|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,045.71
|
|
|
Service Code
|
APR-DRG 2061
|
| Min. Negotiated Rate |
$3,657.80 |
| Max. Negotiated Rate |
$4,045.71 |
| Rate for Payer: BCBS Complete |
$4,045.71
|
| Rate for Payer: Mclaren Medicaid |
$3,853.06
|
| Rate for Payer: Meridian Medicaid |
$4,045.71
|
| Rate for Payer: PHP Medicaid |
$3,657.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,853.06
|
| Rate for Payer: UHC Medicaid |
$3,853.06
|
| Rate for Payer: UHCCP Medicaid |
$3,853.06
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,502.89
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$5,879.39 |
| Max. Negotiated Rate |
$6,502.89 |
| Rate for Payer: BCBS Complete |
$6,502.89
|
| Rate for Payer: Mclaren Medicaid |
$6,193.23
|
| Rate for Payer: Meridian Medicaid |
$6,502.89
|
| Rate for Payer: PHP Medicaid |
$5,879.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,193.23
|
| Rate for Payer: UHC Medicaid |
$6,193.23
|
| Rate for Payer: UHCCP Medicaid |
$6,193.23
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,305.12
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$2,988.23 |
| Max. Negotiated Rate |
$3,305.12 |
| Rate for Payer: BCBS Complete |
$3,305.12
|
| Rate for Payer: Mclaren Medicaid |
$3,147.74
|
| Rate for Payer: Meridian Medicaid |
$3,305.12
|
| Rate for Payer: PHP Medicaid |
$2,988.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,147.74
|
| Rate for Payer: UHC Medicaid |
$3,147.74
|
| Rate for Payer: UHCCP Medicaid |
$3,147.74
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$9,596.57
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$8,676.45 |
| Max. Negotiated Rate |
$9,596.57 |
| Rate for Payer: BCBS Complete |
$9,596.57
|
| Rate for Payer: Mclaren Medicaid |
$9,139.59
|
| Rate for Payer: Meridian Medicaid |
$9,596.57
|
| Rate for Payer: PHP Medicaid |
$8,676.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,139.59
|
| Rate for Payer: UHC Medicaid |
$9,139.59
|
| Rate for Payer: UHCCP Medicaid |
$9,139.59
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,387.94
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$3,967.22 |
| Max. Negotiated Rate |
$4,387.94 |
| Rate for Payer: BCBS Complete |
$4,387.94
|
| Rate for Payer: Mclaren Medicaid |
$4,178.99
|
| Rate for Payer: Meridian Medicaid |
$4,387.94
|
| Rate for Payer: PHP Medicaid |
$3,967.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,178.99
|
| Rate for Payer: UHC Medicaid |
$4,178.99
|
| Rate for Payer: UHCCP Medicaid |
$4,178.99
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,344.85
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$5,736.51 |
| Max. Negotiated Rate |
$6,344.85 |
| Rate for Payer: BCBS Complete |
$6,344.85
|
| Rate for Payer: Mclaren Medicaid |
$6,042.72
|
| Rate for Payer: Meridian Medicaid |
$6,344.85
|
| Rate for Payer: PHP Medicaid |
$5,736.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,042.72
|
| Rate for Payer: UHC Medicaid |
$6,042.72
|
| Rate for Payer: UHCCP Medicaid |
$6,042.72
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,833.13
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$6,177.97 |
| Max. Negotiated Rate |
$6,833.13 |
| Rate for Payer: BCBS Complete |
$6,833.13
|
| Rate for Payer: Mclaren Medicaid |
$6,507.74
|
| Rate for Payer: Meridian Medicaid |
$6,833.13
|
| Rate for Payer: PHP Medicaid |
$6,177.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,507.74
|
| Rate for Payer: UHC Medicaid |
$6,507.74
|
| Rate for Payer: UHCCP Medicaid |
$6,507.74
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,978.00
|
|
|
Service Code
|
APR-DRG 3494
|
| Min. Negotiated Rate |
$10,829.55 |
| Max. Negotiated Rate |
$11,978.00 |
| Rate for Payer: BCBS Complete |
$11,978.00
|
| Rate for Payer: Mclaren Medicaid |
$11,407.62
|
| Rate for Payer: Meridian Medicaid |
$11,978.00
|
| Rate for Payer: PHP Medicaid |
$10,829.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,407.62
|
| Rate for Payer: UHC Medicaid |
$11,407.62
|
| Rate for Payer: UHCCP Medicaid |
$11,407.62
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,459.87
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$4,032.26 |
| Max. Negotiated Rate |
$4,459.87 |
| Rate for Payer: BCBS Complete |
$4,459.87
|
| Rate for Payer: Mclaren Medicaid |
$4,247.50
|
| Rate for Payer: Meridian Medicaid |
$4,459.87
|
| Rate for Payer: PHP Medicaid |
$4,032.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,247.50
|
| Rate for Payer: UHC Medicaid |
$4,247.50
|
| Rate for Payer: UHCCP Medicaid |
$4,247.50
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$14,945.07
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$9,108.57 |
| Max. Negotiated Rate |
$14,945.07 |
| Rate for Payer: Aetna Medicare |
$9,587.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,984.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,984.96
|
| Rate for Payer: BCBS MAPPO |
$9,587.97
|
| Rate for Payer: BCN Medicare Advantage |
$9,587.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,587.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,587.97
|
| Rate for Payer: Mclaren Medicare |
$9,587.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,067.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,026.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,546.77
|
| Rate for Payer: PACE Medicare |
$9,108.57
|
| Rate for Payer: PACE SWMI |
$9,587.97
|
| Rate for Payer: PHP Commercial |
$10,546.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,587.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$14,945.07
|
| Rate for Payer: Priority Health Medicare |
$9,587.97
|
| Rate for Payer: Priority Health Narrow Network |
$11,956.05
|
| Rate for Payer: Railroad Medicare Medicare |
$9,587.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,587.97
|
| Rate for Payer: UHC Exchange |
$14,861.35
|
| Rate for Payer: UHCCP DNSP |
$9,587.97
|
| Rate for Payer: VA VA |
$9,587.97
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$25,302.75
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$14,266.14 |
| Max. Negotiated Rate |
$25,302.75 |
| Rate for Payer: Aetna Medicare |
$15,016.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,771.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,771.24
|
| Rate for Payer: BCBS MAPPO |
$15,016.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,016.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,016.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,016.99
|
| Rate for Payer: Mclaren Medicare |
$15,016.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,767.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,269.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,518.69
|
| Rate for Payer: PACE Medicare |
$14,266.14
|
| Rate for Payer: PACE SWMI |
$15,016.99
|
| Rate for Payer: PHP Commercial |
$16,518.69
|
| Rate for Payer: PHP Medicare Advantage |
$15,016.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25,302.75
|
| Rate for Payer: Priority Health Medicare |
$15,016.99
|
| Rate for Payer: Priority Health Narrow Network |
$20,242.20
|
| Rate for Payer: Railroad Medicare Medicare |
$15,016.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15,016.99
|
| Rate for Payer: UHC Exchange |
$23,276.33
|
| Rate for Payer: UHCCP DNSP |
$15,016.99
|
| Rate for Payer: VA VA |
$15,016.99
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$13,440.44
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$8,237.69 |
| Max. Negotiated Rate |
$13,440.44 |
| Rate for Payer: Aetna Medicare |
$8,671.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,839.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,839.06
|
| Rate for Payer: BCBS MAPPO |
$8,671.25
|
| Rate for Payer: BCN Medicare Advantage |
$8,671.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,671.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,671.25
|
| Rate for Payer: Mclaren Medicare |
$8,671.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,104.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,971.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,538.38
|
| Rate for Payer: PACE Medicare |
$8,237.69
|
| Rate for Payer: PACE SWMI |
$8,671.25
|
| Rate for Payer: PHP Commercial |
$9,538.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,671.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$13,196.12
|
| Rate for Payer: Priority Health Medicare |
$8,671.25
|
| Rate for Payer: Priority Health Narrow Network |
$10,556.89
|
| Rate for Payer: Railroad Medicare Medicare |
$8,671.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,671.25
|
| Rate for Payer: UHC Exchange |
$13,440.44
|
| Rate for Payer: UHCCP DNSP |
$8,671.25
|
| Rate for Payer: VA VA |
$8,671.25
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,114.32
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$6,432.20 |
| Max. Negotiated Rate |
$7,114.32 |
| Rate for Payer: BCBS Complete |
$7,114.32
|
| Rate for Payer: Mclaren Medicaid |
$6,775.55
|
| Rate for Payer: Meridian Medicaid |
$7,114.32
|
| Rate for Payer: PHP Medicaid |
$6,432.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,775.55
|
| Rate for Payer: UHC Medicaid |
$6,775.55
|
| Rate for Payer: UHCCP Medicaid |
$6,775.55
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,706.09
|
|
|
Service Code
|
APR-DRG 5003
|
| Min. Negotiated Rate |
$9,679.58 |
| Max. Negotiated Rate |
$10,706.09 |
| Rate for Payer: BCBS Complete |
$10,706.09
|
| Rate for Payer: Mclaren Medicaid |
$10,196.27
|
| Rate for Payer: Meridian Medicaid |
$10,706.09
|
| Rate for Payer: PHP Medicaid |
$9,679.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,196.27
|
| Rate for Payer: UHC Medicaid |
$10,196.27
|
| Rate for Payer: UHCCP Medicaid |
$10,196.27
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$17,039.50
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$15,405.74 |
| Max. Negotiated Rate |
$17,039.50 |
| Rate for Payer: BCBS Complete |
$17,039.50
|
| Rate for Payer: Mclaren Medicaid |
$16,228.09
|
| Rate for Payer: Meridian Medicaid |
$17,039.50
|
| Rate for Payer: PHP Medicaid |
$15,405.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,228.09
|
| Rate for Payer: UHC Medicaid |
$16,228.09
|
| Rate for Payer: UHCCP Medicaid |
$16,228.09
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,095.30
|
|
|
Service Code
|
APR-DRG 5001
|
| Min. Negotiated Rate |
$3,702.64 |
| Max. Negotiated Rate |
$4,095.30 |
| Rate for Payer: BCBS Complete |
$4,095.30
|
| Rate for Payer: Mclaren Medicaid |
$3,900.28
|
| Rate for Payer: Meridian Medicaid |
$4,095.30
|
| Rate for Payer: PHP Medicaid |
$3,702.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,900.28
|
| Rate for Payer: UHC Medicaid |
$3,900.28
|
| Rate for Payer: UHCCP Medicaid |
$3,900.28
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$15,699.33
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$9,484.14 |
| Max. Negotiated Rate |
$15,699.33 |
| Rate for Payer: Aetna Medicare |
$9,983.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,479.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,479.14
|
| Rate for Payer: BCBS MAPPO |
$9,983.31
|
| Rate for Payer: BCN Medicare Advantage |
$9,983.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,983.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,983.31
|
| Rate for Payer: Mclaren Medicare |
$9,983.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,482.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,480.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,981.64
|
| Rate for Payer: PACE Medicare |
$9,484.14
|
| Rate for Payer: PACE SWMI |
$9,983.31
|
| Rate for Payer: PHP Commercial |
$10,981.64
|
| Rate for Payer: PHP Medicare Advantage |
$9,983.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15,699.33
|
| Rate for Payer: Priority Health Medicare |
$9,983.31
|
| Rate for Payer: Priority Health Narrow Network |
$12,559.46
|
| Rate for Payer: Railroad Medicare Medicare |
$9,983.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,983.31
|
| Rate for Payer: UHC Exchange |
$15,474.13
|
| Rate for Payer: UHCCP DNSP |
$9,983.31
|
| Rate for Payer: VA VA |
$9,983.31
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$24,863.11
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$14,047.23 |
| Max. Negotiated Rate |
$24,863.11 |
| Rate for Payer: Aetna Medicare |
$14,786.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,483.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,483.20
|
| Rate for Payer: BCBS MAPPO |
$14,786.56
|
| Rate for Payer: BCN Medicare Advantage |
$14,786.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,786.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,786.56
|
| Rate for Payer: Mclaren Medicare |
$14,786.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,525.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,004.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,265.22
|
| Rate for Payer: PACE Medicare |
$14,047.23
|
| Rate for Payer: PACE SWMI |
$14,786.56
|
| Rate for Payer: PHP Commercial |
$16,265.22
|
| Rate for Payer: PHP Medicare Advantage |
$14,786.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24,863.11
|
| Rate for Payer: Priority Health Medicare |
$14,786.56
|
| Rate for Payer: Priority Health Narrow Network |
$19,890.49
|
| Rate for Payer: Railroad Medicare Medicare |
$14,786.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,786.56
|
| Rate for Payer: UHC Exchange |
$22,919.17
|
| Rate for Payer: UHCCP DNSP |
$14,786.56
|
| Rate for Payer: VA VA |
$14,786.56
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$10,038.30
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$6,152.50 |
| Max. Negotiated Rate |
$10,038.30 |
| Rate for Payer: Aetna Medicare |
$6,476.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,095.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,095.40
|
| Rate for Payer: BCBS MAPPO |
$6,476.32
|
| Rate for Payer: BCN Medicare Advantage |
$6,476.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,476.32
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,476.32
|
| Rate for Payer: Mclaren Medicare |
$6,476.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,800.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,447.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,123.95
|
| Rate for Payer: PACE Medicare |
$6,152.50
|
| Rate for Payer: PACE SWMI |
$6,476.32
|
| Rate for Payer: PHP Commercial |
$7,123.95
|
| Rate for Payer: PHP Medicare Advantage |
$6,476.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$9,008.53
|
| Rate for Payer: Priority Health Medicare |
$6,476.32
|
| Rate for Payer: Priority Health Narrow Network |
$7,206.82
|
| Rate for Payer: Railroad Medicare Medicare |
$6,476.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,476.32
|
| Rate for Payer: UHC Exchange |
$10,038.30
|
| Rate for Payer: UHCCP DNSP |
$6,476.32
|
| Rate for Payer: VA VA |
$6,476.32
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,896.92
|
|
|
Service Code
|
APR-DRG 2812
|
| Min. Negotiated Rate |
$4,427.40 |
| Max. Negotiated Rate |
$4,896.92 |
| Rate for Payer: BCBS Complete |
$4,896.92
|
| Rate for Payer: Mclaren Medicaid |
$4,663.73
|
| Rate for Payer: Meridian Medicaid |
$4,896.92
|
| Rate for Payer: PHP Medicaid |
$4,427.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,663.73
|
| Rate for Payer: UHC Medicaid |
$4,663.73
|
| Rate for Payer: UHCCP Medicaid |
$4,663.73
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,646.79
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$4,201.25 |
| Max. Negotiated Rate |
$4,646.79 |
| Rate for Payer: BCBS Complete |
$4,646.79
|
| Rate for Payer: Mclaren Medicaid |
$4,425.51
|
| Rate for Payer: Meridian Medicaid |
$4,646.79
|
| Rate for Payer: PHP Medicaid |
$4,201.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,425.51
|
| Rate for Payer: UHC Medicaid |
$4,425.51
|
| Rate for Payer: UHCCP Medicaid |
$4,425.51
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$11,348.58
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$10,260.48 |
| Max. Negotiated Rate |
$11,348.58 |
| Rate for Payer: BCBS Complete |
$11,348.58
|
| Rate for Payer: Mclaren Medicaid |
$10,808.17
|
| Rate for Payer: Meridian Medicaid |
$11,348.58
|
| Rate for Payer: PHP Medicaid |
$10,260.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,808.17
|
| Rate for Payer: UHC Medicaid |
$10,808.17
|
| Rate for Payer: UHCCP Medicaid |
$10,808.17
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$7,491.43
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$6,773.15 |
| Max. Negotiated Rate |
$7,491.43 |
| Rate for Payer: BCBS Complete |
$7,491.43
|
| Rate for Payer: Mclaren Medicaid |
$7,134.69
|
| Rate for Payer: Meridian Medicaid |
$7,491.43
|
| Rate for Payer: PHP Medicaid |
$6,773.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,134.69
|
| Rate for Payer: UHC Medicaid |
$7,134.69
|
| Rate for Payer: UHCCP Medicaid |
$7,134.69
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$15,539.96
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$9,404.80 |
| Max. Negotiated Rate |
$15,539.96 |
| Rate for Payer: Aetna Medicare |
$9,899.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,374.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,374.74
|
| Rate for Payer: BCBS MAPPO |
$9,899.79
|
| Rate for Payer: BCN Medicare Advantage |
$9,899.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,899.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,899.79
|
| Rate for Payer: Mclaren Medicare |
$9,899.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,394.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,384.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,889.77
|
| Rate for Payer: PACE Medicare |
$9,404.80
|
| Rate for Payer: PACE SWMI |
$9,899.79
|
| Rate for Payer: PHP Commercial |
$10,889.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,899.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15,539.96
|
| Rate for Payer: Priority Health Medicare |
$9,899.79
|
| Rate for Payer: Priority Health Narrow Network |
$12,431.97
|
| Rate for Payer: Railroad Medicare Medicare |
$9,899.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,899.79
|
| Rate for Payer: UHC Exchange |
$15,344.67
|
| Rate for Payer: UHCCP DNSP |
$9,899.79
|
| Rate for Payer: VA VA |
$9,899.79
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$25,234.05
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$14,231.94 |
| Max. Negotiated Rate |
$25,234.05 |
| Rate for Payer: Aetna Medicare |
$14,980.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,726.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,726.24
|
| Rate for Payer: BCBS MAPPO |
$14,980.99
|
| Rate for Payer: BCN Medicare Advantage |
$14,980.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,980.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,980.99
|
| Rate for Payer: Mclaren Medicare |
$14,980.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,730.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,228.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$16,479.09
|
| Rate for Payer: PACE Medicare |
$14,231.94
|
| Rate for Payer: PACE SWMI |
$14,980.99
|
| Rate for Payer: PHP Commercial |
$16,479.09
|
| Rate for Payer: PHP Medicare Advantage |
$14,980.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25,234.05
|
| Rate for Payer: Priority Health Medicare |
$14,980.99
|
| Rate for Payer: Priority Health Narrow Network |
$20,187.24
|
| Rate for Payer: Railroad Medicare Medicare |
$14,980.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,980.99
|
| Rate for Payer: UHC Exchange |
$23,220.53
|
| Rate for Payer: UHCCP DNSP |
$14,980.99
|
| Rate for Payer: VA VA |
$14,980.99
|
|