|
OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,531.26
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,096.80 |
| Max. Negotiated Rate |
$4,531.26 |
| Rate for Payer: BCBS Complete |
$4,531.26
|
| Rate for Payer: Mclaren Medicaid |
$4,315.48
|
| Rate for Payer: Meridian Medicaid |
$4,531.26
|
| Rate for Payer: PHP Medicaid |
$4,096.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,315.48
|
| Rate for Payer: UHC Medicaid |
$4,315.48
|
| Rate for Payer: UHCCP Medicaid |
$4,315.48
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$29,934.10
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$16,572.31 |
| Max. Negotiated Rate |
$29,934.10 |
| Rate for Payer: Aetna Medicare |
$17,444.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,805.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,805.67
|
| Rate for Payer: BCBS MAPPO |
$17,444.54
|
| Rate for Payer: BCN Medicare Advantage |
$17,444.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,444.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,444.54
|
| Rate for Payer: Mclaren Medicare |
$17,444.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,316.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,061.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,188.99
|
| Rate for Payer: PACE Medicare |
$16,572.31
|
| Rate for Payer: PACE SWMI |
$17,444.54
|
| Rate for Payer: PHP Commercial |
$19,188.99
|
| Rate for Payer: PHP Medicare Advantage |
$17,444.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$29,934.10
|
| Rate for Payer: Priority Health Medicare |
$17,444.54
|
| Rate for Payer: Priority Health Narrow Network |
$23,947.28
|
| Rate for Payer: Railroad Medicare Medicare |
$17,444.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,444.54
|
| Rate for Payer: UHC Exchange |
$27,039.04
|
| Rate for Payer: UHCCP DNSP |
$17,444.54
|
| Rate for Payer: VA VA |
$17,444.54
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,201.76
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$27,162.46 |
| Max. Negotiated Rate |
$51,201.76 |
| Rate for Payer: Aetna Medicare |
$28,592.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,740.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,740.07
|
| Rate for Payer: BCBS MAPPO |
$28,592.06
|
| Rate for Payer: BCN Medicare Advantage |
$28,592.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,592.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,592.06
|
| Rate for Payer: Mclaren Medicare |
$28,592.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,021.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,880.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$31,451.27
|
| Rate for Payer: PACE Medicare |
$27,162.46
|
| Rate for Payer: PACE SWMI |
$28,592.06
|
| Rate for Payer: PHP Commercial |
$31,451.27
|
| Rate for Payer: PHP Medicare Advantage |
$28,592.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$51,201.76
|
| Rate for Payer: Priority Health Medicare |
$28,592.06
|
| Rate for Payer: Priority Health Narrow Network |
$40,961.41
|
| Rate for Payer: Railroad Medicare Medicare |
$28,592.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28,592.06
|
| Rate for Payer: UHC Exchange |
$44,317.69
|
| Rate for Payer: UHCCP DNSP |
$28,592.06
|
| Rate for Payer: VA VA |
$28,592.06
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,051.78
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$11,651.44 |
| Max. Negotiated Rate |
$20,051.78 |
| Rate for Payer: Aetna Medicare |
$12,264.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,330.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,330.84
|
| Rate for Payer: BCBS MAPPO |
$12,264.67
|
| Rate for Payer: BCN Medicare Advantage |
$12,264.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,264.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,264.67
|
| Rate for Payer: Mclaren Medicare |
$12,264.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,877.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,104.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,491.14
|
| Rate for Payer: PACE Medicare |
$11,651.44
|
| Rate for Payer: PACE SWMI |
$12,264.67
|
| Rate for Payer: PHP Commercial |
$13,491.14
|
| Rate for Payer: PHP Medicare Advantage |
$12,264.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20,051.78
|
| Rate for Payer: Priority Health Medicare |
$12,264.67
|
| Rate for Payer: Priority Health Narrow Network |
$16,041.42
|
| Rate for Payer: Railroad Medicare Medicare |
$12,264.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,264.67
|
| Rate for Payer: UHC Exchange |
$19,010.24
|
| Rate for Payer: UHCCP DNSP |
$12,264.67
|
| Rate for Payer: VA VA |
$12,264.67
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,314.89
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$32,198.25 |
| Max. Negotiated Rate |
$61,314.89 |
| Rate for Payer: Aetna Medicare |
$33,892.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,366.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,366.11
|
| Rate for Payer: BCBS MAPPO |
$33,892.89
|
| Rate for Payer: BCN Medicare Advantage |
$33,892.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,892.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,892.89
|
| Rate for Payer: Mclaren Medicare |
$33,892.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,587.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,976.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$37,282.18
|
| Rate for Payer: PACE Medicare |
$32,198.25
|
| Rate for Payer: PACE SWMI |
$33,892.89
|
| Rate for Payer: PHP Commercial |
$37,282.18
|
| Rate for Payer: PHP Medicare Advantage |
$33,892.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$61,314.89
|
| Rate for Payer: Priority Health Medicare |
$33,892.89
|
| Rate for Payer: Priority Health Narrow Network |
$49,051.91
|
| Rate for Payer: Railroad Medicare Medicare |
$33,892.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33,892.89
|
| Rate for Payer: UHC Exchange |
$52,533.98
|
| Rate for Payer: UHCCP DNSP |
$33,892.89
|
| Rate for Payer: VA VA |
$33,892.89
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$33,045.94
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$18,121.83 |
| Max. Negotiated Rate |
$33,045.94 |
| Rate for Payer: Aetna Medicare |
$19,075.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,844.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,844.51
|
| Rate for Payer: BCBS MAPPO |
$19,075.61
|
| Rate for Payer: BCN Medicare Advantage |
$19,075.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,075.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,075.61
|
| Rate for Payer: Mclaren Medicare |
$19,075.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,029.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,936.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,983.17
|
| Rate for Payer: PACE Medicare |
$18,121.83
|
| Rate for Payer: PACE SWMI |
$19,075.61
|
| Rate for Payer: PHP Commercial |
$20,983.17
|
| Rate for Payer: PHP Medicare Advantage |
$19,075.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$33,045.94
|
| Rate for Payer: Priority Health Medicare |
$19,075.61
|
| Rate for Payer: Priority Health Narrow Network |
$26,436.75
|
| Rate for Payer: Railroad Medicare Medicare |
$19,075.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19,075.61
|
| Rate for Payer: UHC Exchange |
$29,567.20
|
| Rate for Payer: UHCCP DNSP |
$19,075.61
|
| Rate for Payer: VA VA |
$19,075.61
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,567.19
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$5,937.53 |
| Max. Negotiated Rate |
$6,567.19 |
| Rate for Payer: BCBS Complete |
$6,567.19
|
| Rate for Payer: Mclaren Medicaid |
$6,254.47
|
| Rate for Payer: Meridian Medicaid |
$6,567.19
|
| Rate for Payer: PHP Medicaid |
$5,937.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.47
|
| Rate for Payer: UHC Medicaid |
$6,254.47
|
| Rate for Payer: UHCCP Medicaid |
$6,254.47
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,046.82
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$2,754.69 |
| Max. Negotiated Rate |
$3,046.82 |
| Rate for Payer: BCBS Complete |
$3,046.82
|
| Rate for Payer: Mclaren Medicaid |
$2,901.73
|
| Rate for Payer: Meridian Medicaid |
$3,046.82
|
| Rate for Payer: PHP Medicaid |
$2,754.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,901.73
|
| Rate for Payer: UHC Medicaid |
$2,901.73
|
| Rate for Payer: UHCCP Medicaid |
$2,901.73
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,787.93
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$4,328.86 |
| Max. Negotiated Rate |
$4,787.93 |
| Rate for Payer: BCBS Complete |
$4,787.93
|
| Rate for Payer: Mclaren Medicaid |
$4,559.93
|
| Rate for Payer: Meridian Medicaid |
$4,787.93
|
| Rate for Payer: PHP Medicaid |
$4,328.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,559.93
|
| Rate for Payer: UHC Medicaid |
$4,559.93
|
| Rate for Payer: UHCCP Medicaid |
$4,559.93
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$10,018.91
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$9,058.29 |
| Max. Negotiated Rate |
$10,018.91 |
| Rate for Payer: BCBS Complete |
$10,018.91
|
| Rate for Payer: Mclaren Medicaid |
$9,541.82
|
| Rate for Payer: Meridian Medicaid |
$10,018.91
|
| Rate for Payer: PHP Medicaid |
$9,058.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,541.82
|
| Rate for Payer: UHC Medicaid |
$9,541.82
|
| Rate for Payer: UHCCP Medicaid |
$9,541.82
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,925.46
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$5,470.44 |
| Max. Negotiated Rate |
$8,925.46 |
| Rate for Payer: Aetna Medicare |
$5,758.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,197.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,197.95
|
| Rate for Payer: BCBS MAPPO |
$5,758.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,758.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,758.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,758.36
|
| Rate for Payer: Mclaren Medicare |
$5,758.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,046.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,622.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,334.20
|
| Rate for Payer: PACE Medicare |
$5,470.44
|
| Rate for Payer: PACE SWMI |
$5,758.36
|
| Rate for Payer: PHP Commercial |
$6,334.20
|
| Rate for Payer: PHP Medicare Advantage |
$5,758.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,638.77
|
| Rate for Payer: Priority Health Medicare |
$5,758.36
|
| Rate for Payer: Priority Health Narrow Network |
$6,111.02
|
| Rate for Payer: Railroad Medicare Medicare |
$5,758.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5,758.36
|
| Rate for Payer: UHC Exchange |
$8,925.46
|
| Rate for Payer: UHCCP DNSP |
$5,758.36
|
| Rate for Payer: VA VA |
$5,758.36
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$17,211.16
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$15,560.94 |
| Max. Negotiated Rate |
$17,211.16 |
| Rate for Payer: BCBS Complete |
$17,211.16
|
| Rate for Payer: Mclaren Medicaid |
$16,391.58
|
| Rate for Payer: Meridian Medicaid |
$17,211.16
|
| Rate for Payer: PHP Medicaid |
$15,560.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,391.58
|
| Rate for Payer: UHC Medicaid |
$16,391.58
|
| Rate for Payer: UHCCP Medicaid |
$16,391.58
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,913.71
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$9,867.30 |
| Max. Negotiated Rate |
$10,913.71 |
| Rate for Payer: BCBS Complete |
$10,913.71
|
| Rate for Payer: Mclaren Medicaid |
$10,394.01
|
| Rate for Payer: Meridian Medicaid |
$10,913.71
|
| Rate for Payer: PHP Medicaid |
$9,867.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,394.01
|
| Rate for Payer: UHC Medicaid |
$10,394.01
|
| Rate for Payer: UHCCP Medicaid |
$10,394.01
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$5,681.65
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$5,136.89 |
| Max. Negotiated Rate |
$5,681.65 |
| Rate for Payer: BCBS Complete |
$5,681.65
|
| Rate for Payer: Mclaren Medicaid |
$5,411.09
|
| Rate for Payer: Meridian Medicaid |
$5,681.65
|
| Rate for Payer: PHP Medicaid |
$5,136.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,411.09
|
| Rate for Payer: UHC Medicaid |
$5,411.09
|
| Rate for Payer: UHCCP Medicaid |
$5,411.09
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,903.95
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$7,146.12 |
| Max. Negotiated Rate |
$7,903.95 |
| Rate for Payer: BCBS Complete |
$7,903.95
|
| Rate for Payer: Mclaren Medicaid |
$7,527.58
|
| Rate for Payer: Meridian Medicaid |
$7,903.95
|
| Rate for Payer: PHP Medicaid |
$7,146.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,527.58
|
| Rate for Payer: UHC Medicaid |
$7,527.58
|
| Rate for Payer: UHCCP Medicaid |
$7,527.58
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$35,275.74
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$19,232.16 |
| Max. Negotiated Rate |
$35,275.74 |
| Rate for Payer: Aetna Medicare |
$20,244.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,305.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,305.47
|
| Rate for Payer: BCBS MAPPO |
$20,244.38
|
| Rate for Payer: BCN Medicare Advantage |
$20,244.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,244.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,244.38
|
| Rate for Payer: Mclaren Medicare |
$20,244.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,256.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,281.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$22,268.82
|
| Rate for Payer: PACE Medicare |
$19,232.16
|
| Rate for Payer: PACE SWMI |
$20,244.38
|
| Rate for Payer: PHP Commercial |
$22,268.82
|
| Rate for Payer: PHP Medicare Advantage |
$20,244.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$35,275.74
|
| Rate for Payer: Priority Health Medicare |
$20,244.38
|
| Rate for Payer: Priority Health Narrow Network |
$28,220.59
|
| Rate for Payer: Railroad Medicare Medicare |
$20,244.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20,244.38
|
| Rate for Payer: UHC Exchange |
$31,378.79
|
| Rate for Payer: UHCCP DNSP |
$20,244.38
|
| Rate for Payer: VA VA |
$20,244.38
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,275.72
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$11,762.96 |
| Max. Negotiated Rate |
$20,275.72 |
| Rate for Payer: Aetna Medicare |
$12,382.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,477.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,477.58
|
| Rate for Payer: BCBS MAPPO |
$12,382.06
|
| Rate for Payer: BCN Medicare Advantage |
$12,382.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,382.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,382.06
|
| Rate for Payer: Mclaren Medicare |
$12,382.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,001.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,239.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,620.27
|
| Rate for Payer: PACE Medicare |
$11,762.96
|
| Rate for Payer: PACE SWMI |
$12,382.06
|
| Rate for Payer: PHP Commercial |
$13,620.27
|
| Rate for Payer: PHP Medicare Advantage |
$12,382.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20,275.72
|
| Rate for Payer: Priority Health Medicare |
$12,382.06
|
| Rate for Payer: Priority Health Narrow Network |
$16,220.58
|
| Rate for Payer: Railroad Medicare Medicare |
$12,382.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,382.06
|
| Rate for Payer: UHC Exchange |
$19,192.19
|
| Rate for Payer: UHCCP DNSP |
$12,382.06
|
| Rate for Payer: VA VA |
$12,382.06
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,254.97
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$3,847.00 |
| Max. Negotiated Rate |
$4,254.97 |
| Rate for Payer: BCBS Complete |
$4,254.97
|
| Rate for Payer: Mclaren Medicaid |
$4,052.35
|
| Rate for Payer: Meridian Medicaid |
$4,254.97
|
| Rate for Payer: PHP Medicaid |
$3,847.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,052.35
|
| Rate for Payer: UHC Medicaid |
$4,052.35
|
| Rate for Payer: UHCCP Medicaid |
$4,052.35
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$7,113.78
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$6,431.71 |
| Max. Negotiated Rate |
$7,113.78 |
| Rate for Payer: BCBS Complete |
$7,113.78
|
| Rate for Payer: Mclaren Medicaid |
$6,775.03
|
| Rate for Payer: Meridian Medicaid |
$7,113.78
|
| Rate for Payer: PHP Medicaid |
$6,431.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,775.03
|
| Rate for Payer: UHC Medicaid |
$6,775.03
|
| Rate for Payer: UHCCP Medicaid |
$6,775.03
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,404.30
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$3,077.90 |
| Max. Negotiated Rate |
$3,404.30 |
| Rate for Payer: BCBS Complete |
$3,404.30
|
| Rate for Payer: Mclaren Medicaid |
$3,242.19
|
| Rate for Payer: Meridian Medicaid |
$3,404.30
|
| Rate for Payer: PHP Medicaid |
$3,077.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,242.19
|
| Rate for Payer: UHC Medicaid |
$3,242.19
|
| Rate for Payer: UHCCP Medicaid |
$3,242.19
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$5,902.35
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$5,336.43 |
| Max. Negotiated Rate |
$5,902.35 |
| Rate for Payer: BCBS Complete |
$5,902.35
|
| Rate for Payer: Mclaren Medicaid |
$5,621.29
|
| Rate for Payer: Meridian Medicaid |
$5,902.35
|
| Rate for Payer: PHP Medicaid |
$5,336.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,621.29
|
| Rate for Payer: UHC Medicaid |
$5,621.29
|
| Rate for Payer: UHCCP Medicaid |
$5,621.29
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$136,797.23
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$69,784.38 |
| Max. Negotiated Rate |
$136,797.23 |
| Rate for Payer: Aetna Medicare |
$73,457.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91,821.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91,821.55
|
| Rate for Payer: BCBS MAPPO |
$73,457.24
|
| Rate for Payer: BCN Medicare Advantage |
$73,457.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73,457.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$73,457.24
|
| Rate for Payer: Mclaren Medicare |
$73,457.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77,130.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84,475.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$80,802.96
|
| Rate for Payer: PACE Medicare |
$69,784.38
|
| Rate for Payer: PACE SWMI |
$73,457.24
|
| Rate for Payer: PHP Commercial |
$80,802.96
|
| Rate for Payer: PHP Medicare Advantage |
$73,457.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$136,797.23
|
| Rate for Payer: Priority Health Medicare |
$73,457.24
|
| Rate for Payer: Priority Health Narrow Network |
$109,437.79
|
| Rate for Payer: Railroad Medicare Medicare |
$73,457.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$73,457.24
|
| Rate for Payer: UHC Exchange |
$113,858.72
|
| Rate for Payer: UHCCP DNSP |
$73,457.24
|
| Rate for Payer: VA VA |
$73,457.24
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$30,059.12
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$16,634.56 |
| Max. Negotiated Rate |
$30,059.12 |
| Rate for Payer: Aetna Medicare |
$17,510.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,887.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,887.58
|
| Rate for Payer: BCBS MAPPO |
$17,510.06
|
| Rate for Payer: BCN Medicare Advantage |
$17,510.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,510.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,510.06
|
| Rate for Payer: Mclaren Medicare |
$17,510.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,385.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,136.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$19,261.07
|
| Rate for Payer: PACE Medicare |
$16,634.56
|
| Rate for Payer: PACE SWMI |
$17,510.06
|
| Rate for Payer: PHP Commercial |
$19,261.07
|
| Rate for Payer: PHP Medicare Advantage |
$17,510.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$30,059.12
|
| Rate for Payer: Priority Health Medicare |
$17,510.06
|
| Rate for Payer: Priority Health Narrow Network |
$24,047.30
|
| Rate for Payer: Railroad Medicare Medicare |
$17,510.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17,510.06
|
| Rate for Payer: UHC Exchange |
$27,140.59
|
| Rate for Payer: UHCCP DNSP |
$17,510.06
|
| Rate for Payer: VA VA |
$17,510.06
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,057.24
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$30,078.16 |
| Max. Negotiated Rate |
$57,057.24 |
| Rate for Payer: Aetna Medicare |
$31,661.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,576.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,576.53
|
| Rate for Payer: BCBS MAPPO |
$31,661.22
|
| Rate for Payer: BCN Medicare Advantage |
$31,661.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,661.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,661.22
|
| Rate for Payer: Mclaren Medicare |
$31,661.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,244.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,410.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$34,827.34
|
| Rate for Payer: PACE Medicare |
$30,078.16
|
| Rate for Payer: PACE SWMI |
$31,661.22
|
| Rate for Payer: PHP Commercial |
$34,827.34
|
| Rate for Payer: PHP Medicare Advantage |
$31,661.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57,057.24
|
| Rate for Payer: Priority Health Medicare |
$31,661.22
|
| Rate for Payer: Priority Health Narrow Network |
$45,645.79
|
| Rate for Payer: Railroad Medicare Medicare |
$31,661.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31,661.22
|
| Rate for Payer: UHC Exchange |
$49,074.89
|
| Rate for Payer: UHCCP DNSP |
$31,661.22
|
| Rate for Payer: VA VA |
$31,661.22
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,612.32
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$11,930.57 |
| Max. Negotiated Rate |
$20,612.32 |
| Rate for Payer: Aetna Medicare |
$12,558.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,698.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,698.11
|
| Rate for Payer: BCBS MAPPO |
$12,558.49
|
| Rate for Payer: BCN Medicare Advantage |
$12,558.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,558.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,558.49
|
| Rate for Payer: Mclaren Medicare |
$12,558.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,186.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,442.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,814.34
|
| Rate for Payer: PACE Medicare |
$11,930.57
|
| Rate for Payer: PACE SWMI |
$12,558.49
|
| Rate for Payer: PHP Commercial |
$13,814.34
|
| Rate for Payer: PHP Medicare Advantage |
$12,558.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20,612.32
|
| Rate for Payer: Priority Health Medicare |
$12,558.49
|
| Rate for Payer: Priority Health Narrow Network |
$16,489.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,558.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,558.49
|
| Rate for Payer: UHC Exchange |
$19,465.66
|
| Rate for Payer: UHCCP DNSP |
$12,558.49
|
| Rate for Payer: VA VA |
$12,558.49
|
|
