|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$37,577.52
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$35,788.12 |
| Max. Negotiated Rate |
$37,577.52 |
| Rate for Payer: BCBS Complete |
$37,577.52
|
| Rate for Payer: Mclaren Medicaid |
$35,788.12
|
| Rate for Payer: Meridian Medicaid |
$37,577.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,788.12
|
| Rate for Payer: UHC Medicaid |
$35,788.12
|
| Rate for Payer: UHCCP Medicaid |
$35,788.12
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$7,609.41
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$7,247.06 |
| Max. Negotiated Rate |
$7,609.41 |
| Rate for Payer: BCBS Complete |
$7,609.41
|
| Rate for Payer: Mclaren Medicaid |
$7,247.06
|
| Rate for Payer: Meridian Medicaid |
$7,609.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,247.06
|
| Rate for Payer: UHC Medicaid |
$7,247.06
|
| Rate for Payer: UHCCP Medicaid |
$7,247.06
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$11,108.83
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$10,579.84 |
| Max. Negotiated Rate |
$11,108.83 |
| Rate for Payer: BCBS Complete |
$11,108.83
|
| Rate for Payer: Mclaren Medicaid |
$10,579.84
|
| Rate for Payer: Meridian Medicaid |
$11,108.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,579.84
|
| Rate for Payer: UHC Medicaid |
$10,579.84
|
| Rate for Payer: UHCCP Medicaid |
$10,579.84
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$16,065.59
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$15,300.56 |
| Max. Negotiated Rate |
$16,065.59 |
| Rate for Payer: BCBS Complete |
$16,065.59
|
| Rate for Payer: Mclaren Medicaid |
$15,300.56
|
| Rate for Payer: Meridian Medicaid |
$16,065.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,300.56
|
| Rate for Payer: UHC Medicaid |
$15,300.56
|
| Rate for Payer: UHCCP Medicaid |
$15,300.56
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$12,655.02
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$12,052.40 |
| Max. Negotiated Rate |
$12,655.02 |
| Rate for Payer: BCBS Complete |
$12,655.02
|
| Rate for Payer: Mclaren Medicaid |
$12,052.40
|
| Rate for Payer: Meridian Medicaid |
$12,655.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,052.40
|
| Rate for Payer: UHC Medicaid |
$12,052.40
|
| Rate for Payer: UHCCP Medicaid |
$12,052.40
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,710.56
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$9,248.15 |
| Max. Negotiated Rate |
$9,710.56 |
| Rate for Payer: BCBS Complete |
$9,710.56
|
| Rate for Payer: Mclaren Medicaid |
$9,248.15
|
| Rate for Payer: Meridian Medicaid |
$9,710.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,248.15
|
| Rate for Payer: UHC Medicaid |
$9,248.15
|
| Rate for Payer: UHCCP Medicaid |
$9,248.15
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,715.87
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$14,967.50 |
| Max. Negotiated Rate |
$15,715.87 |
| Rate for Payer: BCBS Complete |
$15,715.87
|
| Rate for Payer: Mclaren Medicaid |
$14,967.50
|
| Rate for Payer: Meridian Medicaid |
$15,715.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,967.50
|
| Rate for Payer: UHC Medicaid |
$14,967.50
|
| Rate for Payer: UHCCP Medicaid |
$14,967.50
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$23,372.87
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$22,259.87 |
| Max. Negotiated Rate |
$23,372.87 |
| Rate for Payer: BCBS Complete |
$23,372.87
|
| Rate for Payer: Mclaren Medicaid |
$22,259.87
|
| Rate for Payer: Meridian Medicaid |
$23,372.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,259.87
|
| Rate for Payer: UHC Medicaid |
$22,259.87
|
| Rate for Payer: UHCCP Medicaid |
$22,259.87
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$11,400.07
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$10,857.21 |
| Max. Negotiated Rate |
$11,400.07 |
| Rate for Payer: BCBS Complete |
$11,400.07
|
| Rate for Payer: Mclaren Medicaid |
$10,857.21
|
| Rate for Payer: Meridian Medicaid |
$11,400.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,857.21
|
| Rate for Payer: UHC Medicaid |
$10,857.21
|
| Rate for Payer: UHCCP Medicaid |
$10,857.21
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,340.29
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$5,085.99 |
| Max. Negotiated Rate |
$5,340.29 |
| Rate for Payer: BCBS Complete |
$5,340.29
|
| Rate for Payer: Mclaren Medicaid |
$5,085.99
|
| Rate for Payer: Meridian Medicaid |
$5,340.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,085.99
|
| Rate for Payer: UHC Medicaid |
$5,085.99
|
| Rate for Payer: UHCCP Medicaid |
$5,085.99
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,613.42
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$7,250.88 |
| Max. Negotiated Rate |
$7,613.42 |
| Rate for Payer: BCBS Complete |
$7,613.42
|
| Rate for Payer: Mclaren Medicaid |
$7,250.88
|
| Rate for Payer: Meridian Medicaid |
$7,613.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,250.88
|
| Rate for Payer: UHC Medicaid |
$7,250.88
|
| Rate for Payer: UHCCP Medicaid |
$7,250.88
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,643.32
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,469.83 |
| Max. Negotiated Rate |
$3,643.32 |
| Rate for Payer: BCBS Complete |
$3,643.32
|
| Rate for Payer: Mclaren Medicaid |
$3,469.83
|
| Rate for Payer: Meridian Medicaid |
$3,643.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,469.83
|
| Rate for Payer: UHC Medicaid |
$3,469.83
|
| Rate for Payer: UHCCP Medicaid |
$3,469.83
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$31,230.95
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$13,992.92 |
| Max. Negotiated Rate |
$31,230.95 |
| Rate for Payer: Aetna Medicare |
$15,318.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,411.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,411.74
|
| Rate for Payer: BCBS MAPPO |
$14,729.39
|
| Rate for Payer: BCBS Trust/PPO |
$31,230.95
|
| Rate for Payer: BCN Commercial |
$31,230.95
|
| Rate for Payer: BCN Medicare Advantage |
$14,729.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,729.39
|
| Rate for Payer: Mclaren Medicare |
$14,729.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,465.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,938.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,202.33
|
| Rate for Payer: Nomi Health Commercial |
$23,619.90
|
| Rate for Payer: PACE Medicare |
$13,992.92
|
| Rate for Payer: PACE SWMI |
$14,729.39
|
| Rate for Payer: PHP Medicare Advantage |
$14,729.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,519.64
|
| Rate for Payer: Priority Health Medicare |
$14,729.39
|
| Rate for Payer: Priority Health Tiered Network |
$23,615.71
|
| Rate for Payer: Railroad Medicare Medicare |
$14,729.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,845.30
|
| Rate for Payer: UHC Core |
$24,969.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,729.39
|
| Rate for Payer: UHC Exchange |
$20,391.85
|
| Rate for Payer: VA VA |
$14,729.39
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$15,339.93
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$7,459.43 |
| Max. Negotiated Rate |
$15,339.93 |
| Rate for Payer: Aetna Medicare |
$8,166.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,815.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,815.04
|
| Rate for Payer: BCBS MAPPO |
$7,852.03
|
| Rate for Payer: BCBS Trust/PPO |
$14,978.78
|
| Rate for Payer: BCN Commercial |
$14,978.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,852.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,852.03
|
| Rate for Payer: Mclaren Medicare |
$7,852.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,244.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,029.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,637.23
|
| Rate for Payer: Nomi Health Commercial |
$12,140.19
|
| Rate for Payer: PACE Medicare |
$7,459.43
|
| Rate for Payer: PACE SWMI |
$7,852.03
|
| Rate for Payer: PHP Medicare Advantage |
$7,852.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15,172.55
|
| Rate for Payer: Priority Health Medicare |
$7,852.03
|
| Rate for Payer: Priority Health Tiered Network |
$12,138.03
|
| Rate for Payer: Railroad Medicare Medicare |
$7,852.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,339.93
|
| Rate for Payer: UHC Core |
$12,833.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,852.03
|
| Rate for Payer: UHC Exchange |
$10,481.03
|
| Rate for Payer: VA VA |
$7,852.03
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,908.83
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$13,790.28 |
| Max. Negotiated Rate |
$33,908.83 |
| Rate for Payer: Aetna Medicare |
$15,096.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,145.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,145.10
|
| Rate for Payer: BCBS MAPPO |
$14,516.08
|
| Rate for Payer: BCBS Trust/PPO |
$33,908.83
|
| Rate for Payer: BCN Commercial |
$33,908.83
|
| Rate for Payer: BCN Medicare Advantage |
$14,516.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,516.08
|
| Rate for Payer: Mclaren Medicare |
$14,516.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,241.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,693.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,967.69
|
| Rate for Payer: Nomi Health Commercial |
$23,263.86
|
| Rate for Payer: PACE Medicare |
$13,790.28
|
| Rate for Payer: PACE SWMI |
$14,516.08
|
| Rate for Payer: PHP Medicare Advantage |
$14,516.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,074.67
|
| Rate for Payer: Priority Health Medicare |
$14,516.08
|
| Rate for Payer: Priority Health Tiered Network |
$23,259.73
|
| Rate for Payer: Railroad Medicare Medicare |
$14,516.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,395.42
|
| Rate for Payer: UHC Core |
$24,592.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,516.08
|
| Rate for Payer: UHC Exchange |
$20,084.47
|
| Rate for Payer: VA VA |
$14,516.08
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,660.40
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$27,991.56 |
| Max. Negotiated Rate |
$63,660.40 |
| Rate for Payer: Aetna Medicare |
$30,643.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,831.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,831.00
|
| Rate for Payer: BCBS MAPPO |
$29,464.80
|
| Rate for Payer: BCBS Trust/PPO |
$63,660.40
|
| Rate for Payer: BCN Commercial |
$63,660.40
|
| Rate for Payer: BCN Medicare Advantage |
$29,464.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,464.80
|
| Rate for Payer: Mclaren Medicare |
$29,464.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,938.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,884.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$32,411.28
|
| Rate for Payer: Nomi Health Commercial |
$48,216.33
|
| Rate for Payer: PACE Medicare |
$27,991.56
|
| Rate for Payer: PACE SWMI |
$29,464.80
|
| Rate for Payer: PHP Medicare Advantage |
$29,464.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$60,259.72
|
| Rate for Payer: Priority Health Medicare |
$29,464.80
|
| Rate for Payer: Priority Health Tiered Network |
$48,207.77
|
| Rate for Payer: Railroad Medicare Medicare |
$29,464.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,924.51
|
| Rate for Payer: UHC Core |
$50,971.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29,464.80
|
| Rate for Payer: UHC Exchange |
$41,626.76
|
| Rate for Payer: VA VA |
$29,464.80
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,108.33
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$10,581.91 |
| Max. Negotiated Rate |
$28,108.33 |
| Rate for Payer: Aetna Medicare |
$11,584.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,923.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,923.56
|
| Rate for Payer: BCBS MAPPO |
$11,138.85
|
| Rate for Payer: BCBS Trust/PPO |
$28,108.33
|
| Rate for Payer: BCN Commercial |
$28,108.33
|
| Rate for Payer: BCN Medicare Advantage |
$11,138.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,138.85
|
| Rate for Payer: Mclaren Medicare |
$11,138.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,695.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,809.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,252.74
|
| Rate for Payer: Nomi Health Commercial |
$17,626.56
|
| Rate for Payer: PACE Medicare |
$10,581.91
|
| Rate for Payer: PACE SWMI |
$11,138.85
|
| Rate for Payer: PHP Medicare Advantage |
$11,138.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22,029.29
|
| Rate for Payer: Priority Health Medicare |
$11,138.85
|
| Rate for Payer: Priority Health Tiered Network |
$17,623.43
|
| Rate for Payer: Railroad Medicare Medicare |
$11,138.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,272.32
|
| Rate for Payer: UHC Core |
$18,633.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,138.85
|
| Rate for Payer: UHC Exchange |
$15,217.60
|
| Rate for Payer: VA VA |
$11,138.85
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$20,508.09
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$19,531.51 |
| Max. Negotiated Rate |
$20,508.09 |
| Rate for Payer: BCBS Complete |
$20,508.09
|
| Rate for Payer: Mclaren Medicaid |
$19,531.51
|
| Rate for Payer: Meridian Medicaid |
$20,508.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,531.51
|
| Rate for Payer: UHC Medicaid |
$19,531.51
|
| Rate for Payer: UHCCP Medicaid |
$19,531.51
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$15,472.79
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$14,735.99 |
| Max. Negotiated Rate |
$15,472.79 |
| Rate for Payer: BCBS Complete |
$15,472.79
|
| Rate for Payer: Mclaren Medicaid |
$14,735.99
|
| Rate for Payer: Meridian Medicaid |
$15,472.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,735.99
|
| Rate for Payer: UHC Medicaid |
$14,735.99
|
| Rate for Payer: UHCCP Medicaid |
$14,735.99
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$9,282.30
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$8,840.29 |
| Max. Negotiated Rate |
$9,282.30 |
| Rate for Payer: BCBS Complete |
$9,282.30
|
| Rate for Payer: Mclaren Medicaid |
$8,840.29
|
| Rate for Payer: Meridian Medicaid |
$9,282.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,840.29
|
| Rate for Payer: UHC Medicaid |
$8,840.29
|
| Rate for Payer: UHCCP Medicaid |
$8,840.29
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$12,757.64
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$12,150.14 |
| Max. Negotiated Rate |
$12,757.64 |
| Rate for Payer: BCBS Complete |
$12,757.64
|
| Rate for Payer: Mclaren Medicaid |
$12,150.14
|
| Rate for Payer: Meridian Medicaid |
$12,757.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,150.14
|
| Rate for Payer: UHC Medicaid |
$12,150.14
|
| Rate for Payer: UHCCP Medicaid |
$12,150.14
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,577.39
|
|
|
Service Code
|
APR-DRG 3851
|
| Min. Negotiated Rate |
$3,407.04 |
| Max. Negotiated Rate |
$3,577.39 |
| Rate for Payer: BCBS Complete |
$3,577.39
|
| Rate for Payer: Mclaren Medicaid |
$3,407.04
|
| Rate for Payer: Meridian Medicaid |
$3,577.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,407.04
|
| Rate for Payer: UHC Medicaid |
$3,407.04
|
| Rate for Payer: UHCCP Medicaid |
$3,407.04
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$11,245.85
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$10,710.34 |
| Max. Negotiated Rate |
$11,245.85 |
| Rate for Payer: BCBS Complete |
$11,245.85
|
| Rate for Payer: Mclaren Medicaid |
$10,710.34
|
| Rate for Payer: Meridian Medicaid |
$11,245.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,710.34
|
| Rate for Payer: UHC Medicaid |
$10,710.34
|
| Rate for Payer: UHCCP Medicaid |
$10,710.34
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,761.50
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$6,439.52 |
| Max. Negotiated Rate |
$6,761.50 |
| Rate for Payer: BCBS Complete |
$6,761.50
|
| Rate for Payer: Mclaren Medicaid |
$6,439.52
|
| Rate for Payer: Meridian Medicaid |
$6,761.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,439.52
|
| Rate for Payer: UHC Medicaid |
$6,439.52
|
| Rate for Payer: UHCCP Medicaid |
$6,439.52
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,683.86
|
|
|
Service Code
|
APR-DRG 3852
|
| Min. Negotiated Rate |
$4,460.82 |
| Max. Negotiated Rate |
$4,683.86 |
| Rate for Payer: BCBS Complete |
$4,683.86
|
| Rate for Payer: Mclaren Medicaid |
$4,460.82
|
| Rate for Payer: Meridian Medicaid |
$4,683.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,460.82
|
| Rate for Payer: UHC Medicaid |
$4,460.82
|
| Rate for Payer: UHCCP Medicaid |
$4,460.82
|
|