|
MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$34,225.83
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$13,790.34 |
| Max. Negotiated Rate |
$34,225.83 |
| Rate for Payer: Aetna Medicare |
$15,096.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,145.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,145.19
|
| Rate for Payer: BCBS MAPPO |
$14,516.15
|
| Rate for Payer: BCBS Trust/PPO |
$34,225.83
|
| Rate for Payer: BCN Commercial |
$34,225.83
|
| Rate for Payer: BCN Medicare Advantage |
$14,516.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,516.15
|
| Rate for Payer: Mclaren Medicare |
$14,516.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,241.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,693.57
|
| Rate for Payer: Nomi Health Commercial |
$22,418.91
|
| Rate for Payer: PACE Medicare |
$13,790.34
|
| Rate for Payer: PACE SWMI |
$14,516.15
|
| Rate for Payer: PHP Medicare Advantage |
$14,516.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,682.89
|
| Rate for Payer: Priority Health Medicare |
$14,516.15
|
| Rate for Payer: Priority Health Narrow Network |
$21,346.32
|
| Rate for Payer: Railroad Medicare Medicare |
$14,516.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,173.80
|
| Rate for Payer: UHC Core |
$21,737.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,516.15
|
| Rate for Payer: UHC Exchange |
$17,281.68
|
| Rate for Payer: UHC Medicare Advantage |
$14,516.15
|
| Rate for Payer: VA VA |
$14,516.15
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$12,187.59
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$5,528.35 |
| Max. Negotiated Rate |
$12,187.59 |
| Rate for Payer: Aetna Medicare |
$6,052.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,274.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,274.15
|
| Rate for Payer: BCBS MAPPO |
$5,819.32
|
| Rate for Payer: BCBS Trust/PPO |
$12,187.59
|
| Rate for Payer: BCN Commercial |
$12,187.59
|
| Rate for Payer: BCN Medicare Advantage |
$5,819.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,819.32
|
| Rate for Payer: Mclaren Medicare |
$5,819.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,110.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,692.22
|
| Rate for Payer: Nomi Health Commercial |
$8,566.89
|
| Rate for Payer: PACE Medicare |
$5,528.35
|
| Rate for Payer: PACE SWMI |
$5,819.32
|
| Rate for Payer: PHP Medicare Advantage |
$5,819.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,195.33
|
| Rate for Payer: Priority Health Medicare |
$5,819.32
|
| Rate for Payer: Priority Health Narrow Network |
$8,156.26
|
| Rate for Payer: Railroad Medicare Medicare |
$5,819.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,383.87
|
| Rate for Payer: UHC Core |
$8,306.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,819.32
|
| Rate for Payer: UHC Exchange |
$6,603.81
|
| Rate for Payer: UHC Medicare Advantage |
$5,819.32
|
| Rate for Payer: VA VA |
$5,819.32
|
|
|
MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$370,134.95
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$101,226.20 |
| Max. Negotiated Rate |
$370,134.95 |
| Rate for Payer: Aetna Medicare |
$110,816.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133,192.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133,192.36
|
| Rate for Payer: BCBS MAPPO |
$106,553.89
|
| Rate for Payer: BCBS Trust/PPO |
$370,134.95
|
| Rate for Payer: BCN Commercial |
$370,134.95
|
| Rate for Payer: BCN Medicare Advantage |
$106,553.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106,553.89
|
| Rate for Payer: Mclaren Medicare |
$106,553.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111,881.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122,536.97
|
| Rate for Payer: Nomi Health Commercial |
$169,013.22
|
| Rate for Payer: PACE Medicare |
$101,226.20
|
| Rate for Payer: PACE SWMI |
$106,553.89
|
| Rate for Payer: PHP Medicare Advantage |
$106,553.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$201,156.59
|
| Rate for Payer: Priority Health Medicare |
$106,553.89
|
| Rate for Payer: Priority Health Narrow Network |
$160,925.30
|
| Rate for Payer: Railroad Medicare Medicare |
$106,553.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204,859.74
|
| Rate for Payer: UHC Core |
$163,877.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$106,553.89
|
| Rate for Payer: UHC Exchange |
$130,284.30
|
| Rate for Payer: UHC Medicare Advantage |
$106,553.89
|
| Rate for Payer: VA VA |
$106,553.89
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$50,293.34
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$22,825.63 |
| Max. Negotiated Rate |
$50,293.34 |
| Rate for Payer: Aetna Medicare |
$24,988.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,033.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,033.72
|
| Rate for Payer: BCBS MAPPO |
$24,026.98
|
| Rate for Payer: BCBS Trust/PPO |
$50,293.34
|
| Rate for Payer: BCN Commercial |
$50,293.34
|
| Rate for Payer: BCN Medicare Advantage |
$24,026.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,026.98
|
| Rate for Payer: Mclaren Medicare |
$24,026.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,228.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,631.03
|
| Rate for Payer: Nomi Health Commercial |
$37,567.38
|
| Rate for Payer: PACE Medicare |
$22,825.63
|
| Rate for Payer: PACE SWMI |
$24,026.98
|
| Rate for Payer: PHP Medicare Advantage |
$24,026.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,712.04
|
| Rate for Payer: Priority Health Medicare |
$24,026.98
|
| Rate for Payer: Priority Health Narrow Network |
$35,769.64
|
| Rate for Payer: Railroad Medicare Medicare |
$24,026.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,535.16
|
| Rate for Payer: UHC Core |
$36,425.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,026.98
|
| Rate for Payer: UHC Exchange |
$28,958.92
|
| Rate for Payer: UHC Medicare Advantage |
$24,026.98
|
| Rate for Payer: VA VA |
$24,026.98
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
|
IP
|
$78,756.97
|
|
|
Service Code
|
MSDRG 239
|
| Min. Negotiated Rate |
$39,173.43 |
| Max. Negotiated Rate |
$78,756.97 |
| Rate for Payer: Aetna Medicare |
$42,884.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,543.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,543.99
|
| Rate for Payer: BCBS MAPPO |
$41,235.19
|
| Rate for Payer: BCBS Trust/PPO |
$73,943.36
|
| Rate for Payer: BCN Commercial |
$73,943.36
|
| Rate for Payer: BCN Medicare Advantage |
$41,235.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,235.19
|
| Rate for Payer: Mclaren Medicare |
$41,235.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,296.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,420.47
|
| Rate for Payer: Nomi Health Commercial |
$64,976.01
|
| Rate for Payer: PACE Medicare |
$39,173.43
|
| Rate for Payer: PACE SWMI |
$41,235.19
|
| Rate for Payer: PHP Medicare Advantage |
$41,235.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77,332.49
|
| Rate for Payer: Priority Health Medicare |
$41,235.19
|
| Rate for Payer: Priority Health Narrow Network |
$61,866.00
|
| Rate for Payer: Railroad Medicare Medicare |
$41,235.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78,756.97
|
| Rate for Payer: UHC Core |
$63,001.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,235.19
|
| Rate for Payer: UHC Exchange |
$50,086.93
|
| Rate for Payer: UHC Medicare Advantage |
$41,235.19
|
| Rate for Payer: VA VA |
$41,235.19
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
|
IP
|
$24,369.89
|
|
|
Service Code
|
MSDRG 241
|
| Min. Negotiated Rate |
$12,036.08 |
| Max. Negotiated Rate |
$24,369.89 |
| Rate for Payer: Aetna Medicare |
$13,176.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,836.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,836.95
|
| Rate for Payer: BCBS MAPPO |
$12,669.56
|
| Rate for Payer: BCBS Trust/PPO |
$24,369.89
|
| Rate for Payer: BCN Commercial |
$24,369.89
|
| Rate for Payer: BCN Medicare Advantage |
$12,669.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,669.56
|
| Rate for Payer: Mclaren Medicare |
$12,669.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,303.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,569.99
|
| Rate for Payer: Nomi Health Commercial |
$19,477.71
|
| Rate for Payer: PACE Medicare |
$12,036.08
|
| Rate for Payer: PACE SWMI |
$12,669.56
|
| Rate for Payer: PHP Medicare Advantage |
$12,669.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,182.09
|
| Rate for Payer: Priority Health Medicare |
$12,669.56
|
| Rate for Payer: Priority Health Narrow Network |
$18,545.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12,669.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,608.80
|
| Rate for Payer: UHC Core |
$18,885.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,669.56
|
| Rate for Payer: UHC Exchange |
$15,014.45
|
| Rate for Payer: UHC Medicare Advantage |
$12,669.56
|
| Rate for Payer: VA VA |
$12,669.56
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$40,646.48
|
|
|
Service Code
|
MSDRG 475
|
| Min. Negotiated Rate |
$17,017.29 |
| Max. Negotiated Rate |
$40,646.48 |
| Rate for Payer: Aetna Medicare |
$18,629.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,391.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,391.18
|
| Rate for Payer: BCBS MAPPO |
$17,912.94
|
| Rate for Payer: BCBS Trust/PPO |
$40,646.48
|
| Rate for Payer: BCN Commercial |
$40,646.48
|
| Rate for Payer: BCN Medicare Advantage |
$17,912.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,912.94
|
| Rate for Payer: Mclaren Medicare |
$17,912.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,808.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,599.88
|
| Rate for Payer: Nomi Health Commercial |
$27,829.17
|
| Rate for Payer: PACE Medicare |
$17,017.29
|
| Rate for Payer: PACE SWMI |
$17,912.94
|
| Rate for Payer: PHP Medicare Advantage |
$17,912.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,121.00
|
| Rate for Payer: Priority Health Medicare |
$17,912.94
|
| Rate for Payer: Priority Health Narrow Network |
$26,496.80
|
| Rate for Payer: Railroad Medicare Medicare |
$17,912.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,731.54
|
| Rate for Payer: UHC Core |
$26,983.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,912.94
|
| Rate for Payer: UHC Exchange |
$21,452.19
|
| Rate for Payer: UHC Medicare Advantage |
$17,912.94
|
| Rate for Payer: VA VA |
$17,912.94
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$84,762.66
|
|
|
Service Code
|
MSDRG 474
|
| Min. Negotiated Rate |
$34,924.72 |
| Max. Negotiated Rate |
$84,762.66 |
| Rate for Payer: Aetna Medicare |
$38,233.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,953.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,953.58
|
| Rate for Payer: BCBS MAPPO |
$36,762.86
|
| Rate for Payer: BCBS Trust/PPO |
$84,762.66
|
| Rate for Payer: BCN Commercial |
$84,762.66
|
| Rate for Payer: BCN Medicare Advantage |
$36,762.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,762.86
|
| Rate for Payer: Mclaren Medicare |
$36,762.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,601.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,277.29
|
| Rate for Payer: Nomi Health Commercial |
$57,852.63
|
| Rate for Payer: PACE Medicare |
$34,924.72
|
| Rate for Payer: PACE SWMI |
$36,762.86
|
| Rate for Payer: PHP Medicare Advantage |
$36,762.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68,855.32
|
| Rate for Payer: Priority Health Medicare |
$36,762.86
|
| Rate for Payer: Priority Health Narrow Network |
$55,084.26
|
| Rate for Payer: Railroad Medicare Medicare |
$36,762.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70,122.77
|
| Rate for Payer: UHC Core |
$56,094.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,762.86
|
| Rate for Payer: UHC Exchange |
$44,595.86
|
| Rate for Payer: UHC Medicare Advantage |
$36,762.86
|
| Rate for Payer: VA VA |
$36,762.86
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,572.85
|
|
|
Service Code
|
MSDRG 476
|
| Min. Negotiated Rate |
$9,367.75 |
| Max. Negotiated Rate |
$22,572.85 |
| Rate for Payer: Aetna Medicare |
$10,255.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,325.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,325.99
|
| Rate for Payer: BCBS MAPPO |
$9,860.79
|
| Rate for Payer: BCBS Trust/PPO |
$22,572.85
|
| Rate for Payer: BCN Commercial |
$22,572.85
|
| Rate for Payer: BCN Medicare Advantage |
$9,860.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,860.79
|
| Rate for Payer: Mclaren Medicare |
$9,860.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,353.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,339.91
|
| Rate for Payer: Nomi Health Commercial |
$15,003.99
|
| Rate for Payer: PACE Medicare |
$9,367.75
|
| Rate for Payer: PACE SWMI |
$9,860.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,860.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,857.18
|
| Rate for Payer: Priority Health Medicare |
$9,860.79
|
| Rate for Payer: Priority Health Narrow Network |
$14,285.75
|
| Rate for Payer: Railroad Medicare Medicare |
$9,860.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,186.23
|
| Rate for Payer: UHC Core |
$14,548.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,860.79
|
| Rate for Payer: UHC Exchange |
$11,565.87
|
| Rate for Payer: UHC Medicare Advantage |
$9,860.79
|
| Rate for Payer: VA VA |
$9,860.79
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$30,255.93
|
|
|
Service Code
|
MSDRG 617
|
| Min. Negotiated Rate |
$15,280.72 |
| Max. Negotiated Rate |
$30,255.93 |
| Rate for Payer: Aetna Medicare |
$16,728.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,106.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,106.21
|
| Rate for Payer: BCBS MAPPO |
$16,084.97
|
| Rate for Payer: BCBS Trust/PPO |
$30,255.93
|
| Rate for Payer: BCN Commercial |
$30,255.93
|
| Rate for Payer: BCN Medicare Advantage |
$16,084.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,084.97
|
| Rate for Payer: Mclaren Medicare |
$16,084.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,889.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,497.72
|
| Rate for Payer: Nomi Health Commercial |
$24,917.64
|
| Rate for Payer: PACE Medicare |
$15,280.72
|
| Rate for Payer: PACE SWMI |
$16,084.97
|
| Rate for Payer: PHP Medicare Advantage |
$16,084.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,667.79
|
| Rate for Payer: Priority Health Medicare |
$16,084.97
|
| Rate for Payer: Priority Health Narrow Network |
$23,734.24
|
| Rate for Payer: Railroad Medicare Medicare |
$16,084.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,202.50
|
| Rate for Payer: UHC Core |
$24,160.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,084.97
|
| Rate for Payer: UHC Exchange |
$19,207.83
|
| Rate for Payer: UHC Medicare Advantage |
$16,084.97
|
| Rate for Payer: VA VA |
$16,084.97
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$60,433.14
|
|
|
Service Code
|
MSDRG 616
|
| Min. Negotiated Rate |
$30,156.63 |
| Max. Negotiated Rate |
$60,433.14 |
| Rate for Payer: Aetna Medicare |
$33,013.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,679.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,679.78
|
| Rate for Payer: BCBS MAPPO |
$31,743.82
|
| Rate for Payer: BCBS Trust/PPO |
$47,511.76
|
| Rate for Payer: BCN Commercial |
$47,511.76
|
| Rate for Payer: BCN Medicare Advantage |
$31,743.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,743.82
|
| Rate for Payer: Mclaren Medicare |
$31,743.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,331.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,505.39
|
| Rate for Payer: Nomi Health Commercial |
$49,858.50
|
| Rate for Payer: PACE Medicare |
$30,156.63
|
| Rate for Payer: PACE SWMI |
$31,743.82
|
| Rate for Payer: PHP Medicare Advantage |
$31,743.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,343.26
|
| Rate for Payer: Priority Health Medicare |
$31,743.82
|
| Rate for Payer: Priority Health Narrow Network |
$47,474.62
|
| Rate for Payer: Railroad Medicare Medicare |
$31,743.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,433.14
|
| Rate for Payer: UHC Core |
$48,343.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,743.82
|
| Rate for Payer: UHC Exchange |
$38,433.56
|
| Rate for Payer: UHC Medicare Advantage |
$31,743.82
|
| Rate for Payer: VA VA |
$31,743.82
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,931.96
|
|
|
Service Code
|
MSDRG 618
|
| Min. Negotiated Rate |
$9,542.66 |
| Max. Negotiated Rate |
$20,931.96 |
| Rate for Payer: Aetna Medicare |
$10,446.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,556.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,556.12
|
| Rate for Payer: BCBS MAPPO |
$10,044.90
|
| Rate for Payer: BCBS Trust/PPO |
$20,931.96
|
| Rate for Payer: BCN Commercial |
$20,931.96
|
| Rate for Payer: BCN Medicare Advantage |
$10,044.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,044.90
|
| Rate for Payer: Mclaren Medicare |
$10,044.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,547.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,551.64
|
| Rate for Payer: Nomi Health Commercial |
$16,061.79
|
| Rate for Payer: PACE Medicare |
$9,542.66
|
| Rate for Payer: PACE SWMI |
$10,044.90
|
| Rate for Payer: PHP Medicare Advantage |
$10,044.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,116.24
|
| Rate for Payer: Priority Health Medicare |
$10,044.90
|
| Rate for Payer: Priority Health Narrow Network |
$15,292.99
|
| Rate for Payer: Railroad Medicare Medicare |
$10,044.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,468.38
|
| Rate for Payer: UHC Core |
$15,573.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,044.90
|
| Rate for Payer: UHC Exchange |
$12,381.27
|
| Rate for Payer: UHC Medicare Advantage |
$10,044.90
|
| Rate for Payer: VA VA |
$10,044.90
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
|
IP
|
$25,065.95
|
|
|
Service Code
|
MSDRG 348
|
| Min. Negotiated Rate |
$10,104.86 |
| Max. Negotiated Rate |
$25,065.95 |
| Rate for Payer: Aetna Medicare |
$11,062.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,295.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,295.86
|
| Rate for Payer: BCBS MAPPO |
$10,636.69
|
| Rate for Payer: BCBS Trust/PPO |
$25,065.95
|
| Rate for Payer: BCN Commercial |
$25,065.95
|
| Rate for Payer: BCN Medicare Advantage |
$10,636.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,636.69
|
| Rate for Payer: Mclaren Medicare |
$10,636.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,168.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,232.19
|
| Rate for Payer: Nomi Health Commercial |
$16,239.81
|
| Rate for Payer: PACE Medicare |
$10,104.86
|
| Rate for Payer: PACE SWMI |
$10,636.69
|
| Rate for Payer: PHP Medicare Advantage |
$10,636.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,328.13
|
| Rate for Payer: Priority Health Medicare |
$10,636.69
|
| Rate for Payer: Priority Health Narrow Network |
$15,462.51
|
| Rate for Payer: Railroad Medicare Medicare |
$10,636.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,684.16
|
| Rate for Payer: UHC Core |
$15,746.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,636.69
|
| Rate for Payer: UHC Exchange |
$12,518.50
|
| Rate for Payer: UHC Medicare Advantage |
$10,636.69
|
| Rate for Payer: VA VA |
$10,636.69
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,966.35
|
|
|
Service Code
|
MSDRG 347
|
| Min. Negotiated Rate |
$18,629.23 |
| Max. Negotiated Rate |
$71,966.35 |
| Rate for Payer: Aetna Medicare |
$20,394.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,512.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,512.15
|
| Rate for Payer: BCBS MAPPO |
$19,609.72
|
| Rate for Payer: BCBS Trust/PPO |
$71,966.35
|
| Rate for Payer: BCN Commercial |
$71,966.35
|
| Rate for Payer: BCN Medicare Advantage |
$19,609.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,609.72
|
| Rate for Payer: Mclaren Medicare |
$19,609.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,590.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,551.18
|
| Rate for Payer: Nomi Health Commercial |
$30,531.72
|
| Rate for Payer: PACE Medicare |
$18,629.23
|
| Rate for Payer: PACE SWMI |
$19,609.72
|
| Rate for Payer: PHP Medicare Advantage |
$19,609.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,337.75
|
| Rate for Payer: Priority Health Medicare |
$19,609.72
|
| Rate for Payer: Priority Health Narrow Network |
$29,070.20
|
| Rate for Payer: Railroad Medicare Medicare |
$19,609.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,007.28
|
| Rate for Payer: UHC Core |
$29,603.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,609.72
|
| Rate for Payer: UHC Exchange |
$23,535.46
|
| Rate for Payer: UHC Medicare Advantage |
$19,609.72
|
| Rate for Payer: VA VA |
$19,609.72
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,440.94
|
|
|
Service Code
|
MSDRG 349
|
| Min. Negotiated Rate |
$7,196.46 |
| Max. Negotiated Rate |
$23,440.94 |
| Rate for Payer: Aetna Medicare |
$7,878.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,469.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,469.02
|
| Rate for Payer: BCBS MAPPO |
$7,575.22
|
| Rate for Payer: BCBS Trust/PPO |
$23,440.94
|
| Rate for Payer: BCN Commercial |
$23,440.94
|
| Rate for Payer: BCN Medicare Advantage |
$7,575.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,575.22
|
| Rate for Payer: Mclaren Medicare |
$7,575.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,953.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,711.50
|
| Rate for Payer: Nomi Health Commercial |
$11,363.61
|
| Rate for Payer: PACE Medicare |
$7,196.46
|
| Rate for Payer: PACE SWMI |
$7,575.22
|
| Rate for Payer: PHP Medicare Advantage |
$7,575.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,525.70
|
| Rate for Payer: Priority Health Medicare |
$7,575.22
|
| Rate for Payer: Priority Health Narrow Network |
$10,820.56
|
| Rate for Payer: Railroad Medicare Medicare |
$7,575.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,773.75
|
| Rate for Payer: UHC Core |
$11,018.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,575.22
|
| Rate for Payer: UHC Exchange |
$8,759.67
|
| Rate for Payer: UHC Medicare Advantage |
$7,575.22
|
| Rate for Payer: VA VA |
$7,575.22
|
|
|
MS-DRG 42.00: ANGINA PECTORIS
|
Facility
|
IP
|
$15,707.57
|
|
|
Service Code
|
MSDRG 311
|
| Min. Negotiated Rate |
$5,791.49 |
| Max. Negotiated Rate |
$15,707.57 |
| Rate for Payer: Aetna Medicare |
$6,340.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,620.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,620.39
|
| Rate for Payer: BCBS MAPPO |
$6,096.31
|
| Rate for Payer: BCBS Trust/PPO |
$15,707.57
|
| Rate for Payer: BCN Commercial |
$15,707.57
|
| Rate for Payer: BCN Medicare Advantage |
$6,096.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,096.31
|
| Rate for Payer: Mclaren Medicare |
$6,096.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,401.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,010.76
|
| Rate for Payer: Nomi Health Commercial |
$9,008.07
|
| Rate for Payer: PACE Medicare |
$5,791.49
|
| Rate for Payer: PACE SWMI |
$6,096.31
|
| Rate for Payer: PHP Medicare Advantage |
$6,096.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,725.06
|
| Rate for Payer: Priority Health Medicare |
$6,096.31
|
| Rate for Payer: Priority Health Narrow Network |
$8,580.05
|
| Rate for Payer: Railroad Medicare Medicare |
$6,096.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,918.62
|
| Rate for Payer: UHC Core |
$8,734.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,096.31
|
| Rate for Payer: UHC Exchange |
$6,943.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,096.31
|
| Rate for Payer: VA VA |
$6,096.31
|
|
|
MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
|
Facility
|
IP
|
$121,563.63
|
|
|
Service Code
|
MSDRG 268
|
| Min. Negotiated Rate |
$51,720.34 |
| Max. Negotiated Rate |
$121,563.63 |
| Rate for Payer: Aetna Medicare |
$56,620.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,053.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,053.08
|
| Rate for Payer: BCBS MAPPO |
$54,442.46
|
| Rate for Payer: BCBS Trust/PPO |
$121,563.63
|
| Rate for Payer: BCN Commercial |
$121,563.63
|
| Rate for Payer: BCN Medicare Advantage |
$54,442.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,442.46
|
| Rate for Payer: Mclaren Medicare |
$54,442.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,164.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,608.83
|
| Rate for Payer: Nomi Health Commercial |
$86,012.04
|
| Rate for Payer: PACE Medicare |
$51,720.34
|
| Rate for Payer: PACE SWMI |
$54,442.46
|
| Rate for Payer: PHP Medicare Advantage |
$54,442.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102,370.92
|
| Rate for Payer: Priority Health Medicare |
$54,442.46
|
| Rate for Payer: Priority Health Narrow Network |
$81,896.75
|
| Rate for Payer: Railroad Medicare Medicare |
$54,442.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104,254.59
|
| Rate for Payer: UHC Core |
$83,398.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,442.46
|
| Rate for Payer: UHC Exchange |
$66,302.61
|
| Rate for Payer: UHC Medicare Advantage |
$54,442.46
|
| Rate for Payer: VA VA |
$54,442.46
|
|
|
MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
|
Facility
|
IP
|
$78,609.31
|
|
|
Service Code
|
MSDRG 269
|
| Min. Negotiated Rate |
$32,431.79 |
| Max. Negotiated Rate |
$78,609.31 |
| Rate for Payer: Aetna Medicare |
$35,504.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,673.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,673.41
|
| Rate for Payer: BCBS MAPPO |
$34,138.73
|
| Rate for Payer: BCBS Trust/PPO |
$78,609.31
|
| Rate for Payer: BCN Commercial |
$78,609.31
|
| Rate for Payer: BCN Medicare Advantage |
$34,138.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,138.73
|
| Rate for Payer: Mclaren Medicare |
$34,138.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,845.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,259.54
|
| Rate for Payer: Nomi Health Commercial |
$53,673.03
|
| Rate for Payer: PACE Medicare |
$32,431.79
|
| Rate for Payer: PACE SWMI |
$34,138.73
|
| Rate for Payer: PHP Medicare Advantage |
$34,138.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,880.49
|
| Rate for Payer: Priority Health Medicare |
$34,138.73
|
| Rate for Payer: Priority Health Narrow Network |
$51,104.40
|
| Rate for Payer: Railroad Medicare Medicare |
$34,138.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65,056.71
|
| Rate for Payer: UHC Core |
$52,042.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,138.73
|
| Rate for Payer: UHC Exchange |
$41,374.00
|
| Rate for Payer: UHC Medicare Advantage |
$34,138.73
|
| Rate for Payer: VA VA |
$34,138.73
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITH CC
|
Facility
|
IP
|
$30,443.84
|
|
|
Service Code
|
MSDRG 398
|
| Min. Negotiated Rate |
$12,061.48 |
| Max. Negotiated Rate |
$30,443.84 |
| Rate for Payer: Aetna Medicare |
$13,204.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,870.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,870.36
|
| Rate for Payer: BCBS MAPPO |
$12,696.29
|
| Rate for Payer: BCBS Trust/PPO |
$30,443.84
|
| Rate for Payer: BCN Commercial |
$30,443.84
|
| Rate for Payer: BCN Medicare Advantage |
$12,696.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,696.29
|
| Rate for Payer: Mclaren Medicare |
$12,696.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,331.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,600.73
|
| Rate for Payer: Nomi Health Commercial |
$19,520.28
|
| Rate for Payer: PACE Medicare |
$12,061.48
|
| Rate for Payer: PACE SWMI |
$12,696.29
|
| Rate for Payer: PHP Medicare Advantage |
$12,696.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,235.83
|
| Rate for Payer: Priority Health Medicare |
$12,696.29
|
| Rate for Payer: Priority Health Narrow Network |
$18,588.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12,696.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,660.40
|
| Rate for Payer: UHC Core |
$18,927.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,696.29
|
| Rate for Payer: UHC Exchange |
$15,047.26
|
| Rate for Payer: UHC Medicare Advantage |
$12,696.29
|
| Rate for Payer: VA VA |
$12,696.29
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC
|
Facility
|
IP
|
$38,742.88
|
|
|
Service Code
|
MSDRG 397
|
| Min. Negotiated Rate |
$19,483.26 |
| Max. Negotiated Rate |
$38,742.88 |
| Rate for Payer: Aetna Medicare |
$21,329.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,635.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,635.86
|
| Rate for Payer: BCBS MAPPO |
$20,508.69
|
| Rate for Payer: BCBS Trust/PPO |
$34,792.20
|
| Rate for Payer: BCN Commercial |
$34,792.20
|
| Rate for Payer: BCN Medicare Advantage |
$20,508.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,508.69
|
| Rate for Payer: Mclaren Medicare |
$20,508.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,534.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,584.99
|
| Rate for Payer: Nomi Health Commercial |
$31,963.62
|
| Rate for Payer: PACE Medicare |
$19,483.26
|
| Rate for Payer: PACE SWMI |
$20,508.69
|
| Rate for Payer: PHP Medicare Advantage |
$20,508.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,042.09
|
| Rate for Payer: Priority Health Medicare |
$20,508.69
|
| Rate for Payer: Priority Health Narrow Network |
$30,433.67
|
| Rate for Payer: Railroad Medicare Medicare |
$20,508.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,742.88
|
| Rate for Payer: UHC Core |
$30,992.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,508.69
|
| Rate for Payer: UHC Exchange |
$24,639.24
|
| Rate for Payer: UHC Medicare Advantage |
$20,508.69
|
| Rate for Payer: VA VA |
$20,508.69
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,621.73
|
|
|
Service Code
|
MSDRG 399
|
| Min. Negotiated Rate |
$9,065.36 |
| Max. Negotiated Rate |
$25,621.73 |
| Rate for Payer: Aetna Medicare |
$9,924.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,928.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,928.10
|
| Rate for Payer: BCBS MAPPO |
$9,542.48
|
| Rate for Payer: BCBS Trust/PPO |
$25,621.73
|
| Rate for Payer: BCN Commercial |
$25,621.73
|
| Rate for Payer: BCN Medicare Advantage |
$9,542.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,542.48
|
| Rate for Payer: Mclaren Medicare |
$9,542.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,019.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,973.85
|
| Rate for Payer: Nomi Health Commercial |
$14,497.02
|
| Rate for Payer: PACE Medicare |
$9,065.36
|
| Rate for Payer: PACE SWMI |
$9,542.48
|
| Rate for Payer: PHP Medicare Advantage |
$9,542.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,259.89
|
| Rate for Payer: Priority Health Medicare |
$9,542.48
|
| Rate for Payer: Priority Health Narrow Network |
$13,807.92
|
| Rate for Payer: Railroad Medicare Medicare |
$9,542.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,571.74
|
| Rate for Payer: UHC Core |
$14,056.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,542.48
|
| Rate for Payer: UHC Exchange |
$11,175.07
|
| Rate for Payer: UHC Medicare Advantage |
$9,542.48
|
| Rate for Payer: VA VA |
$9,542.48
|
|
|
MS-DRG 42.00: ARTHROSCOPY
|
Facility
|
IP
|
$27,467.76
|
|
|
Service Code
|
MSDRG 509
|
| Min. Negotiated Rate |
$13,935.01 |
| Max. Negotiated Rate |
$27,467.76 |
| Rate for Payer: Aetna Medicare |
$15,255.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,335.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,335.54
|
| Rate for Payer: BCBS MAPPO |
$14,668.43
|
| Rate for Payer: BCBS Trust/PPO |
$24,581.62
|
| Rate for Payer: BCN Commercial |
$24,581.62
|
| Rate for Payer: BCN Medicare Advantage |
$14,668.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,668.43
|
| Rate for Payer: Mclaren Medicare |
$14,668.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,401.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,868.69
|
| Rate for Payer: Nomi Health Commercial |
$22,661.43
|
| Rate for Payer: PACE Medicare |
$13,935.01
|
| Rate for Payer: PACE SWMI |
$14,668.43
|
| Rate for Payer: PHP Medicare Advantage |
$14,668.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,970.02
|
| Rate for Payer: Priority Health Medicare |
$14,668.43
|
| Rate for Payer: Priority Health Narrow Network |
$21,576.02
|
| Rate for Payer: Railroad Medicare Medicare |
$14,668.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,467.76
|
| Rate for Payer: UHC Core |
$21,972.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,668.43
|
| Rate for Payer: UHC Exchange |
$17,468.62
|
| Rate for Payer: UHC Medicare Advantage |
$14,668.43
|
| Rate for Payer: VA VA |
$14,668.43
|
|
|
MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC
|
Facility
|
IP
|
$31,812.13
|
|
|
Service Code
|
MSDRG 302
|
| Min. Negotiated Rate |
$9,369.29 |
| Max. Negotiated Rate |
$31,812.13 |
| Rate for Payer: Aetna Medicare |
$10,256.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,328.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,328.01
|
| Rate for Payer: BCBS MAPPO |
$9,862.41
|
| Rate for Payer: BCBS Trust/PPO |
$31,812.13
|
| Rate for Payer: BCN Commercial |
$31,812.13
|
| Rate for Payer: BCN Medicare Advantage |
$9,862.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,862.41
|
| Rate for Payer: Mclaren Medicare |
$9,862.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,355.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,341.77
|
| Rate for Payer: Nomi Health Commercial |
$15,006.57
|
| Rate for Payer: PACE Medicare |
$9,369.29
|
| Rate for Payer: PACE SWMI |
$9,862.41
|
| Rate for Payer: PHP Medicare Advantage |
$9,862.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,860.25
|
| Rate for Payer: Priority Health Medicare |
$9,862.41
|
| Rate for Payer: Priority Health Narrow Network |
$14,288.20
|
| Rate for Payer: Railroad Medicare Medicare |
$9,862.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,189.36
|
| Rate for Payer: UHC Core |
$14,550.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,862.41
|
| Rate for Payer: UHC Exchange |
$11,567.86
|
| Rate for Payer: UHC Medicare Advantage |
$9,862.41
|
| Rate for Payer: VA VA |
$9,862.41
|
|
|
MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC
|
Facility
|
IP
|
$14,619.82
|
|
|
Service Code
|
MSDRG 303
|
| Min. Negotiated Rate |
$5,592.20 |
| Max. Negotiated Rate |
$14,619.82 |
| Rate for Payer: Aetna Medicare |
$6,121.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,358.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,358.16
|
| Rate for Payer: BCBS MAPPO |
$5,886.53
|
| Rate for Payer: BCBS Trust/PPO |
$14,619.82
|
| Rate for Payer: BCN Commercial |
$14,619.82
|
| Rate for Payer: BCN Medicare Advantage |
$5,886.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,886.53
|
| Rate for Payer: Mclaren Medicare |
$5,886.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,180.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,769.51
|
| Rate for Payer: Nomi Health Commercial |
$8,673.96
|
| Rate for Payer: PACE Medicare |
$5,592.20
|
| Rate for Payer: PACE SWMI |
$5,886.53
|
| Rate for Payer: PHP Medicare Advantage |
$5,886.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,324.31
|
| Rate for Payer: Priority Health Medicare |
$5,886.53
|
| Rate for Payer: Priority Health Narrow Network |
$8,259.45
|
| Rate for Payer: Railroad Medicare Medicare |
$5,886.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,513.65
|
| Rate for Payer: UHC Core |
$8,410.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,886.53
|
| Rate for Payer: UHC Exchange |
$6,686.35
|
| Rate for Payer: UHC Medicare Advantage |
$5,886.53
|
| Rate for Payer: VA VA |
$5,886.53
|
|
|
MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
|
Facility
|
IP
|
$235,494.47
|
|
|
Service Code
|
MSDRG 016
|
| Min. Negotiated Rate |
$46,859.94 |
| Max. Negotiated Rate |
$235,494.47 |
| Rate for Payer: Aetna Medicare |
$51,299.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,657.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,657.81
|
| Rate for Payer: BCBS MAPPO |
$49,326.25
|
| Rate for Payer: BCBS Trust/PPO |
$235,494.47
|
| Rate for Payer: BCN Commercial |
$235,494.47
|
| Rate for Payer: BCN Medicare Advantage |
$49,326.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,326.25
|
| Rate for Payer: Mclaren Medicare |
$49,326.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,792.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,725.19
|
| Rate for Payer: Nomi Health Commercial |
$77,863.11
|
| Rate for Payer: PACE Medicare |
$46,859.94
|
| Rate for Payer: PACE SWMI |
$49,326.25
|
| Rate for Payer: PHP Medicare Advantage |
$49,326.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92,671.54
|
| Rate for Payer: Priority Health Medicare |
$49,326.25
|
| Rate for Payer: Priority Health Narrow Network |
$74,137.25
|
| Rate for Payer: Railroad Medicare Medicare |
$49,326.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94,377.33
|
| Rate for Payer: UHC Core |
$75,497.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,326.25
|
| Rate for Payer: UHC Exchange |
$60,020.99
|
| Rate for Payer: UHC Medicare Advantage |
$49,326.25
|
| Rate for Payer: VA VA |
$49,326.25
|
|
