|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$23,463.70
|
|
|
Service Code
|
MS-DRG 154
|
| Min. Negotiated Rate |
$11,747.49 |
| Max. Negotiated Rate |
$23,463.70 |
| Rate for Payer: Aetna Medicare |
$12,860.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,457.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,457.22
|
| Rate for Payer: BCBS MAPPO |
$12,365.78
|
| Rate for Payer: BCBS Trust/PPO |
$22,980.47
|
| Rate for Payer: BCN Medicare Advantage |
$12,365.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,365.78
|
| Rate for Payer: Mclaren Medicare |
$12,365.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,984.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,220.65
|
| Rate for Payer: PACE Medicare |
$11,747.49
|
| Rate for Payer: PACE SWMI |
$12,365.78
|
| Rate for Payer: PHP Medicare Advantage |
$12,365.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,073.05
|
| Rate for Payer: Priority Health Medicare |
$12,365.78
|
| Rate for Payer: Priority Health Narrow Network |
$17,658.44
|
| Rate for Payer: Railroad Medicare Medicare |
$12,365.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,463.70
|
| Rate for Payer: UHC Core |
$19,239.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,365.78
|
| Rate for Payer: UHC Exchange |
$15,295.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,736.75
|
| Rate for Payer: VA VA |
$12,365.78
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,787.88
|
|
|
Service Code
|
MS-DRG 156
|
| Min. Negotiated Rate |
$5,285.48 |
| Max. Negotiated Rate |
$10,787.88 |
| Rate for Payer: Aetna Medicare |
$5,786.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,954.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,954.58
|
| Rate for Payer: BCBS MAPPO |
$5,563.66
|
| Rate for Payer: BCBS Trust/PPO |
$10,787.88
|
| Rate for Payer: BCN Medicare Advantage |
$5,563.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,563.66
|
| Rate for Payer: Mclaren Medicare |
$5,563.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,841.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,398.21
|
| Rate for Payer: PACE Medicare |
$5,285.48
|
| Rate for Payer: PACE SWMI |
$5,563.66
|
| Rate for Payer: PHP Medicare Advantage |
$5,563.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,406.37
|
| Rate for Payer: Priority Health Medicare |
$5,563.66
|
| Rate for Payer: Priority Health Narrow Network |
$7,525.10
|
| Rate for Payer: Railroad Medicare Medicare |
$5,563.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,999.00
|
| Rate for Payer: UHC Core |
$8,198.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,563.66
|
| Rate for Payer: UHC Exchange |
$6,518.29
|
| Rate for Payer: UHC Medicare Advantage |
$5,730.57
|
| Rate for Payer: VA VA |
$5,563.66
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,760.81
|
|
|
Service Code
|
MS-DRG 144
|
| Min. Negotiated Rate |
$13,155.26 |
| Max. Negotiated Rate |
$33,760.81 |
| Rate for Payer: Aetna Medicare |
$14,401.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,309.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,309.55
|
| Rate for Payer: BCBS MAPPO |
$13,847.64
|
| Rate for Payer: BCBS Trust/PPO |
$33,760.81
|
| Rate for Payer: BCN Medicare Advantage |
$13,847.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,847.64
|
| Rate for Payer: Mclaren Medicare |
$13,847.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,540.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,924.79
|
| Rate for Payer: PACE Medicare |
$13,155.26
|
| Rate for Payer: PACE SWMI |
$13,847.64
|
| Rate for Payer: PHP Medicare Advantage |
$13,847.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,832.54
|
| Rate for Payer: Priority Health Medicare |
$13,847.64
|
| Rate for Payer: Priority Health Narrow Network |
$19,866.03
|
| Rate for Payer: Railroad Medicare Medicare |
$13,847.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,397.05
|
| Rate for Payer: UHC Core |
$21,645.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,847.64
|
| Rate for Payer: UHC Exchange |
$17,208.09
|
| Rate for Payer: UHC Medicare Advantage |
$14,263.07
|
| Rate for Payer: VA VA |
$13,847.64
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$77,925.03
|
|
|
Service Code
|
MS-DRG 143
|
| Min. Negotiated Rate |
$24,832.55 |
| Max. Negotiated Rate |
$77,925.03 |
| Rate for Payer: Aetna Medicare |
$27,185.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,674.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,674.41
|
| Rate for Payer: BCBS MAPPO |
$26,139.53
|
| Rate for Payer: BCBS Trust/PPO |
$77,925.03
|
| Rate for Payer: BCN Medicare Advantage |
$26,139.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,139.53
|
| Rate for Payer: Mclaren Medicare |
$26,139.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27,446.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,060.46
|
| Rate for Payer: PACE Medicare |
$24,832.55
|
| Rate for Payer: PACE SWMI |
$26,139.53
|
| Rate for Payer: PHP Medicare Advantage |
$26,139.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,722.09
|
| Rate for Payer: Priority Health Medicare |
$26,139.53
|
| Rate for Payer: Priority Health Narrow Network |
$38,177.67
|
| Rate for Payer: Railroad Medicare Medicare |
$26,139.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,728.70
|
| Rate for Payer: UHC Core |
$41,596.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,139.53
|
| Rate for Payer: UHC Exchange |
$33,069.77
|
| Rate for Payer: UHC Medicare Advantage |
$26,923.72
|
| Rate for Payer: VA VA |
$26,139.53
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,395.50
|
|
|
Service Code
|
MS-DRG 145
|
| Min. Negotiated Rate |
$9,426.08 |
| Max. Negotiated Rate |
$26,395.50 |
| Rate for Payer: Aetna Medicare |
$10,319.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,402.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,402.74
|
| Rate for Payer: BCBS MAPPO |
$9,922.19
|
| Rate for Payer: BCBS Trust/PPO |
$26,395.50
|
| Rate for Payer: BCN Medicare Advantage |
$9,922.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,922.19
|
| Rate for Payer: Mclaren Medicare |
$9,922.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,418.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,410.52
|
| Rate for Payer: PACE Medicare |
$9,426.08
|
| Rate for Payer: PACE SWMI |
$9,922.19
|
| Rate for Payer: PHP Medicare Advantage |
$9,922.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,522.69
|
| Rate for Payer: Priority Health Medicare |
$9,922.19
|
| Rate for Payer: Priority Health Narrow Network |
$14,018.15
|
| Rate for Payer: Railroad Medicare Medicare |
$9,922.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,626.66
|
| Rate for Payer: UHC Core |
$15,273.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,922.19
|
| Rate for Payer: UHC Exchange |
$12,142.62
|
| Rate for Payer: UHC Medicare Advantage |
$10,219.86
|
| Rate for Payer: VA VA |
$9,922.19
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$34,516.75
|
|
|
Service Code
|
MS-DRG 629
|
| Min. Negotiated Rate |
$17,052.09 |
| Max. Negotiated Rate |
$34,516.75 |
| Rate for Payer: Aetna Medicare |
$18,667.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,436.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,436.96
|
| Rate for Payer: BCBS MAPPO |
$17,949.57
|
| Rate for Payer: BCBS Trust/PPO |
$31,366.02
|
| Rate for Payer: BCN Medicare Advantage |
$17,949.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,949.57
|
| Rate for Payer: Mclaren Medicare |
$17,949.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,847.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,642.01
|
| Rate for Payer: PACE Medicare |
$17,052.09
|
| Rate for Payer: PACE SWMI |
$17,949.57
|
| Rate for Payer: PHP Medicare Advantage |
$17,949.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,471.00
|
| Rate for Payer: Priority Health Medicare |
$17,949.57
|
| Rate for Payer: Priority Health Narrow Network |
$25,976.80
|
| Rate for Payer: Railroad Medicare Medicare |
$17,949.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,516.75
|
| Rate for Payer: UHC Core |
$28,303.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,949.57
|
| Rate for Payer: UHC Exchange |
$22,501.28
|
| Rate for Payer: UHC Medicare Advantage |
$18,488.06
|
| Rate for Payer: VA VA |
$17,949.57
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,237.18
|
|
|
Service Code
|
MS-DRG 628
|
| Min. Negotiated Rate |
$29,875.82 |
| Max. Negotiated Rate |
$61,237.18 |
| Rate for Payer: Aetna Medicare |
$32,706.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,310.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,310.29
|
| Rate for Payer: BCBS MAPPO |
$31,448.23
|
| Rate for Payer: BCBS Trust/PPO |
$54,205.77
|
| Rate for Payer: BCN Medicare Advantage |
$31,448.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,448.23
|
| Rate for Payer: Mclaren Medicare |
$31,448.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33,020.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,165.46
|
| Rate for Payer: PACE Medicare |
$29,875.82
|
| Rate for Payer: PACE SWMI |
$31,448.23
|
| Rate for Payer: PHP Medicare Advantage |
$31,448.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,607.75
|
| Rate for Payer: Priority Health Medicare |
$31,448.23
|
| Rate for Payer: Priority Health Narrow Network |
$46,086.20
|
| Rate for Payer: Railroad Medicare Medicare |
$31,448.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,237.18
|
| Rate for Payer: UHC Core |
$50,213.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,448.23
|
| Rate for Payer: UHC Exchange |
$39,920.19
|
| Rate for Payer: UHC Medicare Advantage |
$32,391.68
|
| Rate for Payer: VA VA |
$31,448.23
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,910.78
|
|
|
Service Code
|
MS-DRG 630
|
| Min. Negotiated Rate |
$10,708.67 |
| Max. Negotiated Rate |
$27,910.78 |
| Rate for Payer: Aetna Medicare |
$11,723.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,090.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,090.35
|
| Rate for Payer: BCBS MAPPO |
$11,272.28
|
| Rate for Payer: BCBS Trust/PPO |
$27,910.78
|
| Rate for Payer: BCN Medicare Advantage |
$11,272.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,272.28
|
| Rate for Payer: Mclaren Medicare |
$11,272.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,835.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,963.12
|
| Rate for Payer: PACE Medicare |
$10,708.67
|
| Rate for Payer: PACE SWMI |
$11,272.28
|
| Rate for Payer: PHP Medicare Advantage |
$11,272.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,036.79
|
| Rate for Payer: Priority Health Medicare |
$11,272.28
|
| Rate for Payer: Priority Health Narrow Network |
$16,029.43
|
| Rate for Payer: Railroad Medicare Medicare |
$11,272.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,299.16
|
| Rate for Payer: UHC Core |
$17,464.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,272.28
|
| Rate for Payer: UHC Exchange |
$13,884.81
|
| Rate for Payer: UHC Medicare Advantage |
$11,610.45
|
| Rate for Payer: VA VA |
$11,272.28
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,675.98
|
|
|
Service Code
|
MS-DRG 319
|
| Min. Negotiated Rate |
$32,419.04 |
| Max. Negotiated Rate |
$75,675.98 |
| Rate for Payer: Aetna Medicare |
$35,490.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,656.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,656.62
|
| Rate for Payer: BCBS MAPPO |
$34,125.30
|
| Rate for Payer: BCBS Trust/PPO |
$75,675.98
|
| Rate for Payer: BCN Medicare Advantage |
$34,125.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,125.30
|
| Rate for Payer: Mclaren Medicare |
$34,125.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35,831.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,244.10
|
| Rate for Payer: PACE Medicare |
$32,419.04
|
| Rate for Payer: PACE SWMI |
$34,125.30
|
| Rate for Payer: PHP Medicare Advantage |
$34,125.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62,592.92
|
| Rate for Payer: Priority Health Medicare |
$34,125.30
|
| Rate for Payer: Priority Health Narrow Network |
$50,074.34
|
| Rate for Payer: Railroad Medicare Medicare |
$34,125.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66,536.42
|
| Rate for Payer: UHC Core |
$54,558.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,125.30
|
| Rate for Payer: UHC Exchange |
$43,374.73
|
| Rate for Payer: UHC Medicare Advantage |
$35,149.06
|
| Rate for Payer: VA VA |
$34,125.30
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$59,580.86
|
|
|
Service Code
|
MS-DRG 320
|
| Min. Negotiated Rate |
$16,782.69 |
| Max. Negotiated Rate |
$59,580.86 |
| Rate for Payer: Aetna Medicare |
$18,372.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,082.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,082.49
|
| Rate for Payer: BCBS MAPPO |
$17,665.99
|
| Rate for Payer: BCBS Trust/PPO |
$59,580.86
|
| Rate for Payer: BCN Medicare Advantage |
$17,665.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,665.99
|
| Rate for Payer: Mclaren Medicare |
$17,665.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,549.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,315.89
|
| Rate for Payer: PACE Medicare |
$16,782.69
|
| Rate for Payer: PACE SWMI |
$17,665.99
|
| Rate for Payer: PHP Medicare Advantage |
$17,665.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,942.92
|
| Rate for Payer: Priority Health Medicare |
$17,665.99
|
| Rate for Payer: Priority Health Narrow Network |
$25,554.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17,665.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,955.40
|
| Rate for Payer: UHC Core |
$27,842.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,665.99
|
| Rate for Payer: UHC Exchange |
$22,135.34
|
| Rate for Payer: UHC Medicare Advantage |
$18,195.97
|
| Rate for Payer: VA VA |
$17,665.99
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,999.86
|
|
|
Service Code
|
MS-DRG 951
|
| Min. Negotiated Rate |
$4,805.96 |
| Max. Negotiated Rate |
$8,999.86 |
| Rate for Payer: Aetna Medicare |
$5,261.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,323.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,323.64
|
| Rate for Payer: BCBS MAPPO |
$5,058.91
|
| Rate for Payer: BCBS Trust/PPO |
$7,624.14
|
| Rate for Payer: BCN Medicare Advantage |
$5,058.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,058.91
|
| Rate for Payer: Mclaren Medicare |
$5,058.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,311.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,817.75
|
| Rate for Payer: PACE Medicare |
$4,805.96
|
| Rate for Payer: PACE SWMI |
$5,058.91
|
| Rate for Payer: PHP Medicare Advantage |
$5,058.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,466.45
|
| Rate for Payer: Priority Health Medicare |
$5,058.91
|
| Rate for Payer: Priority Health Narrow Network |
$6,773.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5,058.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,999.86
|
| Rate for Payer: UHC Core |
$7,379.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,058.91
|
| Rate for Payer: UHC Exchange |
$5,866.96
|
| Rate for Payer: UHC Medicare Advantage |
$5,210.68
|
| Rate for Payer: VA VA |
$5,058.91
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$41,573.42
|
|
|
Service Code
|
MS-DRG 749
|
| Min. Negotiated Rate |
$18,914.48 |
| Max. Negotiated Rate |
$41,573.42 |
| Rate for Payer: Aetna Medicare |
$20,706.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,887.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,887.48
|
| Rate for Payer: BCBS MAPPO |
$19,909.98
|
| Rate for Payer: BCBS Trust/PPO |
$41,573.42
|
| Rate for Payer: BCN Medicare Advantage |
$19,909.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,909.98
|
| Rate for Payer: Mclaren Medicare |
$19,909.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,905.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,896.48
|
| Rate for Payer: PACE Medicare |
$18,914.48
|
| Rate for Payer: PACE SWMI |
$19,909.98
|
| Rate for Payer: PHP Medicare Advantage |
$19,909.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,121.62
|
| Rate for Payer: Priority Health Medicare |
$19,909.98
|
| Rate for Payer: Priority Health Narrow Network |
$28,897.30
|
| Rate for Payer: Railroad Medicare Medicare |
$19,909.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,397.37
|
| Rate for Payer: UHC Core |
$31,485.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,909.98
|
| Rate for Payer: UHC Exchange |
$25,031.04
|
| Rate for Payer: UHC Medicare Advantage |
$20,507.28
|
| Rate for Payer: VA VA |
$19,909.98
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,462.81
|
|
|
Service Code
|
MS-DRG 750
|
| Min. Negotiated Rate |
$10,442.93 |
| Max. Negotiated Rate |
$22,462.81 |
| Rate for Payer: Aetna Medicare |
$11,432.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,740.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,740.70
|
| Rate for Payer: BCBS MAPPO |
$10,992.56
|
| Rate for Payer: BCBS Trust/PPO |
$22,462.81
|
| Rate for Payer: BCN Medicare Advantage |
$10,992.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,992.56
|
| Rate for Payer: Mclaren Medicare |
$10,992.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,542.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,641.44
|
| Rate for Payer: PACE Medicare |
$10,442.93
|
| Rate for Payer: PACE SWMI |
$10,992.56
|
| Rate for Payer: PHP Medicare Advantage |
$10,992.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,515.89
|
| Rate for Payer: Priority Health Medicare |
$10,992.56
|
| Rate for Payer: Priority Health Narrow Network |
$15,612.71
|
| Rate for Payer: Railroad Medicare Medicare |
$10,992.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,745.44
|
| Rate for Payer: UHC Core |
$17,010.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,992.56
|
| Rate for Payer: UHC Exchange |
$13,523.84
|
| Rate for Payer: UHC Medicare Advantage |
$11,322.34
|
| Rate for Payer: VA VA |
$10,992.56
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$188,565.50
|
|
|
Service Code
|
MS-DRG 215
|
| Min. Negotiated Rate |
$75,266.55 |
| Max. Negotiated Rate |
$188,565.50 |
| Rate for Payer: Aetna Medicare |
$82,397.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99,034.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99,034.94
|
| Rate for Payer: BCBS MAPPO |
$79,227.95
|
| Rate for Payer: BCBS Trust/PPO |
$188,565.50
|
| Rate for Payer: BCN Medicare Advantage |
$79,227.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79,227.95
|
| Rate for Payer: Mclaren Medicare |
$79,227.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83,189.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91,112.14
|
| Rate for Payer: PACE Medicare |
$75,266.55
|
| Rate for Payer: PACE SWMI |
$79,227.95
|
| Rate for Payer: PHP Medicare Advantage |
$79,227.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146,581.56
|
| Rate for Payer: Priority Health Medicare |
$79,227.95
|
| Rate for Payer: Priority Health Narrow Network |
$117,265.25
|
| Rate for Payer: Railroad Medicare Medicare |
$79,227.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155,816.56
|
| Rate for Payer: UHC Core |
$127,766.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$79,227.95
|
| Rate for Payer: UHC Exchange |
$101,575.97
|
| Rate for Payer: UHC Medicare Advantage |
$81,604.79
|
| Rate for Payer: VA VA |
$79,227.95
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$43,395.27
|
|
|
Service Code
|
MS-DRG 424
|
| Min. Negotiated Rate |
$16,092.33 |
| Max. Negotiated Rate |
$43,395.27 |
| 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 |
$43,395.27
|
| 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 |
$29,952.59
|
| Rate for Payer: Priority Health Medicare |
$16,939.29
|
| Rate for Payer: Priority Health Narrow Network |
$23,962.07
|
| Rate for Payer: Railroad Medicare Medicare |
$16,939.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,839.67
|
| Rate for Payer: UHC Core |
$26,107.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,939.29
|
| Rate for Payer: UHC Exchange |
$20,756.11
|
| Rate for Payer: UHC Medicare Advantage |
$17,447.47
|
| Rate for Payer: VA VA |
$16,939.29
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$81,938.13
|
|
|
Service Code
|
MS-DRG 423
|
| Min. Negotiated Rate |
$29,117.38 |
| Max. Negotiated Rate |
$81,938.13 |
| Rate for Payer: Aetna Medicare |
$31,875.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,312.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,312.34
|
| Rate for Payer: BCBS MAPPO |
$30,649.87
|
| Rate for Payer: BCBS Trust/PPO |
$81,938.13
|
| Rate for Payer: BCN Medicare Advantage |
$30,649.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,649.87
|
| Rate for Payer: Mclaren Medicare |
$30,649.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32,182.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,247.35
|
| Rate for Payer: PACE Medicare |
$29,117.38
|
| Rate for Payer: PACE SWMI |
$30,649.87
|
| Rate for Payer: PHP Medicare Advantage |
$30,649.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,121.10
|
| Rate for Payer: Priority Health Medicare |
$30,649.87
|
| Rate for Payer: Priority Health Narrow Network |
$44,896.88
|
| Rate for Payer: Railroad Medicare Medicare |
$30,649.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,656.87
|
| Rate for Payer: UHC Core |
$48,917.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,649.87
|
| Rate for Payer: UHC Exchange |
$38,889.99
|
| Rate for Payer: UHC Medicare Advantage |
$31,569.37
|
| Rate for Payer: VA VA |
$30,649.87
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,303.46
|
|
|
Service Code
|
MS-DRG 425
|
| Min. Negotiated Rate |
$12,213.81 |
| Max. Negotiated Rate |
$33,303.46 |
| Rate for Payer: Aetna Medicare |
$13,370.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,070.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,070.80
|
| Rate for Payer: BCBS MAPPO |
$12,856.64
|
| Rate for Payer: BCBS Trust/PPO |
$33,303.46
|
| Rate for Payer: BCN Medicare Advantage |
$12,856.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,856.64
|
| Rate for Payer: Mclaren Medicare |
$12,856.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,499.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,785.14
|
| Rate for Payer: PACE Medicare |
$12,213.81
|
| Rate for Payer: PACE SWMI |
$12,856.64
|
| Rate for Payer: PHP Medicare Advantage |
$12,856.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,987.14
|
| Rate for Payer: Priority Health Medicare |
$12,856.64
|
| Rate for Payer: Priority Health Narrow Network |
$18,389.71
|
| Rate for Payer: Railroad Medicare Medicare |
$12,856.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,435.38
|
| Rate for Payer: UHC Core |
$20,036.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,856.64
|
| Rate for Payer: UHC Exchange |
$15,929.29
|
| Rate for Payer: UHC Medicare Advantage |
$13,242.34
|
| Rate for Payer: VA VA |
$12,856.64
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$21,673.76
|
|
|
Service Code
|
MS-DRG 868
|
| Min. Negotiated Rate |
$8,433.38 |
| Max. Negotiated Rate |
$21,673.76 |
| Rate for Payer: Aetna Medicare |
$9,232.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,096.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,096.55
|
| Rate for Payer: BCBS MAPPO |
$8,877.24
|
| Rate for Payer: BCBS Trust/PPO |
$21,673.76
|
| Rate for Payer: BCN Medicare Advantage |
$8,877.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,877.24
|
| Rate for Payer: Mclaren Medicare |
$8,877.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,321.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,208.83
|
| Rate for Payer: PACE Medicare |
$8,433.38
|
| Rate for Payer: PACE SWMI |
$8,877.24
|
| Rate for Payer: PHP Medicare Advantage |
$8,877.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,576.84
|
| Rate for Payer: Priority Health Medicare |
$8,877.24
|
| Rate for Payer: Priority Health Narrow Network |
$12,461.47
|
| Rate for Payer: Railroad Medicare Medicare |
$8,877.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,558.22
|
| Rate for Payer: UHC Core |
$13,577.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,877.24
|
| Rate for Payer: UHC Exchange |
$10,794.21
|
| Rate for Payer: UHC Medicare Advantage |
$9,143.56
|
| Rate for Payer: VA VA |
$8,877.24
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$56,834.26
|
|
|
Service Code
|
MS-DRG 867
|
| Min. Negotiated Rate |
$15,803.91 |
| Max. Negotiated Rate |
$56,834.26 |
| Rate for Payer: Aetna Medicare |
$17,301.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,794.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,794.61
|
| Rate for Payer: BCBS MAPPO |
$16,635.69
|
| Rate for Payer: BCBS Trust/PPO |
$56,834.26
|
| Rate for Payer: BCN Medicare Advantage |
$16,635.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,635.69
|
| Rate for Payer: Mclaren Medicare |
$16,635.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,467.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,131.04
|
| Rate for Payer: PACE Medicare |
$15,803.91
|
| Rate for Payer: PACE SWMI |
$16,635.69
|
| Rate for Payer: PHP Medicare Advantage |
$16,635.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,024.34
|
| Rate for Payer: Priority Health Medicare |
$16,635.69
|
| Rate for Payer: Priority Health Narrow Network |
$24,019.47
|
| Rate for Payer: Railroad Medicare Medicare |
$16,635.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,915.94
|
| Rate for Payer: UHC Core |
$26,170.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,635.69
|
| Rate for Payer: UHC Exchange |
$20,805.83
|
| Rate for Payer: UHC Medicare Advantage |
$17,134.76
|
| Rate for Payer: VA VA |
$16,635.69
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,234.01
|
|
|
Service Code
|
MS-DRG 869
|
| Min. Negotiated Rate |
$5,543.16 |
| Max. Negotiated Rate |
$21,234.01 |
| Rate for Payer: Aetna Medicare |
$6,068.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,293.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,293.62
|
| Rate for Payer: BCBS MAPPO |
$5,834.90
|
| Rate for Payer: BCBS Trust/PPO |
$21,234.01
|
| Rate for Payer: BCN Medicare Advantage |
$5,834.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,834.90
|
| Rate for Payer: Mclaren Medicare |
$5,834.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,126.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,710.14
|
| Rate for Payer: PACE Medicare |
$5,543.16
|
| Rate for Payer: PACE SWMI |
$5,834.90
|
| Rate for Payer: PHP Medicare Advantage |
$5,834.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,911.49
|
| Rate for Payer: Priority Health Medicare |
$5,834.90
|
| Rate for Payer: Priority Health Narrow Network |
$7,929.19
|
| Rate for Payer: Railroad Medicare Medicare |
$5,834.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,535.94
|
| Rate for Payer: UHC Core |
$8,639.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,834.90
|
| Rate for Payer: UHC Exchange |
$6,868.32
|
| Rate for Payer: UHC Medicare Advantage |
$6,009.95
|
| Rate for Payer: VA VA |
$5,834.90
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$77,578.25
|
|
|
Service Code
|
MS-DRG 922
|
| Min. Negotiated Rate |
$13,260.68 |
| Max. Negotiated Rate |
$77,578.25 |
| Rate for Payer: Aetna Medicare |
$14,516.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,448.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,448.26
|
| Rate for Payer: BCBS MAPPO |
$13,958.61
|
| Rate for Payer: BCBS Trust/PPO |
$77,578.25
|
| Rate for Payer: BCN Medicare Advantage |
$13,958.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,958.61
|
| Rate for Payer: Mclaren Medicare |
$13,958.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,656.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,052.40
|
| Rate for Payer: PACE Medicare |
$13,260.68
|
| Rate for Payer: PACE SWMI |
$13,958.61
|
| Rate for Payer: PHP Medicare Advantage |
$13,958.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,039.18
|
| Rate for Payer: Priority Health Medicare |
$13,958.61
|
| Rate for Payer: Priority Health Narrow Network |
$20,031.34
|
| Rate for Payer: Railroad Medicare Medicare |
$13,958.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,616.70
|
| Rate for Payer: UHC Core |
$21,825.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,958.61
|
| Rate for Payer: UHC Exchange |
$17,351.29
|
| Rate for Payer: UHC Medicare Advantage |
$14,377.37
|
| Rate for Payer: VA VA |
$13,958.61
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$21,384.78
|
|
|
Service Code
|
MS-DRG 923
|
| Min. Negotiated Rate |
$7,890.92 |
| Max. Negotiated Rate |
$21,384.78 |
| Rate for Payer: Aetna Medicare |
$8,638.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,382.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,382.79
|
| Rate for Payer: BCBS MAPPO |
$8,306.23
|
| Rate for Payer: BCBS Trust/PPO |
$21,384.78
|
| Rate for Payer: BCN Medicare Advantage |
$8,306.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,306.23
|
| Rate for Payer: Mclaren Medicare |
$8,306.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,721.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,552.16
|
| Rate for Payer: PACE Medicare |
$7,890.92
|
| Rate for Payer: PACE SWMI |
$8,306.23
|
| Rate for Payer: PHP Medicare Advantage |
$8,306.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,513.51
|
| Rate for Payer: Priority Health Medicare |
$8,306.23
|
| Rate for Payer: Priority Health Narrow Network |
$11,610.81
|
| Rate for Payer: Railroad Medicare Medicare |
$8,306.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,427.90
|
| Rate for Payer: UHC Core |
$12,650.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,306.23
|
| Rate for Payer: UHC Exchange |
$10,057.36
|
| Rate for Payer: UHC Medicare Advantage |
$8,555.42
|
| Rate for Payer: VA VA |
$8,306.23
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,118.01
|
|
|
Service Code
|
MS-DRG 699
|
| Min. Negotiated Rate |
$7,959.73 |
| Max. Negotiated Rate |
$18,118.01 |
| Rate for Payer: Aetna Medicare |
$8,713.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,473.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,473.32
|
| Rate for Payer: BCBS MAPPO |
$8,378.66
|
| Rate for Payer: BCBS Trust/PPO |
$18,118.01
|
| Rate for Payer: BCN Medicare Advantage |
$8,378.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,378.66
|
| Rate for Payer: Mclaren Medicare |
$8,378.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,797.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,635.46
|
| Rate for Payer: PACE Medicare |
$7,959.73
|
| Rate for Payer: PACE SWMI |
$8,378.66
|
| Rate for Payer: PHP Medicare Advantage |
$8,378.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,648.40
|
| Rate for Payer: Priority Health Medicare |
$8,378.66
|
| Rate for Payer: Priority Health Narrow Network |
$11,718.72
|
| Rate for Payer: Railroad Medicare Medicare |
$8,378.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,571.28
|
| Rate for Payer: UHC Core |
$12,768.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,378.66
|
| Rate for Payer: UHC Exchange |
$10,150.84
|
| Rate for Payer: UHC Medicare Advantage |
$8,630.02
|
| Rate for Payer: VA VA |
$8,378.66
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$26,058.77
|
|
|
Service Code
|
MS-DRG 698
|
| Min. Negotiated Rate |
$12,598.15 |
| Max. Negotiated Rate |
$26,058.77 |
| Rate for Payer: Aetna Medicare |
$13,791.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,576.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,576.51
|
| Rate for Payer: BCBS MAPPO |
$13,261.21
|
| Rate for Payer: BCBS Trust/PPO |
$26,058.77
|
| Rate for Payer: BCN Medicare Advantage |
$13,261.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,261.21
|
| Rate for Payer: Mclaren Medicare |
$13,261.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,924.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,250.39
|
| Rate for Payer: PACE Medicare |
$12,598.15
|
| Rate for Payer: PACE SWMI |
$13,261.21
|
| Rate for Payer: PHP Medicare Advantage |
$13,261.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,740.51
|
| Rate for Payer: Priority Health Medicare |
$13,261.21
|
| Rate for Payer: Priority Health Narrow Network |
$18,992.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13,261.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,236.22
|
| Rate for Payer: UHC Core |
$20,693.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,261.21
|
| Rate for Payer: UHC Exchange |
$16,451.35
|
| Rate for Payer: UHC Medicare Advantage |
$13,659.05
|
| Rate for Payer: VA VA |
$13,261.21
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,597.30
|
|
|
Service Code
|
MS-DRG 700
|
| Min. Negotiated Rate |
$5,672.00 |
| Max. Negotiated Rate |
$13,597.30 |
| Rate for Payer: Aetna Medicare |
$6,209.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,463.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,463.16
|
| Rate for Payer: BCBS MAPPO |
$5,970.53
|
| Rate for Payer: BCBS Trust/PPO |
$13,597.30
|
| Rate for Payer: BCN Medicare Advantage |
$5,970.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,970.53
|
| Rate for Payer: Mclaren Medicare |
$5,970.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,269.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,866.11
|
| Rate for Payer: PACE Medicare |
$5,672.00
|
| Rate for Payer: PACE SWMI |
$5,970.53
|
| Rate for Payer: PHP Medicare Advantage |
$5,970.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,164.05
|
| Rate for Payer: Priority Health Medicare |
$5,970.53
|
| Rate for Payer: Priority Health Narrow Network |
$8,131.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5,970.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,804.41
|
| Rate for Payer: UHC Core |
$8,859.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,970.53
|
| Rate for Payer: UHC Exchange |
$7,043.34
|
| Rate for Payer: UHC Medicare Advantage |
$6,149.65
|
| Rate for Payer: VA VA |
$5,970.53
|
|
