|
MOXIFLOXACIN 0.5 % EYE DROPS
|
Facility
|
OP
|
$108.96
|
|
|
Service Code
|
NDC 65862084003
|
| Hospital Charge Code |
35699
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$108.96 |
| Rate for Payer: Aetna Commercial |
$98.06
|
| Rate for Payer: Aetna Medicare |
$54.48
|
| Rate for Payer: ASR ASR |
$105.69
|
| Rate for Payer: ASR Commercial |
$105.69
|
| Rate for Payer: BCBS Complete |
$43.58
|
| Rate for Payer: BCBS Trust/PPO |
$89.23
|
| Rate for Payer: BCN Commercial |
$84.48
|
| Rate for Payer: Cash Price |
$87.17
|
| Rate for Payer: Cofinity Commercial |
$102.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.17
|
| Rate for Payer: Healthscope Commercial |
$108.96
|
| Rate for Payer: Healthscope Whirlpool |
$105.69
|
| Rate for Payer: Mclaren Commercial |
$98.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.62
|
| Rate for Payer: Nomi Health Commercial |
$89.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.47
|
| Rate for Payer: Priority Health Narrow Network |
$76.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.88
|
|
|
MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$17,479.18
|
|
|
Service Code
|
MSDRG 770
|
| Min. Negotiated Rate |
$6,041.77 |
| Max. Negotiated Rate |
$17,479.18 |
| Rate for Payer: Aetna Medicare |
$11,276.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,096.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,096.11
|
| Rate for Payer: BCBS MAPPO |
$11,276.89
|
| Rate for Payer: BCN Medicare Advantage |
$11,276.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,276.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,276.89
|
| Rate for Payer: Mclaren Medicare |
$11,276.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,840.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,968.42
|
| Rate for Payer: PACE Medicare |
$10,713.05
|
| Rate for Payer: PACE SWMI |
$11,276.89
|
| Rate for Payer: PHP Commercial |
$12,404.58
|
| Rate for Payer: PHP Medicare Advantage |
$11,276.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,552.22
|
| Rate for Payer: Priority Health Medicare |
$11,276.89
|
| Rate for Payer: Priority Health Narrow Network |
$6,041.77
|
| Rate for Payer: Railroad Medicare Medicare |
$11,276.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,276.89
|
| Rate for Payer: UHC Exchange |
$17,479.18
|
| Rate for Payer: UHC Medicare Advantage |
$11,276.89
|
| Rate for Payer: UHCCP DNSP |
$11,276.89
|
| Rate for Payer: VA VA |
$11,276.89
|
|
|
MS-DRG 42.00: ABORTION WITHOUT D&C
|
Facility
|
IP
|
$15,526.26
|
|
|
Service Code
|
MSDRG 779
|
| Min. Negotiated Rate |
$4,859.14 |
| Max. Negotiated Rate |
$15,526.26 |
| Rate for Payer: Aetna Medicare |
$10,016.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,521.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,521.18
|
| Rate for Payer: BCBS MAPPO |
$10,016.94
|
| Rate for Payer: BCN Medicare Advantage |
$10,016.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,016.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,016.94
|
| Rate for Payer: Mclaren Medicare |
$10,016.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,517.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,519.48
|
| Rate for Payer: PACE Medicare |
$9,516.09
|
| Rate for Payer: PACE SWMI |
$10,016.94
|
| Rate for Payer: PHP Commercial |
$11,018.63
|
| Rate for Payer: PHP Medicare Advantage |
$10,016.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,073.92
|
| Rate for Payer: Priority Health Medicare |
$10,016.94
|
| Rate for Payer: Priority Health Narrow Network |
$4,859.14
|
| Rate for Payer: Railroad Medicare Medicare |
$10,016.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,016.94
|
| Rate for Payer: UHC Exchange |
$15,526.26
|
| Rate for Payer: UHC Medicare Advantage |
$10,016.94
|
| Rate for Payer: UHCCP DNSP |
$10,016.94
|
| Rate for Payer: VA VA |
$10,016.94
|
|
|
MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
|
Facility
|
IP
|
$15,855.43
|
|
|
Service Code
|
MSDRG 880
|
| Min. Negotiated Rate |
$9,717.84 |
| Max. Negotiated Rate |
$15,855.43 |
| Rate for Payer: Aetna Medicare |
$10,229.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,786.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,786.64
|
| Rate for Payer: BCBS MAPPO |
$10,229.31
|
| Rate for Payer: BCN Medicare Advantage |
$10,229.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,229.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,229.31
|
| Rate for Payer: Mclaren Medicare |
$10,229.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,740.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,763.71
|
| Rate for Payer: PACE Medicare |
$9,717.84
|
| Rate for Payer: PACE SWMI |
$10,229.31
|
| Rate for Payer: PHP Commercial |
$11,252.24
|
| Rate for Payer: PHP Medicare Advantage |
$10,229.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,170.01
|
| Rate for Payer: Priority Health Medicare |
$10,229.31
|
| Rate for Payer: Priority Health Narrow Network |
$10,536.01
|
| Rate for Payer: Railroad Medicare Medicare |
$10,229.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,229.31
|
| Rate for Payer: UHC Exchange |
$15,855.43
|
| Rate for Payer: UHC Medicare Advantage |
$10,229.31
|
| Rate for Payer: UHCCP DNSP |
$10,229.31
|
| Rate for Payer: VA VA |
$10,229.31
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
|
Facility
|
IP
|
$24,404.28
|
|
|
Service Code
|
MSDRG 289
|
| Min. Negotiated Rate |
$14,957.46 |
| Max. Negotiated Rate |
$24,404.28 |
| Rate for Payer: Aetna Medicare |
$15,744.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,680.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,680.88
|
| Rate for Payer: BCBS MAPPO |
$15,744.70
|
| Rate for Payer: BCN Medicare Advantage |
$15,744.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,744.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,744.70
|
| Rate for Payer: Mclaren Medicare |
$15,744.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,531.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,106.40
|
| Rate for Payer: PACE Medicare |
$14,957.46
|
| Rate for Payer: PACE SWMI |
$15,744.70
|
| Rate for Payer: PHP Commercial |
$17,319.17
|
| Rate for Payer: PHP Medicare Advantage |
$15,744.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,660.59
|
| Rate for Payer: Priority Health Medicare |
$15,744.70
|
| Rate for Payer: Priority Health Narrow Network |
$17,328.47
|
| Rate for Payer: Railroad Medicare Medicare |
$15,744.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,744.70
|
| Rate for Payer: UHC Exchange |
$24,404.28
|
| Rate for Payer: UHC Medicare Advantage |
$15,744.70
|
| Rate for Payer: UHCCP DNSP |
$15,744.70
|
| Rate for Payer: VA VA |
$15,744.70
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
|
Facility
|
IP
|
$40,376.12
|
|
|
Service Code
|
MSDRG 288
|
| Min. Negotiated Rate |
$24,746.65 |
| Max. Negotiated Rate |
$40,376.12 |
| Rate for Payer: Aetna Medicare |
$26,049.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,561.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,561.39
|
| Rate for Payer: BCBS MAPPO |
$26,049.11
|
| Rate for Payer: BCN Medicare Advantage |
$26,049.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,049.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,049.11
|
| Rate for Payer: Mclaren Medicare |
$26,049.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,351.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,956.48
|
| Rate for Payer: PACE Medicare |
$24,746.65
|
| Rate for Payer: PACE SWMI |
$26,049.11
|
| Rate for Payer: PHP Commercial |
$28,654.02
|
| Rate for Payer: PHP Medicare Advantage |
$26,049.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,524.78
|
| Rate for Payer: Priority Health Medicare |
$26,049.11
|
| Rate for Payer: Priority Health Narrow Network |
$30,019.83
|
| Rate for Payer: Railroad Medicare Medicare |
$26,049.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,049.11
|
| Rate for Payer: UHC Exchange |
$40,376.12
|
| Rate for Payer: UHC Medicare Advantage |
$26,049.11
|
| Rate for Payer: UHCCP DNSP |
$26,049.11
|
| Rate for Payer: VA VA |
$26,049.11
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,137.58
|
|
|
Service Code
|
MSDRG 290
|
| Min. Negotiated Rate |
$9,890.77 |
| Max. Negotiated Rate |
$16,137.58 |
| Rate for Payer: Aetna Medicare |
$10,411.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,014.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,014.18
|
| Rate for Payer: BCBS MAPPO |
$10,411.34
|
| Rate for Payer: BCN Medicare Advantage |
$10,411.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,411.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,411.34
|
| Rate for Payer: Mclaren Medicare |
$10,411.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,931.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,973.04
|
| Rate for Payer: PACE Medicare |
$9,890.77
|
| Rate for Payer: PACE SWMI |
$10,411.34
|
| Rate for Payer: PHP Commercial |
$11,452.47
|
| Rate for Payer: PHP Medicare Advantage |
$10,411.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,450.29
|
| Rate for Payer: Priority Health Medicare |
$10,411.34
|
| Rate for Payer: Priority Health Narrow Network |
$10,760.23
|
| Rate for Payer: Railroad Medicare Medicare |
$10,411.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,411.34
|
| Rate for Payer: UHC Exchange |
$16,137.58
|
| Rate for Payer: UHC Medicare Advantage |
$10,411.34
|
| Rate for Payer: UHCCP DNSP |
$10,411.34
|
| Rate for Payer: VA VA |
$10,411.34
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$32,138.49
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$19,697.78 |
| Max. Negotiated Rate |
$32,138.49 |
| Rate for Payer: Aetna Medicare |
$20,734.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,918.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,918.14
|
| Rate for Payer: BCBS MAPPO |
$20,734.51
|
| Rate for Payer: BCN Medicare Advantage |
$20,734.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,734.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,734.51
|
| Rate for Payer: Mclaren Medicare |
$20,734.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,771.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,844.69
|
| Rate for Payer: PACE Medicare |
$19,697.78
|
| Rate for Payer: PACE SWMI |
$20,734.51
|
| Rate for Payer: PHP Commercial |
$22,807.96
|
| Rate for Payer: PHP Medicare Advantage |
$20,734.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,343.33
|
| Rate for Payer: Priority Health Medicare |
$20,734.51
|
| Rate for Payer: Priority Health Narrow Network |
$23,474.66
|
| Rate for Payer: Railroad Medicare Medicare |
$20,734.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,734.51
|
| Rate for Payer: UHC Exchange |
$32,138.49
|
| Rate for Payer: UHC Medicare Advantage |
$20,734.51
|
| Rate for Payer: UHCCP DNSP |
$20,734.51
|
| Rate for Payer: VA VA |
$20,734.51
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$79,044.42
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$48,446.58 |
| Max. Negotiated Rate |
$79,044.42 |
| Rate for Payer: Aetna Medicare |
$50,996.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63,745.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63,745.50
|
| Rate for Payer: BCBS MAPPO |
$50,996.40
|
| Rate for Payer: BCN Medicare Advantage |
$50,996.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,996.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$50,996.40
|
| Rate for Payer: Mclaren Medicare |
$50,996.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,546.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58,645.86
|
| Rate for Payer: PACE Medicare |
$48,446.58
|
| Rate for Payer: PACE SWMI |
$50,996.40
|
| Rate for Payer: PHP Commercial |
$56,096.04
|
| Rate for Payer: PHP Medicare Advantage |
$50,996.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75,932.97
|
| Rate for Payer: Priority Health Medicare |
$50,996.40
|
| Rate for Payer: Priority Health Narrow Network |
$60,746.38
|
| Rate for Payer: Railroad Medicare Medicare |
$50,996.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,996.40
|
| Rate for Payer: UHC Exchange |
$79,044.42
|
| Rate for Payer: UHC Medicare Advantage |
$50,996.40
|
| Rate for Payer: UHCCP DNSP |
$50,996.40
|
| Rate for Payer: VA VA |
$50,996.40
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$126,552.21
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$101,241.77 |
| Max. Negotiated Rate |
$126,552.21 |
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$126,552.21
|
| Rate for Payer: Priority Health Narrow Network |
$101,241.77
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$20,172.03
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$12,363.50 |
| Max. Negotiated Rate |
$20,172.03 |
| Rate for Payer: Aetna Medicare |
$13,014.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,267.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,267.76
|
| Rate for Payer: BCBS MAPPO |
$13,014.21
|
| Rate for Payer: BCN Medicare Advantage |
$13,014.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,014.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,014.21
|
| Rate for Payer: Mclaren Medicare |
$13,014.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,664.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,966.34
|
| Rate for Payer: PACE Medicare |
$12,363.50
|
| Rate for Payer: PACE SWMI |
$13,014.21
|
| Rate for Payer: PHP Commercial |
$14,315.63
|
| Rate for Payer: PHP Medicare Advantage |
$13,014.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,457.89
|
| Rate for Payer: Priority Health Medicare |
$13,014.21
|
| Rate for Payer: Priority Health Narrow Network |
$13,966.31
|
| Rate for Payer: Railroad Medicare Medicare |
$13,014.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,014.21
|
| Rate for Payer: UHC Exchange |
$20,172.03
|
| Rate for Payer: UHC Medicare Advantage |
$13,014.21
|
| Rate for Payer: UHCCP DNSP |
$13,014.21
|
| Rate for Payer: VA VA |
$13,014.21
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$18,685.23
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$11,452.24 |
| Max. Negotiated Rate |
$18,685.23 |
| Rate for Payer: Aetna Medicare |
$12,054.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,068.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,068.74
|
| Rate for Payer: BCBS MAPPO |
$12,054.99
|
| Rate for Payer: BCN Medicare Advantage |
$12,054.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,054.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,054.99
|
| Rate for Payer: Mclaren Medicare |
$12,054.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,657.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,863.24
|
| Rate for Payer: PACE Medicare |
$11,452.24
|
| Rate for Payer: PACE SWMI |
$12,054.99
|
| Rate for Payer: PHP Commercial |
$13,260.49
|
| Rate for Payer: PHP Medicare Advantage |
$12,054.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,979.60
|
| Rate for Payer: Priority Health Medicare |
$12,054.99
|
| Rate for Payer: Priority Health Narrow Network |
$12,783.68
|
| Rate for Payer: Railroad Medicare Medicare |
$12,054.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,054.99
|
| Rate for Payer: UHC Exchange |
$18,685.23
|
| Rate for Payer: UHC Medicare Advantage |
$12,054.99
|
| Rate for Payer: UHCCP DNSP |
$12,054.99
|
| Rate for Payer: VA VA |
$12,054.99
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,978.68
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$7,341.77 |
| Max. Negotiated Rate |
$11,978.68 |
| Rate for Payer: Aetna Medicare |
$7,728.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,660.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,660.22
|
| Rate for Payer: BCBS MAPPO |
$7,728.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,728.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,728.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,728.18
|
| Rate for Payer: Mclaren Medicare |
$7,728.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,114.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,887.41
|
| Rate for Payer: PACE Medicare |
$7,341.77
|
| Rate for Payer: PACE SWMI |
$7,728.18
|
| Rate for Payer: PHP Commercial |
$8,501.00
|
| Rate for Payer: PHP Medicare Advantage |
$7,728.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,319.03
|
| Rate for Payer: Priority Health Medicare |
$7,728.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,455.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7,728.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,728.18
|
| Rate for Payer: UHC Exchange |
$11,978.68
|
| Rate for Payer: UHC Medicare Advantage |
$7,728.18
|
| Rate for Payer: UHCCP DNSP |
$7,728.18
|
| Rate for Payer: VA VA |
$7,728.18
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$15,346.47
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$9,405.90 |
| Max. Negotiated Rate |
$15,346.47 |
| Rate for Payer: Aetna Medicare |
$9,900.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,376.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,376.19
|
| Rate for Payer: BCBS MAPPO |
$9,900.95
|
| Rate for Payer: BCN Medicare Advantage |
$9,900.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,900.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,900.95
|
| Rate for Payer: Mclaren Medicare |
$9,900.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,396.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,386.09
|
| Rate for Payer: PACE Medicare |
$9,405.90
|
| Rate for Payer: PACE SWMI |
$9,900.95
|
| Rate for Payer: PHP Commercial |
$10,891.04
|
| Rate for Payer: PHP Medicare Advantage |
$9,900.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,664.43
|
| Rate for Payer: Priority Health Medicare |
$9,900.95
|
| Rate for Payer: Priority Health Narrow Network |
$10,131.54
|
| Rate for Payer: Railroad Medicare Medicare |
$9,900.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,900.95
|
| Rate for Payer: UHC Exchange |
$15,346.47
|
| Rate for Payer: UHC Medicare Advantage |
$9,900.95
|
| Rate for Payer: UHCCP DNSP |
$9,900.95
|
| Rate for Payer: VA VA |
$9,900.95
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$25,299.16
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$15,505.94 |
| Max. Negotiated Rate |
$25,299.16 |
| Rate for Payer: Aetna Medicare |
$16,322.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,402.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,402.55
|
| Rate for Payer: BCBS MAPPO |
$16,322.04
|
| Rate for Payer: BCN Medicare Advantage |
$16,322.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,322.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,322.04
|
| Rate for Payer: Mclaren Medicare |
$16,322.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,138.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,770.35
|
| Rate for Payer: PACE Medicare |
$15,505.94
|
| Rate for Payer: PACE SWMI |
$16,322.04
|
| Rate for Payer: PHP Commercial |
$17,954.24
|
| Rate for Payer: PHP Medicare Advantage |
$16,322.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,552.24
|
| Rate for Payer: Priority Health Medicare |
$16,322.04
|
| Rate for Payer: Priority Health Narrow Network |
$18,041.79
|
| Rate for Payer: Railroad Medicare Medicare |
$16,322.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,322.04
|
| Rate for Payer: UHC Exchange |
$25,299.16
|
| Rate for Payer: UHC Medicare Advantage |
$16,322.04
|
| Rate for Payer: UHCCP DNSP |
$16,322.04
|
| Rate for Payer: VA VA |
$16,322.04
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$12,625.93
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$7,738.47 |
| Max. Negotiated Rate |
$12,625.93 |
| Rate for Payer: Aetna Medicare |
$8,145.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,182.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,182.20
|
| Rate for Payer: BCBS MAPPO |
$8,145.76
|
| Rate for Payer: BCN Medicare Advantage |
$8,145.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,145.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,145.76
|
| Rate for Payer: Mclaren Medicare |
$8,145.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,553.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,367.62
|
| Rate for Payer: PACE Medicare |
$7,738.47
|
| Rate for Payer: PACE SWMI |
$8,145.76
|
| Rate for Payer: PHP Commercial |
$8,960.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,145.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,962.00
|
| Rate for Payer: Priority Health Medicare |
$8,145.76
|
| Rate for Payer: Priority Health Narrow Network |
$7,969.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,145.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,145.76
|
| Rate for Payer: UHC Exchange |
$12,625.93
|
| Rate for Payer: UHC Medicare Advantage |
$8,145.76
|
| Rate for Payer: UHCCP DNSP |
$8,145.76
|
| Rate for Payer: VA VA |
$8,145.76
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$12,845.84
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$7,873.26 |
| Max. Negotiated Rate |
$12,845.84 |
| Rate for Payer: Aetna Medicare |
$8,287.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,359.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,359.55
|
| Rate for Payer: BCBS MAPPO |
$8,287.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,287.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,287.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,287.64
|
| Rate for Payer: Mclaren Medicare |
$8,287.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,702.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,530.79
|
| Rate for Payer: PACE Medicare |
$7,873.26
|
| Rate for Payer: PACE SWMI |
$8,287.64
|
| Rate for Payer: PHP Commercial |
$9,116.40
|
| Rate for Payer: PHP Medicare Advantage |
$8,287.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,179.08
|
| Rate for Payer: Priority Health Medicare |
$8,287.64
|
| Rate for Payer: Priority Health Narrow Network |
$8,143.26
|
| Rate for Payer: Railroad Medicare Medicare |
$8,287.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,287.64
|
| Rate for Payer: UHC Exchange |
$12,845.84
|
| Rate for Payer: UHC Medicare Advantage |
$8,287.64
|
| Rate for Payer: UHCCP DNSP |
$8,287.64
|
| Rate for Payer: VA VA |
$8,287.64
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$29,642.04
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$18,167.70 |
| Max. Negotiated Rate |
$29,642.04 |
| Rate for Payer: Aetna Medicare |
$19,123.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,904.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,904.88
|
| Rate for Payer: BCBS MAPPO |
$19,123.90
|
| Rate for Payer: BCN Medicare Advantage |
$19,123.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,123.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,123.90
|
| Rate for Payer: Mclaren Medicare |
$19,123.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,080.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,992.48
|
| Rate for Payer: PACE Medicare |
$18,167.70
|
| Rate for Payer: PACE SWMI |
$19,123.90
|
| Rate for Payer: PHP Commercial |
$21,036.29
|
| Rate for Payer: PHP Medicare Advantage |
$19,123.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,864.85
|
| Rate for Payer: Priority Health Medicare |
$19,123.90
|
| Rate for Payer: Priority Health Narrow Network |
$21,491.88
|
| Rate for Payer: Railroad Medicare Medicare |
$19,123.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,123.90
|
| Rate for Payer: UHC Exchange |
$29,642.04
|
| Rate for Payer: UHC Medicare Advantage |
$19,123.90
|
| Rate for Payer: UHCCP DNSP |
$19,123.90
|
| Rate for Payer: VA VA |
$19,123.90
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$10,361.84
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$6,169.27 |
| Max. Negotiated Rate |
$10,361.84 |
| Rate for Payer: Aetna Medicare |
$6,685.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,356.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,356.32
|
| Rate for Payer: BCBS MAPPO |
$6,685.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,685.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,685.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,685.06
|
| Rate for Payer: Mclaren Medicare |
$6,685.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,019.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,687.82
|
| Rate for Payer: PACE Medicare |
$6,350.81
|
| Rate for Payer: PACE SWMI |
$6,685.06
|
| Rate for Payer: PHP Commercial |
$7,353.57
|
| Rate for Payer: PHP Medicare Advantage |
$6,685.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,711.59
|
| Rate for Payer: Priority Health Medicare |
$6,685.06
|
| Rate for Payer: Priority Health Narrow Network |
$6,169.27
|
| Rate for Payer: Railroad Medicare Medicare |
$6,685.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,685.06
|
| Rate for Payer: UHC Exchange |
$10,361.84
|
| Rate for Payer: UHC Medicare Advantage |
$6,685.06
|
| Rate for Payer: UHCCP DNSP |
$6,685.06
|
| Rate for Payer: VA VA |
$6,685.06
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$34,117.69
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$20,910.84 |
| Max. Negotiated Rate |
$34,117.69 |
| Rate for Payer: Aetna Medicare |
$22,011.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,514.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,514.26
|
| Rate for Payer: BCBS MAPPO |
$22,011.41
|
| Rate for Payer: BCN Medicare Advantage |
$22,011.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,011.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,011.41
|
| Rate for Payer: Mclaren Medicare |
$22,011.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,111.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,313.12
|
| Rate for Payer: PACE Medicare |
$20,910.84
|
| Rate for Payer: PACE SWMI |
$22,011.41
|
| Rate for Payer: PHP Commercial |
$24,212.55
|
| Rate for Payer: PHP Medicare Advantage |
$22,011.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,307.98
|
| Rate for Payer: Priority Health Medicare |
$22,011.41
|
| Rate for Payer: Priority Health Narrow Network |
$25,046.38
|
| Rate for Payer: Railroad Medicare Medicare |
$22,011.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,011.41
|
| Rate for Payer: UHC Exchange |
$34,117.69
|
| Rate for Payer: UHC Medicare Advantage |
$22,011.41
|
| Rate for Payer: UHCCP DNSP |
$22,011.41
|
| Rate for Payer: VA VA |
$22,011.41
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,416.80
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$13,739.33 |
| Max. Negotiated Rate |
$22,416.80 |
| Rate for Payer: Aetna Medicare |
$14,462.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,078.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,078.06
|
| Rate for Payer: BCBS MAPPO |
$14,462.45
|
| Rate for Payer: BCN Medicare Advantage |
$14,462.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,462.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,462.45
|
| Rate for Payer: Mclaren Medicare |
$14,462.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,185.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,631.82
|
| Rate for Payer: PACE Medicare |
$13,739.33
|
| Rate for Payer: PACE SWMI |
$14,462.45
|
| Rate for Payer: PHP Commercial |
$15,908.70
|
| Rate for Payer: PHP Medicare Advantage |
$14,462.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,686.33
|
| Rate for Payer: Priority Health Medicare |
$14,462.45
|
| Rate for Payer: Priority Health Narrow Network |
$15,749.06
|
| Rate for Payer: Railroad Medicare Medicare |
$14,462.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,462.45
|
| Rate for Payer: UHC Exchange |
$22,416.80
|
| Rate for Payer: UHC Medicare Advantage |
$14,462.45
|
| Rate for Payer: UHCCP DNSP |
$14,462.45
|
| Rate for Payer: VA VA |
$14,462.45
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$18,346.40
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$11,244.57 |
| Max. Negotiated Rate |
$18,346.40 |
| Rate for Payer: Aetna Medicare |
$11,836.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,795.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,795.49
|
| Rate for Payer: BCBS MAPPO |
$11,836.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,836.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,836.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,836.39
|
| Rate for Payer: Mclaren Medicare |
$11,836.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,428.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,611.85
|
| Rate for Payer: PACE Medicare |
$11,244.57
|
| Rate for Payer: PACE SWMI |
$11,836.39
|
| Rate for Payer: PHP Commercial |
$13,020.03
|
| Rate for Payer: PHP Medicare Advantage |
$11,836.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,645.75
|
| Rate for Payer: Priority Health Medicare |
$11,836.39
|
| Rate for Payer: Priority Health Narrow Network |
$12,516.60
|
| Rate for Payer: Railroad Medicare Medicare |
$11,836.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,836.39
|
| Rate for Payer: UHC Exchange |
$18,346.40
|
| Rate for Payer: UHC Medicare Advantage |
$11,836.39
|
| Rate for Payer: UHCCP DNSP |
$11,836.39
|
| Rate for Payer: VA VA |
$11,836.39
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$28,271.38
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$17,327.62 |
| Max. Negotiated Rate |
$28,271.38 |
| Rate for Payer: Aetna Medicare |
$18,239.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,799.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,799.50
|
| Rate for Payer: BCBS MAPPO |
$18,239.60
|
| Rate for Payer: BCN Medicare Advantage |
$18,239.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,239.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,239.60
|
| Rate for Payer: Mclaren Medicare |
$18,239.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,151.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,975.54
|
| Rate for Payer: PACE Medicare |
$17,327.62
|
| Rate for Payer: PACE SWMI |
$18,239.60
|
| Rate for Payer: PHP Commercial |
$20,063.56
|
| Rate for Payer: PHP Medicare Advantage |
$18,239.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,500.59
|
| Rate for Payer: Priority Health Medicare |
$18,239.60
|
| Rate for Payer: Priority Health Narrow Network |
$20,400.47
|
| Rate for Payer: Railroad Medicare Medicare |
$18,239.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,239.60
|
| Rate for Payer: UHC Exchange |
$28,271.38
|
| Rate for Payer: UHC Medicare Advantage |
$18,239.60
|
| Rate for Payer: UHCCP DNSP |
$18,239.60
|
| Rate for Payer: VA VA |
$18,239.60
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$13,905.30
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$8,522.60 |
| Max. Negotiated Rate |
$13,905.30 |
| Rate for Payer: Aetna Medicare |
$8,971.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,213.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,213.95
|
| Rate for Payer: BCBS MAPPO |
$8,971.16
|
| Rate for Payer: BCN Medicare Advantage |
$8,971.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,971.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,971.16
|
| Rate for Payer: Mclaren Medicare |
$8,971.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,419.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,316.83
|
| Rate for Payer: PACE Medicare |
$8,522.60
|
| Rate for Payer: PACE SWMI |
$8,971.16
|
| Rate for Payer: PHP Commercial |
$9,868.28
|
| Rate for Payer: PHP Medicare Advantage |
$8,971.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,232.84
|
| Rate for Payer: Priority Health Medicare |
$8,971.16
|
| Rate for Payer: Priority Health Narrow Network |
$8,986.27
|
| Rate for Payer: Railroad Medicare Medicare |
$8,971.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,971.16
|
| Rate for Payer: UHC Exchange |
$13,905.30
|
| Rate for Payer: UHC Medicare Advantage |
$8,971.16
|
| Rate for Payer: UHCCP DNSP |
$8,971.16
|
| Rate for Payer: VA VA |
$8,971.16
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$17,520.67
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$10,738.48 |
| Max. Negotiated Rate |
$17,520.67 |
| Rate for Payer: Aetna Medicare |
$11,303.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,129.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,129.58
|
| Rate for Payer: BCBS MAPPO |
$11,303.66
|
| Rate for Payer: BCN Medicare Advantage |
$11,303.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,303.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,303.66
|
| Rate for Payer: Mclaren Medicare |
$11,303.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,868.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,999.21
|
| Rate for Payer: PACE Medicare |
$10,738.48
|
| Rate for Payer: PACE SWMI |
$11,303.66
|
| Rate for Payer: PHP Commercial |
$12,434.03
|
| Rate for Payer: PHP Medicare Advantage |
$11,303.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,822.79
|
| Rate for Payer: Priority Health Medicare |
$11,303.66
|
| Rate for Payer: Priority Health Narrow Network |
$11,858.23
|
| Rate for Payer: Railroad Medicare Medicare |
$11,303.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,303.66
|
| Rate for Payer: UHC Exchange |
$17,520.67
|
| Rate for Payer: UHC Medicare Advantage |
$11,303.66
|
| Rate for Payer: UHCCP DNSP |
$11,303.66
|
| Rate for Payer: VA VA |
$11,303.66
|
|
