|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,889.81
|
|
|
Service Code
|
APR-DRG 2062
|
| Min. Negotiated Rate |
$6,561.72 |
| Max. Negotiated Rate |
$6,889.81 |
| Rate for Payer: BCBS Complete |
$6,889.81
|
| Rate for Payer: Mclaren Medicaid |
$6,561.72
|
| Rate for Payer: Meridian Medicaid |
$6,889.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,561.72
|
| Rate for Payer: UHC Medicaid |
$6,561.72
|
| Rate for Payer: UHCCP Medicaid |
$6,561.72
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$14,575.62
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$13,881.54 |
| Max. Negotiated Rate |
$14,575.62 |
| Rate for Payer: BCBS Complete |
$14,575.62
|
| Rate for Payer: Mclaren Medicaid |
$13,881.54
|
| Rate for Payer: Meridian Medicaid |
$14,575.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,881.54
|
| Rate for Payer: UHC Medicaid |
$13,881.54
|
| Rate for Payer: UHCCP Medicaid |
$13,881.54
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,659.77
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$10,152.17 |
| Max. Negotiated Rate |
$10,659.77 |
| Rate for Payer: BCBS Complete |
$10,659.77
|
| Rate for Payer: Mclaren Medicaid |
$10,152.17
|
| Rate for Payer: Meridian Medicaid |
$10,659.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,152.17
|
| Rate for Payer: UHC Medicaid |
$10,152.17
|
| Rate for Payer: UHCCP Medicaid |
$10,152.17
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,223.34
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$6,879.37 |
| Max. Negotiated Rate |
$7,223.34 |
| Rate for Payer: BCBS Complete |
$7,223.34
|
| Rate for Payer: Mclaren Medicaid |
$6,879.37
|
| Rate for Payer: Meridian Medicaid |
$7,223.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,879.37
|
| Rate for Payer: UHC Medicaid |
$6,879.37
|
| Rate for Payer: UHCCP Medicaid |
$6,879.37
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,874.08
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,641.98 |
| Max. Negotiated Rate |
$4,874.08 |
| Rate for Payer: BCBS Complete |
$4,874.08
|
| Rate for Payer: Mclaren Medicaid |
$4,641.98
|
| Rate for Payer: Meridian Medicaid |
$4,874.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,641.98
|
| Rate for Payer: UHC Medicaid |
$4,641.98
|
| Rate for Payer: UHCCP Medicaid |
$4,641.98
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,671.30
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,496.47 |
| Max. Negotiated Rate |
$3,671.30 |
| Rate for Payer: BCBS Complete |
$3,671.30
|
| Rate for Payer: Mclaren Medicaid |
$3,496.47
|
| Rate for Payer: Meridian Medicaid |
$3,671.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.47
|
| Rate for Payer: UHC Medicaid |
$3,496.47
|
| Rate for Payer: UHCCP Medicaid |
$3,496.47
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,305.04
|
|
|
Service Code
|
APR-DRG 3494
|
| Min. Negotiated Rate |
$12,671.47 |
| Max. Negotiated Rate |
$13,305.04 |
| Rate for Payer: BCBS Complete |
$13,305.04
|
| Rate for Payer: Mclaren Medicaid |
$12,671.47
|
| Rate for Payer: Meridian Medicaid |
$13,305.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,671.47
|
| Rate for Payer: UHC Medicaid |
$12,671.47
|
| Rate for Payer: UHCCP Medicaid |
$12,671.47
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,953.98
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$4,718.08 |
| Max. Negotiated Rate |
$4,953.98 |
| Rate for Payer: BCBS Complete |
$4,953.98
|
| Rate for Payer: Mclaren Medicaid |
$4,718.08
|
| Rate for Payer: Meridian Medicaid |
$4,953.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,718.08
|
| Rate for Payer: UHC Medicaid |
$4,718.08
|
| Rate for Payer: UHCCP Medicaid |
$4,718.08
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,047.80
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$6,712.19 |
| Max. Negotiated Rate |
$7,047.80 |
| Rate for Payer: BCBS Complete |
$7,047.80
|
| Rate for Payer: Mclaren Medicaid |
$6,712.19
|
| Rate for Payer: Meridian Medicaid |
$7,047.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,712.19
|
| Rate for Payer: UHC Medicaid |
$6,712.19
|
| Rate for Payer: UHCCP Medicaid |
$6,712.19
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,590.17
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$7,228.73 |
| Max. Negotiated Rate |
$7,590.17 |
| Rate for Payer: BCBS Complete |
$7,590.17
|
| Rate for Payer: Mclaren Medicaid |
$7,228.73
|
| Rate for Payer: Meridian Medicaid |
$7,590.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,228.73
|
| Rate for Payer: UHC Medicaid |
$7,228.73
|
| Rate for Payer: UHCCP Medicaid |
$7,228.73
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$19,388.64
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$9,205.41 |
| Max. Negotiated Rate |
$19,388.64 |
| Rate for Payer: Aetna Medicare |
$10,077.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,112.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,112.39
|
| Rate for Payer: BCBS MAPPO |
$9,689.91
|
| Rate for Payer: BCBS Trust/PPO |
$19,388.64
|
| Rate for Payer: BCN Commercial |
$19,388.64
|
| Rate for Payer: BCN Medicare Advantage |
$9,689.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,689.91
|
| Rate for Payer: Mclaren Medicare |
$9,689.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,174.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,143.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,658.90
|
| Rate for Payer: Nomi Health Commercial |
$14,032.62
|
| Rate for Payer: PACE Medicare |
$9,205.41
|
| Rate for Payer: PACE SWMI |
$9,689.91
|
| Rate for Payer: PHP Medicare Advantage |
$9,689.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,537.66
|
| Rate for Payer: Priority Health Medicare |
$9,689.91
|
| Rate for Payer: Priority Health Tiered Network |
$14,030.13
|
| Rate for Payer: Railroad Medicare Medicare |
$9,689.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,731.14
|
| Rate for Payer: UHC Core |
$14,834.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,689.91
|
| Rate for Payer: UHC Exchange |
$12,114.83
|
| Rate for Payer: VA VA |
$9,689.91
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$42,145.52
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$15,194.81 |
| Max. Negotiated Rate |
$42,145.52 |
| Rate for Payer: Aetna Medicare |
$16,634.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,993.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,993.17
|
| Rate for Payer: BCBS MAPPO |
$15,994.54
|
| Rate for Payer: BCBS Trust/PPO |
$42,145.52
|
| Rate for Payer: BCN Commercial |
$42,145.52
|
| Rate for Payer: BCN Medicare Advantage |
$15,994.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,994.54
|
| Rate for Payer: Mclaren Medicare |
$15,994.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,794.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,393.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,593.99
|
| Rate for Payer: Nomi Health Commercial |
$23,757.93
|
| Rate for Payer: PACE Medicare |
$15,194.81
|
| Rate for Payer: PACE SWMI |
$15,994.54
|
| Rate for Payer: PHP Medicare Advantage |
$15,994.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,692.15
|
| Rate for Payer: Priority Health Medicare |
$15,994.54
|
| Rate for Payer: Priority Health Tiered Network |
$23,753.71
|
| Rate for Payer: Railroad Medicare Medicare |
$15,994.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,019.71
|
| Rate for Payer: UHC Core |
$25,115.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,994.54
|
| Rate for Payer: UHC Exchange |
$20,511.01
|
| Rate for Payer: VA VA |
$15,994.54
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,656.15
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$8,194.07 |
| Max. Negotiated Rate |
$15,656.15 |
| Rate for Payer: Aetna Medicare |
$8,970.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,781.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,781.67
|
| Rate for Payer: BCBS MAPPO |
$8,625.34
|
| Rate for Payer: BCBS Trust/PPO |
$14,672.56
|
| Rate for Payer: BCN Commercial |
$14,672.56
|
| Rate for Payer: BCN Medicare Advantage |
$8,625.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,625.34
|
| Rate for Payer: Mclaren Medicare |
$8,625.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,056.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,919.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,487.87
|
| Rate for Payer: Nomi Health Commercial |
$12,390.45
|
| Rate for Payer: PACE Medicare |
$8,194.07
|
| Rate for Payer: PACE SWMI |
$8,625.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,625.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15,485.32
|
| Rate for Payer: Priority Health Medicare |
$8,625.34
|
| Rate for Payer: Priority Health Tiered Network |
$12,388.25
|
| Rate for Payer: Railroad Medicare Medicare |
$8,625.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,656.15
|
| Rate for Payer: UHC Core |
$13,098.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,625.34
|
| Rate for Payer: UHC Exchange |
$10,697.09
|
| Rate for Payer: VA VA |
$8,625.34
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$18,927.30
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$18,026.00 |
| Max. Negotiated Rate |
$18,927.30 |
| Rate for Payer: BCBS Complete |
$18,927.30
|
| Rate for Payer: Mclaren Medicaid |
$18,026.00
|
| Rate for Payer: Meridian Medicaid |
$18,927.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,026.00
|
| Rate for Payer: UHC Medicaid |
$18,026.00
|
| Rate for Payer: UHCCP Medicaid |
$18,026.00
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,549.02
|
|
|
Service Code
|
APR-DRG 5001
|
| Min. Negotiated Rate |
$4,332.40 |
| Max. Negotiated Rate |
$4,549.02 |
| Rate for Payer: BCBS Complete |
$4,549.02
|
| Rate for Payer: Mclaren Medicaid |
$4,332.40
|
| Rate for Payer: Meridian Medicaid |
$4,549.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,332.40
|
| Rate for Payer: UHC Medicaid |
$4,332.40
|
| Rate for Payer: UHCCP Medicaid |
$4,332.40
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,902.52
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$7,526.21 |
| Max. Negotiated Rate |
$7,902.52 |
| Rate for Payer: BCBS Complete |
$7,902.52
|
| Rate for Payer: Mclaren Medicaid |
$7,526.21
|
| Rate for Payer: Meridian Medicaid |
$7,902.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,526.21
|
| Rate for Payer: UHC Medicaid |
$7,526.21
|
| Rate for Payer: UHCCP Medicaid |
$7,526.21
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$11,892.21
|
|
|
Service Code
|
APR-DRG 5003
|
| Min. Negotiated Rate |
$11,325.92 |
| Max. Negotiated Rate |
$11,892.21 |
| Rate for Payer: BCBS Complete |
$11,892.21
|
| Rate for Payer: Mclaren Medicaid |
$11,325.92
|
| Rate for Payer: Meridian Medicaid |
$11,892.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,325.92
|
| Rate for Payer: UHC Medicaid |
$11,325.92
|
| Rate for Payer: UHCCP Medicaid |
$11,325.92
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$22,534.53
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$9,641.56 |
| Max. Negotiated Rate |
$22,534.53 |
| Rate for Payer: Aetna Medicare |
$10,554.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,686.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,686.26
|
| Rate for Payer: BCBS MAPPO |
$10,149.01
|
| Rate for Payer: BCBS Trust/PPO |
$22,534.53
|
| Rate for Payer: BCN Commercial |
$22,534.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,149.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,149.01
|
| Rate for Payer: Mclaren Medicare |
$10,149.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,656.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,671.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,163.91
|
| Rate for Payer: Nomi Health Commercial |
$14,740.83
|
| Rate for Payer: PACE Medicare |
$9,641.56
|
| Rate for Payer: PACE SWMI |
$10,149.01
|
| Rate for Payer: PHP Medicare Advantage |
$10,149.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,422.77
|
| Rate for Payer: Priority Health Medicare |
$10,149.01
|
| Rate for Payer: Priority Health Tiered Network |
$14,738.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10,149.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,626.01
|
| Rate for Payer: UHC Core |
$15,583.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,149.01
|
| Rate for Payer: UHC Exchange |
$12,726.25
|
| Rate for Payer: VA VA |
$10,149.01
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$29,498.11
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$14,940.60 |
| Max. Negotiated Rate |
$29,498.11 |
| Rate for Payer: Aetna Medicare |
$16,356.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,658.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,658.69
|
| Rate for Payer: BCBS MAPPO |
$15,726.95
|
| Rate for Payer: BCBS Trust/PPO |
$28,126.29
|
| Rate for Payer: BCN Commercial |
$28,126.29
|
| Rate for Payer: BCN Medicare Advantage |
$15,726.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,726.95
|
| Rate for Payer: Mclaren Medicare |
$15,726.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,513.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,085.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,299.65
|
| Rate for Payer: Nomi Health Commercial |
$23,345.13
|
| Rate for Payer: PACE Medicare |
$14,940.60
|
| Rate for Payer: PACE SWMI |
$15,726.95
|
| Rate for Payer: PHP Medicare Advantage |
$15,726.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$29,176.24
|
| Rate for Payer: Priority Health Medicare |
$15,726.95
|
| Rate for Payer: Priority Health Tiered Network |
$23,340.99
|
| Rate for Payer: Railroad Medicare Medicare |
$15,726.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,498.11
|
| Rate for Payer: UHC Core |
$24,678.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,726.95
|
| Rate for Payer: UHC Exchange |
$20,154.63
|
| Rate for Payer: VA VA |
$15,726.95
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$17,318.84
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$5,772.57 |
| Max. Negotiated Rate |
$17,318.84 |
| Rate for Payer: Aetna Medicare |
$6,319.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,595.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,595.49
|
| Rate for Payer: BCBS MAPPO |
$6,076.39
|
| Rate for Payer: BCBS Trust/PPO |
$17,318.84
|
| Rate for Payer: BCN Commercial |
$17,318.84
|
| Rate for Payer: BCN Medicare Advantage |
$6,076.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,076.39
|
| Rate for Payer: Mclaren Medicare |
$6,076.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,380.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,987.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,684.03
|
| Rate for Payer: Nomi Health Commercial |
$7,890.93
|
| Rate for Payer: PACE Medicare |
$5,772.57
|
| Rate for Payer: PACE SWMI |
$6,076.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,076.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,571.29
|
| Rate for Payer: Priority Health Medicare |
$6,076.39
|
| Rate for Payer: Priority Health Tiered Network |
$8,457.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6,076.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,970.71
|
| Rate for Payer: UHC Core |
$8,341.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,076.39
|
| Rate for Payer: UHC Exchange |
$6,812.50
|
| Rate for Payer: VA VA |
$6,076.39
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$12,605.89
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$12,005.61 |
| Max. Negotiated Rate |
$12,605.89 |
| Rate for Payer: BCBS Complete |
$12,605.89
|
| Rate for Payer: Mclaren Medicaid |
$12,005.61
|
| Rate for Payer: Meridian Medicaid |
$12,605.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,005.61
|
| Rate for Payer: UHC Medicaid |
$12,005.61
|
| Rate for Payer: UHCCP Medicaid |
$12,005.61
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,161.61
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$4,915.82 |
| Max. Negotiated Rate |
$5,161.61 |
| Rate for Payer: BCBS Complete |
$5,161.61
|
| Rate for Payer: Mclaren Medicaid |
$4,915.82
|
| Rate for Payer: Meridian Medicaid |
$5,161.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,915.82
|
| Rate for Payer: UHC Medicaid |
$4,915.82
|
| Rate for Payer: UHCCP Medicaid |
$4,915.82
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,439.45
|
|
|
Service Code
|
APR-DRG 2812
|
| Min. Negotiated Rate |
$5,180.43 |
| Max. Negotiated Rate |
$5,439.45 |
| Rate for Payer: BCBS Complete |
$5,439.45
|
| Rate for Payer: Mclaren Medicaid |
$5,180.43
|
| Rate for Payer: Meridian Medicaid |
$5,439.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,180.43
|
| Rate for Payer: UHC Medicaid |
$5,180.43
|
| Rate for Payer: UHCCP Medicaid |
$5,180.43
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$8,321.40
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$7,925.15 |
| Max. Negotiated Rate |
$8,321.40 |
| Rate for Payer: BCBS Complete |
$8,321.40
|
| Rate for Payer: Mclaren Medicaid |
$7,925.15
|
| Rate for Payer: Meridian Medicaid |
$8,321.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,925.15
|
| Rate for Payer: UHC Medicaid |
$7,925.15
|
| Rate for Payer: UHCCP Medicaid |
$7,925.15
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$24,763.55
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$9,549.41 |
| Max. Negotiated Rate |
$24,763.55 |
| Rate for Payer: Aetna Medicare |
$10,454.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,565.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,565.01
|
| Rate for Payer: BCBS MAPPO |
$10,052.01
|
| Rate for Payer: BCBS Trust/PPO |
$24,763.55
|
| Rate for Payer: BCN Commercial |
$24,763.55
|
| Rate for Payer: BCN Medicare Advantage |
$10,052.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,052.01
|
| Rate for Payer: Mclaren Medicare |
$10,052.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,554.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,559.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,057.21
|
| Rate for Payer: Nomi Health Commercial |
$14,591.19
|
| Rate for Payer: PACE Medicare |
$9,549.41
|
| Rate for Payer: PACE SWMI |
$10,052.01
|
| Rate for Payer: PHP Medicare Advantage |
$10,052.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18,235.75
|
| Rate for Payer: Priority Health Medicare |
$10,052.01
|
| Rate for Payer: Priority Health Tiered Network |
$14,588.60
|
| Rate for Payer: Railroad Medicare Medicare |
$10,052.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,436.93
|
| Rate for Payer: UHC Core |
$15,424.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,052.01
|
| Rate for Payer: UHC Exchange |
$12,597.06
|
| Rate for Payer: VA VA |
$10,052.01
|
|