|
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,874.08
|
|
|
Service Code
|
APR-DRG 5801
|
| Min. Negotiated Rate |
$2,737.22 |
| Max. Negotiated Rate |
$2,874.08 |
| Rate for Payer: BCBS Complete |
$2,874.08
|
| Rate for Payer: Mclaren Medicaid |
$2,737.22
|
| Rate for Payer: Meridian Medicaid |
$2,874.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,737.22
|
| Rate for Payer: UHC Medicaid |
$2,737.22
|
| Rate for Payer: UHCCP Medicaid |
$2,737.22
|
|
|
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$7,562.93
|
|
|
Service Code
|
APR-DRG 5803
|
| Min. Negotiated Rate |
$7,202.79 |
| Max. Negotiated Rate |
$7,562.93 |
| Rate for Payer: BCBS Complete |
$7,562.93
|
| Rate for Payer: Mclaren Medicaid |
$7,202.79
|
| Rate for Payer: Meridian Medicaid |
$7,562.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,202.79
|
| Rate for Payer: UHC Medicaid |
$7,202.79
|
| Rate for Payer: UHCCP Medicaid |
$7,202.79
|
|
|
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$14,684.58
|
|
|
Service Code
|
APR-DRG 5804
|
| Min. Negotiated Rate |
$13,985.31 |
| Max. Negotiated Rate |
$14,684.58 |
| Rate for Payer: BCBS Complete |
$14,684.58
|
| Rate for Payer: Mclaren Medicaid |
$13,985.31
|
| Rate for Payer: Meridian Medicaid |
$14,684.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,985.31
|
| Rate for Payer: UHC Medicaid |
$13,985.31
|
| Rate for Payer: UHCCP Medicaid |
$13,985.31
|
|
|
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$3,889.21
|
|
|
Service Code
|
APR-DRG 5802
|
| Min. Negotiated Rate |
$3,704.01 |
| Max. Negotiated Rate |
$3,889.21 |
| Rate for Payer: BCBS Complete |
$3,889.21
|
| Rate for Payer: Mclaren Medicaid |
$3,704.01
|
| Rate for Payer: Meridian Medicaid |
$3,889.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,704.01
|
| Rate for Payer: UHC Medicaid |
$3,704.01
|
| Rate for Payer: UHCCP Medicaid |
$3,704.01
|
|
|
NEONATE WITH ECMO
|
Facility
|
IP
|
$137,779.84
|
|
|
Service Code
|
APR-DRG 5831
|
| Min. Negotiated Rate |
$131,218.89 |
| Max. Negotiated Rate |
$137,779.84 |
| Rate for Payer: BCBS Complete |
$137,779.84
|
| Rate for Payer: Mclaren Medicaid |
$131,218.89
|
| Rate for Payer: Meridian Medicaid |
$137,779.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$131,218.89
|
| Rate for Payer: UHC Medicaid |
$131,218.89
|
| Rate for Payer: UHCCP Medicaid |
$131,218.89
|
|
|
NEONATE WITH ECMO
|
Facility
|
IP
|
$161,511.00
|
|
|
Service Code
|
APR-DRG 5832
|
| Min. Negotiated Rate |
$153,820.00 |
| Max. Negotiated Rate |
$161,511.00 |
| Rate for Payer: BCBS Complete |
$161,511.00
|
| Rate for Payer: Mclaren Medicaid |
$153,820.00
|
| Rate for Payer: Meridian Medicaid |
$161,511.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$153,820.00
|
| Rate for Payer: UHC Medicaid |
$153,820.00
|
| Rate for Payer: UHCCP Medicaid |
$153,820.00
|
|
|
NEONATE WITH ECMO
|
Facility
|
IP
|
$291,321.13
|
|
|
Service Code
|
APR-DRG 5833
|
| Min. Negotiated Rate |
$277,448.70 |
| Max. Negotiated Rate |
$291,321.13 |
| Rate for Payer: BCBS Complete |
$291,321.13
|
| Rate for Payer: Mclaren Medicaid |
$277,448.70
|
| Rate for Payer: Meridian Medicaid |
$291,321.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$277,448.70
|
| Rate for Payer: UHC Medicaid |
$277,448.70
|
| Rate for Payer: UHCCP Medicaid |
$277,448.70
|
|
|
NEONATE WITH ECMO
|
Facility
|
IP
|
$481,864.73
|
|
|
Service Code
|
APR-DRG 5834
|
| Min. Negotiated Rate |
$458,918.79 |
| Max. Negotiated Rate |
$481,864.73 |
| Rate for Payer: BCBS Complete |
$481,864.73
|
| Rate for Payer: Mclaren Medicaid |
$458,918.79
|
| Rate for Payer: Meridian Medicaid |
$481,864.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$458,918.79
|
| Rate for Payer: UHC Medicaid |
$458,918.79
|
| Rate for Payer: UHCCP Medicaid |
$458,918.79
|
|
|
NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$24,057.17
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$2,686.59 |
| Max. Negotiated Rate |
$24,057.17 |
| Rate for Payer: Aetna Medicare |
$13,452.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,169.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,169.34
|
| Rate for Payer: BCBS MAPPO |
$12,935.47
|
| Rate for Payer: BCBS Trust/PPO |
$4,595.30
|
| Rate for Payer: BCN Commercial |
$4,595.30
|
| Rate for Payer: BCN Medicare Advantage |
$12,935.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,935.47
|
| Rate for Payer: Mclaren Medicare |
$12,935.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,582.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,875.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,229.02
|
| Rate for Payer: Nomi Health Commercial |
$19,039.11
|
| Rate for Payer: PACE Medicare |
$12,288.70
|
| Rate for Payer: PACE SWMI |
$12,935.47
|
| Rate for Payer: PHP Medicare Advantage |
$12,935.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,358.24
|
| Rate for Payer: Priority Health Medicare |
$12,935.47
|
| Rate for Payer: Priority Health Tiered Network |
$2,686.59
|
| Rate for Payer: Railroad Medicare Medicare |
$12,935.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,057.17
|
| Rate for Payer: UHC Core |
$20,126.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,935.47
|
| Rate for Payer: UHC Exchange |
$16,437.10
|
| Rate for Payer: VA VA |
$12,935.47
|
|
|
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$21.19
|
|
|
Service Code
|
HCPCS J2710
|
| Hospital Charge Code |
167219
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.33 |
| Max. Negotiated Rate |
$19.07 |
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna American Axle |
$10.73
|
| Rate for Payer: Aetna American Axle |
$11.78
|
| Rate for Payer: Aetna American Axle |
$13.46
|
| Rate for Payer: Aetna American Axle |
$11.45
|
| Rate for Payer: Aetna American Axle |
$17.53
|
| Rate for Payer: Aetna American Axle |
$14.26
|
| Rate for Payer: Aetna Commercial |
$22.92
|
| Rate for Payer: Aetna Commercial |
$14.03
|
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$15.40
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna Commercial |
$14.98
|
| Rate for Payer: Aetna Commercial |
$18.65
|
| Rate for Payer: Aetna Medicare |
$8.26
|
| Rate for Payer: Aetna Medicare |
$13.48
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Aetna Medicare |
$10.97
|
| Rate for Payer: Aetna Medicare |
$10.35
|
| Rate for Payer: Aetna Medicare |
$8.81
|
| Rate for Payer: Aetna Medicare |
$9.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.26
|
| Rate for Payer: BCBS Complete |
$7.05
|
| Rate for Payer: BCBS Complete |
$10.79
|
| Rate for Payer: BCBS Complete |
$8.28
|
| Rate for Payer: BCBS Complete |
$8.48
|
| Rate for Payer: BCBS Complete |
$8.78
|
| Rate for Payer: BCBS Complete |
$6.60
|
| Rate for Payer: BCBS Complete |
$7.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: BCN Commercial |
$3.25
|
| Rate for Payer: Cash Price |
$14.50
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cash Price |
$13.21
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$17.55
|
| Rate for Payer: Cash Price |
$13.21
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cash Price |
$14.10
|
| Rate for Payer: Cash Price |
$17.55
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$14.10
|
| Rate for Payer: Cash Price |
$14.50
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Advantage |
$12.68
|
| Rate for Payer: Cofinity Advantage |
$12.33
|
| Rate for Payer: Cofinity Advantage |
$11.56
|
| Rate for Payer: Cofinity Advantage |
$14.83
|
| Rate for Payer: Cofinity Advantage |
$15.36
|
| Rate for Payer: Cofinity Advantage |
$18.88
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$18.87
|
| Rate for Payer: Cofinity Commercial |
$23.19
|
| Rate for Payer: Cofinity Commercial |
$14.20
|
| Rate for Payer: Cofinity Commercial |
$15.15
|
| Rate for Payer: Cofinity Commercial |
$15.58
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.58
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$19.75
|
| Rate for Payer: Healthscope Commercial |
$24.27
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Healthscope Commercial |
$15.86
|
| Rate for Payer: Healthscope Commercial |
$14.86
|
| Rate for Payer: Healthscope Commercial |
$16.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.38
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: PHP Commercial |
$15.40
|
| Rate for Payer: PHP Commercial |
$14.03
|
| Rate for Payer: PHP Commercial |
$14.98
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: PHP Commercial |
$18.65
|
| Rate for Payer: PHP Commercial |
$22.92
|
| Rate for Payer: Priority Health SBD |
$13.82
|
| Rate for Payer: Priority Health SBD |
$11.42
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: Priority Health SBD |
$16.99
|
| Rate for Payer: Priority Health SBD |
$11.10
|
| Rate for Payer: Priority Health SBD |
$10.40
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Core |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UHC Exchange |
$2.33
|
| Rate for Payer: UMR Bronson Commercial |
$6.70
|
| Rate for Payer: UMR Bronson Commercial |
$7.66
|
| Rate for Payer: UMR Bronson Commercial |
$6.52
|
| Rate for Payer: UMR Bronson Commercial |
$6.11
|
| Rate for Payer: UMR Bronson Commercial |
$9.98
|
| Rate for Payer: UMR Bronson Commercial |
$8.12
|
| Rate for Payer: UMR Bronson Commercial |
$7.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.53
|
|
|
NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$16.51
|
|
|
Service Code
|
HCPCS J2710
|
| Hospital Charge Code |
167219
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.26 |
| Max. Negotiated Rate |
$14.86 |
| Rate for Payer: Aetna American Axle |
$10.73
|
| Rate for Payer: Aetna American Axle |
$11.78
|
| Rate for Payer: Aetna American Axle |
$13.46
|
| Rate for Payer: Aetna American Axle |
$17.53
|
| Rate for Payer: Aetna American Axle |
$14.26
|
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna American Axle |
$11.45
|
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$14.98
|
| Rate for Payer: Aetna Commercial |
$14.03
|
| Rate for Payer: Aetna Commercial |
$15.40
|
| Rate for Payer: Aetna Commercial |
$22.92
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna Commercial |
$18.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.53
|
| Rate for Payer: Cash Price |
$13.21
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$14.50
|
| Rate for Payer: Cash Price |
$14.10
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$17.55
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cofinity Advantage |
$15.36
|
| Rate for Payer: Cofinity Advantage |
$11.56
|
| Rate for Payer: Cofinity Advantage |
$12.33
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Advantage |
$12.68
|
| Rate for Payer: Cofinity Advantage |
$14.83
|
| Rate for Payer: Cofinity Advantage |
$18.88
|
| Rate for Payer: Cofinity Commercial |
$15.58
|
| Rate for Payer: Cofinity Commercial |
$23.19
|
| Rate for Payer: Cofinity Commercial |
$18.87
|
| Rate for Payer: Cofinity Commercial |
$14.20
|
| Rate for Payer: Cofinity Commercial |
$15.15
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.10
|
| Rate for Payer: Healthscope Commercial |
$24.27
|
| Rate for Payer: Healthscope Commercial |
$14.86
|
| Rate for Payer: Healthscope Commercial |
$19.75
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$15.86
|
| Rate for Payer: Healthscope Commercial |
$16.31
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.21
|
| Rate for Payer: PHP Commercial |
$14.98
|
| Rate for Payer: PHP Commercial |
$18.65
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: PHP Commercial |
$22.92
|
| Rate for Payer: PHP Commercial |
$15.40
|
| Rate for Payer: PHP Commercial |
$14.03
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: Priority Health SBD |
$10.40
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: Priority Health SBD |
$13.82
|
| Rate for Payer: Priority Health SBD |
$16.99
|
| Rate for Payer: Priority Health SBD |
$11.10
|
| Rate for Payer: Priority Health SBD |
$11.42
|
| Rate for Payer: UMR Bronson Commercial |
$11.87
|
| Rate for Payer: UMR Bronson Commercial |
$7.26
|
| Rate for Payer: UMR Bronson Commercial |
$9.11
|
| Rate for Payer: UMR Bronson Commercial |
$7.75
|
| Rate for Payer: UMR Bronson Commercial |
$9.32
|
| Rate for Payer: UMR Bronson Commercial |
$9.65
|
| Rate for Payer: UMR Bronson Commercial |
$7.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.23
|
|
|
NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$8,156.75
|
|
|
Service Code
|
APR-DRG 4623
|
| Min. Negotiated Rate |
$7,768.34 |
| Max. Negotiated Rate |
$8,156.75 |
| Rate for Payer: BCBS Complete |
$8,156.75
|
| Rate for Payer: Mclaren Medicaid |
$7,768.34
|
| Rate for Payer: Meridian Medicaid |
$8,156.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,768.34
|
| Rate for Payer: UHC Medicaid |
$7,768.34
|
| Rate for Payer: UHCCP Medicaid |
$7,768.34
|
|
|
NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$4,925.53
|
|
|
Service Code
|
APR-DRG 4622
|
| Min. Negotiated Rate |
$4,690.98 |
| Max. Negotiated Rate |
$4,925.53 |
| Rate for Payer: BCBS Complete |
$4,925.53
|
| Rate for Payer: Mclaren Medicaid |
$4,690.98
|
| Rate for Payer: Meridian Medicaid |
$4,925.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,690.98
|
| Rate for Payer: UHC Medicaid |
$4,690.98
|
| Rate for Payer: UHCCP Medicaid |
$4,690.98
|
|
|
NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$22,934.55
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$21,842.43 |
| Max. Negotiated Rate |
$22,934.55 |
| Rate for Payer: BCBS Complete |
$22,934.55
|
| Rate for Payer: Mclaren Medicaid |
$21,842.43
|
| Rate for Payer: Meridian Medicaid |
$22,934.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,842.43
|
| Rate for Payer: UHC Medicaid |
$21,842.43
|
| Rate for Payer: UHCCP Medicaid |
$21,842.43
|
|
|
NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$3,444.90
|
|
|
Service Code
|
APR-DRG 4621
|
| Min. Negotiated Rate |
$3,280.86 |
| Max. Negotiated Rate |
$3,444.90 |
| Rate for Payer: BCBS Complete |
$3,444.90
|
| Rate for Payer: Mclaren Medicaid |
$3,280.86
|
| Rate for Payer: Meridian Medicaid |
$3,444.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,280.86
|
| Rate for Payer: UHC Medicaid |
$3,280.86
|
| Rate for Payer: UHCCP Medicaid |
$3,280.86
|
|
|
NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH NERVE, FIRST STRAND (CABLE)
|
Facility
|
OP
|
$28,278.25
|
|
|
Service Code
|
CPT 64912
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,573.26 |
| Max. Negotiated Rate |
$28,278.25 |
| Rate for Payer: Aetna Medicare |
$9,094.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,930.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,930.36
|
| Rate for Payer: BCBS Complete |
$4,802.36
|
| Rate for Payer: BCBS MAPPO |
$8,744.29
|
| Rate for Payer: BCBS Trust/PPO |
$8,658.95
|
| Rate for Payer: BCN Commercial |
$8,658.95
|
| Rate for Payer: BCN Medicare Advantage |
$8,744.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,744.29
|
| Rate for Payer: Mclaren Medicaid |
$8,744.29
|
| Rate for Payer: Mclaren Medicare |
$8,744.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,181.50
|
| Rate for Payer: Meridian Medicaid |
$9,181.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,055.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,618.72
|
| Rate for Payer: Nomi Health Commercial |
$26,232.87
|
| Rate for Payer: PACE Medicare |
$8,307.08
|
| Rate for Payer: PACE SWMI |
$8,744.29
|
| Rate for Payer: PHP Medicare Advantage |
$8,744.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,573.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,278.25
|
| Rate for Payer: Priority Health Medicare |
$8,744.29
|
| Rate for Payer: Priority Health Tiered Network |
$22,622.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,744.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,744.29
|
| Rate for Payer: UHC Medicaid |
$4,573.26
|
| Rate for Payer: UHCCP Medicaid |
$4,573.26
|
| Rate for Payer: VA VA |
$8,744.29
|
|
|
NERVE REPAIR; WITH SYNTHETIC CONDUIT OR VEIN ALLOGRAFT (EG, NERVE TUBE), EACH NERVE
|
Facility
|
OP
|
$28,278.25
|
|
|
Service Code
|
CPT 64910
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,573.26 |
| Max. Negotiated Rate |
$28,278.25 |
| Rate for Payer: Aetna Medicare |
$9,094.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,930.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,930.36
|
| Rate for Payer: BCBS Complete |
$4,802.36
|
| Rate for Payer: BCBS MAPPO |
$8,744.29
|
| Rate for Payer: BCBS Trust/PPO |
$6,374.96
|
| Rate for Payer: BCN Commercial |
$6,374.96
|
| Rate for Payer: BCN Medicare Advantage |
$8,744.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,744.29
|
| Rate for Payer: Mclaren Medicaid |
$8,744.29
|
| Rate for Payer: Mclaren Medicare |
$8,744.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,181.50
|
| Rate for Payer: Meridian Medicaid |
$9,181.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,055.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,618.72
|
| Rate for Payer: Nomi Health Commercial |
$26,232.87
|
| Rate for Payer: PACE Medicare |
$8,307.08
|
| Rate for Payer: PACE SWMI |
$8,744.29
|
| Rate for Payer: PHP Medicare Advantage |
$8,744.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,573.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,278.25
|
| Rate for Payer: Priority Health Medicare |
$8,744.29
|
| Rate for Payer: Priority Health Tiered Network |
$22,622.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,744.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,744.29
|
| Rate for Payer: UHC Medicaid |
$4,573.26
|
| Rate for Payer: UHCCP Medicaid |
$4,573.26
|
| Rate for Payer: VA VA |
$8,744.29
|
|
|
NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,914.62
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$8,490.12 |
| Max. Negotiated Rate |
$8,914.62 |
| Rate for Payer: BCBS Complete |
$8,914.62
|
| Rate for Payer: Mclaren Medicaid |
$8,490.12
|
| Rate for Payer: Meridian Medicaid |
$8,914.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,490.12
|
| Rate for Payer: UHC Medicaid |
$8,490.12
|
| Rate for Payer: UHCCP Medicaid |
$8,490.12
|
|
|
NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,897.68
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,616.84 |
| Max. Negotiated Rate |
$5,897.68 |
| Rate for Payer: BCBS Complete |
$5,897.68
|
| Rate for Payer: Mclaren Medicaid |
$5,616.84
|
| Rate for Payer: Meridian Medicaid |
$5,897.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.84
|
| Rate for Payer: UHC Medicaid |
$5,616.84
|
| Rate for Payer: UHCCP Medicaid |
$5,616.84
|
|
|
NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$12,235.43
|
|
|
Service Code
|
APR-DRG 0414
|
| Min. Negotiated Rate |
$11,652.79 |
| Max. Negotiated Rate |
$12,235.43 |
| Rate for Payer: BCBS Complete |
$12,235.43
|
| Rate for Payer: Mclaren Medicaid |
$11,652.79
|
| Rate for Payer: Meridian Medicaid |
$12,235.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,652.79
|
| Rate for Payer: UHC Medicaid |
$11,652.79
|
| Rate for Payer: UHCCP Medicaid |
$11,652.79
|
|
|
NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,532.67
|
|
|
Service Code
|
APR-DRG 0411
|
| Min. Negotiated Rate |
$4,316.83 |
| Max. Negotiated Rate |
$4,532.67 |
| Rate for Payer: BCBS Complete |
$4,532.67
|
| Rate for Payer: Mclaren Medicaid |
$4,316.83
|
| Rate for Payer: Meridian Medicaid |
$4,532.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,316.83
|
| Rate for Payer: UHC Medicaid |
$4,316.83
|
| Rate for Payer: UHCCP Medicaid |
$4,316.83
|
|
|
NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$27,741.98
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$12,693.87 |
| Max. Negotiated Rate |
$27,741.98 |
| Rate for Payer: Aetna Medicare |
$13,896.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,702.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,702.46
|
| Rate for Payer: BCBS MAPPO |
$13,361.97
|
| Rate for Payer: BCBS Trust/PPO |
$27,741.98
|
| Rate for Payer: BCN Commercial |
$27,741.98
|
| Rate for Payer: BCN Medicare Advantage |
$13,361.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,361.97
|
| Rate for Payer: Mclaren Medicare |
$13,361.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,030.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,366.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,698.17
|
| Rate for Payer: Nomi Health Commercial |
$19,697.01
|
| Rate for Payer: PACE Medicare |
$12,693.87
|
| Rate for Payer: PACE SWMI |
$13,361.97
|
| Rate for Payer: PHP Medicare Advantage |
$13,361.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,616.90
|
| Rate for Payer: Priority Health Medicare |
$13,361.97
|
| Rate for Payer: Priority Health Tiered Network |
$19,693.51
|
| Rate for Payer: Railroad Medicare Medicare |
$13,361.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,888.47
|
| Rate for Payer: UHC Core |
$20,822.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,361.97
|
| Rate for Payer: UHC Exchange |
$17,005.09
|
| Rate for Payer: VA VA |
$13,361.97
|
|
|
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$26,133.35
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$8,663.58 |
| Max. Negotiated Rate |
$26,133.35 |
| Rate for Payer: Aetna Medicare |
$9,484.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,399.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,399.45
|
| Rate for Payer: BCBS MAPPO |
$9,119.56
|
| Rate for Payer: BCBS Trust/PPO |
$26,133.35
|
| Rate for Payer: BCN Commercial |
$26,133.35
|
| Rate for Payer: BCN Medicare Advantage |
$9,119.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,119.56
|
| Rate for Payer: Mclaren Medicare |
$9,119.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,575.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,487.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,031.52
|
| Rate for Payer: Nomi Health Commercial |
$13,152.84
|
| Rate for Payer: PACE Medicare |
$8,663.58
|
| Rate for Payer: PACE SWMI |
$9,119.56
|
| Rate for Payer: PHP Medicare Advantage |
$9,119.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,438.13
|
| Rate for Payer: Priority Health Medicare |
$9,119.56
|
| Rate for Payer: Priority Health Tiered Network |
$13,150.51
|
| Rate for Payer: Railroad Medicare Medicare |
$9,119.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,619.48
|
| Rate for Payer: UHC Core |
$13,904.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,119.56
|
| Rate for Payer: UHC Exchange |
$11,355.29
|
| Rate for Payer: VA VA |
$9,119.56
|
|
|
NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$23,047.86
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$6,907.84 |
| Max. Negotiated Rate |
$23,047.86 |
| Rate for Payer: Aetna Medicare |
$7,562.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,089.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,089.26
|
| Rate for Payer: BCBS MAPPO |
$7,271.41
|
| Rate for Payer: BCBS Trust/PPO |
$23,047.86
|
| Rate for Payer: BCN Commercial |
$23,047.86
|
| Rate for Payer: BCN Medicare Advantage |
$7,271.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,271.41
|
| Rate for Payer: Mclaren Medicare |
$7,271.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,634.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,362.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,998.55
|
| Rate for Payer: Nomi Health Commercial |
$10,301.94
|
| Rate for Payer: PACE Medicare |
$6,907.84
|
| Rate for Payer: PACE SWMI |
$7,271.41
|
| Rate for Payer: PHP Medicare Advantage |
$7,271.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,875.14
|
| Rate for Payer: Priority Health Medicare |
$7,271.41
|
| Rate for Payer: Priority Health Tiered Network |
$10,300.11
|
| Rate for Payer: Railroad Medicare Medicare |
$7,271.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,017.18
|
| Rate for Payer: UHC Core |
$10,890.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,271.41
|
| Rate for Payer: UHC Exchange |
$8,894.01
|
| Rate for Payer: VA VA |
$7,271.41
|
|
|
NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL
|
Facility
|
OP
|
$6,292.24
|
|
|
Service Code
|
CPT 64721
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$6,292.24 |
| Rate for Payer: Aetna Medicare |
$2,023.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,415.67
|
| Rate for Payer: BCN Commercial |
$2,415.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$2,042.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Nomi Health Commercial |
$5,837.10
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6,292.24
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Tiered Network |
$5,033.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
