|
OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$5,013.30
|
|
|
Service Code
|
APR-DRG 2832
|
| Min. Negotiated Rate |
$4,774.57 |
| Max. Negotiated Rate |
$5,013.30 |
| Rate for Payer: BCBS Complete |
$5,013.30
|
| Rate for Payer: Mclaren Medicaid |
$4,774.57
|
| Rate for Payer: Meridian Medicaid |
$5,013.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,774.57
|
| Rate for Payer: UHC Medicaid |
$4,774.57
|
| Rate for Payer: UHCCP Medicaid |
$4,774.57
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$13,671.87
|
|
|
Service Code
|
APR-DRG 7764
|
| Min. Negotiated Rate |
$13,020.83 |
| Max. Negotiated Rate |
$13,671.87 |
| Rate for Payer: BCBS Complete |
$13,671.87
|
| Rate for Payer: Mclaren Medicaid |
$13,020.83
|
| Rate for Payer: Meridian Medicaid |
$13,671.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,020.83
|
| Rate for Payer: UHC Medicaid |
$13,020.83
|
| Rate for Payer: UHCCP Medicaid |
$13,020.83
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,794.78
|
|
|
Service Code
|
APR-DRG 7761
|
| Min. Negotiated Rate |
$3,614.08 |
| Max. Negotiated Rate |
$3,794.78 |
| Rate for Payer: BCBS Complete |
$3,794.78
|
| Rate for Payer: Mclaren Medicaid |
$3,614.08
|
| Rate for Payer: Meridian Medicaid |
$3,794.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,614.08
|
| Rate for Payer: UHC Medicaid |
$3,614.08
|
| Rate for Payer: UHCCP Medicaid |
$3,614.08
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$7,463.05
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$7,107.67 |
| Max. Negotiated Rate |
$7,463.05 |
| Rate for Payer: BCBS Complete |
$7,463.05
|
| Rate for Payer: Mclaren Medicaid |
$7,107.67
|
| Rate for Payer: Meridian Medicaid |
$7,463.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,107.67
|
| Rate for Payer: UHC Medicaid |
$7,107.67
|
| Rate for Payer: UHCCP Medicaid |
$7,107.67
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,737.27
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$4,511.69 |
| Max. Negotiated Rate |
$4,737.27 |
| Rate for Payer: BCBS Complete |
$4,737.27
|
| Rate for Payer: Mclaren Medicaid |
$4,511.69
|
| Rate for Payer: Meridian Medicaid |
$4,737.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,511.69
|
| Rate for Payer: UHC Medicaid |
$4,511.69
|
| Rate for Payer: UHCCP Medicaid |
$4,511.69
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$23,253.74
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$7,844.51 |
| Max. Negotiated Rate |
$23,253.74 |
| Rate for Payer: Aetna Medicare |
$8,587.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,321.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,321.73
|
| Rate for Payer: BCBS MAPPO |
$8,257.38
|
| Rate for Payer: BCBS Trust/PPO |
$23,253.74
|
| Rate for Payer: BCN Commercial |
$23,253.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,257.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,257.38
|
| Rate for Payer: Mclaren Medicare |
$8,257.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,670.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,495.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,083.12
|
| Rate for Payer: Nomi Health Commercial |
$11,822.85
|
| Rate for Payer: PACE Medicare |
$7,844.51
|
| Rate for Payer: PACE SWMI |
$8,257.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,257.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$14,775.94
|
| Rate for Payer: Priority Health Medicare |
$8,257.38
|
| Rate for Payer: Priority Health Tiered Network |
$11,820.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,257.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,938.95
|
| Rate for Payer: UHC Core |
$12,498.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,257.38
|
| Rate for Payer: UHC Exchange |
$10,207.06
|
| Rate for Payer: VA VA |
$8,257.38
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,485.05
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$12,984.63 |
| Max. Negotiated Rate |
$25,485.05 |
| Rate for Payer: Aetna Medicare |
$14,214.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,085.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,085.04
|
| Rate for Payer: BCBS MAPPO |
$13,668.03
|
| Rate for Payer: BCBS Trust/PPO |
$25,103.94
|
| Rate for Payer: BCN Commercial |
$25,103.94
|
| Rate for Payer: BCN Medicare Advantage |
$13,668.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,668.03
|
| Rate for Payer: Mclaren Medicare |
$13,668.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,351.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,718.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,034.83
|
| Rate for Payer: Nomi Health Commercial |
$20,169.15
|
| Rate for Payer: PACE Medicare |
$12,984.63
|
| Rate for Payer: PACE SWMI |
$13,668.03
|
| Rate for Payer: PHP Medicare Advantage |
$13,668.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,206.97
|
| Rate for Payer: Priority Health Medicare |
$13,668.03
|
| Rate for Payer: Priority Health Tiered Network |
$20,165.57
|
| Rate for Payer: Railroad Medicare Medicare |
$13,668.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,485.05
|
| Rate for Payer: UHC Core |
$21,321.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,668.03
|
| Rate for Payer: UHC Exchange |
$17,412.70
|
| Rate for Payer: VA VA |
$13,668.03
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,784.71
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$6,053.81 |
| Max. Negotiated Rate |
$11,784.71 |
| Rate for Payer: Aetna Medicare |
$6,627.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,965.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,965.54
|
| Rate for Payer: BCBS MAPPO |
$6,372.43
|
| Rate for Payer: BCBS Trust/PPO |
$11,784.71
|
| Rate for Payer: BCN Commercial |
$11,784.71
|
| Rate for Payer: BCN Medicare Advantage |
$6,372.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,372.43
|
| Rate for Payer: Mclaren Medicare |
$6,372.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,691.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,328.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,009.67
|
| Rate for Payer: Nomi Health Commercial |
$8,915.19
|
| Rate for Payer: PACE Medicare |
$6,053.81
|
| Rate for Payer: PACE SWMI |
$6,372.43
|
| Rate for Payer: PHP Medicare Advantage |
$6,372.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,142.01
|
| Rate for Payer: Priority Health Medicare |
$6,372.43
|
| Rate for Payer: Priority Health Tiered Network |
$8,913.61
|
| Rate for Payer: Railroad Medicare Medicare |
$6,372.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,264.93
|
| Rate for Payer: UHC Core |
$9,424.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,372.43
|
| Rate for Payer: UHC Exchange |
$7,696.78
|
| Rate for Payer: VA VA |
$6,372.43
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$36,880.42
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$14,330.45 |
| Max. Negotiated Rate |
$36,880.42 |
| Rate for Payer: Aetna Medicare |
$15,688.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,855.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,855.85
|
| Rate for Payer: BCBS MAPPO |
$15,084.68
|
| Rate for Payer: BCBS Trust/PPO |
$36,880.42
|
| Rate for Payer: BCN Commercial |
$36,880.42
|
| Rate for Payer: BCN Medicare Advantage |
$15,084.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,084.68
|
| Rate for Payer: Mclaren Medicare |
$15,084.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,838.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,347.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,593.15
|
| Rate for Payer: Nomi Health Commercial |
$22,354.41
|
| Rate for Payer: PACE Medicare |
$14,330.45
|
| Rate for Payer: PACE SWMI |
$15,084.68
|
| Rate for Payer: PHP Medicare Advantage |
$15,084.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$27,938.06
|
| Rate for Payer: Priority Health Medicare |
$15,084.68
|
| Rate for Payer: Priority Health Tiered Network |
$22,350.44
|
| Rate for Payer: Railroad Medicare Medicare |
$15,084.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,246.27
|
| Rate for Payer: UHC Core |
$23,631.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,084.68
|
| Rate for Payer: UHC Exchange |
$19,299.31
|
| Rate for Payer: VA VA |
$15,084.68
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,125.55
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$30,328.39 |
| Max. Negotiated Rate |
$85,125.55 |
| Rate for Payer: Aetna Medicare |
$33,201.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,905.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,905.78
|
| Rate for Payer: BCBS MAPPO |
$31,924.62
|
| Rate for Payer: BCBS Trust/PPO |
$85,125.55
|
| Rate for Payer: BCN Commercial |
$85,125.55
|
| Rate for Payer: BCN Medicare Advantage |
$31,924.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,924.62
|
| Rate for Payer: Mclaren Medicare |
$31,924.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,520.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,713.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$35,117.08
|
| Rate for Payer: Nomi Health Commercial |
$48,331.14
|
| Rate for Payer: PACE Medicare |
$30,328.39
|
| Rate for Payer: PACE SWMI |
$31,924.62
|
| Rate for Payer: PHP Medicare Advantage |
$31,924.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$60,403.21
|
| Rate for Payer: Priority Health Medicare |
$31,924.62
|
| Rate for Payer: Priority Health Tiered Network |
$48,322.56
|
| Rate for Payer: Railroad Medicare Medicare |
$31,924.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,069.58
|
| Rate for Payer: UHC Core |
$51,092.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,924.62
|
| Rate for Payer: UHC Exchange |
$41,725.88
|
| Rate for Payer: VA VA |
$31,924.62
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,834.53
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$10,115.06 |
| Max. Negotiated Rate |
$28,834.53 |
| Rate for Payer: Aetna Medicare |
$11,073.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,309.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,309.29
|
| Rate for Payer: BCBS MAPPO |
$10,647.43
|
| Rate for Payer: BCBS Trust/PPO |
$28,834.53
|
| Rate for Payer: BCN Commercial |
$28,834.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,647.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,647.43
|
| Rate for Payer: Mclaren Medicare |
$10,647.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,179.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,244.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,712.17
|
| Rate for Payer: Nomi Health Commercial |
$15,509.67
|
| Rate for Payer: PACE Medicare |
$10,115.06
|
| Rate for Payer: PACE SWMI |
$10,647.43
|
| Rate for Payer: PHP Medicare Advantage |
$10,647.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,383.65
|
| Rate for Payer: Priority Health Medicare |
$10,647.43
|
| Rate for Payer: Priority Health Tiered Network |
$15,506.92
|
| Rate for Payer: Railroad Medicare Medicare |
$10,647.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,597.49
|
| Rate for Payer: UHC Core |
$16,395.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,647.43
|
| Rate for Payer: UHC Exchange |
$13,390.02
|
| Rate for Payer: VA VA |
$10,647.43
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,785.10
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$3,604.85 |
| Max. Negotiated Rate |
$3,785.10 |
| Rate for Payer: BCBS Complete |
$3,785.10
|
| Rate for Payer: Mclaren Medicaid |
$3,604.85
|
| Rate for Payer: Meridian Medicaid |
$3,785.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,604.85
|
| Rate for Payer: UHC Medicaid |
$3,604.85
|
| Rate for Payer: UHCCP Medicaid |
$3,604.85
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,831.10
|
|
|
Service Code
|
APR-DRG 1152
|
| Min. Negotiated Rate |
$4,601.05 |
| Max. Negotiated Rate |
$4,831.10 |
| Rate for Payer: BCBS Complete |
$4,831.10
|
| Rate for Payer: Mclaren Medicaid |
$4,601.05
|
| Rate for Payer: Meridian Medicaid |
$4,831.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,601.05
|
| Rate for Payer: UHC Medicaid |
$4,601.05
|
| Rate for Payer: UHCCP Medicaid |
$4,601.05
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$7,987.26
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$7,606.92 |
| Max. Negotiated Rate |
$7,987.26 |
| Rate for Payer: BCBS Complete |
$7,987.26
|
| Rate for Payer: Mclaren Medicaid |
$7,606.92
|
| Rate for Payer: Meridian Medicaid |
$7,987.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,606.92
|
| Rate for Payer: UHC Medicaid |
$7,606.92
|
| Rate for Payer: UHCCP Medicaid |
$7,606.92
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$13,378.29
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$12,741.23 |
| Max. Negotiated Rate |
$13,378.29 |
| Rate for Payer: BCBS Complete |
$13,378.29
|
| Rate for Payer: Mclaren Medicaid |
$12,741.23
|
| Rate for Payer: Meridian Medicaid |
$13,378.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,741.23
|
| Rate for Payer: UHC Medicaid |
$12,741.23
|
| Rate for Payer: UHCCP Medicaid |
$12,741.23
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$6,497.56
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$6,188.15 |
| Max. Negotiated Rate |
$6,497.56 |
| Rate for Payer: BCBS Complete |
$6,497.56
|
| Rate for Payer: Mclaren Medicaid |
$6,188.15
|
| Rate for Payer: Meridian Medicaid |
$6,497.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,188.15
|
| Rate for Payer: UHC Medicaid |
$6,188.15
|
| Rate for Payer: UHCCP Medicaid |
$6,188.15
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$21,145.82
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$20,138.87 |
| Max. Negotiated Rate |
$21,145.82 |
| Rate for Payer: BCBS Complete |
$21,145.82
|
| Rate for Payer: Mclaren Medicaid |
$20,138.87
|
| Rate for Payer: Meridian Medicaid |
$21,145.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,138.87
|
| Rate for Payer: UHC Medicaid |
$20,138.87
|
| Rate for Payer: UHCCP Medicaid |
$20,138.87
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$10,811.10
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$10,296.29 |
| Max. Negotiated Rate |
$10,811.10 |
| Rate for Payer: BCBS Complete |
$10,811.10
|
| Rate for Payer: Mclaren Medicaid |
$10,296.29
|
| Rate for Payer: Meridian Medicaid |
$10,811.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,296.29
|
| Rate for Payer: UHC Medicaid |
$10,296.29
|
| Rate for Payer: UHCCP Medicaid |
$10,296.29
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$16,381.31
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$15,601.24 |
| Max. Negotiated Rate |
$16,381.31 |
| Rate for Payer: BCBS Complete |
$16,381.31
|
| Rate for Payer: Mclaren Medicaid |
$15,601.24
|
| Rate for Payer: Meridian Medicaid |
$16,381.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,601.24
|
| Rate for Payer: UHC Medicaid |
$15,601.24
|
| Rate for Payer: UHCCP Medicaid |
$15,601.24
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$15,183.97
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$14,460.93 |
| Max. Negotiated Rate |
$15,183.97 |
| Rate for Payer: BCBS Complete |
$15,183.97
|
| Rate for Payer: Mclaren Medicaid |
$14,460.93
|
| Rate for Payer: Meridian Medicaid |
$15,183.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,460.93
|
| Rate for Payer: UHC Medicaid |
$14,460.93
|
| Rate for Payer: UHCCP Medicaid |
$14,460.93
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,239.09
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$4,037.23 |
| Max. Negotiated Rate |
$4,239.09 |
| Rate for Payer: BCBS Complete |
$4,239.09
|
| Rate for Payer: Mclaren Medicaid |
$4,037.23
|
| Rate for Payer: Meridian Medicaid |
$4,239.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,037.23
|
| Rate for Payer: UHC Medicaid |
$4,037.23
|
| Rate for Payer: UHCCP Medicaid |
$4,037.23
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$5,033.28
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,793.60 |
| Max. Negotiated Rate |
$5,033.28 |
| Rate for Payer: BCBS Complete |
$5,033.28
|
| Rate for Payer: Mclaren Medicaid |
$4,793.60
|
| Rate for Payer: Meridian Medicaid |
$5,033.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,793.60
|
| Rate for Payer: UHC Medicaid |
$4,793.60
|
| Rate for Payer: UHCCP Medicaid |
$4,793.60
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$8,292.95
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$7,898.05 |
| Max. Negotiated Rate |
$8,292.95 |
| Rate for Payer: BCBS Complete |
$8,292.95
|
| Rate for Payer: Mclaren Medicaid |
$7,898.05
|
| Rate for Payer: Meridian Medicaid |
$8,292.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,898.05
|
| Rate for Payer: UHC Medicaid |
$7,898.05
|
| Rate for Payer: UHCCP Medicaid |
$7,898.05
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$35,514.44
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$17,872.94 |
| Max. Negotiated Rate |
$35,514.44 |
| Rate for Payer: Aetna Medicare |
$19,566.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,517.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,517.03
|
| Rate for Payer: BCBS MAPPO |
$18,813.62
|
| Rate for Payer: BCBS Trust/PPO |
$34,297.28
|
| Rate for Payer: BCN Commercial |
$34,297.28
|
| Rate for Payer: BCN Medicare Advantage |
$18,813.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,813.62
|
| Rate for Payer: Mclaren Medicare |
$18,813.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,754.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,635.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,694.98
|
| Rate for Payer: Nomi Health Commercial |
$28,106.52
|
| Rate for Payer: PACE Medicare |
$17,872.94
|
| Rate for Payer: PACE SWMI |
$18,813.62
|
| Rate for Payer: PHP Medicare Advantage |
$18,813.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$35,126.92
|
| Rate for Payer: Priority Health Medicare |
$18,813.62
|
| Rate for Payer: Priority Health Tiered Network |
$28,101.53
|
| Rate for Payer: Railroad Medicare Medicare |
$18,813.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,514.44
|
| Rate for Payer: UHC Core |
$29,712.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,813.62
|
| Rate for Payer: UHC Exchange |
$24,265.30
|
| Rate for Payer: VA VA |
$18,813.62
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$60,746.84
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$30,171.11 |
| Max. Negotiated Rate |
$60,746.84 |
| Rate for Payer: Aetna Medicare |
$33,029.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,698.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,698.82
|
| Rate for Payer: BCBS MAPPO |
$31,759.06
|
| Rate for Payer: BCBS Trust/PPO |
$56,247.10
|
| Rate for Payer: BCN Commercial |
$56,247.10
|
| Rate for Payer: BCN Medicare Advantage |
$31,759.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,759.06
|
| Rate for Payer: Mclaren Medicare |
$31,759.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,347.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,522.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$34,934.97
|
| Rate for Payer: Nomi Health Commercial |
$48,075.72
|
| Rate for Payer: PACE Medicare |
$30,171.11
|
| Rate for Payer: PACE SWMI |
$31,759.06
|
| Rate for Payer: PHP Medicare Advantage |
$31,759.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$60,083.99
|
| Rate for Payer: Priority Health Medicare |
$31,759.06
|
| Rate for Payer: Priority Health Tiered Network |
$48,067.19
|
| Rate for Payer: Railroad Medicare Medicare |
$31,759.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,746.84
|
| Rate for Payer: UHC Core |
$50,822.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,759.06
|
| Rate for Payer: UHC Exchange |
$41,505.37
|
| Rate for Payer: VA VA |
$31,759.06
|
|