|
MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$72,889.18
|
|
|
Service Code
|
MS-DRG 163
|
| Min. Negotiated Rate |
$34,993.74 |
| Max. Negotiated Rate |
$72,889.18 |
| Rate for Payer: Aetna Medicare |
$38,308.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,044.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,044.40
|
| Rate for Payer: BCBS MAPPO |
$36,835.52
|
| Rate for Payer: BCBS Trust/PPO |
$72,889.18
|
| Rate for Payer: BCN Medicare Advantage |
$36,835.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,835.52
|
| Rate for Payer: Mclaren Medicare |
$36,835.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38,677.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,360.85
|
| Rate for Payer: PACE Medicare |
$34,993.74
|
| Rate for Payer: PACE SWMI |
$36,835.52
|
| Rate for Payer: PHP Medicare Advantage |
$36,835.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67,639.78
|
| Rate for Payer: Priority Health Medicare |
$36,835.52
|
| Rate for Payer: Priority Health Narrow Network |
$54,111.82
|
| Rate for Payer: Railroad Medicare Medicare |
$36,835.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71,901.25
|
| Rate for Payer: UHC Core |
$58,957.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,835.52
|
| Rate for Payer: UHC Exchange |
$46,872.04
|
| Rate for Payer: UHC Medicare Advantage |
$37,940.59
|
| Rate for Payer: VA VA |
$36,835.52
|
|
|
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,774.32
|
|
|
Service Code
|
MS-DRG 165
|
| Min. Negotiated Rate |
$14,223.36 |
| Max. Negotiated Rate |
$40,774.32 |
| Rate for Payer: Aetna Medicare |
$15,570.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,714.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,714.95
|
| Rate for Payer: BCBS MAPPO |
$14,971.96
|
| Rate for Payer: BCBS Trust/PPO |
$40,774.32
|
| Rate for Payer: BCN Medicare Advantage |
$14,971.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,971.96
|
| Rate for Payer: Mclaren Medicare |
$14,971.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,720.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,217.75
|
| Rate for Payer: PACE Medicare |
$14,223.36
|
| Rate for Payer: PACE SWMI |
$14,971.96
|
| Rate for Payer: PHP Medicare Advantage |
$14,971.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,926.19
|
| Rate for Payer: Priority Health Medicare |
$14,971.96
|
| Rate for Payer: Priority Health Narrow Network |
$21,540.95
|
| Rate for Payer: Railroad Medicare Medicare |
$14,971.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,622.61
|
| Rate for Payer: UHC Core |
$23,470.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,971.96
|
| Rate for Payer: UHC Exchange |
$18,658.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,421.12
|
| Rate for Payer: VA VA |
$14,971.96
|
|
|
MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$19,424.72
|
|
|
Service Code
|
MS-DRG 184
|
| Min. Negotiated Rate |
$8,187.41 |
| Max. Negotiated Rate |
$19,424.72 |
| Rate for Payer: Aetna Medicare |
$8,963.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,772.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,772.91
|
| Rate for Payer: BCBS MAPPO |
$8,618.33
|
| Rate for Payer: BCBS Trust/PPO |
$19,424.72
|
| Rate for Payer: BCN Medicare Advantage |
$8,618.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,618.33
|
| Rate for Payer: Mclaren Medicare |
$8,618.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,049.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,911.08
|
| Rate for Payer: PACE Medicare |
$8,187.41
|
| Rate for Payer: PACE SWMI |
$8,618.33
|
| Rate for Payer: PHP Medicare Advantage |
$8,618.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,094.68
|
| Rate for Payer: Priority Health Medicare |
$8,618.33
|
| Rate for Payer: Priority Health Narrow Network |
$12,075.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,618.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,045.68
|
| Rate for Payer: UHC Core |
$13,157.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,618.33
|
| Rate for Payer: UHC Exchange |
$10,460.09
|
| Rate for Payer: UHC Medicare Advantage |
$8,876.88
|
| Rate for Payer: VA VA |
$8,618.33
|
|
|
MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$24,017.42
|
|
|
Service Code
|
MS-DRG 183
|
| Min. Negotiated Rate |
$12,013.23 |
| Max. Negotiated Rate |
$24,017.42 |
| Rate for Payer: Aetna Medicare |
$13,151.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,806.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,806.89
|
| Rate for Payer: BCBS MAPPO |
$12,645.51
|
| Rate for Payer: BCBS Trust/PPO |
$22,319.58
|
| Rate for Payer: BCN Medicare Advantage |
$12,645.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,645.51
|
| Rate for Payer: Mclaren Medicare |
$12,645.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,277.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,542.34
|
| Rate for Payer: PACE Medicare |
$12,013.23
|
| Rate for Payer: PACE SWMI |
$12,645.51
|
| Rate for Payer: PHP Medicare Advantage |
$12,645.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,593.95
|
| Rate for Payer: Priority Health Medicare |
$12,645.51
|
| Rate for Payer: Priority Health Narrow Network |
$18,075.16
|
| Rate for Payer: Railroad Medicare Medicare |
$12,645.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,017.42
|
| Rate for Payer: UHC Core |
$19,693.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,645.51
|
| Rate for Payer: UHC Exchange |
$15,656.83
|
| Rate for Payer: UHC Medicare Advantage |
$13,024.88
|
| Rate for Payer: VA VA |
$12,645.51
|
|
|
MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$15,421.67
|
|
|
Service Code
|
MS-DRG 185
|
| Min. Negotiated Rate |
$6,019.01 |
| Max. Negotiated Rate |
$15,421.67 |
| Rate for Payer: Aetna Medicare |
$6,589.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,919.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,919.75
|
| Rate for Payer: BCBS MAPPO |
$6,335.80
|
| Rate for Payer: BCBS Trust/PPO |
$15,421.67
|
| Rate for Payer: BCN Medicare Advantage |
$6,335.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,335.80
|
| Rate for Payer: Mclaren Medicare |
$6,335.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,652.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,286.17
|
| Rate for Payer: PACE Medicare |
$6,019.01
|
| Rate for Payer: PACE SWMI |
$6,335.80
|
| Rate for Payer: PHP Medicare Advantage |
$6,335.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,844.23
|
| Rate for Payer: Priority Health Medicare |
$6,335.80
|
| Rate for Payer: Priority Health Narrow Network |
$8,675.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6,335.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,527.45
|
| Rate for Payer: UHC Core |
$9,452.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,335.80
|
| Rate for Payer: UHC Exchange |
$7,514.68
|
| Rate for Payer: UHC Medicare Advantage |
$6,525.87
|
| Rate for Payer: VA VA |
$6,335.80
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$21,083.23
|
|
|
Service Code
|
MS-DRG 369
|
| Min. Negotiated Rate |
$7,721.81 |
| Max. Negotiated Rate |
$21,083.23 |
| Rate for Payer: Aetna Medicare |
$8,453.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,160.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,160.28
|
| Rate for Payer: BCBS MAPPO |
$8,128.22
|
| Rate for Payer: BCBS Trust/PPO |
$21,083.23
|
| Rate for Payer: BCN Medicare Advantage |
$8,128.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,128.22
|
| Rate for Payer: Mclaren Medicare |
$8,128.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,534.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,347.45
|
| Rate for Payer: PACE Medicare |
$7,721.81
|
| Rate for Payer: PACE SWMI |
$8,128.22
|
| Rate for Payer: PHP Medicare Advantage |
$8,128.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,182.03
|
| Rate for Payer: Priority Health Medicare |
$8,128.22
|
| Rate for Payer: Priority Health Narrow Network |
$11,345.62
|
| Rate for Payer: Railroad Medicare Medicare |
$8,128.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,075.53
|
| Rate for Payer: UHC Core |
$12,361.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,128.22
|
| Rate for Payer: UHC Exchange |
$9,827.66
|
| Rate for Payer: UHC Medicare Advantage |
$8,372.07
|
| Rate for Payer: VA VA |
$8,128.22
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$29,074.25
|
|
|
Service Code
|
MS-DRG 368
|
| Min. Negotiated Rate |
$12,580.57 |
| Max. Negotiated Rate |
$29,074.25 |
| Rate for Payer: Aetna Medicare |
$13,772.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,553.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,553.39
|
| Rate for Payer: BCBS MAPPO |
$13,242.71
|
| Rate for Payer: BCBS Trust/PPO |
$29,074.25
|
| Rate for Payer: BCN Medicare Advantage |
$13,242.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,242.71
|
| Rate for Payer: Mclaren Medicare |
$13,242.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,904.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,229.12
|
| Rate for Payer: PACE Medicare |
$12,580.57
|
| Rate for Payer: PACE SWMI |
$13,242.71
|
| Rate for Payer: PHP Medicare Advantage |
$13,242.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,706.07
|
| Rate for Payer: Priority Health Medicare |
$13,242.71
|
| Rate for Payer: Priority Health Narrow Network |
$18,964.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,242.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,199.61
|
| Rate for Payer: UHC Core |
$20,663.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,242.71
|
| Rate for Payer: UHC Exchange |
$16,427.49
|
| Rate for Payer: UHC Medicare Advantage |
$13,639.99
|
| Rate for Payer: VA VA |
$13,242.71
|
|
|
MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,517.02
|
|
|
Service Code
|
MS-DRG 370
|
| Min. Negotiated Rate |
$5,931.15 |
| Max. Negotiated Rate |
$14,517.02 |
| Rate for Payer: Aetna Medicare |
$6,493.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,804.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,804.15
|
| Rate for Payer: BCBS MAPPO |
$6,243.32
|
| Rate for Payer: BCBS Trust/PPO |
$14,517.02
|
| Rate for Payer: BCN Medicare Advantage |
$6,243.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,243.32
|
| Rate for Payer: Mclaren Medicare |
$6,243.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,555.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,179.82
|
| Rate for Payer: PACE Medicare |
$5,931.15
|
| Rate for Payer: PACE SWMI |
$6,243.32
|
| Rate for Payer: PHP Medicare Advantage |
$6,243.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,672.04
|
| Rate for Payer: Priority Health Medicare |
$6,243.32
|
| Rate for Payer: Priority Health Narrow Network |
$8,537.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,243.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,344.40
|
| Rate for Payer: UHC Core |
$9,302.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,243.32
|
| Rate for Payer: UHC Exchange |
$7,395.35
|
| Rate for Payer: UHC Medicare Advantage |
$6,430.62
|
| Rate for Payer: VA VA |
$6,243.32
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$17,034.95
|
|
|
Service Code
|
MS-DRG 372
|
| Min. Negotiated Rate |
$8,117.14 |
| Max. Negotiated Rate |
$17,034.95 |
| Rate for Payer: Aetna Medicare |
$8,886.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,680.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,680.45
|
| Rate for Payer: BCBS MAPPO |
$8,544.36
|
| Rate for Payer: BCBS Trust/PPO |
$17,034.95
|
| Rate for Payer: BCN Medicare Advantage |
$8,544.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,544.36
|
| Rate for Payer: Mclaren Medicare |
$8,544.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,971.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,826.01
|
| Rate for Payer: PACE Medicare |
$8,117.14
|
| Rate for Payer: PACE SWMI |
$8,544.36
|
| Rate for Payer: PHP Medicare Advantage |
$8,544.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,956.92
|
| Rate for Payer: Priority Health Medicare |
$8,544.36
|
| Rate for Payer: Priority Health Narrow Network |
$11,965.54
|
| Rate for Payer: Railroad Medicare Medicare |
$8,544.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,899.24
|
| Rate for Payer: UHC Core |
$13,037.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,544.36
|
| Rate for Payer: UHC Exchange |
$10,364.63
|
| Rate for Payer: UHC Medicare Advantage |
$8,800.69
|
| Rate for Payer: VA VA |
$8,544.36
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$32,810.94
|
|
|
Service Code
|
MS-DRG 371
|
| Min. Negotiated Rate |
$13,281.18 |
| Max. Negotiated Rate |
$32,810.94 |
| Rate for Payer: Aetna Medicare |
$14,539.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,475.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,475.24
|
| Rate for Payer: BCBS MAPPO |
$13,980.19
|
| Rate for Payer: BCBS Trust/PPO |
$32,810.94
|
| Rate for Payer: BCN Medicare Advantage |
$13,980.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,980.19
|
| Rate for Payer: Mclaren Medicare |
$13,980.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,679.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,077.22
|
| Rate for Payer: PACE Medicare |
$13,281.18
|
| Rate for Payer: PACE SWMI |
$13,980.19
|
| Rate for Payer: PHP Medicare Advantage |
$13,980.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,079.36
|
| Rate for Payer: Priority Health Medicare |
$13,980.19
|
| Rate for Payer: Priority Health Narrow Network |
$20,063.49
|
| Rate for Payer: Railroad Medicare Medicare |
$13,980.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,659.42
|
| Rate for Payer: UHC Core |
$21,860.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,980.19
|
| Rate for Payer: UHC Exchange |
$17,379.13
|
| Rate for Payer: UHC Medicare Advantage |
$14,399.60
|
| Rate for Payer: VA VA |
$13,980.19
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,675.34
|
|
|
Service Code
|
MS-DRG 373
|
| Min. Negotiated Rate |
$5,732.03 |
| Max. Negotiated Rate |
$14,675.34 |
| Rate for Payer: Aetna Medicare |
$6,275.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,542.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,542.15
|
| Rate for Payer: BCBS MAPPO |
$6,033.72
|
| Rate for Payer: BCBS Trust/PPO |
$14,675.34
|
| Rate for Payer: BCN Medicare Advantage |
$6,033.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,033.72
|
| Rate for Payer: Mclaren Medicare |
$6,033.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,335.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,938.78
|
| Rate for Payer: PACE Medicare |
$5,732.03
|
| Rate for Payer: PACE SWMI |
$6,033.72
|
| Rate for Payer: PHP Medicare Advantage |
$6,033.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,281.72
|
| Rate for Payer: Priority Health Medicare |
$6,033.72
|
| Rate for Payer: Priority Health Narrow Network |
$8,225.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6,033.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,929.49
|
| Rate for Payer: UHC Core |
$8,961.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,033.72
|
| Rate for Payer: UHC Exchange |
$7,124.88
|
| Rate for Payer: UHC Medicare Advantage |
$6,214.73
|
| Rate for Payer: VA VA |
$6,033.72
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$64,274.96
|
|
|
Service Code
|
MS-DRG 141
|
| Min. Negotiated Rate |
$15,653.09 |
| Max. Negotiated Rate |
$64,274.96 |
| Rate for Payer: Aetna Medicare |
$17,136.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,596.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,596.18
|
| Rate for Payer: BCBS MAPPO |
$16,476.94
|
| Rate for Payer: BCBS Trust/PPO |
$64,274.96
|
| Rate for Payer: BCN Medicare Advantage |
$16,476.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,476.94
|
| Rate for Payer: Mclaren Medicare |
$16,476.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,300.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,948.48
|
| Rate for Payer: PACE Medicare |
$15,653.09
|
| Rate for Payer: PACE SWMI |
$16,476.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,476.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,728.73
|
| Rate for Payer: Priority Health Medicare |
$16,476.94
|
| Rate for Payer: Priority Health Narrow Network |
$23,782.98
|
| Rate for Payer: Railroad Medicare Medicare |
$16,476.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,601.71
|
| Rate for Payer: UHC Core |
$25,912.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,476.94
|
| Rate for Payer: UHC Exchange |
$20,600.98
|
| Rate for Payer: UHC Medicare Advantage |
$16,971.25
|
| Rate for Payer: VA VA |
$16,476.94
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$84,212.30
|
|
|
Service Code
|
MS-DRG 140
|
| Min. Negotiated Rate |
$28,145.20 |
| Max. Negotiated Rate |
$84,212.30 |
| Rate for Payer: Aetna Medicare |
$30,811.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,033.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,033.16
|
| Rate for Payer: BCBS MAPPO |
$29,626.53
|
| Rate for Payer: BCBS Trust/PPO |
$84,212.30
|
| Rate for Payer: BCN Medicare Advantage |
$29,626.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,626.53
|
| Rate for Payer: Mclaren Medicare |
$29,626.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31,107.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,070.51
|
| Rate for Payer: PACE Medicare |
$28,145.20
|
| Rate for Payer: PACE SWMI |
$29,626.53
|
| Rate for Payer: PHP Medicare Advantage |
$29,626.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,215.43
|
| Rate for Payer: Priority Health Medicare |
$29,626.53
|
| Rate for Payer: Priority Health Narrow Network |
$43,372.34
|
| Rate for Payer: Railroad Medicare Medicare |
$29,626.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,631.14
|
| Rate for Payer: UHC Core |
$47,256.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,626.53
|
| Rate for Payer: UHC Exchange |
$37,569.43
|
| Rate for Payer: UHC Medicare Advantage |
$30,515.33
|
| Rate for Payer: VA VA |
$29,626.53
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$47,531.50
|
|
|
Service Code
|
MS-DRG 142
|
| Min. Negotiated Rate |
$11,797.26 |
| Max. Negotiated Rate |
$47,531.50 |
| Rate for Payer: Aetna Medicare |
$12,914.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,522.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,522.71
|
| Rate for Payer: BCBS MAPPO |
$12,418.17
|
| Rate for Payer: BCBS Trust/PPO |
$47,531.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,418.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,418.17
|
| Rate for Payer: Mclaren Medicare |
$12,418.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,039.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,280.90
|
| Rate for Payer: PACE Medicare |
$11,797.26
|
| Rate for Payer: PACE SWMI |
$12,418.17
|
| Rate for Payer: PHP Medicare Advantage |
$12,418.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,170.63
|
| Rate for Payer: Priority Health Medicare |
$12,418.17
|
| Rate for Payer: Priority Health Narrow Network |
$17,736.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12,418.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,567.43
|
| Rate for Payer: UHC Core |
$19,324.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,418.17
|
| Rate for Payer: UHC Exchange |
$15,363.48
|
| Rate for Payer: UHC Medicare Advantage |
$12,790.72
|
| Rate for Payer: VA VA |
$12,418.17
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$21,218.93
|
|
|
Service Code
|
MS-DRG 809
|
| Min. Negotiated Rate |
$9,303.82 |
| Max. Negotiated Rate |
$21,218.93 |
| Rate for Payer: Aetna Medicare |
$10,185.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,241.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,241.86
|
| Rate for Payer: BCBS MAPPO |
$9,793.49
|
| Rate for Payer: BCBS Trust/PPO |
$21,218.93
|
| Rate for Payer: BCN Medicare Advantage |
$9,793.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,793.49
|
| Rate for Payer: Mclaren Medicare |
$9,793.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,283.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,262.51
|
| Rate for Payer: PACE Medicare |
$9,303.82
|
| Rate for Payer: PACE SWMI |
$9,793.49
|
| Rate for Payer: PHP Medicare Advantage |
$9,793.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,283.04
|
| Rate for Payer: Priority Health Medicare |
$9,793.49
|
| Rate for Payer: Priority Health Narrow Network |
$13,826.43
|
| Rate for Payer: Railroad Medicare Medicare |
$9,793.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,371.92
|
| Rate for Payer: UHC Core |
$15,064.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,793.49
|
| Rate for Payer: UHC Exchange |
$11,976.55
|
| Rate for Payer: UHC Medicare Advantage |
$10,087.29
|
| Rate for Payer: VA VA |
$9,793.49
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$43,561.12
|
|
|
Service Code
|
MS-DRG 808
|
| Min. Negotiated Rate |
$16,519.85 |
| Max. Negotiated Rate |
$43,561.12 |
| Rate for Payer: Aetna Medicare |
$18,084.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,736.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,736.65
|
| Rate for Payer: BCBS MAPPO |
$17,389.32
|
| Rate for Payer: BCBS Trust/PPO |
$43,561.12
|
| Rate for Payer: BCN Medicare Advantage |
$17,389.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,389.32
|
| Rate for Payer: Mclaren Medicare |
$17,389.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,258.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,997.72
|
| Rate for Payer: PACE Medicare |
$16,519.85
|
| Rate for Payer: PACE SWMI |
$17,389.32
|
| Rate for Payer: PHP Medicare Advantage |
$17,389.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,427.76
|
| Rate for Payer: Priority Health Medicare |
$17,389.32
|
| Rate for Payer: Priority Health Narrow Network |
$25,142.21
|
| Rate for Payer: Railroad Medicare Medicare |
$17,389.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,407.79
|
| Rate for Payer: UHC Core |
$27,393.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,389.32
|
| Rate for Payer: UHC Exchange |
$21,778.35
|
| Rate for Payer: UHC Medicare Advantage |
$17,911.00
|
| Rate for Payer: VA VA |
$17,389.32
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,788.95
|
|
|
Service Code
|
MS-DRG 810
|
| Min. Negotiated Rate |
$7,840.41 |
| Max. Negotiated Rate |
$18,788.95 |
| Rate for Payer: Aetna Medicare |
$8,583.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,316.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,316.32
|
| Rate for Payer: BCBS MAPPO |
$8,253.06
|
| Rate for Payer: BCBS Trust/PPO |
$18,788.95
|
| Rate for Payer: BCN Medicare Advantage |
$8,253.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,253.06
|
| Rate for Payer: Mclaren Medicare |
$8,253.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,665.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,491.02
|
| Rate for Payer: PACE Medicare |
$7,840.41
|
| Rate for Payer: PACE SWMI |
$8,253.06
|
| Rate for Payer: PHP Medicare Advantage |
$8,253.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,414.49
|
| Rate for Payer: Priority Health Medicare |
$8,253.06
|
| Rate for Payer: Priority Health Narrow Network |
$11,531.59
|
| Rate for Payer: Railroad Medicare Medicare |
$8,253.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,322.64
|
| Rate for Payer: UHC Core |
$12,564.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,253.06
|
| Rate for Payer: UHC Exchange |
$9,988.75
|
| Rate for Payer: UHC Medicare Advantage |
$8,500.65
|
| Rate for Payer: VA VA |
$8,253.06
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$71,077.38
|
|
|
Service Code
|
MS-DRG 469
|
| Min. Negotiated Rate |
$24,863.32 |
| Max. Negotiated Rate |
$71,077.38 |
| Rate for Payer: Aetna Medicare |
$27,218.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,714.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,714.90
|
| Rate for Payer: BCBS MAPPO |
$26,171.92
|
| Rate for Payer: BCBS Trust/PPO |
$71,077.38
|
| Rate for Payer: BCN Medicare Advantage |
$26,171.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,171.92
|
| Rate for Payer: Mclaren Medicare |
$26,171.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27,480.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,097.71
|
| Rate for Payer: PACE Medicare |
$24,863.32
|
| Rate for Payer: PACE SWMI |
$26,171.92
|
| Rate for Payer: PHP Medicare Advantage |
$26,171.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,782.36
|
| Rate for Payer: Priority Health Medicare |
$26,171.92
|
| Rate for Payer: Priority Health Narrow Network |
$38,225.89
|
| Rate for Payer: Railroad Medicare Medicare |
$26,171.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,792.77
|
| Rate for Payer: UHC Core |
$41,649.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,171.92
|
| Rate for Payer: UHC Exchange |
$33,111.53
|
| Rate for Payer: UHC Medicare Advantage |
$26,957.08
|
| Rate for Payer: VA VA |
$26,171.92
|
|
|
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$38,547.89
|
|
|
Service Code
|
MS-DRG 470
|
| Min. Negotiated Rate |
$14,262.14 |
| Max. Negotiated Rate |
$38,547.89 |
| Rate for Payer: Aetna Medicare |
$15,613.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,765.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,765.98
|
| Rate for Payer: BCBS MAPPO |
$15,012.78
|
| Rate for Payer: BCBS Trust/PPO |
$38,547.89
|
| Rate for Payer: BCN Medicare Advantage |
$15,012.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,012.78
|
| Rate for Payer: Mclaren Medicare |
$15,012.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,763.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,264.70
|
| Rate for Payer: PACE Medicare |
$14,262.14
|
| Rate for Payer: PACE SWMI |
$15,012.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,012.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,002.24
|
| Rate for Payer: Priority Health Medicare |
$15,012.78
|
| Rate for Payer: Priority Health Narrow Network |
$21,601.79
|
| Rate for Payer: Railroad Medicare Medicare |
$15,012.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,703.45
|
| Rate for Payer: UHC Core |
$23,536.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,012.78
|
| Rate for Payer: UHC Exchange |
$18,711.62
|
| Rate for Payer: UHC Medicare Advantage |
$15,463.16
|
| Rate for Payer: VA VA |
$15,012.78
|
|
|
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$40,168.71
|
|
|
Service Code
|
MS-DRG 483
|
| Min. Negotiated Rate |
$18,672.90 |
| Max. Negotiated Rate |
$40,168.71 |
| Rate for Payer: Aetna Medicare |
$20,441.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,569.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,569.60
|
| Rate for Payer: BCBS MAPPO |
$19,655.68
|
| Rate for Payer: BCBS Trust/PPO |
$40,168.71
|
| Rate for Payer: BCN Medicare Advantage |
$19,655.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,655.68
|
| Rate for Payer: Mclaren Medicare |
$19,655.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,638.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,604.03
|
| Rate for Payer: PACE Medicare |
$18,672.90
|
| Rate for Payer: PACE SWMI |
$19,655.68
|
| Rate for Payer: PHP Medicare Advantage |
$19,655.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,648.07
|
| Rate for Payer: Priority Health Medicare |
$19,655.68
|
| Rate for Payer: Priority Health Narrow Network |
$28,518.46
|
| Rate for Payer: Railroad Medicare Medicare |
$19,655.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,893.99
|
| Rate for Payer: UHC Core |
$31,072.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,655.68
|
| Rate for Payer: UHC Exchange |
$24,702.88
|
| Rate for Payer: UHC Medicare Advantage |
$20,245.35
|
| Rate for Payer: VA VA |
$19,655.68
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$55,572.78
|
|
|
Service Code
|
MS-DRG 707
|
| Min. Negotiated Rate |
$14,849.28 |
| Max. Negotiated Rate |
$55,572.78 |
| Rate for Payer: Aetna Medicare |
$16,256.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,538.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,538.52
|
| Rate for Payer: BCBS MAPPO |
$15,630.82
|
| Rate for Payer: BCBS Trust/PPO |
$55,572.78
|
| Rate for Payer: BCN Medicare Advantage |
$15,630.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,630.82
|
| Rate for Payer: Mclaren Medicare |
$15,630.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,412.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,975.44
|
| Rate for Payer: PACE Medicare |
$14,849.28
|
| Rate for Payer: PACE SWMI |
$15,630.82
|
| Rate for Payer: PHP Medicare Advantage |
$15,630.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,153.11
|
| Rate for Payer: Priority Health Medicare |
$15,630.82
|
| Rate for Payer: Priority Health Narrow Network |
$22,522.49
|
| Rate for Payer: Railroad Medicare Medicare |
$15,630.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,926.82
|
| Rate for Payer: UHC Core |
$24,539.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,630.82
|
| Rate for Payer: UHC Exchange |
$19,509.13
|
| Rate for Payer: UHC Medicare Advantage |
$16,099.74
|
| Rate for Payer: VA VA |
$15,630.82
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,006.94
|
|
|
Service Code
|
MS-DRG 708
|
| Min. Negotiated Rate |
$11,164.03 |
| Max. Negotiated Rate |
$33,006.94 |
| Rate for Payer: Aetna Medicare |
$12,221.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,689.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,689.51
|
| Rate for Payer: BCBS MAPPO |
$11,751.61
|
| Rate for Payer: BCBS Trust/PPO |
$33,006.94
|
| Rate for Payer: BCN Medicare Advantage |
$11,751.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,751.61
|
| Rate for Payer: Mclaren Medicare |
$11,751.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,339.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,514.35
|
| Rate for Payer: PACE Medicare |
$11,164.03
|
| Rate for Payer: PACE SWMI |
$11,751.61
|
| Rate for Payer: PHP Medicare Advantage |
$11,751.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,929.36
|
| Rate for Payer: Priority Health Medicare |
$11,751.61
|
| Rate for Payer: Priority Health Narrow Network |
$16,743.49
|
| Rate for Payer: Railroad Medicare Medicare |
$11,751.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,247.96
|
| Rate for Payer: UHC Core |
$18,242.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,751.61
|
| Rate for Payer: UHC Exchange |
$14,503.32
|
| Rate for Payer: UHC Medicare Advantage |
$12,104.16
|
| Rate for Payer: VA VA |
$11,751.61
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$32,516.95
|
|
|
Service Code
|
MS-DRG 507
|
| Min. Negotiated Rate |
$16,092.33 |
| Max. Negotiated Rate |
$32,516.95 |
| Rate for Payer: Aetna Medicare |
$17,616.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,174.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,174.11
|
| Rate for Payer: BCBS MAPPO |
$16,939.29
|
| Rate for Payer: BCBS Trust/PPO |
$23,314.69
|
| Rate for Payer: BCN Medicare Advantage |
$16,939.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,939.29
|
| Rate for Payer: Mclaren Medicare |
$16,939.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,786.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,480.18
|
| Rate for Payer: PACE Medicare |
$16,092.33
|
| Rate for Payer: PACE SWMI |
$16,939.29
|
| Rate for Payer: PHP Medicare Advantage |
$16,939.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,589.72
|
| Rate for Payer: Priority Health Medicare |
$16,939.29
|
| Rate for Payer: Priority Health Narrow Network |
$24,471.78
|
| Rate for Payer: Railroad Medicare Medicare |
$16,939.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,516.95
|
| Rate for Payer: UHC Core |
$26,663.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,939.29
|
| Rate for Payer: UHC Exchange |
$21,197.62
|
| Rate for Payer: UHC Medicare Advantage |
$17,447.47
|
| Rate for Payer: VA VA |
$16,939.29
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,874.24
|
|
|
Service Code
|
MS-DRG 508
|
| Min. Negotiated Rate |
$10,984.66 |
| Max. Negotiated Rate |
$21,874.24 |
| Rate for Payer: Aetna Medicare |
$12,025.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,453.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,453.50
|
| Rate for Payer: BCBS MAPPO |
$11,562.80
|
| Rate for Payer: BCBS Trust/PPO |
$15,683.01
|
| Rate for Payer: BCN Medicare Advantage |
$11,562.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,562.80
|
| Rate for Payer: Mclaren Medicare |
$11,562.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,140.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,297.22
|
| Rate for Payer: PACE Medicare |
$10,984.66
|
| Rate for Payer: PACE SWMI |
$11,562.80
|
| Rate for Payer: PHP Medicare Advantage |
$11,562.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,577.79
|
| Rate for Payer: Priority Health Medicare |
$11,562.80
|
| Rate for Payer: Priority Health Narrow Network |
$16,462.23
|
| Rate for Payer: Railroad Medicare Medicare |
$11,562.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,874.24
|
| Rate for Payer: UHC Core |
$17,936.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,562.80
|
| Rate for Payer: UHC Exchange |
$14,259.70
|
| Rate for Payer: UHC Medicare Advantage |
$11,909.68
|
| Rate for Payer: VA VA |
$11,562.80
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$52,318.58
|
|
|
Service Code
|
MS-DRG 595
|
| Min. Negotiated Rate |
$16,409.32 |
| Max. Negotiated Rate |
$52,318.58 |
| Rate for Payer: Aetna Medicare |
$17,963.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,591.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,591.21
|
| Rate for Payer: BCBS MAPPO |
$17,272.97
|
| Rate for Payer: BCBS Trust/PPO |
$52,318.58
|
| Rate for Payer: BCN Medicare Advantage |
$17,272.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,272.97
|
| Rate for Payer: Mclaren Medicare |
$17,272.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,136.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,863.92
|
| Rate for Payer: PACE Medicare |
$16,409.32
|
| Rate for Payer: PACE SWMI |
$17,272.97
|
| Rate for Payer: PHP Medicare Advantage |
$17,272.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,211.08
|
| Rate for Payer: Priority Health Medicare |
$17,272.97
|
| Rate for Payer: Priority Health Narrow Network |
$24,968.86
|
| Rate for Payer: Railroad Medicare Medicare |
$17,272.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,177.45
|
| Rate for Payer: UHC Core |
$27,204.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,272.97
|
| Rate for Payer: UHC Exchange |
$21,628.20
|
| Rate for Payer: UHC Medicare Advantage |
$17,791.16
|
| Rate for Payer: VA VA |
$17,272.97
|
|
