|
MS-DRG 42.00: ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$94,232.19
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$16,852.63 |
| Max. Negotiated Rate |
$94,232.19 |
| Rate for Payer: Aetna Medicare |
$18,449.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,174.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,174.51
|
| Rate for Payer: BCBS MAPPO |
$17,739.61
|
| Rate for Payer: BCBS Trust/PPO |
$94,232.19
|
| Rate for Payer: BCN Commercial |
$94,232.19
|
| Rate for Payer: BCN Medicare Advantage |
$17,739.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,739.61
|
| Rate for Payer: Mclaren Medicare |
$17,739.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,626.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,400.55
|
| Rate for Payer: Nomi Health Commercial |
$27,553.11
|
| Rate for Payer: PACE Medicare |
$16,852.63
|
| Rate for Payer: PACE SWMI |
$17,739.61
|
| Rate for Payer: PHP Medicare Advantage |
$17,739.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,793.95
|
| Rate for Payer: Priority Health Medicare |
$17,739.61
|
| Rate for Payer: Priority Health Narrow Network |
$26,235.16
|
| Rate for Payer: Railroad Medicare Medicare |
$17,739.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,396.93
|
| Rate for Payer: UHC Core |
$26,715.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,739.61
|
| Rate for Payer: UHC Exchange |
$21,239.39
|
| Rate for Payer: UHC Medicare Advantage |
$17,739.61
|
| Rate for Payer: VA VA |
$17,739.61
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$195,295.26
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$42,946.66 |
| Max. Negotiated Rate |
$195,295.26 |
| Rate for Payer: Aetna Medicare |
$47,015.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,508.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,508.76
|
| Rate for Payer: BCBS MAPPO |
$45,207.01
|
| Rate for Payer: BCBS Trust/PPO |
$195,295.26
|
| Rate for Payer: BCN Commercial |
$195,295.26
|
| Rate for Payer: BCN Medicare Advantage |
$45,207.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,207.01
|
| Rate for Payer: Mclaren Medicare |
$45,207.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,467.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,988.06
|
| Rate for Payer: Nomi Health Commercial |
$71,302.17
|
| Rate for Payer: PACE Medicare |
$42,946.66
|
| Rate for Payer: PACE SWMI |
$45,207.01
|
| Rate for Payer: PHP Medicare Advantage |
$45,207.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84,862.29
|
| Rate for Payer: Priority Health Medicare |
$45,207.01
|
| Rate for Payer: Priority Health Narrow Network |
$67,889.84
|
| Rate for Payer: Railroad Medicare Medicare |
$45,207.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86,424.86
|
| Rate for Payer: UHC Core |
$69,135.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,207.01
|
| Rate for Payer: UHC Exchange |
$54,963.47
|
| Rate for Payer: UHC Medicare Advantage |
$45,207.01
|
| Rate for Payer: VA VA |
$45,207.01
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$171,438.81
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$91,603.13 |
| Max. Negotiated Rate |
$171,438.81 |
| Rate for Payer: BCBS Trust/PPO |
$171,438.81
|
| Rate for Payer: BCN Commercial |
$171,438.81
|
| Rate for Payer: Nomi Health Commercial |
$118,833.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$141,434.08
|
| Rate for Payer: Priority Health Narrow Network |
$113,147.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144,037.27
|
| Rate for Payer: UHC Core |
$115,222.45
|
| Rate for Payer: UHC Exchange |
$91,603.13
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$26,992.67
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$10,195.63 |
| Max. Negotiated Rate |
$26,992.67 |
| Rate for Payer: Aetna Medicare |
$11,161.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,415.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,415.30
|
| Rate for Payer: BCBS MAPPO |
$10,732.24
|
| Rate for Payer: BCBS Trust/PPO |
$26,992.67
|
| Rate for Payer: BCN Commercial |
$26,992.67
|
| Rate for Payer: BCN Medicare Advantage |
$10,732.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,732.24
|
| Rate for Payer: Mclaren Medicare |
$10,732.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,268.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,342.08
|
| Rate for Payer: Nomi Health Commercial |
$16,392.03
|
| Rate for Payer: PACE Medicare |
$10,195.63
|
| Rate for Payer: PACE SWMI |
$10,732.24
|
| Rate for Payer: PHP Medicare Advantage |
$10,732.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,510.85
|
| Rate for Payer: Priority Health Medicare |
$10,732.24
|
| Rate for Payer: Priority Health Narrow Network |
$15,608.68
|
| Rate for Payer: Railroad Medicare Medicare |
$10,732.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,868.67
|
| Rate for Payer: UHC Core |
$15,893.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,732.24
|
| Rate for Payer: UHC Exchange |
$12,635.84
|
| Rate for Payer: UHC Medicare Advantage |
$10,732.24
|
| Rate for Payer: VA VA |
$10,732.24
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$18,187.80
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$9,368.51 |
| Max. Negotiated Rate |
$18,187.80 |
| Rate for Payer: Aetna Medicare |
$10,256.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,326.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,326.99
|
| Rate for Payer: BCBS MAPPO |
$9,861.59
|
| Rate for Payer: BCBS Trust/PPO |
$12,195.53
|
| Rate for Payer: BCN Commercial |
$12,195.53
|
| Rate for Payer: BCN Medicare Advantage |
$9,861.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,861.59
|
| Rate for Payer: Mclaren Medicare |
$9,861.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,354.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,340.83
|
| Rate for Payer: Nomi Health Commercial |
$15,005.28
|
| Rate for Payer: PACE Medicare |
$9,368.51
|
| Rate for Payer: PACE SWMI |
$9,861.59
|
| Rate for Payer: PHP Medicare Advantage |
$9,861.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,858.71
|
| Rate for Payer: Priority Health Medicare |
$9,861.59
|
| Rate for Payer: Priority Health Narrow Network |
$14,286.97
|
| Rate for Payer: Railroad Medicare Medicare |
$9,861.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,187.80
|
| Rate for Payer: UHC Core |
$14,549.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,861.59
|
| Rate for Payer: UHC Exchange |
$11,566.86
|
| Rate for Payer: UHC Medicare Advantage |
$9,861.59
|
| Rate for Payer: VA VA |
$9,861.59
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,819.30
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$5,637.62 |
| Max. Negotiated Rate |
$10,819.30 |
| Rate for Payer: Aetna Medicare |
$6,171.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,417.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,417.92
|
| Rate for Payer: BCBS MAPPO |
$5,934.34
|
| Rate for Payer: BCBS Trust/PPO |
$10,819.30
|
| Rate for Payer: BCN Commercial |
$10,819.30
|
| Rate for Payer: BCN Medicare Advantage |
$5,934.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,934.34
|
| Rate for Payer: Mclaren Medicare |
$5,934.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,231.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,824.49
|
| Rate for Payer: Nomi Health Commercial |
$8,750.07
|
| Rate for Payer: PACE Medicare |
$5,637.62
|
| Rate for Payer: PACE SWMI |
$5,934.34
|
| Rate for Payer: PHP Medicare Advantage |
$5,934.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,414.90
|
| Rate for Payer: Priority Health Medicare |
$5,934.34
|
| Rate for Payer: Priority Health Narrow Network |
$8,331.92
|
| Rate for Payer: Railroad Medicare Medicare |
$5,934.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,605.90
|
| Rate for Payer: UHC Core |
$8,484.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,934.34
|
| Rate for Payer: UHC Exchange |
$6,745.02
|
| Rate for Payer: UHC Medicare Advantage |
$5,934.34
|
| Rate for Payer: VA VA |
$5,934.34
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$20,841.98
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$7,511.14 |
| Max. Negotiated Rate |
$20,841.98 |
| Rate for Payer: Aetna Medicare |
$8,222.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,883.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,883.08
|
| Rate for Payer: BCBS MAPPO |
$7,906.46
|
| Rate for Payer: BCBS Trust/PPO |
$20,841.98
|
| Rate for Payer: BCN Commercial |
$20,841.98
|
| Rate for Payer: BCN Medicare Advantage |
$7,906.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,906.46
|
| Rate for Payer: Mclaren Medicare |
$7,906.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,301.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,092.43
|
| Rate for Payer: Nomi Health Commercial |
$11,891.22
|
| Rate for Payer: PACE Medicare |
$7,511.14
|
| Rate for Payer: PACE SWMI |
$7,906.46
|
| Rate for Payer: PHP Medicare Advantage |
$7,906.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,153.70
|
| Rate for Payer: Priority Health Medicare |
$7,906.46
|
| Rate for Payer: Priority Health Narrow Network |
$11,322.96
|
| Rate for Payer: Railroad Medicare Medicare |
$7,906.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,413.26
|
| Rate for Payer: UHC Core |
$11,529.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,906.46
|
| Rate for Payer: UHC Exchange |
$9,166.38
|
| Rate for Payer: UHC Medicare Advantage |
$7,906.46
|
| Rate for Payer: VA VA |
$7,906.46
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$29,967.45
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$13,047.88 |
| Max. Negotiated Rate |
$29,967.45 |
| Rate for Payer: Aetna Medicare |
$14,283.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,168.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,168.26
|
| Rate for Payer: BCBS MAPPO |
$13,734.61
|
| Rate for Payer: BCBS Trust/PPO |
$29,967.45
|
| Rate for Payer: BCN Commercial |
$29,967.45
|
| Rate for Payer: BCN Medicare Advantage |
$13,734.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,734.61
|
| Rate for Payer: Mclaren Medicare |
$13,734.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,421.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,794.80
|
| Rate for Payer: Nomi Health Commercial |
$21,174.06
|
| Rate for Payer: PACE Medicare |
$13,047.88
|
| Rate for Payer: PACE SWMI |
$13,734.61
|
| Rate for Payer: PHP Medicare Advantage |
$13,734.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,204.26
|
| Rate for Payer: Priority Health Medicare |
$13,734.61
|
| Rate for Payer: Priority Health Narrow Network |
$20,163.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13,734.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,664.93
|
| Rate for Payer: UHC Core |
$20,530.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,734.61
|
| Rate for Payer: UHC Exchange |
$16,322.08
|
| Rate for Payer: UHC Medicare Advantage |
$13,734.61
|
| Rate for Payer: VA VA |
$13,734.61
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$18,084.22
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$5,997.70 |
| Max. Negotiated Rate |
$18,084.22 |
| Rate for Payer: Aetna Medicare |
$6,565.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,891.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,891.71
|
| Rate for Payer: BCBS MAPPO |
$6,313.37
|
| Rate for Payer: BCBS Trust/PPO |
$18,084.22
|
| Rate for Payer: BCN Commercial |
$18,084.22
|
| Rate for Payer: BCN Medicare Advantage |
$6,313.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,313.37
|
| Rate for Payer: Mclaren Medicare |
$6,313.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,629.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,260.38
|
| Rate for Payer: Nomi Health Commercial |
$9,353.79
|
| Rate for Payer: PACE Medicare |
$5,997.70
|
| Rate for Payer: PACE SWMI |
$6,313.37
|
| Rate for Payer: PHP Medicare Advantage |
$6,313.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,133.48
|
| Rate for Payer: Priority Health Medicare |
$6,313.37
|
| Rate for Payer: Priority Health Narrow Network |
$8,906.79
|
| Rate for Payer: Railroad Medicare Medicare |
$6,313.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,337.66
|
| Rate for Payer: UHC Core |
$9,069.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,313.37
|
| Rate for Payer: UHC Exchange |
$7,210.39
|
| Rate for Payer: UHC Medicare Advantage |
$6,313.37
|
| Rate for Payer: VA VA |
$6,313.37
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$17,340.52
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$6,120.03 |
| Max. Negotiated Rate |
$17,340.52 |
| Rate for Payer: Aetna Medicare |
$6,699.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,052.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,052.68
|
| Rate for Payer: BCBS MAPPO |
$6,442.14
|
| Rate for Payer: BCBS Trust/PPO |
$17,340.52
|
| Rate for Payer: BCN Commercial |
$17,340.52
|
| Rate for Payer: BCN Medicare Advantage |
$6,442.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,442.14
|
| Rate for Payer: Mclaren Medicare |
$6,442.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,764.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,408.46
|
| Rate for Payer: Nomi Health Commercial |
$9,558.90
|
| Rate for Payer: PACE Medicare |
$6,120.03
|
| Rate for Payer: PACE SWMI |
$6,442.14
|
| Rate for Payer: PHP Medicare Advantage |
$6,442.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,376.08
|
| Rate for Payer: Priority Health Medicare |
$6,442.14
|
| Rate for Payer: Priority Health Narrow Network |
$9,100.87
|
| Rate for Payer: Railroad Medicare Medicare |
$6,442.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,586.28
|
| Rate for Payer: UHC Core |
$9,268.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,442.14
|
| Rate for Payer: UHC Exchange |
$7,368.50
|
| Rate for Payer: UHC Medicare Advantage |
$6,442.14
|
| Rate for Payer: VA VA |
$6,442.14
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$45,881.46
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$15,463.85 |
| Max. Negotiated Rate |
$45,881.46 |
| Rate for Payer: Aetna Medicare |
$16,928.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,347.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,347.18
|
| Rate for Payer: BCBS MAPPO |
$16,277.74
|
| Rate for Payer: BCBS Trust/PPO |
$45,881.46
|
| Rate for Payer: BCN Commercial |
$45,881.46
|
| Rate for Payer: BCN Medicare Advantage |
$16,277.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,277.74
|
| Rate for Payer: Mclaren Medicare |
$16,277.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,091.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,719.40
|
| Rate for Payer: Nomi Health Commercial |
$25,224.66
|
| Rate for Payer: PACE Medicare |
$15,463.85
|
| Rate for Payer: PACE SWMI |
$16,277.74
|
| Rate for Payer: PHP Medicare Advantage |
$16,277.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,024.01
|
| Rate for Payer: Priority Health Medicare |
$16,277.74
|
| Rate for Payer: Priority Health Narrow Network |
$24,019.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16,277.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,574.63
|
| Rate for Payer: UHC Core |
$24,458.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,277.74
|
| Rate for Payer: UHC Exchange |
$19,444.50
|
| Rate for Payer: UHC Medicare Advantage |
$16,277.74
|
| Rate for Payer: VA VA |
$16,277.74
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$11,454.48
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$4,738.17 |
| Max. Negotiated Rate |
$11,454.48 |
| Rate for Payer: Aetna Medicare |
$5,187.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,234.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,234.44
|
| Rate for Payer: BCBS MAPPO |
$4,987.55
|
| Rate for Payer: BCBS Trust/PPO |
$11,454.48
|
| Rate for Payer: BCN Commercial |
$11,454.48
|
| Rate for Payer: BCN Medicare Advantage |
$4,987.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,987.55
|
| Rate for Payer: Mclaren Medicare |
$4,987.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,236.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,735.68
|
| Rate for Payer: Nomi Health Commercial |
$7,242.06
|
| Rate for Payer: PACE Medicare |
$4,738.17
|
| Rate for Payer: PACE SWMI |
$4,987.55
|
| Rate for Payer: PHP Medicare Advantage |
$4,987.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,618.43
|
| Rate for Payer: Priority Health Medicare |
$4,987.55
|
| Rate for Payer: Priority Health Narrow Network |
$6,894.75
|
| Rate for Payer: Railroad Medicare Medicare |
$4,987.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,778.05
|
| Rate for Payer: UHC Core |
$7,021.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,987.55
|
| Rate for Payer: UHC Exchange |
$5,582.56
|
| Rate for Payer: UHC Medicare Advantage |
$4,987.55
|
| Rate for Payer: VA VA |
$4,987.55
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$64,201.22
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$17,953.67 |
| Max. Negotiated Rate |
$64,201.22 |
| Rate for Payer: Aetna Medicare |
$19,654.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,623.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,623.25
|
| Rate for Payer: BCBS MAPPO |
$18,898.60
|
| Rate for Payer: BCBS Trust/PPO |
$64,201.22
|
| Rate for Payer: BCN Commercial |
$64,201.22
|
| Rate for Payer: BCN Medicare Advantage |
$18,898.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,898.60
|
| Rate for Payer: Mclaren Medicare |
$18,898.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,843.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,733.39
|
| Rate for Payer: Nomi Health Commercial |
$29,399.10
|
| Rate for Payer: PACE Medicare |
$17,953.67
|
| Rate for Payer: PACE SWMI |
$18,898.60
|
| Rate for Payer: PHP Medicare Advantage |
$18,898.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,989.63
|
| Rate for Payer: Priority Health Medicare |
$18,898.60
|
| Rate for Payer: Priority Health Narrow Network |
$27,991.71
|
| Rate for Payer: Railroad Medicare Medicare |
$18,898.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,634.44
|
| Rate for Payer: UHC Core |
$28,505.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,898.60
|
| Rate for Payer: UHC Exchange |
$22,662.38
|
| Rate for Payer: UHC Medicare Advantage |
$18,898.60
|
| Rate for Payer: VA VA |
$18,898.60
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,174.97
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$11,444.40 |
| Max. Negotiated Rate |
$39,174.97 |
| Rate for Payer: PACE SWMI |
$12,046.74
|
| Rate for Payer: Aetna Medicare |
$12,528.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,058.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,058.42
|
| Rate for Payer: BCBS MAPPO |
$12,046.74
|
| Rate for Payer: BCBS Trust/PPO |
$39,174.97
|
| Rate for Payer: BCN Commercial |
$39,174.97
|
| Rate for Payer: BCN Medicare Advantage |
$12,046.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,046.74
|
| Rate for Payer: Mclaren Medicare |
$12,046.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,649.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,853.75
|
| Rate for Payer: Nomi Health Commercial |
$18,485.70
|
| Rate for Payer: PACE Medicare |
$11,444.40
|
| Rate for Payer: PHP Medicare Advantage |
$12,046.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,001.33
|
| Rate for Payer: Priority Health Medicare |
$12,046.74
|
| Rate for Payer: Priority Health Narrow Network |
$17,601.07
|
| Rate for Payer: Railroad Medicare Medicare |
$12,046.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,406.39
|
| Rate for Payer: UHC Core |
$17,923.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,046.74
|
| Rate for Payer: UHC Exchange |
$14,249.75
|
| Rate for Payer: UHC Medicare Advantage |
$12,046.74
|
| Rate for Payer: VA VA |
$12,046.74
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$20,235.90
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$9,180.02 |
| Max. Negotiated Rate |
$20,235.90 |
| Rate for Payer: Aetna Medicare |
$10,049.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,078.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,078.98
|
| Rate for Payer: BCBS MAPPO |
$9,663.18
|
| Rate for Payer: BCBS Trust/PPO |
$20,235.90
|
| Rate for Payer: BCN Commercial |
$20,235.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,663.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,663.18
|
| Rate for Payer: Mclaren Medicare |
$9,663.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,146.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,112.66
|
| Rate for Payer: Nomi Health Commercial |
$14,689.23
|
| Rate for Payer: PACE Medicare |
$9,180.02
|
| Rate for Payer: PACE SWMI |
$9,663.18
|
| Rate for Payer: PHP Medicare Advantage |
$9,663.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,485.60
|
| Rate for Payer: Priority Health Medicare |
$9,663.18
|
| Rate for Payer: Priority Health Narrow Network |
$13,988.48
|
| Rate for Payer: Railroad Medicare Medicare |
$9,663.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,804.71
|
| Rate for Payer: UHC Core |
$14,242.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,663.18
|
| Rate for Payer: UHC Exchange |
$11,323.23
|
| Rate for Payer: UHC Medicare Advantage |
$9,663.18
|
| Rate for Payer: VA VA |
$9,663.18
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$50,343.63
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$14,701.34 |
| Max. Negotiated Rate |
$50,343.63 |
| Rate for Payer: Aetna Medicare |
$16,094.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,343.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,343.88
|
| Rate for Payer: BCBS MAPPO |
$15,475.10
|
| Rate for Payer: BCBS Trust/PPO |
$50,343.63
|
| Rate for Payer: BCN Commercial |
$50,343.63
|
| Rate for Payer: BCN Medicare Advantage |
$15,475.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,475.10
|
| Rate for Payer: Mclaren Medicare |
$15,475.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,248.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,796.36
|
| Rate for Payer: Nomi Health Commercial |
$23,946.27
|
| Rate for Payer: PACE Medicare |
$14,701.34
|
| Rate for Payer: PACE SWMI |
$15,475.10
|
| Rate for Payer: PHP Medicare Advantage |
$15,475.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,499.32
|
| Rate for Payer: Priority Health Medicare |
$15,475.10
|
| Rate for Payer: Priority Health Narrow Network |
$22,799.46
|
| Rate for Payer: Railroad Medicare Medicare |
$15,475.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,025.11
|
| Rate for Payer: UHC Core |
$23,218.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,475.10
|
| Rate for Payer: UHC Exchange |
$18,459.05
|
| Rate for Payer: UHC Medicare Advantage |
$15,475.10
|
| Rate for Payer: VA VA |
$15,475.10
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$15,419.09
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$6,709.40 |
| Max. Negotiated Rate |
$15,419.09 |
| Rate for Payer: Aetna Medicare |
$7,345.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,828.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,828.16
|
| Rate for Payer: BCBS MAPPO |
$7,062.53
|
| Rate for Payer: BCBS Trust/PPO |
$15,419.09
|
| Rate for Payer: BCN Commercial |
$15,419.09
|
| Rate for Payer: BCN Medicare Advantage |
$7,062.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,062.53
|
| Rate for Payer: Mclaren Medicare |
$7,062.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,415.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,121.91
|
| Rate for Payer: Nomi Health Commercial |
$10,547.04
|
| Rate for Payer: PACE Medicare |
$6,709.40
|
| Rate for Payer: PACE SWMI |
$7,062.53
|
| Rate for Payer: PHP Medicare Advantage |
$7,062.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,553.77
|
| Rate for Payer: Priority Health Medicare |
$7,062.53
|
| Rate for Payer: Priority Health Narrow Network |
$10,043.01
|
| Rate for Payer: Railroad Medicare Medicare |
$7,062.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,783.99
|
| Rate for Payer: UHC Core |
$10,226.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,062.53
|
| Rate for Payer: UHC Exchange |
$8,130.21
|
| Rate for Payer: UHC Medicare Advantage |
$7,062.53
|
| Rate for Payer: VA VA |
$7,062.53
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$18,380.64
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$8,720.67 |
| Max. Negotiated Rate |
$18,380.64 |
| Rate for Payer: Aetna Medicare |
$9,546.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,474.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,474.56
|
| Rate for Payer: BCBS MAPPO |
$9,179.65
|
| Rate for Payer: BCBS Trust/PPO |
$18,380.64
|
| Rate for Payer: BCN Commercial |
$18,380.64
|
| Rate for Payer: BCN Medicare Advantage |
$9,179.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,179.65
|
| Rate for Payer: Mclaren Medicare |
$9,179.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,638.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,556.60
|
| Rate for Payer: Nomi Health Commercial |
$13,919.10
|
| Rate for Payer: PACE Medicare |
$8,720.67
|
| Rate for Payer: PACE SWMI |
$9,179.65
|
| Rate for Payer: PHP Medicare Advantage |
$9,179.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,565.87
|
| Rate for Payer: Priority Health Medicare |
$9,179.65
|
| Rate for Payer: Priority Health Narrow Network |
$13,252.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,179.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,871.24
|
| Rate for Payer: UHC Core |
$13,496.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,179.65
|
| Rate for Payer: UHC Exchange |
$10,729.58
|
| Rate for Payer: UHC Medicare Advantage |
$9,179.65
|
| Rate for Payer: VA VA |
$9,179.65
|
|
|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,144.83
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$4,928.19 |
| Max. Negotiated Rate |
$11,144.83 |
| Rate for Payer: Aetna Medicare |
$5,395.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,484.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,484.46
|
| Rate for Payer: BCBS MAPPO |
$5,187.57
|
| Rate for Payer: BCBS Trust/PPO |
$11,144.83
|
| Rate for Payer: BCN Commercial |
$11,144.83
|
| Rate for Payer: BCN Medicare Advantage |
$5,187.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,187.57
|
| Rate for Payer: Mclaren Medicare |
$5,187.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,446.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,965.71
|
| Rate for Payer: Nomi Health Commercial |
$7,560.69
|
| Rate for Payer: PACE Medicare |
$4,928.19
|
| Rate for Payer: PACE SWMI |
$5,187.57
|
| Rate for Payer: PHP Medicare Advantage |
$5,187.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,999.22
|
| Rate for Payer: Priority Health Medicare |
$5,187.57
|
| Rate for Payer: Priority Health Narrow Network |
$7,199.38
|
| Rate for Payer: Railroad Medicare Medicare |
$5,187.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,164.26
|
| Rate for Payer: UHC Core |
$7,330.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,187.57
|
| Rate for Payer: UHC Exchange |
$5,828.18
|
| Rate for Payer: UHC Medicare Advantage |
$5,187.57
|
| Rate for Payer: VA VA |
$5,187.57
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$96,899.97
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$38,018.54 |
| Max. Negotiated Rate |
$96,899.97 |
| Rate for Payer: Aetna Medicare |
$41,620.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,024.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,024.40
|
| Rate for Payer: BCBS MAPPO |
$40,019.52
|
| Rate for Payer: BCBS Trust/PPO |
$96,899.97
|
| Rate for Payer: BCN Commercial |
$96,899.97
|
| Rate for Payer: BCN Medicare Advantage |
$40,019.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,019.52
|
| Rate for Payer: Mclaren Medicare |
$40,019.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,020.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,022.45
|
| Rate for Payer: Nomi Health Commercial |
$63,039.72
|
| Rate for Payer: PACE Medicare |
$38,018.54
|
| Rate for Payer: PACE SWMI |
$40,019.52
|
| Rate for Payer: PHP Medicare Advantage |
$40,019.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75,029.32
|
| Rate for Payer: Priority Health Medicare |
$40,019.52
|
| Rate for Payer: Priority Health Narrow Network |
$60,023.47
|
| Rate for Payer: Railroad Medicare Medicare |
$40,019.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76,410.00
|
| Rate for Payer: UHC Core |
$61,124.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,019.52
|
| Rate for Payer: UHC Exchange |
$48,594.34
|
| Rate for Payer: UHC Medicare Advantage |
$40,019.52
|
| Rate for Payer: VA VA |
$40,019.52
|
|
|
MS-DRG 42.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$80,181.39
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$27,865.31 |
| Max. Negotiated Rate |
$80,181.39 |
| Rate for Payer: Aetna Medicare |
$30,505.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,664.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,664.89
|
| Rate for Payer: BCBS MAPPO |
$29,331.91
|
| Rate for Payer: BCBS Trust/PPO |
$80,181.39
|
| Rate for Payer: BCN Commercial |
$80,181.39
|
| Rate for Payer: BCN Medicare Advantage |
$29,331.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,331.91
|
| Rate for Payer: Mclaren Medicare |
$29,331.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,798.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,731.70
|
| Rate for Payer: Nomi Health Commercial |
$46,016.88
|
| Rate for Payer: PACE Medicare |
$27,865.31
|
| Rate for Payer: PACE SWMI |
$29,331.91
|
| Rate for Payer: PHP Medicare Advantage |
$29,331.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,767.65
|
| Rate for Payer: Priority Health Medicare |
$29,331.91
|
| Rate for Payer: Priority Health Narrow Network |
$43,814.12
|
| Rate for Payer: Railroad Medicare Medicare |
$29,331.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55,776.74
|
| Rate for Payer: UHC Core |
$44,618.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,331.91
|
| Rate for Payer: UHC Exchange |
$35,472.24
|
| Rate for Payer: UHC Medicare Advantage |
$29,331.91
|
| Rate for Payer: VA VA |
$29,331.91
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$10,398.49
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$10,398.49 |
| Rate for Payer: Aetna Medicare |
$5,715.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,869.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,869.19
|
| Rate for Payer: BCBS MAPPO |
$5,495.35
|
| Rate for Payer: BCBS Trust/PPO |
$10,398.49
|
| Rate for Payer: BCN Commercial |
$10,398.49
|
| Rate for Payer: BCN Medicare Advantage |
$5,495.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,495.35
|
| Rate for Payer: Mclaren Medicare |
$5,495.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,770.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,319.65
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$5,220.58
|
| Rate for Payer: PACE SWMI |
$5,495.35
|
| Rate for Payer: PHP Medicare Advantage |
$5,495.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,582.69
|
| Rate for Payer: Priority Health Medicare |
$5,495.35
|
| Rate for Payer: Priority Health Narrow Network |
$7,666.15
|
| Rate for Payer: Railroad Medicare Medicare |
$5,495.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,758.43
|
| Rate for Payer: UHC Core |
$7,806.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,495.35
|
| Rate for Payer: UHC Exchange |
$6,206.05
|
| Rate for Payer: UHC Medicare Advantage |
$5,495.35
|
| Rate for Payer: VA VA |
$5,495.35
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$27,844.59
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$27,844.59 |
| Rate for Payer: Aetna Medicare |
$15,458.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,579.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,579.51
|
| Rate for Payer: BCBS MAPPO |
$14,863.61
|
| Rate for Payer: BCBS Trust/PPO |
$27,270.57
|
| Rate for Payer: BCN Commercial |
$27,270.57
|
| Rate for Payer: BCN Medicare Advantage |
$14,863.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,863.61
|
| Rate for Payer: Mclaren Medicare |
$14,863.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,606.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,093.15
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$14,120.43
|
| Rate for Payer: PACE SWMI |
$14,863.61
|
| Rate for Payer: PHP Medicare Advantage |
$14,863.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,343.13
|
| Rate for Payer: Priority Health Medicare |
$14,863.61
|
| Rate for Payer: Priority Health Narrow Network |
$21,874.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,863.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,844.59
|
| Rate for Payer: UHC Core |
$22,274.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,863.61
|
| Rate for Payer: UHC Exchange |
$17,708.28
|
| Rate for Payer: UHC Medicare Advantage |
$14,863.61
|
| Rate for Payer: VA VA |
$14,863.61
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$13,794.08
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$13,794.08 |
| Rate for Payer: Aetna Medicare |
$7,889.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,482.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,482.18
|
| Rate for Payer: BCBS MAPPO |
$7,585.74
|
| Rate for Payer: BCBS Trust/PPO |
$12,981.57
|
| Rate for Payer: BCN Commercial |
$12,981.57
|
| Rate for Payer: BCN Medicare Advantage |
$7,585.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,585.74
|
| Rate for Payer: Mclaren Medicare |
$7,585.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,965.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,723.60
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$7,206.45
|
| Rate for Payer: PACE SWMI |
$7,585.74
|
| Rate for Payer: PHP Medicare Advantage |
$7,585.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,545.66
|
| Rate for Payer: Priority Health Medicare |
$7,585.74
|
| Rate for Payer: Priority Health Narrow Network |
$10,836.53
|
| Rate for Payer: Railroad Medicare Medicare |
$7,585.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,794.08
|
| Rate for Payer: UHC Core |
$11,034.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,585.74
|
| Rate for Payer: UHC Exchange |
$8,772.60
|
| Rate for Payer: UHC Medicare Advantage |
$7,585.74
|
| Rate for Payer: VA VA |
$7,585.74
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$24,711.30
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$24,711.30 |
| Rate for Payer: Aetna Medicare |
$12,654.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,209.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,209.28
|
| Rate for Payer: BCBS MAPPO |
$12,167.42
|
| Rate for Payer: BCBS Trust/PPO |
$24,711.30
|
| Rate for Payer: BCN Commercial |
$24,711.30
|
| Rate for Payer: BCN Medicare Advantage |
$12,167.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,167.42
|
| Rate for Payer: Mclaren Medicare |
$12,167.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,775.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,992.53
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$11,559.05
|
| Rate for Payer: PACE SWMI |
$12,167.42
|
| Rate for Payer: PHP Medicare Advantage |
$12,167.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,231.65
|
| Rate for Payer: Priority Health Medicare |
$12,167.42
|
| Rate for Payer: Priority Health Narrow Network |
$17,785.32
|
| Rate for Payer: Railroad Medicare Medicare |
$12,167.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,639.36
|
| Rate for Payer: UHC Core |
$18,110.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,167.42
|
| Rate for Payer: UHC Exchange |
$14,397.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,167.42
|
| Rate for Payer: VA VA |
$12,167.42
|
|
