|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$4,820.81
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$4,591.25 |
| Max. Negotiated Rate |
$4,820.81 |
| Rate for Payer: BCBS Complete |
$4,820.81
|
| Rate for Payer: Mclaren Medicaid |
$4,591.25
|
| Rate for Payer: Meridian Medicaid |
$4,820.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,591.25
|
| Rate for Payer: UHC Medicaid |
$4,591.25
|
| Rate for Payer: UHCCP Medicaid |
$4,591.25
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,631.34
|
|
|
Service Code
|
APR-DRG 7602
|
| Min. Negotiated Rate |
$3,458.42 |
| Max. Negotiated Rate |
$3,631.34 |
| Rate for Payer: BCBS Complete |
$3,631.34
|
| Rate for Payer: Mclaren Medicaid |
$3,458.42
|
| Rate for Payer: Meridian Medicaid |
$3,631.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,458.42
|
| Rate for Payer: UHC Medicaid |
$3,458.42
|
| Rate for Payer: UHCCP Medicaid |
$3,458.42
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,366.82
|
|
|
Service Code
|
APR-DRG 7601
|
| Min. Negotiated Rate |
$2,254.11 |
| Max. Negotiated Rate |
$2,366.82 |
| Rate for Payer: BCBS Complete |
$2,366.82
|
| Rate for Payer: Mclaren Medicaid |
$2,254.11
|
| Rate for Payer: Meridian Medicaid |
$2,366.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,254.11
|
| Rate for Payer: UHC Medicaid |
$2,254.11
|
| Rate for Payer: UHCCP Medicaid |
$2,254.11
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$11,007.23
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$10,483.08 |
| Max. Negotiated Rate |
$11,007.23 |
| Rate for Payer: BCBS Complete |
$11,007.23
|
| Rate for Payer: Mclaren Medicaid |
$10,483.08
|
| Rate for Payer: Meridian Medicaid |
$11,007.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,483.08
|
| Rate for Payer: UHC Medicaid |
$10,483.08
|
| Rate for Payer: UHCCP Medicaid |
$10,483.08
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$28,721.98
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$12,739.15 |
| Max. Negotiated Rate |
$28,721.98 |
| Rate for Payer: Aetna Medicare |
$13,946.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,762.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,762.04
|
| Rate for Payer: BCBS MAPPO |
$13,409.63
|
| Rate for Payer: BCBS Trust/PPO |
$28,721.98
|
| Rate for Payer: BCN Commercial |
$28,721.98
|
| Rate for Payer: BCN Medicare Advantage |
$13,409.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,409.63
|
| Rate for Payer: Mclaren Medicare |
$13,409.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,080.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,421.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,750.59
|
| Rate for Payer: Nomi Health Commercial |
$19,770.54
|
| Rate for Payer: PACE Medicare |
$12,739.15
|
| Rate for Payer: PACE SWMI |
$13,409.63
|
| Rate for Payer: PHP Medicare Advantage |
$13,409.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,708.79
|
| Rate for Payer: Priority Health Medicare |
$13,409.63
|
| Rate for Payer: Priority Health Tiered Network |
$19,767.03
|
| Rate for Payer: Railroad Medicare Medicare |
$13,409.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,981.38
|
| Rate for Payer: UHC Core |
$20,900.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,409.63
|
| Rate for Payer: UHC Exchange |
$17,068.57
|
| Rate for Payer: VA VA |
$13,409.63
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$65,476.13
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$22,282.15 |
| Max. Negotiated Rate |
$65,476.13 |
| Rate for Payer: Aetna Medicare |
$24,393.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,318.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,318.62
|
| Rate for Payer: BCBS MAPPO |
$23,454.90
|
| Rate for Payer: BCBS Trust/PPO |
$65,476.13
|
| Rate for Payer: BCN Commercial |
$65,476.13
|
| Rate for Payer: BCN Medicare Advantage |
$23,454.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,454.90
|
| Rate for Payer: Mclaren Medicare |
$23,454.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,627.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,973.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$25,800.39
|
| Rate for Payer: Nomi Health Commercial |
$35,266.02
|
| Rate for Payer: PACE Medicare |
$22,282.15
|
| Rate for Payer: PACE SWMI |
$23,454.90
|
| Rate for Payer: PHP Medicare Advantage |
$23,454.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44,074.71
|
| Rate for Payer: Priority Health Medicare |
$23,454.90
|
| Rate for Payer: Priority Health Tiered Network |
$35,259.76
|
| Rate for Payer: Railroad Medicare Medicare |
$23,454.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,560.94
|
| Rate for Payer: UHC Core |
$37,280.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23,454.90
|
| Rate for Payer: UHC Exchange |
$30,446.33
|
| Rate for Payer: VA VA |
$23,454.90
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$17,277.66
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$8,035.17 |
| Max. Negotiated Rate |
$17,277.66 |
| Rate for Payer: Aetna Medicare |
$8,796.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,572.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,572.59
|
| Rate for Payer: BCBS MAPPO |
$8,458.07
|
| Rate for Payer: BCBS Trust/PPO |
$17,277.66
|
| Rate for Payer: BCN Commercial |
$17,277.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,458.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,458.07
|
| Rate for Payer: Mclaren Medicare |
$8,458.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,880.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,726.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,303.88
|
| Rate for Payer: Nomi Health Commercial |
$12,132.45
|
| Rate for Payer: PACE Medicare |
$8,035.17
|
| Rate for Payer: PACE SWMI |
$8,458.07
|
| Rate for Payer: PHP Medicare Advantage |
$8,458.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15,162.87
|
| Rate for Payer: Priority Health Medicare |
$8,458.07
|
| Rate for Payer: Priority Health Tiered Network |
$12,130.30
|
| Rate for Payer: Railroad Medicare Medicare |
$8,458.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,330.15
|
| Rate for Payer: UHC Core |
$12,825.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,458.07
|
| Rate for Payer: UHC Exchange |
$10,474.35
|
| Rate for Payer: VA VA |
$8,458.07
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$4,050.83
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,857.94 |
| Max. Negotiated Rate |
$4,050.83 |
| Rate for Payer: BCBS Complete |
$4,050.83
|
| Rate for Payer: Mclaren Medicaid |
$3,857.94
|
| Rate for Payer: Meridian Medicaid |
$4,050.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,857.94
|
| Rate for Payer: UHC Medicaid |
$3,857.94
|
| Rate for Payer: UHCCP Medicaid |
$3,857.94
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,873.46
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$8,450.91 |
| Max. Negotiated Rate |
$8,873.46 |
| Rate for Payer: BCBS Complete |
$8,873.46
|
| Rate for Payer: Mclaren Medicaid |
$8,450.91
|
| Rate for Payer: Meridian Medicaid |
$8,873.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.91
|
| Rate for Payer: UHC Medicaid |
$8,450.91
|
| Rate for Payer: UHCCP Medicaid |
$8,450.91
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$6,337.75
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$6,035.95 |
| Max. Negotiated Rate |
$6,337.75 |
| Rate for Payer: BCBS Complete |
$6,337.75
|
| Rate for Payer: Mclaren Medicaid |
$6,035.95
|
| Rate for Payer: Meridian Medicaid |
$6,337.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,035.95
|
| Rate for Payer: UHC Medicaid |
$6,035.95
|
| Rate for Payer: UHCCP Medicaid |
$6,035.95
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,029.05
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,884.81 |
| Max. Negotiated Rate |
$3,029.05 |
| Rate for Payer: BCBS Complete |
$3,029.05
|
| Rate for Payer: Mclaren Medicaid |
$2,884.81
|
| Rate for Payer: Meridian Medicaid |
$3,029.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,884.81
|
| Rate for Payer: UHC Medicaid |
$2,884.81
|
| Rate for Payer: UHCCP Medicaid |
$2,884.81
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,043.54
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$8,304.49 |
| Max. Negotiated Rate |
$18,043.54 |
| Rate for Payer: Aetna Medicare |
$9,091.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,926.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,926.96
|
| Rate for Payer: BCBS MAPPO |
$8,741.57
|
| Rate for Payer: BCBS Trust/PPO |
$18,043.54
|
| Rate for Payer: BCN Commercial |
$18,043.54
|
| Rate for Payer: BCN Medicare Advantage |
$8,741.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,741.57
|
| Rate for Payer: Mclaren Medicare |
$8,741.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,178.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,052.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,615.73
|
| Rate for Payer: Nomi Health Commercial |
$12,569.76
|
| Rate for Payer: PACE Medicare |
$8,304.49
|
| Rate for Payer: PACE SWMI |
$8,741.57
|
| Rate for Payer: PHP Medicare Advantage |
$8,741.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15,709.41
|
| Rate for Payer: Priority Health Medicare |
$8,741.57
|
| Rate for Payer: Priority Health Tiered Network |
$12,567.53
|
| Rate for Payer: Railroad Medicare Medicare |
$8,741.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,882.72
|
| Rate for Payer: UHC Core |
$13,287.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,741.57
|
| Rate for Payer: UHC Exchange |
$10,851.89
|
| Rate for Payer: VA VA |
$8,741.57
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$40,245.91
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$12,826.55 |
| Max. Negotiated Rate |
$40,245.91 |
| Rate for Payer: Aetna Medicare |
$14,041.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,877.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,877.04
|
| Rate for Payer: BCBS MAPPO |
$13,501.63
|
| Rate for Payer: BCBS Trust/PPO |
$40,245.91
|
| Rate for Payer: BCN Commercial |
$40,245.91
|
| Rate for Payer: BCN Medicare Advantage |
$13,501.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,501.63
|
| Rate for Payer: Mclaren Medicare |
$13,501.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,176.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,526.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,851.79
|
| Rate for Payer: Nomi Health Commercial |
$19,912.44
|
| Rate for Payer: PACE Medicare |
$12,826.55
|
| Rate for Payer: PACE SWMI |
$13,501.63
|
| Rate for Payer: PHP Medicare Advantage |
$13,501.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,886.14
|
| Rate for Payer: Priority Health Medicare |
$13,501.63
|
| Rate for Payer: Priority Health Tiered Network |
$19,908.91
|
| Rate for Payer: Railroad Medicare Medicare |
$13,501.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,160.68
|
| Rate for Payer: UHC Core |
$21,050.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,501.63
|
| Rate for Payer: UHC Exchange |
$17,191.07
|
| Rate for Payer: VA VA |
$13,501.63
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,575.30
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$6,516.17 |
| Max. Negotiated Rate |
$12,575.30 |
| Rate for Payer: Aetna Medicare |
$7,133.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,573.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,573.91
|
| Rate for Payer: BCBS MAPPO |
$6,859.13
|
| Rate for Payer: BCBS Trust/PPO |
$12,575.30
|
| Rate for Payer: BCN Commercial |
$12,575.30
|
| Rate for Payer: BCN Medicare Advantage |
$6,859.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,859.13
|
| Rate for Payer: Mclaren Medicare |
$6,859.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,202.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,888.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,545.04
|
| Rate for Payer: Nomi Health Commercial |
$9,665.97
|
| Rate for Payer: PACE Medicare |
$6,516.17
|
| Rate for Payer: PACE SWMI |
$6,859.13
|
| Rate for Payer: PHP Medicare Advantage |
$6,859.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12,080.32
|
| Rate for Payer: Priority Health Medicare |
$6,859.13
|
| Rate for Payer: Priority Health Tiered Network |
$9,664.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,859.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,213.59
|
| Rate for Payer: UHC Core |
$10,218.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,859.13
|
| Rate for Payer: UHC Exchange |
$8,344.95
|
| Rate for Payer: VA VA |
$6,859.13
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$49,043.96
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$17,072.92 |
| Max. Negotiated Rate |
$49,043.96 |
| Rate for Payer: Aetna Medicare |
$18,690.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,464.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,464.36
|
| Rate for Payer: BCBS MAPPO |
$17,971.49
|
| Rate for Payer: BCBS Trust/PPO |
$49,043.96
|
| Rate for Payer: BCN Commercial |
$49,043.96
|
| Rate for Payer: BCN Medicare Advantage |
$17,971.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,971.49
|
| Rate for Payer: Mclaren Medicare |
$17,971.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,870.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,667.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,768.64
|
| Rate for Payer: Nomi Health Commercial |
$26,807.49
|
| Rate for Payer: PACE Medicare |
$17,072.92
|
| Rate for Payer: PACE SWMI |
$17,971.49
|
| Rate for Payer: PHP Medicare Advantage |
$17,971.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$33,503.42
|
| Rate for Payer: Priority Health Medicare |
$17,971.49
|
| Rate for Payer: Priority Health Tiered Network |
$26,802.73
|
| Rate for Payer: Railroad Medicare Medicare |
$17,971.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,873.03
|
| Rate for Payer: UHC Core |
$28,339.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,971.49
|
| Rate for Payer: UHC Exchange |
$23,143.80
|
| Rate for Payer: VA VA |
$17,971.49
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$102,998.90
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$25,881.84 |
| Max. Negotiated Rate |
$102,998.90 |
| Rate for Payer: Aetna Medicare |
$28,333.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,055.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,055.05
|
| Rate for Payer: BCBS MAPPO |
$27,244.04
|
| Rate for Payer: BCBS Trust/PPO |
$102,998.90
|
| Rate for Payer: BCN Commercial |
$102,998.90
|
| Rate for Payer: BCN Medicare Advantage |
$27,244.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,244.04
|
| Rate for Payer: Mclaren Medicare |
$27,244.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,606.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,330.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$29,968.44
|
| Rate for Payer: Nomi Health Commercial |
$41,111.01
|
| Rate for Payer: PACE Medicare |
$25,881.84
|
| Rate for Payer: PACE SWMI |
$27,244.04
|
| Rate for Payer: PHP Medicare Advantage |
$27,244.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51,379.65
|
| Rate for Payer: Priority Health Medicare |
$27,244.04
|
| Rate for Payer: Priority Health Tiered Network |
$41,103.71
|
| Rate for Payer: Railroad Medicare Medicare |
$27,244.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,946.47
|
| Rate for Payer: UHC Core |
$43,459.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27,244.04
|
| Rate for Payer: UHC Exchange |
$35,492.51
|
| Rate for Payer: VA VA |
$27,244.04
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,355.71
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$12,771.71 |
| Max. Negotiated Rate |
$33,355.71 |
| Rate for Payer: Aetna Medicare |
$13,981.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,804.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,804.89
|
| Rate for Payer: BCBS MAPPO |
$13,443.91
|
| Rate for Payer: BCBS Trust/PPO |
$33,355.71
|
| Rate for Payer: BCN Commercial |
$33,355.71
|
| Rate for Payer: BCN Medicare Advantage |
$13,443.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,443.91
|
| Rate for Payer: Mclaren Medicare |
$13,443.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,116.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,460.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,788.30
|
| Rate for Payer: Nomi Health Commercial |
$19,823.43
|
| Rate for Payer: PACE Medicare |
$12,771.71
|
| Rate for Payer: PACE SWMI |
$13,443.91
|
| Rate for Payer: PHP Medicare Advantage |
$13,443.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,774.89
|
| Rate for Payer: Priority Health Medicare |
$13,443.91
|
| Rate for Payer: Priority Health Tiered Network |
$19,819.91
|
| Rate for Payer: Railroad Medicare Medicare |
$13,443.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,048.21
|
| Rate for Payer: UHC Core |
$20,955.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,443.91
|
| Rate for Payer: UHC Exchange |
$17,114.23
|
| Rate for Payer: VA VA |
$13,443.91
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$11,579.87
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$11,028.44 |
| Max. Negotiated Rate |
$11,579.87 |
| Rate for Payer: BCBS Complete |
$11,579.87
|
| Rate for Payer: Mclaren Medicaid |
$11,028.44
|
| Rate for Payer: Meridian Medicaid |
$11,579.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,028.44
|
| Rate for Payer: UHC Medicaid |
$11,028.44
|
| Rate for Payer: UHCCP Medicaid |
$11,028.44
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$8,699.73
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$8,285.46 |
| Max. Negotiated Rate |
$8,699.73 |
| Rate for Payer: BCBS Complete |
$8,699.73
|
| Rate for Payer: Mclaren Medicaid |
$8,285.46
|
| Rate for Payer: Meridian Medicaid |
$8,699.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,285.46
|
| Rate for Payer: UHC Medicaid |
$8,285.46
|
| Rate for Payer: UHCCP Medicaid |
$8,285.46
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$23,278.38
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$22,169.88 |
| Max. Negotiated Rate |
$23,278.38 |
| Rate for Payer: BCBS Complete |
$23,278.38
|
| Rate for Payer: Mclaren Medicaid |
$22,169.88
|
| Rate for Payer: Meridian Medicaid |
$23,278.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,169.88
|
| Rate for Payer: UHC Medicaid |
$22,169.88
|
| Rate for Payer: UHCCP Medicaid |
$22,169.88
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$14,429.13
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$13,742.03 |
| Max. Negotiated Rate |
$14,429.13 |
| Rate for Payer: BCBS Complete |
$14,429.13
|
| Rate for Payer: Mclaren Medicaid |
$13,742.03
|
| Rate for Payer: Meridian Medicaid |
$14,429.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,742.03
|
| Rate for Payer: UHC Medicaid |
$13,742.03
|
| Rate for Payer: UHCCP Medicaid |
$13,742.03
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$27,665.12
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$10,235.03 |
| Max. Negotiated Rate |
$27,665.12 |
| Rate for Payer: Aetna Medicare |
$11,204.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,467.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,467.15
|
| Rate for Payer: BCBS MAPPO |
$10,773.72
|
| Rate for Payer: BCBS Trust/PPO |
$27,665.12
|
| Rate for Payer: BCN Commercial |
$27,665.12
|
| Rate for Payer: BCN Medicare Advantage |
$10,773.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,773.72
|
| Rate for Payer: Mclaren Medicare |
$10,773.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,312.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,389.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,851.09
|
| Rate for Payer: Nomi Health Commercial |
$15,704.46
|
| Rate for Payer: PACE Medicare |
$10,235.03
|
| Rate for Payer: PACE SWMI |
$10,773.72
|
| Rate for Payer: PHP Medicare Advantage |
$10,773.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,627.09
|
| Rate for Payer: Priority Health Medicare |
$10,773.72
|
| Rate for Payer: Priority Health Tiered Network |
$15,701.67
|
| Rate for Payer: Railroad Medicare Medicare |
$10,773.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,843.62
|
| Rate for Payer: UHC Core |
$16,601.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,773.72
|
| Rate for Payer: UHC Exchange |
$13,558.18
|
| Rate for Payer: VA VA |
$10,773.72
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,938.46
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$16,411.12 |
| Max. Negotiated Rate |
$39,938.46 |
| Rate for Payer: Aetna Medicare |
$17,965.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,593.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,593.58
|
| Rate for Payer: BCBS MAPPO |
$17,274.86
|
| Rate for Payer: BCBS Trust/PPO |
$39,938.46
|
| Rate for Payer: BCN Commercial |
$39,938.46
|
| Rate for Payer: BCN Medicare Advantage |
$17,274.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,274.86
|
| Rate for Payer: Mclaren Medicare |
$17,274.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,138.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,866.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,002.35
|
| Rate for Payer: Nomi Health Commercial |
$25,732.92
|
| Rate for Payer: PACE Medicare |
$16,411.12
|
| Rate for Payer: PACE SWMI |
$17,274.86
|
| Rate for Payer: PHP Medicare Advantage |
$17,274.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32,160.44
|
| Rate for Payer: Priority Health Medicare |
$17,274.86
|
| Rate for Payer: Priority Health Tiered Network |
$25,728.35
|
| Rate for Payer: Railroad Medicare Medicare |
$17,274.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,515.24
|
| Rate for Payer: UHC Core |
$27,203.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,274.86
|
| Rate for Payer: UHC Exchange |
$22,216.09
|
| Rate for Payer: VA VA |
$17,274.86
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,667.07
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$7,328.92 |
| Max. Negotiated Rate |
$21,667.07 |
| Rate for Payer: Aetna Medicare |
$8,023.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,643.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,643.31
|
| Rate for Payer: BCBS MAPPO |
$7,714.65
|
| Rate for Payer: BCBS Trust/PPO |
$21,667.07
|
| Rate for Payer: BCN Commercial |
$21,667.07
|
| Rate for Payer: BCN Medicare Advantage |
$7,714.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,714.65
|
| Rate for Payer: Mclaren Medicare |
$7,714.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,100.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,871.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,486.11
|
| Rate for Payer: Nomi Health Commercial |
$10,985.64
|
| Rate for Payer: PACE Medicare |
$7,328.92
|
| Rate for Payer: PACE SWMI |
$7,714.65
|
| Rate for Payer: PHP Medicare Advantage |
$7,714.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,729.61
|
| Rate for Payer: Priority Health Medicare |
$7,714.65
|
| Rate for Payer: Priority Health Tiered Network |
$10,983.69
|
| Rate for Payer: Railroad Medicare Medicare |
$7,714.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,881.08
|
| Rate for Payer: UHC Core |
$11,613.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,714.65
|
| Rate for Payer: UHC Exchange |
$9,484.27
|
| Rate for Payer: VA VA |
$7,714.65
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,922.49
|
|
|
Service Code
|
APR-DRG 0261
|
| Min. Negotiated Rate |
$8,497.61 |
| Max. Negotiated Rate |
$8,922.49 |
| Rate for Payer: BCBS Complete |
$8,922.49
|
| Rate for Payer: Mclaren Medicaid |
$8,497.61
|
| Rate for Payer: Meridian Medicaid |
$8,922.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,497.61
|
| Rate for Payer: UHC Medicaid |
$8,497.61
|
| Rate for Payer: UHCCP Medicaid |
$8,497.61
|
|
