|
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,535.45
|
|
|
Service Code
|
MS-DRG 142
|
| Min. Negotiated Rate |
$11,038.52 |
| Max. Negotiated Rate |
$41,535.45 |
| Rate for Payer: Aetna Medicare |
$12,084.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,524.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,524.38
|
| Rate for Payer: BCBS MAPPO |
$11,619.50
|
| Rate for Payer: BCBS Trust/PPO |
$41,535.45
|
| Rate for Payer: BCN Medicare Advantage |
$11,619.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,619.50
|
| Rate for Payer: Mclaren Medicare |
$11,619.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,200.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,362.42
|
| Rate for Payer: PACE Medicare |
$11,038.52
|
| Rate for Payer: PACE SWMI |
$11,619.50
|
| Rate for Payer: PHP Medicare Advantage |
$11,619.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,170.63
|
| Rate for Payer: Priority Health Medicare |
$11,619.50
|
| Rate for Payer: Priority Health Narrow Network |
$17,736.50
|
| Rate for Payer: Railroad Medicare Medicare |
$11,619.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,567.43
|
| Rate for Payer: UHC Core |
$14,461.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,619.50
|
| Rate for Payer: UHC Exchange |
$15,488.63
|
| Rate for Payer: UHC Medicare Advantage |
$11,968.08
|
| Rate for Payer: VA VA |
$11,619.50
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$18,542.18
|
|
|
Service Code
|
MS-DRG 809
|
| Min. Negotiated Rate |
$8,708.24 |
| Max. Negotiated Rate |
$18,542.18 |
| Rate for Payer: Aetna Medicare |
$9,533.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,458.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,458.21
|
| Rate for Payer: BCBS MAPPO |
$9,166.57
|
| Rate for Payer: BCBS Trust/PPO |
$18,542.18
|
| Rate for Payer: BCN Medicare Advantage |
$9,166.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,166.57
|
| Rate for Payer: Mclaren Medicare |
$9,166.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,624.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,541.56
|
| Rate for Payer: PACE Medicare |
$8,708.24
|
| Rate for Payer: PACE SWMI |
$9,166.57
|
| Rate for Payer: PHP Medicare Advantage |
$9,166.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,283.04
|
| Rate for Payer: Priority Health Medicare |
$9,166.57
|
| Rate for Payer: Priority Health Narrow Network |
$13,826.43
|
| Rate for Payer: Railroad Medicare Medicare |
$9,166.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,371.92
|
| Rate for Payer: UHC Core |
$11,273.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,166.57
|
| Rate for Payer: UHC Exchange |
$12,074.11
|
| Rate for Payer: UHC Medicare Advantage |
$9,441.57
|
| Rate for Payer: VA VA |
$9,166.57
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$38,065.93
|
|
|
Service Code
|
MS-DRG 808
|
| Min. Negotiated Rate |
$15,452.11 |
| Max. Negotiated Rate |
$38,065.93 |
| Rate for Payer: Aetna Medicare |
$16,916.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,331.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,331.72
|
| Rate for Payer: BCBS MAPPO |
$16,265.38
|
| Rate for Payer: BCBS Trust/PPO |
$38,065.93
|
| Rate for Payer: BCN Medicare Advantage |
$16,265.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,265.38
|
| Rate for Payer: Mclaren Medicare |
$16,265.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,078.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,705.19
|
| Rate for Payer: PACE Medicare |
$15,452.11
|
| Rate for Payer: PACE SWMI |
$16,265.38
|
| Rate for Payer: PHP Medicare Advantage |
$16,265.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,427.76
|
| Rate for Payer: Priority Health Medicare |
$16,265.38
|
| Rate for Payer: Priority Health Narrow Network |
$25,142.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16,265.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,407.79
|
| Rate for Payer: UHC Core |
$20,499.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,265.38
|
| Rate for Payer: UHC Exchange |
$21,955.75
|
| Rate for Payer: UHC Medicare Advantage |
$16,753.34
|
| Rate for Payer: VA VA |
$16,265.38
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,418.74
|
|
|
Service Code
|
MS-DRG 810
|
| Min. Negotiated Rate |
$7,340.57 |
| Max. Negotiated Rate |
$16,418.74 |
| Rate for Payer: Aetna Medicare |
$8,036.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,658.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,658.65
|
| Rate for Payer: BCBS MAPPO |
$7,726.92
|
| Rate for Payer: BCBS Trust/PPO |
$16,418.74
|
| Rate for Payer: BCN Medicare Advantage |
$7,726.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,726.92
|
| Rate for Payer: Mclaren Medicare |
$7,726.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,113.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,885.96
|
| Rate for Payer: PACE Medicare |
$7,340.57
|
| Rate for Payer: PACE SWMI |
$7,726.92
|
| Rate for Payer: PHP Medicare Advantage |
$7,726.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,414.49
|
| Rate for Payer: Priority Health Medicare |
$7,726.92
|
| Rate for Payer: Priority Health Narrow Network |
$11,531.59
|
| Rate for Payer: Railroad Medicare Medicare |
$7,726.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,322.64
|
| Rate for Payer: UHC Core |
$9,402.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,726.92
|
| Rate for Payer: UHC Exchange |
$10,070.11
|
| Rate for Payer: UHC Medicare Advantage |
$7,958.73
|
| Rate for Payer: VA VA |
$7,726.92
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$62,111.03
|
|
|
Service Code
|
MS-DRG 469
|
| Min. Negotiated Rate |
$23,249.60 |
| Max. Negotiated Rate |
$62,111.03 |
| Rate for Payer: Aetna Medicare |
$25,452.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,591.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,591.58
|
| Rate for Payer: BCBS MAPPO |
$24,473.26
|
| Rate for Payer: BCBS Trust/PPO |
$62,111.03
|
| Rate for Payer: BCN Medicare Advantage |
$24,473.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,473.26
|
| Rate for Payer: Mclaren Medicare |
$24,473.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25,696.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,144.25
|
| Rate for Payer: PACE Medicare |
$23,249.60
|
| Rate for Payer: PACE SWMI |
$24,473.26
|
| Rate for Payer: PHP Medicare Advantage |
$24,473.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,782.36
|
| Rate for Payer: Priority Health Medicare |
$24,473.26
|
| Rate for Payer: Priority Health Narrow Network |
$38,225.89
|
| Rate for Payer: Railroad Medicare Medicare |
$24,473.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,792.77
|
| Rate for Payer: UHC Core |
$31,166.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,473.26
|
| Rate for Payer: UHC Exchange |
$33,381.25
|
| Rate for Payer: UHC Medicare Advantage |
$25,207.46
|
| Rate for Payer: VA VA |
$24,473.26
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$33,685.11
|
|
|
Service Code
|
MS-DRG 470
|
| Min. Negotiated Rate |
$13,342.13 |
| Max. Negotiated Rate |
$33,685.11 |
| Rate for Payer: Aetna Medicare |
$14,606.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,555.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,555.44
|
| Rate for Payer: BCBS MAPPO |
$14,044.35
|
| Rate for Payer: BCBS Trust/PPO |
$33,685.11
|
| Rate for Payer: BCN Medicare Advantage |
$14,044.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,044.35
|
| Rate for Payer: Mclaren Medicare |
$14,044.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,746.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,151.00
|
| Rate for Payer: PACE Medicare |
$13,342.13
|
| Rate for Payer: PACE SWMI |
$14,044.35
|
| Rate for Payer: PHP Medicare Advantage |
$14,044.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,002.24
|
| Rate for Payer: Priority Health Medicare |
$14,044.35
|
| Rate for Payer: Priority Health Narrow Network |
$21,601.79
|
| Rate for Payer: Railroad Medicare Medicare |
$14,044.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,703.45
|
| Rate for Payer: UHC Core |
$17,612.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,044.35
|
| Rate for Payer: UHC Exchange |
$18,864.04
|
| Rate for Payer: UHC Medicare Advantage |
$14,465.68
|
| Rate for Payer: VA VA |
$14,044.35
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$37,893.99
|
|
|
Service Code
|
MS-DRG 483
|
| Min. Negotiated Rate |
$17,464.25 |
| Max. Negotiated Rate |
$37,893.99 |
| Rate for Payer: Aetna Medicare |
$19,118.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,979.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,979.28
|
| Rate for Payer: BCBS MAPPO |
$18,383.42
|
| Rate for Payer: BCBS Trust/PPO |
$35,101.46
|
| Rate for Payer: BCN Medicare Advantage |
$18,383.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,383.42
|
| Rate for Payer: Mclaren Medicare |
$18,383.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,302.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,140.93
|
| Rate for Payer: PACE Medicare |
$17,464.25
|
| Rate for Payer: PACE SWMI |
$18,383.42
|
| Rate for Payer: PHP Medicare Advantage |
$18,383.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,648.07
|
| Rate for Payer: Priority Health Medicare |
$18,383.42
|
| Rate for Payer: Priority Health Narrow Network |
$28,518.46
|
| Rate for Payer: Railroad Medicare Medicare |
$18,383.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,893.99
|
| Rate for Payer: UHC Core |
$23,252.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,383.42
|
| Rate for Payer: UHC Exchange |
$24,904.11
|
| Rate for Payer: UHC Medicare Advantage |
$18,934.92
|
| Rate for Payer: VA VA |
$18,383.42
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$48,562.33
|
|
|
Service Code
|
MS-DRG 707
|
| Min. Negotiated Rate |
$13,890.83 |
| Max. Negotiated Rate |
$48,562.33 |
| Rate for Payer: Aetna Medicare |
$15,206.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,277.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,277.41
|
| Rate for Payer: BCBS MAPPO |
$14,621.93
|
| Rate for Payer: BCBS Trust/PPO |
$48,562.33
|
| Rate for Payer: BCN Medicare Advantage |
$14,621.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,621.93
|
| Rate for Payer: Mclaren Medicare |
$14,621.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,353.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,815.22
|
| Rate for Payer: PACE Medicare |
$13,890.83
|
| Rate for Payer: PACE SWMI |
$14,621.93
|
| Rate for Payer: PHP Medicare Advantage |
$14,621.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,153.11
|
| Rate for Payer: Priority Health Medicare |
$14,621.93
|
| Rate for Payer: Priority Health Narrow Network |
$22,522.49
|
| Rate for Payer: Railroad Medicare Medicare |
$14,621.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,926.82
|
| Rate for Payer: UHC Core |
$18,363.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,621.93
|
| Rate for Payer: UHC Exchange |
$19,668.05
|
| Rate for Payer: UHC Medicare Advantage |
$15,060.59
|
| Rate for Payer: VA VA |
$14,621.93
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,843.15
|
|
|
Service Code
|
MS-DRG 708
|
| Min. Negotiated Rate |
$10,446.72 |
| Max. Negotiated Rate |
$28,843.15 |
| Rate for Payer: Aetna Medicare |
$11,436.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,745.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,745.69
|
| Rate for Payer: BCBS MAPPO |
$10,996.55
|
| Rate for Payer: BCBS Trust/PPO |
$28,843.15
|
| Rate for Payer: BCN Medicare Advantage |
$10,996.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,996.55
|
| Rate for Payer: Mclaren Medicare |
$10,996.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,546.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,646.03
|
| Rate for Payer: PACE Medicare |
$10,446.72
|
| Rate for Payer: PACE SWMI |
$10,996.55
|
| Rate for Payer: PHP Medicare Advantage |
$10,996.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,929.36
|
| Rate for Payer: Priority Health Medicare |
$10,996.55
|
| Rate for Payer: Priority Health Narrow Network |
$16,743.49
|
| Rate for Payer: Railroad Medicare Medicare |
$10,996.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,247.96
|
| Rate for Payer: UHC Core |
$13,651.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,996.55
|
| Rate for Payer: UHC Exchange |
$14,621.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,326.45
|
| Rate for Payer: VA VA |
$10,996.55
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$32,516.95
|
|
|
Service Code
|
MS-DRG 507
|
| Min. Negotiated Rate |
$15,052.55 |
| Max. Negotiated Rate |
$32,516.95 |
| Rate for Payer: Aetna Medicare |
$16,478.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,805.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,805.99
|
| Rate for Payer: BCBS MAPPO |
$15,844.79
|
| Rate for Payer: BCBS Trust/PPO |
$20,373.56
|
| Rate for Payer: BCN Medicare Advantage |
$15,844.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,844.79
|
| Rate for Payer: Mclaren Medicare |
$15,844.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,637.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,221.51
|
| Rate for Payer: PACE Medicare |
$15,052.55
|
| Rate for Payer: PACE SWMI |
$15,844.79
|
| Rate for Payer: PHP Medicare Advantage |
$15,844.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,589.72
|
| Rate for Payer: Priority Health Medicare |
$15,844.79
|
| Rate for Payer: Priority Health Narrow Network |
$24,471.78
|
| Rate for Payer: Railroad Medicare Medicare |
$15,844.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,516.95
|
| Rate for Payer: UHC Core |
$19,952.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,844.79
|
| Rate for Payer: UHC Exchange |
$21,370.29
|
| Rate for Payer: UHC Medicare Advantage |
$16,320.13
|
| Rate for Payer: VA VA |
$15,844.79
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,874.24
|
|
|
Service Code
|
MS-DRG 508
|
| Min. Negotiated Rate |
$10,279.10 |
| Max. Negotiated Rate |
$21,874.24 |
| Rate for Payer: Aetna Medicare |
$11,252.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,525.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,525.12
|
| Rate for Payer: BCBS MAPPO |
$10,820.10
|
| Rate for Payer: BCBS Trust/PPO |
$13,704.61
|
| Rate for Payer: BCN Medicare Advantage |
$10,820.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,820.10
|
| Rate for Payer: Mclaren Medicare |
$10,820.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,361.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,443.12
|
| Rate for Payer: PACE Medicare |
$10,279.10
|
| Rate for Payer: PACE SWMI |
$10,820.10
|
| Rate for Payer: PHP Medicare Advantage |
$10,820.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,577.79
|
| Rate for Payer: Priority Health Medicare |
$10,820.10
|
| Rate for Payer: Priority Health Narrow Network |
$16,462.23
|
| Rate for Payer: Railroad Medicare Medicare |
$10,820.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,874.24
|
| Rate for Payer: UHC Core |
$13,422.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,820.10
|
| Rate for Payer: UHC Exchange |
$14,375.85
|
| Rate for Payer: UHC Medicare Advantage |
$11,144.70
|
| Rate for Payer: VA VA |
$10,820.10
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$45,718.64
|
|
|
Service Code
|
MS-DRG 595
|
| Min. Negotiated Rate |
$15,348.78 |
| Max. Negotiated Rate |
$45,718.64 |
| Rate for Payer: Aetna Medicare |
$16,802.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,195.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,195.76
|
| Rate for Payer: BCBS MAPPO |
$16,156.61
|
| Rate for Payer: BCBS Trust/PPO |
$45,718.64
|
| Rate for Payer: BCN Medicare Advantage |
$16,156.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,156.61
|
| Rate for Payer: Mclaren Medicare |
$16,156.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,964.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,580.10
|
| Rate for Payer: PACE Medicare |
$15,348.78
|
| Rate for Payer: PACE SWMI |
$16,156.61
|
| Rate for Payer: PHP Medicare Advantage |
$16,156.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,211.08
|
| Rate for Payer: Priority Health Medicare |
$16,156.61
|
| Rate for Payer: Priority Health Narrow Network |
$24,968.86
|
| Rate for Payer: Railroad Medicare Medicare |
$16,156.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,177.45
|
| Rate for Payer: UHC Core |
$20,358.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,156.61
|
| Rate for Payer: UHC Exchange |
$21,804.38
|
| Rate for Payer: UHC Medicare Advantage |
$16,641.31
|
| Rate for Payer: VA VA |
$16,156.61
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$15,391.29
|
|
|
Service Code
|
MS-DRG 596
|
| Min. Negotiated Rate |
$7,371.36 |
| Max. Negotiated Rate |
$15,391.29 |
| Rate for Payer: Aetna Medicare |
$8,069.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,699.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,699.16
|
| Rate for Payer: BCBS MAPPO |
$7,759.33
|
| Rate for Payer: BCBS Trust/PPO |
$12,143.33
|
| Rate for Payer: BCN Medicare Advantage |
$7,759.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,759.33
|
| Rate for Payer: Mclaren Medicare |
$7,759.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,147.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,923.23
|
| Rate for Payer: PACE Medicare |
$7,371.36
|
| Rate for Payer: PACE SWMI |
$7,759.33
|
| Rate for Payer: PHP Medicare Advantage |
$7,759.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,479.07
|
| Rate for Payer: Priority Health Medicare |
$7,759.33
|
| Rate for Payer: Priority Health Narrow Network |
$11,583.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,759.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,391.29
|
| Rate for Payer: UHC Core |
$9,444.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,759.33
|
| Rate for Payer: UHC Exchange |
$10,115.23
|
| Rate for Payer: UHC Medicare Advantage |
$7,992.11
|
| Rate for Payer: VA VA |
$7,759.33
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$38,169.13
|
|
|
Service Code
|
MS-DRG 330
|
| Min. Negotiated Rate |
$16,697.30 |
| Max. Negotiated Rate |
$38,169.13 |
| Rate for Payer: Aetna Medicare |
$18,279.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,970.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,970.14
|
| Rate for Payer: BCBS MAPPO |
$17,576.11
|
| Rate for Payer: BCBS Trust/PPO |
$38,169.13
|
| Rate for Payer: BCN Medicare Advantage |
$17,576.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,576.11
|
| Rate for Payer: Mclaren Medicare |
$17,576.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,454.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,212.53
|
| Rate for Payer: PACE Medicare |
$16,697.30
|
| Rate for Payer: PACE SWMI |
$17,576.11
|
| Rate for Payer: PHP Medicare Advantage |
$17,576.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,039.45
|
| Rate for Payer: Priority Health Medicare |
$17,576.11
|
| Rate for Payer: Priority Health Narrow Network |
$27,231.56
|
| Rate for Payer: Railroad Medicare Medicare |
$17,576.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,184.01
|
| Rate for Payer: UHC Core |
$22,202.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,576.11
|
| Rate for Payer: UHC Exchange |
$23,780.30
|
| Rate for Payer: UHC Medicare Advantage |
$18,103.39
|
| Rate for Payer: VA VA |
$17,576.11
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$68,899.27
|
|
|
Service Code
|
MS-DRG 329
|
| Min. Negotiated Rate |
$31,370.68 |
| Max. Negotiated Rate |
$68,899.27 |
| Rate for Payer: Aetna Medicare |
$34,342.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,277.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,277.21
|
| Rate for Payer: BCBS MAPPO |
$33,021.77
|
| Rate for Payer: BCBS Trust/PPO |
$62,905.95
|
| Rate for Payer: BCN Medicare Advantage |
$33,021.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,021.77
|
| Rate for Payer: Mclaren Medicare |
$33,021.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34,672.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,975.04
|
| Rate for Payer: PACE Medicare |
$31,370.68
|
| Rate for Payer: PACE SWMI |
$33,021.77
|
| Rate for Payer: PHP Medicare Advantage |
$33,021.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,815.72
|
| Rate for Payer: Priority Health Medicare |
$33,021.77
|
| Rate for Payer: Priority Health Narrow Network |
$51,852.58
|
| Rate for Payer: Railroad Medicare Medicare |
$33,021.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68,899.27
|
| Rate for Payer: UHC Core |
$42,277.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,021.77
|
| Rate for Payer: UHC Exchange |
$45,280.92
|
| Rate for Payer: UHC Medicare Advantage |
$34,012.42
|
| Rate for Payer: VA VA |
$33,021.77
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,019.68
|
|
|
Service Code
|
MS-DRG 331
|
| Min. Negotiated Rate |
$11,907.42 |
| Max. Negotiated Rate |
$28,019.68 |
| Rate for Payer: Aetna Medicare |
$13,035.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,667.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,667.66
|
| Rate for Payer: BCBS MAPPO |
$12,534.13
|
| Rate for Payer: BCBS Trust/PPO |
$28,019.68
|
| Rate for Payer: BCN Medicare Advantage |
$12,534.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,534.13
|
| Rate for Payer: Mclaren Medicare |
$12,534.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,160.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,414.25
|
| Rate for Payer: PACE Medicare |
$11,907.42
|
| Rate for Payer: PACE SWMI |
$12,534.13
|
| Rate for Payer: PHP Medicare Advantage |
$12,534.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,993.07
|
| Rate for Payer: Priority Health Medicare |
$12,534.13
|
| Rate for Payer: Priority Health Narrow Network |
$19,194.46
|
| Rate for Payer: Railroad Medicare Medicare |
$12,534.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,504.69
|
| Rate for Payer: UHC Core |
$15,649.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,534.13
|
| Rate for Payer: UHC Exchange |
$16,761.80
|
| Rate for Payer: UHC Medicare Advantage |
$12,910.15
|
| Rate for Payer: VA VA |
$12,534.13
|
|
|
MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$22,310.50
|
|
|
Service Code
|
MS-DRG 506
|
| Min. Negotiated Rate |
$10,474.76 |
| Max. Negotiated Rate |
$22,310.50 |
| Rate for Payer: Aetna Medicare |
$11,467.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,782.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,782.58
|
| Rate for Payer: BCBS MAPPO |
$11,026.06
|
| Rate for Payer: BCBS Trust/PPO |
$19,088.96
|
| Rate for Payer: BCN Medicare Advantage |
$11,026.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,026.06
|
| Rate for Payer: Mclaren Medicare |
$11,026.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,577.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,679.97
|
| Rate for Payer: PACE Medicare |
$10,474.76
|
| Rate for Payer: PACE SWMI |
$11,026.06
|
| Rate for Payer: PHP Medicare Advantage |
$11,026.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,988.19
|
| Rate for Payer: Priority Health Medicare |
$11,026.06
|
| Rate for Payer: Priority Health Narrow Network |
$16,790.55
|
| Rate for Payer: Railroad Medicare Medicare |
$11,026.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,310.50
|
| Rate for Payer: UHC Core |
$13,689.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,026.06
|
| Rate for Payer: UHC Exchange |
$14,662.57
|
| Rate for Payer: UHC Medicare Advantage |
$11,356.84
|
| Rate for Payer: VA VA |
$11,026.06
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$16,546.01
|
|
|
Service Code
|
MS-DRG 755
|
| Min. Negotiated Rate |
$7,889.28 |
| Max. Negotiated Rate |
$16,546.01 |
| Rate for Payer: Aetna Medicare |
$8,636.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,380.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,380.64
|
| Rate for Payer: BCBS MAPPO |
$8,304.51
|
| Rate for Payer: BCBS Trust/PPO |
$15,509.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,304.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,304.51
|
| Rate for Payer: Mclaren Medicare |
$8,304.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,719.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,550.19
|
| Rate for Payer: PACE Medicare |
$7,889.28
|
| Rate for Payer: PACE SWMI |
$8,304.51
|
| Rate for Payer: PHP Medicare Advantage |
$8,304.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,565.36
|
| Rate for Payer: Priority Health Medicare |
$8,304.51
|
| Rate for Payer: Priority Health Narrow Network |
$12,452.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,304.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,546.01
|
| Rate for Payer: UHC Core |
$10,152.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,304.51
|
| Rate for Payer: UHC Exchange |
$10,874.12
|
| Rate for Payer: UHC Medicare Advantage |
$8,553.65
|
| Rate for Payer: VA VA |
$8,304.51
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$33,713.65
|
|
|
Service Code
|
MS-DRG 754
|
| Min. Negotiated Rate |
$13,142.34 |
| Max. Negotiated Rate |
$33,713.65 |
| Rate for Payer: Aetna Medicare |
$14,387.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,292.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,292.55
|
| Rate for Payer: BCBS MAPPO |
$13,834.04
|
| Rate for Payer: BCBS Trust/PPO |
$33,713.65
|
| Rate for Payer: BCN Medicare Advantage |
$13,834.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,834.04
|
| Rate for Payer: Mclaren Medicare |
$13,834.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,525.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,909.15
|
| Rate for Payer: PACE Medicare |
$13,142.34
|
| Rate for Payer: PACE SWMI |
$13,834.04
|
| Rate for Payer: PHP Medicare Advantage |
$13,834.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,583.23
|
| Rate for Payer: Priority Health Medicare |
$13,834.04
|
| Rate for Payer: Priority Health Narrow Network |
$21,266.58
|
| Rate for Payer: Railroad Medicare Medicare |
$13,834.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,258.04
|
| Rate for Payer: UHC Core |
$17,339.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,834.04
|
| Rate for Payer: UHC Exchange |
$18,571.31
|
| Rate for Payer: UHC Medicare Advantage |
$14,249.06
|
| Rate for Payer: VA VA |
$13,834.04
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,096.88
|
|
|
Service Code
|
MS-DRG 756
|
| Min. Negotiated Rate |
$7,239.32 |
| Max. Negotiated Rate |
$15,096.88 |
| Rate for Payer: Aetna Medicare |
$7,925.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,525.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,525.42
|
| Rate for Payer: BCBS MAPPO |
$7,620.34
|
| Rate for Payer: BCBS Trust/PPO |
$11,737.09
|
| Rate for Payer: BCN Medicare Advantage |
$7,620.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,620.34
|
| Rate for Payer: Mclaren Medicare |
$7,620.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,001.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,763.39
|
| Rate for Payer: PACE Medicare |
$7,239.32
|
| Rate for Payer: PACE SWMI |
$7,620.34
|
| Rate for Payer: PHP Medicare Advantage |
$7,620.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,202.12
|
| Rate for Payer: Priority Health Medicare |
$7,620.34
|
| Rate for Payer: Priority Health Narrow Network |
$11,361.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7,620.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,096.88
|
| Rate for Payer: UHC Core |
$9,263.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,620.34
|
| Rate for Payer: UHC Exchange |
$9,921.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,848.95
|
| Rate for Payer: VA VA |
$7,620.34
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$18,026.14
|
|
|
Service Code
|
MS-DRG 723
|
| Min. Negotiated Rate |
$8,091.80 |
| Max. Negotiated Rate |
$18,026.14 |
| Rate for Payer: Aetna Medicare |
$8,858.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,647.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,647.10
|
| Rate for Payer: BCBS MAPPO |
$8,517.68
|
| Rate for Payer: BCBS Trust/PPO |
$18,026.14
|
| Rate for Payer: BCN Medicare Advantage |
$8,517.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,517.68
|
| Rate for Payer: Mclaren Medicare |
$8,517.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,943.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,795.33
|
| Rate for Payer: PACE Medicare |
$8,091.80
|
| Rate for Payer: PACE SWMI |
$8,517.68
|
| Rate for Payer: PHP Medicare Advantage |
$8,517.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,990.12
|
| Rate for Payer: Priority Health Medicare |
$8,517.68
|
| Rate for Payer: Priority Health Narrow Network |
$12,792.10
|
| Rate for Payer: Railroad Medicare Medicare |
$8,517.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,997.53
|
| Rate for Payer: UHC Core |
$10,429.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,517.68
|
| Rate for Payer: UHC Exchange |
$11,170.86
|
| Rate for Payer: UHC Medicare Advantage |
$8,773.21
|
| Rate for Payer: VA VA |
$8,517.68
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$28,598.20
|
|
|
Service Code
|
MS-DRG 722
|
| Min. Negotiated Rate |
$13,294.92 |
| Max. Negotiated Rate |
$28,598.20 |
| Rate for Payer: Aetna Medicare |
$14,554.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,493.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,493.31
|
| Rate for Payer: BCBS MAPPO |
$13,994.65
|
| Rate for Payer: BCBS Trust/PPO |
$22,499.19
|
| Rate for Payer: BCN Medicare Advantage |
$13,994.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,994.65
|
| Rate for Payer: Mclaren Medicare |
$13,994.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,694.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,093.85
|
| Rate for Payer: PACE Medicare |
$13,294.92
|
| Rate for Payer: PACE SWMI |
$13,994.65
|
| Rate for Payer: PHP Medicare Advantage |
$13,994.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,903.23
|
| Rate for Payer: Priority Health Medicare |
$13,994.65
|
| Rate for Payer: Priority Health Narrow Network |
$21,522.58
|
| Rate for Payer: Railroad Medicare Medicare |
$13,994.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,598.20
|
| Rate for Payer: UHC Core |
$17,548.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,994.65
|
| Rate for Payer: UHC Exchange |
$18,794.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,414.49
|
| Rate for Payer: VA VA |
$13,994.65
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$13,853.93
|
|
|
Service Code
|
MS-DRG 724
|
| Min. Negotiated Rate |
$6,006.45 |
| Max. Negotiated Rate |
$13,853.93 |
| Rate for Payer: Aetna Medicare |
$6,575.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,903.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,903.22
|
| Rate for Payer: BCBS MAPPO |
$6,322.58
|
| Rate for Payer: BCBS Trust/PPO |
$13,853.93
|
| Rate for Payer: BCN Medicare Advantage |
$6,322.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,322.58
|
| Rate for Payer: Mclaren Medicare |
$6,322.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,638.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,270.97
|
| Rate for Payer: PACE Medicare |
$6,006.45
|
| Rate for Payer: PACE SWMI |
$6,322.58
|
| Rate for Payer: PHP Medicare Advantage |
$6,322.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,616.26
|
| Rate for Payer: Priority Health Medicare |
$6,322.58
|
| Rate for Payer: Priority Health Narrow Network |
$9,293.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6,322.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,348.11
|
| Rate for Payer: UHC Core |
$7,576.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,322.58
|
| Rate for Payer: UHC Exchange |
$8,115.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,512.26
|
| Rate for Payer: VA VA |
$6,322.58
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$19,809.21
|
|
|
Service Code
|
MS-DRG 436
|
| Min. Negotiated Rate |
$7,998.76 |
| Max. Negotiated Rate |
$19,809.21 |
| Rate for Payer: Aetna Medicare |
$8,756.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,524.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,524.69
|
| Rate for Payer: BCBS MAPPO |
$8,419.75
|
| Rate for Payer: BCBS Trust/PPO |
$19,809.21
|
| Rate for Payer: BCN Medicare Advantage |
$8,419.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,419.75
|
| Rate for Payer: Mclaren Medicare |
$8,419.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,840.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,682.71
|
| Rate for Payer: PACE Medicare |
$7,998.76
|
| Rate for Payer: PACE SWMI |
$8,419.75
|
| Rate for Payer: PHP Medicare Advantage |
$8,419.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,794.96
|
| Rate for Payer: Priority Health Medicare |
$8,419.75
|
| Rate for Payer: Priority Health Narrow Network |
$12,635.97
|
| Rate for Payer: Railroad Medicare Medicare |
$8,419.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,790.08
|
| Rate for Payer: UHC Core |
$10,302.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,419.75
|
| Rate for Payer: UHC Exchange |
$11,034.52
|
| Rate for Payer: UHC Medicare Advantage |
$8,672.34
|
| Rate for Payer: VA VA |
$8,419.75
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$30,872.16
|
|
|
Service Code
|
MS-DRG 435
|
| Min. Negotiated Rate |
$12,508.81 |
| Max. Negotiated Rate |
$30,872.16 |
| Rate for Payer: Aetna Medicare |
$13,693.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,458.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,458.96
|
| Rate for Payer: BCBS MAPPO |
$13,167.17
|
| Rate for Payer: BCBS Trust/PPO |
$30,872.16
|
| Rate for Payer: BCN Medicare Advantage |
$13,167.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,167.17
|
| Rate for Payer: Mclaren Medicare |
$13,167.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,825.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,142.25
|
| Rate for Payer: PACE Medicare |
$12,508.81
|
| Rate for Payer: PACE SWMI |
$13,167.17
|
| Rate for Payer: PHP Medicare Advantage |
$13,167.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,254.42
|
| Rate for Payer: Priority Health Medicare |
$13,167.17
|
| Rate for Payer: Priority Health Narrow Network |
$20,203.54
|
| Rate for Payer: Railroad Medicare Medicare |
$13,167.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,845.51
|
| Rate for Payer: UHC Core |
$16,472.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,167.17
|
| Rate for Payer: UHC Exchange |
$17,643.00
|
| Rate for Payer: UHC Medicare Advantage |
$13,562.19
|
| Rate for Payer: VA VA |
$13,167.17
|
|
