for Payer: PHP Medicare Advantage |
$7,230.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,781.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23,381.57
|
| Rate for Payer: Priority Health Medicare |
$7,230.12
|
| Rate for Payer: Priority Health Tiered Network |
$18,705.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,230.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,230.12
|
| Rate for Payer: UHC Medicaid |
$3,781.35
|
| Rate for Payer: UHCCP Medicaid |
$3,781.35
|
| Rate for Payer: VA VA |
$7,230.12
|
|
|
OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,467.56
|
|
|
Service Code
|
APR-DRG 8622
|
| Min. Negotiated Rate |
$5,207.20 |
| Max. Negotiated Rate |
$5,467.56 |
| Rate for Payer: BCBS Complete |
$5,467.56
|
| Rate for Payer: Mclaren Medicaid |
$5,207.20
|
| Rate for Payer: Meridian Medicaid |
$5,467.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,207.20
|
| Rate for Payer: UHC Medicaid |
$5,207.20
|
| Rate for Payer: UHCCP Medicaid |
$5,207.20
|
|
|
OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$3,901.31
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$3,715.53 |
| Max. Negotiated Rate |
$3,901.31 |
| Rate for Payer: BCBS Complete |
$3,901.31
|
| Rate for Payer: Mclaren Medicaid |
$3,715.53
|
| Rate for Payer: Meridian Medicaid |
$3,901.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,715.53
|
| Rate for Payer: UHC Medicaid |
$3,715.53
|
| Rate for Payer: UHCCP Medicaid |
$3,715.53
|
|
|
OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$7,656.42
|
|
|
Service Code
|
APR-DRG 8623
|
| Min. Negotiated Rate |
$7,291.83 |
| Max. Negotiated Rate |
$7,656.42 |
| Rate for Payer: BCBS Complete |
$7,656.42
|
| Rate for Payer: Mclaren Medicaid |
$7,291.83
|
| Rate for Payer: Meridian Medicaid |
$7,656.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.83
|
| Rate for Payer: UHC Medicaid |
$7,291.83
|
| Rate for Payer: UHCCP Medicaid |
$7,291.83
|
|
|
OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$8,395.41
|
|
|
Service Code
|
APR-DRG 8624
|
| Min. Negotiated Rate |
$7,995.62 |
| Max. Negotiated Rate |
$8,395.41 |
| Rate for Payer: BCBS Complete |
$8,395.41
|
| Rate for Payer: Mclaren Medicaid |
$7,995.62
|
| Rate for Payer: Meridian Medicaid |
$8,395.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,995.62
|
| Rate for Payer: UHC Medicaid |
$7,995.62
|
| Rate for Payer: UHCCP Medicaid |
$7,995.62
|
|
|
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$7,287.22
|
|
|
Service Code
|
APR-DRG 2533
|
| Min. Negotiated Rate |
$6,940.21 |
| Max. Negotiated Rate |
$7,287.22 |
| Rate for Payer: BCBS Complete |
$7,287.22
|
| Rate for Payer: Mclaren Medicaid |
$6,940.21
|
| Rate for Payer: Meridian Medicaid |
$7,287.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,940.21
|
| Rate for Payer: UHC Medicaid |
$6,940.21
|
| Rate for Payer: UHCCP Medicaid |
$6,940.21
|
|
|
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,503.27
|
|
|
Service Code
|
APR-DRG 2531
|
| Min. Negotiated Rate |
$4,288.83 |
| Max. Negotiated Rate |
$4,503.27 |
| Rate for Payer: BCBS Complete |
$4,503.27
|
| Rate for Payer: Mclaren Medicaid |
$4,288.83
|
| Rate for Payer: Meridian Medicaid |
$4,503.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,288.83
|
| Rate for Payer: UHC Medicaid |
$4,288.83
|
| Rate for Payer: UHCCP Medicaid |
$4,288.83
|
|
|
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$5,058.80
|
|
|
Service Code
|
APR-DRG 2532
|
| Min. Negotiated Rate |
$4,817.90 |
| Max. Negotiated Rate |
$5,058.80 |
| Rate for Payer: BCBS Complete |
$5,058.80
|
| Rate for Payer: Mclaren Medicaid |
$4,817.90
|
| Rate for Payer: Meridian Medicaid |
$5,058.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,817.90
|
| Rate for Payer: UHC Medicaid |
$4,817.90
|
| Rate for Payer: UHCCP Medicaid |
$4,817.90
|
|
|
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$9,859.04
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$9,389.56 |
| Max. Negotiated Rate |
$9,859.04 |
| Rate for Payer: BCBS Complete |
$9,859.04
|
| Rate for Payer: Mclaren Medicaid |
$9,389.56
|
| Rate for Payer: Meridian Medicaid |
$9,859.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,389.56
|
| Rate for Payer: UHC Medicaid |
$9,389.56
|
| Rate for Payer: UHCCP Medicaid |
$9,389.56
|
|
|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$11,427.59
|
|
|
Service Code
|
APR-DRG 6634
|
| Min. Negotiated Rate |
$10,883.42 |
| Max. Negotiated Rate |
$11,427.59 |
| Rate for Payer: BCBS Complete |
$11,427.59
|
| Rate for Payer: Mclaren Medicaid |
$10,883.42
|
| Rate for Payer: Meridian Medicaid |
$11,427.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,883.42
|
| Rate for Payer: UHC Medicaid |
$10,883.42
|
| Rate for Payer: UHCCP Medicaid |
$10,883.42
|
|
|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,961.01
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$6,629.53 |
| Max. Negotiated Rate |
$6,961.01 |
| Rate for Payer: BCBS Complete |
$6,961.01
|
| Rate for Payer: Mclaren Medicaid |
$6,629.53
|
| Rate for Payer: Meridian Medicaid |
$6,961.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,629.53
|
| Rate for Payer: UHC Medicaid |
$6,629.53
|
| Rate for Payer: UHCCP Medicaid |
$6,629.53
|
|
|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,315.97
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$3,158.06 |
| Max. Negotiated Rate |
$3,315.97 |
| Rate for Payer: BCBS Complete |
$3,315.97
|
| Rate for Payer: Mclaren Medicaid |
$3,158.06
|
| Rate for Payer: Meridian Medicaid |
$3,315.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,158.06
|
| Rate for Payer: UHC Medicaid |
$3,158.06
|
| Rate for Payer: UHCCP Medicaid |
$3,158.06
|
|
|
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,741.19
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$4,515.42 |
| Max. Negotiated Rate |
$4,741.19 |
| Rate for Payer: BCBS Complete |
$4,741.19
|
| Rate for Payer: Mclaren Medicaid |
$4,515.42
|
| Rate for Payer: Meridian Medicaid |
$4,741.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,515.42
|
| Rate for Payer: UHC Medicaid |
$4,515.42
|
| Rate for Payer: UHCCP Medicaid |
$4,515.42
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$19,538.66
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$9,060.68 |
| Max. Negotiated Rate |
$19,538.66 |
| Rate for Payer: Aetna Medicare |
$9,919.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,921.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,921.95
|
| Rate for Payer: BCBS MAPPO |
$9,537.56
|
| Rate for Payer: BCBS Trust/PPO |
$19,538.66
|
| Rate for Payer: BCN Commercial |
$19,538.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,537.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,537.56
|
| Rate for Payer: Mclaren Medicare |
$9,537.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,014.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,968.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,491.32
|
| Rate for Payer: Nomi Health Commercial |
$13,599.18
|
| Rate for Payer: PACE Medicare |
$9,060.68
|
| Rate for Payer: PACE SWMI |
$9,537.56
|
| Rate for Payer: PHP Medicare Advantage |
$9,537.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$14,358.38
|
| Rate for Payer: Priority Health Medicare |
$9,537.56
|
| Rate for Payer: Priority Health Tiered Network |
$11,486.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,537.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,183.46
|
| Rate for Payer: UHC Core |
$14,376.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,537.56
|
| Rate for Payer: UHC Exchange |
$11,740.63
|
| Rate for Payer: VA VA |
$9,537.56
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$30,641.07
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$17,301.12 |
| Max. Negotiated Rate |
$30,641.07 |
| Rate for Payer: Aetna Medicare |
$18,940.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,764.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,764.62
|
| Rate for Payer: BCBS MAPPO |
$18,211.70
|
| Rate for Payer: BCBS Trust/PPO |
$30,641.07
|
| Rate for Payer: BCN Commercial |
$30,641.07
|
| Rate for Payer: BCN Medicare Advantage |
$18,211.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,211.70
|
| Rate for Payer: Mclaren Medicare |
$18,211.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,122.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,943.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,032.87
|
| Rate for Payer: Nomi Health Commercial |
$21,775.20
|
| Rate for Payer: PACE Medicare |
$17,301.12
|
| Rate for Payer: PACE SWMI |
$18,211.70
|
| Rate for Payer: PHP Medicare Advantage |
$18,211.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$26,759.53
|
| Rate for Payer: Priority Health Medicare |
$18,211.70
|
| Rate for Payer: Priority Health Tiered Network |
$21,407.62
|
| Rate for Payer: Railroad Medicare Medicare |
$18,211.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,514.40
|
| Rate for Payer: UHC Core |
$23,019.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,211.70
|
| Rate for Payer: UHC Exchange |
$18,799.26
|
| Rate for Payer: VA VA |
$18,211.70
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,016.37
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$6,863.29 |
| Max. Negotiated Rate |
$14,016.37 |
| Rate for Payer: Aetna Medicare |
$7,513.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,030.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,030.65
|
| Rate for Payer: BCBS MAPPO |
$7,224.52
|
| Rate for Payer: BCBS Trust/PPO |
$11,760.18
|
| Rate for Payer: BCN Commercial |
$11,760.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,224.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,224.52
|
| Rate for Payer: Mclaren Medicare |
$7,224.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,585.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,308.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,946.97
|
| Rate for Payer: Nomi Health Commercial |
$11,092.71
|
| Rate for Payer: PACE Medicare |
$6,863.29
|
| Rate for Payer: PACE SWMI |
$7,224.52
|
| Rate for Payer: PHP Medicare Advantage |
$7,224.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$8,867.18
|
| Rate for Payer: Priority Health Medicare |
$7,224.52
|
| Rate for Payer: Priority Health Tiered Network |
$7,093.74
|
| Rate for Payer: Railroad Medicare Medicare |
$7,224.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,016.37
|
| Rate for Payer: UHC Core |
$11,726.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,224.52
|
| Rate for Payer: UHC Exchange |
$9,576.71
|
| Rate for Payer: VA VA |
$7,224.52
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$11,762.08
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$5,847.90 |
| Max. Negotiated Rate |
$11,762.08 |
| Rate for Payer: Aetna Medicare |
$6,401.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,694.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,694.60
|
| Rate for Payer: BCBS MAPPO |
$6,155.68
|
| Rate for Payer: BCBS Trust/PPO |
$9,140.82
|
| Rate for Payer: BCN Commercial |
$9,140.82
|
| Rate for Payer: BCN Medicare Advantage |
$6,155.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,155.68
|
| Rate for Payer: Mclaren Medicare |
$6,155.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,463.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,079.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,771.25
|
| Rate for Payer: Nomi Health Commercial |
$9,308.64
|
| Rate for Payer: PACE Medicare |
$5,847.90
|
| Rate for Payer: PACE SWMI |
$6,155.68
|
| Rate for Payer: PHP Medicare Advantage |
$6,155.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7,596.75
|
| Rate for Payer: Priority Health Medicare |
$6,155.68
|
| Rate for Payer: Priority Health Tiered Network |
$6,077.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6,155.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,762.08
|
| Rate for Payer: UHC Core |
$9,840.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,155.68
|
| Rate for Payer: UHC Exchange |
$8,036.46
|
| Rate for Payer: VA VA |
$6,155.68
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$19,600.75
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$8,693.06 |
| Max. Negotiated Rate |
$19,600.75 |
| Rate for Payer: Aetna Medicare |
$10,267.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,340.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,340.27
|
| Rate for Payer: BCBS MAPPO |
$9,872.22
|
| Rate for Payer: BCBS Trust/PPO |
$14,372.51
|
| Rate for Payer: BCN Commercial |
$14,372.51
|
| Rate for Payer: BCN Medicare Advantage |
$9,872.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,872.22
|
| Rate for Payer: Mclaren Medicare |
$9,872.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,365.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,353.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,859.44
|
| Rate for Payer: Nomi Health Commercial |
$15,512.25
|
| Rate for Payer: PACE Medicare |
$9,378.61
|
| Rate for Payer: PACE SWMI |
$9,872.22
|
| Rate for Payer: PHP Medicare Advantage |
$9,872.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,866.32
|
| Rate for Payer: Priority Health Medicare |
$9,872.22
|
| Rate for Payer: Priority Health Tiered Network |
$8,693.06
|
| Rate for Payer: Railroad Medicare Medicare |
$9,872.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,600.75
|
| Rate for Payer: UHC Core |
$16,398.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,872.22
|
| Rate for Payer: UHC Exchange |
$13,392.24
|
| Rate for Payer: VA VA |
$9,872.22
|
|
