|
MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$120,483.82
|
|
|
Service Code
|
MSDRG 017
|
| Min. Negotiated Rate |
$46,859.94 |
| Max. Negotiated Rate |
$120,483.82 |
| 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 |
$120,483.82
|
| Rate for Payer: BCN Commercial |
$120,483.82
|
| 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
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
|
Facility
|
IP
|
$43,499.52
|
|
|
Service Code
|
MSDRG 519
|
| Min. Negotiated Rate |
$15,590.79 |
| Max. Negotiated Rate |
$43,499.52 |
| Rate for Payer: Aetna Medicare |
$17,067.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,514.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,514.20
|
| Rate for Payer: BCBS MAPPO |
$16,411.36
|
| Rate for Payer: BCBS Trust/PPO |
$43,499.52
|
| Rate for Payer: BCN Commercial |
$43,499.52
|
| Rate for Payer: BCN Medicare Advantage |
$16,411.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,411.36
|
| Rate for Payer: Mclaren Medicare |
$16,411.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,231.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,873.06
|
| Rate for Payer: Nomi Health Commercial |
$25,437.51
|
| Rate for Payer: PACE Medicare |
$15,590.79
|
| Rate for Payer: PACE SWMI |
$16,411.36
|
| Rate for Payer: PHP Medicare Advantage |
$16,411.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,274.29
|
| Rate for Payer: Priority Health Medicare |
$16,411.36
|
| Rate for Payer: Priority Health Narrow Network |
$24,219.44
|
| Rate for Payer: Railroad Medicare Medicare |
$16,411.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,832.63
|
| Rate for Payer: UHC Core |
$24,664.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,411.36
|
| Rate for Payer: UHC Exchange |
$19,608.57
|
| Rate for Payer: UHC Medicare Advantage |
$16,411.36
|
| Rate for Payer: VA VA |
$16,411.36
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
|
Facility
|
IP
|
$62,862.04
|
|
|
Service Code
|
MSDRG 518
|
| Min. Negotiated Rate |
$27,994.57 |
| Max. Negotiated Rate |
$62,862.04 |
| Rate for Payer: Aetna Medicare |
$30,646.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,834.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,834.96
|
| Rate for Payer: BCBS MAPPO |
$29,467.97
|
| Rate for Payer: BCBS Trust/PPO |
$62,862.04
|
| Rate for Payer: BCN Commercial |
$62,862.04
|
| Rate for Payer: BCN Medicare Advantage |
$29,467.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,467.97
|
| Rate for Payer: Mclaren Medicare |
$29,467.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,941.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,888.17
|
| Rate for Payer: Nomi Health Commercial |
$46,233.60
|
| Rate for Payer: PACE Medicare |
$27,994.57
|
| Rate for Payer: PACE SWMI |
$29,467.97
|
| Rate for Payer: PHP Medicare Advantage |
$29,467.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,027.13
|
| Rate for Payer: Priority Health Medicare |
$29,467.97
|
| Rate for Payer: Priority Health Narrow Network |
$44,021.71
|
| Rate for Payer: Railroad Medicare Medicare |
$29,467.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,039.42
|
| Rate for Payer: UHC Core |
$44,828.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,467.97
|
| Rate for Payer: UHC Exchange |
$35,639.30
|
| Rate for Payer: UHC Medicare Advantage |
$29,467.97
|
| Rate for Payer: VA VA |
$29,467.97
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$34,490.49
|
|
|
Service Code
|
MSDRG 520
|
| Min. Negotiated Rate |
$11,445.95 |
| Max. Negotiated Rate |
$34,490.49 |
| Rate for Payer: Aetna Medicare |
$12,530.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,060.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,060.46
|
| Rate for Payer: BCBS MAPPO |
$12,048.37
|
| Rate for Payer: BCBS Trust/PPO |
$34,490.49
|
| Rate for Payer: BCN Commercial |
$34,490.49
|
| Rate for Payer: BCN Medicare Advantage |
$12,048.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,048.37
|
| Rate for Payer: Mclaren Medicare |
$12,048.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,650.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,855.63
|
| Rate for Payer: Nomi Health Commercial |
$18,488.28
|
| Rate for Payer: PACE Medicare |
$11,445.95
|
| Rate for Payer: PACE SWMI |
$12,048.37
|
| Rate for Payer: PHP Medicare Advantage |
$12,048.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,004.40
|
| Rate for Payer: Priority Health Medicare |
$12,048.37
|
| Rate for Payer: Priority Health Narrow Network |
$17,603.53
|
| Rate for Payer: Railroad Medicare Medicare |
$12,048.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,409.52
|
| Rate for Payer: UHC Core |
$17,926.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,048.37
|
| Rate for Payer: UHC Exchange |
$14,251.74
|
| Rate for Payer: UHC Medicare Advantage |
$12,048.37
|
| Rate for Payer: VA VA |
$12,048.37
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$65,569.52
|
|
|
Service Code
|
MSDRG 095
|
| Min. Negotiated Rate |
$18,863.12 |
| Max. Negotiated Rate |
$65,569.52 |
| Rate for Payer: Aetna Medicare |
$20,650.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,819.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,819.90
|
| Rate for Payer: BCBS MAPPO |
$19,855.92
|
| Rate for Payer: BCBS Trust/PPO |
$65,569.52
|
| Rate for Payer: BCN Commercial |
$65,569.52
|
| Rate for Payer: BCN Medicare Advantage |
$19,855.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,855.92
|
| Rate for Payer: Mclaren Medicare |
$19,855.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,848.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,834.31
|
| Rate for Payer: Nomi Health Commercial |
$30,923.88
|
| Rate for Payer: PACE Medicare |
$18,863.12
|
| Rate for Payer: PACE SWMI |
$19,855.92
|
| Rate for Payer: PHP Medicare Advantage |
$19,855.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,804.52
|
| Rate for Payer: Priority Health Medicare |
$19,855.92
|
| Rate for Payer: Priority Health Narrow Network |
$29,443.62
|
| Rate for Payer: Railroad Medicare Medicare |
$19,855.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,482.62
|
| Rate for Payer: UHC Core |
$29,984.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,855.92
|
| Rate for Payer: UHC Exchange |
$23,837.76
|
| Rate for Payer: UHC Medicare Advantage |
$19,855.92
|
| Rate for Payer: VA VA |
$19,855.92
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$77,381.29
|
|
|
Service Code
|
MSDRG 094
|
| Min. Negotiated Rate |
$28,492.40 |
| Max. Negotiated Rate |
$77,381.29 |
| Rate for Payer: Aetna Medicare |
$31,191.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,490.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,490.00
|
| Rate for Payer: BCBS MAPPO |
$29,992.00
|
| Rate for Payer: BCBS Trust/PPO |
$77,381.29
|
| Rate for Payer: BCN Commercial |
$77,381.29
|
| Rate for Payer: BCN Medicare Advantage |
$29,992.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,992.00
|
| Rate for Payer: Mclaren Medicare |
$29,992.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,491.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,490.80
|
| Rate for Payer: Nomi Health Commercial |
$47,068.23
|
| Rate for Payer: PACE Medicare |
$28,492.40
|
| Rate for Payer: PACE SWMI |
$29,992.00
|
| Rate for Payer: PHP Medicare Advantage |
$29,992.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,019.03
|
| Rate for Payer: Priority Health Medicare |
$29,992.00
|
| Rate for Payer: Priority Health Narrow Network |
$44,815.23
|
| Rate for Payer: Railroad Medicare Medicare |
$29,992.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57,051.07
|
| Rate for Payer: UHC Core |
$45,637.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,992.00
|
| Rate for Payer: UHC Exchange |
$36,282.67
|
| Rate for Payer: UHC Medicare Advantage |
$29,992.00
|
| Rate for Payer: VA VA |
$29,992.00
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$46,045.55
|
|
|
Service Code
|
MSDRG 096
|
| Min. Negotiated Rate |
$18,863.12 |
| Max. Negotiated Rate |
$46,045.55 |
| Rate for Payer: Aetna Medicare |
$20,650.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,819.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,819.90
|
| Rate for Payer: BCBS MAPPO |
$19,855.92
|
| Rate for Payer: BCBS Trust/PPO |
$46,045.55
|
| Rate for Payer: BCN Commercial |
$46,045.55
|
| Rate for Payer: BCN Medicare Advantage |
$19,855.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,855.92
|
| Rate for Payer: Mclaren Medicare |
$19,855.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,848.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,834.31
|
| Rate for Payer: Nomi Health Commercial |
$30,923.88
|
| Rate for Payer: PACE Medicare |
$18,863.12
|
| Rate for Payer: PACE SWMI |
$19,855.92
|
| Rate for Payer: PHP Medicare Advantage |
$19,855.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,804.52
|
| Rate for Payer: Priority Health Medicare |
$19,855.92
|
| Rate for Payer: Priority Health Narrow Network |
$29,443.62
|
| Rate for Payer: Railroad Medicare Medicare |
$19,855.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,482.62
|
| Rate for Payer: UHC Core |
$29,984.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,855.92
|
| Rate for Payer: UHC Exchange |
$23,837.76
|
| Rate for Payer: UHC Medicare Advantage |
$19,855.92
|
| Rate for Payer: VA VA |
$19,855.92
|
|
|
MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS
|
Facility
|
IP
|
$28,090.07
|
|
|
Service Code
|
MSDRG 886
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$28,090.07 |
| Rate for Payer: Aetna Medicare |
$15,590.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,738.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,738.48
|
| Rate for Payer: BCBS MAPPO |
$14,990.78
|
| Rate for Payer: BCBS Trust/PPO |
$22,697.24
|
| Rate for Payer: BCN Commercial |
$22,697.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,990.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,990.78
|
| Rate for Payer: Mclaren Medicare |
$14,990.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,740.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,239.40
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$14,241.24
|
| Rate for Payer: PACE SWMI |
$14,990.78
|
| Rate for Payer: PHP Medicare Advantage |
$14,990.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,582.66
|
| Rate for Payer: Priority Health Medicare |
$14,990.78
|
| Rate for Payer: Priority Health Narrow Network |
$22,066.13
|
| Rate for Payer: Railroad Medicare Medicare |
$14,990.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,090.07
|
| Rate for Payer: UHC Core |
$22,470.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,990.78
|
| Rate for Payer: UHC Exchange |
$17,864.40
|
| Rate for Payer: UHC Medicare Advantage |
$14,990.78
|
| Rate for Payer: VA VA |
$14,990.78
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
|
IP
|
$24,068.18
|
|
|
Service Code
|
MSDRG 725
|
| Min. Negotiated Rate |
$10,133.33 |
| Max. Negotiated Rate |
$24,068.18 |
| Rate for Payer: Aetna Medicare |
$11,093.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,333.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,333.32
|
| Rate for Payer: BCBS MAPPO |
$10,666.66
|
| Rate for Payer: BCBS Trust/PPO |
$24,068.18
|
| Rate for Payer: BCN Commercial |
$24,068.18
|
| Rate for Payer: BCN Medicare Advantage |
$10,666.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,666.66
|
| Rate for Payer: Mclaren Medicare |
$10,666.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,199.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,266.66
|
| Rate for Payer: Nomi Health Commercial |
$16,287.54
|
| Rate for Payer: PACE Medicare |
$10,133.33
|
| Rate for Payer: PACE SWMI |
$10,666.66
|
| Rate for Payer: PHP Medicare Advantage |
$10,666.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,394.16
|
| Rate for Payer: Priority Health Medicare |
$10,666.66
|
| Rate for Payer: Priority Health Narrow Network |
$15,515.33
|
| Rate for Payer: Railroad Medicare Medicare |
$10,666.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,742.01
|
| Rate for Payer: UHC Core |
$15,792.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,666.66
|
| Rate for Payer: UHC Exchange |
$12,555.29
|
| Rate for Payer: UHC Medicare Advantage |
$10,666.66
|
| Rate for Payer: VA VA |
$10,666.66
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
|
IP
|
$14,175.19
|
|
|
Service Code
|
MSDRG 726
|
| Min. Negotiated Rate |
$6,146.20 |
| Max. Negotiated Rate |
$14,175.19 |
| Rate for Payer: Aetna Medicare |
$6,728.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,087.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,087.10
|
| Rate for Payer: BCBS MAPPO |
$6,469.68
|
| Rate for Payer: BCBS Trust/PPO |
$14,175.19
|
| Rate for Payer: BCN Commercial |
$14,175.19
|
| Rate for Payer: BCN Medicare Advantage |
$6,469.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,469.68
|
| Rate for Payer: Mclaren Medicare |
$6,469.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,793.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,440.13
|
| Rate for Payer: Nomi Health Commercial |
$9,602.76
|
| Rate for Payer: PACE Medicare |
$6,146.20
|
| Rate for Payer: PACE SWMI |
$6,469.68
|
| Rate for Payer: PHP Medicare Advantage |
$6,469.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,428.29
|
| Rate for Payer: Priority Health Medicare |
$6,469.68
|
| Rate for Payer: Priority Health Narrow Network |
$9,142.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,469.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,639.44
|
| Rate for Payer: UHC Core |
$9,310.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,469.68
|
| Rate for Payer: UHC Exchange |
$7,402.31
|
| Rate for Payer: UHC Medicare Advantage |
$6,469.68
|
| Rate for Payer: VA VA |
$6,469.68
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
|
IP
|
$117,368.77
|
|
|
Service Code
|
MSDRG 461
|
| Min. Negotiated Rate |
$47,635.49 |
| Max. Negotiated Rate |
$117,368.77 |
| Rate for Payer: Aetna Medicare |
$52,148.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,678.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,678.28
|
| Rate for Payer: BCBS MAPPO |
$50,142.62
|
| Rate for Payer: BCBS Trust/PPO |
$117,368.77
|
| Rate for Payer: BCN Commercial |
$117,368.77
|
| Rate for Payer: BCN Medicare Advantage |
$50,142.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,142.62
|
| Rate for Payer: Mclaren Medicare |
$50,142.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,649.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,664.01
|
| Rate for Payer: Nomi Health Commercial |
$79,163.43
|
| Rate for Payer: PACE Medicare |
$47,635.49
|
| Rate for Payer: PACE SWMI |
$50,142.62
|
| Rate for Payer: PHP Medicare Advantage |
$50,142.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94,225.41
|
| Rate for Payer: Priority Health Medicare |
$50,142.62
|
| Rate for Payer: Priority Health Narrow Network |
$75,380.34
|
| Rate for Payer: Railroad Medicare Medicare |
$50,142.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95,953.44
|
| Rate for Payer: UHC Core |
$76,757.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,142.62
|
| Rate for Payer: UHC Exchange |
$61,023.34
|
| Rate for Payer: UHC Medicare Advantage |
$50,142.62
|
| Rate for Payer: VA VA |
$50,142.62
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$63,224.63
|
|
|
Service Code
|
MSDRG 462
|
| Min. Negotiated Rate |
$22,453.22 |
| Max. Negotiated Rate |
$63,224.63 |
| Rate for Payer: Aetna Medicare |
$24,580.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,543.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,543.71
|
| Rate for Payer: BCBS MAPPO |
$23,634.97
|
| Rate for Payer: BCBS Trust/PPO |
$63,224.63
|
| Rate for Payer: BCN Commercial |
$63,224.63
|
| Rate for Payer: BCN Medicare Advantage |
$23,634.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,634.97
|
| Rate for Payer: Mclaren Medicare |
$23,634.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,816.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,180.22
|
| Rate for Payer: Nomi Health Commercial |
$36,943.02
|
| Rate for Payer: PACE Medicare |
$22,453.22
|
| Rate for Payer: PACE SWMI |
$23,634.97
|
| Rate for Payer: PHP Medicare Advantage |
$23,634.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,968.89
|
| Rate for Payer: Priority Health Medicare |
$23,634.97
|
| Rate for Payer: Priority Health Narrow Network |
$35,175.12
|
| Rate for Payer: Railroad Medicare Medicare |
$23,634.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,778.38
|
| Rate for Payer: UHC Core |
$35,820.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,634.97
|
| Rate for Payer: UHC Exchange |
$28,477.63
|
| Rate for Payer: UHC Medicare Advantage |
$23,634.97
|
| Rate for Payer: VA VA |
$23,634.97
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$63,063.18
|
|
|
Service Code
|
MSDRG 409
|
| Min. Negotiated Rate |
$16,549.50 |
| Max. Negotiated Rate |
$63,063.18 |
| Rate for Payer: Aetna Medicare |
$18,117.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,775.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,775.66
|
| Rate for Payer: BCBS MAPPO |
$17,420.53
|
| Rate for Payer: BCBS Trust/PPO |
$63,063.18
|
| Rate for Payer: BCN Commercial |
$63,063.18
|
| Rate for Payer: BCN Medicare Advantage |
$17,420.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,420.53
|
| Rate for Payer: Mclaren Medicare |
$17,420.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,291.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,033.61
|
| Rate for Payer: Nomi Health Commercial |
$27,044.85
|
| Rate for Payer: PACE Medicare |
$16,549.50
|
| Rate for Payer: PACE SWMI |
$17,420.53
|
| Rate for Payer: PHP Medicare Advantage |
$17,420.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,187.45
|
| Rate for Payer: Priority Health Medicare |
$17,420.53
|
| Rate for Payer: Priority Health Narrow Network |
$25,749.96
|
| Rate for Payer: Railroad Medicare Medicare |
$17,420.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,780.87
|
| Rate for Payer: UHC Core |
$26,223.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,420.53
|
| Rate for Payer: UHC Exchange |
$20,847.60
|
| Rate for Payer: UHC Medicare Advantage |
$17,420.53
|
| Rate for Payer: VA VA |
$17,420.53
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$101,957.62
|
|
|
Service Code
|
MSDRG 408
|
| Min. Negotiated Rate |
$27,358.26 |
| Max. Negotiated Rate |
$101,957.62 |
| Rate for Payer: Aetna Medicare |
$29,950.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,997.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,997.71
|
| Rate for Payer: BCBS MAPPO |
$28,798.17
|
| Rate for Payer: BCBS Trust/PPO |
$101,957.62
|
| Rate for Payer: BCN Commercial |
$101,957.62
|
| Rate for Payer: BCN Medicare Advantage |
$28,798.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,798.17
|
| Rate for Payer: Mclaren Medicare |
$28,798.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,238.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,117.90
|
| Rate for Payer: Nomi Health Commercial |
$45,166.77
|
| Rate for Payer: PACE Medicare |
$27,358.26
|
| Rate for Payer: PACE SWMI |
$28,798.17
|
| Rate for Payer: PHP Medicare Advantage |
$28,798.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,757.32
|
| Rate for Payer: Priority Health Medicare |
$28,798.17
|
| Rate for Payer: Priority Health Narrow Network |
$43,005.87
|
| Rate for Payer: Railroad Medicare Medicare |
$28,798.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,746.33
|
| Rate for Payer: UHC Core |
$43,794.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,798.17
|
| Rate for Payer: UHC Exchange |
$34,816.93
|
| Rate for Payer: UHC Medicare Advantage |
$28,798.17
|
| Rate for Payer: VA VA |
$28,798.17
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$40,392.41
|
|
|
Service Code
|
MSDRG 410
|
| Min. Negotiated Rate |
$12,353.07 |
| Max. Negotiated Rate |
$40,392.41 |
| Rate for Payer: Aetna Medicare |
$13,523.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,254.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,254.04
|
| Rate for Payer: BCBS MAPPO |
$13,003.23
|
| Rate for Payer: BCBS Trust/PPO |
$40,392.41
|
| Rate for Payer: BCN Commercial |
$40,392.41
|
| Rate for Payer: BCN Medicare Advantage |
$13,003.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,003.23
|
| Rate for Payer: Mclaren Medicare |
$13,003.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,653.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,953.71
|
| Rate for Payer: Nomi Health Commercial |
$20,009.19
|
| Rate for Payer: PACE Medicare |
$12,353.07
|
| Rate for Payer: PACE SWMI |
$13,003.23
|
| Rate for Payer: PHP Medicare Advantage |
$13,003.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,814.69
|
| Rate for Payer: Priority Health Medicare |
$13,003.23
|
| Rate for Payer: Priority Health Narrow Network |
$19,051.76
|
| Rate for Payer: Railroad Medicare Medicare |
$13,003.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,253.00
|
| Rate for Payer: UHC Core |
$19,401.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,003.23
|
| Rate for Payer: UHC Exchange |
$15,424.14
|
| Rate for Payer: UHC Medicare Advantage |
$13,003.23
|
| Rate for Payer: VA VA |
$13,003.23
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$44,367.60
|
|
|
Service Code
|
MSDRG 478
|
| Min. Negotiated Rate |
$18,412.26 |
| Max. Negotiated Rate |
$44,367.60 |
| Rate for Payer: Aetna Medicare |
$20,156.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,226.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,226.66
|
| Rate for Payer: BCBS MAPPO |
$19,381.33
|
| Rate for Payer: BCBS Trust/PPO |
$44,367.60
|
| Rate for Payer: BCN Commercial |
$44,367.60
|
| Rate for Payer: BCN Medicare Advantage |
$19,381.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,381.33
|
| Rate for Payer: Mclaren Medicare |
$19,381.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,350.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,288.53
|
| Rate for Payer: Nomi Health Commercial |
$30,167.94
|
| Rate for Payer: PACE Medicare |
$18,412.26
|
| Rate for Payer: PACE SWMI |
$19,381.33
|
| Rate for Payer: PHP Medicare Advantage |
$19,381.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,904.75
|
| Rate for Payer: Priority Health Medicare |
$19,381.33
|
| Rate for Payer: Priority Health Narrow Network |
$28,723.81
|
| Rate for Payer: Railroad Medicare Medicare |
$19,381.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,566.35
|
| Rate for Payer: UHC Core |
$29,251.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,381.33
|
| Rate for Payer: UHC Exchange |
$23,255.04
|
| Rate for Payer: UHC Medicare Advantage |
$19,381.33
|
| Rate for Payer: VA VA |
$19,381.33
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$56,444.04
|
|
|
Service Code
|
MSDRG 477
|
| Min. Negotiated Rate |
$26,878.93 |
| Max. Negotiated Rate |
$56,444.04 |
| Rate for Payer: Aetna Medicare |
$29,425.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,367.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,367.01
|
| Rate for Payer: BCBS MAPPO |
$28,293.61
|
| Rate for Payer: BCBS Trust/PPO |
$56,444.04
|
| Rate for Payer: BCN Commercial |
$56,444.04
|
| Rate for Payer: BCN Medicare Advantage |
$28,293.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,293.61
|
| Rate for Payer: Mclaren Medicare |
$28,293.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,708.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,537.65
|
| Rate for Payer: Nomi Health Commercial |
$44,363.10
|
| Rate for Payer: PACE Medicare |
$26,878.93
|
| Rate for Payer: PACE SWMI |
$28,293.61
|
| Rate for Payer: PHP Medicare Advantage |
$28,293.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,800.75
|
| Rate for Payer: Priority Health Medicare |
$28,293.61
|
| Rate for Payer: Priority Health Narrow Network |
$42,240.60
|
| Rate for Payer: Railroad Medicare Medicare |
$28,293.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,772.20
|
| Rate for Payer: UHC Core |
$43,015.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,293.61
|
| Rate for Payer: UHC Exchange |
$34,197.42
|
| Rate for Payer: UHC Medicare Advantage |
$28,293.61
|
| Rate for Payer: VA VA |
$28,293.61
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$30,107.72
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$14,081.96 |
| Max. Negotiated Rate |
$30,107.72 |
| Rate for Payer: Aetna Medicare |
$15,416.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,528.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,528.90
|
| Rate for Payer: BCBS MAPPO |
$14,823.12
|
| Rate for Payer: BCBS Trust/PPO |
$30,107.72
|
| Rate for Payer: BCN Commercial |
$30,107.72
|
| Rate for Payer: BCN Medicare Advantage |
$14,823.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,823.12
|
| Rate for Payer: Mclaren Medicare |
$14,823.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,564.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,046.59
|
| Rate for Payer: Nomi Health Commercial |
$22,907.82
|
| Rate for Payer: PACE Medicare |
$14,081.96
|
| Rate for Payer: PACE SWMI |
$14,823.12
|
| Rate for Payer: PHP Medicare Advantage |
$14,823.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,264.83
|
| Rate for Payer: Priority Health Medicare |
$14,823.12
|
| Rate for Payer: Priority Health Narrow Network |
$21,811.86
|
| Rate for Payer: Railroad Medicare Medicare |
$14,823.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,766.41
|
| Rate for Payer: UHC Core |
$22,211.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,823.12
|
| Rate for Payer: UHC Exchange |
$17,658.56
|
| Rate for Payer: UHC Medicare Advantage |
$14,823.12
|
| Rate for Payer: VA VA |
$14,823.12
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$24,983.90
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$10,467.25 |
| Max. Negotiated Rate |
$24,983.90 |
| Rate for Payer: Aetna Medicare |
$11,458.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,772.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,772.70
|
| Rate for Payer: BCBS MAPPO |
$11,018.16
|
| Rate for Payer: BCBS Trust/PPO |
$24,983.90
|
| Rate for Payer: BCN Commercial |
$24,983.90
|
| Rate for Payer: BCN Medicare Advantage |
$11,018.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,018.16
|
| Rate for Payer: Mclaren Medicare |
$11,018.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,569.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,670.88
|
| Rate for Payer: Nomi Health Commercial |
$16,847.40
|
| Rate for Payer: PACE Medicare |
$10,467.25
|
| Rate for Payer: PACE SWMI |
$11,018.16
|
| Rate for Payer: PHP Medicare Advantage |
$11,018.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,057.47
|
| Rate for Payer: Priority Health Medicare |
$11,018.16
|
| Rate for Payer: Priority Health Narrow Network |
$16,045.98
|
| Rate for Payer: Railroad Medicare Medicare |
$11,018.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,420.62
|
| Rate for Payer: UHC Core |
$16,335.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,018.16
|
| Rate for Payer: UHC Exchange |
$12,986.86
|
| Rate for Payer: UHC Medicare Advantage |
$11,018.16
|
| Rate for Payer: VA VA |
$11,018.16
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$15,855.78
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$6,840.22 |
| Max. Negotiated Rate |
$15,855.78 |
| Rate for Payer: Aetna Medicare |
$7,488.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,000.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,000.29
|
| Rate for Payer: BCBS MAPPO |
$7,200.23
|
| Rate for Payer: BCBS Trust/PPO |
$15,855.78
|
| Rate for Payer: BCN Commercial |
$15,855.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,200.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,200.23
|
| Rate for Payer: Mclaren Medicare |
$7,200.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,560.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,280.26
|
| Rate for Payer: Nomi Health Commercial |
$10,766.34
|
| Rate for Payer: PACE Medicare |
$6,840.22
|
| Rate for Payer: PACE SWMI |
$7,200.23
|
| Rate for Payer: PHP Medicare Advantage |
$7,200.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,814.79
|
| Rate for Payer: Priority Health Medicare |
$7,200.23
|
| Rate for Payer: Priority Health Narrow Network |
$10,251.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7,200.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,049.81
|
| Rate for Payer: UHC Core |
$10,439.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,200.23
|
| Rate for Payer: UHC Exchange |
$8,299.26
|
| Rate for Payer: UHC Medicare Advantage |
$7,200.23
|
| Rate for Payer: VA VA |
$7,200.23
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$67,636.51
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$16,171.71 |
| Max. Negotiated Rate |
$67,636.51 |
| Rate for Payer: Aetna Medicare |
$17,703.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,278.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,278.56
|
| Rate for Payer: BCBS MAPPO |
$17,022.85
|
| Rate for Payer: BCBS Trust/PPO |
$67,636.51
|
| Rate for Payer: BCN Commercial |
$67,636.51
|
| Rate for Payer: BCN Medicare Advantage |
$17,022.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,022.85
|
| Rate for Payer: Mclaren Medicare |
$17,022.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,873.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,576.28
|
| Rate for Payer: Nomi Health Commercial |
$26,411.46
|
| Rate for Payer: PACE Medicare |
$16,171.71
|
| Rate for Payer: PACE SWMI |
$17,022.85
|
| Rate for Payer: PHP Medicare Advantage |
$17,022.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,435.08
|
| Rate for Payer: Priority Health Medicare |
$17,022.85
|
| Rate for Payer: Priority Health Narrow Network |
$25,148.07
|
| Rate for Payer: Railroad Medicare Medicare |
$17,022.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,013.15
|
| Rate for Payer: UHC Core |
$25,608.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,022.85
|
| Rate for Payer: UHC Exchange |
$20,359.35
|
| Rate for Payer: UHC Medicare Advantage |
$17,022.85
|
| Rate for Payer: VA VA |
$17,022.85
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$59,013.89
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$15,692.37 |
| Max. Negotiated Rate |
$59,013.89 |
| Rate for Payer: Aetna Medicare |
$17,179.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,647.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,647.85
|
| Rate for Payer: BCBS MAPPO |
$16,518.28
|
| Rate for Payer: BCBS Trust/PPO |
$59,013.89
|
| Rate for Payer: BCN Commercial |
$59,013.89
|
| Rate for Payer: BCN Medicare Advantage |
$16,518.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,518.28
|
| Rate for Payer: Mclaren Medicare |
$16,518.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,344.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,996.02
|
| Rate for Payer: Nomi Health Commercial |
$25,607.79
|
| Rate for Payer: PACE Medicare |
$15,692.37
|
| Rate for Payer: PACE SWMI |
$16,518.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,518.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,478.50
|
| Rate for Payer: Priority Health Medicare |
$16,518.28
|
| Rate for Payer: Priority Health Narrow Network |
$24,382.81
|
| Rate for Payer: Railroad Medicare Medicare |
$16,518.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,039.02
|
| Rate for Payer: UHC Core |
$24,829.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,518.28
|
| Rate for Payer: UHC Exchange |
$19,739.83
|
| Rate for Payer: UHC Medicare Advantage |
$16,518.28
|
| Rate for Payer: VA VA |
$16,518.28
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$15,115.32
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$7,856.62 |
| Max. Negotiated Rate |
$15,115.32 |
| Rate for Payer: Aetna Medicare |
$8,600.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,337.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,337.66
|
| Rate for Payer: BCBS MAPPO |
$8,270.13
|
| Rate for Payer: BCBS Trust/PPO |
$13,124.49
|
| Rate for Payer: BCN Commercial |
$13,124.49
|
| Rate for Payer: BCN Medicare Advantage |
$8,270.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,270.13
|
| Rate for Payer: Mclaren Medicare |
$8,270.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,683.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,510.65
|
| Rate for Payer: Nomi Health Commercial |
$12,470.43
|
| Rate for Payer: PACE Medicare |
$7,856.62
|
| Rate for Payer: PACE SWMI |
$8,270.13
|
| Rate for Payer: PHP Medicare Advantage |
$8,270.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,843.11
|
| Rate for Payer: Priority Health Medicare |
$8,270.13
|
| Rate for Payer: Priority Health Narrow Network |
$11,874.49
|
| Rate for Payer: Railroad Medicare Medicare |
$8,270.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,115.32
|
| Rate for Payer: UHC Core |
$12,091.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,270.13
|
| Rate for Payer: UHC Exchange |
$9,612.86
|
| Rate for Payer: UHC Medicare Advantage |
$8,270.13
|
| Rate for Payer: VA VA |
$8,270.13
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$10,892.04
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$5,778.40 |
| Max. Negotiated Rate |
$10,892.04 |
| Rate for Payer: Aetna Medicare |
$6,325.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,603.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,603.16
|
| Rate for Payer: BCBS MAPPO |
$6,082.53
|
| Rate for Payer: BCBS Trust/PPO |
$7,198.75
|
| Rate for Payer: BCN Commercial |
$7,198.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,082.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,082.53
|
| Rate for Payer: Mclaren Medicare |
$6,082.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,386.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,994.91
|
| Rate for Payer: Nomi Health Commercial |
$8,986.14
|
| Rate for Payer: PACE Medicare |
$5,778.40
|
| Rate for Payer: PACE SWMI |
$6,082.53
|
| Rate for Payer: PHP Medicare Advantage |
$6,082.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,691.28
|
| Rate for Payer: Priority Health Medicare |
$6,082.53
|
| Rate for Payer: Priority Health Narrow Network |
$8,553.02
|
| Rate for Payer: Railroad Medicare Medicare |
$6,082.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,892.04
|
| Rate for Payer: UHC Core |
$8,713.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,082.53
|
| Rate for Payer: UHC Exchange |
$6,926.99
|
| Rate for Payer: UHC Medicare Advantage |
$6,082.53
|
| Rate for Payer: VA VA |
$6,082.53
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$12,539.59
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$5,838.42 |
| Max. Negotiated Rate |
$12,539.59 |
| Rate for Payer: Aetna Medicare |
$6,391.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,682.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,682.12
|
| Rate for Payer: BCBS MAPPO |
$6,145.70
|
| Rate for Payer: BCBS Trust/PPO |
$12,539.59
|
| Rate for Payer: BCN Commercial |
$12,539.59
|
| Rate for Payer: BCN Medicare Advantage |
$6,145.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,145.70
|
| Rate for Payer: Mclaren Medicare |
$6,145.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,452.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,067.56
|
| Rate for Payer: Nomi Health Commercial |
$9,086.76
|
| Rate for Payer: PACE Medicare |
$5,838.42
|
| Rate for Payer: PACE SWMI |
$6,145.70
|
| Rate for Payer: PHP Medicare Advantage |
$6,145.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,815.65
|
| Rate for Payer: Priority Health Medicare |
$6,145.70
|
| Rate for Payer: Priority Health Narrow Network |
$8,652.52
|
| Rate for Payer: Railroad Medicare Medicare |
$6,145.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,014.00
|
| Rate for Payer: UHC Core |
$8,810.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,145.70
|
| Rate for Payer: UHC Exchange |
$7,004.55
|
| Rate for Payer: UHC Medicare Advantage |
$6,145.70
|
| Rate for Payer: VA VA |
$6,145.70
|
|
