|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,244.85
|
|
|
Service Code
|
MS-DRG 565
|
| Min. Negotiated Rate |
$7,305.68 |
| Max. Negotiated Rate |
$15,244.85 |
| Rate for Payer: Aetna Medicare |
$7,997.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,612.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,612.74
|
| Rate for Payer: BCBS MAPPO |
$7,690.19
|
| Rate for Payer: BCBS Trust/PPO |
$14,433.65
|
| Rate for Payer: BCN Medicare Advantage |
$7,690.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,690.19
|
| Rate for Payer: Mclaren Medicare |
$7,690.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,074.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,843.72
|
| Rate for Payer: PACE Medicare |
$7,305.68
|
| Rate for Payer: PACE SWMI |
$7,690.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,690.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,341.31
|
| Rate for Payer: Priority Health Medicare |
$7,690.19
|
| Rate for Payer: Priority Health Narrow Network |
$11,473.05
|
| Rate for Payer: Railroad Medicare Medicare |
$7,690.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,244.85
|
| Rate for Payer: UHC Core |
$9,354.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,690.19
|
| Rate for Payer: UHC Exchange |
$10,018.99
|
| Rate for Payer: UHC Medicare Advantage |
$7,920.90
|
| Rate for Payer: VA VA |
$7,690.19
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$32,194.09
|
|
|
Service Code
|
MS-DRG 564
|
| Min. Negotiated Rate |
$11,154.16 |
| Max. Negotiated Rate |
$32,194.09 |
| Rate for Payer: Aetna Medicare |
$12,210.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,676.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,676.52
|
| Rate for Payer: BCBS MAPPO |
$11,741.22
|
| Rate for Payer: BCBS Trust/PPO |
$32,194.09
|
| Rate for Payer: BCN Medicare Advantage |
$11,741.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,741.22
|
| Rate for Payer: Mclaren Medicare |
$11,741.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,328.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,502.40
|
| Rate for Payer: PACE Medicare |
$11,154.16
|
| Rate for Payer: PACE SWMI |
$11,741.22
|
| Rate for Payer: PHP Medicare Advantage |
$11,741.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,413.14
|
| Rate for Payer: Priority Health Medicare |
$11,741.22
|
| Rate for Payer: Priority Health Narrow Network |
$17,930.51
|
| Rate for Payer: Railroad Medicare Medicare |
$11,741.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,825.22
|
| Rate for Payer: UHC Core |
$14,619.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,741.22
|
| Rate for Payer: UHC Exchange |
$15,658.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,093.46
|
| Rate for Payer: VA VA |
$11,741.22
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,448.13
|
|
|
Service Code
|
MS-DRG 566
|
| Min. Negotiated Rate |
$5,602.80 |
| Max. Negotiated Rate |
$11,448.13 |
| Rate for Payer: Aetna Medicare |
$6,133.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,372.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,372.10
|
| Rate for Payer: BCBS MAPPO |
$5,897.68
|
| Rate for Payer: BCBS Trust/PPO |
$10,059.42
|
| Rate for Payer: BCN Medicare Advantage |
$5,897.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,897.68
|
| Rate for Payer: Mclaren Medicare |
$5,897.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,192.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,782.33
|
| Rate for Payer: PACE Medicare |
$5,602.80
|
| Rate for Payer: PACE SWMI |
$5,897.68
|
| Rate for Payer: PHP Medicare Advantage |
$5,897.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,769.61
|
| Rate for Payer: Priority Health Medicare |
$5,897.68
|
| Rate for Payer: Priority Health Narrow Network |
$8,615.69
|
| Rate for Payer: Railroad Medicare Medicare |
$5,897.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,448.13
|
| Rate for Payer: UHC Core |
$7,024.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,897.68
|
| Rate for Payer: UHC Exchange |
$7,523.76
|
| Rate for Payer: UHC Medicare Advantage |
$6,074.61
|
| Rate for Payer: VA VA |
$5,897.68
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$39,231.95
|
|
|
Service Code
|
MS-DRG 516
|
| Min. Negotiated Rate |
$14,430.64 |
| Max. Negotiated Rate |
$39,231.95 |
| Rate for Payer: Aetna Medicare |
$15,797.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,987.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,987.69
|
| Rate for Payer: BCBS MAPPO |
$15,190.15
|
| Rate for Payer: BCBS Trust/PPO |
$39,231.95
|
| Rate for Payer: BCN Medicare Advantage |
$15,190.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,190.15
|
| Rate for Payer: Mclaren Medicare |
$15,190.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,949.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,468.67
|
| Rate for Payer: PACE Medicare |
$14,430.64
|
| Rate for Payer: PACE SWMI |
$15,190.15
|
| Rate for Payer: PHP Medicare Advantage |
$15,190.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,285.32
|
| Rate for Payer: Priority Health Medicare |
$15,190.15
|
| Rate for Payer: Priority Health Narrow Network |
$23,428.26
|
| Rate for Payer: Railroad Medicare Medicare |
$15,190.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,130.36
|
| Rate for Payer: UHC Core |
$19,101.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,190.15
|
| Rate for Payer: UHC Exchange |
$20,459.02
|
| Rate for Payer: UHC Medicare Advantage |
$15,645.85
|
| Rate for Payer: VA VA |
$15,190.15
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$82,392.36
|
|
|
Service Code
|
MS-DRG 515
|
| Min. Negotiated Rate |
$22,098.12 |
| Max. Negotiated Rate |
$82,392.36 |
| Rate for Payer: Aetna Medicare |
$24,191.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,076.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,076.48
|
| Rate for Payer: BCBS MAPPO |
$23,261.18
|
| Rate for Payer: BCBS Trust/PPO |
$82,392.36
|
| Rate for Payer: BCN Medicare Advantage |
$23,261.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,261.18
|
| Rate for Payer: Mclaren Medicare |
$23,261.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24,424.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,750.36
|
| Rate for Payer: PACE Medicare |
$22,098.12
|
| Rate for Payer: PACE SWMI |
$23,261.18
|
| Rate for Payer: PHP Medicare Advantage |
$23,261.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,367.27
|
| Rate for Payer: Priority Health Medicare |
$23,261.18
|
| Rate for Payer: Priority Health Narrow Network |
$36,293.82
|
| Rate for Payer: Railroad Medicare Medicare |
$23,261.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,225.52
|
| Rate for Payer: UHC Core |
$29,591.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,261.18
|
| Rate for Payer: UHC Exchange |
$31,694.04
|
| Rate for Payer: UHC Medicare Advantage |
$23,959.02
|
| Rate for Payer: VA VA |
$23,261.18
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,682.38
|
|
|
Service Code
|
MS-DRG 517
|
| Min. Negotiated Rate |
$10,692.33 |
| Max. Negotiated Rate |
$26,682.38 |
| Rate for Payer: Aetna Medicare |
$11,705.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,068.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,068.85
|
| Rate for Payer: BCBS MAPPO |
$11,255.08
|
| Rate for Payer: BCBS Trust/PPO |
$26,682.38
|
| Rate for Payer: BCN Medicare Advantage |
$11,255.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,255.08
|
| Rate for Payer: Mclaren Medicare |
$11,255.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,817.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,943.34
|
| Rate for Payer: PACE Medicare |
$10,692.33
|
| Rate for Payer: PACE SWMI |
$11,255.08
|
| Rate for Payer: PHP Medicare Advantage |
$11,255.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,444.52
|
| Rate for Payer: Priority Health Medicare |
$11,255.08
|
| Rate for Payer: Priority Health Narrow Network |
$17,155.62
|
| Rate for Payer: Railroad Medicare Medicare |
$11,255.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,795.58
|
| Rate for Payer: UHC Core |
$13,987.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,255.08
|
| Rate for Payer: UHC Exchange |
$14,981.36
|
| Rate for Payer: UHC Medicare Advantage |
$11,592.73
|
| Rate for Payer: VA VA |
$11,255.08
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$22,130.28
|
|
|
Service Code
|
MS-DRG 844
|
| Min. Negotiated Rate |
$8,385.32 |
| Max. Negotiated Rate |
$22,130.28 |
| Rate for Payer: Aetna Medicare |
$9,179.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,033.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,033.31
|
| Rate for Payer: BCBS MAPPO |
$8,826.65
|
| Rate for Payer: BCBS Trust/PPO |
$22,130.28
|
| Rate for Payer: BCN Medicare Advantage |
$8,826.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,826.65
|
| Rate for Payer: Mclaren Medicare |
$8,826.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,267.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,150.65
|
| Rate for Payer: PACE Medicare |
$8,385.32
|
| Rate for Payer: PACE SWMI |
$8,826.65
|
| Rate for Payer: PHP Medicare Advantage |
$8,826.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,605.73
|
| Rate for Payer: Priority Health Medicare |
$8,826.65
|
| Rate for Payer: Priority Health Narrow Network |
$13,284.58
|
| Rate for Payer: Railroad Medicare Medicare |
$8,826.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,651.93
|
| Rate for Payer: UHC Core |
$10,831.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,826.65
|
| Rate for Payer: UHC Exchange |
$11,600.93
|
| Rate for Payer: UHC Medicare Advantage |
$9,091.45
|
| Rate for Payer: VA VA |
$8,826.65
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$31,948.15
|
|
|
Service Code
|
MS-DRG 843
|
| Min. Negotiated Rate |
$13,197.76 |
| Max. Negotiated Rate |
$31,948.15 |
| Rate for Payer: Aetna Medicare |
$14,448.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,365.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,365.48
|
| Rate for Payer: BCBS MAPPO |
$13,892.38
|
| Rate for Payer: BCBS Trust/PPO |
$31,948.15
|
| Rate for Payer: BCN Medicare Advantage |
$13,892.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,892.38
|
| Rate for Payer: Mclaren Medicare |
$13,892.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,587.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,976.24
|
| Rate for Payer: PACE Medicare |
$13,197.76
|
| Rate for Payer: PACE SWMI |
$13,892.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,892.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,699.46
|
| Rate for Payer: Priority Health Medicare |
$13,892.38
|
| Rate for Payer: Priority Health Narrow Network |
$21,359.57
|
| Rate for Payer: Railroad Medicare Medicare |
$13,892.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,381.59
|
| Rate for Payer: UHC Core |
$17,415.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,892.38
|
| Rate for Payer: UHC Exchange |
$18,652.52
|
| Rate for Payer: UHC Medicare Advantage |
$14,309.15
|
| Rate for Payer: VA VA |
$13,892.38
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,332.24
|
|
|
Service Code
|
MS-DRG 845
|
| Min. Negotiated Rate |
$6,385.48 |
| Max. Negotiated Rate |
$17,332.24 |
| Rate for Payer: Aetna Medicare |
$6,990.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,401.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,401.95
|
| Rate for Payer: BCBS MAPPO |
$6,721.56
|
| Rate for Payer: BCBS Trust/PPO |
$17,332.24
|
| Rate for Payer: BCN Medicare Advantage |
$6,721.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,721.56
|
| Rate for Payer: Mclaren Medicare |
$6,721.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,057.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,729.79
|
| Rate for Payer: PACE Medicare |
$6,385.48
|
| Rate for Payer: PACE SWMI |
$6,721.56
|
| Rate for Payer: PHP Medicare Advantage |
$6,721.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,411.25
|
| Rate for Payer: Priority Health Medicare |
$6,721.56
|
| Rate for Payer: Priority Health Narrow Network |
$9,929.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6,721.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,193.18
|
| Rate for Payer: UHC Core |
$8,095.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,721.56
|
| Rate for Payer: UHC Exchange |
$8,670.62
|
| Rate for Payer: UHC Medicare Advantage |
$6,923.21
|
| Rate for Payer: VA VA |
$6,721.56
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$30,597.67
|
|
|
Service Code
|
MS-DRG 908
|
| Min. Negotiated Rate |
$14,179.56 |
| Max. Negotiated Rate |
$30,597.67 |
| Rate for Payer: Aetna Medicare |
$15,522.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,657.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,657.31
|
| Rate for Payer: BCBS MAPPO |
$14,925.85
|
| Rate for Payer: BCBS Trust/PPO |
$30,597.67
|
| Rate for Payer: BCN Medicare Advantage |
$14,925.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,925.85
|
| Rate for Payer: Mclaren Medicare |
$14,925.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,672.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,164.73
|
| Rate for Payer: PACE Medicare |
$14,179.56
|
| Rate for Payer: PACE SWMI |
$14,925.85
|
| Rate for Payer: PHP Medicare Advantage |
$14,925.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,758.67
|
| Rate for Payer: Priority Health Medicare |
$14,925.85
|
| Rate for Payer: Priority Health Narrow Network |
$23,006.94
|
| Rate for Payer: Railroad Medicare Medicare |
$14,925.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,570.54
|
| Rate for Payer: UHC Core |
$18,758.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,925.85
|
| Rate for Payer: UHC Exchange |
$20,091.10
|
| Rate for Payer: UHC Medicare Advantage |
$15,373.63
|
| Rate for Payer: VA VA |
$14,925.85
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$60,554.14
|
|
|
Service Code
|
MS-DRG 907
|
| Min. Negotiated Rate |
$25,915.79 |
| Max. Negotiated Rate |
$60,554.14 |
| Rate for Payer: Aetna Medicare |
$28,370.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,099.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,099.72
|
| Rate for Payer: BCBS MAPPO |
$27,279.78
|
| Rate for Payer: BCBS Trust/PPO |
$60,554.14
|
| Rate for Payer: BCN Medicare Advantage |
$27,279.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,279.78
|
| Rate for Payer: Mclaren Medicare |
$27,279.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28,643.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,371.75
|
| Rate for Payer: PACE Medicare |
$25,915.79
|
| Rate for Payer: PACE SWMI |
$27,279.78
|
| Rate for Payer: PHP Medicare Advantage |
$27,279.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,374.53
|
| Rate for Payer: Priority Health Medicare |
$27,279.78
|
| Rate for Payer: Priority Health Narrow Network |
$42,699.62
|
| Rate for Payer: Railroad Medicare Medicare |
$27,279.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,737.25
|
| Rate for Payer: UHC Core |
$34,814.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,279.78
|
| Rate for Payer: UHC Exchange |
$37,287.99
|
| Rate for Payer: UHC Medicare Advantage |
$28,098.17
|
| Rate for Payer: VA VA |
$27,279.78
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,689.00
|
|
|
Service Code
|
MS-DRG 909
|
| Min. Negotiated Rate |
$9,747.49 |
| Max. Negotiated Rate |
$20,689.00 |
| Rate for Payer: Aetna Medicare |
$10,670.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,825.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,825.65
|
| Rate for Payer: BCBS MAPPO |
$10,260.52
|
| Rate for Payer: BCBS Trust/PPO |
$20,041.98
|
| Rate for Payer: BCN Medicare Advantage |
$10,260.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,260.52
|
| Rate for Payer: Mclaren Medicare |
$10,260.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,773.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,799.60
|
| Rate for Payer: PACE Medicare |
$9,747.49
|
| Rate for Payer: PACE SWMI |
$10,260.52
|
| Rate for Payer: PHP Medicare Advantage |
$10,260.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,462.80
|
| Rate for Payer: Priority Health Medicare |
$10,260.52
|
| Rate for Payer: Priority Health Narrow Network |
$15,570.24
|
| Rate for Payer: Railroad Medicare Medicare |
$10,260.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,689.00
|
| Rate for Payer: UHC Core |
$12,694.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,260.52
|
| Rate for Payer: UHC Exchange |
$13,596.91
|
| Rate for Payer: UHC Medicare Advantage |
$10,568.34
|
| Rate for Payer: VA VA |
$10,260.52
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$66,551.14
|
|
|
Service Code
|
MS-DRG 958
|
| Min. Negotiated Rate |
$28,141.40 |
| Max. Negotiated Rate |
$66,551.14 |
| Rate for Payer: Aetna Medicare |
$30,807.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,028.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,028.16
|
| Rate for Payer: BCBS MAPPO |
$29,622.53
|
| Rate for Payer: BCBS Trust/PPO |
$66,551.14
|
| Rate for Payer: BCN Medicare Advantage |
$29,622.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,622.53
|
| Rate for Payer: Mclaren Medicare |
$29,622.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31,103.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,065.91
|
| Rate for Payer: PACE Medicare |
$28,141.40
|
| Rate for Payer: PACE SWMI |
$29,622.53
|
| Rate for Payer: PHP Medicare Advantage |
$29,622.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,042.56
|
| Rate for Payer: Priority Health Medicare |
$29,622.53
|
| Rate for Payer: Priority Health Narrow Network |
$46,434.05
|
| Rate for Payer: Railroad Medicare Medicare |
$29,622.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,699.38
|
| Rate for Payer: UHC Core |
$37,859.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,622.53
|
| Rate for Payer: UHC Exchange |
$40,549.12
|
| Rate for Payer: UHC Medicare Advantage |
$30,511.21
|
| Rate for Payer: VA VA |
$29,622.53
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$140,028.15
|
|
|
Service Code
|
MS-DRG 957
|
| Min. Negotiated Rate |
$49,950.71 |
| Max. Negotiated Rate |
$140,028.15 |
| Rate for Payer: Aetna Medicare |
$54,682.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,724.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,724.61
|
| Rate for Payer: BCBS MAPPO |
$52,579.69
|
| Rate for Payer: BCBS Trust/PPO |
$140,028.15
|
| Rate for Payer: BCN Medicare Advantage |
$52,579.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,579.69
|
| Rate for Payer: Mclaren Medicare |
$52,579.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55,208.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,466.64
|
| Rate for Payer: PACE Medicare |
$49,950.71
|
| Rate for Payer: PACE SWMI |
$52,579.69
|
| Rate for Payer: PHP Medicare Advantage |
$52,579.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103,785.80
|
| Rate for Payer: Priority Health Medicare |
$52,579.69
|
| Rate for Payer: Priority Health Narrow Network |
$83,028.64
|
| Rate for Payer: Railroad Medicare Medicare |
$52,579.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110,324.56
|
| Rate for Payer: UHC Core |
$67,696.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,579.69
|
| Rate for Payer: UHC Exchange |
$72,505.81
|
| Rate for Payer: UHC Medicare Advantage |
$54,157.08
|
| Rate for Payer: VA VA |
$52,579.69
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$39,818.25
|
|
|
Service Code
|
MS-DRG 959
|
| Min. Negotiated Rate |
$17,794.02 |
| Max. Negotiated Rate |
$39,818.25 |
| Rate for Payer: Aetna Medicare |
$19,479.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,413.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,413.19
|
| Rate for Payer: BCBS MAPPO |
$18,730.55
|
| Rate for Payer: BCBS Trust/PPO |
$39,818.25
|
| Rate for Payer: BCN Medicare Advantage |
$18,730.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,730.55
|
| Rate for Payer: Mclaren Medicare |
$18,730.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,667.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,540.13
|
| Rate for Payer: PACE Medicare |
$17,794.02
|
| Rate for Payer: PACE SWMI |
$18,730.55
|
| Rate for Payer: PHP Medicare Advantage |
$18,730.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,339.74
|
| Rate for Payer: Priority Health Medicare |
$18,730.55
|
| Rate for Payer: Priority Health Narrow Network |
$29,071.79
|
| Rate for Payer: Railroad Medicare Medicare |
$18,730.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,629.23
|
| Rate for Payer: UHC Core |
$23,703.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,730.55
|
| Rate for Payer: UHC Exchange |
$25,387.31
|
| Rate for Payer: UHC Medicare Advantage |
$19,292.47
|
| Rate for Payer: VA VA |
$18,730.55
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$29,056.15
|
|
|
Service Code
|
MS-DRG 803
|
| Min. Negotiated Rate |
$13,181.34 |
| Max. Negotiated Rate |
$29,056.15 |
| Rate for Payer: Aetna Medicare |
$14,430.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,343.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,343.88
|
| Rate for Payer: BCBS MAPPO |
$13,875.10
|
| Rate for Payer: BCBS Trust/PPO |
$29,056.15
|
| Rate for Payer: BCN Medicare Advantage |
$13,875.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,875.10
|
| Rate for Payer: Mclaren Medicare |
$13,875.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,568.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,956.36
|
| Rate for Payer: PACE Medicare |
$13,181.34
|
| Rate for Payer: PACE SWMI |
$13,875.10
|
| Rate for Payer: PHP Medicare Advantage |
$13,875.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,665.02
|
| Rate for Payer: Priority Health Medicare |
$13,875.10
|
| Rate for Payer: Priority Health Narrow Network |
$21,332.02
|
| Rate for Payer: Railroad Medicare Medicare |
$13,875.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,344.98
|
| Rate for Payer: UHC Core |
$17,392.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,875.10
|
| Rate for Payer: UHC Exchange |
$18,628.46
|
| Rate for Payer: UHC Medicare Advantage |
$14,291.35
|
| Rate for Payer: VA VA |
$13,875.10
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$53,435.03
|
|
|
Service Code
|
MS-DRG 802
|
| Min. Negotiated Rate |
$23,940.61 |
| Max. Negotiated Rate |
$53,435.03 |
| Rate for Payer: Aetna Medicare |
$26,208.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,500.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,500.80
|
| Rate for Payer: BCBS MAPPO |
$25,200.64
|
| Rate for Payer: BCBS Trust/PPO |
$53,435.03
|
| Rate for Payer: BCN Medicare Advantage |
$25,200.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,200.64
|
| Rate for Payer: Mclaren Medicare |
$25,200.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,460.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,980.74
|
| Rate for Payer: PACE Medicare |
$23,940.61
|
| Rate for Payer: PACE SWMI |
$25,200.64
|
| Rate for Payer: PHP Medicare Advantage |
$25,200.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,650.53
|
| Rate for Payer: Priority Health Medicare |
$25,200.64
|
| Rate for Payer: Priority Health Narrow Network |
$38,920.42
|
| Rate for Payer: Railroad Medicare Medicare |
$25,200.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,715.64
|
| Rate for Payer: UHC Core |
$31,733.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,200.64
|
| Rate for Payer: UHC Exchange |
$33,987.76
|
| Rate for Payer: UHC Medicare Advantage |
$25,956.66
|
| Rate for Payer: VA VA |
$25,200.64
|
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$27,835.23
|
|
|
Service Code
|
MS-DRG 804
|
| Min. Negotiated Rate |
$8,749.28 |
| Max. Negotiated Rate |
$27,835.23 |
| Rate for Payer: Aetna Medicare |
$9,578.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,512.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,512.21
|
| Rate for Payer: BCBS MAPPO |
$9,209.77
|
| Rate for Payer: BCBS Trust/PPO |
$27,835.23
|
| Rate for Payer: BCN Medicare Advantage |
$9,209.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,209.77
|
| Rate for Payer: Mclaren Medicare |
$9,209.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,670.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,591.24
|
| Rate for Payer: PACE Medicare |
$8,749.28
|
| Rate for Payer: PACE SWMI |
$9,209.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,209.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,369.14
|
| Rate for Payer: Priority Health Medicare |
$9,209.77
|
| Rate for Payer: Priority Health Narrow Network |
$13,895.31
|
| Rate for Payer: Railroad Medicare Medicare |
$9,209.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,463.44
|
| Rate for Payer: UHC Core |
$11,329.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,209.77
|
| Rate for Payer: UHC Exchange |
$12,134.26
|
| Rate for Payer: UHC Medicare Advantage |
$9,486.06
|
| Rate for Payer: VA VA |
$9,209.77
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$29,297.70
|
|
|
Service Code
|
MS-DRG 205
|
| Min. Negotiated Rate |
$12,853.63 |
| Max. Negotiated Rate |
$29,297.70 |
| Rate for Payer: Aetna Medicare |
$14,071.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,912.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,912.68
|
| Rate for Payer: BCBS MAPPO |
$13,530.14
|
| Rate for Payer: BCBS Trust/PPO |
$29,297.70
|
| Rate for Payer: BCN Medicare Advantage |
$13,530.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,530.14
|
| Rate for Payer: Mclaren Medicare |
$13,530.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,206.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,559.66
|
| Rate for Payer: PACE Medicare |
$12,853.63
|
| Rate for Payer: PACE SWMI |
$13,530.14
|
| Rate for Payer: PHP Medicare Advantage |
$13,530.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,977.66
|
| Rate for Payer: Priority Health Medicare |
$13,530.14
|
| Rate for Payer: Priority Health Narrow Network |
$20,782.13
|
| Rate for Payer: Railroad Medicare Medicare |
$13,530.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,614.32
|
| Rate for Payer: UHC Core |
$16,944.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,530.14
|
| Rate for Payer: UHC Exchange |
$18,148.26
|
| Rate for Payer: UHC Medicare Advantage |
$13,936.04
|
| Rate for Payer: VA VA |
$13,530.14
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$14,051.56
|
|
|
Service Code
|
MS-DRG 206
|
| Min. Negotiated Rate |
$6,717.99 |
| Max. Negotiated Rate |
$14,051.56 |
| Rate for Payer: Aetna Medicare |
$7,354.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,839.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,839.46
|
| Rate for Payer: BCBS MAPPO |
$7,071.57
|
| Rate for Payer: BCBS Trust/PPO |
$14,051.56
|
| Rate for Payer: BCN Medicare Advantage |
$7,071.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,071.57
|
| Rate for Payer: Mclaren Medicare |
$7,071.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,425.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,132.31
|
| Rate for Payer: PACE Medicare |
$6,717.99
|
| Rate for Payer: PACE SWMI |
$7,071.57
|
| Rate for Payer: PHP Medicare Advantage |
$7,071.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,108.65
|
| Rate for Payer: Priority Health Medicare |
$7,071.57
|
| Rate for Payer: Priority Health Narrow Network |
$10,486.92
|
| Rate for Payer: Railroad Medicare Medicare |
$7,071.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,934.53
|
| Rate for Payer: UHC Core |
$8,550.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,071.57
|
| Rate for Payer: UHC Exchange |
$9,157.84
|
| Rate for Payer: UHC Medicare Advantage |
$7,283.72
|
| Rate for Payer: VA VA |
$7,071.57
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$31,809.81
|
|
|
Service Code
|
MS-DRG 167
|
| Min. Negotiated Rate |
$12,918.61 |
| Max. Negotiated Rate |
$31,809.81 |
| Rate for Payer: Aetna Medicare |
$14,142.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,998.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,998.18
|
| Rate for Payer: BCBS MAPPO |
$13,598.54
|
| Rate for Payer: BCBS Trust/PPO |
$31,809.81
|
| Rate for Payer: BCN Medicare Advantage |
$13,598.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,598.54
|
| Rate for Payer: Mclaren Medicare |
$13,598.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,278.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,638.32
|
| Rate for Payer: PACE Medicare |
$12,918.61
|
| Rate for Payer: PACE SWMI |
$13,598.54
|
| Rate for Payer: PHP Medicare Advantage |
$13,598.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,113.98
|
| Rate for Payer: Priority Health Medicare |
$13,598.54
|
| Rate for Payer: Priority Health Narrow Network |
$20,891.18
|
| Rate for Payer: Railroad Medicare Medicare |
$13,598.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,759.23
|
| Rate for Payer: UHC Core |
$17,033.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,598.54
|
| Rate for Payer: UHC Exchange |
$18,243.50
|
| Rate for Payer: UHC Medicare Advantage |
$14,006.50
|
| Rate for Payer: VA VA |
$13,598.54
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,897.68
|
|
|
Service Code
|
MS-DRG 166
|
| Min. Negotiated Rate |
$28,230.35 |
| Max. Negotiated Rate |
$61,897.68 |
| Rate for Payer: Aetna Medicare |
$30,904.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,145.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,145.20
|
| Rate for Payer: BCBS MAPPO |
$29,716.16
|
| Rate for Payer: BCBS Trust/PPO |
$59,719.70
|
| Rate for Payer: BCN Medicare Advantage |
$29,716.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,716.16
|
| Rate for Payer: Mclaren Medicare |
$29,716.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31,201.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,173.58
|
| Rate for Payer: PACE Medicare |
$28,230.35
|
| Rate for Payer: PACE SWMI |
$29,716.16
|
| Rate for Payer: PHP Medicare Advantage |
$29,716.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,229.11
|
| Rate for Payer: Priority Health Medicare |
$29,716.16
|
| Rate for Payer: Priority Health Narrow Network |
$46,583.29
|
| Rate for Payer: Railroad Medicare Medicare |
$29,716.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,897.68
|
| Rate for Payer: UHC Core |
$37,981.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,716.16
|
| Rate for Payer: UHC Exchange |
$40,679.45
|
| Rate for Payer: UHC Medicare Advantage |
$30,607.64
|
| Rate for Payer: VA VA |
$29,716.16
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,368.37
|
|
|
Service Code
|
MS-DRG 168
|
| Min. Negotiated Rate |
$9,743.38 |
| Max. Negotiated Rate |
$26,368.37 |
| Rate for Payer: Aetna Medicare |
$10,666.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,820.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,820.24
|
| Rate for Payer: BCBS MAPPO |
$10,256.19
|
| Rate for Payer: BCBS Trust/PPO |
$26,368.37
|
| Rate for Payer: BCN Medicare Advantage |
$10,256.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,256.19
|
| Rate for Payer: Mclaren Medicare |
$10,256.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,769.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,794.62
|
| Rate for Payer: PACE Medicare |
$9,743.38
|
| Rate for Payer: PACE SWMI |
$10,256.19
|
| Rate for Payer: PHP Medicare Advantage |
$10,256.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,454.19
|
| Rate for Payer: Priority Health Medicare |
$10,256.19
|
| Rate for Payer: Priority Health Narrow Network |
$15,563.35
|
| Rate for Payer: Railroad Medicare Medicare |
$10,256.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,679.85
|
| Rate for Payer: UHC Core |
$12,689.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,256.19
|
| Rate for Payer: UHC Exchange |
$13,590.89
|
| Rate for Payer: UHC Medicare Advantage |
$10,563.88
|
| Rate for Payer: VA VA |
$10,256.19
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$37,257.84
|
|
|
Service Code
|
MS-DRG 580
|
| Min. Negotiated Rate |
$12,417.80 |
| Max. Negotiated Rate |
$37,257.84 |
| Rate for Payer: Aetna Medicare |
$13,594.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,339.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,339.21
|
| Rate for Payer: BCBS MAPPO |
$13,071.37
|
| Rate for Payer: BCBS Trust/PPO |
$37,257.84
|
| Rate for Payer: BCN Medicare Advantage |
$13,071.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,071.37
|
| Rate for Payer: Mclaren Medicare |
$13,071.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,724.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,032.08
|
| Rate for Payer: PACE Medicare |
$12,417.80
|
| Rate for Payer: PACE SWMI |
$13,071.37
|
| Rate for Payer: PHP Medicare Advantage |
$13,071.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,063.57
|
| Rate for Payer: Priority Health Medicare |
$13,071.37
|
| Rate for Payer: Priority Health Narrow Network |
$20,050.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,071.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,642.64
|
| Rate for Payer: UHC Core |
$16,348.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,071.37
|
| Rate for Payer: UHC Exchange |
$17,509.67
|
| Rate for Payer: UHC Medicare Advantage |
$13,463.51
|
| Rate for Payer: VA VA |
$13,071.37
|
|
|
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,981.92
|
|
|
Service Code
|
MS-DRG 579
|
| Min. Negotiated Rate |
$23,334.43 |
| Max. Negotiated Rate |
$50,981.92 |
| Rate for Payer: Aetna Medicare |
$25,545.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,703.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,703.20
|
| Rate for Payer: BCBS MAPPO |
$24,562.56
|
| Rate for Payer: BCBS Trust/PPO |
$40,718.57
|
| Rate for Payer: BCN Medicare Advantage |
$24,562.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,562.56
|
| Rate for Payer: Mclaren Medicare |
$24,562.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25,790.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,246.94
|
| Rate for Payer: PACE Medicare |
$23,334.43
|
| Rate for Payer: PACE SWMI |
$24,562.56
|
| Rate for Payer: PHP Medicare Advantage |
$24,562.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,960.30
|
| Rate for Payer: Priority Health Medicare |
$24,562.56
|
| Rate for Payer: Priority Health Narrow Network |
$38,368.24
|
| Rate for Payer: Railroad Medicare Medicare |
$24,562.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,981.92
|
| Rate for Payer: UHC Core |
$31,282.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,562.56
|
| Rate for Payer: UHC Exchange |
$33,505.56
|
| Rate for Payer: UHC Medicare Advantage |
$25,299.44
|
| Rate for Payer: VA VA |
$24,562.56
|
|
