|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,642.83
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$7,278.89 |
| Max. Negotiated Rate |
$7,642.83 |
| Rate for Payer: BCBS Complete |
$7,642.83
|
| Rate for Payer: Mclaren Medicaid |
$7,278.89
|
| Rate for Payer: Meridian Medicaid |
$7,642.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,278.89
|
| Rate for Payer: UHC Medicaid |
$7,278.89
|
| Rate for Payer: UHCCP Medicaid |
$7,278.89
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$10,856.50
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$10,339.53 |
| Max. Negotiated Rate |
$10,856.50 |
| Rate for Payer: BCBS Complete |
$10,856.50
|
| Rate for Payer: Mclaren Medicaid |
$10,339.53
|
| Rate for Payer: Meridian Medicaid |
$10,856.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,339.53
|
| Rate for Payer: UHC Medicaid |
$10,339.53
|
| Rate for Payer: UHCCP Medicaid |
$10,339.53
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$5,911.60
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$5,630.10 |
| Max. Negotiated Rate |
$5,911.60 |
| Rate for Payer: BCBS Complete |
$5,911.60
|
| Rate for Payer: Mclaren Medicaid |
$5,630.10
|
| Rate for Payer: Meridian Medicaid |
$5,911.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,630.10
|
| Rate for Payer: UHC Medicaid |
$5,630.10
|
| Rate for Payer: UHCCP Medicaid |
$5,630.10
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$3,145.87
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,996.07 |
| Max. Negotiated Rate |
$3,145.87 |
| Rate for Payer: BCBS Complete |
$3,145.87
|
| Rate for Payer: Mclaren Medicaid |
$2,996.07
|
| Rate for Payer: Meridian Medicaid |
$3,145.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,996.07
|
| Rate for Payer: UHC Medicaid |
$2,996.07
|
| Rate for Payer: UHCCP Medicaid |
$2,996.07
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$15,604.07
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$14,861.02 |
| Max. Negotiated Rate |
$15,604.07 |
| Rate for Payer: BCBS Complete |
$15,604.07
|
| Rate for Payer: Mclaren Medicaid |
$14,861.02
|
| Rate for Payer: Meridian Medicaid |
$15,604.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,861.02
|
| Rate for Payer: UHC Medicaid |
$14,861.02
|
| Rate for Payer: UHCCP Medicaid |
$14,861.02
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$23,676.49
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$8,754.96 |
| Max. Negotiated Rate |
$23,676.49 |
| Rate for Payer: Aetna Medicare |
$9,584.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,519.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,519.69
|
| Rate for Payer: BCBS MAPPO |
$9,215.75
|
| Rate for Payer: BCBS Trust/PPO |
$23,676.49
|
| Rate for Payer: BCN Commercial |
$23,676.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,215.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,215.75
|
| Rate for Payer: Mclaren Medicare |
$9,215.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,676.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,598.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,137.33
|
| Rate for Payer: Nomi Health Commercial |
$13,301.19
|
| Rate for Payer: PACE Medicare |
$8,754.96
|
| Rate for Payer: PACE SWMI |
$9,215.75
|
| Rate for Payer: PHP Medicare Advantage |
$9,215.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,623.54
|
| Rate for Payer: Priority Health Medicare |
$9,215.75
|
| Rate for Payer: Priority Health Tiered Network |
$13,298.83
|
| Rate for Payer: Railroad Medicare Medicare |
$9,215.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,806.93
|
| Rate for Payer: UHC Core |
$14,061.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,215.75
|
| Rate for Payer: UHC Exchange |
$11,483.36
|
| Rate for Payer: VA VA |
$9,215.75
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$62,085.93
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$17,192.86 |
| Max. Negotiated Rate |
$62,085.93 |
| Rate for Payer: Aetna Medicare |
$18,821.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,622.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,622.19
|
| Rate for Payer: BCBS MAPPO |
$18,097.75
|
| Rate for Payer: BCBS Trust/PPO |
$62,085.93
|
| Rate for Payer: BCN Commercial |
$62,085.93
|
| Rate for Payer: BCN Medicare Advantage |
$18,097.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,097.75
|
| Rate for Payer: Mclaren Medicare |
$18,097.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,002.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,812.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,907.53
|
| Rate for Payer: Nomi Health Commercial |
$27,002.28
|
| Rate for Payer: PACE Medicare |
$17,192.86
|
| Rate for Payer: PACE SWMI |
$18,097.75
|
| Rate for Payer: PHP Medicare Advantage |
$18,097.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33,746.86
|
| Rate for Payer: Priority Health Medicare |
$18,097.75
|
| Rate for Payer: Priority Health Tiered Network |
$26,997.49
|
| Rate for Payer: Railroad Medicare Medicare |
$18,097.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,119.16
|
| Rate for Payer: UHC Core |
$28,544.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,097.75
|
| Rate for Payer: UHC Exchange |
$23,311.97
|
| Rate for Payer: VA VA |
$18,097.75
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,196.10
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$6,360.47 |
| Max. Negotiated Rate |
$23,196.10 |
| Rate for Payer: Aetna Medicare |
$6,963.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,369.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,369.04
|
| Rate for Payer: BCBS MAPPO |
$6,695.23
|
| Rate for Payer: BCBS Trust/PPO |
$23,196.10
|
| Rate for Payer: BCN Commercial |
$23,196.10
|
| Rate for Payer: BCN Medicare Advantage |
$6,695.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,695.23
|
| Rate for Payer: Mclaren Medicare |
$6,695.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,029.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,699.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,364.75
|
| Rate for Payer: Nomi Health Commercial |
$9,413.13
|
| Rate for Payer: PACE Medicare |
$6,360.47
|
| Rate for Payer: PACE SWMI |
$6,695.23
|
| Rate for Payer: PHP Medicare Advantage |
$6,695.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,764.33
|
| Rate for Payer: Priority Health Medicare |
$6,695.23
|
| Rate for Payer: Priority Health Tiered Network |
$9,411.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6,695.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,894.11
|
| Rate for Payer: UHC Core |
$9,950.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,695.23
|
| Rate for Payer: UHC Exchange |
$8,126.67
|
| Rate for Payer: VA VA |
$6,695.23
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$5,463.06
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$5,202.91 |
| Max. Negotiated Rate |
$5,463.06 |
| Rate for Payer: BCBS Complete |
$5,463.06
|
| Rate for Payer: Mclaren Medicaid |
$5,202.91
|
| Rate for Payer: Meridian Medicaid |
$5,463.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,202.91
|
| Rate for Payer: UHC Medicaid |
$5,202.91
|
| Rate for Payer: UHCCP Medicaid |
$5,202.91
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$9,284.47
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$8,842.36 |
| Max. Negotiated Rate |
$9,284.47 |
| Rate for Payer: BCBS Complete |
$9,284.47
|
| Rate for Payer: Mclaren Medicaid |
$8,842.36
|
| Rate for Payer: Meridian Medicaid |
$9,284.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,842.36
|
| Rate for Payer: UHC Medicaid |
$8,842.36
|
| Rate for Payer: UHCCP Medicaid |
$8,842.36
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,452.17
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,335.40 |
| Max. Negotiated Rate |
$2,452.17 |
| Rate for Payer: BCBS Complete |
$2,452.17
|
| Rate for Payer: Mclaren Medicaid |
$2,335.40
|
| Rate for Payer: Meridian Medicaid |
$2,452.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,335.40
|
| Rate for Payer: UHC Medicaid |
$2,335.40
|
| Rate for Payer: UHCCP Medicaid |
$2,335.40
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$14,133.73
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$13,460.70 |
| Max. Negotiated Rate |
$14,133.73 |
| Rate for Payer: BCBS Complete |
$14,133.73
|
| Rate for Payer: Mclaren Medicaid |
$13,460.70
|
| Rate for Payer: Meridian Medicaid |
$14,133.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,460.70
|
| Rate for Payer: UHC Medicaid |
$13,460.70
|
| Rate for Payer: UHCCP Medicaid |
$13,460.70
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$84,746.73
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$14,461.53 |
| Max. Negotiated Rate |
$84,746.73 |
| Rate for Payer: Aetna Medicare |
$15,831.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,028.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,028.33
|
| Rate for Payer: BCBS MAPPO |
$15,222.66
|
| Rate for Payer: BCBS Trust/PPO |
$84,746.73
|
| Rate for Payer: BCN Commercial |
$84,746.73
|
| Rate for Payer: BCN Medicare Advantage |
$15,222.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,222.66
|
| Rate for Payer: Mclaren Medicare |
$15,222.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,983.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,506.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,744.93
|
| Rate for Payer: Nomi Health Commercial |
$22,567.26
|
| Rate for Payer: PACE Medicare |
$14,461.53
|
| Rate for Payer: PACE SWMI |
$15,222.66
|
| Rate for Payer: PHP Medicare Advantage |
$15,222.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,204.07
|
| Rate for Payer: Priority Health Medicare |
$15,222.66
|
| Rate for Payer: Priority Health Tiered Network |
$22,563.25
|
| Rate for Payer: Railroad Medicare Medicare |
$15,222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,515.22
|
| Rate for Payer: UHC Core |
$23,856.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,222.66
|
| Rate for Payer: UHC Exchange |
$19,483.07
|
| Rate for Payer: VA VA |
$15,222.66
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$23,360.80
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$8,648.50 |
| Max. Negotiated Rate |
$23,360.80 |
| Rate for Payer: Aetna Medicare |
$9,467.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,379.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,379.60
|
| Rate for Payer: BCBS MAPPO |
$9,103.68
|
| Rate for Payer: BCBS Trust/PPO |
$23,360.80
|
| Rate for Payer: BCN Commercial |
$23,360.80
|
| Rate for Payer: BCN Medicare Advantage |
$9,103.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,103.68
|
| Rate for Payer: Mclaren Medicare |
$9,103.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,558.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,469.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,014.05
|
| Rate for Payer: Nomi Health Commercial |
$13,128.33
|
| Rate for Payer: PACE Medicare |
$8,648.50
|
| Rate for Payer: PACE SWMI |
$9,103.68
|
| Rate for Payer: PHP Medicare Advantage |
$9,103.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,407.50
|
| Rate for Payer: Priority Health Medicare |
$9,103.68
|
| Rate for Payer: Priority Health Tiered Network |
$13,126.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9,103.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,588.51
|
| Rate for Payer: UHC Core |
$13,878.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,103.68
|
| Rate for Payer: UHC Exchange |
$11,334.12
|
| Rate for Payer: VA VA |
$9,103.68
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$11,148.27
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$10,617.40 |
| Max. Negotiated Rate |
$11,148.27 |
| Rate for Payer: BCBS Complete |
$11,148.27
|
| Rate for Payer: Mclaren Medicaid |
$10,617.40
|
| Rate for Payer: Meridian Medicaid |
$11,148.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,617.40
|
| Rate for Payer: UHC Medicaid |
$10,617.40
|
| Rate for Payer: UHCCP Medicaid |
$10,617.40
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,799.01
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$6,475.25 |
| Max. Negotiated Rate |
$6,799.01 |
| Rate for Payer: BCBS Complete |
$6,799.01
|
| Rate for Payer: Mclaren Medicaid |
$6,475.25
|
| Rate for Payer: Meridian Medicaid |
$6,799.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,475.25
|
| Rate for Payer: UHC Medicaid |
$6,475.25
|
| Rate for Payer: UHCCP Medicaid |
$6,475.25
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,055.68
|
|
|
Service Code
|
APR-DRG 4681
|
| Min. Negotiated Rate |
$3,862.55 |
| Max. Negotiated Rate |
$4,055.68 |
| Rate for Payer: BCBS Complete |
$4,055.68
|
| Rate for Payer: Mclaren Medicaid |
$3,862.55
|
| Rate for Payer: Meridian Medicaid |
$4,055.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,862.55
|
| Rate for Payer: UHC Medicaid |
$3,862.55
|
| Rate for Payer: UHCCP Medicaid |
$3,862.55
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,700.95
|
|
|
Service Code
|
APR-DRG 4682
|
| Min. Negotiated Rate |
$4,477.10 |
| Max. Negotiated Rate |
$4,700.95 |
| Rate for Payer: BCBS Complete |
$4,700.95
|
| Rate for Payer: Mclaren Medicaid |
$4,477.10
|
| Rate for Payer: Meridian Medicaid |
$4,700.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,477.10
|
| Rate for Payer: UHC Medicaid |
$4,477.10
|
| Rate for Payer: UHCCP Medicaid |
$4,477.10
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,687.86
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$8,627.05 |
| Max. Negotiated Rate |
$19,687.86 |
| Rate for Payer: Aetna Medicare |
$9,444.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,351.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,351.38
|
| Rate for Payer: BCBS MAPPO |
$9,081.10
|
| Rate for Payer: BCBS Trust/PPO |
$19,687.86
|
| Rate for Payer: BCN Commercial |
$19,687.86
|
| Rate for Payer: BCN Medicare Advantage |
$9,081.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,081.10
|
| Rate for Payer: Mclaren Medicare |
$9,081.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,535.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,443.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,989.21
|
| Rate for Payer: Nomi Health Commercial |
$13,093.50
|
| Rate for Payer: PACE Medicare |
$8,627.05
|
| Rate for Payer: PACE SWMI |
$9,081.10
|
| Rate for Payer: PHP Medicare Advantage |
$9,081.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16,363.97
|
| Rate for Payer: Priority Health Medicare |
$9,081.10
|
| Rate for Payer: Priority Health Tiered Network |
$13,091.18
|
| Rate for Payer: Railroad Medicare Medicare |
$9,081.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,544.50
|
| Rate for Payer: UHC Core |
$13,841.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,081.10
|
| Rate for Payer: UHC Exchange |
$11,304.06
|
| Rate for Payer: VA VA |
$9,081.10
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$28,436.49
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$13,706.80 |
| Max. Negotiated Rate |
$28,436.49 |
| Rate for Payer: Aetna Medicare |
$15,005.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,035.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,035.26
|
| Rate for Payer: BCBS MAPPO |
$14,428.21
|
| Rate for Payer: BCBS Trust/PPO |
$28,436.49
|
| Rate for Payer: BCN Commercial |
$28,436.49
|
| Rate for Payer: BCN Medicare Advantage |
$14,428.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,428.21
|
| Rate for Payer: Mclaren Medicare |
$14,428.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,149.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,592.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,871.03
|
| Rate for Payer: Nomi Health Commercial |
$21,341.76
|
| Rate for Payer: PACE Medicare |
$13,706.80
|
| Rate for Payer: PACE SWMI |
$14,428.21
|
| Rate for Payer: PHP Medicare Advantage |
$14,428.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$26,672.47
|
| Rate for Payer: Priority Health Medicare |
$14,428.21
|
| Rate for Payer: Priority Health Tiered Network |
$21,337.97
|
| Rate for Payer: Railroad Medicare Medicare |
$14,428.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,966.72
|
| Rate for Payer: UHC Core |
$22,561.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,428.21
|
| Rate for Payer: UHC Exchange |
$18,425.05
|
| Rate for Payer: VA VA |
$14,428.21
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,023.93
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$6,044.29 |
| Max. Negotiated Rate |
$15,023.93 |
| Rate for Payer: Aetna Medicare |
$6,616.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,953.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,953.01
|
| Rate for Payer: BCBS MAPPO |
$6,362.41
|
| Rate for Payer: BCBS Trust/PPO |
$15,023.93
|
| Rate for Payer: BCN Commercial |
$15,023.93
|
| Rate for Payer: BCN Medicare Advantage |
$6,362.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,362.41
|
| Rate for Payer: Mclaren Medicare |
$6,362.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,680.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,316.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,998.65
|
| Rate for Payer: Nomi Health Commercial |
$8,899.71
|
| Rate for Payer: PACE Medicare |
$6,044.29
|
| Rate for Payer: PACE SWMI |
$6,362.41
|
| Rate for Payer: PHP Medicare Advantage |
$6,362.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,122.66
|
| Rate for Payer: Priority Health Medicare |
$6,362.41
|
| Rate for Payer: Priority Health Tiered Network |
$8,898.13
|
| Rate for Payer: Railroad Medicare Medicare |
$6,362.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,245.37
|
| Rate for Payer: UHC Core |
$9,408.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,362.41
|
| Rate for Payer: UHC Exchange |
$7,683.42
|
| Rate for Payer: VA VA |
$6,362.41
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$39,414.15
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$19,142.47 |
| Max. Negotiated Rate |
$39,414.15 |
| Rate for Payer: Aetna Medicare |
$20,955.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,187.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,187.46
|
| Rate for Payer: BCBS MAPPO |
$20,149.97
|
| Rate for Payer: BCBS Trust/PPO |
$39,414.15
|
| Rate for Payer: BCN Commercial |
$39,414.15
|
| Rate for Payer: BCN Medicare Advantage |
$20,149.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,149.97
|
| Rate for Payer: Mclaren Medicare |
$20,149.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,157.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,172.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$22,164.97
|
| Rate for Payer: Nomi Health Commercial |
$30,167.94
|
| Rate for Payer: PACE Medicare |
$19,142.47
|
| Rate for Payer: PACE SWMI |
$20,149.97
|
| Rate for Payer: PHP Medicare Advantage |
$20,149.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,703.24
|
| Rate for Payer: Priority Health Medicare |
$20,149.97
|
| Rate for Payer: Priority Health Tiered Network |
$30,162.58
|
| Rate for Payer: Railroad Medicare Medicare |
$20,149.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,119.18
|
| Rate for Payer: UHC Core |
$31,891.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20,149.97
|
| Rate for Payer: UHC Exchange |
$26,044.99
|
| Rate for Payer: VA VA |
$20,149.97
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,984.37
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$33,943.19 |
| Max. Negotiated Rate |
$75,984.37 |
| Rate for Payer: Aetna Medicare |
$37,158.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,662.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,662.09
|
| Rate for Payer: BCBS MAPPO |
$35,729.67
|
| Rate for Payer: BCBS Trust/PPO |
$75,984.37
|
| Rate for Payer: BCN Commercial |
$75,984.37
|
| Rate for Payer: BCN Medicare Advantage |
$35,729.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,729.67
|
| Rate for Payer: Mclaren Medicare |
$35,729.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,516.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,089.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$39,302.64
|
| Rate for Payer: Nomi Health Commercial |
$54,200.64
|
| Rate for Payer: PACE Medicare |
$33,943.19
|
| Rate for Payer: PACE SWMI |
$35,729.67
|
| Rate for Payer: PHP Medicare Advantage |
$35,729.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$67,738.78
|
| Rate for Payer: Priority Health Medicare |
$35,729.67
|
| Rate for Payer: Priority Health Tiered Network |
$54,191.02
|
| Rate for Payer: Railroad Medicare Medicare |
$35,729.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68,486.08
|
| Rate for Payer: UHC Core |
$57,297.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35,729.67
|
| Rate for Payer: UHC Exchange |
$46,793.22
|
| Rate for Payer: VA VA |
$35,729.67
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,256.89
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$13,603.51 |
| Max. Negotiated Rate |
$33,256.89 |
| Rate for Payer: Aetna Medicare |
$14,892.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,899.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,899.35
|
| Rate for Payer: BCBS MAPPO |
$14,319.48
|
| Rate for Payer: BCBS Trust/PPO |
$33,256.89
|
| Rate for Payer: BCN Commercial |
$33,256.89
|
| Rate for Payer: BCN Medicare Advantage |
$14,319.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,319.48
|
| Rate for Payer: Mclaren Medicare |
$14,319.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,035.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,467.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,751.43
|
| Rate for Payer: Nomi Health Commercial |
$21,174.06
|
| Rate for Payer: PACE Medicare |
$13,603.51
|
| Rate for Payer: PACE SWMI |
$14,319.48
|
| Rate for Payer: PHP Medicare Advantage |
$14,319.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$26,462.88
|
| Rate for Payer: Priority Health Medicare |
$14,319.48
|
| Rate for Payer: Priority Health Tiered Network |
$21,170.30
|
| Rate for Payer: Railroad Medicare Medicare |
$14,319.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,754.82
|
| Rate for Payer: UHC Core |
$22,383.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,319.48
|
| Rate for Payer: UHC Exchange |
$18,280.27
|
| Rate for Payer: VA VA |
$14,319.48
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$14,846.20
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$14,139.24 |
| Max. Negotiated Rate |
$14,846.20 |
| Rate for Payer: BCBS Complete |
$14,846.20
|
| Rate for Payer: Mclaren Medicaid |
$14,139.24
|
| Rate for Payer: Meridian Medicaid |
$14,846.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,139.24
|
| Rate for Payer: UHC Medicaid |
$14,139.24
|
| Rate for Payer: UHCCP Medicaid |
$14,139.24
|
|
