|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,102.26
|
|
|
Service Code
|
MS-DRG 425
|
| Min. Negotiated Rate |
$11,427.82 |
| Max. Negotiated Rate |
$29,102.26 |
| Rate for Payer: Aetna Medicare |
$12,510.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,036.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,036.60
|
| Rate for Payer: BCBS MAPPO |
$12,029.28
|
| Rate for Payer: BCBS Trust/PPO |
$29,102.26
|
| Rate for Payer: BCN Medicare Advantage |
$12,029.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,029.28
|
| Rate for Payer: Mclaren Medicare |
$12,029.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,630.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,833.67
|
| Rate for Payer: PACE Medicare |
$11,427.82
|
| Rate for Payer: PACE SWMI |
$12,029.28
|
| Rate for Payer: PHP Medicare Advantage |
$12,029.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,987.14
|
| Rate for Payer: Priority Health Medicare |
$12,029.28
|
| Rate for Payer: Priority Health Narrow Network |
$18,389.71
|
| Rate for Payer: Railroad Medicare Medicare |
$12,029.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,435.38
|
| Rate for Payer: UHC Core |
$14,993.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,029.28
|
| Rate for Payer: UHC Exchange |
$16,059.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,390.16
|
| Rate for Payer: VA VA |
$12,029.28
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,939.64
|
|
|
Service Code
|
MS-DRG 868
|
| Min. Negotiated Rate |
$7,894.78 |
| Max. Negotiated Rate |
$18,939.64 |
| Rate for Payer: Aetna Medicare |
$8,642.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,387.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,387.86
|
| Rate for Payer: BCBS MAPPO |
$8,310.29
|
| Rate for Payer: BCBS Trust/PPO |
$18,939.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,310.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,310.29
|
| Rate for Payer: Mclaren Medicare |
$8,310.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,725.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,556.83
|
| Rate for Payer: PACE Medicare |
$7,894.78
|
| Rate for Payer: PACE SWMI |
$8,310.29
|
| Rate for Payer: PHP Medicare Advantage |
$8,310.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,576.84
|
| Rate for Payer: Priority Health Medicare |
$8,310.29
|
| Rate for Payer: Priority Health Narrow Network |
$12,461.47
|
| Rate for Payer: Railroad Medicare Medicare |
$8,310.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,558.22
|
| Rate for Payer: UHC Core |
$10,160.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,310.29
|
| Rate for Payer: UHC Exchange |
$10,882.14
|
| Rate for Payer: UHC Medicare Advantage |
$8,559.60
|
| Rate for Payer: VA VA |
$8,310.29
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$49,664.67
|
|
|
Service Code
|
MS-DRG 867
|
| Min. Negotiated Rate |
$14,782.99 |
| Max. Negotiated Rate |
$49,664.67 |
| Rate for Payer: Aetna Medicare |
$16,183.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,451.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,451.30
|
| Rate for Payer: BCBS MAPPO |
$15,561.04
|
| Rate for Payer: BCBS Trust/PPO |
$49,664.67
|
| Rate for Payer: BCN Medicare Advantage |
$15,561.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,561.04
|
| Rate for Payer: Mclaren Medicare |
$15,561.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,339.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,895.20
|
| Rate for Payer: PACE Medicare |
$14,782.99
|
| Rate for Payer: PACE SWMI |
$15,561.04
|
| Rate for Payer: PHP Medicare Advantage |
$15,561.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,024.34
|
| Rate for Payer: Priority Health Medicare |
$15,561.04
|
| Rate for Payer: Priority Health Narrow Network |
$24,019.47
|
| Rate for Payer: Railroad Medicare Medicare |
$15,561.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,915.94
|
| Rate for Payer: UHC Core |
$19,583.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,561.04
|
| Rate for Payer: UHC Exchange |
$20,975.31
|
| Rate for Payer: UHC Medicare Advantage |
$16,027.87
|
| Rate for Payer: VA VA |
$15,561.04
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,555.36
|
|
|
Service Code
|
MS-DRG 869
|
| Min. Negotiated Rate |
$5,193.67 |
| Max. Negotiated Rate |
$18,555.36 |
| Rate for Payer: Aetna Medicare |
$5,685.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,833.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,833.78
|
| Rate for Payer: BCBS MAPPO |
$5,467.02
|
| Rate for Payer: BCBS Trust/PPO |
$18,555.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,467.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,467.02
|
| Rate for Payer: Mclaren Medicare |
$5,467.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,740.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,287.07
|
| Rate for Payer: PACE Medicare |
$5,193.67
|
| Rate for Payer: PACE SWMI |
$5,467.02
|
| Rate for Payer: PHP Medicare Advantage |
$5,467.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,911.49
|
| Rate for Payer: Priority Health Medicare |
$5,467.02
|
| Rate for Payer: Priority Health Narrow Network |
$7,929.19
|
| Rate for Payer: Railroad Medicare Medicare |
$5,467.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,535.94
|
| Rate for Payer: UHC Core |
$6,464.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,467.02
|
| Rate for Payer: UHC Exchange |
$6,924.27
|
| Rate for Payer: UHC Medicare Advantage |
$5,631.03
|
| Rate for Payer: VA VA |
$5,467.02
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$67,791.82
|
|
|
Service Code
|
MS-DRG 922
|
| Min. Negotiated Rate |
$12,406.18 |
| Max. Negotiated Rate |
$67,791.82 |
| Rate for Payer: Aetna Medicare |
$13,581.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,323.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,323.92
|
| Rate for Payer: BCBS MAPPO |
$13,059.14
|
| Rate for Payer: BCBS Trust/PPO |
$67,791.82
|
| Rate for Payer: BCN Medicare Advantage |
$13,059.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,059.14
|
| Rate for Payer: Mclaren Medicare |
$13,059.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,712.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,018.01
|
| Rate for Payer: PACE Medicare |
$12,406.18
|
| Rate for Payer: PACE SWMI |
$13,059.14
|
| Rate for Payer: PHP Medicare Advantage |
$13,059.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,039.18
|
| Rate for Payer: Priority Health Medicare |
$13,059.14
|
| Rate for Payer: Priority Health Narrow Network |
$20,031.34
|
| Rate for Payer: Railroad Medicare Medicare |
$13,059.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,616.70
|
| Rate for Payer: UHC Core |
$16,332.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,059.14
|
| Rate for Payer: UHC Exchange |
$17,492.62
|
| Rate for Payer: UHC Medicare Advantage |
$13,450.91
|
| Rate for Payer: VA VA |
$13,059.14
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$18,687.11
|
|
|
Service Code
|
MS-DRG 923
|
| Min. Negotiated Rate |
$7,387.79 |
| Max. Negotiated Rate |
$18,687.11 |
| Rate for Payer: Aetna Medicare |
$8,087.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,720.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,720.78
|
| Rate for Payer: BCBS MAPPO |
$7,776.62
|
| Rate for Payer: BCBS Trust/PPO |
$18,687.11
|
| Rate for Payer: BCN Medicare Advantage |
$7,776.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,776.62
|
| Rate for Payer: Mclaren Medicare |
$7,776.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,165.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,943.11
|
| Rate for Payer: PACE Medicare |
$7,387.79
|
| Rate for Payer: PACE SWMI |
$7,776.62
|
| Rate for Payer: PHP Medicare Advantage |
$7,776.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,513.51
|
| Rate for Payer: Priority Health Medicare |
$7,776.62
|
| Rate for Payer: Priority Health Narrow Network |
$11,610.81
|
| Rate for Payer: Railroad Medicare Medicare |
$7,776.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,427.90
|
| Rate for Payer: UHC Core |
$9,466.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,776.62
|
| Rate for Payer: UHC Exchange |
$10,139.29
|
| Rate for Payer: UHC Medicare Advantage |
$8,009.92
|
| Rate for Payer: VA VA |
$7,776.62
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,832.44
|
|
|
Service Code
|
MS-DRG 699
|
| Min. Negotiated Rate |
$7,452.11 |
| Max. Negotiated Rate |
$15,832.44 |
| Rate for Payer: Aetna Medicare |
$8,158.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,805.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,805.41
|
| Rate for Payer: BCBS MAPPO |
$7,844.33
|
| Rate for Payer: BCBS Trust/PPO |
$15,832.44
|
| Rate for Payer: BCN Medicare Advantage |
$7,844.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,844.33
|
| Rate for Payer: Mclaren Medicare |
$7,844.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,236.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,020.98
|
| Rate for Payer: PACE Medicare |
$7,452.11
|
| Rate for Payer: PACE SWMI |
$7,844.33
|
| Rate for Payer: PHP Medicare Advantage |
$7,844.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,648.40
|
| Rate for Payer: Priority Health Medicare |
$7,844.33
|
| Rate for Payer: Priority Health Narrow Network |
$11,718.72
|
| Rate for Payer: Railroad Medicare Medicare |
$7,844.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,571.28
|
| Rate for Payer: UHC Core |
$9,554.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,844.33
|
| Rate for Payer: UHC Exchange |
$10,233.52
|
| Rate for Payer: UHC Medicare Advantage |
$8,079.66
|
| Rate for Payer: VA VA |
$7,844.33
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,236.22
|
|
|
Service Code
|
MS-DRG 698
|
| Min. Negotiated Rate |
$11,787.01 |
| Max. Negotiated Rate |
$25,236.22 |
| Rate for Payer: Aetna Medicare |
$12,903.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,509.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,509.22
|
| Rate for Payer: BCBS MAPPO |
$12,407.38
|
| Rate for Payer: BCBS Trust/PPO |
$22,771.48
|
| Rate for Payer: BCN Medicare Advantage |
$12,407.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,407.38
|
| Rate for Payer: Mclaren Medicare |
$12,407.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,027.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,268.49
|
| Rate for Payer: PACE Medicare |
$11,787.01
|
| Rate for Payer: PACE SWMI |
$12,407.38
|
| Rate for Payer: PHP Medicare Advantage |
$12,407.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,740.51
|
| Rate for Payer: Priority Health Medicare |
$12,407.38
|
| Rate for Payer: Priority Health Narrow Network |
$18,992.41
|
| Rate for Payer: Railroad Medicare Medicare |
$12,407.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,236.22
|
| Rate for Payer: UHC Core |
$15,485.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,407.38
|
| Rate for Payer: UHC Exchange |
$16,585.36
|
| Rate for Payer: UHC Medicare Advantage |
$12,779.60
|
| Rate for Payer: VA VA |
$12,407.38
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,882.01
|
|
|
Service Code
|
MS-DRG 700
|
| Min. Negotiated Rate |
$5,314.06 |
| Max. Negotiated Rate |
$11,882.01 |
| Rate for Payer: Aetna Medicare |
$5,817.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,992.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,992.19
|
| Rate for Payer: BCBS MAPPO |
$5,593.75
|
| Rate for Payer: BCBS Trust/PPO |
$11,882.01
|
| Rate for Payer: BCN Medicare Advantage |
$5,593.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,593.75
|
| Rate for Payer: Mclaren Medicare |
$5,593.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,873.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,432.81
|
| Rate for Payer: PACE Medicare |
$5,314.06
|
| Rate for Payer: PACE SWMI |
$5,593.75
|
| Rate for Payer: PHP Medicare Advantage |
$5,593.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,164.05
|
| Rate for Payer: Priority Health Medicare |
$5,593.75
|
| Rate for Payer: Priority Health Narrow Network |
$8,131.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5,593.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,804.41
|
| Rate for Payer: UHC Core |
$6,629.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,593.75
|
| Rate for Payer: UHC Exchange |
$7,100.71
|
| Rate for Payer: UHC Medicare Advantage |
$5,761.56
|
| Rate for Payer: VA VA |
$5,593.75
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$36,338.08
|
|
|
Service Code
|
MS-DRG 674
|
| Min. Negotiated Rate |
$16,766.39 |
| Max. Negotiated Rate |
$36,338.08 |
| Rate for Payer: Aetna Medicare |
$18,354.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,061.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,061.04
|
| Rate for Payer: BCBS MAPPO |
$17,648.83
|
| Rate for Payer: BCBS Trust/PPO |
$35,149.77
|
| Rate for Payer: BCN Medicare Advantage |
$17,648.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,648.83
|
| Rate for Payer: Mclaren Medicare |
$17,648.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,531.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,296.15
|
| Rate for Payer: PACE Medicare |
$16,766.39
|
| Rate for Payer: PACE SWMI |
$17,648.83
|
| Rate for Payer: PHP Medicare Advantage |
$17,648.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,184.38
|
| Rate for Payer: Priority Health Medicare |
$17,648.83
|
| Rate for Payer: Priority Health Narrow Network |
$27,347.50
|
| Rate for Payer: Railroad Medicare Medicare |
$17,648.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,338.08
|
| Rate for Payer: UHC Core |
$22,297.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,648.83
|
| Rate for Payer: UHC Exchange |
$23,881.56
|
| Rate for Payer: UHC Medicare Advantage |
$18,178.29
|
| Rate for Payer: VA VA |
$17,648.83
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,409.29
|
|
|
Service Code
|
MS-DRG 673
|
| Min. Negotiated Rate |
$25,768.71 |
| Max. Negotiated Rate |
$56,409.29 |
| Rate for Payer: Aetna Medicare |
$28,209.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,906.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,906.20
|
| Rate for Payer: BCBS MAPPO |
$27,124.96
|
| Rate for Payer: BCBS Trust/PPO |
$50,343.20
|
| Rate for Payer: BCN Medicare Advantage |
$27,124.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,124.96
|
| Rate for Payer: Mclaren Medicare |
$27,124.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28,481.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,193.70
|
| Rate for Payer: PACE Medicare |
$25,768.71
|
| Rate for Payer: PACE SWMI |
$27,124.96
|
| Rate for Payer: PHP Medicare Advantage |
$27,124.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,066.00
|
| Rate for Payer: Priority Health Medicare |
$27,124.96
|
| Rate for Payer: Priority Health Narrow Network |
$42,452.80
|
| Rate for Payer: Railroad Medicare Medicare |
$27,124.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,409.29
|
| Rate for Payer: UHC Core |
$34,613.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,124.96
|
| Rate for Payer: UHC Exchange |
$37,072.45
|
| Rate for Payer: UHC Medicare Advantage |
$27,938.71
|
| Rate for Payer: VA VA |
$27,124.96
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,834.36
|
|
|
Service Code
|
MS-DRG 675
|
| Min. Negotiated Rate |
$11,322.46 |
| Max. Negotiated Rate |
$28,834.36 |
| Rate for Payer: Aetna Medicare |
$12,395.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,897.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,897.98
|
| Rate for Payer: BCBS MAPPO |
$11,918.38
|
| Rate for Payer: BCBS Trust/PPO |
$28,834.36
|
| Rate for Payer: BCN Medicare Advantage |
$11,918.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,918.38
|
| Rate for Payer: Mclaren Medicare |
$11,918.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,514.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,706.14
|
| Rate for Payer: PACE Medicare |
$11,322.46
|
| Rate for Payer: PACE SWMI |
$11,918.38
|
| Rate for Payer: PHP Medicare Advantage |
$11,918.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,766.15
|
| Rate for Payer: Priority Health Medicare |
$11,918.38
|
| Rate for Payer: Priority Health Narrow Network |
$18,212.92
|
| Rate for Payer: Railroad Medicare Medicare |
$11,918.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,200.47
|
| Rate for Payer: UHC Core |
$14,849.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,918.38
|
| Rate for Payer: UHC Exchange |
$15,904.66
|
| Rate for Payer: UHC Medicare Advantage |
$12,275.93
|
| Rate for Payer: VA VA |
$11,918.38
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$58,720.56
|
|
|
Service Code
|
MS-DRG 271
|
| Min. Negotiated Rate |
$24,114.38 |
| Max. Negotiated Rate |
$58,720.56 |
| Rate for Payer: Aetna Medicare |
$26,398.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,729.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,729.45
|
| Rate for Payer: BCBS MAPPO |
$25,383.56
|
| Rate for Payer: BCBS Trust/PPO |
$58,720.56
|
| Rate for Payer: BCN Medicare Advantage |
$25,383.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,383.56
|
| Rate for Payer: Mclaren Medicare |
$25,383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,652.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,191.09
|
| Rate for Payer: PACE Medicare |
$24,114.38
|
| Rate for Payer: PACE SWMI |
$25,383.56
|
| Rate for Payer: PHP Medicare Advantage |
$25,383.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,596.19
|
| Rate for Payer: Priority Health Medicare |
$25,383.56
|
| Rate for Payer: Priority Health Narrow Network |
$39,676.95
|
| Rate for Payer: Railroad Medicare Medicare |
$25,383.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52,720.87
|
| Rate for Payer: UHC Core |
$32,350.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,383.56
|
| Rate for Payer: UHC Exchange |
$34,648.41
|
| Rate for Payer: UHC Medicare Advantage |
$26,145.07
|
| Rate for Payer: VA VA |
$25,383.56
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$91,659.06
|
|
|
Service Code
|
MS-DRG 270
|
| Min. Negotiated Rate |
$35,065.90 |
| Max. Negotiated Rate |
$91,659.06 |
| Rate for Payer: Aetna Medicare |
$38,387.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,139.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,139.34
|
| Rate for Payer: BCBS MAPPO |
$36,911.47
|
| Rate for Payer: BCBS Trust/PPO |
$91,659.06
|
| Rate for Payer: BCN Medicare Advantage |
$36,911.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,911.47
|
| Rate for Payer: Mclaren Medicare |
$36,911.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38,757.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,448.19
|
| Rate for Payer: PACE Medicare |
$35,065.90
|
| Rate for Payer: PACE SWMI |
$36,911.47
|
| Rate for Payer: PHP Medicare Advantage |
$36,911.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,566.11
|
| Rate for Payer: Priority Health Medicare |
$36,911.47
|
| Rate for Payer: Priority Health Narrow Network |
$58,052.89
|
| Rate for Payer: Railroad Medicare Medicare |
$36,911.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77,137.95
|
| Rate for Payer: UHC Core |
$47,332.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,911.47
|
| Rate for Payer: UHC Exchange |
$50,695.42
|
| Rate for Payer: UHC Medicare Advantage |
$38,018.81
|
| Rate for Payer: VA VA |
$36,911.47
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,428.31
|
|
|
Service Code
|
MS-DRG 272
|
| Min. Negotiated Rate |
$17,158.44 |
| Max. Negotiated Rate |
$43,428.31 |
| Rate for Payer: Aetna Medicare |
$18,783.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,576.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,576.90
|
| Rate for Payer: BCBS MAPPO |
$18,061.52
|
| Rate for Payer: BCBS Trust/PPO |
$43,428.31
|
| Rate for Payer: BCN Medicare Advantage |
$18,061.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,061.52
|
| Rate for Payer: Mclaren Medicare |
$18,061.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,964.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,770.75
|
| Rate for Payer: PACE Medicare |
$17,158.44
|
| Rate for Payer: PACE SWMI |
$18,061.52
|
| Rate for Payer: PHP Medicare Advantage |
$18,061.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,006.63
|
| Rate for Payer: Priority Health Medicare |
$18,061.52
|
| Rate for Payer: Priority Health Narrow Network |
$28,005.30
|
| Rate for Payer: Railroad Medicare Medicare |
$18,061.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,212.13
|
| Rate for Payer: UHC Core |
$22,833.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,061.52
|
| Rate for Payer: UHC Exchange |
$24,455.99
|
| Rate for Payer: UHC Medicare Advantage |
$18,603.37
|
| Rate for Payer: VA VA |
$18,061.52
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$18,351.14
|
|
|
Service Code
|
MS-DRG 729
|
| Min. Negotiated Rate |
$7,336.48 |
| Max. Negotiated Rate |
$18,351.14 |
| Rate for Payer: Aetna Medicare |
$8,031.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,653.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,653.26
|
| Rate for Payer: BCBS MAPPO |
$7,722.61
|
| Rate for Payer: BCBS Trust/PPO |
$18,351.14
|
| Rate for Payer: BCN Medicare Advantage |
$7,722.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,722.61
|
| Rate for Payer: Mclaren Medicare |
$7,722.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,108.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,881.00
|
| Rate for Payer: PACE Medicare |
$7,336.48
|
| Rate for Payer: PACE SWMI |
$7,722.61
|
| Rate for Payer: PHP Medicare Advantage |
$7,722.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,405.88
|
| Rate for Payer: Priority Health Medicare |
$7,722.61
|
| Rate for Payer: Priority Health Narrow Network |
$11,524.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7,722.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,313.49
|
| Rate for Payer: UHC Core |
$9,396.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,722.61
|
| Rate for Payer: UHC Exchange |
$10,064.10
|
| Rate for Payer: UHC Medicare Advantage |
$7,954.29
|
| Rate for Payer: VA VA |
$7,722.61
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,402.44
|
|
|
Service Code
|
MS-DRG 730
|
| Min. Negotiated Rate |
$4,720.89 |
| Max. Negotiated Rate |
$12,402.44 |
| Rate for Payer: Aetna Medicare |
$5,168.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,211.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,211.70
|
| Rate for Payer: BCBS MAPPO |
$4,969.36
|
| Rate for Payer: BCBS Trust/PPO |
$12,402.44
|
| Rate for Payer: BCN Medicare Advantage |
$4,969.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,969.36
|
| Rate for Payer: Mclaren Medicare |
$4,969.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,217.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,714.76
|
| Rate for Payer: PACE Medicare |
$4,720.89
|
| Rate for Payer: PACE SWMI |
$4,969.36
|
| Rate for Payer: PHP Medicare Advantage |
$4,969.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.91
|
| Rate for Payer: Priority Health Medicare |
$4,969.36
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.93
|
| Rate for Payer: Railroad Medicare Medicare |
$4,969.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,481.89
|
| Rate for Payer: UHC Core |
$5,818.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,969.36
|
| Rate for Payer: UHC Exchange |
$6,231.54
|
| Rate for Payer: UHC Medicare Advantage |
$5,118.44
|
| Rate for Payer: VA VA |
$4,969.36
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$27,666.18
|
|
|
Service Code
|
MS-DRG 717
|
| Min. Negotiated Rate |
$12,876.88 |
| Max. Negotiated Rate |
$27,666.18 |
| Rate for Payer: Aetna Medicare |
$14,096.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,943.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,943.26
|
| Rate for Payer: BCBS MAPPO |
$13,554.61
|
| Rate for Payer: BCBS Trust/PPO |
$25,720.58
|
| Rate for Payer: BCN Medicare Advantage |
$13,554.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,554.61
|
| Rate for Payer: Mclaren Medicare |
$13,554.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,232.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,587.80
|
| Rate for Payer: PACE Medicare |
$12,876.88
|
| Rate for Payer: PACE SWMI |
$13,554.61
|
| Rate for Payer: PHP Medicare Advantage |
$13,554.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,026.45
|
| Rate for Payer: Priority Health Medicare |
$13,554.61
|
| Rate for Payer: Priority Health Narrow Network |
$20,821.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13,554.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,666.18
|
| Rate for Payer: UHC Core |
$16,976.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,554.61
|
| Rate for Payer: UHC Exchange |
$18,182.34
|
| Rate for Payer: UHC Medicare Advantage |
$13,961.25
|
| Rate for Payer: VA VA |
$13,554.61
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$17,935.65
|
|
|
Service Code
|
MS-DRG 718
|
| Min. Negotiated Rate |
$8,512.56 |
| Max. Negotiated Rate |
$17,935.65 |
| Rate for Payer: Aetna Medicare |
$9,319.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,200.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,200.74
|
| Rate for Payer: BCBS MAPPO |
$8,960.59
|
| Rate for Payer: BCBS Trust/PPO |
$17,556.22
|
| Rate for Payer: BCN Medicare Advantage |
$8,960.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,960.59
|
| Rate for Payer: Mclaren Medicare |
$8,960.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,408.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,304.68
|
| Rate for Payer: PACE Medicare |
$8,512.56
|
| Rate for Payer: PACE SWMI |
$8,960.59
|
| Rate for Payer: PHP Medicare Advantage |
$8,960.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,872.64
|
| Rate for Payer: Priority Health Medicare |
$8,960.59
|
| Rate for Payer: Priority Health Narrow Network |
$13,498.11
|
| Rate for Payer: Railroad Medicare Medicare |
$8,960.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,935.65
|
| Rate for Payer: UHC Core |
$11,005.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,960.59
|
| Rate for Payer: UHC Exchange |
$11,787.40
|
| Rate for Payer: UHC Medicare Advantage |
$9,229.41
|
| Rate for Payer: VA VA |
$8,960.59
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$45,635.19
|
|
|
Service Code
|
MS-DRG 715
|
| Min. Negotiated Rate |
$15,571.15 |
| Max. Negotiated Rate |
$45,635.19 |
| Rate for Payer: Aetna Medicare |
$17,046.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,488.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,488.35
|
| Rate for Payer: BCBS MAPPO |
$16,390.68
|
| Rate for Payer: BCBS Trust/PPO |
$45,635.19
|
| Rate for Payer: BCN Medicare Advantage |
$16,390.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,390.68
|
| Rate for Payer: Mclaren Medicare |
$16,390.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,210.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,849.28
|
| Rate for Payer: PACE Medicare |
$15,571.15
|
| Rate for Payer: PACE SWMI |
$16,390.68
|
| Rate for Payer: PHP Medicare Advantage |
$16,390.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,677.45
|
| Rate for Payer: Priority Health Medicare |
$16,390.68
|
| Rate for Payer: Priority Health Narrow Network |
$25,341.96
|
| Rate for Payer: Railroad Medicare Medicare |
$16,390.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,673.21
|
| Rate for Payer: UHC Core |
$20,662.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,390.68
|
| Rate for Payer: UHC Exchange |
$22,130.19
|
| Rate for Payer: UHC Medicare Advantage |
$16,882.40
|
| Rate for Payer: VA VA |
$16,390.68
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$29,914.75
|
|
|
Service Code
|
MS-DRG 716
|
| Min. Negotiated Rate |
$10,198.37 |
| Max. Negotiated Rate |
$29,914.75 |
| Rate for Payer: Aetna Medicare |
$11,164.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,418.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,418.91
|
| Rate for Payer: BCBS MAPPO |
$10,735.13
|
| Rate for Payer: BCBS Trust/PPO |
$29,914.75
|
| Rate for Payer: BCN Medicare Advantage |
$10,735.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,735.13
|
| Rate for Payer: Mclaren Medicare |
$10,735.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,271.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,345.40
|
| Rate for Payer: PACE Medicare |
$10,198.37
|
| Rate for Payer: PACE SWMI |
$10,735.13
|
| Rate for Payer: PHP Medicare Advantage |
$10,735.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,408.46
|
| Rate for Payer: Priority Health Medicare |
$10,735.13
|
| Rate for Payer: Priority Health Narrow Network |
$16,326.77
|
| Rate for Payer: Railroad Medicare Medicare |
$10,735.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,694.24
|
| Rate for Payer: UHC Core |
$13,311.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,735.13
|
| Rate for Payer: UHC Exchange |
$14,257.56
|
| Rate for Payer: UHC Medicare Advantage |
$11,057.18
|
| Rate for Payer: VA VA |
$10,735.13
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$19,763.08
|
|
|
Service Code
|
MS-DRG 887
|
| Min. Negotiated Rate |
$9,332.20 |
| Max. Negotiated Rate |
$19,763.08 |
| Rate for Payer: Aetna Medicare |
$10,216.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,279.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,279.21
|
| Rate for Payer: BCBS MAPPO |
$9,823.37
|
| Rate for Payer: BCBS Trust/PPO |
$15,366.91
|
| Rate for Payer: BCN Medicare Advantage |
$9,823.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,823.37
|
| Rate for Payer: Mclaren Medicare |
$9,823.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,314.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,296.88
|
| Rate for Payer: PACE Medicare |
$9,332.20
|
| Rate for Payer: PACE SWMI |
$9,823.37
|
| Rate for Payer: PHP Medicare Advantage |
$9,823.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,591.76
|
| Rate for Payer: Priority Health Medicare |
$9,823.37
|
| Rate for Payer: Priority Health Narrow Network |
$14,873.41
|
| Rate for Payer: Railroad Medicare Medicare |
$9,823.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,763.08
|
| Rate for Payer: UHC Core |
$12,126.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,823.37
|
| Rate for Payer: UHC Exchange |
$12,988.39
|
| Rate for Payer: UHC Medicare Advantage |
$10,118.07
|
| Rate for Payer: VA VA |
$9,823.37
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$23,002.05
|
|
|
Service Code
|
MS-DRG 964
|
| Min. Negotiated Rate |
$10,737.49 |
| Max. Negotiated Rate |
$23,002.05 |
| Rate for Payer: Aetna Medicare |
$11,754.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,128.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,128.28
|
| Rate for Payer: BCBS MAPPO |
$11,302.62
|
| Rate for Payer: BCBS Trust/PPO |
$23,002.05
|
| Rate for Payer: BCN Medicare Advantage |
$11,302.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,302.62
|
| Rate for Payer: Mclaren Medicare |
$11,302.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,867.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,998.01
|
| Rate for Payer: PACE Medicare |
$10,737.49
|
| Rate for Payer: PACE SWMI |
$11,302.62
|
| Rate for Payer: PHP Medicare Advantage |
$11,302.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,539.23
|
| Rate for Payer: Priority Health Medicare |
$11,302.62
|
| Rate for Payer: Priority Health Narrow Network |
$17,231.38
|
| Rate for Payer: Railroad Medicare Medicare |
$11,302.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,896.25
|
| Rate for Payer: UHC Core |
$14,049.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,302.62
|
| Rate for Payer: UHC Exchange |
$15,047.53
|
| Rate for Payer: UHC Medicare Advantage |
$11,641.70
|
| Rate for Payer: VA VA |
$11,302.62
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$51,557.54
|
|
|
Service Code
|
MS-DRG 963
|
| Min. Negotiated Rate |
$19,175.36 |
| Max. Negotiated Rate |
$51,557.54 |
| Rate for Payer: Aetna Medicare |
$20,991.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,230.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,230.74
|
| Rate for Payer: BCBS MAPPO |
$20,184.59
|
| Rate for Payer: BCBS Trust/PPO |
$51,557.54
|
| Rate for Payer: BCN Medicare Advantage |
$20,184.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,184.59
|
| Rate for Payer: Mclaren Medicare |
$20,184.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,193.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,212.28
|
| Rate for Payer: PACE Medicare |
$19,175.36
|
| Rate for Payer: PACE SWMI |
$20,184.59
|
| Rate for Payer: PHP Medicare Advantage |
$20,184.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,236.99
|
| Rate for Payer: Priority Health Medicare |
$20,184.59
|
| Rate for Payer: Priority Health Narrow Network |
$31,389.59
|
| Rate for Payer: Railroad Medicare Medicare |
$20,184.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,709.01
|
| Rate for Payer: UHC Core |
$25,593.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,184.59
|
| Rate for Payer: UHC Exchange |
$27,411.36
|
| Rate for Payer: UHC Medicare Advantage |
$20,790.13
|
| Rate for Payer: VA VA |
$20,184.59
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$14,581.30
|
|
|
Service Code
|
MS-DRG 965
|
| Min. Negotiated Rate |
$7,008.07 |
| Max. Negotiated Rate |
$14,581.30 |
| Rate for Payer: Aetna Medicare |
$7,672.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,221.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,221.15
|
| Rate for Payer: BCBS MAPPO |
$7,376.92
|
| Rate for Payer: BCBS Trust/PPO |
$13,820.99
|
| Rate for Payer: BCN Medicare Advantage |
$7,376.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,376.92
|
| Rate for Payer: Mclaren Medicare |
$7,376.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,745.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,483.46
|
| Rate for Payer: PACE Medicare |
$7,008.07
|
| Rate for Payer: PACE SWMI |
$7,376.92
|
| Rate for Payer: PHP Medicare Advantage |
$7,376.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,717.09
|
| Rate for Payer: Priority Health Medicare |
$7,376.92
|
| Rate for Payer: Priority Health Narrow Network |
$10,973.67
|
| Rate for Payer: Railroad Medicare Medicare |
$7,376.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,581.30
|
| Rate for Payer: UHC Core |
$8,947.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,376.92
|
| Rate for Payer: UHC Exchange |
$9,582.90
|
| Rate for Payer: UHC Medicare Advantage |
$7,598.23
|
| Rate for Payer: VA VA |
$7,376.92
|
|
