|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$32,746.38
|
|
|
Service Code
|
MSDRG 345
|
| Min. Negotiated Rate |
$11,872.97 |
| Max. Negotiated Rate |
$32,746.38 |
| Rate for Payer: Aetna Medicare |
$12,997.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,622.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,622.32
|
| Rate for Payer: BCBS MAPPO |
$12,497.86
|
| Rate for Payer: BCBS Trust/PPO |
$32,746.38
|
| Rate for Payer: BCN Commercial |
$32,746.38
|
| Rate for Payer: BCN Medicare Advantage |
$12,497.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,497.86
|
| Rate for Payer: Mclaren Medicare |
$12,497.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,122.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,372.54
|
| Rate for Payer: Nomi Health Commercial |
$19,204.23
|
| Rate for Payer: PACE Medicare |
$11,872.97
|
| Rate for Payer: PACE SWMI |
$12,497.86
|
| Rate for Payer: PHP Medicare Advantage |
$12,497.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,865.79
|
| Rate for Payer: Priority Health Medicare |
$12,497.86
|
| Rate for Payer: Priority Health Narrow Network |
$18,292.63
|
| Rate for Payer: Railroad Medicare Medicare |
$12,497.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,277.31
|
| Rate for Payer: UHC Core |
$18,620.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,497.86
|
| Rate for Payer: UHC Exchange |
$14,803.63
|
| Rate for Payer: UHC Medicare Advantage |
$12,497.86
|
| Rate for Payer: VA VA |
$12,497.86
|
|
|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,907.19
|
|
|
Service Code
|
MSDRG 344
|
| Min. Negotiated Rate |
$21,150.59 |
| Max. Negotiated Rate |
$56,907.19 |
| Rate for Payer: Aetna Medicare |
$23,154.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,829.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,829.72
|
| Rate for Payer: BCBS MAPPO |
$22,263.78
|
| Rate for Payer: BCBS Trust/PPO |
$56,907.19
|
| Rate for Payer: BCN Commercial |
$56,907.19
|
| Rate for Payer: BCN Medicare Advantage |
$22,263.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,263.78
|
| Rate for Payer: Mclaren Medicare |
$22,263.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,376.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,603.35
|
| Rate for Payer: Nomi Health Commercial |
$34,759.05
|
| Rate for Payer: PACE Medicare |
$21,150.59
|
| Rate for Payer: PACE SWMI |
$22,263.78
|
| Rate for Payer: PHP Medicare Advantage |
$22,263.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,370.92
|
| Rate for Payer: Priority Health Medicare |
$22,263.78
|
| Rate for Payer: Priority Health Narrow Network |
$33,096.74
|
| Rate for Payer: Railroad Medicare Medicare |
$22,263.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42,131.20
|
| Rate for Payer: UHC Core |
$33,702.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,263.78
|
| Rate for Payer: UHC Exchange |
$26,794.11
|
| Rate for Payer: UHC Medicare Advantage |
$22,263.78
|
| Rate for Payer: VA VA |
$22,263.78
|
|
|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,483.54
|
|
|
Service Code
|
MSDRG 346
|
| Min. Negotiated Rate |
$10,000.20 |
| Max. Negotiated Rate |
$30,483.54 |
| Rate for Payer: Aetna Medicare |
$10,947.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,158.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,158.16
|
| Rate for Payer: BCBS MAPPO |
$10,526.53
|
| Rate for Payer: BCBS Trust/PPO |
$30,483.54
|
| Rate for Payer: BCN Commercial |
$30,483.54
|
| Rate for Payer: BCN Medicare Advantage |
$10,526.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,526.53
|
| Rate for Payer: Mclaren Medicare |
$10,526.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,052.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,105.51
|
| Rate for Payer: Nomi Health Commercial |
$16,064.37
|
| Rate for Payer: PACE Medicare |
$10,000.20
|
| Rate for Payer: PACE SWMI |
$10,526.53
|
| Rate for Payer: PHP Medicare Advantage |
$10,526.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,119.31
|
| Rate for Payer: Priority Health Medicare |
$10,526.53
|
| Rate for Payer: Priority Health Narrow Network |
$15,295.45
|
| Rate for Payer: Railroad Medicare Medicare |
$10,526.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,471.51
|
| Rate for Payer: UHC Core |
$15,576.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,526.53
|
| Rate for Payer: UHC Exchange |
$12,383.26
|
| Rate for Payer: UHC Medicare Advantage |
$10,526.53
|
| Rate for Payer: VA VA |
$10,526.53
|
|
|
MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
|
Facility
|
IP
|
$25,822.88
|
|
|
Service Code
|
MSDRG 640
|
| Min. Negotiated Rate |
$10,636.51 |
| Max. Negotiated Rate |
$25,822.88 |
| Rate for Payer: Aetna Medicare |
$11,644.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,995.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,995.41
|
| Rate for Payer: BCBS MAPPO |
$11,196.33
|
| Rate for Payer: BCBS Trust/PPO |
$25,822.88
|
| Rate for Payer: BCN Commercial |
$25,822.88
|
| Rate for Payer: BCN Medicare Advantage |
$11,196.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,196.33
|
| Rate for Payer: Mclaren Medicare |
$11,196.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,756.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,875.78
|
| Rate for Payer: Nomi Health Commercial |
$17,131.20
|
| Rate for Payer: PACE Medicare |
$10,636.51
|
| Rate for Payer: PACE SWMI |
$11,196.33
|
| Rate for Payer: PHP Medicare Advantage |
$11,196.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,392.19
|
| Rate for Payer: Priority Health Medicare |
$11,196.33
|
| Rate for Payer: Priority Health Narrow Network |
$16,313.76
|
| Rate for Payer: Railroad Medicare Medicare |
$11,196.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,764.61
|
| Rate for Payer: UHC Core |
$16,610.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,196.33
|
| Rate for Payer: UHC Exchange |
$13,205.63
|
| Rate for Payer: UHC Medicare Advantage |
$11,196.33
|
| Rate for Payer: VA VA |
$11,196.33
|
|
|
MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
|
Facility
|
IP
|
$14,434.56
|
|
|
Service Code
|
MSDRG 641
|
| Min. Negotiated Rate |
$6,430.87 |
| Max. Negotiated Rate |
$14,434.56 |
| Rate for Payer: Aetna Medicare |
$7,040.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,461.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,461.68
|
| Rate for Payer: BCBS MAPPO |
$6,769.34
|
| Rate for Payer: BCBS Trust/PPO |
$14,434.56
|
| Rate for Payer: BCN Commercial |
$14,434.56
|
| Rate for Payer: BCN Medicare Advantage |
$6,769.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,769.34
|
| Rate for Payer: Mclaren Medicare |
$6,769.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,107.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,784.74
|
| Rate for Payer: Nomi Health Commercial |
$10,080.06
|
| Rate for Payer: PACE Medicare |
$6,430.87
|
| Rate for Payer: PACE SWMI |
$6,769.34
|
| Rate for Payer: PHP Medicare Advantage |
$6,769.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,999.47
|
| Rate for Payer: Priority Health Medicare |
$6,769.34
|
| Rate for Payer: Priority Health Narrow Network |
$9,599.58
|
| Rate for Payer: Railroad Medicare Medicare |
$6,769.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,217.97
|
| Rate for Payer: UHC Core |
$9,773.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,769.34
|
| Rate for Payer: UHC Exchange |
$7,770.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,769.34
|
| Rate for Payer: VA VA |
$6,769.34
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$26,579.80
|
|
|
Service Code
|
MSDRG 137
|
| Min. Negotiated Rate |
$11,179.72 |
| Max. Negotiated Rate |
$26,579.80 |
| Rate for Payer: Aetna Medicare |
$12,238.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,710.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,710.16
|
| Rate for Payer: BCBS MAPPO |
$11,768.13
|
| Rate for Payer: BCBS Trust/PPO |
$26,579.80
|
| Rate for Payer: BCN Commercial |
$26,579.80
|
| Rate for Payer: BCN Medicare Advantage |
$11,768.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,768.13
|
| Rate for Payer: Mclaren Medicare |
$11,768.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,356.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,533.35
|
| Rate for Payer: Nomi Health Commercial |
$18,041.94
|
| Rate for Payer: PACE Medicare |
$11,179.72
|
| Rate for Payer: PACE SWMI |
$11,768.13
|
| Rate for Payer: PHP Medicare Advantage |
$11,768.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,473.14
|
| Rate for Payer: Priority Health Medicare |
$11,768.13
|
| Rate for Payer: Priority Health Narrow Network |
$17,178.52
|
| Rate for Payer: Railroad Medicare Medicare |
$11,768.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,868.51
|
| Rate for Payer: UHC Core |
$17,493.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,768.13
|
| Rate for Payer: UHC Exchange |
$13,907.68
|
| Rate for Payer: UHC Medicare Advantage |
$11,768.13
|
| Rate for Payer: VA VA |
$11,768.13
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,292.05
|
|
|
Service Code
|
MSDRG 138
|
| Min. Negotiated Rate |
$6,677.86 |
| Max. Negotiated Rate |
$15,292.05 |
| Rate for Payer: Aetna Medicare |
$7,310.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,786.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,786.66
|
| Rate for Payer: BCBS MAPPO |
$7,029.33
|
| Rate for Payer: BCBS Trust/PPO |
$15,292.05
|
| Rate for Payer: BCN Commercial |
$15,292.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,029.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,029.33
|
| Rate for Payer: Mclaren Medicare |
$7,029.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,380.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,083.73
|
| Rate for Payer: Nomi Health Commercial |
$10,494.15
|
| Rate for Payer: PACE Medicare |
$6,677.86
|
| Rate for Payer: PACE SWMI |
$7,029.33
|
| Rate for Payer: PHP Medicare Advantage |
$7,029.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,490.81
|
| Rate for Payer: Priority Health Medicare |
$7,029.33
|
| Rate for Payer: Priority Health Narrow Network |
$9,992.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,029.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,719.89
|
| Rate for Payer: UHC Core |
$10,175.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,029.33
|
| Rate for Payer: UHC Exchange |
$8,089.44
|
| Rate for Payer: UHC Medicare Advantage |
$7,029.33
|
| Rate for Payer: VA VA |
$7,029.33
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
|
Facility
|
IP
|
$111,057.82
|
|
|
Service Code
|
MSDRG 427
|
| Min. Negotiated Rate |
$70,629.25 |
| Max. Negotiated Rate |
$111,057.82 |
| Rate for Payer: BCBS Trust/PPO |
$102,396.95
|
| Rate for Payer: BCN Commercial |
$102,396.95
|
| Rate for Payer: Nomi Health Commercial |
$91,624.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$108,996.35
|
| Rate for Payer: Priority Health Narrow Network |
$87,197.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111,057.82
|
| Rate for Payer: UHC Core |
$88,840.57
|
| Rate for Payer: UHC Exchange |
$70,629.25
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$163,793.35
|
|
|
Service Code
|
MSDRG 426
|
| Min. Negotiated Rate |
$104,167.38 |
| Max. Negotiated Rate |
$163,793.35 |
| Rate for Payer: BCBS Trust/PPO |
$153,164.04
|
| Rate for Payer: BCN Commercial |
$153,164.04
|
| Rate for Payer: Nomi Health Commercial |
$135,132.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160,938.78
|
| Rate for Payer: Priority Health Narrow Network |
$128,751.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163,793.35
|
| Rate for Payer: UHC Core |
$131,026.30
|
| Rate for Payer: UHC Exchange |
$104,167.38
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
|
Facility
|
IP
|
$86,154.77
|
|
|
Service Code
|
MSDRG 428
|
| Min. Negotiated Rate |
$54,732.77 |
| Max. Negotiated Rate |
$86,154.77 |
| Rate for Payer: BCBS Trust/PPO |
$86,154.77
|
| Rate for Payer: BCN Commercial |
$86,154.77
|
| Rate for Payer: Nomi Health Commercial |
$71,002.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84,529.10
|
| Rate for Payer: Priority Health Narrow Network |
$67,623.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86,062.11
|
| Rate for Payer: UHC Core |
$68,845.28
|
| Rate for Payer: UHC Exchange |
$54,732.77
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$109,897.42
|
|
|
Service Code
|
MSDRG 447
|
| Min. Negotiated Rate |
$66,671.54 |
| Max. Negotiated Rate |
$109,897.42 |
| Rate for Payer: BCBS Trust/PPO |
$109,897.42
|
| Rate for Payer: BCN Commercial |
$109,897.42
|
| Rate for Payer: Nomi Health Commercial |
$86,490.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102,939.04
|
| Rate for Payer: Priority Health Narrow Network |
$82,351.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104,834.69
|
| Rate for Payer: UHC Core |
$83,862.39
|
| Rate for Payer: UHC Exchange |
$66,671.54
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$69,383.27
|
|
|
Service Code
|
MSDRG 448
|
| Min. Negotiated Rate |
$40,606.32 |
| Max. Negotiated Rate |
$69,383.27 |
| Rate for Payer: BCBS Trust/PPO |
$69,383.27
|
| Rate for Payer: BCN Commercial |
$69,383.27
|
| Rate for Payer: Nomi Health Commercial |
$52,677.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62,695.13
|
| Rate for Payer: Priority Health Narrow Network |
$50,156.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63,849.61
|
| Rate for Payer: UHC Core |
$51,076.42
|
| Rate for Payer: UHC Exchange |
$40,606.32
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
|
IP
|
$30,684.68
|
|
|
Service Code
|
MSDRG 059
|
| Min. Negotiated Rate |
$9,833.26 |
| Max. Negotiated Rate |
$30,684.68 |
| Rate for Payer: Aetna Medicare |
$10,764.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,938.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,938.50
|
| Rate for Payer: BCBS MAPPO |
$10,350.80
|
| Rate for Payer: BCBS Trust/PPO |
$30,684.68
|
| Rate for Payer: BCN Commercial |
$30,684.68
|
| Rate for Payer: BCN Medicare Advantage |
$10,350.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,350.80
|
| Rate for Payer: Mclaren Medicare |
$10,350.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,868.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,903.42
|
| Rate for Payer: Nomi Health Commercial |
$15,784.44
|
| Rate for Payer: PACE Medicare |
$9,833.26
|
| Rate for Payer: PACE SWMI |
$10,350.80
|
| Rate for Payer: PHP Medicare Advantage |
$10,350.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,786.12
|
| Rate for Payer: Priority Health Medicare |
$10,350.80
|
| Rate for Payer: Priority Health Narrow Network |
$15,028.90
|
| Rate for Payer: Railroad Medicare Medicare |
$10,350.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,132.21
|
| Rate for Payer: UHC Core |
$15,304.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,350.80
|
| Rate for Payer: UHC Exchange |
$12,167.48
|
| Rate for Payer: UHC Medicare Advantage |
$10,350.80
|
| Rate for Payer: VA VA |
$10,350.80
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
|
IP
|
$32,023.86
|
|
|
Service Code
|
MSDRG 058
|
| Min. Negotiated Rate |
$14,621.34 |
| Max. Negotiated Rate |
$32,023.86 |
| Rate for Payer: UHC Dual Complete DSNP |
$15,390.88
|
| Rate for Payer: Aetna Medicare |
$16,006.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,238.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,238.60
|
| Rate for Payer: BCBS MAPPO |
$15,390.88
|
| Rate for Payer: BCBS Trust/PPO |
$32,023.86
|
| Rate for Payer: BCN Commercial |
$32,023.86
|
| Rate for Payer: BCN Medicare Advantage |
$15,390.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,390.88
|
| Rate for Payer: Mclaren Medicare |
$15,390.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,160.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,699.51
|
| Rate for Payer: Nomi Health Commercial |
$23,812.11
|
| Rate for Payer: PACE Medicare |
$14,621.34
|
| Rate for Payer: PACE SWMI |
$15,390.88
|
| Rate for Payer: PHP Medicare Advantage |
$15,390.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,339.63
|
| Rate for Payer: Priority Health Medicare |
$15,390.88
|
| Rate for Payer: Priority Health Narrow Network |
$22,671.71
|
| Rate for Payer: Railroad Medicare Medicare |
$15,390.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,862.49
|
| Rate for Payer: UHC Core |
$23,088.52
|
| Rate for Payer: UHC Exchange |
$18,355.63
|
| Rate for Payer: UHC Medicare Advantage |
$15,390.88
|
| Rate for Payer: VA VA |
$15,390.88
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
|
IP
|
$20,233.26
|
|
|
Service Code
|
MSDRG 060
|
| Min. Negotiated Rate |
$7,284.92 |
| Max. Negotiated Rate |
$20,233.26 |
| Rate for Payer: Aetna Medicare |
$7,975.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,585.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,585.42
|
| Rate for Payer: BCBS MAPPO |
$7,668.34
|
| Rate for Payer: BCBS Trust/PPO |
$20,233.26
|
| Rate for Payer: BCN Commercial |
$20,233.26
|
| Rate for Payer: BCN Medicare Advantage |
$7,668.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,668.34
|
| Rate for Payer: Mclaren Medicare |
$7,668.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,051.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,818.59
|
| Rate for Payer: Nomi Health Commercial |
$11,511.96
|
| Rate for Payer: PACE Medicare |
$7,284.92
|
| Rate for Payer: PACE SWMI |
$7,668.34
|
| Rate for Payer: PHP Medicare Advantage |
$7,668.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,702.28
|
| Rate for Payer: Priority Health Medicare |
$7,668.34
|
| Rate for Payer: Priority Health Narrow Network |
$10,961.82
|
| Rate for Payer: Railroad Medicare Medicare |
$7,668.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,953.57
|
| Rate for Payer: UHC Core |
$11,162.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,668.34
|
| Rate for Payer: UHC Exchange |
$8,874.03
|
| Rate for Payer: UHC Medicare Advantage |
$7,668.34
|
| Rate for Payer: VA VA |
$7,668.34
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$62,634.44
|
|
|
Service Code
|
MSDRG 827
|
| Min. Negotiated Rate |
$18,576.13 |
| Max. Negotiated Rate |
$62,634.44 |
| Rate for Payer: Aetna Medicare |
$20,335.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,442.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,442.28
|
| Rate for Payer: BCBS MAPPO |
$19,553.82
|
| Rate for Payer: BCBS Trust/PPO |
$62,634.44
|
| Rate for Payer: BCN Commercial |
$62,634.44
|
| Rate for Payer: BCN Medicare Advantage |
$19,553.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,553.82
|
| Rate for Payer: Mclaren Medicare |
$19,553.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,531.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,486.89
|
| Rate for Payer: Nomi Health Commercial |
$30,442.71
|
| Rate for Payer: PACE Medicare |
$18,576.13
|
| Rate for Payer: PACE SWMI |
$19,553.82
|
| Rate for Payer: PHP Medicare Advantage |
$19,553.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,231.80
|
| Rate for Payer: Priority Health Medicare |
$19,553.82
|
| Rate for Payer: Priority Health Narrow Network |
$28,985.45
|
| Rate for Payer: Railroad Medicare Medicare |
$19,553.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,899.40
|
| Rate for Payer: UHC Core |
$29,517.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,553.82
|
| Rate for Payer: UHC Exchange |
$23,466.85
|
| Rate for Payer: UHC Medicare Advantage |
$19,553.82
|
| Rate for Payer: VA VA |
$19,553.82
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$74,669.72
|
|
|
Service Code
|
MSDRG 826
|
| Min. Negotiated Rate |
$37,162.19 |
| Max. Negotiated Rate |
$74,669.72 |
| Rate for Payer: Aetna Medicare |
$40,682.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,897.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,897.61
|
| Rate for Payer: BCBS MAPPO |
$39,118.09
|
| Rate for Payer: BCBS Trust/PPO |
$63,229.92
|
| Rate for Payer: BCN Commercial |
$63,229.92
|
| Rate for Payer: BCN Medicare Advantage |
$39,118.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,118.09
|
| Rate for Payer: Mclaren Medicare |
$39,118.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,073.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,985.80
|
| Rate for Payer: Nomi Health Commercial |
$61,603.95
|
| Rate for Payer: PACE Medicare |
$37,162.19
|
| Rate for Payer: PACE SWMI |
$39,118.09
|
| Rate for Payer: PHP Medicare Advantage |
$39,118.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73,320.38
|
| Rate for Payer: Priority Health Medicare |
$39,118.09
|
| Rate for Payer: Priority Health Narrow Network |
$58,656.31
|
| Rate for Payer: Railroad Medicare Medicare |
$39,118.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,669.72
|
| Rate for Payer: UHC Core |
$59,731.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,118.09
|
| Rate for Payer: UHC Exchange |
$47,487.57
|
| Rate for Payer: UHC Medicare Advantage |
$39,118.09
|
| Rate for Payer: VA VA |
$39,118.09
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,017.84
|
|
|
Service Code
|
MSDRG 828
|
| Min. Negotiated Rate |
$12,751.65 |
| Max. Negotiated Rate |
$43,017.84 |
| Rate for Payer: Aetna Medicare |
$13,959.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,778.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,778.49
|
| Rate for Payer: BCBS MAPPO |
$13,422.79
|
| Rate for Payer: BCBS Trust/PPO |
$43,017.84
|
| Rate for Payer: BCN Commercial |
$43,017.84
|
| Rate for Payer: BCN Medicare Advantage |
$13,422.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,422.79
|
| Rate for Payer: Mclaren Medicare |
$13,422.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,093.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,436.21
|
| Rate for Payer: Nomi Health Commercial |
$20,677.41
|
| Rate for Payer: PACE Medicare |
$12,751.65
|
| Rate for Payer: PACE SWMI |
$13,422.79
|
| Rate for Payer: PHP Medicare Advantage |
$13,422.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,610.05
|
| Rate for Payer: Priority Health Medicare |
$13,422.79
|
| Rate for Payer: Priority Health Narrow Network |
$19,688.04
|
| Rate for Payer: Railroad Medicare Medicare |
$13,422.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,062.94
|
| Rate for Payer: UHC Core |
$20,049.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,422.79
|
| Rate for Payer: UHC Exchange |
$15,939.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,422.79
|
| Rate for Payer: VA VA |
$13,422.79
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$85,927.16
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$24,145.95 |
| Max. Negotiated Rate |
$85,927.16 |
| Rate for Payer: Aetna Medicare |
$26,433.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,770.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,770.99
|
| Rate for Payer: BCBS MAPPO |
$25,416.79
|
| Rate for Payer: BCBS Trust/PPO |
$85,927.16
|
| Rate for Payer: BCN Commercial |
$85,927.16
|
| Rate for Payer: BCN Medicare Advantage |
$25,416.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,416.79
|
| Rate for Payer: Mclaren Medicare |
$25,416.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,687.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,229.31
|
| Rate for Payer: Nomi Health Commercial |
$39,781.02
|
| Rate for Payer: PACE Medicare |
$24,145.95
|
| Rate for Payer: PACE SWMI |
$25,416.79
|
| Rate for Payer: PHP Medicare Advantage |
$25,416.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,346.86
|
| Rate for Payer: Priority Health Medicare |
$25,416.79
|
| Rate for Payer: Priority Health Narrow Network |
$37,877.49
|
| Rate for Payer: Railroad Medicare Medicare |
$25,416.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,218.30
|
| Rate for Payer: UHC Core |
$38,572.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,416.79
|
| Rate for Payer: UHC Exchange |
$30,665.31
|
| Rate for Payer: UHC Medicare Advantage |
$25,416.79
|
| Rate for Payer: VA VA |
$25,416.79
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,544.15
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$11,671.38 |
| Max. Negotiated Rate |
$23,544.15 |
| Rate for Payer: Aetna Medicare |
$12,777.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,357.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,357.08
|
| Rate for Payer: BCBS MAPPO |
$12,285.66
|
| Rate for Payer: BCBS Trust/PPO |
$23,544.15
|
| Rate for Payer: BCN Commercial |
$23,544.15
|
| Rate for Payer: BCN Medicare Advantage |
$12,285.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,285.66
|
| Rate for Payer: Mclaren Medicare |
$12,285.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,899.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,128.51
|
| Rate for Payer: Nomi Health Commercial |
$18,866.25
|
| Rate for Payer: PACE Medicare |
$11,671.38
|
| Rate for Payer: PACE SWMI |
$12,285.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,285.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,454.29
|
| Rate for Payer: Priority Health Medicare |
$12,285.66
|
| Rate for Payer: Priority Health Narrow Network |
$17,963.43
|
| Rate for Payer: Railroad Medicare Medicare |
$12,285.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,867.65
|
| Rate for Payer: UHC Core |
$18,292.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,285.66
|
| Rate for Payer: UHC Exchange |
$14,543.10
|
| Rate for Payer: UHC Medicare Advantage |
$12,285.66
|
| Rate for Payer: VA VA |
$12,285.66
|
|
|
MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$35,100.18
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$4,922.68 |
| Max. Negotiated Rate |
$35,100.18 |
| Rate for Payer: Aetna Medicare |
$15,641.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,800.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,800.24
|
| Rate for Payer: BCBS MAPPO |
$15,040.19
|
| Rate for Payer: BCBS Trust/PPO |
$4,922.68
|
| Rate for Payer: BCN Commercial |
$4,922.68
|
| Rate for Payer: BCN Medicare Advantage |
$15,040.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,040.19
|
| Rate for Payer: Mclaren Medicare |
$15,040.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,792.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,296.22
|
| Rate for Payer: Nomi Health Commercial |
$23,253.54
|
| Rate for Payer: PACE Medicare |
$14,288.18
|
| Rate for Payer: PACE SWMI |
$15,040.19
|
| Rate for Payer: PHP Medicare Advantage |
$15,040.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,100.18
|
| Rate for Payer: Priority Health Medicare |
$15,040.19
|
| Rate for Payer: Priority Health Narrow Network |
$28,080.15
|
| Rate for Payer: Railroad Medicare Medicare |
$15,040.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,185.45
|
| Rate for Payer: UHC Core |
$22,546.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,040.19
|
| Rate for Payer: UHC Exchange |
$17,925.05
|
| Rate for Payer: UHC Medicare Advantage |
$15,040.19
|
| Rate for Payer: VA VA |
$15,040.19
|
|
|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$23,081.86
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$2,558.66 |
| Max. Negotiated Rate |
$23,081.86 |
| Rate for Payer: Aetna Medicare |
$12,892.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,495.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,495.76
|
| Rate for Payer: BCBS MAPPO |
$12,396.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,774.05
|
| Rate for Payer: BCN Commercial |
$3,774.05
|
| Rate for Payer: BCN Medicare Advantage |
$12,396.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,396.61
|
| Rate for Payer: Mclaren Medicare |
$12,396.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,016.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,256.10
|
| Rate for Payer: Nomi Health Commercial |
$19,042.98
|
| Rate for Payer: PACE Medicare |
$11,776.78
|
| Rate for Payer: PACE SWMI |
$12,396.61
|
| Rate for Payer: PHP Medicare Advantage |
$12,396.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,198.32
|
| Rate for Payer: Priority Health Medicare |
$12,396.61
|
| Rate for Payer: Priority Health Narrow Network |
$2,558.66
|
| Rate for Payer: Railroad Medicare Medicare |
$12,396.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,081.86
|
| Rate for Payer: UHC Core |
$18,464.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,396.61
|
| Rate for Payer: UHC Exchange |
$14,679.33
|
| Rate for Payer: UHC Medicare Advantage |
$12,396.61
|
| Rate for Payer: VA VA |
$12,396.61
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$26,746.54
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$11,952.99 |
| Max. Negotiated Rate |
$26,746.54 |
| Rate for Payer: Aetna Medicare |
$13,085.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,727.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,727.61
|
| Rate for Payer: BCBS MAPPO |
$12,582.09
|
| Rate for Payer: BCBS Trust/PPO |
$26,746.54
|
| Rate for Payer: BCN Commercial |
$26,746.54
|
| Rate for Payer: BCN Medicare Advantage |
$12,582.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,582.09
|
| Rate for Payer: Mclaren Medicare |
$12,582.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,211.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,469.40
|
| Rate for Payer: Nomi Health Commercial |
$19,338.39
|
| Rate for Payer: PACE Medicare |
$11,952.99
|
| Rate for Payer: PACE SWMI |
$12,582.09
|
| Rate for Payer: PHP Medicare Advantage |
$12,582.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,017.80
|
| Rate for Payer: Priority Health Medicare |
$12,582.09
|
| Rate for Payer: Priority Health Narrow Network |
$18,414.24
|
| Rate for Payer: Railroad Medicare Medicare |
$12,582.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,439.93
|
| Rate for Payer: UHC Core |
$18,750.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,582.09
|
| Rate for Payer: UHC Exchange |
$14,907.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,582.09
|
| Rate for Payer: VA VA |
$12,582.09
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$25,195.63
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$8,813.00 |
| Max. Negotiated Rate |
$25,195.63 |
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,750.13
|
| Rate for Payer: Aetna Medicare |
$9,647.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,596.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,596.05
|
| Rate for Payer: BCBS MAPPO |
$9,276.84
|
| Rate for Payer: BCBS Trust/PPO |
$25,195.63
|
| Rate for Payer: BCN Commercial |
$25,195.63
|
| Rate for Payer: BCN Medicare Advantage |
$9,276.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,276.84
|
| Rate for Payer: Mclaren Medicare |
$9,276.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,740.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,668.37
|
| Rate for Payer: Nomi Health Commercial |
$14,073.90
|
| Rate for Payer: PACE Medicare |
$8,813.00
|
| Rate for Payer: PACE SWMI |
$9,276.84
|
| Rate for Payer: PHP Medicare Advantage |
$9,276.84
|
| Rate for Payer: Priority Health Medicare |
$9,276.84
|
| Rate for Payer: Priority Health Narrow Network |
$13,400.10
|
| Rate for Payer: Railroad Medicare Medicare |
$9,276.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,058.88
|
| Rate for Payer: UHC Core |
$13,646.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,276.84
|
| Rate for Payer: UHC Exchange |
$10,848.90
|
| Rate for Payer: UHC Medicare Advantage |
$9,276.84
|
| Rate for Payer: VA VA |
$9,276.84
|
|
|
MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$22,220.85
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$6,598.61 |
| Max. Negotiated Rate |
$22,220.85 |
| Rate for Payer: Aetna Medicare |
$7,223.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,682.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,682.39
|
| Rate for Payer: BCBS MAPPO |
$6,945.91
|
| Rate for Payer: BCBS Trust/PPO |
$22,220.85
|
| Rate for Payer: BCN Commercial |
$22,220.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,945.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,945.91
|
| Rate for Payer: Mclaren Medicare |
$6,945.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,293.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,987.80
|
| Rate for Payer: Nomi Health Commercial |
$10,361.28
|
| Rate for Payer: PACE Medicare |
$6,598.61
|
| Rate for Payer: PACE SWMI |
$6,945.91
|
| Rate for Payer: PHP Medicare Advantage |
$6,945.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,332.66
|
| Rate for Payer: Priority Health Medicare |
$6,945.91
|
| Rate for Payer: Priority Health Narrow Network |
$9,866.13
|
| Rate for Payer: Railroad Medicare Medicare |
$6,945.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,558.84
|
| Rate for Payer: UHC Core |
$10,046.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,945.91
|
| Rate for Payer: UHC Exchange |
$7,987.02
|
| Rate for Payer: UHC Medicare Advantage |
$6,945.91
|
| Rate for Payer: VA VA |
$6,945.91
|
|
