|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$10,629.51
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$10,123.34 |
| Max. Negotiated Rate |
$10,629.51 |
| Rate for Payer: BCBS Complete |
$10,629.51
|
| Rate for Payer: Mclaren Medicaid |
$10,123.34
|
| Rate for Payer: Meridian Medicaid |
$10,629.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,123.34
|
| Rate for Payer: UHC Medicaid |
$10,123.34
|
| Rate for Payer: UHCCP Medicaid |
$10,123.34
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$20,148.85
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$19,189.38 |
| Max. Negotiated Rate |
$20,148.85 |
| Rate for Payer: BCBS Complete |
$20,148.85
|
| Rate for Payer: Mclaren Medicaid |
$19,189.38
|
| Rate for Payer: Meridian Medicaid |
$20,148.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,189.38
|
| Rate for Payer: UHC Medicaid |
$19,189.38
|
| Rate for Payer: UHCCP Medicaid |
$19,189.38
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,515.11
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$8,109.63 |
| Max. Negotiated Rate |
$8,515.11 |
| Rate for Payer: BCBS Complete |
$8,515.11
|
| Rate for Payer: Mclaren Medicaid |
$8,109.63
|
| Rate for Payer: Meridian Medicaid |
$8,515.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,109.63
|
| Rate for Payer: UHC Medicaid |
$8,109.63
|
| Rate for Payer: UHCCP Medicaid |
$8,109.63
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,247.57
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$4,045.30 |
| Max. Negotiated Rate |
$4,247.57 |
| Rate for Payer: BCBS Complete |
$4,247.57
|
| Rate for Payer: Mclaren Medicaid |
$4,045.30
|
| Rate for Payer: Meridian Medicaid |
$4,247.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,045.30
|
| Rate for Payer: UHC Medicaid |
$4,045.30
|
| Rate for Payer: UHCCP Medicaid |
$4,045.30
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,306.26
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$10,767.87 |
| Max. Negotiated Rate |
$11,306.26 |
| Rate for Payer: BCBS Complete |
$11,306.26
|
| Rate for Payer: Mclaren Medicaid |
$10,767.87
|
| Rate for Payer: Meridian Medicaid |
$11,306.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,767.87
|
| Rate for Payer: UHC Medicaid |
$10,767.87
|
| Rate for Payer: UHCCP Medicaid |
$10,767.87
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$5,207.01
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$4,959.05 |
| Max. Negotiated Rate |
$5,207.01 |
| Rate for Payer: BCBS Complete |
$5,207.01
|
| Rate for Payer: Mclaren Medicaid |
$4,959.05
|
| Rate for Payer: Meridian Medicaid |
$5,207.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,959.05
|
| Rate for Payer: UHC Medicaid |
$4,959.05
|
| Rate for Payer: UHCCP Medicaid |
$4,959.05
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$7,883.15
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$7,507.76 |
| Max. Negotiated Rate |
$7,883.15 |
| Rate for Payer: BCBS Complete |
$7,883.15
|
| Rate for Payer: Mclaren Medicaid |
$7,507.76
|
| Rate for Payer: Meridian Medicaid |
$7,883.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,507.76
|
| Rate for Payer: UHC Medicaid |
$7,507.76
|
| Rate for Payer: UHCCP Medicaid |
$7,507.76
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,089.43
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$7,997.04 |
| Max. Negotiated Rate |
$19,089.43 |
| Rate for Payer: Aetna Medicare |
$8,754.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,522.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,522.42
|
| Rate for Payer: BCBS MAPPO |
$8,417.94
|
| Rate for Payer: BCBS Trust/PPO |
$19,089.43
|
| Rate for Payer: BCN Commercial |
$19,089.43
|
| Rate for Payer: BCN Medicare Advantage |
$8,417.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,417.94
|
| Rate for Payer: Mclaren Medicare |
$8,417.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,838.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,680.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,259.73
|
| Rate for Payer: Nomi Health Commercial |
$12,070.53
|
| Rate for Payer: PACE Medicare |
$7,997.04
|
| Rate for Payer: PACE SWMI |
$8,417.94
|
| Rate for Payer: PHP Medicare Advantage |
$8,417.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15,085.49
|
| Rate for Payer: Priority Health Medicare |
$8,417.94
|
| Rate for Payer: Priority Health Tiered Network |
$12,068.39
|
| Rate for Payer: Railroad Medicare Medicare |
$8,417.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,251.91
|
| Rate for Payer: UHC Core |
$12,760.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,417.94
|
| Rate for Payer: UHC Exchange |
$10,420.89
|
| Rate for Payer: VA VA |
$8,417.94
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$30,325.12
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$13,269.05 |
| Max. Negotiated Rate |
$30,325.12 |
| Rate for Payer: Aetna Medicare |
$14,526.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,459.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,459.28
|
| Rate for Payer: BCBS MAPPO |
$13,967.42
|
| Rate for Payer: BCBS Trust/PPO |
$30,325.12
|
| Rate for Payer: BCN Commercial |
$30,325.12
|
| Rate for Payer: BCN Medicare Advantage |
$13,967.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,967.42
|
| Rate for Payer: Mclaren Medicare |
$13,967.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,665.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,062.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,364.16
|
| Rate for Payer: Nomi Health Commercial |
$20,630.97
|
| Rate for Payer: PACE Medicare |
$13,269.05
|
| Rate for Payer: PACE SWMI |
$13,967.42
|
| Rate for Payer: PHP Medicare Advantage |
$13,967.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,784.14
|
| Rate for Payer: Priority Health Medicare |
$13,967.42
|
| Rate for Payer: Priority Health Tiered Network |
$20,627.31
|
| Rate for Payer: Railroad Medicare Medicare |
$13,967.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,068.59
|
| Rate for Payer: UHC Core |
$21,809.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,967.42
|
| Rate for Payer: UHC Exchange |
$17,811.40
|
| Rate for Payer: VA VA |
$13,967.42
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,410.99
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$5,719.33 |
| Max. Negotiated Rate |
$15,410.99 |
| Rate for Payer: Aetna Medicare |
$6,261.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,525.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,525.44
|
| Rate for Payer: BCBS MAPPO |
$6,020.35
|
| Rate for Payer: BCBS Trust/PPO |
$15,410.99
|
| Rate for Payer: BCN Commercial |
$15,410.99
|
| Rate for Payer: BCN Medicare Advantage |
$6,020.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,020.35
|
| Rate for Payer: Mclaren Medicare |
$6,020.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,321.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,923.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,622.39
|
| Rate for Payer: Nomi Health Commercial |
$8,372.10
|
| Rate for Payer: PACE Medicare |
$5,719.33
|
| Rate for Payer: PACE SWMI |
$6,020.35
|
| Rate for Payer: PHP Medicare Advantage |
$6,020.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,463.27
|
| Rate for Payer: Priority Health Medicare |
$6,020.35
|
| Rate for Payer: Priority Health Tiered Network |
$8,370.61
|
| Rate for Payer: Railroad Medicare Medicare |
$6,020.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,578.70
|
| Rate for Payer: UHC Core |
$8,850.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,020.35
|
| Rate for Payer: UHC Exchange |
$7,227.91
|
| Rate for Payer: VA VA |
$6,020.35
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$45,225.52
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$19,038.38 |
| Max. Negotiated Rate |
$45,225.52 |
| Rate for Payer: Aetna Medicare |
$20,842.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,050.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,050.50
|
| Rate for Payer: BCBS MAPPO |
$20,040.40
|
| Rate for Payer: BCBS Trust/PPO |
$45,225.52
|
| Rate for Payer: BCN Commercial |
$45,225.52
|
| Rate for Payer: BCN Medicare Advantage |
$20,040.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,040.40
|
| Rate for Payer: Mclaren Medicare |
$20,040.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,042.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,046.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$22,044.44
|
| Rate for Payer: Nomi Health Commercial |
$29,998.95
|
| Rate for Payer: PACE Medicare |
$19,038.38
|
| Rate for Payer: PACE SWMI |
$20,040.40
|
| Rate for Payer: PHP Medicare Advantage |
$20,040.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,492.04
|
| Rate for Payer: Priority Health Medicare |
$20,040.40
|
| Rate for Payer: Priority Health Tiered Network |
$29,993.62
|
| Rate for Payer: Railroad Medicare Medicare |
$20,040.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,905.65
|
| Rate for Payer: UHC Core |
$31,712.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20,040.40
|
| Rate for Payer: UHC Exchange |
$25,899.09
|
| Rate for Payer: VA VA |
$20,040.40
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$78,556.53
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$35,462.18 |
| Max. Negotiated Rate |
$78,556.53 |
| Rate for Payer: Aetna Medicare |
$38,821.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,660.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,660.76
|
| Rate for Payer: BCBS MAPPO |
$37,328.61
|
| Rate for Payer: BCBS Trust/PPO |
$78,556.53
|
| Rate for Payer: BCN Commercial |
$78,556.53
|
| Rate for Payer: BCN Medicare Advantage |
$37,328.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,328.61
|
| Rate for Payer: Mclaren Medicare |
$37,328.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,195.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,927.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$41,061.47
|
| Rate for Payer: Nomi Health Commercial |
$56,667.12
|
| Rate for Payer: PACE Medicare |
$35,462.18
|
| Rate for Payer: PACE SWMI |
$37,328.61
|
| Rate for Payer: PHP Medicare Advantage |
$37,328.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70,821.34
|
| Rate for Payer: Priority Health Medicare |
$37,328.61
|
| Rate for Payer: Priority Health Tiered Network |
$56,657.06
|
| Rate for Payer: Railroad Medicare Medicare |
$37,328.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71,602.64
|
| Rate for Payer: UHC Core |
$59,904.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37,328.61
|
| Rate for Payer: UHC Exchange |
$48,922.61
|
| Rate for Payer: VA VA |
$37,328.61
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,009.44
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$11,669.01 |
| Max. Negotiated Rate |
$37,009.44 |
| Rate for Payer: Aetna Medicare |
$12,774.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,353.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,353.96
|
| Rate for Payer: BCBS MAPPO |
$12,283.17
|
| Rate for Payer: BCBS Trust/PPO |
$37,009.44
|
| Rate for Payer: BCN Commercial |
$37,009.44
|
| Rate for Payer: BCN Medicare Advantage |
$12,283.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,283.17
|
| Rate for Payer: Mclaren Medicare |
$12,283.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,897.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,125.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,511.49
|
| Rate for Payer: Nomi Health Commercial |
$18,032.91
|
| Rate for Payer: PACE Medicare |
$11,669.01
|
| Rate for Payer: PACE SWMI |
$12,283.17
|
| Rate for Payer: PHP Medicare Advantage |
$12,283.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$22,537.14
|
| Rate for Payer: Priority Health Medicare |
$12,283.17
|
| Rate for Payer: Priority Health Tiered Network |
$18,029.71
|
| Rate for Payer: Railroad Medicare Medicare |
$12,283.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,785.77
|
| Rate for Payer: UHC Core |
$19,063.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,283.17
|
| Rate for Payer: UHC Exchange |
$15,568.41
|
| Rate for Payer: VA VA |
$12,283.17
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,128.29
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$11,550.75 |
| Max. Negotiated Rate |
$12,128.29 |
| Rate for Payer: BCBS Complete |
$12,128.29
|
| Rate for Payer: Mclaren Medicaid |
$11,550.75
|
| Rate for Payer: Meridian Medicaid |
$12,128.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,550.75
|
| Rate for Payer: UHC Medicaid |
$11,550.75
|
| Rate for Payer: UHCCP Medicaid |
$11,550.75
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,384.97
|
|
|
Service Code
|
APR-DRG 0581
|
| Min. Negotiated Rate |
$4,176.17 |
| Max. Negotiated Rate |
$4,384.97 |
| Rate for Payer: BCBS Complete |
$4,384.97
|
| Rate for Payer: Mclaren Medicaid |
$4,176.17
|
| Rate for Payer: Meridian Medicaid |
$4,384.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,176.17
|
| Rate for Payer: UHC Medicaid |
$4,176.17
|
| Rate for Payer: UHCCP Medicaid |
$4,176.17
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,933.99
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$8,508.56 |
| Max. Negotiated Rate |
$8,933.99 |
| Rate for Payer: BCBS Complete |
$8,933.99
|
| Rate for Payer: Mclaren Medicaid |
$8,508.56
|
| Rate for Payer: Meridian Medicaid |
$8,933.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,508.56
|
| Rate for Payer: UHC Medicaid |
$8,508.56
|
| Rate for Payer: UHCCP Medicaid |
$8,508.56
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,457.00
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$6,149.53 |
| Max. Negotiated Rate |
$6,457.00 |
| Rate for Payer: BCBS Complete |
$6,457.00
|
| Rate for Payer: Mclaren Medicaid |
$6,149.53
|
| Rate for Payer: Meridian Medicaid |
$6,457.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,149.53
|
| Rate for Payer: UHC Medicaid |
$6,149.53
|
| Rate for Payer: UHCCP Medicaid |
$6,149.53
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$21,579.23
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$8,690.59 |
| Max. Negotiated Rate |
$21,579.23 |
| Rate for Payer: Aetna Medicare |
$9,513.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,434.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,434.99
|
| Rate for Payer: BCBS MAPPO |
$9,147.99
|
| Rate for Payer: BCBS Trust/PPO |
$21,579.23
|
| Rate for Payer: BCN Commercial |
$21,579.23
|
| Rate for Payer: BCN Medicare Advantage |
$9,147.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,147.99
|
| Rate for Payer: Mclaren Medicare |
$9,147.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,605.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,520.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,062.79
|
| Rate for Payer: Nomi Health Commercial |
$13,196.70
|
| Rate for Payer: PACE Medicare |
$8,690.59
|
| Rate for Payer: PACE SWMI |
$9,147.99
|
| Rate for Payer: PHP Medicare Advantage |
$9,147.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,492.95
|
| Rate for Payer: Priority Health Medicare |
$9,147.99
|
| Rate for Payer: Priority Health Tiered Network |
$13,194.36
|
| Rate for Payer: Railroad Medicare Medicare |
$9,147.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,674.90
|
| Rate for Payer: UHC Core |
$13,950.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,147.99
|
| Rate for Payer: UHC Exchange |
$11,393.15
|
| Rate for Payer: VA VA |
$9,147.99
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$42,384.34
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$14,515.55 |
| Max. Negotiated Rate |
$42,384.34 |
| Rate for Payer: Aetna Medicare |
$15,890.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,099.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,099.41
|
| Rate for Payer: BCBS MAPPO |
$15,279.53
|
| Rate for Payer: BCBS Trust/PPO |
$42,384.34
|
| Rate for Payer: BCN Commercial |
$42,384.34
|
| Rate for Payer: BCN Medicare Advantage |
$15,279.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,279.53
|
| Rate for Payer: Mclaren Medicare |
$15,279.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,043.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,571.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,807.48
|
| Rate for Payer: Nomi Health Commercial |
$22,654.98
|
| Rate for Payer: PACE Medicare |
$14,515.55
|
| Rate for Payer: PACE SWMI |
$15,279.53
|
| Rate for Payer: PHP Medicare Advantage |
$15,279.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,313.70
|
| Rate for Payer: Priority Health Medicare |
$15,279.53
|
| Rate for Payer: Priority Health Tiered Network |
$22,650.96
|
| Rate for Payer: Railroad Medicare Medicare |
$15,279.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,626.06
|
| Rate for Payer: UHC Core |
$23,949.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,279.53
|
| Rate for Payer: UHC Exchange |
$19,558.80
|
| Rate for Payer: VA VA |
$15,279.53
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$19,550.60
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,889.57 |
| Max. Negotiated Rate |
$19,550.60 |
| Rate for Payer: Aetna Medicare |
$7,542.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,065.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,065.23
|
| Rate for Payer: BCBS MAPPO |
$7,252.18
|
| Rate for Payer: BCBS Trust/PPO |
$19,550.60
|
| Rate for Payer: BCN Commercial |
$19,550.60
|
| Rate for Payer: BCN Medicare Advantage |
$7,252.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,252.18
|
| Rate for Payer: Mclaren Medicare |
$7,252.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,614.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,340.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,977.40
|
| Rate for Payer: Nomi Health Commercial |
$10,272.27
|
| Rate for Payer: PACE Medicare |
$6,889.57
|
| Rate for Payer: PACE SWMI |
$7,252.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,252.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,838.06
|
| Rate for Payer: Priority Health Medicare |
$7,252.18
|
| Rate for Payer: Priority Health Tiered Network |
$10,270.45
|
| Rate for Payer: Railroad Medicare Medicare |
$7,252.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,979.69
|
| Rate for Payer: UHC Core |
$10,859.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,252.18
|
| Rate for Payer: UHC Exchange |
$8,868.39
|
| Rate for Payer: VA VA |
$7,252.18
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$26,391.39
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$11,074.77 |
| Max. Negotiated Rate |
$26,391.39 |
| Rate for Payer: Aetna Medicare |
$12,123.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,572.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,572.06
|
| Rate for Payer: BCBS MAPPO |
$11,657.65
|
| Rate for Payer: BCBS Trust/PPO |
$26,391.39
|
| Rate for Payer: BCN Commercial |
$26,391.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,657.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,657.65
|
| Rate for Payer: Mclaren Medicare |
$11,657.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,240.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,406.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$12,823.42
|
| Rate for Payer: Nomi Health Commercial |
$17,067.99
|
| Rate for Payer: PACE Medicare |
$11,074.77
|
| Rate for Payer: PACE SWMI |
$11,657.65
|
| Rate for Payer: PHP Medicare Advantage |
$11,657.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$21,331.20
|
| Rate for Payer: Priority Health Medicare |
$11,657.65
|
| Rate for Payer: Priority Health Tiered Network |
$17,064.96
|
| Rate for Payer: Railroad Medicare Medicare |
$11,657.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,566.53
|
| Rate for Payer: UHC Core |
$18,043.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,657.65
|
| Rate for Payer: UHC Exchange |
$14,735.36
|
| Rate for Payer: VA VA |
$11,657.65
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$14,804.32
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,663.17 |
| Max. Negotiated Rate |
$14,804.32 |
| Rate for Payer: Aetna Medicare |
$7,294.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,767.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,767.33
|
| Rate for Payer: BCBS MAPPO |
$7,013.86
|
| Rate for Payer: BCBS Trust/PPO |
$14,804.32
|
| Rate for Payer: BCN Commercial |
$14,804.32
|
| Rate for Payer: BCN Medicare Advantage |
$7,013.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,013.86
|
| Rate for Payer: Mclaren Medicare |
$7,013.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,364.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,065.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,715.25
|
| Rate for Payer: Nomi Health Commercial |
$9,904.62
|
| Rate for Payer: PACE Medicare |
$6,663.17
|
| Rate for Payer: PACE SWMI |
$7,013.86
|
| Rate for Payer: PHP Medicare Advantage |
$7,013.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,378.58
|
| Rate for Payer: Priority Health Medicare |
$7,013.86
|
| Rate for Payer: Priority Health Tiered Network |
$9,902.86
|
| Rate for Payer: Railroad Medicare Medicare |
$7,013.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,515.14
|
| Rate for Payer: UHC Core |
$10,470.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,013.86
|
| Rate for Payer: UHC Exchange |
$8,550.99
|
| Rate for Payer: VA VA |
$7,013.86
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$12,205.17
|
|
|
Service Code
|
APR-DRG 2834
|
| Min. Negotiated Rate |
$11,623.97 |
| Max. Negotiated Rate |
$12,205.17 |
| Rate for Payer: BCBS Complete |
$12,205.17
|
| Rate for Payer: Mclaren Medicaid |
$11,623.97
|
| Rate for Payer: Meridian Medicaid |
$12,205.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.97
|
| Rate for Payer: UHC Medicaid |
$11,623.97
|
| Rate for Payer: UHCCP Medicaid |
$11,623.97
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$7,574.43
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$7,213.74 |
| Max. Negotiated Rate |
$7,574.43 |
| Rate for Payer: BCBS Complete |
$7,574.43
|
| Rate for Payer: Mclaren Medicaid |
$7,213.74
|
| Rate for Payer: Meridian Medicaid |
$7,574.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,213.74
|
| Rate for Payer: UHC Medicaid |
$7,213.74
|
| Rate for Payer: UHCCP Medicaid |
$7,213.74
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,350.47
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$3,190.93 |
| Max. Negotiated Rate |
$3,350.47 |
| Rate for Payer: BCBS Complete |
$3,350.47
|
| Rate for Payer: Mclaren Medicaid |
$3,190.93
|
| Rate for Payer: Meridian Medicaid |
$3,350.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,190.93
|
| Rate for Payer: UHC Medicaid |
$3,190.93
|
| Rate for Payer: UHCCP Medicaid |
$3,190.93
|
|
