|
KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
|
Facility
|
IP
|
$14.19
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
91349
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.24 |
| Max. Negotiated Rate |
$12.77 |
| Rate for Payer: Aetna American Axle |
$9.22
|
| Rate for Payer: Aetna American Axle |
$7.45
|
| Rate for Payer: Aetna American Axle |
$18.34
|
| Rate for Payer: Aetna American Axle |
$7.41
|
| Rate for Payer: Aetna Commercial |
$23.99
|
| Rate for Payer: Aetna Commercial |
$12.06
|
| Rate for Payer: Aetna Commercial |
$9.69
|
| Rate for Payer: Aetna Commercial |
$9.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.41
|
| Rate for Payer: Cash Price |
$9.12
|
| Rate for Payer: Cash Price |
$22.58
|
| Rate for Payer: Cash Price |
$9.17
|
| Rate for Payer: Cash Price |
$11.35
|
| Rate for Payer: Cofinity Advantage |
$8.02
|
| Rate for Payer: Cofinity Advantage |
$7.98
|
| Rate for Payer: Cofinity Advantage |
$9.93
|
| Rate for Payer: Cofinity Advantage |
$19.75
|
| Rate for Payer: Cofinity Commercial |
$12.20
|
| Rate for Payer: Cofinity Commercial |
$9.80
|
| Rate for Payer: Cofinity Commercial |
$9.86
|
| Rate for Payer: Cofinity Commercial |
$24.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.17
|
| Rate for Payer: Healthscope Commercial |
$10.31
|
| Rate for Payer: Healthscope Commercial |
$25.40
|
| Rate for Payer: Healthscope Commercial |
$12.77
|
| Rate for Payer: Healthscope Commercial |
$10.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.55
|
| Rate for Payer: PHP Commercial |
$9.69
|
| Rate for Payer: PHP Commercial |
$12.06
|
| Rate for Payer: PHP Commercial |
$9.74
|
| Rate for Payer: PHP Commercial |
$23.99
|
| Rate for Payer: Priority Health SBD |
$17.78
|
| Rate for Payer: Priority Health SBD |
$7.18
|
| Rate for Payer: Priority Health SBD |
$8.94
|
| Rate for Payer: Priority Health SBD |
$7.22
|
| Rate for Payer: UMR Bronson Commercial |
$5.04
|
| Rate for Payer: UMR Bronson Commercial |
$6.24
|
| Rate for Payer: UMR Bronson Commercial |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.16
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$43,973.76
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$15,101.86 |
| Max. Negotiated Rate |
$43,973.76 |
| Rate for Payer: Aetna Medicare |
$16,532.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,870.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,870.88
|
| Rate for Payer: BCBS MAPPO |
$15,896.70
|
| Rate for Payer: BCBS Trust/PPO |
$43,973.76
|
| Rate for Payer: BCN Commercial |
$43,973.76
|
| Rate for Payer: BCN Medicare Advantage |
$15,896.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,896.70
|
| Rate for Payer: Mclaren Medicare |
$15,896.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,691.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,281.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,486.37
|
| Rate for Payer: Nomi Health Commercial |
$23,607.00
|
| Rate for Payer: PACE Medicare |
$15,101.86
|
| Rate for Payer: PACE SWMI |
$15,896.70
|
| Rate for Payer: PHP Medicare Advantage |
$15,896.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,503.52
|
| Rate for Payer: Priority Health Medicare |
$15,896.70
|
| Rate for Payer: Priority Health Tiered Network |
$23,602.81
|
| Rate for Payer: Railroad Medicare Medicare |
$15,896.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,829.00
|
| Rate for Payer: UHC Core |
$24,955.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,896.70
|
| Rate for Payer: UHC Exchange |
$20,380.71
|
| Rate for Payer: VA VA |
$15,896.70
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$78,806.33
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$25,857.20 |
| Max. Negotiated Rate |
$78,806.33 |
| Rate for Payer: Aetna Medicare |
$28,306.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,022.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,022.64
|
| Rate for Payer: BCBS MAPPO |
$27,218.11
|
| Rate for Payer: BCBS Trust/PPO |
$78,806.33
|
| Rate for Payer: BCN Commercial |
$78,806.33
|
| Rate for Payer: BCN Medicare Advantage |
$27,218.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,218.11
|
| Rate for Payer: Mclaren Medicare |
$27,218.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,579.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,300.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$29,939.92
|
| Rate for Payer: Nomi Health Commercial |
$41,071.02
|
| Rate for Payer: PACE Medicare |
$25,857.20
|
| Rate for Payer: PACE SWMI |
$27,218.11
|
| Rate for Payer: PHP Medicare Advantage |
$27,218.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51,329.67
|
| Rate for Payer: Priority Health Medicare |
$27,218.11
|
| Rate for Payer: Priority Health Tiered Network |
$41,063.73
|
| Rate for Payer: Railroad Medicare Medicare |
$27,218.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,895.94
|
| Rate for Payer: UHC Core |
$43,417.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27,218.11
|
| Rate for Payer: UHC Exchange |
$35,457.98
|
| Rate for Payer: VA VA |
$27,218.11
|
|
|
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$38,434.15
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$12,891.69 |
| Max. Negotiated Rate |
$38,434.15 |
| Rate for Payer: Aetna Medicare |
$14,113.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,962.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,962.75
|
| Rate for Payer: BCBS MAPPO |
$13,570.20
|
| Rate for Payer: BCBS Trust/PPO |
$38,434.15
|
| Rate for Payer: BCN Commercial |
$38,434.15
|
| Rate for Payer: BCN Medicare Advantage |
$13,570.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,570.20
|
| Rate for Payer: Mclaren Medicare |
$13,570.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,248.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,605.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,927.22
|
| Rate for Payer: Nomi Health Commercial |
$20,018.22
|
| Rate for Payer: PACE Medicare |
$12,891.69
|
| Rate for Payer: PACE SWMI |
$13,570.20
|
| Rate for Payer: PHP Medicare Advantage |
$13,570.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,018.34
|
| Rate for Payer: Priority Health Medicare |
$13,570.20
|
| Rate for Payer: Priority Health Tiered Network |
$20,014.67
|
| Rate for Payer: Railroad Medicare Medicare |
$13,570.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,294.34
|
| Rate for Payer: UHC Core |
$21,161.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,570.20
|
| Rate for Payer: UHC Exchange |
$17,282.40
|
| Rate for Payer: VA VA |
$13,570.20
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$24,541.19
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$11,063.64 |
| Max. Negotiated Rate |
$24,541.19 |
| Rate for Payer: Aetna Medicare |
$12,111.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,557.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,557.42
|
| Rate for Payer: BCBS MAPPO |
$11,645.94
|
| Rate for Payer: BCBS Trust/PPO |
$24,541.19
|
| Rate for Payer: BCN Commercial |
$24,541.19
|
| Rate for Payer: BCN Medicare Advantage |
$11,645.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,645.94
|
| Rate for Payer: Mclaren Medicare |
$11,645.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,228.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,392.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,810.53
|
| Rate for Payer: Nomi Health Commercial |
$17,049.93
|
| Rate for Payer: PACE Medicare |
$11,063.64
|
| Rate for Payer: PACE SWMI |
$11,645.94
|
| Rate for Payer: PHP Medicare Advantage |
$11,645.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,308.63
|
| Rate for Payer: Priority Health Medicare |
$11,645.94
|
| Rate for Payer: Priority Health Tiered Network |
$17,046.90
|
| Rate for Payer: Railroad Medicare Medicare |
$11,645.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,543.71
|
| Rate for Payer: UHC Core |
$18,024.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,645.94
|
| Rate for Payer: UHC Exchange |
$14,719.77
|
| Rate for Payer: VA VA |
$11,645.94
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$41,416.67
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$20,749.64 |
| Max. Negotiated Rate |
$41,416.67 |
| Rate for Payer: Aetna Medicare |
$22,715.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,302.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,302.16
|
| Rate for Payer: BCBS MAPPO |
$21,841.73
|
| Rate for Payer: BCBS Trust/PPO |
$40,707.09
|
| Rate for Payer: BCN Commercial |
$40,707.09
|
| Rate for Payer: BCN Medicare Advantage |
$21,841.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,841.73
|
| Rate for Payer: Mclaren Medicare |
$21,841.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,933.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,117.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$24,025.90
|
| Rate for Payer: Nomi Health Commercial |
$32,777.61
|
| Rate for Payer: PACE Medicare |
$20,749.64
|
| Rate for Payer: PACE SWMI |
$21,841.73
|
| Rate for Payer: PHP Medicare Advantage |
$21,841.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$40,964.75
|
| Rate for Payer: Priority Health Medicare |
$21,841.73
|
| Rate for Payer: Priority Health Tiered Network |
$32,771.79
|
| Rate for Payer: Railroad Medicare Medicare |
$21,841.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,416.67
|
| Rate for Payer: UHC Core |
$34,650.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21,841.73
|
| Rate for Payer: UHC Exchange |
$28,298.00
|
| Rate for Payer: VA VA |
$21,841.73
|
|
|
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$22,726.68
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$8,789.12 |
| Max. Negotiated Rate |
$22,726.68 |
| Rate for Payer: Aetna Medicare |
$9,621.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,564.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,564.64
|
| Rate for Payer: BCBS MAPPO |
$9,251.71
|
| Rate for Payer: BCBS Trust/PPO |
$22,726.68
|
| Rate for Payer: BCN Commercial |
$22,726.68
|
| Rate for Payer: BCN Medicare Advantage |
$9,251.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,251.71
|
| Rate for Payer: Mclaren Medicare |
$9,251.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,714.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,639.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,176.88
|
| Rate for Payer: Nomi Health Commercial |
$13,356.66
|
| Rate for Payer: PACE Medicare |
$8,789.12
|
| Rate for Payer: PACE SWMI |
$9,251.71
|
| Rate for Payer: PHP Medicare Advantage |
$9,251.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,692.86
|
| Rate for Payer: Priority Health Medicare |
$9,251.71
|
| Rate for Payer: Priority Health Tiered Network |
$13,354.29
|
| Rate for Payer: Railroad Medicare Medicare |
$9,251.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,877.02
|
| Rate for Payer: UHC Core |
$14,119.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,251.71
|
| Rate for Payer: UHC Exchange |
$11,531.25
|
| Rate for Payer: VA VA |
$9,251.71
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,043.57
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$3,851.02 |
| Max. Negotiated Rate |
$4,043.57 |
| Rate for Payer: BCBS Complete |
$4,043.57
|
| Rate for Payer: Mclaren Medicaid |
$3,851.02
|
| Rate for Payer: Meridian Medicaid |
$4,043.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,851.02
|
| Rate for Payer: UHC Medicaid |
$3,851.02
|
| Rate for Payer: UHCCP Medicaid |
$3,851.02
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,237.88
|
|
|
Service Code
|
APR-DRG 4631
|
| Min. Negotiated Rate |
$3,083.70 |
| Max. Negotiated Rate |
$3,237.88 |
| Rate for Payer: BCBS Complete |
$3,237.88
|
| Rate for Payer: Mclaren Medicaid |
$3,083.70
|
| Rate for Payer: Meridian Medicaid |
$3,237.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,083.70
|
| Rate for Payer: UHC Medicaid |
$3,083.70
|
| Rate for Payer: UHCCP Medicaid |
$3,083.70
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,802.65
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$5,526.33 |
| Max. Negotiated Rate |
$5,802.65 |
| Rate for Payer: BCBS Complete |
$5,802.65
|
| Rate for Payer: Mclaren Medicaid |
$5,526.33
|
| Rate for Payer: Meridian Medicaid |
$5,802.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,526.33
|
| Rate for Payer: UHC Medicaid |
$5,526.33
|
| Rate for Payer: UHCCP Medicaid |
$5,526.33
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,726.97
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$8,311.40 |
| Max. Negotiated Rate |
$8,726.97 |
| Rate for Payer: BCBS Complete |
$8,726.97
|
| Rate for Payer: Mclaren Medicaid |
$8,311.40
|
| Rate for Payer: Meridian Medicaid |
$8,726.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,311.40
|
| Rate for Payer: UHC Medicaid |
$8,311.40
|
| Rate for Payer: UHCCP Medicaid |
$8,311.40
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$20,028.25
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$9,781.38 |
| Max. Negotiated Rate |
$20,028.25 |
| Rate for Payer: Aetna Medicare |
$10,708.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,870.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,870.24
|
| Rate for Payer: BCBS MAPPO |
$10,296.19
|
| Rate for Payer: BCBS Trust/PPO |
$20,028.25
|
| Rate for Payer: BCN Commercial |
$20,028.25
|
| Rate for Payer: BCN Medicare Advantage |
$10,296.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,296.19
|
| Rate for Payer: Mclaren Medicare |
$10,296.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,811.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,840.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,325.81
|
| Rate for Payer: Nomi Health Commercial |
$14,967.87
|
| Rate for Payer: PACE Medicare |
$9,781.38
|
| Rate for Payer: PACE SWMI |
$10,296.19
|
| Rate for Payer: PHP Medicare Advantage |
$10,296.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,706.52
|
| Rate for Payer: Priority Health Medicare |
$10,296.19
|
| Rate for Payer: Priority Health Tiered Network |
$14,965.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10,296.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,912.89
|
| Rate for Payer: UHC Core |
$15,823.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,296.19
|
| Rate for Payer: UHC Exchange |
$12,922.26
|
| Rate for Payer: VA VA |
$10,296.19
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$13,194.85
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,994.45 |
| Max. Negotiated Rate |
$13,194.85 |
| Rate for Payer: Aetna Medicare |
$7,657.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,203.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,203.23
|
| Rate for Payer: BCBS MAPPO |
$7,362.58
|
| Rate for Payer: BCBS Trust/PPO |
$12,679.62
|
| Rate for Payer: BCN Commercial |
$12,679.62
|
| Rate for Payer: BCN Medicare Advantage |
$7,362.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,362.58
|
| Rate for Payer: Mclaren Medicare |
$7,362.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,730.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,466.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,098.84
|
| Rate for Payer: Nomi Health Commercial |
$10,442.55
|
| Rate for Payer: PACE Medicare |
$6,994.45
|
| Rate for Payer: PACE SWMI |
$7,362.58
|
| Rate for Payer: PHP Medicare Advantage |
$7,362.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,050.87
|
| Rate for Payer: Priority Health Medicare |
$7,362.58
|
| Rate for Payer: Priority Health Tiered Network |
$10,440.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7,362.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,194.85
|
| Rate for Payer: UHC Core |
$11,039.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,362.58
|
| Rate for Payer: UHC Exchange |
$9,015.40
|
| Rate for Payer: VA VA |
$7,362.58
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$16,076.22
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$15,310.69 |
| Max. Negotiated Rate |
$16,076.22 |
| Rate for Payer: BCBS Complete |
$16,076.22
|
| Rate for Payer: Mclaren Medicaid |
$15,310.69
|
| Rate for Payer: Meridian Medicaid |
$16,076.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,310.69
|
| Rate for Payer: UHC Medicaid |
$15,310.69
|
| Rate for Payer: UHCCP Medicaid |
$15,310.69
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$6,382.55
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$6,078.62 |
| Max. Negotiated Rate |
$6,382.55 |
| Rate for Payer: BCBS Complete |
$6,382.55
|
| Rate for Payer: Mclaren Medicaid |
$6,078.62
|
| Rate for Payer: Meridian Medicaid |
$6,382.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,078.62
|
| Rate for Payer: UHC Medicaid |
$6,078.62
|
| Rate for Payer: UHCCP Medicaid |
$6,078.62
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,579.28
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$5,313.60 |
| Max. Negotiated Rate |
$5,579.28 |
| Rate for Payer: BCBS Complete |
$5,579.28
|
| Rate for Payer: Mclaren Medicaid |
$5,313.60
|
| Rate for Payer: Meridian Medicaid |
$5,579.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,313.60
|
| Rate for Payer: UHC Medicaid |
$5,313.60
|
| Rate for Payer: UHCCP Medicaid |
$5,313.60
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$8,648.88
|
|
|
Service Code
|
APR-DRG 4613
|
| Min. Negotiated Rate |
$8,237.03 |
| Max. Negotiated Rate |
$8,648.88 |
| Rate for Payer: BCBS Complete |
$8,648.88
|
| Rate for Payer: Mclaren Medicaid |
$8,237.03
|
| Rate for Payer: Meridian Medicaid |
$8,648.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,237.03
|
| Rate for Payer: UHC Medicaid |
$8,237.03
|
| Rate for Payer: UHCCP Medicaid |
$8,237.03
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$22,800.80
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$8,887.63 |
| Max. Negotiated Rate |
$22,800.80 |
| Rate for Payer: Aetna Medicare |
$9,729.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,694.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,694.25
|
| Rate for Payer: BCBS MAPPO |
$9,355.40
|
| Rate for Payer: BCBS Trust/PPO |
$22,800.80
|
| Rate for Payer: BCN Commercial |
$22,800.80
|
| Rate for Payer: BCN Medicare Advantage |
$9,355.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,355.40
|
| Rate for Payer: Mclaren Medicare |
$9,355.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,823.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,758.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,290.94
|
| Rate for Payer: Nomi Health Commercial |
$13,516.62
|
| Rate for Payer: PACE Medicare |
$8,887.63
|
| Rate for Payer: PACE SWMI |
$9,355.40
|
| Rate for Payer: PHP Medicare Advantage |
$9,355.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,892.78
|
| Rate for Payer: Priority Health Medicare |
$9,355.40
|
| Rate for Payer: Priority Health Tiered Network |
$13,514.22
|
| Rate for Payer: Railroad Medicare Medicare |
$9,355.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,079.14
|
| Rate for Payer: UHC Core |
$14,288.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,355.40
|
| Rate for Payer: UHC Exchange |
$11,669.35
|
| Rate for Payer: VA VA |
$9,355.40
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$54,100.43
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$14,892.91 |
| Max. Negotiated Rate |
$54,100.43 |
| Rate for Payer: Aetna Medicare |
$16,303.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,595.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,595.94
|
| Rate for Payer: BCBS MAPPO |
$15,676.75
|
| Rate for Payer: BCBS Trust/PPO |
$54,100.43
|
| Rate for Payer: BCN Commercial |
$54,100.43
|
| Rate for Payer: BCN Medicare Advantage |
$15,676.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,676.75
|
| Rate for Payer: Mclaren Medicare |
$15,676.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,460.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,028.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,244.42
|
| Rate for Payer: Nomi Health Commercial |
$23,267.73
|
| Rate for Payer: PACE Medicare |
$14,892.91
|
| Rate for Payer: PACE SWMI |
$15,676.75
|
| Rate for Payer: PHP Medicare Advantage |
$15,676.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,079.50
|
| Rate for Payer: Priority Health Medicare |
$15,676.75
|
| Rate for Payer: Priority Health Tiered Network |
$23,263.60
|
| Rate for Payer: Railroad Medicare Medicare |
$15,676.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,400.31
|
| Rate for Payer: UHC Core |
$24,597.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,676.75
|
| Rate for Payer: UHC Exchange |
$20,087.81
|
| Rate for Payer: VA VA |
$15,676.75
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,781.97
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$6,841.90 |
| Max. Negotiated Rate |
$18,781.97 |
| Rate for Payer: Aetna Medicare |
$7,490.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,002.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,002.50
|
| Rate for Payer: BCBS MAPPO |
$7,202.00
|
| Rate for Payer: BCBS Trust/PPO |
$18,781.97
|
| Rate for Payer: BCN Commercial |
$18,781.97
|
| Rate for Payer: BCN Medicare Advantage |
$7,202.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,202.00
|
| Rate for Payer: Mclaren Medicare |
$7,202.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,562.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,282.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,922.20
|
| Rate for Payer: Nomi Health Commercial |
$10,194.87
|
| Rate for Payer: PACE Medicare |
$6,841.90
|
| Rate for Payer: PACE SWMI |
$7,202.00
|
| Rate for Payer: PHP Medicare Advantage |
$7,202.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,741.33
|
| Rate for Payer: Priority Health Medicare |
$7,202.00
|
| Rate for Payer: Priority Health Tiered Network |
$10,193.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,202.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,881.89
|
| Rate for Payer: UHC Core |
$10,777.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,202.00
|
| Rate for Payer: UHC Exchange |
$8,801.57
|
| Rate for Payer: VA VA |
$7,202.00
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$11,605.29
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$11,052.66 |
| Max. Negotiated Rate |
$11,605.29 |
| Rate for Payer: BCBS Complete |
$11,605.29
|
| Rate for Payer: Mclaren Medicaid |
$11,052.66
|
| Rate for Payer: Meridian Medicaid |
$11,605.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,052.66
|
| Rate for Payer: UHC Medicaid |
$11,052.66
|
| Rate for Payer: UHCCP Medicaid |
$11,052.66
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$30,077.99
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$28,645.71 |
| Max. Negotiated Rate |
$30,077.99 |
| Rate for Payer: BCBS Complete |
$30,077.99
|
| Rate for Payer: Mclaren Medicaid |
$28,645.71
|
| Rate for Payer: Meridian Medicaid |
$30,077.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,645.71
|
| Rate for Payer: UHC Medicaid |
$28,645.71
|
| Rate for Payer: UHCCP Medicaid |
$28,645.71
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$17,776.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$16,930.08 |
| Max. Negotiated Rate |
$17,776.58 |
| Rate for Payer: BCBS Complete |
$17,776.58
|
| Rate for Payer: Mclaren Medicaid |
$16,930.08
|
| Rate for Payer: Meridian Medicaid |
$17,776.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,930.08
|
| Rate for Payer: UHC Medicaid |
$16,930.08
|
| Rate for Payer: UHCCP Medicaid |
$16,930.08
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,937.02
|
|
|
Service Code
|
APR-DRG 4421
|
| Min. Negotiated Rate |
$9,463.82 |
| Max. Negotiated Rate |
$9,937.02 |
| Rate for Payer: BCBS Complete |
$9,937.02
|
| Rate for Payer: Mclaren Medicaid |
$9,463.82
|
| Rate for Payer: Meridian Medicaid |
$9,937.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,463.82
|
| Rate for Payer: UHC Medicaid |
$9,463.82
|
| Rate for Payer: UHCCP Medicaid |
$9,463.82
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$12,730.59
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$12,124.37 |
| Max. Negotiated Rate |
$12,730.59 |
| Rate for Payer: BCBS Complete |
$12,730.59
|
| Rate for Payer: Mclaren Medicaid |
$12,124.37
|
| Rate for Payer: Meridian Medicaid |
$12,730.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,124.37
|
| Rate for Payer: UHC Medicaid |
$12,124.37
|
| Rate for Payer: UHCCP Medicaid |
$12,124.37
|
|
