|
CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS
|
Facility
|
OP
|
$28.25
|
|
|
Service Code
|
NDC 00023920515
|
| Hospital Charge Code |
27992
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$10.45 |
| Max. Negotiated Rate |
$25.43 |
| Rate for Payer: Aetna American Axle |
$18.36
|
| Rate for Payer: Aetna Commercial |
$24.01
|
| Rate for Payer: Aetna Medicare |
$14.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.36
|
| Rate for Payer: BCBS Complete |
$11.30
|
| Rate for Payer: Cash Price |
$22.60
|
| Rate for Payer: Cofinity Advantage |
$19.77
|
| Rate for Payer: Cofinity Commercial |
$24.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.60
|
| Rate for Payer: Healthscope Commercial |
$25.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.19
|
| Rate for Payer: PHP Commercial |
$24.01
|
| Rate for Payer: Priority Health SBD |
$17.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.36
|
| Rate for Payer: UHC Core |
$14.72
|
| Rate for Payer: UHC Exchange |
$11.10
|
| Rate for Payer: UMR Bronson Commercial |
$10.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.19
|
|
|
CARBOXYMETHYLCELLULOSE SODIUM EYE DROPS
|
Facility
|
OP
|
$21.77
|
|
|
Service Code
|
NDC 00023182212
|
| Hospital Charge Code |
118076
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$8.05 |
| Max. Negotiated Rate |
$19.59 |
| Rate for Payer: Aetna American Axle |
$14.15
|
| Rate for Payer: Aetna Commercial |
$18.50
|
| Rate for Payer: Aetna Medicare |
$10.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.15
|
| Rate for Payer: BCBS Complete |
$8.71
|
| Rate for Payer: Cash Price |
$17.42
|
| Rate for Payer: Cofinity Advantage |
$15.24
|
| Rate for Payer: Cofinity Commercial |
$18.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.42
|
| Rate for Payer: Healthscope Commercial |
$19.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.33
|
| Rate for Payer: PHP Commercial |
$18.50
|
| Rate for Payer: Priority Health SBD |
$13.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.15
|
| Rate for Payer: UHC Core |
$11.34
|
| Rate for Payer: UHC Exchange |
$8.56
|
| Rate for Payer: UMR Bronson Commercial |
$8.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.33
|
|
|
CARBOXYMETHYLCELLULOSE SODIUM EYE DROPS
|
Facility
|
IP
|
$21.77
|
|
|
Service Code
|
NDC 00023182212
|
| Hospital Charge Code |
118076
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$9.58 |
| Max. Negotiated Rate |
$19.59 |
| Rate for Payer: Aetna American Axle |
$14.15
|
| Rate for Payer: Aetna Commercial |
$18.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.15
|
| Rate for Payer: Cash Price |
$17.42
|
| Rate for Payer: Cofinity Advantage |
$15.24
|
| Rate for Payer: Cofinity Commercial |
$18.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.42
|
| Rate for Payer: Healthscope Commercial |
$19.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.33
|
| Rate for Payer: PHP Commercial |
$18.50
|
| Rate for Payer: Priority Health SBD |
$13.72
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.33
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$4,045.99
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$3,853.33 |
| Max. Negotiated Rate |
$4,045.99 |
| Rate for Payer: BCBS Complete |
$4,045.99
|
| Rate for Payer: Mclaren Medicaid |
$3,853.33
|
| Rate for Payer: Meridian Medicaid |
$4,045.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,853.33
|
| Rate for Payer: UHC Medicaid |
$3,853.33
|
| Rate for Payer: UHCCP Medicaid |
$3,853.33
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$8,876.49
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$8,453.80 |
| Max. Negotiated Rate |
$8,876.49 |
| Rate for Payer: BCBS Complete |
$8,876.49
|
| Rate for Payer: Mclaren Medicaid |
$8,453.80
|
| Rate for Payer: Meridian Medicaid |
$8,876.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,453.80
|
| Rate for Payer: UHC Medicaid |
$8,453.80
|
| Rate for Payer: UHCCP Medicaid |
$8,453.80
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$2,091.40
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$1,991.81 |
| Max. Negotiated Rate |
$2,091.40 |
| Rate for Payer: BCBS Complete |
$2,091.40
|
| Rate for Payer: Mclaren Medicaid |
$1,991.81
|
| Rate for Payer: Meridian Medicaid |
$2,091.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,991.81
|
| Rate for Payer: UHC Medicaid |
$1,991.81
|
| Rate for Payer: UHCCP Medicaid |
$1,991.81
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$14,834.09
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$14,127.71 |
| Max. Negotiated Rate |
$14,834.09 |
| Rate for Payer: BCBS Complete |
$14,834.09
|
| Rate for Payer: Mclaren Medicaid |
$14,127.71
|
| Rate for Payer: Meridian Medicaid |
$14,834.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,127.71
|
| Rate for Payer: UHC Medicaid |
$14,127.71
|
| Rate for Payer: UHCCP Medicaid |
$14,127.71
|
|
|
CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$13,006.28
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$5,600.17 |
| Max. Negotiated Rate |
$13,006.28 |
| Rate for Payer: Aetna Medicare |
$6,130.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,368.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,368.65
|
| Rate for Payer: BCBS MAPPO |
$5,894.92
|
| Rate for Payer: BCBS Trust/PPO |
$13,006.28
|
| Rate for Payer: BCN Commercial |
$13,006.28
|
| Rate for Payer: BCN Medicare Advantage |
$5,894.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,894.92
|
| Rate for Payer: Mclaren Medicare |
$5,894.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,189.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,779.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,484.41
|
| Rate for Payer: Nomi Health Commercial |
$8,043.15
|
| Rate for Payer: PACE Medicare |
$5,600.17
|
| Rate for Payer: PACE SWMI |
$5,894.92
|
| Rate for Payer: PHP Medicare Advantage |
$5,894.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,221.44
|
| Rate for Payer: Priority Health Medicare |
$5,894.92
|
| Rate for Payer: Priority Health Tiered Network |
$8,177.15
|
| Rate for Payer: Railroad Medicare Medicare |
$5,894.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,163.05
|
| Rate for Payer: UHC Core |
$8,502.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,894.92
|
| Rate for Payer: UHC Exchange |
$6,943.92
|
| Rate for Payer: VA VA |
$5,894.92
|
|
|
CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$38,532.97
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$12,971.91 |
| Max. Negotiated Rate |
$38,532.97 |
| Rate for Payer: Aetna Medicare |
$14,200.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,068.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,068.30
|
| Rate for Payer: BCBS MAPPO |
$13,654.64
|
| Rate for Payer: BCBS Trust/PPO |
$38,532.97
|
| Rate for Payer: BCN Commercial |
$38,532.97
|
| Rate for Payer: BCN Medicare Advantage |
$13,654.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,654.64
|
| Rate for Payer: Mclaren Medicare |
$13,654.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,337.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,702.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,020.10
|
| Rate for Payer: Nomi Health Commercial |
$20,148.51
|
| Rate for Payer: PACE Medicare |
$12,971.91
|
| Rate for Payer: PACE SWMI |
$13,654.64
|
| Rate for Payer: PHP Medicare Advantage |
$13,654.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,181.17
|
| Rate for Payer: Priority Health Medicare |
$13,654.64
|
| Rate for Payer: Priority Health Tiered Network |
$20,144.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13,654.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,458.97
|
| Rate for Payer: UHC Core |
$21,299.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,654.64
|
| Rate for Payer: UHC Exchange |
$17,394.88
|
| Rate for Payer: VA VA |
$13,654.64
|
|
|
CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$11,943.93
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$4,178.88 |
| Max. Negotiated Rate |
$11,943.93 |
| Rate for Payer: Aetna Medicare |
$4,574.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,498.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,498.52
|
| Rate for Payer: BCBS MAPPO |
$4,398.82
|
| Rate for Payer: BCBS Trust/PPO |
$11,943.93
|
| Rate for Payer: BCN Commercial |
$11,943.93
|
| Rate for Payer: BCN Medicare Advantage |
$4,398.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,398.82
|
| Rate for Payer: Mclaren Medicare |
$4,398.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,618.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,058.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,838.70
|
| Rate for Payer: Nomi Health Commercial |
$5,870.79
|
| Rate for Payer: PACE Medicare |
$4,178.88
|
| Rate for Payer: PACE SWMI |
$4,398.82
|
| Rate for Payer: PHP Medicare Advantage |
$4,398.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7,337.19
|
| Rate for Payer: Priority Health Medicare |
$4,398.82
|
| Rate for Payer: Priority Health Tiered Network |
$5,869.75
|
| Rate for Payer: Railroad Medicare Medicare |
$4,398.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,418.13
|
| Rate for Payer: UHC Core |
$6,206.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4,398.82
|
| Rate for Payer: UHC Exchange |
$5,068.45
|
| Rate for Payer: VA VA |
$4,398.82
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$10,918.25
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$10,398.33 |
| Max. Negotiated Rate |
$10,918.25 |
| Rate for Payer: BCBS Complete |
$10,918.25
|
| Rate for Payer: Mclaren Medicaid |
$10,398.33
|
| Rate for Payer: Meridian Medicaid |
$10,918.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,398.33
|
| Rate for Payer: UHC Medicaid |
$10,398.33
|
| Rate for Payer: UHCCP Medicaid |
$10,398.33
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$6,308.70
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$6,008.28 |
| Max. Negotiated Rate |
$6,308.70 |
| Rate for Payer: BCBS Complete |
$6,308.70
|
| Rate for Payer: Mclaren Medicaid |
$6,008.28
|
| Rate for Payer: Meridian Medicaid |
$6,308.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.28
|
| Rate for Payer: UHC Medicaid |
$6,008.28
|
| Rate for Payer: UHCCP Medicaid |
$6,008.28
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$4,437.03
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$4,225.74 |
| Max. Negotiated Rate |
$4,437.03 |
| Rate for Payer: BCBS Complete |
$4,437.03
|
| Rate for Payer: Mclaren Medicaid |
$4,225.74
|
| Rate for Payer: Meridian Medicaid |
$4,437.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.74
|
| Rate for Payer: UHC Medicaid |
$4,225.74
|
| Rate for Payer: UHCCP Medicaid |
$4,225.74
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,277.23
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$3,121.17 |
| Max. Negotiated Rate |
$3,277.23 |
| Rate for Payer: BCBS Complete |
$3,277.23
|
| Rate for Payer: Mclaren Medicaid |
$3,121.17
|
| Rate for Payer: Meridian Medicaid |
$3,277.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,121.17
|
| Rate for Payer: UHC Medicaid |
$3,121.17
|
| Rate for Payer: UHCCP Medicaid |
$3,121.17
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$15,260.01
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$6,408.14 |
| Max. Negotiated Rate |
$15,260.01 |
| Rate for Payer: Aetna Medicare |
$7,015.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,431.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,431.76
|
| Rate for Payer: BCBS MAPPO |
$6,745.41
|
| Rate for Payer: BCBS Trust/PPO |
$15,260.01
|
| Rate for Payer: BCN Commercial |
$15,260.01
|
| Rate for Payer: BCN Medicare Advantage |
$6,745.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,745.41
|
| Rate for Payer: Mclaren Medicare |
$6,745.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,082.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,757.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,419.95
|
| Rate for Payer: Nomi Health Commercial |
$9,490.53
|
| Rate for Payer: PACE Medicare |
$6,408.14
|
| Rate for Payer: PACE SWMI |
$6,745.41
|
| Rate for Payer: PHP Medicare Advantage |
$6,745.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,861.06
|
| Rate for Payer: Priority Health Medicare |
$6,745.41
|
| Rate for Payer: Priority Health Tiered Network |
$9,488.85
|
| Rate for Payer: Railroad Medicare Medicare |
$6,745.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,991.91
|
| Rate for Payer: UHC Core |
$10,032.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,745.41
|
| Rate for Payer: UHC Exchange |
$8,193.49
|
| Rate for Payer: VA VA |
$6,745.41
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$23,242.76
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$10,128.59 |
| Max. Negotiated Rate |
$23,242.76 |
| Rate for Payer: Aetna Medicare |
$11,088.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,327.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,327.09
|
| Rate for Payer: BCBS MAPPO |
$10,661.67
|
| Rate for Payer: BCBS Trust/PPO |
$23,242.76
|
| Rate for Payer: BCN Commercial |
$23,242.76
|
| Rate for Payer: BCN Medicare Advantage |
$10,661.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,661.67
|
| Rate for Payer: Mclaren Medicare |
$10,661.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,194.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,260.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,727.84
|
| Rate for Payer: Nomi Health Commercial |
$15,531.60
|
| Rate for Payer: PACE Medicare |
$10,128.59
|
| Rate for Payer: PACE SWMI |
$10,661.67
|
| Rate for Payer: PHP Medicare Advantage |
$10,661.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,411.06
|
| Rate for Payer: Priority Health Medicare |
$10,661.67
|
| Rate for Payer: Priority Health Tiered Network |
$15,528.84
|
| Rate for Payer: Railroad Medicare Medicare |
$10,661.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,625.20
|
| Rate for Payer: UHC Core |
$16,418.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,661.67
|
| Rate for Payer: UHC Exchange |
$13,408.95
|
| Rate for Payer: VA VA |
$10,661.67
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,732.56
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$5,060.74 |
| Max. Negotiated Rate |
$11,732.56 |
| Rate for Payer: Aetna Medicare |
$5,540.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,658.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,658.88
|
| Rate for Payer: BCBS MAPPO |
$5,327.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,732.56
|
| Rate for Payer: BCN Commercial |
$11,732.56
|
| Rate for Payer: BCN Medicare Advantage |
$5,327.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,327.10
|
| Rate for Payer: Mclaren Medicare |
$5,327.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,593.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,126.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$5,859.81
|
| Rate for Payer: Nomi Health Commercial |
$7,302.69
|
| Rate for Payer: PACE Medicare |
$5,060.74
|
| Rate for Payer: PACE SWMI |
$5,327.10
|
| Rate for Payer: PHP Medicare Advantage |
$5,327.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9,126.74
|
| Rate for Payer: Priority Health Medicare |
$5,327.10
|
| Rate for Payer: Priority Health Tiered Network |
$7,301.39
|
| Rate for Payer: Railroad Medicare Medicare |
$5,327.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,227.43
|
| Rate for Payer: UHC Core |
$7,719.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,327.10
|
| Rate for Payer: UHC Exchange |
$6,304.66
|
| Rate for Payer: VA VA |
$5,327.10
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$9,591.37
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$9,134.64 |
| Max. Negotiated Rate |
$9,591.37 |
| Rate for Payer: BCBS Complete |
$9,591.37
|
| Rate for Payer: Mclaren Medicaid |
$9,134.64
|
| Rate for Payer: Meridian Medicaid |
$9,591.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,134.64
|
| Rate for Payer: UHC Medicaid |
$9,134.64
|
| Rate for Payer: UHCCP Medicaid |
$9,134.64
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$13,108.31
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$12,484.11 |
| Max. Negotiated Rate |
$13,108.31 |
| Rate for Payer: BCBS Complete |
$13,108.31
|
| Rate for Payer: Mclaren Medicaid |
$12,484.11
|
| Rate for Payer: Meridian Medicaid |
$13,108.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,484.11
|
| Rate for Payer: UHC Medicaid |
$12,484.11
|
| Rate for Payer: UHCCP Medicaid |
$12,484.11
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,984.24
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$6,651.66 |
| Max. Negotiated Rate |
$6,984.24 |
| Rate for Payer: BCBS Complete |
$6,984.24
|
| Rate for Payer: Mclaren Medicaid |
$6,651.66
|
| Rate for Payer: Meridian Medicaid |
$6,984.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.66
|
| Rate for Payer: UHC Medicaid |
$6,651.66
|
| Rate for Payer: UHCCP Medicaid |
$6,651.66
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,599.26
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$5,332.62 |
| Max. Negotiated Rate |
$5,599.26 |
| Rate for Payer: BCBS Complete |
$5,599.26
|
| Rate for Payer: Mclaren Medicaid |
$5,332.62
|
| Rate for Payer: Meridian Medicaid |
$5,599.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,332.62
|
| Rate for Payer: UHC Medicaid |
$5,332.62
|
| Rate for Payer: UHCCP Medicaid |
$5,332.62
|
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$11,154.93
|
|
|
Service Code
|
APR-DRG 1923
|
| Min. Negotiated Rate |
$10,623.74 |
| Max. Negotiated Rate |
$11,154.93 |
| Rate for Payer: BCBS Complete |
$11,154.93
|
| Rate for Payer: Mclaren Medicaid |
$10,623.74
|
| Rate for Payer: Meridian Medicaid |
$11,154.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,623.74
|
| Rate for Payer: UHC Medicaid |
$10,623.74
|
| Rate for Payer: UHCCP Medicaid |
$10,623.74
|
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,953.97
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$6,622.83 |
| Max. Negotiated Rate |
$6,953.97 |
| Rate for Payer: BCBS Complete |
$6,953.97
|
| Rate for Payer: Mclaren Medicaid |
$6,622.83
|
| Rate for Payer: Meridian Medicaid |
$6,953.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,622.83
|
| Rate for Payer: UHC Medicaid |
$6,622.83
|
| Rate for Payer: UHCCP Medicaid |
$6,622.83
|
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$8,799.61
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$8,380.58 |
| Max. Negotiated Rate |
$8,799.61 |
| Rate for Payer: BCBS Complete |
$8,799.61
|
| Rate for Payer: Mclaren Medicaid |
$8,380.58
|
| Rate for Payer: Meridian Medicaid |
$8,799.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,380.58
|
| Rate for Payer: UHC Medicaid |
$8,380.58
|
| Rate for Payer: UHCCP Medicaid |
$8,380.58
|
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$18,654.30
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$17,766.00 |
| Max. Negotiated Rate |
$18,654.30 |
| Rate for Payer: BCBS Complete |
$18,654.30
|
| Rate for Payer: Mclaren Medicaid |
$17,766.00
|
| Rate for Payer: Meridian Medicaid |
$18,654.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,766.00
|
| Rate for Payer: UHC Medicaid |
$17,766.00
|
| Rate for Payer: UHCCP Medicaid |
$17,766.00
|
|
