|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$36,177.45
|
|
|
Service Code
|
MS-DRG 357
|
| Min. Negotiated Rate |
$15,497.94 |
| Max. Negotiated Rate |
$36,177.45 |
| Rate for Payer: Aetna Medicare |
$16,966.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,392.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,392.02
|
| Rate for Payer: BCBS MAPPO |
$16,313.62
|
| Rate for Payer: BCBS Trust/PPO |
$36,177.45
|
| Rate for Payer: BCN Medicare Advantage |
$16,313.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,313.62
|
| Rate for Payer: Mclaren Medicare |
$16,313.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,129.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,760.66
|
| Rate for Payer: PACE Medicare |
$15,497.94
|
| Rate for Payer: PACE SWMI |
$16,313.62
|
| Rate for Payer: PHP Medicare Advantage |
$16,313.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,523.90
|
| Rate for Payer: Priority Health Medicare |
$16,313.62
|
| Rate for Payer: Priority Health Narrow Network |
$25,219.12
|
| Rate for Payer: Railroad Medicare Medicare |
$16,313.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,509.99
|
| Rate for Payer: UHC Core |
$20,562.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,313.62
|
| Rate for Payer: UHC Exchange |
$22,022.92
|
| Rate for Payer: UHC Medicare Advantage |
$16,803.03
|
| Rate for Payer: VA VA |
$16,313.62
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$65,267.29
|
|
|
Service Code
|
MS-DRG 356
|
| Min. Negotiated Rate |
$29,741.69 |
| Max. Negotiated Rate |
$65,267.29 |
| Rate for Payer: Aetna Medicare |
$32,559.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,133.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,133.80
|
| Rate for Payer: BCBS MAPPO |
$31,307.04
|
| Rate for Payer: BCBS Trust/PPO |
$62,840.07
|
| Rate for Payer: BCN Medicare Advantage |
$31,307.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,307.04
|
| Rate for Payer: Mclaren Medicare |
$31,307.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32,872.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,003.10
|
| Rate for Payer: PACE Medicare |
$29,741.69
|
| Rate for Payer: PACE SWMI |
$31,307.04
|
| Rate for Payer: PHP Medicare Advantage |
$31,307.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,399.00
|
| Rate for Payer: Priority Health Medicare |
$31,307.04
|
| Rate for Payer: Priority Health Narrow Network |
$49,119.20
|
| Rate for Payer: Railroad Medicare Medicare |
$31,307.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65,267.29
|
| Rate for Payer: UHC Core |
$40,048.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,307.04
|
| Rate for Payer: UHC Exchange |
$42,893.97
|
| Rate for Payer: UHC Medicare Advantage |
$32,246.25
|
| Rate for Payer: VA VA |
$31,307.04
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,605.12
|
|
|
Service Code
|
MS-DRG 358
|
| Min. Negotiated Rate |
$9,233.00 |
| Max. Negotiated Rate |
$29,605.12 |
| Rate for Payer: Aetna Medicare |
$10,107.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,148.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,148.69
|
| Rate for Payer: BCBS MAPPO |
$9,718.95
|
| Rate for Payer: BCBS Trust/PPO |
$29,605.12
|
| Rate for Payer: BCN Medicare Advantage |
$9,718.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,718.95
|
| Rate for Payer: Mclaren Medicare |
$9,718.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,204.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,176.79
|
| Rate for Payer: PACE Medicare |
$9,233.00
|
| Rate for Payer: PACE SWMI |
$9,718.95
|
| Rate for Payer: PHP Medicare Advantage |
$9,718.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,383.68
|
| Rate for Payer: Priority Health Medicare |
$9,718.95
|
| Rate for Payer: Priority Health Narrow Network |
$14,706.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,718.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,541.90
|
| Rate for Payer: UHC Core |
$11,991.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,718.95
|
| Rate for Payer: UHC Exchange |
$12,843.03
|
| Rate for Payer: UHC Medicare Advantage |
$10,010.52
|
| Rate for Payer: VA VA |
$9,718.95
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$17,261.97
|
|
|
Service Code
|
MS-DRG 092
|
| Min. Negotiated Rate |
$7,488.38 |
| Max. Negotiated Rate |
$17,261.97 |
| Rate for Payer: Aetna Medicare |
$8,197.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,853.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,853.12
|
| Rate for Payer: BCBS MAPPO |
$7,882.50
|
| Rate for Payer: BCBS Trust/PPO |
$17,261.97
|
| Rate for Payer: BCN Medicare Advantage |
$7,882.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,882.50
|
| Rate for Payer: Mclaren Medicare |
$7,882.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,276.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,064.88
|
| Rate for Payer: PACE Medicare |
$7,488.38
|
| Rate for Payer: PACE SWMI |
$7,882.50
|
| Rate for Payer: PHP Medicare Advantage |
$7,882.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,724.45
|
| Rate for Payer: Priority Health Medicare |
$7,882.50
|
| Rate for Payer: Priority Health Narrow Network |
$11,779.56
|
| Rate for Payer: Railroad Medicare Medicare |
$7,882.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,652.13
|
| Rate for Payer: UHC Core |
$9,604.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,882.50
|
| Rate for Payer: UHC Exchange |
$10,286.65
|
| Rate for Payer: UHC Medicare Advantage |
$8,118.98
|
| Rate for Payer: VA VA |
$7,882.50
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$33,904.70
|
|
|
Service Code
|
MS-DRG 091
|
| Min. Negotiated Rate |
$12,709.27 |
| Max. Negotiated Rate |
$33,904.70 |
| Rate for Payer: Aetna Medicare |
$13,913.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,722.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,722.72
|
| Rate for Payer: BCBS MAPPO |
$13,378.18
|
| Rate for Payer: BCBS Trust/PPO |
$33,904.70
|
| Rate for Payer: BCN Medicare Advantage |
$13,378.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,378.18
|
| Rate for Payer: Mclaren Medicare |
$13,378.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,047.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,384.91
|
| Rate for Payer: PACE Medicare |
$12,709.27
|
| Rate for Payer: PACE SWMI |
$13,378.18
|
| Rate for Payer: PHP Medicare Advantage |
$13,378.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,674.88
|
| Rate for Payer: Priority Health Medicare |
$13,378.18
|
| Rate for Payer: Priority Health Narrow Network |
$20,539.90
|
| Rate for Payer: Railroad Medicare Medicare |
$13,378.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,292.46
|
| Rate for Payer: UHC Core |
$16,746.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,378.18
|
| Rate for Payer: UHC Exchange |
$17,936.73
|
| Rate for Payer: UHC Medicare Advantage |
$13,779.53
|
| Rate for Payer: VA VA |
$13,378.18
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,639.20
|
|
|
Service Code
|
MS-DRG 093
|
| Min. Negotiated Rate |
$5,766.30 |
| Max. Negotiated Rate |
$15,639.20 |
| Rate for Payer: Aetna Medicare |
$6,312.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,587.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,587.24
|
| Rate for Payer: BCBS MAPPO |
$6,069.79
|
| Rate for Payer: BCBS Trust/PPO |
$15,639.20
|
| Rate for Payer: BCN Medicare Advantage |
$6,069.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,069.79
|
| Rate for Payer: Mclaren Medicare |
$6,069.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,373.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,980.26
|
| Rate for Payer: PACE Medicare |
$5,766.30
|
| Rate for Payer: PACE SWMI |
$6,069.79
|
| Rate for Payer: PHP Medicare Advantage |
$6,069.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,112.58
|
| Rate for Payer: Priority Health Medicare |
$6,069.79
|
| Rate for Payer: Priority Health Narrow Network |
$8,890.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,069.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,812.70
|
| Rate for Payer: UHC Core |
$7,248.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,069.79
|
| Rate for Payer: UHC Exchange |
$7,763.36
|
| Rate for Payer: UHC Medicare Advantage |
$6,251.88
|
| Rate for Payer: VA VA |
$6,069.79
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$21,111.38
|
|
|
Service Code
|
MS-DRG 124
|
| Min. Negotiated Rate |
$9,512.15 |
| Max. Negotiated Rate |
$21,111.38 |
| Rate for Payer: Aetna Medicare |
$10,413.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,515.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,515.99
|
| Rate for Payer: BCBS MAPPO |
$10,012.79
|
| Rate for Payer: BCBS Trust/PPO |
$21,111.38
|
| Rate for Payer: BCN Medicare Advantage |
$10,012.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,012.79
|
| Rate for Payer: Mclaren Medicare |
$10,012.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,513.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,514.71
|
| Rate for Payer: PACE Medicare |
$9,512.15
|
| Rate for Payer: PACE SWMI |
$10,012.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,012.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,969.16
|
| Rate for Payer: Priority Health Medicare |
$10,012.79
|
| Rate for Payer: Priority Health Narrow Network |
$15,175.33
|
| Rate for Payer: Railroad Medicare Medicare |
$10,012.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,164.26
|
| Rate for Payer: UHC Core |
$12,372.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,012.79
|
| Rate for Payer: UHC Exchange |
$13,252.05
|
| Rate for Payer: UHC Medicare Advantage |
$10,313.17
|
| Rate for Payer: VA VA |
$10,012.79
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$12,165.07
|
|
|
Service Code
|
MS-DRG 125
|
| Min. Negotiated Rate |
$5,924.35 |
| Max. Negotiated Rate |
$12,165.07 |
| Rate for Payer: Aetna Medicare |
$6,485.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,795.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,795.20
|
| Rate for Payer: BCBS MAPPO |
$6,236.16
|
| Rate for Payer: BCBS Trust/PPO |
$11,842.49
|
| Rate for Payer: BCN Medicare Advantage |
$6,236.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,236.16
|
| Rate for Payer: Mclaren Medicare |
$6,236.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,547.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,171.58
|
| Rate for Payer: PACE Medicare |
$5,924.35
|
| Rate for Payer: PACE SWMI |
$6,236.16
|
| Rate for Payer: PHP Medicare Advantage |
$6,236.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,444.06
|
| Rate for Payer: Priority Health Medicare |
$6,236.16
|
| Rate for Payer: Priority Health Narrow Network |
$9,155.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,236.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,165.07
|
| Rate for Payer: UHC Core |
$7,464.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,236.16
|
| Rate for Payer: UHC Exchange |
$7,994.94
|
| Rate for Payer: UHC Medicare Advantage |
$6,423.24
|
| Rate for Payer: VA VA |
$6,236.16
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,601.47
|
|
|
Service Code
|
MS-DRG 155
|
| Min. Negotiated Rate |
$6,944.45 |
| Max. Negotiated Rate |
$18,601.47 |
| Rate for Payer: Aetna Medicare |
$7,602.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,137.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,137.44
|
| Rate for Payer: BCBS MAPPO |
$7,309.95
|
| Rate for Payer: BCBS Trust/PPO |
$18,601.47
|
| Rate for Payer: BCN Medicare Advantage |
$7,309.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,309.95
|
| Rate for Payer: Mclaren Medicare |
$7,309.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,675.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,406.44
|
| Rate for Payer: PACE Medicare |
$6,944.45
|
| Rate for Payer: PACE SWMI |
$7,309.95
|
| Rate for Payer: PHP Medicare Advantage |
$7,309.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,583.63
|
| Rate for Payer: Priority Health Medicare |
$7,309.95
|
| Rate for Payer: Priority Health Narrow Network |
$10,866.90
|
| Rate for Payer: Railroad Medicare Medicare |
$7,309.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,439.44
|
| Rate for Payer: UHC Core |
$8,860.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,309.95
|
| Rate for Payer: UHC Exchange |
$9,489.67
|
| Rate for Payer: UHC Medicare Advantage |
$7,529.25
|
| Rate for Payer: VA VA |
$7,309.95
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$23,463.70
|
|
|
Service Code
|
MS-DRG 154
|
| Min. Negotiated Rate |
$10,992.00 |
| Max. Negotiated Rate |
$23,463.70 |
| Rate for Payer: Aetna Medicare |
$12,033.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,463.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,463.16
|
| Rate for Payer: BCBS MAPPO |
$11,570.53
|
| Rate for Payer: BCBS Trust/PPO |
$20,081.51
|
| Rate for Payer: BCN Medicare Advantage |
$11,570.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,570.53
|
| Rate for Payer: Mclaren Medicare |
$11,570.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,149.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,306.11
|
| Rate for Payer: PACE Medicare |
$10,992.00
|
| Rate for Payer: PACE SWMI |
$11,570.53
|
| Rate for Payer: PHP Medicare Advantage |
$11,570.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,073.05
|
| Rate for Payer: Priority Health Medicare |
$11,570.53
|
| Rate for Payer: Priority Health Narrow Network |
$17,658.44
|
| Rate for Payer: Railroad Medicare Medicare |
$11,570.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,463.70
|
| Rate for Payer: UHC Core |
$14,397.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,570.53
|
| Rate for Payer: UHC Exchange |
$15,420.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,917.65
|
| Rate for Payer: VA VA |
$11,570.53
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,999.00
|
|
|
Service Code
|
MS-DRG 156
|
| Min. Negotiated Rate |
$4,952.82 |
| Max. Negotiated Rate |
$9,999.00 |
| Rate for Payer: Aetna Medicare |
$5,422.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,516.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,516.88
|
| Rate for Payer: BCBS MAPPO |
$5,213.50
|
| Rate for Payer: BCBS Trust/PPO |
$9,427.00
|
| Rate for Payer: BCN Medicare Advantage |
$5,213.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,213.50
|
| Rate for Payer: Mclaren Medicare |
$5,213.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,474.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,995.52
|
| Rate for Payer: PACE Medicare |
$4,952.82
|
| Rate for Payer: PACE SWMI |
$5,213.50
|
| Rate for Payer: PHP Medicare Advantage |
$5,213.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,406.37
|
| Rate for Payer: Priority Health Medicare |
$5,213.50
|
| Rate for Payer: Priority Health Narrow Network |
$7,525.10
|
| Rate for Payer: Railroad Medicare Medicare |
$5,213.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,999.00
|
| Rate for Payer: UHC Core |
$6,135.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,213.50
|
| Rate for Payer: UHC Exchange |
$6,571.39
|
| Rate for Payer: UHC Medicare Advantage |
$5,369.90
|
| Rate for Payer: VA VA |
$5,213.50
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$29,501.92
|
|
|
Service Code
|
MS-DRG 144
|
| Min. Negotiated Rate |
$12,307.66 |
| Max. Negotiated Rate |
$29,501.92 |
| Rate for Payer: Aetna Medicare |
$13,473.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,194.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,194.29
|
| Rate for Payer: BCBS MAPPO |
$12,955.43
|
| Rate for Payer: BCBS Trust/PPO |
$29,501.92
|
| Rate for Payer: BCN Medicare Advantage |
$12,955.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,955.43
|
| Rate for Payer: Mclaren Medicare |
$12,955.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,603.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,898.74
|
| Rate for Payer: PACE Medicare |
$12,307.66
|
| Rate for Payer: PACE SWMI |
$12,955.43
|
| Rate for Payer: PHP Medicare Advantage |
$12,955.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,832.54
|
| Rate for Payer: Priority Health Medicare |
$12,955.43
|
| Rate for Payer: Priority Health Narrow Network |
$19,866.03
|
| Rate for Payer: Railroad Medicare Medicare |
$12,955.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,397.05
|
| Rate for Payer: UHC Core |
$16,197.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,955.43
|
| Rate for Payer: UHC Exchange |
$17,348.26
|
| Rate for Payer: UHC Medicare Advantage |
$13,344.09
|
| Rate for Payer: VA VA |
$12,955.43
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$68,094.86
|
|
|
Service Code
|
MS-DRG 143
|
| Min. Negotiated Rate |
$23,220.86 |
| Max. Negotiated Rate |
$68,094.86 |
| Rate for Payer: Aetna Medicare |
$25,420.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,553.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,553.76
|
| Rate for Payer: BCBS MAPPO |
$24,443.01
|
| Rate for Payer: BCBS Trust/PPO |
$68,094.86
|
| Rate for Payer: BCN Medicare Advantage |
$24,443.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,443.01
|
| Rate for Payer: Mclaren Medicare |
$24,443.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25,665.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,109.46
|
| Rate for Payer: PACE Medicare |
$23,220.86
|
| Rate for Payer: PACE SWMI |
$24,443.01
|
| Rate for Payer: PHP Medicare Advantage |
$24,443.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,722.09
|
| Rate for Payer: Priority Health Medicare |
$24,443.01
|
| Rate for Payer: Priority Health Narrow Network |
$38,177.67
|
| Rate for Payer: Railroad Medicare Medicare |
$24,443.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,728.70
|
| Rate for Payer: UHC Core |
$31,127.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,443.01
|
| Rate for Payer: UHC Exchange |
$33,339.14
|
| Rate for Payer: UHC Medicare Advantage |
$25,176.30
|
| Rate for Payer: VA VA |
$24,443.01
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,065.73
|
|
|
Service Code
|
MS-DRG 145
|
| Min. Negotiated Rate |
$8,822.50 |
| Max. Negotiated Rate |
$23,065.73 |
| Rate for Payer: Aetna Medicare |
$9,658.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,608.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,608.55
|
| Rate for Payer: BCBS MAPPO |
$9,286.84
|
| Rate for Payer: BCBS Trust/PPO |
$23,065.73
|
| Rate for Payer: BCN Medicare Advantage |
$9,286.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,286.84
|
| Rate for Payer: Mclaren Medicare |
$9,286.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,751.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,679.87
|
| Rate for Payer: PACE Medicare |
$8,822.50
|
| Rate for Payer: PACE SWMI |
$9,286.84
|
| Rate for Payer: PHP Medicare Advantage |
$9,286.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,522.69
|
| Rate for Payer: Priority Health Medicare |
$9,286.84
|
| Rate for Payer: Priority Health Narrow Network |
$14,018.15
|
| Rate for Payer: Railroad Medicare Medicare |
$9,286.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,626.66
|
| Rate for Payer: UHC Core |
$11,429.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,286.84
|
| Rate for Payer: UHC Exchange |
$12,241.53
|
| Rate for Payer: UHC Medicare Advantage |
$9,565.45
|
| Rate for Payer: VA VA |
$9,286.84
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$34,516.75
|
|
|
Service Code
|
MS-DRG 629
|
| Min. Negotiated Rate |
$15,949.49 |
| Max. Negotiated Rate |
$34,516.75 |
| Rate for Payer: Aetna Medicare |
$17,460.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,986.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,986.18
|
| Rate for Payer: BCBS MAPPO |
$16,788.94
|
| Rate for Payer: BCBS Trust/PPO |
$27,409.22
|
| Rate for Payer: BCN Medicare Advantage |
$16,788.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,788.94
|
| Rate for Payer: Mclaren Medicare |
$16,788.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,628.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,307.28
|
| Rate for Payer: PACE Medicare |
$15,949.49
|
| Rate for Payer: PACE SWMI |
$16,788.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,788.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,471.00
|
| Rate for Payer: Priority Health Medicare |
$16,788.94
|
| Rate for Payer: Priority Health Narrow Network |
$25,976.80
|
| Rate for Payer: Railroad Medicare Medicare |
$16,788.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,516.75
|
| Rate for Payer: UHC Core |
$21,179.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,788.94
|
| Rate for Payer: UHC Exchange |
$22,684.57
|
| Rate for Payer: UHC Medicare Advantage |
$17,292.61
|
| Rate for Payer: VA VA |
$16,788.94
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,237.18
|
|
|
Service Code
|
MS-DRG 628
|
| Min. Negotiated Rate |
$27,934.11 |
| Max. Negotiated Rate |
$61,237.18 |
| Rate for Payer: Aetna Medicare |
$30,580.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,755.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,755.41
|
| Rate for Payer: BCBS MAPPO |
$29,404.33
|
| Rate for Payer: BCBS Trust/PPO |
$47,367.76
|
| Rate for Payer: BCN Medicare Advantage |
$29,404.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,404.33
|
| Rate for Payer: Mclaren Medicare |
$29,404.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,874.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,814.98
|
| Rate for Payer: PACE Medicare |
$27,934.11
|
| Rate for Payer: PACE SWMI |
$29,404.33
|
| Rate for Payer: PHP Medicare Advantage |
$29,404.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,607.75
|
| Rate for Payer: Priority Health Medicare |
$29,404.33
|
| Rate for Payer: Priority Health Narrow Network |
$46,086.20
|
| Rate for Payer: Railroad Medicare Medicare |
$29,404.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,237.18
|
| Rate for Payer: UHC Core |
$37,575.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,404.33
|
| Rate for Payer: UHC Exchange |
$40,245.36
|
| Rate for Payer: UHC Medicare Advantage |
$30,286.46
|
| Rate for Payer: VA VA |
$29,404.33
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,389.86
|
|
|
Service Code
|
MS-DRG 630
|
| Min. Negotiated Rate |
$10,021.16 |
| Max. Negotiated Rate |
$24,389.86 |
| Rate for Payer: Aetna Medicare |
$10,970.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,185.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,185.74
|
| Rate for Payer: BCBS MAPPO |
$10,548.59
|
| Rate for Payer: BCBS Trust/PPO |
$24,389.86
|
| Rate for Payer: BCN Medicare Advantage |
$10,548.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,548.59
|
| Rate for Payer: Mclaren Medicare |
$10,548.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,076.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,130.88
|
| Rate for Payer: PACE Medicare |
$10,021.16
|
| Rate for Payer: PACE SWMI |
$10,548.59
|
| Rate for Payer: PHP Medicare Advantage |
$10,548.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,036.79
|
| Rate for Payer: Priority Health Medicare |
$10,548.59
|
| Rate for Payer: Priority Health Narrow Network |
$16,029.43
|
| Rate for Payer: Railroad Medicare Medicare |
$10,548.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,299.16
|
| Rate for Payer: UHC Core |
$13,069.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,548.59
|
| Rate for Payer: UHC Exchange |
$13,997.91
|
| Rate for Payer: UHC Medicare Advantage |
$10,865.05
|
| Rate for Payer: VA VA |
$10,548.59
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$66,536.42
|
|
|
Service Code
|
MS-DRG 319
|
| Min. Negotiated Rate |
$30,310.92 |
| Max. Negotiated Rate |
$66,536.42 |
| Rate for Payer: Aetna Medicare |
$33,182.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,882.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,882.79
|
| Rate for Payer: BCBS MAPPO |
$31,906.23
|
| Rate for Payer: BCBS Trust/PPO |
$66,129.53
|
| Rate for Payer: BCN Medicare Advantage |
$31,906.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,906.23
|
| Rate for Payer: Mclaren Medicare |
$31,906.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33,501.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,692.16
|
| Rate for Payer: PACE Medicare |
$30,310.92
|
| Rate for Payer: PACE SWMI |
$31,906.23
|
| Rate for Payer: PHP Medicare Advantage |
$31,906.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62,592.92
|
| Rate for Payer: Priority Health Medicare |
$31,906.23
|
| Rate for Payer: Priority Health Narrow Network |
$50,074.34
|
| Rate for Payer: Railroad Medicare Medicare |
$31,906.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66,536.42
|
| Rate for Payer: UHC Core |
$40,827.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,906.23
|
| Rate for Payer: UHC Exchange |
$43,728.05
|
| Rate for Payer: UHC Medicare Advantage |
$32,863.42
|
| Rate for Payer: VA VA |
$31,906.23
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$52,064.79
|
|
|
Service Code
|
MS-DRG 320
|
| Min. Negotiated Rate |
$15,697.72 |
| Max. Negotiated Rate |
$52,064.79 |
| Rate for Payer: Aetna Medicare |
$17,184.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,654.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,654.90
|
| Rate for Payer: BCBS MAPPO |
$16,523.92
|
| Rate for Payer: BCBS Trust/PPO |
$52,064.79
|
| Rate for Payer: BCN Medicare Advantage |
$16,523.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,523.92
|
| Rate for Payer: Mclaren Medicare |
$16,523.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,350.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,002.51
|
| Rate for Payer: PACE Medicare |
$15,697.72
|
| Rate for Payer: PACE SWMI |
$16,523.92
|
| Rate for Payer: PHP Medicare Advantage |
$16,523.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,942.92
|
| Rate for Payer: Priority Health Medicare |
$16,523.92
|
| Rate for Payer: Priority Health Narrow Network |
$25,554.34
|
| Rate for Payer: Railroad Medicare Medicare |
$16,523.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,955.40
|
| Rate for Payer: UHC Core |
$20,835.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,523.92
|
| Rate for Payer: UHC Exchange |
$22,315.65
|
| Rate for Payer: UHC Medicare Advantage |
$17,019.64
|
| Rate for Payer: VA VA |
$16,523.92
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,999.86
|
|
|
Service Code
|
MS-DRG 951
|
| Min. Negotiated Rate |
$4,504.69 |
| Max. Negotiated Rate |
$8,999.86 |
| Rate for Payer: Aetna Medicare |
$4,931.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,927.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,927.22
|
| Rate for Payer: BCBS MAPPO |
$4,741.78
|
| Rate for Payer: BCBS Trust/PPO |
$6,662.36
|
| Rate for Payer: BCN Medicare Advantage |
$4,741.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,741.78
|
| Rate for Payer: Mclaren Medicare |
$4,741.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,978.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,453.05
|
| Rate for Payer: PACE Medicare |
$4,504.69
|
| Rate for Payer: PACE SWMI |
$4,741.78
|
| Rate for Payer: PHP Medicare Advantage |
$4,741.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,466.45
|
| Rate for Payer: Priority Health Medicare |
$4,741.78
|
| Rate for Payer: Priority Health Narrow Network |
$6,773.16
|
| Rate for Payer: Railroad Medicare Medicare |
$4,741.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,999.86
|
| Rate for Payer: UHC Core |
$5,522.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,741.78
|
| Rate for Payer: UHC Exchange |
$5,914.75
|
| Rate for Payer: UHC Medicare Advantage |
$4,884.03
|
| Rate for Payer: VA VA |
$4,741.78
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$38,397.37
|
|
|
Service Code
|
MS-DRG 749
|
| Min. Negotiated Rate |
$17,690.04 |
| Max. Negotiated Rate |
$38,397.37 |
| Rate for Payer: Aetna Medicare |
$19,365.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,276.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,276.36
|
| Rate for Payer: BCBS MAPPO |
$18,621.09
|
| Rate for Payer: BCBS Trust/PPO |
$36,328.97
|
| Rate for Payer: BCN Medicare Advantage |
$18,621.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,621.09
|
| Rate for Payer: Mclaren Medicare |
$18,621.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,552.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,414.25
|
| Rate for Payer: PACE Medicare |
$17,690.04
|
| Rate for Payer: PACE SWMI |
$18,621.09
|
| Rate for Payer: PHP Medicare Advantage |
$18,621.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,121.62
|
| Rate for Payer: Priority Health Medicare |
$18,621.09
|
| Rate for Payer: Priority Health Narrow Network |
$28,897.30
|
| Rate for Payer: Railroad Medicare Medicare |
$18,621.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,397.37
|
| Rate for Payer: UHC Core |
$23,560.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,621.09
|
| Rate for Payer: UHC Exchange |
$25,234.93
|
| Rate for Payer: UHC Medicare Advantage |
$19,179.72
|
| Rate for Payer: VA VA |
$18,621.09
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,745.44
|
|
|
Service Code
|
MS-DRG 750
|
| Min. Negotiated Rate |
$9,772.80 |
| Max. Negotiated Rate |
$20,745.44 |
| Rate for Payer: Aetna Medicare |
$10,698.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,858.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,858.95
|
| Rate for Payer: BCBS MAPPO |
$10,287.16
|
| Rate for Payer: BCBS Trust/PPO |
$19,629.15
|
| Rate for Payer: BCN Medicare Advantage |
$10,287.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,287.16
|
| Rate for Payer: Mclaren Medicare |
$10,287.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,801.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,830.23
|
| Rate for Payer: PACE Medicare |
$9,772.80
|
| Rate for Payer: PACE SWMI |
$10,287.16
|
| Rate for Payer: PHP Medicare Advantage |
$10,287.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,515.89
|
| Rate for Payer: Priority Health Medicare |
$10,287.16
|
| Rate for Payer: Priority Health Narrow Network |
$15,612.71
|
| Rate for Payer: Railroad Medicare Medicare |
$10,287.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,745.44
|
| Rate for Payer: UHC Core |
$12,729.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,287.16
|
| Rate for Payer: UHC Exchange |
$13,634.00
|
| Rate for Payer: UHC Medicare Advantage |
$10,595.77
|
| Rate for Payer: VA VA |
$10,287.16
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$164,778.14
|
|
|
Service Code
|
MS-DRG 215
|
| Min. Negotiated Rate |
$70,354.72 |
| Max. Negotiated Rate |
$164,778.14 |
| Rate for Payer: Aetna Medicare |
$77,019.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92,572.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92,572.00
|
| Rate for Payer: BCBS MAPPO |
$74,057.60
|
| Rate for Payer: BCBS Trust/PPO |
$164,778.14
|
| Rate for Payer: BCN Medicare Advantage |
$74,057.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74,057.60
|
| Rate for Payer: Mclaren Medicare |
$74,057.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77,760.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85,166.24
|
| Rate for Payer: PACE Medicare |
$70,354.72
|
| Rate for Payer: PACE SWMI |
$74,057.60
|
| Rate for Payer: PHP Medicare Advantage |
$74,057.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146,581.56
|
| Rate for Payer: Priority Health Medicare |
$74,057.60
|
| Rate for Payer: Priority Health Narrow Network |
$117,265.25
|
| Rate for Payer: Railroad Medicare Medicare |
$74,057.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155,816.56
|
| Rate for Payer: UHC Core |
$95,610.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$74,057.60
|
| Rate for Payer: UHC Exchange |
$102,403.37
|
| Rate for Payer: UHC Medicare Advantage |
$76,279.33
|
| Rate for Payer: VA VA |
$74,057.60
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$37,921.00
|
|
|
Service Code
|
MS-DRG 424
|
| Min. Negotiated Rate |
$15,052.55 |
| Max. Negotiated Rate |
$37,921.00 |
| 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 |
$37,921.00
|
| 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 |
$29,952.59
|
| Rate for Payer: Priority Health Medicare |
$15,844.79
|
| Rate for Payer: Priority Health Narrow Network |
$23,962.07
|
| Rate for Payer: Railroad Medicare Medicare |
$15,844.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,839.67
|
| Rate for Payer: UHC Core |
$19,537.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,844.79
|
| Rate for Payer: UHC Exchange |
$20,925.18
|
| Rate for Payer: UHC Medicare Advantage |
$16,320.13
|
| Rate for Payer: VA VA |
$15,844.79
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,601.71
|
|
|
Service Code
|
MS-DRG 423
|
| Min. Negotiated Rate |
$27,225.31 |
| Max. Negotiated Rate |
$71,601.71 |
| Rate for Payer: Aetna Medicare |
$29,804.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,822.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,822.78
|
| Rate for Payer: BCBS MAPPO |
$28,658.22
|
| Rate for Payer: BCBS Trust/PPO |
$71,601.71
|
| Rate for Payer: BCN Medicare Advantage |
$28,658.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,658.22
|
| Rate for Payer: Mclaren Medicare |
$28,658.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,091.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,956.95
|
| Rate for Payer: PACE Medicare |
$27,225.31
|
| Rate for Payer: PACE SWMI |
$28,658.22
|
| Rate for Payer: PHP Medicare Advantage |
$28,658.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,121.10
|
| Rate for Payer: Priority Health Medicare |
$28,658.22
|
| Rate for Payer: Priority Health Narrow Network |
$44,896.88
|
| Rate for Payer: Railroad Medicare Medicare |
$28,658.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,656.87
|
| Rate for Payer: UHC Core |
$36,606.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,658.22
|
| Rate for Payer: UHC Exchange |
$39,206.77
|
| Rate for Payer: UHC Medicare Advantage |
$29,517.97
|
| Rate for Payer: VA VA |
$28,658.22
|
|
