|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$40,223.99
|
|
|
Service Code
|
MS-DRG 674
|
| Min. Negotiated Rate |
$17,926.18 |
| Max. Negotiated Rate |
$40,223.99 |
| Rate for Payer: Aetna Medicare |
$19,624.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,587.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,587.08
|
| Rate for Payer: BCBS MAPPO |
$18,869.66
|
| Rate for Payer: BCBS Trust/PPO |
$40,223.99
|
| Rate for Payer: BCN Medicare Advantage |
$18,869.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,869.66
|
| Rate for Payer: Mclaren Medicare |
$18,869.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,813.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,700.11
|
| Rate for Payer: PACE Medicare |
$17,926.18
|
| Rate for Payer: PACE SWMI |
$18,869.66
|
| Rate for Payer: PHP Medicare Advantage |
$18,869.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,184.38
|
| Rate for Payer: Priority Health Medicare |
$18,869.66
|
| Rate for Payer: Priority Health Narrow Network |
$27,347.50
|
| Rate for Payer: Railroad Medicare Medicare |
$18,869.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,338.08
|
| Rate for Payer: UHC Core |
$29,796.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,869.66
|
| Rate for Payer: UHC Exchange |
$23,688.60
|
| Rate for Payer: UHC Medicare Advantage |
$19,435.75
|
| Rate for Payer: VA VA |
$18,869.66
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,610.75
|
|
|
Service Code
|
MS-DRG 673
|
| Min. Negotiated Rate |
$27,558.80 |
| Max. Negotiated Rate |
$57,610.75 |
| Rate for Payer: Aetna Medicare |
$30,169.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,261.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,261.58
|
| Rate for Payer: BCBS MAPPO |
$29,009.26
|
| Rate for Payer: BCBS Trust/PPO |
$57,610.75
|
| Rate for Payer: BCN Medicare Advantage |
$29,009.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,009.26
|
| Rate for Payer: Mclaren Medicare |
$29,009.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,459.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,360.65
|
| Rate for Payer: PACE Medicare |
$27,558.80
|
| Rate for Payer: PACE SWMI |
$29,009.26
|
| Rate for Payer: PHP Medicare Advantage |
$29,009.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,066.00
|
| Rate for Payer: Priority Health Medicare |
$29,009.26
|
| Rate for Payer: Priority Health Narrow Network |
$42,452.80
|
| Rate for Payer: Railroad Medicare Medicare |
$29,009.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,409.29
|
| Rate for Payer: UHC Core |
$46,254.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,009.26
|
| Rate for Payer: UHC Exchange |
$36,772.91
|
| Rate for Payer: UHC Medicare Advantage |
$29,879.54
|
| Rate for Payer: VA VA |
$29,009.26
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,996.89
|
|
|
Service Code
|
MS-DRG 675
|
| Min. Negotiated Rate |
$12,101.07 |
| Max. Negotiated Rate |
$32,996.89 |
| Rate for Payer: Aetna Medicare |
$13,247.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,922.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,922.46
|
| Rate for Payer: BCBS MAPPO |
$12,737.97
|
| Rate for Payer: BCBS Trust/PPO |
$32,996.89
|
| Rate for Payer: BCN Medicare Advantage |
$12,737.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,737.97
|
| Rate for Payer: Mclaren Medicare |
$12,737.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,374.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,648.67
|
| Rate for Payer: PACE Medicare |
$12,101.07
|
| Rate for Payer: PACE SWMI |
$12,737.97
|
| Rate for Payer: PHP Medicare Advantage |
$12,737.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,766.15
|
| Rate for Payer: Priority Health Medicare |
$12,737.97
|
| Rate for Payer: Priority Health Narrow Network |
$18,212.92
|
| Rate for Payer: Railroad Medicare Medicare |
$12,737.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,200.47
|
| Rate for Payer: UHC Core |
$19,843.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,737.97
|
| Rate for Payer: UHC Exchange |
$15,776.16
|
| Rate for Payer: UHC Medicare Advantage |
$13,120.11
|
| Rate for Payer: VA VA |
$12,737.97
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$67,197.46
|
|
|
Service Code
|
MS-DRG 271
|
| Min. Negotiated Rate |
$25,788.65 |
| Max. Negotiated Rate |
$67,197.46 |
| Rate for Payer: Aetna Medicare |
$28,231.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,932.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,932.44
|
| Rate for Payer: BCBS MAPPO |
$27,145.95
|
| Rate for Payer: BCBS Trust/PPO |
$67,197.46
|
| Rate for Payer: BCN Medicare Advantage |
$27,145.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,145.95
|
| Rate for Payer: Mclaren Medicare |
$27,145.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28,503.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,217.84
|
| Rate for Payer: PACE Medicare |
$25,788.65
|
| Rate for Payer: PACE SWMI |
$27,145.95
|
| Rate for Payer: PHP Medicare Advantage |
$27,145.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,596.19
|
| Rate for Payer: Priority Health Medicare |
$27,145.95
|
| Rate for Payer: Priority Health Narrow Network |
$39,676.95
|
| Rate for Payer: Railroad Medicare Medicare |
$27,145.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52,720.87
|
| Rate for Payer: UHC Core |
$43,230.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,145.95
|
| Rate for Payer: UHC Exchange |
$34,368.45
|
| Rate for Payer: UHC Medicare Advantage |
$27,960.33
|
| Rate for Payer: VA VA |
$27,145.95
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$104,890.96
|
|
|
Service Code
|
MS-DRG 270
|
| Min. Negotiated Rate |
$37,506.95 |
| Max. Negotiated Rate |
$104,890.96 |
| Rate for Payer: Aetna Medicare |
$41,060.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,351.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,351.25
|
| Rate for Payer: BCBS MAPPO |
$39,481.00
|
| Rate for Payer: BCBS Trust/PPO |
$104,890.96
|
| Rate for Payer: BCN Medicare Advantage |
$39,481.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,481.00
|
| Rate for Payer: Mclaren Medicare |
$39,481.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41,455.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,403.15
|
| Rate for Payer: PACE Medicare |
$37,506.95
|
| Rate for Payer: PACE SWMI |
$39,481.00
|
| Rate for Payer: PHP Medicare Advantage |
$39,481.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,566.11
|
| Rate for Payer: Priority Health Medicare |
$39,481.00
|
| Rate for Payer: Priority Health Narrow Network |
$58,052.89
|
| Rate for Payer: Railroad Medicare Medicare |
$39,481.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77,137.95
|
| Rate for Payer: UHC Core |
$63,251.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,481.00
|
| Rate for Payer: UHC Exchange |
$50,285.81
|
| Rate for Payer: UHC Medicare Advantage |
$40,665.43
|
| Rate for Payer: VA VA |
$39,481.00
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$49,697.62
|
|
|
Service Code
|
MS-DRG 272
|
| Min. Negotiated Rate |
$18,345.66 |
| Max. Negotiated Rate |
$49,697.62 |
| Rate for Payer: Aetna Medicare |
$20,083.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,139.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,139.02
|
| Rate for Payer: BCBS MAPPO |
$19,311.22
|
| Rate for Payer: BCBS Trust/PPO |
$49,697.62
|
| Rate for Payer: BCN Medicare Advantage |
$19,311.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,311.22
|
| Rate for Payer: Mclaren Medicare |
$19,311.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,276.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,207.90
|
| Rate for Payer: PACE Medicare |
$18,345.66
|
| Rate for Payer: PACE SWMI |
$19,311.22
|
| Rate for Payer: PHP Medicare Advantage |
$19,311.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,006.63
|
| Rate for Payer: Priority Health Medicare |
$19,311.22
|
| Rate for Payer: Priority Health Narrow Network |
$28,005.30
|
| Rate for Payer: Railroad Medicare Medicare |
$19,311.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,212.13
|
| Rate for Payer: UHC Core |
$30,513.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,311.22
|
| Rate for Payer: UHC Exchange |
$24,258.39
|
| Rate for Payer: UHC Medicare Advantage |
$19,890.56
|
| Rate for Payer: VA VA |
$19,311.22
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$21,000.31
|
|
|
Service Code
|
MS-DRG 729
|
| Min. Negotiated Rate |
$7,836.02 |
| Max. Negotiated Rate |
$21,000.31 |
| Rate for Payer: Aetna Medicare |
$8,578.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,310.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,310.55
|
| Rate for Payer: BCBS MAPPO |
$8,248.44
|
| Rate for Payer: BCBS Trust/PPO |
$21,000.31
|
| Rate for Payer: BCN Medicare Advantage |
$8,248.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,248.44
|
| Rate for Payer: Mclaren Medicare |
$8,248.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,660.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,485.71
|
| Rate for Payer: PACE Medicare |
$7,836.02
|
| Rate for Payer: PACE SWMI |
$8,248.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,248.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,405.88
|
| Rate for Payer: Priority Health Medicare |
$8,248.44
|
| Rate for Payer: Priority Health Narrow Network |
$11,524.70
|
| Rate for Payer: Railroad Medicare Medicare |
$8,248.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,313.49
|
| Rate for Payer: UHC Core |
$12,556.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,248.44
|
| Rate for Payer: UHC Exchange |
$9,982.78
|
| Rate for Payer: UHC Medicare Advantage |
$8,495.89
|
| Rate for Payer: VA VA |
$8,248.44
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,192.86
|
|
|
Service Code
|
MS-DRG 730
|
| Min. Negotiated Rate |
$5,037.30 |
| Max. Negotiated Rate |
$14,192.86 |
| Rate for Payer: Aetna Medicare |
$5,514.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,628.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,628.02
|
| Rate for Payer: BCBS MAPPO |
$5,302.42
|
| Rate for Payer: BCBS Trust/PPO |
$14,192.86
|
| Rate for Payer: BCN Medicare Advantage |
$5,302.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,302.42
|
| Rate for Payer: Mclaren Medicare |
$5,302.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,567.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,097.78
|
| Rate for Payer: PACE Medicare |
$5,037.30
|
| Rate for Payer: PACE SWMI |
$5,302.42
|
| Rate for Payer: PHP Medicare Advantage |
$5,302.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,919.91
|
| Rate for Payer: Priority Health Medicare |
$5,302.42
|
| Rate for Payer: Priority Health Narrow Network |
$7,135.93
|
| Rate for Payer: Railroad Medicare Medicare |
$5,302.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,481.89
|
| Rate for Payer: UHC Core |
$7,774.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,302.42
|
| Rate for Payer: UHC Exchange |
$6,181.19
|
| Rate for Payer: UHC Medicare Advantage |
$5,461.49
|
| Rate for Payer: VA VA |
$5,302.42
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$29,433.60
|
|
|
Service Code
|
MS-DRG 717
|
| Min. Negotiated Rate |
$13,764.35 |
| Max. Negotiated Rate |
$29,433.60 |
| Rate for Payer: Aetna Medicare |
$15,068.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,110.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,110.99
|
| Rate for Payer: BCBS MAPPO |
$14,488.79
|
| Rate for Payer: BCBS Trust/PPO |
$29,433.60
|
| Rate for Payer: BCN Medicare Advantage |
$14,488.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,488.79
|
| Rate for Payer: Mclaren Medicare |
$14,488.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,213.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,662.11
|
| Rate for Payer: PACE Medicare |
$13,764.35
|
| Rate for Payer: PACE SWMI |
$14,488.79
|
| Rate for Payer: PHP Medicare Advantage |
$14,488.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,026.45
|
| Rate for Payer: Priority Health Medicare |
$14,488.79
|
| Rate for Payer: Priority Health Narrow Network |
$20,821.16
|
| Rate for Payer: Railroad Medicare Medicare |
$14,488.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,666.18
|
| Rate for Payer: UHC Core |
$22,685.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,488.79
|
| Rate for Payer: UHC Exchange |
$18,035.43
|
| Rate for Payer: UHC Medicare Advantage |
$14,923.45
|
| Rate for Payer: VA VA |
$14,488.79
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$20,090.64
|
|
|
Service Code
|
MS-DRG 718
|
| Min. Negotiated Rate |
$9,094.44 |
| Max. Negotiated Rate |
$20,090.64 |
| Rate for Payer: Aetna Medicare |
$9,956.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,966.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,966.36
|
| Rate for Payer: BCBS MAPPO |
$9,573.09
|
| Rate for Payer: BCBS Trust/PPO |
$20,090.64
|
| Rate for Payer: BCN Medicare Advantage |
$9,573.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,573.09
|
| Rate for Payer: Mclaren Medicare |
$9,573.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,051.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,009.05
|
| Rate for Payer: PACE Medicare |
$9,094.44
|
| Rate for Payer: PACE SWMI |
$9,573.09
|
| Rate for Payer: PHP Medicare Advantage |
$9,573.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,872.64
|
| Rate for Payer: Priority Health Medicare |
$9,573.09
|
| Rate for Payer: Priority Health Narrow Network |
$13,498.11
|
| Rate for Payer: Railroad Medicare Medicare |
$9,573.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,935.65
|
| Rate for Payer: UHC Core |
$14,706.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,573.09
|
| Rate for Payer: UHC Exchange |
$11,692.16
|
| Rate for Payer: UHC Medicare Advantage |
$9,860.28
|
| Rate for Payer: VA VA |
$9,573.09
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$52,223.09
|
|
|
Service Code
|
MS-DRG 715
|
| Min. Negotiated Rate |
$16,647.25 |
| Max. Negotiated Rate |
$52,223.09 |
| Rate for Payer: Aetna Medicare |
$18,224.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,904.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,904.28
|
| Rate for Payer: BCBS MAPPO |
$17,523.42
|
| Rate for Payer: BCBS Trust/PPO |
$52,223.09
|
| Rate for Payer: BCN Medicare Advantage |
$17,523.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,523.42
|
| Rate for Payer: Mclaren Medicare |
$17,523.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,399.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,151.93
|
| Rate for Payer: PACE Medicare |
$16,647.25
|
| Rate for Payer: PACE SWMI |
$17,523.42
|
| Rate for Payer: PHP Medicare Advantage |
$17,523.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,677.45
|
| Rate for Payer: Priority Health Medicare |
$17,523.42
|
| Rate for Payer: Priority Health Narrow Network |
$25,341.96
|
| Rate for Payer: Railroad Medicare Medicare |
$17,523.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,673.21
|
| Rate for Payer: UHC Core |
$27,611.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,523.42
|
| Rate for Payer: UHC Exchange |
$21,951.38
|
| Rate for Payer: UHC Medicare Advantage |
$18,049.12
|
| Rate for Payer: VA VA |
$17,523.42
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$34,233.24
|
|
|
Service Code
|
MS-DRG 716
|
| Min. Negotiated Rate |
$10,898.29 |
| Max. Negotiated Rate |
$34,233.24 |
| Rate for Payer: Aetna Medicare |
$11,930.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,339.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,339.85
|
| Rate for Payer: BCBS MAPPO |
$11,471.88
|
| Rate for Payer: BCBS Trust/PPO |
$34,233.24
|
| Rate for Payer: BCN Medicare Advantage |
$11,471.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,471.88
|
| Rate for Payer: Mclaren Medicare |
$11,471.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,045.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,192.66
|
| Rate for Payer: PACE Medicare |
$10,898.29
|
| Rate for Payer: PACE SWMI |
$11,471.88
|
| Rate for Payer: PHP Medicare Advantage |
$11,471.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,408.46
|
| Rate for Payer: Priority Health Medicare |
$11,471.88
|
| Rate for Payer: Priority Health Narrow Network |
$16,326.77
|
| Rate for Payer: Railroad Medicare Medicare |
$11,471.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,694.24
|
| Rate for Payer: UHC Core |
$17,788.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,471.88
|
| Rate for Payer: UHC Exchange |
$14,142.36
|
| Rate for Payer: UHC Medicare Advantage |
$11,816.04
|
| Rate for Payer: VA VA |
$11,471.88
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$19,763.08
|
|
|
Service Code
|
MS-DRG 887
|
| Min. Negotiated Rate |
$9,971.47 |
| Max. Negotiated Rate |
$19,763.08 |
| Rate for Payer: Aetna Medicare |
$10,916.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,120.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,120.35
|
| Rate for Payer: BCBS MAPPO |
$10,496.28
|
| Rate for Payer: BCBS Trust/PPO |
$17,585.27
|
| Rate for Payer: BCN Medicare Advantage |
$10,496.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,496.28
|
| Rate for Payer: Mclaren Medicare |
$10,496.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,021.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,070.72
|
| Rate for Payer: PACE Medicare |
$9,971.47
|
| Rate for Payer: PACE SWMI |
$10,496.28
|
| Rate for Payer: PHP Medicare Advantage |
$10,496.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,591.76
|
| Rate for Payer: Priority Health Medicare |
$10,496.28
|
| Rate for Payer: Priority Health Narrow Network |
$14,873.41
|
| Rate for Payer: Railroad Medicare Medicare |
$10,496.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,763.08
|
| Rate for Payer: UHC Core |
$16,205.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,496.28
|
| Rate for Payer: UHC Exchange |
$12,883.45
|
| Rate for Payer: UHC Medicare Advantage |
$10,811.17
|
| Rate for Payer: VA VA |
$10,496.28
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$26,322.63
|
|
|
Service Code
|
MS-DRG 964
|
| Min. Negotiated Rate |
$11,475.15 |
| Max. Negotiated Rate |
$26,322.63 |
| Rate for Payer: Aetna Medicare |
$12,562.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,098.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,098.89
|
| Rate for Payer: BCBS MAPPO |
$12,079.11
|
| Rate for Payer: BCBS Trust/PPO |
$26,322.63
|
| Rate for Payer: BCN Medicare Advantage |
$12,079.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,079.11
|
| Rate for Payer: Mclaren Medicare |
$12,079.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,683.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,890.98
|
| Rate for Payer: PACE Medicare |
$11,475.15
|
| Rate for Payer: PACE SWMI |
$12,079.11
|
| Rate for Payer: PHP Medicare Advantage |
$12,079.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,539.23
|
| Rate for Payer: Priority Health Medicare |
$12,079.11
|
| Rate for Payer: Priority Health Narrow Network |
$17,231.38
|
| Rate for Payer: Railroad Medicare Medicare |
$12,079.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,896.25
|
| Rate for Payer: UHC Core |
$18,774.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,079.11
|
| Rate for Payer: UHC Exchange |
$14,925.94
|
| Rate for Payer: UHC Medicare Advantage |
$12,441.48
|
| Rate for Payer: VA VA |
$12,079.11
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$59,000.38
|
|
|
Service Code
|
MS-DRG 963
|
| Min. Negotiated Rate |
$20,503.82 |
| Max. Negotiated Rate |
$59,000.38 |
| Rate for Payer: Aetna Medicare |
$22,446.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,978.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,978.71
|
| Rate for Payer: BCBS MAPPO |
$21,582.97
|
| Rate for Payer: BCBS Trust/PPO |
$59,000.38
|
| Rate for Payer: BCN Medicare Advantage |
$21,582.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,582.97
|
| Rate for Payer: Mclaren Medicare |
$21,582.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22,662.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,820.42
|
| Rate for Payer: PACE Medicare |
$20,503.82
|
| Rate for Payer: PACE SWMI |
$21,582.97
|
| Rate for Payer: PHP Medicare Advantage |
$21,582.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,236.99
|
| Rate for Payer: Priority Health Medicare |
$21,582.97
|
| Rate for Payer: Priority Health Narrow Network |
$31,389.59
|
| Rate for Payer: Railroad Medicare Medicare |
$21,582.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,709.01
|
| Rate for Payer: UHC Core |
$34,200.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,582.97
|
| Rate for Payer: UHC Exchange |
$27,189.88
|
| Rate for Payer: UHC Medicare Advantage |
$22,230.46
|
| Rate for Payer: VA VA |
$21,582.97
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$15,816.19
|
|
|
Service Code
|
MS-DRG 965
|
| Min. Negotiated Rate |
$7,484.61 |
| Max. Negotiated Rate |
$15,816.19 |
| Rate for Payer: Aetna Medicare |
$8,193.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,848.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,848.18
|
| Rate for Payer: BCBS MAPPO |
$7,878.54
|
| Rate for Payer: BCBS Trust/PPO |
$15,816.19
|
| Rate for Payer: BCN Medicare Advantage |
$7,878.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,878.54
|
| Rate for Payer: Mclaren Medicare |
$7,878.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,272.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,060.32
|
| Rate for Payer: PACE Medicare |
$7,484.61
|
| Rate for Payer: PACE SWMI |
$7,878.54
|
| Rate for Payer: PHP Medicare Advantage |
$7,878.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,717.09
|
| Rate for Payer: Priority Health Medicare |
$7,878.54
|
| Rate for Payer: Priority Health Narrow Network |
$10,973.67
|
| Rate for Payer: Railroad Medicare Medicare |
$7,878.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,581.30
|
| Rate for Payer: UHC Core |
$11,956.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,878.54
|
| Rate for Payer: UHC Exchange |
$9,505.47
|
| Rate for Payer: UHC Medicare Advantage |
$8,114.90
|
| Rate for Payer: VA VA |
$7,878.54
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,517.29
|
|
|
Service Code
|
MS-DRG 565
|
| Min. Negotiated Rate |
$7,803.08 |
| Max. Negotiated Rate |
$16,517.29 |
| Rate for Payer: Aetna Medicare |
$8,542.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,267.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,267.21
|
| Rate for Payer: BCBS MAPPO |
$8,213.77
|
| Rate for Payer: BCBS Trust/PPO |
$16,517.29
|
| Rate for Payer: BCN Medicare Advantage |
$8,213.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,213.77
|
| Rate for Payer: Mclaren Medicare |
$8,213.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,624.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,445.84
|
| Rate for Payer: PACE Medicare |
$7,803.08
|
| Rate for Payer: PACE SWMI |
$8,213.77
|
| Rate for Payer: PHP Medicare Advantage |
$8,213.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,341.31
|
| Rate for Payer: Priority Health Medicare |
$8,213.77
|
| Rate for Payer: Priority Health Narrow Network |
$11,473.05
|
| Rate for Payer: Railroad Medicare Medicare |
$8,213.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,244.85
|
| Rate for Payer: UHC Core |
$12,500.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,213.77
|
| Rate for Payer: UHC Exchange |
$9,938.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,460.18
|
| Rate for Payer: VA VA |
$8,213.77
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$36,841.63
|
|
|
Service Code
|
MS-DRG 564
|
| Min. Negotiated Rate |
$11,921.00 |
| Max. Negotiated Rate |
$36,841.63 |
| Rate for Payer: Aetna Medicare |
$13,050.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.52
|
| Rate for Payer: BCBS MAPPO |
$12,548.42
|
| Rate for Payer: BCBS Trust/PPO |
$36,841.63
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.42
|
| Rate for Payer: Mclaren Medicare |
$12,548.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,175.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,430.68
|
| Rate for Payer: PACE Medicare |
$11,921.00
|
| Rate for Payer: PACE SWMI |
$12,548.42
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,413.14
|
| Rate for Payer: Priority Health Medicare |
$12,548.42
|
| Rate for Payer: Priority Health Narrow Network |
$17,930.51
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,825.22
|
| Rate for Payer: UHC Core |
$19,536.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.42
|
| Rate for Payer: UHC Exchange |
$15,531.53
|
| Rate for Payer: UHC Medicare Advantage |
$12,924.87
|
| Rate for Payer: VA VA |
$12,548.42
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,511.59
|
|
|
Service Code
|
MS-DRG 566
|
| Min. Negotiated Rate |
$5,980.95 |
| Max. Negotiated Rate |
$11,511.59 |
| Rate for Payer: Aetna Medicare |
$6,547.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,869.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,869.68
|
| Rate for Payer: BCBS MAPPO |
$6,295.74
|
| Rate for Payer: BCBS Trust/PPO |
$11,511.59
|
| Rate for Payer: BCN Medicare Advantage |
$6,295.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,295.74
|
| Rate for Payer: Mclaren Medicare |
$6,295.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,610.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,240.10
|
| Rate for Payer: PACE Medicare |
$5,980.95
|
| Rate for Payer: PACE SWMI |
$6,295.74
|
| Rate for Payer: PHP Medicare Advantage |
$6,295.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,769.61
|
| Rate for Payer: Priority Health Medicare |
$6,295.74
|
| Rate for Payer: Priority Health Narrow Network |
$8,615.69
|
| Rate for Payer: Railroad Medicare Medicare |
$6,295.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,448.13
|
| Rate for Payer: UHC Core |
$9,387.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,295.74
|
| Rate for Payer: UHC Exchange |
$7,462.97
|
| Rate for Payer: UHC Medicare Advantage |
$6,484.61
|
| Rate for Payer: VA VA |
$6,295.74
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$44,895.47
|
|
|
Service Code
|
MS-DRG 516
|
| Min. Negotiated Rate |
$15,426.89 |
| Max. Negotiated Rate |
$44,895.47 |
| Rate for Payer: Aetna Medicare |
$16,888.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,298.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,298.54
|
| Rate for Payer: BCBS MAPPO |
$16,238.83
|
| Rate for Payer: BCBS Trust/PPO |
$44,895.47
|
| Rate for Payer: BCN Medicare Advantage |
$16,238.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,238.83
|
| Rate for Payer: Mclaren Medicare |
$16,238.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,050.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,674.65
|
| Rate for Payer: PACE Medicare |
$15,426.89
|
| Rate for Payer: PACE SWMI |
$16,238.83
|
| Rate for Payer: PHP Medicare Advantage |
$16,238.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,285.32
|
| Rate for Payer: Priority Health Medicare |
$16,238.83
|
| Rate for Payer: Priority Health Narrow Network |
$23,428.26
|
| Rate for Payer: Railroad Medicare Medicare |
$16,238.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,130.36
|
| Rate for Payer: UHC Core |
$25,526.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,238.83
|
| Rate for Payer: UHC Exchange |
$20,293.72
|
| Rate for Payer: UHC Medicare Advantage |
$16,725.99
|
| Rate for Payer: VA VA |
$16,238.83
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$94,286.52
|
|
|
Service Code
|
MS-DRG 515
|
| Min. Negotiated Rate |
$23,631.24 |
| Max. Negotiated Rate |
$94,286.52 |
| Rate for Payer: Aetna Medicare |
$25,869.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,093.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,093.74
|
| Rate for Payer: BCBS MAPPO |
$24,874.99
|
| Rate for Payer: BCBS Trust/PPO |
$94,286.52
|
| Rate for Payer: BCN Medicare Advantage |
$24,874.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,874.99
|
| Rate for Payer: Mclaren Medicare |
$24,874.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,118.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,606.24
|
| Rate for Payer: PACE Medicare |
$23,631.24
|
| Rate for Payer: PACE SWMI |
$24,874.99
|
| Rate for Payer: PHP Medicare Advantage |
$24,874.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,367.27
|
| Rate for Payer: Priority Health Medicare |
$24,874.99
|
| Rate for Payer: Priority Health Narrow Network |
$36,293.82
|
| Rate for Payer: Railroad Medicare Medicare |
$24,874.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,225.52
|
| Rate for Payer: UHC Core |
$39,544.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,874.99
|
| Rate for Payer: UHC Exchange |
$31,437.96
|
| Rate for Payer: UHC Medicare Advantage |
$25,621.24
|
| Rate for Payer: VA VA |
$24,874.99
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,534.25
|
|
|
Service Code
|
MS-DRG 517
|
| Min. Negotiated Rate |
$11,426.83 |
| Max. Negotiated Rate |
$30,534.25 |
| Rate for Payer: Aetna Medicare |
$12,509.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,035.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,035.30
|
| Rate for Payer: BCBS MAPPO |
$12,028.24
|
| Rate for Payer: BCBS Trust/PPO |
$30,534.25
|
| Rate for Payer: BCN Medicare Advantage |
$12,028.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,028.24
|
| Rate for Payer: Mclaren Medicare |
$12,028.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,629.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,832.48
|
| Rate for Payer: PACE Medicare |
$11,426.83
|
| Rate for Payer: PACE SWMI |
$12,028.24
|
| Rate for Payer: PHP Medicare Advantage |
$12,028.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,444.52
|
| Rate for Payer: Priority Health Medicare |
$12,028.24
|
| Rate for Payer: Priority Health Narrow Network |
$17,155.62
|
| Rate for Payer: Railroad Medicare Medicare |
$12,028.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,795.58
|
| Rate for Payer: UHC Core |
$18,691.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,028.24
|
| Rate for Payer: UHC Exchange |
$14,860.31
|
| Rate for Payer: UHC Medicare Advantage |
$12,389.09
|
| Rate for Payer: VA VA |
$12,028.24
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$25,325.01
|
|
|
Service Code
|
MS-DRG 844
|
| Min. Negotiated Rate |
$8,958.29 |
| Max. Negotiated Rate |
$25,325.01 |
| Rate for Payer: Aetna Medicare |
$9,806.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,787.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,787.22
|
| Rate for Payer: BCBS MAPPO |
$9,429.78
|
| Rate for Payer: BCBS Trust/PPO |
$25,325.01
|
| Rate for Payer: BCN Medicare Advantage |
$9,429.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,429.78
|
| Rate for Payer: Mclaren Medicare |
$9,429.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,901.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,844.25
|
| Rate for Payer: PACE Medicare |
$8,958.29
|
| Rate for Payer: PACE SWMI |
$9,429.78
|
| Rate for Payer: PHP Medicare Advantage |
$9,429.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,605.73
|
| Rate for Payer: Priority Health Medicare |
$9,429.78
|
| Rate for Payer: Priority Health Narrow Network |
$13,284.58
|
| Rate for Payer: Railroad Medicare Medicare |
$9,429.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,651.93
|
| Rate for Payer: UHC Core |
$14,474.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,429.78
|
| Rate for Payer: UHC Exchange |
$11,507.20
|
| Rate for Payer: UHC Medicare Advantage |
$9,712.67
|
| Rate for Payer: VA VA |
$9,429.78
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$36,560.18
|
|
|
Service Code
|
MS-DRG 843
|
| Min. Negotiated Rate |
$14,107.69 |
| Max. Negotiated Rate |
$36,560.18 |
| Rate for Payer: Aetna Medicare |
$15,444.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,562.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,562.75
|
| Rate for Payer: BCBS MAPPO |
$14,850.20
|
| Rate for Payer: BCBS Trust/PPO |
$36,560.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,850.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,850.20
|
| Rate for Payer: Mclaren Medicare |
$14,850.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,592.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,077.73
|
| Rate for Payer: PACE Medicare |
$14,107.69
|
| Rate for Payer: PACE SWMI |
$14,850.20
|
| Rate for Payer: PHP Medicare Advantage |
$14,850.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,699.46
|
| Rate for Payer: Priority Health Medicare |
$14,850.20
|
| Rate for Payer: Priority Health Narrow Network |
$21,359.57
|
| Rate for Payer: Railroad Medicare Medicare |
$14,850.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,381.59
|
| Rate for Payer: UHC Core |
$23,272.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,850.20
|
| Rate for Payer: UHC Exchange |
$18,501.81
|
| Rate for Payer: UHC Medicare Advantage |
$15,295.71
|
| Rate for Payer: VA VA |
$14,850.20
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,834.32
|
|
|
Service Code
|
MS-DRG 845
|
| Min. Negotiated Rate |
$6,818.43 |
| Max. Negotiated Rate |
$19,834.32 |
| Rate for Payer: Aetna Medicare |
$7,464.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,971.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,971.61
|
| Rate for Payer: BCBS MAPPO |
$7,177.29
|
| Rate for Payer: BCBS Trust/PPO |
$19,834.32
|
| Rate for Payer: BCN Medicare Advantage |
$7,177.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,177.29
|
| Rate for Payer: Mclaren Medicare |
$7,177.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,536.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,253.88
|
| Rate for Payer: PACE Medicare |
$6,818.43
|
| Rate for Payer: PACE SWMI |
$7,177.29
|
| Rate for Payer: PHP Medicare Advantage |
$7,177.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,411.25
|
| Rate for Payer: Priority Health Medicare |
$7,177.29
|
| Rate for Payer: Priority Health Narrow Network |
$9,929.00
|
| Rate for Payer: Railroad Medicare Medicare |
$7,177.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,193.18
|
| Rate for Payer: UHC Core |
$10,818.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,177.29
|
| Rate for Payer: UHC Exchange |
$8,600.57
|
| Rate for Payer: UHC Medicare Advantage |
$7,392.61
|
| Rate for Payer: VA VA |
$7,177.29
|
|
