|
OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER THAN FIRST METATARSAL, EACH
|
Facility
|
OP
|
$9,057.42
|
|
|
Service Code
|
CPT 28308
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$385.73 |
| Max. Negotiated Rate |
$9,057.42 |
| Rate for Payer: Aetna Medicare |
$2,992.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$3,300.41
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,057.42
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$7,245.94
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$424.30
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,877.15
|
| Rate for Payer: UHC Exchange |
$385.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,975.18
|
|
|
Service Code
|
MS-DRG 818
|
| Min. Negotiated Rate |
$10,963.44 |
| Max. Negotiated Rate |
$20,975.18 |
| Rate for Payer: Aetna Medicare |
$12,002.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,425.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,425.58
|
| Rate for Payer: BCBS MAPPO |
$11,540.46
|
| Rate for Payer: BCBS Trust/PPO |
$20,975.18
|
| Rate for Payer: BCN Medicare Advantage |
$11,540.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,540.46
|
| Rate for Payer: Mclaren Medicare |
$11,540.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,117.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,271.53
|
| Rate for Payer: PACE Medicare |
$10,963.44
|
| Rate for Payer: PACE SWMI |
$11,540.46
|
| Rate for Payer: PHP Medicare Advantage |
$11,540.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,833.89
|
| Rate for Payer: Priority Health Medicare |
$11,540.46
|
| Rate for Payer: Priority Health Narrow Network |
$13,467.11
|
| Rate for Payer: Railroad Medicare Medicare |
$11,540.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,894.47
|
| Rate for Payer: UHC Core |
$14,673.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,540.46
|
| Rate for Payer: UHC Exchange |
$11,665.31
|
| Rate for Payer: UHC Medicare Advantage |
$11,886.67
|
| Rate for Payer: VA VA |
$11,540.46
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$34,397.77
|
|
|
Service Code
|
MS-DRG 817
|
| Min. Negotiated Rate |
$21,107.77 |
| Max. Negotiated Rate |
$34,397.77 |
| Rate for Payer: Aetna Medicare |
$23,107.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,773.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,773.39
|
| Rate for Payer: BCBS MAPPO |
$22,218.71
|
| Rate for Payer: BCBS Trust/PPO |
$32,893.86
|
| Rate for Payer: BCN Medicare Advantage |
$22,218.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,218.71
|
| Rate for Payer: Mclaren Medicare |
$22,218.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23,329.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,551.52
|
| Rate for Payer: PACE Medicare |
$21,107.77
|
| Rate for Payer: PACE SWMI |
$22,218.71
|
| Rate for Payer: PHP Medicare Advantage |
$22,218.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,359.07
|
| Rate for Payer: Priority Health Medicare |
$22,218.71
|
| Rate for Payer: Priority Health Narrow Network |
$25,887.26
|
| Rate for Payer: Railroad Medicare Medicare |
$22,218.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,397.77
|
| Rate for Payer: UHC Core |
$28,205.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,218.71
|
| Rate for Payer: UHC Exchange |
$22,423.72
|
| Rate for Payer: UHC Medicare Advantage |
$22,885.27
|
| Rate for Payer: VA VA |
$22,218.71
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,838.43
|
|
|
Service Code
|
MS-DRG 819
|
| Min. Negotiated Rate |
$7,128.10 |
| Max. Negotiated Rate |
$13,838.43 |
| Rate for Payer: Aetna Medicare |
$7,803.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,379.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,379.08
|
| Rate for Payer: BCBS MAPPO |
$7,503.26
|
| Rate for Payer: BCBS Trust/PPO |
$12,624.81
|
| Rate for Payer: BCN Medicare Advantage |
$7,503.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,503.26
|
| Rate for Payer: Mclaren Medicare |
$7,503.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,878.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,628.75
|
| Rate for Payer: PACE Medicare |
$7,128.10
|
| Rate for Payer: PACE SWMI |
$7,503.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,503.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,018.25
|
| Rate for Payer: Priority Health Medicare |
$7,503.26
|
| Rate for Payer: Priority Health Narrow Network |
$10,414.60
|
| Rate for Payer: Railroad Medicare Medicare |
$7,503.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,838.43
|
| Rate for Payer: UHC Core |
$11,347.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,503.26
|
| Rate for Payer: UHC Exchange |
$9,021.20
|
| Rate for Payer: UHC Medicare Advantage |
$7,728.36
|
| Rate for Payer: VA VA |
$7,503.26
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$11,252.88
|
|
|
Service Code
|
MS-DRG 832
|
| Min. Negotiated Rate |
$5,887.24 |
| Max. Negotiated Rate |
$11,252.88 |
| Rate for Payer: Aetna Medicare |
$6,444.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,746.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,746.38
|
| Rate for Payer: BCBS MAPPO |
$6,197.10
|
| Rate for Payer: BCBS Trust/PPO |
$9,812.87
|
| Rate for Payer: BCN Medicare Advantage |
$6,197.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,197.10
|
| Rate for Payer: Mclaren Medicare |
$6,197.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,506.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,126.66
|
| Rate for Payer: PACE Medicare |
$5,887.24
|
| Rate for Payer: PACE SWMI |
$6,197.10
|
| Rate for Payer: PHP Medicare Advantage |
$6,197.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,585.94
|
| Rate for Payer: Priority Health Medicare |
$6,197.10
|
| Rate for Payer: Priority Health Narrow Network |
$8,468.75
|
| Rate for Payer: Railroad Medicare Medicare |
$6,197.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,252.88
|
| Rate for Payer: UHC Core |
$9,227.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,197.10
|
| Rate for Payer: UHC Exchange |
$7,335.69
|
| Rate for Payer: UHC Medicare Advantage |
$6,383.01
|
| Rate for Payer: VA VA |
$6,197.10
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$15,429.21
|
|
|
Service Code
|
MS-DRG 831
|
| Min. Negotiated Rate |
$8,358.72 |
| Max. Negotiated Rate |
$15,429.21 |
| Rate for Payer: Aetna Medicare |
$9,150.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,998.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,998.31
|
| Rate for Payer: BCBS MAPPO |
$8,798.65
|
| Rate for Payer: BCBS Trust/PPO |
$15,429.21
|
| Rate for Payer: BCN Medicare Advantage |
$8,798.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,798.65
|
| Rate for Payer: Mclaren Medicare |
$8,798.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,238.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,118.45
|
| Rate for Payer: PACE Medicare |
$8,358.72
|
| Rate for Payer: PACE SWMI |
$8,798.65
|
| Rate for Payer: PHP Medicare Advantage |
$8,798.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,490.55
|
| Rate for Payer: Priority Health Medicare |
$8,798.65
|
| Rate for Payer: Priority Health Narrow Network |
$11,592.44
|
| Rate for Payer: Railroad Medicare Medicare |
$8,798.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,403.49
|
| Rate for Payer: UHC Core |
$12,630.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,798.65
|
| Rate for Payer: UHC Exchange |
$10,041.45
|
| Rate for Payer: UHC Medicare Advantage |
$9,062.61
|
| Rate for Payer: VA VA |
$8,798.65
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,807.00
|
|
|
Service Code
|
MS-DRG 833
|
| Min. Negotiated Rate |
$4,233.48 |
| Max. Negotiated Rate |
$7,807.00 |
| Rate for Payer: Aetna Medicare |
$4,634.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,570.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,570.38
|
| Rate for Payer: BCBS MAPPO |
$4,456.30
|
| Rate for Payer: BCBS Trust/PPO |
$6,299.84
|
| Rate for Payer: BCN Medicare Advantage |
$4,456.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,456.30
|
| Rate for Payer: Mclaren Medicare |
$4,456.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4,679.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,124.74
|
| Rate for Payer: PACE Medicare |
$4,233.48
|
| Rate for Payer: PACE SWMI |
$4,456.30
|
| Rate for Payer: PHP Medicare Advantage |
$4,456.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,344.29
|
| Rate for Payer: Priority Health Medicare |
$4,456.30
|
| Rate for Payer: Priority Health Narrow Network |
$5,875.43
|
| Rate for Payer: Railroad Medicare Medicare |
$4,456.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,807.00
|
| Rate for Payer: UHC Core |
$6,401.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,456.30
|
| Rate for Payer: UHC Exchange |
$5,089.34
|
| Rate for Payer: UHC Medicare Advantage |
$4,589.99
|
| Rate for Payer: VA VA |
$4,456.30
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$126,602.41
|
|
|
Service Code
|
MS-DRG 228
|
| Min. Negotiated Rate |
$37,373.70 |
| Max. Negotiated Rate |
$126,602.41 |
| Rate for Payer: Aetna Medicare |
$40,914.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,175.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,175.92
|
| Rate for Payer: BCBS MAPPO |
$39,340.74
|
| Rate for Payer: BCBS Trust/PPO |
$126,602.41
|
| Rate for Payer: BCN Medicare Advantage |
$39,340.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,340.74
|
| Rate for Payer: Mclaren Medicare |
$39,340.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41,307.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,241.85
|
| Rate for Payer: PACE Medicare |
$37,373.70
|
| Rate for Payer: PACE SWMI |
$39,340.74
|
| Rate for Payer: PHP Medicare Advantage |
$39,340.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,304.94
|
| Rate for Payer: Priority Health Medicare |
$39,340.74
|
| Rate for Payer: Priority Health Narrow Network |
$57,843.95
|
| Rate for Payer: Railroad Medicare Medicare |
$39,340.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76,860.33
|
| Rate for Payer: UHC Core |
$63,024.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,340.74
|
| Rate for Payer: UHC Exchange |
$50,104.83
|
| Rate for Payer: UHC Medicare Advantage |
$40,520.96
|
| Rate for Payer: VA VA |
$39,340.74
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$80,244.44
|
|
|
Service Code
|
MS-DRG 229
|
| Min. Negotiated Rate |
$23,763.73 |
| Max. Negotiated Rate |
$80,244.44 |
| Rate for Payer: Aetna Medicare |
$26,015.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,268.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,268.06
|
| Rate for Payer: BCBS MAPPO |
$25,014.45
|
| Rate for Payer: BCBS Trust/PPO |
$80,244.44
|
| Rate for Payer: BCN Medicare Advantage |
$25,014.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,014.45
|
| Rate for Payer: Mclaren Medicare |
$25,014.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,265.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,766.62
|
| Rate for Payer: PACE Medicare |
$23,763.73
|
| Rate for Payer: PACE SWMI |
$25,014.45
|
| Rate for Payer: PHP Medicare Advantage |
$25,014.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,627.01
|
| Rate for Payer: Priority Health Medicare |
$25,014.45
|
| Rate for Payer: Priority Health Narrow Network |
$36,501.61
|
| Rate for Payer: Railroad Medicare Medicare |
$25,014.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,501.62
|
| Rate for Payer: UHC Core |
$39,770.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,014.45
|
| Rate for Payer: UHC Exchange |
$31,617.94
|
| Rate for Payer: UHC Medicare Advantage |
$25,764.88
|
| Rate for Payer: VA VA |
$25,014.45
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,525.23
|
|
|
Service Code
|
MS-DRG 315
|
| Min. Negotiated Rate |
$7,568.07 |
| Max. Negotiated Rate |
$19,525.23 |
| Rate for Payer: Aetna Medicare |
$8,285.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,957.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,957.99
|
| Rate for Payer: BCBS MAPPO |
$7,966.39
|
| Rate for Payer: BCBS Trust/PPO |
$19,525.23
|
| Rate for Payer: BCN Medicare Advantage |
$7,966.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,966.39
|
| Rate for Payer: Mclaren Medicare |
$7,966.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,364.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,161.35
|
| Rate for Payer: PACE Medicare |
$7,568.07
|
| Rate for Payer: PACE SWMI |
$7,966.39
|
| Rate for Payer: PHP Medicare Advantage |
$7,966.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,880.68
|
| Rate for Payer: Priority Health Medicare |
$7,966.39
|
| Rate for Payer: Priority Health Narrow Network |
$11,104.54
|
| Rate for Payer: Railroad Medicare Medicare |
$7,966.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,755.19
|
| Rate for Payer: UHC Core |
$12,098.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,966.39
|
| Rate for Payer: UHC Exchange |
$9,618.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,205.38
|
| Rate for Payer: VA VA |
$7,966.39
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$35,728.41
|
|
|
Service Code
|
MS-DRG 314
|
| Min. Negotiated Rate |
$15,812.68 |
| Max. Negotiated Rate |
$35,728.41 |
| Rate for Payer: Aetna Medicare |
$17,310.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,806.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,806.16
|
| Rate for Payer: BCBS MAPPO |
$16,644.93
|
| Rate for Payer: BCBS Trust/PPO |
$35,728.41
|
| Rate for Payer: BCN Medicare Advantage |
$16,644.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,644.93
|
| Rate for Payer: Mclaren Medicare |
$16,644.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,477.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,141.67
|
| Rate for Payer: PACE Medicare |
$15,812.68
|
| Rate for Payer: PACE SWMI |
$16,644.93
|
| Rate for Payer: PHP Medicare Advantage |
$16,644.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,041.56
|
| Rate for Payer: Priority Health Medicare |
$16,644.93
|
| Rate for Payer: Priority Health Narrow Network |
$24,033.25
|
| Rate for Payer: Railroad Medicare Medicare |
$16,644.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,934.25
|
| Rate for Payer: UHC Core |
$26,185.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,644.93
|
| Rate for Payer: UHC Exchange |
$20,817.76
|
| Rate for Payer: UHC Medicare Advantage |
$17,144.28
|
| Rate for Payer: VA VA |
$16,644.93
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,850.84
|
|
|
Service Code
|
MS-DRG 316
|
| Min. Negotiated Rate |
$5,557.81 |
| Max. Negotiated Rate |
$11,850.84 |
| Rate for Payer: Aetna Medicare |
$6,084.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,312.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,312.91
|
| Rate for Payer: BCBS MAPPO |
$5,850.33
|
| Rate for Payer: BCBS Trust/PPO |
$11,850.84
|
| Rate for Payer: BCN Medicare Advantage |
$5,850.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,850.33
|
| Rate for Payer: Mclaren Medicare |
$5,850.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,142.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,727.88
|
| Rate for Payer: PACE Medicare |
$5,557.81
|
| Rate for Payer: PACE SWMI |
$5,850.33
|
| Rate for Payer: PHP Medicare Advantage |
$5,850.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,940.19
|
| Rate for Payer: Priority Health Medicare |
$5,850.33
|
| Rate for Payer: Priority Health Narrow Network |
$7,952.15
|
| Rate for Payer: Railroad Medicare Medicare |
$5,850.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,566.45
|
| Rate for Payer: UHC Core |
$8,664.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,850.33
|
| Rate for Payer: UHC Exchange |
$6,888.21
|
| Rate for Payer: UHC Medicare Advantage |
$6,025.84
|
| Rate for Payer: VA VA |
$5,850.33
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$53,160.40
|
|
|
Service Code
|
MS-DRG 264
|
| Min. Negotiated Rate |
$24,396.25 |
| Max. Negotiated Rate |
$53,160.40 |
| Rate for Payer: Aetna Medicare |
$26,707.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,100.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,100.32
|
| Rate for Payer: BCBS MAPPO |
$25,680.26
|
| Rate for Payer: BCBS Trust/PPO |
$53,160.40
|
| Rate for Payer: BCN Medicare Advantage |
$25,680.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,680.26
|
| Rate for Payer: Mclaren Medicare |
$25,680.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,964.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,532.30
|
| Rate for Payer: PACE Medicare |
$24,396.25
|
| Rate for Payer: PACE SWMI |
$25,680.26
|
| Rate for Payer: PHP Medicare Advantage |
$25,680.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,866.84
|
| Rate for Payer: Priority Health Medicare |
$25,680.26
|
| Rate for Payer: Priority Health Narrow Network |
$37,493.47
|
| Rate for Payer: Railroad Medicare Medicare |
$25,680.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,819.56
|
| Rate for Payer: UHC Core |
$40,851.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,680.26
|
| Rate for Payer: UHC Exchange |
$32,477.10
|
| Rate for Payer: UHC Medicare Advantage |
$26,450.67
|
| Rate for Payer: VA VA |
$25,680.26
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,474.71
|
|
|
Service Code
|
MS-DRG 394
|
| Min. Negotiated Rate |
$7,345.53 |
| Max. Negotiated Rate |
$17,474.71 |
| Rate for Payer: Aetna Medicare |
$8,041.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,665.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,665.18
|
| Rate for Payer: BCBS MAPPO |
$7,732.14
|
| Rate for Payer: BCBS Trust/PPO |
$17,474.71
|
| Rate for Payer: BCN Medicare Advantage |
$7,732.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,732.14
|
| Rate for Payer: Mclaren Medicare |
$7,732.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,118.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,891.96
|
| Rate for Payer: PACE Medicare |
$7,345.53
|
| Rate for Payer: PACE SWMI |
$7,732.14
|
| Rate for Payer: PHP Medicare Advantage |
$7,732.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,444.44
|
| Rate for Payer: Priority Health Medicare |
$7,732.14
|
| Rate for Payer: Priority Health Narrow Network |
$10,755.55
|
| Rate for Payer: Railroad Medicare Medicare |
$7,732.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,291.47
|
| Rate for Payer: UHC Core |
$11,718.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,732.14
|
| Rate for Payer: UHC Exchange |
$9,316.53
|
| Rate for Payer: UHC Medicare Advantage |
$7,964.10
|
| Rate for Payer: VA VA |
$7,732.14
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$27,760.01
|
|
|
Service Code
|
MS-DRG 393
|
| Min. Negotiated Rate |
$12,343.40 |
| Max. Negotiated Rate |
$27,760.01 |
| Rate for Payer: Aetna Medicare |
$13,512.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,241.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,241.31
|
| Rate for Payer: BCBS MAPPO |
$12,993.05
|
| Rate for Payer: BCBS Trust/PPO |
$27,760.01
|
| Rate for Payer: BCN Medicare Advantage |
$12,993.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,993.05
|
| Rate for Payer: Mclaren Medicare |
$12,993.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,642.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,942.01
|
| Rate for Payer: PACE Medicare |
$12,343.40
|
| Rate for Payer: PACE SWMI |
$12,993.05
|
| Rate for Payer: PHP Medicare Advantage |
$12,993.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,241.13
|
| Rate for Payer: Priority Health Medicare |
$12,993.05
|
| Rate for Payer: Priority Health Narrow Network |
$18,592.90
|
| Rate for Payer: Railroad Medicare Medicare |
$12,993.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,705.38
|
| Rate for Payer: UHC Core |
$20,257.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,993.05
|
| Rate for Payer: UHC Exchange |
$16,105.30
|
| Rate for Payer: UHC Medicare Advantage |
$13,382.84
|
| Rate for Payer: VA VA |
$12,993.05
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,107.42
|
|
|
Service Code
|
MS-DRG 395
|
| Min. Negotiated Rate |
$5,226.89 |
| Max. Negotiated Rate |
$14,107.42 |
| Rate for Payer: Aetna Medicare |
$5,722.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,877.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,877.49
|
| Rate for Payer: BCBS MAPPO |
$5,501.99
|
| Rate for Payer: BCBS Trust/PPO |
$14,107.42
|
| Rate for Payer: BCN Medicare Advantage |
$5,501.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,501.99
|
| Rate for Payer: Mclaren Medicare |
$5,501.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,777.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,327.29
|
| Rate for Payer: PACE Medicare |
$5,226.89
|
| Rate for Payer: PACE SWMI |
$5,501.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,501.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,291.57
|
| Rate for Payer: Priority Health Medicare |
$5,501.99
|
| Rate for Payer: Priority Health Narrow Network |
$7,433.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,501.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,876.97
|
| Rate for Payer: UHC Core |
$8,098.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,501.99
|
| Rate for Payer: UHC Exchange |
$6,438.74
|
| Rate for Payer: UHC Medicare Advantage |
$5,667.05
|
| Rate for Payer: VA VA |
$5,501.99
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$41,400.03
|
|
|
Service Code
|
MS-DRG 357
|
| Min. Negotiated Rate |
$16,568.91 |
| Max. Negotiated Rate |
$41,400.03 |
| Rate for Payer: Aetna Medicare |
$18,138.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,801.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,801.20
|
| Rate for Payer: BCBS MAPPO |
$17,440.96
|
| Rate for Payer: BCBS Trust/PPO |
$41,400.03
|
| Rate for Payer: BCN Medicare Advantage |
$17,440.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,440.96
|
| Rate for Payer: Mclaren Medicare |
$17,440.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,313.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,057.10
|
| Rate for Payer: PACE Medicare |
$16,568.91
|
| Rate for Payer: PACE SWMI |
$17,440.96
|
| Rate for Payer: PHP Medicare Advantage |
$17,440.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,523.90
|
| Rate for Payer: Priority Health Medicare |
$17,440.96
|
| Rate for Payer: Priority Health Narrow Network |
$25,219.12
|
| Rate for Payer: Railroad Medicare Medicare |
$17,440.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,509.99
|
| Rate for Payer: UHC Core |
$27,477.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,440.96
|
| Rate for Payer: UHC Exchange |
$21,844.98
|
| Rate for Payer: UHC Medicare Advantage |
$17,964.19
|
| Rate for Payer: VA VA |
$17,440.96
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,911.66
|
|
|
Service Code
|
MS-DRG 356
|
| Min. Negotiated Rate |
$31,809.94 |
| Max. Negotiated Rate |
$71,911.66 |
| Rate for Payer: Aetna Medicare |
$34,823.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,855.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,855.19
|
| Rate for Payer: BCBS MAPPO |
$33,484.15
|
| Rate for Payer: BCBS Trust/PPO |
$71,911.66
|
| Rate for Payer: BCN Medicare Advantage |
$33,484.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,484.15
|
| Rate for Payer: Mclaren Medicare |
$33,484.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35,158.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,506.77
|
| Rate for Payer: PACE Medicare |
$31,809.94
|
| Rate for Payer: PACE SWMI |
$33,484.15
|
| Rate for Payer: PHP Medicare Advantage |
$33,484.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,399.00
|
| Rate for Payer: Priority Health Medicare |
$33,484.15
|
| Rate for Payer: Priority Health Narrow Network |
$49,119.20
|
| Rate for Payer: Railroad Medicare Medicare |
$33,484.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65,267.29
|
| Rate for Payer: UHC Core |
$53,517.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,484.15
|
| Rate for Payer: UHC Exchange |
$42,547.39
|
| Rate for Payer: UHC Medicare Advantage |
$34,488.67
|
| Rate for Payer: VA VA |
$33,484.15
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,878.92
|
|
|
Service Code
|
MS-DRG 358
|
| Min. Negotiated Rate |
$9,865.33 |
| Max. Negotiated Rate |
$33,878.92 |
| Rate for Payer: Aetna Medicare |
$10,799.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,980.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,980.70
|
| Rate for Payer: BCBS MAPPO |
$10,384.56
|
| Rate for Payer: BCBS Trust/PPO |
$33,878.92
|
| Rate for Payer: BCN Medicare Advantage |
$10,384.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,384.56
|
| Rate for Payer: Mclaren Medicare |
$10,384.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,903.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,942.24
|
| Rate for Payer: PACE Medicare |
$9,865.33
|
| Rate for Payer: PACE SWMI |
$10,384.56
|
| Rate for Payer: PHP Medicare Advantage |
$10,384.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,383.68
|
| Rate for Payer: Priority Health Medicare |
$10,384.56
|
| Rate for Payer: Priority Health Narrow Network |
$14,706.94
|
| Rate for Payer: Railroad Medicare Medicare |
$10,384.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,541.90
|
| Rate for Payer: UHC Core |
$16,024.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,384.56
|
| Rate for Payer: UHC Exchange |
$12,739.26
|
| Rate for Payer: UHC Medicare Advantage |
$10,696.10
|
| Rate for Payer: VA VA |
$10,384.56
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$19,753.91
|
|
|
Service Code
|
MS-DRG 092
|
| Min. Negotiated Rate |
$7,998.52 |
| Max. Negotiated Rate |
$19,753.91 |
| Rate for Payer: Aetna Medicare |
$8,756.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,524.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,524.38
|
| Rate for Payer: BCBS MAPPO |
$8,419.50
|
| Rate for Payer: BCBS Trust/PPO |
$19,753.91
|
| Rate for Payer: BCN Medicare Advantage |
$8,419.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,419.50
|
| Rate for Payer: Mclaren Medicare |
$8,419.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,840.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,682.42
|
| Rate for Payer: PACE Medicare |
$7,998.52
|
| Rate for Payer: PACE SWMI |
$8,419.50
|
| Rate for Payer: PHP Medicare Advantage |
$8,419.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,724.45
|
| Rate for Payer: Priority Health Medicare |
$8,419.50
|
| Rate for Payer: Priority Health Narrow Network |
$11,779.56
|
| Rate for Payer: Railroad Medicare Medicare |
$8,419.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,652.13
|
| Rate for Payer: UHC Core |
$12,834.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,419.50
|
| Rate for Payer: UHC Exchange |
$10,203.54
|
| Rate for Payer: UHC Medicare Advantage |
$8,672.08
|
| Rate for Payer: VA VA |
$8,419.50
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$38,799.18
|
|
|
Service Code
|
MS-DRG 091
|
| Min. Negotiated Rate |
$13,585.00 |
| Max. Negotiated Rate |
$38,799.18 |
| Rate for Payer: Aetna Medicare |
$14,872.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,875.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,875.00
|
| Rate for Payer: BCBS MAPPO |
$14,300.00
|
| Rate for Payer: BCBS Trust/PPO |
$38,799.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,300.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,300.00
|
| Rate for Payer: Mclaren Medicare |
$14,300.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,015.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,445.00
|
| Rate for Payer: PACE Medicare |
$13,585.00
|
| Rate for Payer: PACE SWMI |
$14,300.00
|
| Rate for Payer: PHP Medicare Advantage |
$14,300.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,674.88
|
| Rate for Payer: Priority Health Medicare |
$14,300.00
|
| Rate for Payer: Priority Health Narrow Network |
$20,539.90
|
| Rate for Payer: Railroad Medicare Medicare |
$14,300.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,292.46
|
| Rate for Payer: UHC Core |
$22,379.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,300.00
|
| Rate for Payer: UHC Exchange |
$17,791.80
|
| Rate for Payer: UHC Medicare Advantage |
$14,729.00
|
| Rate for Payer: VA VA |
$14,300.00
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$17,896.87
|
|
|
Service Code
|
MS-DRG 093
|
| Min. Negotiated Rate |
$6,155.90 |
| Max. Negotiated Rate |
$17,896.87 |
| Rate for Payer: Aetna Medicare |
$6,739.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,099.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,099.88
|
| Rate for Payer: BCBS MAPPO |
$6,479.90
|
| Rate for Payer: BCBS Trust/PPO |
$17,896.87
|
| Rate for Payer: BCN Medicare Advantage |
$6,479.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,479.90
|
| Rate for Payer: Mclaren Medicare |
$6,479.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,803.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,451.88
|
| Rate for Payer: PACE Medicare |
$6,155.90
|
| Rate for Payer: PACE SWMI |
$6,479.90
|
| Rate for Payer: PHP Medicare Advantage |
$6,479.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,112.58
|
| Rate for Payer: Priority Health Medicare |
$6,479.90
|
| Rate for Payer: Priority Health Narrow Network |
$8,890.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,479.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,812.70
|
| Rate for Payer: UHC Core |
$9,686.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,479.90
|
| Rate for Payer: UHC Exchange |
$7,700.63
|
| Rate for Payer: UHC Medicare Advantage |
$6,674.30
|
| Rate for Payer: VA VA |
$6,479.90
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$24,159.02
|
|
|
Service Code
|
MS-DRG 124
|
| Min. Negotiated Rate |
$10,164.03 |
| Max. Negotiated Rate |
$24,159.02 |
| Rate for Payer: Aetna Medicare |
$11,126.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,373.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,373.72
|
| Rate for Payer: BCBS MAPPO |
$10,698.98
|
| Rate for Payer: BCBS Trust/PPO |
$24,159.02
|
| Rate for Payer: BCN Medicare Advantage |
$10,698.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,698.98
|
| Rate for Payer: Mclaren Medicare |
$10,698.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,233.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,303.83
|
| Rate for Payer: PACE Medicare |
$10,164.03
|
| Rate for Payer: PACE SWMI |
$10,698.98
|
| Rate for Payer: PHP Medicare Advantage |
$10,698.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,969.16
|
| Rate for Payer: Priority Health Medicare |
$10,698.98
|
| Rate for Payer: Priority Health Narrow Network |
$15,175.33
|
| Rate for Payer: Railroad Medicare Medicare |
$10,698.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,164.26
|
| Rate for Payer: UHC Core |
$16,534.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,698.98
|
| Rate for Payer: UHC Exchange |
$13,144.97
|
| Rate for Payer: UHC Medicare Advantage |
$11,019.95
|
| Rate for Payer: VA VA |
$10,698.98
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$13,552.07
|
|
|
Service Code
|
MS-DRG 125
|
| Min. Negotiated Rate |
$6,325.01 |
| Max. Negotiated Rate |
$13,552.07 |
| Rate for Payer: Aetna Medicare |
$6,924.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,322.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,322.39
|
| Rate for Payer: BCBS MAPPO |
$6,657.91
|
| Rate for Payer: BCBS Trust/PPO |
$13,552.07
|
| Rate for Payer: BCN Medicare Advantage |
$6,657.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,657.91
|
| Rate for Payer: Mclaren Medicare |
$6,657.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,990.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,656.60
|
| Rate for Payer: PACE Medicare |
$6,325.01
|
| Rate for Payer: PACE SWMI |
$6,657.91
|
| Rate for Payer: PHP Medicare Advantage |
$6,657.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,444.06
|
| Rate for Payer: Priority Health Medicare |
$6,657.91
|
| Rate for Payer: Priority Health Narrow Network |
$9,155.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,657.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,165.07
|
| Rate for Payer: UHC Core |
$9,975.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,657.91
|
| Rate for Payer: UHC Exchange |
$7,930.34
|
| Rate for Payer: UHC Medicare Advantage |
$6,857.65
|
| Rate for Payer: VA VA |
$6,657.91
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$21,286.78
|
|
|
Service Code
|
MS-DRG 155
|
| Min. Negotiated Rate |
$7,416.54 |
| Max. Negotiated Rate |
$21,286.78 |
| Rate for Payer: Aetna Medicare |
$8,119.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,758.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,758.60
|
| Rate for Payer: BCBS MAPPO |
$7,806.88
|
| Rate for Payer: BCBS Trust/PPO |
$21,286.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,806.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,806.88
|
| Rate for Payer: Mclaren Medicare |
$7,806.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,197.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,977.91
|
| Rate for Payer: PACE Medicare |
$7,416.54
|
| Rate for Payer: PACE SWMI |
$7,806.88
|
| Rate for Payer: PHP Medicare Advantage |
$7,806.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,583.63
|
| Rate for Payer: Priority Health Medicare |
$7,806.88
|
| Rate for Payer: Priority Health Narrow Network |
$10,866.90
|
| Rate for Payer: Railroad Medicare Medicare |
$7,806.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,439.44
|
| Rate for Payer: UHC Core |
$11,840.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,806.88
|
| Rate for Payer: UHC Exchange |
$9,412.99
|
| Rate for Payer: UHC Medicare Advantage |
$8,041.09
|
| Rate for Payer: VA VA |
$7,806.88
|
|
