|
OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,086.41
|
|
|
Service Code
|
MS-DRG 541
|
| Min. Negotiated Rate |
$6,337.59 |
| Max. Negotiated Rate |
$13,086.41 |
| Rate for Payer: Aetna Medicare |
$6,938.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,338.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,338.94
|
| Rate for Payer: BCBS MAPPO |
$6,671.15
|
| Rate for Payer: BCBS Trust/PPO |
$9,071.26
|
| Rate for Payer: BCN Medicare Advantage |
$6,671.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,671.15
|
| Rate for Payer: Mclaren Medicare |
$6,671.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,004.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,671.82
|
| Rate for Payer: PACE Medicare |
$6,337.59
|
| Rate for Payer: PACE SWMI |
$6,671.15
|
| Rate for Payer: PHP Medicare Advantage |
$6,671.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,310.80
|
| Rate for Payer: Priority Health Medicare |
$6,671.15
|
| Rate for Payer: Priority Health Narrow Network |
$9,848.64
|
| Rate for Payer: Railroad Medicare Medicare |
$6,671.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,086.41
|
| Rate for Payer: UHC Core |
$8,029.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,671.15
|
| Rate for Payer: UHC Exchange |
$8,600.45
|
| Rate for Payer: UHC Medicare Advantage |
$6,871.28
|
| Rate for Payer: VA VA |
$6,671.15
|
|
|
OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATION
|
Facility
|
OP
|
$7,957.04
|
|
|
Service Code
|
CPT 28300
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$645.06 |
| Max. Negotiated Rate |
$7,957.04 |
| Rate for Payer: Aetna Medicare |
$6,620.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,957.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,957.04
|
| Rate for Payer: BCBS Complete |
$3,656.42
|
| Rate for Payer: BCBS MAPPO |
$6,365.63
|
| Rate for Payer: BCBS Trust/PPO |
$4,624.76
|
| Rate for Payer: BCN Medicare Advantage |
$6,365.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,365.63
|
| Rate for Payer: Mclaren Medicaid |
$3,482.00
|
| Rate for Payer: Mclaren Medicare |
$6,365.63
|
| Rate for Payer: Meridian Medicaid |
$3,656.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,683.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,320.47
|
| Rate for Payer: PACE Medicare |
$6,047.35
|
| Rate for Payer: PACE SWMI |
$6,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,365.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,482.00
|
| Rate for Payer: Priority Health Medicare |
$6,365.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,365.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$709.57
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,365.63
|
| Rate for Payer: UHC Exchange |
$645.06
|
| Rate for Payer: UHC Medicare Advantage |
$6,556.60
|
| Rate for Payer: VA VA |
$6,365.63
|
|
|
OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; WITH BONE GRAFT FOR NONUNION OR MALUNION (INCLUDES OBTAINING GRAFT AND/OR NECESSARY FIXATION)
|
Facility
|
OP
|
$14,638.36
|
|
|
Service Code
|
CPT 23485
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$944.67 |
| Max. Negotiated Rate |
$14,638.36 |
| Rate for Payer: Aetna Medicare |
$12,179.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,638.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,638.36
|
| Rate for Payer: BCBS Complete |
$6,726.62
|
| Rate for Payer: BCBS MAPPO |
$11,710.69
|
| Rate for Payer: BCBS Trust/PPO |
$5,924.92
|
| Rate for Payer: BCN Medicare Advantage |
$11,710.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,710.69
|
| Rate for Payer: Mclaren Medicaid |
$6,405.75
|
| Rate for Payer: Mclaren Medicare |
$11,710.69
|
| Rate for Payer: Meridian Medicaid |
$6,726.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,296.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,467.29
|
| Rate for Payer: PACE Medicare |
$11,125.16
|
| Rate for Payer: PACE SWMI |
$11,710.69
|
| Rate for Payer: PHP Medicare Advantage |
$11,710.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.75
|
| Rate for Payer: Priority Health Medicare |
$11,710.69
|
| Rate for Payer: Railroad Medicare Medicare |
$11,710.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,039.14
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,710.69
|
| Rate for Payer: UHC Exchange |
$944.67
|
| Rate for Payer: UHC Medicare Advantage |
$12,062.01
|
| Rate for Payer: VA VA |
$11,710.69
|
|
|
OSTEOTOMY; FIBULA
|
Facility
|
OP
|
$8,817.68
|
|
|
Service Code
|
CPT 27707
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$406.03 |
| Max. Negotiated Rate |
$8,817.68 |
| Rate for Payer: Aetna Medicare |
$2,995.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,600.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,600.14
|
| Rate for Payer: BCBS Complete |
$1,654.34
|
| Rate for Payer: BCBS MAPPO |
$2,880.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.36
|
| Rate for Payer: BCN Medicare Advantage |
$2,880.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,880.11
|
| Rate for Payer: Mclaren Medicaid |
$1,575.42
|
| Rate for Payer: Mclaren Medicare |
$2,880.11
|
| Rate for Payer: Meridian Medicaid |
$1,654.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,024.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,312.13
|
| Rate for Payer: PACE Medicare |
$2,736.10
|
| Rate for Payer: PACE SWMI |
$2,880.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,880.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,575.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,817.68
|
| Rate for Payer: Priority Health Medicare |
$2,880.11
|
| Rate for Payer: Priority Health Narrow Network |
$7,054.14
|
| Rate for Payer: Railroad Medicare Medicare |
$2,880.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.63
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,880.11
|
| Rate for Payer: UHC Exchange |
$406.03
|
| Rate for Payer: UHC Medicare Advantage |
$2,966.51
|
| Rate for Payer: VA VA |
$2,880.11
|
|
|
OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; OTHER PHALANGES, ANY TOE
|
Facility
|
OP
|
$4,155.00
|
|
|
Service Code
|
CPT 28312
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$343.16 |
| Max. Negotiated Rate |
$4,155.00 |
| Rate for Payer: Aetna Medicare |
$2,995.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,600.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,600.14
|
| Rate for Payer: BCBS Complete |
$1,654.34
|
| Rate for Payer: BCBS MAPPO |
$2,880.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.03
|
| Rate for Payer: BCN Medicare Advantage |
$2,880.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,880.11
|
| Rate for Payer: Mclaren Medicaid |
$1,575.42
|
| Rate for Payer: Mclaren Medicare |
$2,880.11
|
| Rate for Payer: Meridian Medicaid |
$1,654.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,024.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,312.13
|
| Rate for Payer: PACE Medicare |
$2,736.10
|
| Rate for Payer: PACE SWMI |
$2,880.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,880.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,575.42
|
| Rate for Payer: Priority Health Medicare |
$2,880.11
|
| Rate for Payer: Railroad Medicare Medicare |
$2,880.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.48
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,880.11
|
| Rate for Payer: UHC Exchange |
$343.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,966.51
|
| Rate for Payer: VA VA |
$2,880.11
|
|
|
OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARATE PROCEDURE)
|
Facility
|
OP
|
$7,957.04
|
|
|
Service Code
|
CPT 28310
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$361.17 |
| Max. Negotiated Rate |
$7,957.04 |
| Rate for Payer: Aetna Medicare |
$6,620.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,957.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,957.04
|
| Rate for Payer: BCBS Complete |
$3,656.42
|
| Rate for Payer: BCBS MAPPO |
$6,365.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,365.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,365.63
|
| Rate for Payer: Mclaren Medicaid |
$3,482.00
|
| Rate for Payer: Mclaren Medicare |
$6,365.63
|
| Rate for Payer: Meridian Medicaid |
$3,656.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,683.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,320.47
|
| Rate for Payer: PACE Medicare |
$6,047.35
|
| Rate for Payer: PACE SWMI |
$6,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,365.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,482.00
|
| Rate for Payer: Priority Health Medicare |
$6,365.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,365.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.29
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,365.63
|
| Rate for Payer: UHC Exchange |
$361.17
|
| Rate for Payer: UHC Medicare Advantage |
$6,556.60
|
| Rate for Payer: VA VA |
$6,365.63
|
|
|
OSTEOTOMY; TIBIA
|
Facility
|
OP
|
$19,502.65
|
|
|
Service Code
|
CPT 27705
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$743.29 |
| Max. Negotiated Rate |
$19,502.65 |
| Rate for Payer: Aetna Medicare |
$6,620.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,957.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,957.04
|
| Rate for Payer: BCBS Complete |
$3,656.42
|
| Rate for Payer: BCBS MAPPO |
$6,365.63
|
| Rate for Payer: BCBS Trust/PPO |
$2,299.99
|
| Rate for Payer: BCN Medicare Advantage |
$6,365.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,365.63
|
| Rate for Payer: Mclaren Medicaid |
$3,482.00
|
| Rate for Payer: Mclaren Medicare |
$6,365.63
|
| Rate for Payer: Meridian Medicaid |
$3,656.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,683.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,320.47
|
| Rate for Payer: PACE Medicare |
$6,047.35
|
| Rate for Payer: PACE SWMI |
$6,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,365.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,482.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,502.65
|
| Rate for Payer: Priority Health Medicare |
$6,365.63
|
| Rate for Payer: Priority Health Narrow Network |
$15,602.12
|
| Rate for Payer: Railroad Medicare Medicare |
$6,365.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$817.62
|
| Rate for Payer: UHC Core |
$6,837.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,365.63
|
| Rate for Payer: UHC Exchange |
$743.29
|
| Rate for Payer: UHC Medicare Advantage |
$6,556.60
|
| Rate for Payer: VA VA |
$6,365.63
|
|
|
OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL
|
Facility
|
OP
|
$7,957.04
|
|
|
Service Code
|
CPT 28306
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$404.72 |
| Max. Negotiated Rate |
$7,957.04 |
| Rate for Payer: Aetna Medicare |
$6,620.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,957.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,957.04
|
| Rate for Payer: BCBS Complete |
$3,656.42
|
| Rate for Payer: BCBS MAPPO |
$6,365.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,680.90
|
| Rate for Payer: BCN Medicare Advantage |
$6,365.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,365.63
|
| Rate for Payer: Mclaren Medicaid |
$3,482.00
|
| Rate for Payer: Mclaren Medicare |
$6,365.63
|
| Rate for Payer: Meridian Medicaid |
$3,656.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,683.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,320.47
|
| Rate for Payer: PACE Medicare |
$6,047.35
|
| Rate for Payer: PACE SWMI |
$6,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,365.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,482.00
|
| Rate for Payer: Priority Health Medicare |
$6,365.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,365.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$445.19
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,365.63
|
| Rate for Payer: UHC Exchange |
$404.72
|
| Rate for Payer: UHC Medicare Advantage |
$6,556.60
|
| Rate for Payer: VA VA |
$6,365.63
|
|
|
OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; MULTIPLE (EG, SWANSON TYPE CAVUS FOOT PROCEDURE)
|
Facility
|
OP
|
$7,957.04
|
|
|
Service Code
|
CPT 28309
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$895.23 |
| Max. Negotiated Rate |
$7,957.04 |
| Rate for Payer: Aetna Medicare |
$6,620.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,957.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,957.04
|
| Rate for Payer: BCBS Complete |
$3,656.42
|
| Rate for Payer: BCBS MAPPO |
$6,365.63
|
| Rate for Payer: BCBS Trust/PPO |
$2,683.32
|
| Rate for Payer: BCN Medicare Advantage |
$6,365.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,365.63
|
| Rate for Payer: Mclaren Medicaid |
$3,482.00
|
| Rate for Payer: Mclaren Medicare |
$6,365.63
|
| Rate for Payer: Meridian Medicaid |
$3,656.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,683.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,320.47
|
| Rate for Payer: PACE Medicare |
$6,047.35
|
| Rate for Payer: PACE SWMI |
$6,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,365.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,482.00
|
| Rate for Payer: Priority Health Medicare |
$6,365.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,365.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$984.75
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,365.63
|
| Rate for Payer: UHC Exchange |
$895.23
|
| Rate for Payer: UHC Medicare Advantage |
$6,556.60
|
| Rate for Payer: VA VA |
$6,365.63
|
|
|
OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER THAN FIRST METATARSAL, EACH
|
Facility
|
OP
|
$4,155.00
|
|
|
Service Code
|
CPT 28308
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$385.73 |
| Max. Negotiated Rate |
$4,155.00 |
| Rate for Payer: Aetna Medicare |
$2,995.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,600.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,600.14
|
| Rate for Payer: BCBS Complete |
$1,654.34
|
| Rate for Payer: BCBS MAPPO |
$2,880.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,929.20
|
| Rate for Payer: BCN Medicare Advantage |
$2,880.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,880.11
|
| Rate for Payer: Mclaren Medicaid |
$1,575.42
|
| Rate for Payer: Mclaren Medicare |
$2,880.11
|
| Rate for Payer: Meridian Medicaid |
$1,654.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,024.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,312.13
|
| Rate for Payer: PACE Medicare |
$2,736.10
|
| Rate for Payer: PACE SWMI |
$2,880.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,880.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,575.42
|
| Rate for Payer: Priority Health Medicare |
$2,880.11
|
| Rate for Payer: Railroad Medicare Medicare |
$2,880.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$424.30
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,880.11
|
| Rate for Payer: UHC Exchange |
$385.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,966.51
|
| Rate for Payer: VA VA |
$2,880.11
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$18,329.18
|
|
|
Service Code
|
MS-DRG 818
|
| Min. Negotiated Rate |
$10,259.26 |
| Max. Negotiated Rate |
$18,329.18 |
| Rate for Payer: Aetna Medicare |
$11,231.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,499.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,499.02
|
| Rate for Payer: BCBS MAPPO |
$10,799.22
|
| Rate for Payer: BCBS Trust/PPO |
$18,329.18
|
| Rate for Payer: BCN Medicare Advantage |
$10,799.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,799.22
|
| Rate for Payer: Mclaren Medicare |
$10,799.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,339.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,419.10
|
| Rate for Payer: PACE Medicare |
$10,259.26
|
| Rate for Payer: PACE SWMI |
$10,799.22
|
| Rate for Payer: PHP Medicare Advantage |
$10,799.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,833.89
|
| Rate for Payer: Priority Health Medicare |
$10,799.22
|
| Rate for Payer: Priority Health Narrow Network |
$13,467.11
|
| Rate for Payer: Railroad Medicare Medicare |
$10,799.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,894.47
|
| Rate for Payer: UHC Core |
$10,980.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,799.22
|
| Rate for Payer: UHC Exchange |
$11,760.33
|
| Rate for Payer: UHC Medicare Advantage |
$11,123.20
|
| Rate for Payer: VA VA |
$10,799.22
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$34,397.77
|
|
|
Service Code
|
MS-DRG 817
|
| Min. Negotiated Rate |
$19,739.80 |
| Max. Negotiated Rate |
$34,397.77 |
| Rate for Payer: Aetna Medicare |
$21,609.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,973.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,973.42
|
| Rate for Payer: BCBS MAPPO |
$20,778.74
|
| Rate for Payer: BCBS Trust/PPO |
$28,744.33
|
| Rate for Payer: BCN Medicare Advantage |
$20,778.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,778.74
|
| Rate for Payer: Mclaren Medicare |
$20,778.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,817.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,895.55
|
| Rate for Payer: PACE Medicare |
$19,739.80
|
| Rate for Payer: PACE SWMI |
$20,778.74
|
| Rate for Payer: PHP Medicare Advantage |
$20,778.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,359.07
|
| Rate for Payer: Priority Health Medicare |
$20,778.74
|
| Rate for Payer: Priority Health Narrow Network |
$25,887.26
|
| Rate for Payer: Railroad Medicare Medicare |
$20,778.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,397.77
|
| Rate for Payer: UHC Core |
$21,106.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,778.74
|
| Rate for Payer: UHC Exchange |
$22,606.38
|
| Rate for Payer: UHC Medicare Advantage |
$21,402.10
|
| Rate for Payer: VA VA |
$20,778.74
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,838.43
|
|
|
Service Code
|
MS-DRG 819
|
| Min. Negotiated Rate |
$6,674.88 |
| Max. Negotiated Rate |
$13,838.43 |
| Rate for Payer: Aetna Medicare |
$7,307.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,782.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,782.74
|
| Rate for Payer: BCBS MAPPO |
$7,026.19
|
| Rate for Payer: BCBS Trust/PPO |
$11,032.20
|
| Rate for Payer: BCN Medicare Advantage |
$7,026.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,026.19
|
| Rate for Payer: Mclaren Medicare |
$7,026.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,377.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,080.12
|
| Rate for Payer: PACE Medicare |
$6,674.88
|
| Rate for Payer: PACE SWMI |
$7,026.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,026.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,018.25
|
| Rate for Payer: Priority Health Medicare |
$7,026.19
|
| Rate for Payer: Priority Health Narrow Network |
$10,414.60
|
| Rate for Payer: Railroad Medicare Medicare |
$7,026.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,838.43
|
| Rate for Payer: UHC Core |
$8,491.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,026.19
|
| Rate for Payer: UHC Exchange |
$9,094.68
|
| Rate for Payer: UHC Medicare Advantage |
$7,236.98
|
| Rate for Payer: VA VA |
$7,026.19
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$11,252.88
|
|
|
Service Code
|
MS-DRG 832
|
| Min. Negotiated Rate |
$5,515.22 |
| Max. Negotiated Rate |
$11,252.88 |
| Rate for Payer: Aetna Medicare |
$6,037.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,256.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,256.88
|
| Rate for Payer: BCBS MAPPO |
$5,805.50
|
| Rate for Payer: BCBS Trust/PPO |
$8,574.99
|
| Rate for Payer: BCN Medicare Advantage |
$5,805.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,805.50
|
| Rate for Payer: Mclaren Medicare |
$5,805.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,095.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,676.32
|
| Rate for Payer: PACE Medicare |
$5,515.22
|
| Rate for Payer: PACE SWMI |
$5,805.50
|
| Rate for Payer: PHP Medicare Advantage |
$5,805.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,585.94
|
| Rate for Payer: Priority Health Medicare |
$5,805.50
|
| Rate for Payer: Priority Health Narrow Network |
$8,468.75
|
| Rate for Payer: Railroad Medicare Medicare |
$5,805.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,252.88
|
| Rate for Payer: UHC Core |
$6,904.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,805.50
|
| Rate for Payer: UHC Exchange |
$7,395.44
|
| Rate for Payer: UHC Medicare Advantage |
$5,979.66
|
| Rate for Payer: VA VA |
$5,805.50
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$15,403.49
|
|
|
Service Code
|
MS-DRG 831
|
| Min. Negotiated Rate |
$7,824.98 |
| Max. Negotiated Rate |
$15,403.49 |
| Rate for Payer: Aetna Medicare |
$8,566.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,296.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,296.02
|
| Rate for Payer: BCBS MAPPO |
$8,236.82
|
| Rate for Payer: BCBS Trust/PPO |
$13,482.83
|
| Rate for Payer: BCN Medicare Advantage |
$8,236.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,236.82
|
| Rate for Payer: Mclaren Medicare |
$8,236.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,648.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,472.34
|
| Rate for Payer: PACE Medicare |
$7,824.98
|
| Rate for Payer: PACE SWMI |
$8,236.82
|
| Rate for Payer: PHP Medicare Advantage |
$8,236.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,490.55
|
| Rate for Payer: Priority Health Medicare |
$8,236.82
|
| Rate for Payer: Priority Health Narrow Network |
$11,592.44
|
| Rate for Payer: Railroad Medicare Medicare |
$8,236.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,403.49
|
| Rate for Payer: UHC Core |
$9,451.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,236.82
|
| Rate for Payer: UHC Exchange |
$10,123.25
|
| Rate for Payer: UHC Medicare Advantage |
$8,483.92
|
| Rate for Payer: VA VA |
$8,236.82
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,807.00
|
|
|
Service Code
|
MS-DRG 833
|
| Min. Negotiated Rate |
$3,969.67 |
| Max. Negotiated Rate |
$7,807.00 |
| Rate for Payer: Aetna Medicare |
$4,345.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,223.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,223.25
|
| Rate for Payer: BCBS MAPPO |
$4,178.60
|
| Rate for Payer: BCBS Trust/PPO |
$5,505.12
|
| Rate for Payer: BCN Medicare Advantage |
$4,178.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,178.60
|
| Rate for Payer: Mclaren Medicare |
$4,178.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,387.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,805.39
|
| Rate for Payer: PACE Medicare |
$3,969.67
|
| Rate for Payer: PACE SWMI |
$4,178.60
|
| Rate for Payer: PHP Medicare Advantage |
$4,178.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,344.29
|
| Rate for Payer: Priority Health Medicare |
$4,178.60
|
| Rate for Payer: Priority Health Narrow Network |
$5,875.43
|
| Rate for Payer: Railroad Medicare Medicare |
$4,178.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,807.00
|
| Rate for Payer: UHC Core |
$4,790.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,178.60
|
| Rate for Payer: UHC Exchange |
$5,130.80
|
| Rate for Payer: UHC Medicare Advantage |
$4,303.96
|
| Rate for Payer: VA VA |
$4,178.60
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$110,631.64
|
|
|
Service Code
|
MS-DRG 228
|
| Min. Negotiated Rate |
$34,941.37 |
| Max. Negotiated Rate |
$110,631.64 |
| Rate for Payer: Aetna Medicare |
$38,251.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,975.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,975.49
|
| Rate for Payer: BCBS MAPPO |
$36,780.39
|
| Rate for Payer: BCBS Trust/PPO |
$110,631.64
|
| Rate for Payer: BCN Medicare Advantage |
$36,780.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,780.39
|
| Rate for Payer: Mclaren Medicare |
$36,780.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38,619.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,297.45
|
| Rate for Payer: PACE Medicare |
$34,941.37
|
| Rate for Payer: PACE SWMI |
$36,780.39
|
| Rate for Payer: PHP Medicare Advantage |
$36,780.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,304.94
|
| Rate for Payer: Priority Health Medicare |
$36,780.39
|
| Rate for Payer: Priority Health Narrow Network |
$57,843.95
|
| Rate for Payer: Railroad Medicare Medicare |
$36,780.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76,860.33
|
| Rate for Payer: UHC Core |
$47,162.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,780.39
|
| Rate for Payer: UHC Exchange |
$50,512.97
|
| Rate for Payer: UHC Medicare Advantage |
$37,883.80
|
| Rate for Payer: VA VA |
$36,780.39
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$70,121.67
|
|
|
Service Code
|
MS-DRG 229
|
| Min. Negotiated Rate |
$22,221.97 |
| Max. Negotiated Rate |
$70,121.67 |
| Rate for Payer: Aetna Medicare |
$24,327.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,239.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,239.44
|
| Rate for Payer: BCBS MAPPO |
$23,391.55
|
| Rate for Payer: BCBS Trust/PPO |
$70,121.67
|
| Rate for Payer: BCN Medicare Advantage |
$23,391.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,391.55
|
| Rate for Payer: Mclaren Medicare |
$23,391.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24,561.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,900.28
|
| Rate for Payer: PACE Medicare |
$22,221.97
|
| Rate for Payer: PACE SWMI |
$23,391.55
|
| Rate for Payer: PHP Medicare Advantage |
$23,391.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,627.01
|
| Rate for Payer: Priority Health Medicare |
$23,391.55
|
| Rate for Payer: Priority Health Narrow Network |
$36,501.61
|
| Rate for Payer: Railroad Medicare Medicare |
$23,391.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,501.62
|
| Rate for Payer: UHC Core |
$29,761.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,391.55
|
| Rate for Payer: UHC Exchange |
$31,875.49
|
| Rate for Payer: UHC Medicare Advantage |
$24,093.30
|
| Rate for Payer: VA VA |
$23,391.55
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,062.14
|
|
|
Service Code
|
MS-DRG 315
|
| Min. Negotiated Rate |
$7,086.07 |
| Max. Negotiated Rate |
$17,062.14 |
| Rate for Payer: Aetna Medicare |
$7,757.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,323.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,323.78
|
| Rate for Payer: BCBS MAPPO |
$7,459.02
|
| Rate for Payer: BCBS Trust/PPO |
$17,062.14
|
| Rate for Payer: BCN Medicare Advantage |
$7,459.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,459.02
|
| Rate for Payer: Mclaren Medicare |
$7,459.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,831.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,577.87
|
| Rate for Payer: PACE Medicare |
$7,086.07
|
| Rate for Payer: PACE SWMI |
$7,459.02
|
| Rate for Payer: PHP Medicare Advantage |
$7,459.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,880.68
|
| Rate for Payer: Priority Health Medicare |
$7,459.02
|
| Rate for Payer: Priority Health Narrow Network |
$11,104.54
|
| Rate for Payer: Railroad Medicare Medicare |
$7,459.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,755.19
|
| Rate for Payer: UHC Core |
$9,053.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,459.02
|
| Rate for Payer: UHC Exchange |
$9,697.18
|
| Rate for Payer: UHC Medicare Advantage |
$7,682.79
|
| Rate for Payer: VA VA |
$7,459.02
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$31,934.25
|
|
|
Service Code
|
MS-DRG 314
|
| Min. Negotiated Rate |
$14,791.20 |
| Max. Negotiated Rate |
$31,934.25 |
| Rate for Payer: Aetna Medicare |
$16,192.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,462.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,462.10
|
| Rate for Payer: BCBS MAPPO |
$15,569.68
|
| Rate for Payer: BCBS Trust/PPO |
$31,221.31
|
| Rate for Payer: BCN Medicare Advantage |
$15,569.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,569.68
|
| Rate for Payer: Mclaren Medicare |
$15,569.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,348.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,905.13
|
| Rate for Payer: PACE Medicare |
$14,791.20
|
| Rate for Payer: PACE SWMI |
$15,569.68
|
| Rate for Payer: PHP Medicare Advantage |
$15,569.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,041.56
|
| Rate for Payer: Priority Health Medicare |
$15,569.68
|
| Rate for Payer: Priority Health Narrow Network |
$24,033.25
|
| Rate for Payer: Railroad Medicare Medicare |
$15,569.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,934.25
|
| Rate for Payer: UHC Core |
$19,595.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,569.68
|
| Rate for Payer: UHC Exchange |
$20,987.34
|
| Rate for Payer: UHC Medicare Advantage |
$16,036.77
|
| Rate for Payer: VA VA |
$15,569.68
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,566.45
|
|
|
Service Code
|
MS-DRG 316
|
| Min. Negotiated Rate |
$5,207.34 |
| Max. Negotiated Rate |
$10,566.45 |
| Rate for Payer: Aetna Medicare |
$5,700.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,851.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,851.76
|
| Rate for Payer: BCBS MAPPO |
$5,481.41
|
| Rate for Payer: BCBS Trust/PPO |
$10,355.86
|
| Rate for Payer: BCN Medicare Advantage |
$5,481.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,481.41
|
| Rate for Payer: Mclaren Medicare |
$5,481.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,755.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,303.62
|
| Rate for Payer: PACE Medicare |
$5,207.34
|
| Rate for Payer: PACE SWMI |
$5,481.41
|
| Rate for Payer: PHP Medicare Advantage |
$5,481.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,940.19
|
| Rate for Payer: Priority Health Medicare |
$5,481.41
|
| Rate for Payer: Priority Health Narrow Network |
$7,952.15
|
| Rate for Payer: Railroad Medicare Medicare |
$5,481.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,566.45
|
| Rate for Payer: UHC Core |
$6,483.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,481.41
|
| Rate for Payer: UHC Exchange |
$6,944.32
|
| Rate for Payer: UHC Medicare Advantage |
$5,645.85
|
| Rate for Payer: VA VA |
$5,481.41
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$49,819.56
|
|
|
Service Code
|
MS-DRG 264
|
| Min. Negotiated Rate |
$22,813.09 |
| Max. Negotiated Rate |
$49,819.56 |
| Rate for Payer: Aetna Medicare |
$24,974.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,017.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,017.22
|
| Rate for Payer: BCBS MAPPO |
$24,013.78
|
| Rate for Payer: BCBS Trust/PPO |
$46,454.26
|
| Rate for Payer: BCN Medicare Advantage |
$24,013.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,013.78
|
| Rate for Payer: Mclaren Medicare |
$24,013.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25,214.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,615.85
|
| Rate for Payer: PACE Medicare |
$22,813.09
|
| Rate for Payer: PACE SWMI |
$24,013.78
|
| Rate for Payer: PHP Medicare Advantage |
$24,013.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,866.84
|
| Rate for Payer: Priority Health Medicare |
$24,013.78
|
| Rate for Payer: Priority Health Narrow Network |
$37,493.47
|
| Rate for Payer: Railroad Medicare Medicare |
$24,013.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,819.56
|
| Rate for Payer: UHC Core |
$30,569.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,013.78
|
| Rate for Payer: UHC Exchange |
$32,741.65
|
| Rate for Payer: UHC Medicare Advantage |
$24,734.19
|
| Rate for Payer: VA VA |
$24,013.78
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,270.29
|
|
|
Service Code
|
MS-DRG 394
|
| Min. Negotiated Rate |
$6,878.09 |
| Max. Negotiated Rate |
$15,270.29 |
| Rate for Payer: Aetna Medicare |
$7,529.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,050.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,050.11
|
| Rate for Payer: BCBS MAPPO |
$7,240.09
|
| Rate for Payer: BCBS Trust/PPO |
$15,270.29
|
| Rate for Payer: BCN Medicare Advantage |
$7,240.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,240.09
|
| Rate for Payer: Mclaren Medicare |
$7,240.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,602.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,326.10
|
| Rate for Payer: PACE Medicare |
$6,878.09
|
| Rate for Payer: PACE SWMI |
$7,240.09
|
| Rate for Payer: PHP Medicare Advantage |
$7,240.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,444.44
|
| Rate for Payer: Priority Health Medicare |
$7,240.09
|
| Rate for Payer: Priority Health Narrow Network |
$10,755.55
|
| Rate for Payer: Railroad Medicare Medicare |
$7,240.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,291.47
|
| Rate for Payer: UHC Core |
$8,769.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,240.09
|
| Rate for Payer: UHC Exchange |
$9,392.42
|
| Rate for Payer: UHC Medicare Advantage |
$7,457.29
|
| Rate for Payer: VA VA |
$7,240.09
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$24,705.38
|
|
|
Service Code
|
MS-DRG 393
|
| Min. Negotiated Rate |
$11,548.91 |
| Max. Negotiated Rate |
$24,705.38 |
| Rate for Payer: Aetna Medicare |
$12,643.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,195.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,195.94
|
| Rate for Payer: BCBS MAPPO |
$12,156.75
|
| Rate for Payer: BCBS Trust/PPO |
$24,258.11
|
| Rate for Payer: BCN Medicare Advantage |
$12,156.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,156.75
|
| Rate for Payer: Mclaren Medicare |
$12,156.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,764.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,980.26
|
| Rate for Payer: PACE Medicare |
$11,548.91
|
| Rate for Payer: PACE SWMI |
$12,156.75
|
| Rate for Payer: PHP Medicare Advantage |
$12,156.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,241.13
|
| Rate for Payer: Priority Health Medicare |
$12,156.75
|
| Rate for Payer: Priority Health Narrow Network |
$18,592.90
|
| Rate for Payer: Railroad Medicare Medicare |
$12,156.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,705.38
|
| Rate for Payer: UHC Core |
$15,159.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,156.75
|
| Rate for Payer: UHC Exchange |
$16,236.49
|
| Rate for Payer: UHC Medicare Advantage |
$12,521.45
|
| Rate for Payer: VA VA |
$12,156.75
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,327.78
|
|
|
Service Code
|
MS-DRG 395
|
| Min. Negotiated Rate |
$4,898.10 |
| Max. Negotiated Rate |
$12,327.78 |
| Rate for Payer: Aetna Medicare |
$5,362.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,444.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,444.86
|
| Rate for Payer: BCBS MAPPO |
$5,155.89
|
| Rate for Payer: BCBS Trust/PPO |
$12,327.78
|
| Rate for Payer: BCN Medicare Advantage |
$5,155.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,155.89
|
| Rate for Payer: Mclaren Medicare |
$5,155.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,413.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,929.27
|
| Rate for Payer: PACE Medicare |
$4,898.10
|
| Rate for Payer: PACE SWMI |
$5,155.89
|
| Rate for Payer: PHP Medicare Advantage |
$5,155.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,291.57
|
| Rate for Payer: Priority Health Medicare |
$5,155.89
|
| Rate for Payer: Priority Health Narrow Network |
$7,433.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,155.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,876.97
|
| Rate for Payer: UHC Core |
$6,060.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,155.89
|
| Rate for Payer: UHC Exchange |
$6,491.19
|
| Rate for Payer: UHC Medicare Advantage |
$5,310.57
|
| Rate for Payer: VA VA |
$5,155.89
|
|
