|
MS-DRG 42.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$13,772.19
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$7,195.67 |
| Max. Negotiated Rate |
$13,772.19 |
| Rate for Payer: Aetna Medicare |
$7,877.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,467.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,467.99
|
| Rate for Payer: BCBS MAPPO |
$7,574.39
|
| Rate for Payer: BCBS Trust/PPO |
$13,381.21
|
| Rate for Payer: BCN Commercial |
$13,381.21
|
| Rate for Payer: BCN Medicare Advantage |
$7,574.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,574.39
|
| Rate for Payer: Mclaren Medicare |
$7,574.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,953.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,710.55
|
| Rate for Payer: Nomi Health Commercial |
$11,362.32
|
| Rate for Payer: PACE Medicare |
$7,195.67
|
| Rate for Payer: PACE SWMI |
$7,574.39
|
| Rate for Payer: PHP Medicare Advantage |
$7,574.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,525.70
|
| Rate for Payer: Priority Health Medicare |
$7,574.39
|
| Rate for Payer: Priority Health Narrow Network |
$10,820.56
|
| Rate for Payer: Railroad Medicare Medicare |
$7,574.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,772.19
|
| Rate for Payer: UHC Core |
$11,017.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,574.39
|
| Rate for Payer: UHC Exchange |
$8,758.68
|
| Rate for Payer: UHC Medicare Advantage |
$7,574.39
|
| Rate for Payer: VA VA |
$7,574.39
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$51,645.75
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$22,710.22 |
| Max. Negotiated Rate |
$51,645.75 |
| Rate for Payer: Aetna Medicare |
$24,861.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,881.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,881.86
|
| Rate for Payer: BCBS MAPPO |
$23,905.49
|
| Rate for Payer: BCBS Trust/PPO |
$51,645.75
|
| Rate for Payer: BCN Commercial |
$51,645.75
|
| Rate for Payer: BCN Medicare Advantage |
$23,905.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,905.49
|
| Rate for Payer: Mclaren Medicare |
$23,905.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,100.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,491.31
|
| Rate for Payer: Nomi Health Commercial |
$37,373.88
|
| Rate for Payer: PACE Medicare |
$22,710.22
|
| Rate for Payer: PACE SWMI |
$23,905.49
|
| Rate for Payer: PHP Medicare Advantage |
$23,905.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,481.73
|
| Rate for Payer: Priority Health Medicare |
$23,905.49
|
| Rate for Payer: Priority Health Narrow Network |
$35,585.39
|
| Rate for Payer: Railroad Medicare Medicare |
$23,905.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,300.62
|
| Rate for Payer: UHC Core |
$36,238.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,905.49
|
| Rate for Payer: UHC Exchange |
$28,809.76
|
| Rate for Payer: UHC Medicare Advantage |
$23,905.49
|
| Rate for Payer: VA VA |
$23,905.49
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$75,948.74
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$37,791.57 |
| Max. Negotiated Rate |
$75,948.74 |
| Rate for Payer: Aetna Medicare |
$41,371.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,725.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,725.75
|
| Rate for Payer: BCBS MAPPO |
$39,780.60
|
| Rate for Payer: BCBS Trust/PPO |
$68,401.38
|
| Rate for Payer: BCN Commercial |
$68,401.38
|
| Rate for Payer: BCN Medicare Advantage |
$39,780.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,780.60
|
| Rate for Payer: Mclaren Medicare |
$39,780.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,769.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,747.69
|
| Rate for Payer: Nomi Health Commercial |
$62,659.17
|
| Rate for Payer: PACE Medicare |
$37,791.57
|
| Rate for Payer: PACE SWMI |
$39,780.60
|
| Rate for Payer: PHP Medicare Advantage |
$39,780.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74,576.37
|
| Rate for Payer: Priority Health Medicare |
$39,780.60
|
| Rate for Payer: Priority Health Narrow Network |
$59,661.11
|
| Rate for Payer: Railroad Medicare Medicare |
$39,780.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75,948.74
|
| Rate for Payer: UHC Core |
$60,755.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,780.60
|
| Rate for Payer: UHC Exchange |
$48,300.99
|
| Rate for Payer: UHC Medicare Advantage |
$39,780.60
|
| Rate for Payer: VA VA |
$39,780.60
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$42,229.15
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$18,633.84 |
| Max. Negotiated Rate |
$42,229.15 |
| Rate for Payer: Aetna Medicare |
$20,399.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,518.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,518.21
|
| Rate for Payer: BCBS MAPPO |
$19,614.57
|
| Rate for Payer: BCBS Trust/PPO |
$42,229.15
|
| Rate for Payer: BCN Commercial |
$42,229.15
|
| Rate for Payer: BCN Medicare Advantage |
$19,614.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,614.57
|
| Rate for Payer: Mclaren Medicare |
$19,614.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,595.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,556.76
|
| Rate for Payer: Nomi Health Commercial |
$30,539.46
|
| Rate for Payer: PACE Medicare |
$18,633.84
|
| Rate for Payer: PACE SWMI |
$19,614.57
|
| Rate for Payer: PHP Medicare Advantage |
$19,614.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,346.96
|
| Rate for Payer: Priority Health Medicare |
$19,614.57
|
| Rate for Payer: Priority Health Narrow Network |
$29,077.57
|
| Rate for Payer: Railroad Medicare Medicare |
$19,614.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,016.67
|
| Rate for Payer: UHC Core |
$29,611.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,614.57
|
| Rate for Payer: UHC Exchange |
$23,541.43
|
| Rate for Payer: UHC Medicare Advantage |
$19,614.57
|
| Rate for Payer: VA VA |
$19,614.57
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$16,808.56
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$8,588.33 |
| Max. Negotiated Rate |
$16,808.56 |
| Rate for Payer: UHC Dual Complete DSNP |
$9,040.35
|
| Rate for Payer: Aetna Medicare |
$9,401.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,300.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,300.44
|
| Rate for Payer: BCBS MAPPO |
$9,040.35
|
| Rate for Payer: BCBS Trust/PPO |
$16,808.56
|
| Rate for Payer: BCN Commercial |
$16,808.56
|
| Rate for Payer: BCN Medicare Advantage |
$9,040.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,040.35
|
| Rate for Payer: Mclaren Medicare |
$9,040.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,492.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,396.40
|
| Rate for Payer: Nomi Health Commercial |
$13,697.22
|
| Rate for Payer: PACE Medicare |
$8,588.33
|
| Rate for Payer: PACE SWMI |
$9,040.35
|
| Rate for Payer: PHP Medicare Advantage |
$9,040.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,935.66
|
| Rate for Payer: Priority Health Medicare |
$9,040.35
|
| Rate for Payer: Priority Health Narrow Network |
$11,148.53
|
| Rate for Payer: Railroad Medicare Medicare |
$9,040.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,602.30
|
| Rate for Payer: UHC Core |
$13,280.99
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$9,040.35
|
| Rate for Payer: VA VA |
$9,040.35
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$25,266.21
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$9,193.00 |
| Max. Negotiated Rate |
$25,266.21 |
| Rate for Payer: Aetna Medicare |
$14,069.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,910.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,910.09
|
| Rate for Payer: BCBS MAPPO |
$13,528.07
|
| Rate for Payer: BCBS Trust/PPO |
$23,176.28
|
| Rate for Payer: BCN Commercial |
$23,176.28
|
| Rate for Payer: BCN Medicare Advantage |
$13,528.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,528.07
|
| Rate for Payer: Mclaren Medicare |
$13,528.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,204.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,557.28
|
| Rate for Payer: Nomi Health Commercial |
$20,845.11
|
| Rate for Payer: PACE Medicare |
$12,851.67
|
| Rate for Payer: PACE SWMI |
$13,528.07
|
| Rate for Payer: PHP Medicare Advantage |
$13,528.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,042.11
|
| Rate for Payer: Priority Health Medicare |
$13,528.07
|
| Rate for Payer: Priority Health Narrow Network |
$16,033.69
|
| Rate for Payer: Railroad Medicare Medicare |
$13,528.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,266.21
|
| Rate for Payer: UHC Core |
$20,211.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,528.07
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$13,528.07
|
| Rate for Payer: VA VA |
$13,528.07
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,366.16
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$7,379.59 |
| Max. Negotiated Rate |
$15,366.16 |
| Rate for Payer: Aetna Medicare |
$8,078.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,709.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,709.99
|
| Rate for Payer: BCBS MAPPO |
$7,767.99
|
| Rate for Payer: BCBS Trust/PPO |
$15,366.16
|
| Rate for Payer: BCN Commercial |
$15,366.16
|
| Rate for Payer: BCN Medicare Advantage |
$7,767.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,767.99
|
| Rate for Payer: Mclaren Medicare |
$7,767.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,156.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,933.19
|
| Rate for Payer: Nomi Health Commercial |
$11,670.63
|
| Rate for Payer: PACE Medicare |
$7,379.59
|
| Rate for Payer: PACE SWMI |
$7,767.99
|
| Rate for Payer: PHP Medicare Advantage |
$7,767.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,475.46
|
| Rate for Payer: Priority Health Medicare |
$7,767.99
|
| Rate for Payer: Priority Health Narrow Network |
$9,980.37
|
| Rate for Payer: Railroad Medicare Medicare |
$7,767.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,145.89
|
| Rate for Payer: UHC Core |
$11,315.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,767.99
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$7,767.99
|
| Rate for Payer: VA VA |
$7,767.99
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$17,652.82
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$8,751.45 |
| Max. Negotiated Rate |
$17,652.82 |
| Rate for Payer: Aetna Medicare |
$9,580.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,515.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,515.06
|
| Rate for Payer: BCBS MAPPO |
$9,212.05
|
| Rate for Payer: BCBS Trust/PPO |
$17,652.82
|
| Rate for Payer: BCN Commercial |
$17,652.82
|
| Rate for Payer: BCN Medicare Advantage |
$9,212.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,212.05
|
| Rate for Payer: Mclaren Medicare |
$9,212.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,672.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,593.86
|
| Rate for Payer: Nomi Health Commercial |
$13,970.70
|
| Rate for Payer: PACE Medicare |
$8,751.45
|
| Rate for Payer: PACE SWMI |
$9,212.05
|
| Rate for Payer: PHP Medicare Advantage |
$9,212.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,205.90
|
| Rate for Payer: Priority Health Medicare |
$9,212.05
|
| Rate for Payer: Priority Health Narrow Network |
$11,364.72
|
| Rate for Payer: Railroad Medicare Medicare |
$9,212.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,933.79
|
| Rate for Payer: UHC Core |
$13,546.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,212.05
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$9,212.05
|
| Rate for Payer: VA VA |
$9,212.05
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$28,803.08
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$9,193.00 |
| Max. Negotiated Rate |
$28,803.08 |
| Rate for Payer: Aetna Medicare |
$15,974.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,200.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,200.11
|
| Rate for Payer: BCBS MAPPO |
$15,360.09
|
| Rate for Payer: BCBS Trust/PPO |
$25,621.73
|
| Rate for Payer: BCN Commercial |
$25,621.73
|
| Rate for Payer: BCN Medicare Advantage |
$15,360.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,360.09
|
| Rate for Payer: Mclaren Medicare |
$15,360.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,128.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,664.10
|
| Rate for Payer: Nomi Health Commercial |
$23,763.09
|
| Rate for Payer: PACE Medicare |
$14,592.09
|
| Rate for Payer: PACE SWMI |
$15,360.09
|
| Rate for Payer: PHP Medicare Advantage |
$15,360.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,500.35
|
| Rate for Payer: Priority Health Medicare |
$15,360.09
|
| Rate for Payer: Priority Health Narrow Network |
$18,000.28
|
| Rate for Payer: Railroad Medicare Medicare |
$15,360.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,803.08
|
| Rate for Payer: UHC Core |
$23,040.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,360.09
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$15,360.09
|
| Rate for Payer: VA VA |
$15,360.09
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,090.91
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$7,139.51 |
| Max. Negotiated Rate |
$15,090.91 |
| Rate for Payer: Aetna Medicare |
$7,815.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,394.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,394.09
|
| Rate for Payer: BCBS MAPPO |
$7,515.27
|
| Rate for Payer: BCBS Trust/PPO |
$15,090.91
|
| Rate for Payer: BCN Commercial |
$15,090.91
|
| Rate for Payer: BCN Medicare Advantage |
$7,515.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,515.27
|
| Rate for Payer: Mclaren Medicare |
$7,515.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,891.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,642.56
|
| Rate for Payer: Nomi Health Commercial |
$11,268.15
|
| Rate for Payer: PACE Medicare |
$7,139.51
|
| Rate for Payer: PACE SWMI |
$7,515.27
|
| Rate for Payer: PHP Medicare Advantage |
$7,515.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,710.81
|
| Rate for Payer: Priority Health Medicare |
$7,515.27
|
| Rate for Payer: Priority Health Narrow Network |
$9,368.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,515.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,658.05
|
| Rate for Payer: UHC Core |
$10,925.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,515.27
|
| Rate for Payer: UHC Exchange |
$9,193.00
|
| Rate for Payer: UHC Medicare Advantage |
$7,515.27
|
| Rate for Payer: VA VA |
$7,515.27
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$107,126.43
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$38,944.91 |
| Max. Negotiated Rate |
$107,126.43 |
| Rate for Payer: Aetna Medicare |
$42,634.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,243.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,243.30
|
| Rate for Payer: BCBS MAPPO |
$40,994.64
|
| Rate for Payer: BCBS Trust/PPO |
$107,126.43
|
| Rate for Payer: BCN Commercial |
$107,126.43
|
| Rate for Payer: BCN Medicare Advantage |
$40,994.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,994.64
|
| Rate for Payer: Mclaren Medicare |
$40,994.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,044.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,143.84
|
| Rate for Payer: Nomi Health Commercial |
$64,592.88
|
| Rate for Payer: PACE Medicare |
$38,944.91
|
| Rate for Payer: PACE SWMI |
$40,994.64
|
| Rate for Payer: PHP Medicare Advantage |
$40,994.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76,876.46
|
| Rate for Payer: Priority Health Medicare |
$40,994.64
|
| Rate for Payer: Priority Health Narrow Network |
$61,501.18
|
| Rate for Payer: Railroad Medicare Medicare |
$40,994.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78,292.58
|
| Rate for Payer: UHC Core |
$62,630.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,994.64
|
| Rate for Payer: UHC Exchange |
$49,791.60
|
| Rate for Payer: UHC Medicare Advantage |
$40,994.64
|
| Rate for Payer: VA VA |
$40,994.64
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$47,813.48
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$16,023.98 |
| Max. Negotiated Rate |
$47,813.48 |
| Rate for Payer: Aetna Medicare |
$17,542.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,084.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,084.19
|
| Rate for Payer: BCBS MAPPO |
$16,867.35
|
| Rate for Payer: BCBS Trust/PPO |
$47,813.48
|
| Rate for Payer: BCN Commercial |
$47,813.48
|
| Rate for Payer: BCN Medicare Advantage |
$16,867.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,867.35
|
| Rate for Payer: Mclaren Medicare |
$16,867.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,710.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,397.45
|
| Rate for Payer: Nomi Health Commercial |
$26,163.78
|
| Rate for Payer: PACE Medicare |
$16,023.98
|
| Rate for Payer: PACE SWMI |
$16,867.35
|
| Rate for Payer: PHP Medicare Advantage |
$16,867.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,140.28
|
| Rate for Payer: Priority Health Medicare |
$16,867.35
|
| Rate for Payer: Priority Health Narrow Network |
$24,912.23
|
| Rate for Payer: Railroad Medicare Medicare |
$16,867.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,712.94
|
| Rate for Payer: UHC Core |
$25,368.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,867.35
|
| Rate for Payer: UHC Exchange |
$20,168.42
|
| Rate for Payer: UHC Medicare Advantage |
$16,867.35
|
| Rate for Payer: VA VA |
$16,867.35
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,766.47
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$10,962.76 |
| Max. Negotiated Rate |
$23,766.47 |
| Rate for Payer: Aetna Medicare |
$12,001.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,424.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,424.69
|
| Rate for Payer: BCBS MAPPO |
$11,539.75
|
| Rate for Payer: BCBS Trust/PPO |
$23,766.47
|
| Rate for Payer: BCN Commercial |
$23,766.47
|
| Rate for Payer: BCN Medicare Advantage |
$11,539.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,539.75
|
| Rate for Payer: Mclaren Medicare |
$11,539.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,116.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,270.71
|
| Rate for Payer: Nomi Health Commercial |
$17,678.16
|
| Rate for Payer: PACE Medicare |
$10,962.76
|
| Rate for Payer: PACE SWMI |
$11,539.75
|
| Rate for Payer: PHP Medicare Advantage |
$11,539.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,040.15
|
| Rate for Payer: Priority Health Medicare |
$11,539.75
|
| Rate for Payer: Priority Health Narrow Network |
$16,832.12
|
| Rate for Payer: Railroad Medicare Medicare |
$11,539.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,427.57
|
| Rate for Payer: UHC Core |
$17,140.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,539.75
|
| Rate for Payer: UHC Exchange |
$13,627.26
|
| Rate for Payer: UHC Medicare Advantage |
$11,539.75
|
| Rate for Payer: VA VA |
$11,539.75
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$24,859.51
|
|
|
Service Code
|
MSDRG 847
|
| Min. Negotiated Rate |
$10,195.63 |
| Max. Negotiated Rate |
$24,859.51 |
| 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 |
$24,859.51
|
| Rate for Payer: BCN Commercial |
$24,859.51
|
| 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 |
$19,509.31
|
| Rate for Payer: Priority Health Medicare |
$10,732.24
|
| Rate for Payer: Priority Health Narrow Network |
$15,607.45
|
| 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: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$46,770.72
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$20,068.03 |
| Max. Negotiated Rate |
$46,770.72 |
| Rate for Payer: Aetna Medicare |
$21,969.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,405.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,405.30
|
| Rate for Payer: BCBS MAPPO |
$21,124.24
|
| Rate for Payer: BCBS Trust/PPO |
$46,770.72
|
| Rate for Payer: BCN Commercial |
$46,770.72
|
| Rate for Payer: BCN Medicare Advantage |
$21,124.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,124.24
|
| Rate for Payer: Mclaren Medicare |
$21,124.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,180.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,292.88
|
| Rate for Payer: Nomi Health Commercial |
$32,944.02
|
| Rate for Payer: PACE Medicare |
$20,068.03
|
| Rate for Payer: PACE SWMI |
$21,124.24
|
| Rate for Payer: PHP Medicare Advantage |
$21,124.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,209.02
|
| Rate for Payer: Priority Health Medicare |
$21,124.24
|
| Rate for Payer: Priority Health Narrow Network |
$31,367.22
|
| Rate for Payer: Railroad Medicare Medicare |
$21,124.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,931.22
|
| Rate for Payer: UHC Core |
$31,942.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,124.24
|
| Rate for Payer: UHC Exchange |
$25,394.99
|
| Rate for Payer: UHC Medicare Advantage |
$21,124.24
|
| Rate for Payer: VA VA |
$21,124.24
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,220.18
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$6,719.42 |
| Max. Negotiated Rate |
$14,220.18 |
| Rate for Payer: Aetna Medicare |
$7,355.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,841.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,841.34
|
| Rate for Payer: BCBS MAPPO |
$7,073.07
|
| Rate for Payer: BCBS Trust/PPO |
$14,220.18
|
| Rate for Payer: BCN Commercial |
$14,220.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,073.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,073.07
|
| Rate for Payer: Mclaren Medicare |
$7,073.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,426.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,134.03
|
| Rate for Payer: Nomi Health Commercial |
$10,563.81
|
| Rate for Payer: PACE Medicare |
$6,719.42
|
| Rate for Payer: PACE SWMI |
$7,073.07
|
| Rate for Payer: PHP Medicare Advantage |
$7,073.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,573.73
|
| Rate for Payer: Priority Health Medicare |
$7,073.07
|
| Rate for Payer: Priority Health Narrow Network |
$10,058.98
|
| Rate for Payer: Railroad Medicare Medicare |
$7,073.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,804.32
|
| Rate for Payer: UHC Core |
$10,242.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,073.07
|
| Rate for Payer: UHC Exchange |
$8,143.14
|
| Rate for Payer: UHC Medicare Advantage |
$7,073.07
|
| Rate for Payer: VA VA |
$7,073.07
|
|
|
MS-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$15,583.18
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$5,907.70 |
| Max. Negotiated Rate |
$15,583.18 |
| Rate for Payer: Aetna Medicare |
$6,467.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,773.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,773.29
|
| Rate for Payer: BCBS MAPPO |
$6,218.63
|
| Rate for Payer: BCBS Trust/PPO |
$15,583.18
|
| Rate for Payer: BCN Commercial |
$15,583.18
|
| Rate for Payer: BCN Medicare Advantage |
$6,218.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,218.63
|
| Rate for Payer: Mclaren Medicare |
$6,218.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,529.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,151.42
|
| Rate for Payer: Nomi Health Commercial |
$9,202.86
|
| Rate for Payer: PACE Medicare |
$5,907.70
|
| Rate for Payer: PACE SWMI |
$6,218.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,218.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,952.30
|
| Rate for Payer: Priority Health Medicare |
$6,218.63
|
| Rate for Payer: Priority Health Narrow Network |
$8,761.84
|
| Rate for Payer: Railroad Medicare Medicare |
$6,218.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,154.72
|
| Rate for Payer: UHC Core |
$8,923.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,218.63
|
| Rate for Payer: UHC Exchange |
$7,094.05
|
| Rate for Payer: UHC Medicare Advantage |
$6,218.63
|
| Rate for Payer: VA VA |
$6,218.63
|
|
|
MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$589,677.34
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$179,230.40 |
| Max. Negotiated Rate |
$589,677.34 |
| Rate for Payer: Aetna Medicare |
$318,116.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382,352.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382,352.00
|
| Rate for Payer: BCBS MAPPO |
$305,881.60
|
| Rate for Payer: BCBS Trust/PPO |
$179,230.40
|
| Rate for Payer: BCN Commercial |
$179,230.40
|
| Rate for Payer: BCN Medicare Advantage |
$305,881.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305,881.60
|
| Rate for Payer: Mclaren Medicare |
$305,881.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321,175.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351,763.84
|
| Rate for Payer: Nomi Health Commercial |
$486,495.12
|
| Rate for Payer: PACE Medicare |
$290,587.52
|
| Rate for Payer: PACE SWMI |
$305,881.60
|
| Rate for Payer: PHP Medicare Advantage |
$305,881.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$579,017.87
|
| Rate for Payer: Priority Health Medicare |
$305,881.60
|
| Rate for Payer: Priority Health Narrow Network |
$463,214.37
|
| Rate for Payer: Railroad Medicare Medicare |
$305,881.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$589,677.34
|
| Rate for Payer: UHC Core |
$471,711.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$305,881.60
|
| Rate for Payer: UHC Exchange |
$375,016.08
|
| Rate for Payer: UHC Medicare Advantage |
$305,881.60
|
| Rate for Payer: VA VA |
$305,881.60
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$41,167.86
|
|
|
Service Code
|
MSDRG 415
|
| Min. Negotiated Rate |
$15,638.51 |
| Max. Negotiated Rate |
$41,167.86 |
| Rate for Payer: Aetna Medicare |
$17,120.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,576.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,576.99
|
| Rate for Payer: BCBS MAPPO |
$16,461.59
|
| Rate for Payer: BCBS Trust/PPO |
$41,167.86
|
| Rate for Payer: BCN Commercial |
$41,167.86
|
| Rate for Payer: BCN Medicare Advantage |
$16,461.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,461.59
|
| Rate for Payer: Mclaren Medicare |
$16,461.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,284.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,930.83
|
| Rate for Payer: Nomi Health Commercial |
$25,517.49
|
| Rate for Payer: PACE Medicare |
$15,638.51
|
| Rate for Payer: PACE SWMI |
$16,461.59
|
| Rate for Payer: PHP Medicare Advantage |
$16,461.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,371.02
|
| Rate for Payer: Priority Health Medicare |
$16,461.59
|
| Rate for Payer: Priority Health Narrow Network |
$24,296.82
|
| Rate for Payer: Railroad Medicare Medicare |
$16,461.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,929.57
|
| Rate for Payer: UHC Core |
$24,742.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,461.59
|
| Rate for Payer: UHC Exchange |
$19,670.23
|
| Rate for Payer: UHC Medicare Advantage |
$16,461.59
|
| Rate for Payer: VA VA |
$16,461.59
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$71,460.85
|
|
|
Service Code
|
MSDRG 414
|
| Min. Negotiated Rate |
$27,377.51 |
| Max. Negotiated Rate |
$71,460.85 |
| Rate for Payer: Aetna Medicare |
$29,971.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,023.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,023.04
|
| Rate for Payer: BCBS MAPPO |
$28,818.43
|
| Rate for Payer: BCBS Trust/PPO |
$71,460.85
|
| Rate for Payer: BCN Commercial |
$71,460.85
|
| Rate for Payer: BCN Medicare Advantage |
$28,818.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,818.43
|
| Rate for Payer: Mclaren Medicare |
$28,818.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,259.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,141.19
|
| Rate for Payer: Nomi Health Commercial |
$45,199.02
|
| Rate for Payer: PACE Medicare |
$27,377.51
|
| Rate for Payer: PACE SWMI |
$28,818.43
|
| Rate for Payer: PHP Medicare Advantage |
$28,818.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,795.71
|
| Rate for Payer: Priority Health Medicare |
$28,818.43
|
| Rate for Payer: Priority Health Narrow Network |
$43,036.58
|
| Rate for Payer: Railroad Medicare Medicare |
$28,818.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,785.42
|
| Rate for Payer: UHC Core |
$43,825.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,818.43
|
| Rate for Payer: UHC Exchange |
$34,841.79
|
| Rate for Payer: UHC Medicare Advantage |
$28,818.43
|
| Rate for Payer: VA VA |
$28,818.43
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$31,904.76
|
|
|
Service Code
|
MSDRG 416
|
| Min. Negotiated Rate |
$10,961.21 |
| Max. Negotiated Rate |
$31,904.76 |
| Rate for Payer: Aetna Medicare |
$11,999.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,422.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,422.65
|
| Rate for Payer: BCBS MAPPO |
$11,538.12
|
| Rate for Payer: BCBS Trust/PPO |
$31,904.76
|
| Rate for Payer: BCN Commercial |
$31,904.76
|
| Rate for Payer: BCN Medicare Advantage |
$11,538.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,538.12
|
| Rate for Payer: Mclaren Medicare |
$11,538.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,115.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,268.84
|
| Rate for Payer: Nomi Health Commercial |
$17,675.58
|
| Rate for Payer: PACE Medicare |
$10,961.21
|
| Rate for Payer: PACE SWMI |
$11,538.12
|
| Rate for Payer: PHP Medicare Advantage |
$11,538.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,038.61
|
| Rate for Payer: Priority Health Medicare |
$11,538.12
|
| Rate for Payer: Priority Health Narrow Network |
$16,830.89
|
| Rate for Payer: Railroad Medicare Medicare |
$11,538.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,424.45
|
| Rate for Payer: UHC Core |
$17,138.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,538.12
|
| Rate for Payer: UHC Exchange |
$13,625.27
|
| Rate for Payer: UHC Medicare Advantage |
$11,538.12
|
| Rate for Payer: VA VA |
$11,538.12
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC
|
Facility
|
IP
|
$35,448.56
|
|
|
Service Code
|
MSDRG 412
|
| Min. Negotiated Rate |
$16,819.55 |
| Max. Negotiated Rate |
$35,448.56 |
| Rate for Payer: Aetna Medicare |
$18,412.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,130.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,130.99
|
| Rate for Payer: BCBS MAPPO |
$17,704.79
|
| Rate for Payer: BCBS Trust/PPO |
$35,448.56
|
| Rate for Payer: BCN Commercial |
$35,448.56
|
| Rate for Payer: BCN Medicare Advantage |
$17,704.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,704.79
|
| Rate for Payer: Mclaren Medicare |
$17,704.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,590.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,360.51
|
| Rate for Payer: Nomi Health Commercial |
$27,497.64
|
| Rate for Payer: PACE Medicare |
$16,819.55
|
| Rate for Payer: PACE SWMI |
$17,704.79
|
| Rate for Payer: PHP Medicare Advantage |
$17,704.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,727.92
|
| Rate for Payer: Priority Health Medicare |
$17,704.79
|
| Rate for Payer: Priority Health Narrow Network |
$26,182.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17,704.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,329.70
|
| Rate for Payer: UHC Core |
$26,662.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,704.79
|
| Rate for Payer: UHC Exchange |
$21,196.63
|
| Rate for Payer: UHC Medicare Advantage |
$17,704.79
|
| Rate for Payer: VA VA |
$17,704.79
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC
|
Facility
|
IP
|
$53,209.89
|
|
|
Service Code
|
MSDRG 411
|
| Min. Negotiated Rate |
$21,473.00 |
| Max. Negotiated Rate |
$53,209.89 |
| Rate for Payer: Aetna Medicare |
$23,507.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,253.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,253.95
|
| Rate for Payer: BCBS MAPPO |
$22,603.16
|
| Rate for Payer: BCBS Trust/PPO |
$53,209.89
|
| Rate for Payer: BCN Commercial |
$53,209.89
|
| Rate for Payer: BCN Medicare Advantage |
$22,603.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,603.16
|
| Rate for Payer: Mclaren Medicare |
$22,603.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,733.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,993.63
|
| Rate for Payer: Nomi Health Commercial |
$35,299.56
|
| Rate for Payer: PACE Medicare |
$21,473.00
|
| Rate for Payer: PACE SWMI |
$22,603.16
|
| Rate for Payer: PHP Medicare Advantage |
$22,603.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,015.81
|
| Rate for Payer: Priority Health Medicare |
$22,603.16
|
| Rate for Payer: Priority Health Narrow Network |
$33,612.65
|
| Rate for Payer: Railroad Medicare Medicare |
$22,603.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42,786.35
|
| Rate for Payer: UHC Core |
$34,226.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,603.16
|
| Rate for Payer: UHC Exchange |
$27,210.76
|
| Rate for Payer: UHC Medicare Advantage |
$22,603.16
|
| Rate for Payer: VA VA |
$22,603.16
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$32,092.67
|
|
|
Service Code
|
MSDRG 413
|
| Min. Negotiated Rate |
$13,210.21 |
| Max. Negotiated Rate |
$32,092.67 |
| Rate for Payer: Aetna Medicare |
$14,461.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,381.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,381.85
|
| Rate for Payer: BCBS MAPPO |
$13,905.48
|
| Rate for Payer: BCBS Trust/PPO |
$32,092.67
|
| Rate for Payer: BCN Commercial |
$32,092.67
|
| Rate for Payer: BCN Medicare Advantage |
$13,905.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,905.48
|
| Rate for Payer: Mclaren Medicare |
$13,905.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,600.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,991.30
|
| Rate for Payer: Nomi Health Commercial |
$21,446.25
|
| Rate for Payer: PACE Medicare |
$13,210.21
|
| Rate for Payer: PACE SWMI |
$13,905.48
|
| Rate for Payer: PHP Medicare Advantage |
$13,905.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,525.17
|
| Rate for Payer: Priority Health Medicare |
$13,905.48
|
| Rate for Payer: Priority Health Narrow Network |
$20,420.14
|
| Rate for Payer: Railroad Medicare Medicare |
$13,905.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,994.85
|
| Rate for Payer: UHC Core |
$20,794.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,905.48
|
| Rate for Payer: UHC Exchange |
$16,531.90
|
| Rate for Payer: UHC Medicare Advantage |
$13,905.48
|
| Rate for Payer: VA VA |
$13,905.48
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
|
Facility
|
IP
|
$17,533.72
|
|
|
Service Code
|
MSDRG 191
|
| Min. Negotiated Rate |
$7,028.72 |
| Max. Negotiated Rate |
$17,533.72 |
| Rate for Payer: Aetna Medicare |
$7,694.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,248.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,248.31
|
| Rate for Payer: BCBS MAPPO |
$7,398.65
|
| Rate for Payer: BCBS Trust/PPO |
$17,533.72
|
| Rate for Payer: BCN Commercial |
$17,533.72
|
| Rate for Payer: BCN Medicare Advantage |
$7,398.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,398.65
|
| Rate for Payer: Mclaren Medicare |
$7,398.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,768.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,508.45
|
| Rate for Payer: Nomi Health Commercial |
$11,082.39
|
| Rate for Payer: PACE Medicare |
$7,028.72
|
| Rate for Payer: PACE SWMI |
$7,398.65
|
| Rate for Payer: PHP Medicare Advantage |
$7,398.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,190.97
|
| Rate for Payer: Priority Health Medicare |
$7,398.65
|
| Rate for Payer: Priority Health Narrow Network |
$10,552.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,398.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,432.89
|
| Rate for Payer: UHC Core |
$10,745.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,398.65
|
| Rate for Payer: UHC Exchange |
$8,542.89
|
| Rate for Payer: UHC Medicare Advantage |
$7,398.65
|
| Rate for Payer: VA VA |
$7,398.65
|
|
