|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
|
Facility
|
IP
|
$19,703.94
|
|
|
Service Code
|
MSDRG 190
|
| Min. Negotiated Rate |
$9,059.23 |
| Max. Negotiated Rate |
$19,703.94 |
| Rate for Payer: Aetna Medicare |
$9,917.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,920.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,920.04
|
| Rate for Payer: BCBS MAPPO |
$9,536.03
|
| Rate for Payer: BCBS Trust/PPO |
$19,703.94
|
| Rate for Payer: BCN Commercial |
$19,703.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,536.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,536.03
|
| Rate for Payer: Mclaren Medicare |
$9,536.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,012.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,966.43
|
| Rate for Payer: Nomi Health Commercial |
$14,486.70
|
| Rate for Payer: PACE Medicare |
$9,059.23
|
| Rate for Payer: PACE SWMI |
$9,536.03
|
| Rate for Payer: PHP Medicare Advantage |
$9,536.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,247.61
|
| Rate for Payer: Priority Health Medicare |
$9,536.03
|
| Rate for Payer: Priority Health Narrow Network |
$13,798.09
|
| Rate for Payer: Railroad Medicare Medicare |
$9,536.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,559.23
|
| Rate for Payer: UHC Core |
$14,046.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,536.03
|
| Rate for Payer: UHC Exchange |
$11,167.11
|
| Rate for Payer: UHC Medicare Advantage |
$9,536.03
|
| Rate for Payer: VA VA |
$9,536.03
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$12,865.12
|
|
|
Service Code
|
MSDRG 192
|
| Min. Negotiated Rate |
$5,398.33 |
| Max. Negotiated Rate |
$12,865.12 |
| Rate for Payer: Aetna Medicare |
$5,909.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,103.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,103.06
|
| Rate for Payer: BCBS MAPPO |
$5,682.45
|
| Rate for Payer: BCBS Trust/PPO |
$12,865.12
|
| Rate for Payer: BCN Commercial |
$12,865.12
|
| Rate for Payer: BCN Medicare Advantage |
$5,682.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,682.45
|
| Rate for Payer: Mclaren Medicare |
$5,682.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,966.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,534.82
|
| Rate for Payer: Nomi Health Commercial |
$8,348.88
|
| Rate for Payer: PACE Medicare |
$5,398.33
|
| Rate for Payer: PACE SWMI |
$5,682.45
|
| Rate for Payer: PHP Medicare Advantage |
$5,682.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,937.37
|
| Rate for Payer: Priority Health Medicare |
$5,682.45
|
| Rate for Payer: Priority Health Narrow Network |
$7,949.90
|
| Rate for Payer: Railroad Medicare Medicare |
$5,682.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,119.62
|
| Rate for Payer: UHC Core |
$8,095.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,682.45
|
| Rate for Payer: UHC Exchange |
$6,435.76
|
| Rate for Payer: UHC Medicare Advantage |
$5,682.45
|
| Rate for Payer: VA VA |
$5,682.45
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$39,370.82
|
|
|
Service Code
|
MSDRG 286
|
| Min. Negotiated Rate |
$17,448.18 |
| Max. Negotiated Rate |
$39,370.82 |
| Rate for Payer: Aetna Medicare |
$19,101.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,958.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,958.14
|
| Rate for Payer: BCBS MAPPO |
$18,366.51
|
| Rate for Payer: BCBS Trust/PPO |
$39,370.82
|
| Rate for Payer: BCN Commercial |
$39,370.82
|
| Rate for Payer: BCN Medicare Advantage |
$18,366.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,366.51
|
| Rate for Payer: Mclaren Medicare |
$18,366.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,284.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,121.49
|
| Rate for Payer: Nomi Health Commercial |
$28,551.57
|
| Rate for Payer: PACE Medicare |
$17,448.18
|
| Rate for Payer: PACE SWMI |
$18,366.51
|
| Rate for Payer: PHP Medicare Advantage |
$18,366.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,983.92
|
| Rate for Payer: Priority Health Medicare |
$18,366.51
|
| Rate for Payer: Priority Health Narrow Network |
$27,187.14
|
| Rate for Payer: Railroad Medicare Medicare |
$18,366.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,607.16
|
| Rate for Payer: UHC Core |
$27,683.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,366.51
|
| Rate for Payer: UHC Exchange |
$22,009.06
|
| Rate for Payer: UHC Medicare Advantage |
$18,366.51
|
| Rate for Payer: VA VA |
$18,366.51
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$24,322.25
|
|
|
Service Code
|
MSDRG 287
|
| Min. Negotiated Rate |
$8,802.98 |
| Max. Negotiated Rate |
$24,322.25 |
| Rate for Payer: Aetna Medicare |
$9,636.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,582.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,582.88
|
| Rate for Payer: BCBS MAPPO |
$9,266.30
|
| Rate for Payer: BCBS Trust/PPO |
$24,322.25
|
| Rate for Payer: BCN Commercial |
$24,322.25
|
| Rate for Payer: BCN Medicare Advantage |
$9,266.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,266.30
|
| Rate for Payer: Mclaren Medicare |
$9,266.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,729.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,656.24
|
| Rate for Payer: Nomi Health Commercial |
$14,057.13
|
| Rate for Payer: PACE Medicare |
$8,802.98
|
| Rate for Payer: PACE SWMI |
$9,266.30
|
| Rate for Payer: PHP Medicare Advantage |
$9,266.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,730.17
|
| Rate for Payer: Priority Health Medicare |
$9,266.30
|
| Rate for Payer: Priority Health Narrow Network |
$13,384.13
|
| Rate for Payer: Railroad Medicare Medicare |
$9,266.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,038.55
|
| Rate for Payer: UHC Core |
$13,629.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,266.30
|
| Rate for Payer: UHC Exchange |
$10,835.98
|
| Rate for Payer: UHC Medicare Advantage |
$9,266.30
|
| Rate for Payer: VA VA |
$9,266.30
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$17,052.04
|
|
|
Service Code
|
MSDRG 433
|
| Min. Negotiated Rate |
$8,649.87 |
| Max. Negotiated Rate |
$17,052.04 |
| Rate for Payer: Aetna Medicare |
$9,469.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,381.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,381.41
|
| Rate for Payer: BCBS MAPPO |
$9,105.13
|
| Rate for Payer: BCBS Trust/PPO |
$17,052.04
|
| Rate for Payer: BCN Commercial |
$17,052.04
|
| Rate for Payer: BCN Medicare Advantage |
$9,105.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,105.13
|
| Rate for Payer: Mclaren Medicare |
$9,105.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,560.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,470.90
|
| Rate for Payer: Nomi Health Commercial |
$13,800.42
|
| Rate for Payer: PACE Medicare |
$8,649.87
|
| Rate for Payer: PACE SWMI |
$9,105.13
|
| Rate for Payer: PHP Medicare Advantage |
$9,105.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,424.61
|
| Rate for Payer: Priority Health Medicare |
$9,105.13
|
| Rate for Payer: Priority Health Narrow Network |
$13,139.69
|
| Rate for Payer: Railroad Medicare Medicare |
$9,105.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,727.39
|
| Rate for Payer: UHC Core |
$13,381.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,105.13
|
| Rate for Payer: UHC Exchange |
$10,638.09
|
| Rate for Payer: UHC Medicare Advantage |
$9,105.13
|
| Rate for Payer: VA VA |
$9,105.13
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$38,997.65
|
|
|
Service Code
|
MSDRG 432
|
| Min. Negotiated Rate |
$15,492.32 |
| Max. Negotiated Rate |
$38,997.65 |
| Rate for Payer: Aetna Medicare |
$16,960.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,384.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,384.62
|
| Rate for Payer: BCBS MAPPO |
$16,307.70
|
| Rate for Payer: BCBS Trust/PPO |
$38,997.65
|
| Rate for Payer: BCN Commercial |
$38,997.65
|
| Rate for Payer: BCN Medicare Advantage |
$16,307.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,307.70
|
| Rate for Payer: Mclaren Medicare |
$16,307.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,123.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,753.86
|
| Rate for Payer: Nomi Health Commercial |
$25,272.39
|
| Rate for Payer: PACE Medicare |
$15,492.32
|
| Rate for Payer: PACE SWMI |
$16,307.70
|
| Rate for Payer: PHP Medicare Advantage |
$16,307.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,080.82
|
| Rate for Payer: Priority Health Medicare |
$16,307.70
|
| Rate for Payer: Priority Health Narrow Network |
$24,064.66
|
| Rate for Payer: Railroad Medicare Medicare |
$16,307.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,632.49
|
| Rate for Payer: UHC Core |
$24,504.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,307.70
|
| Rate for Payer: UHC Exchange |
$19,481.29
|
| Rate for Payer: UHC Medicare Advantage |
$16,307.70
|
| Rate for Payer: VA VA |
$16,307.70
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,443.90
|
|
|
Service Code
|
MSDRG 434
|
| Min. Negotiated Rate |
$5,777.65 |
| Max. Negotiated Rate |
$11,443.90 |
| Rate for Payer: Aetna Medicare |
$6,325.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,602.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,602.18
|
| Rate for Payer: BCBS MAPPO |
$6,081.74
|
| Rate for Payer: BCBS Trust/PPO |
$11,443.90
|
| Rate for Payer: BCN Commercial |
$11,443.90
|
| Rate for Payer: BCN Medicare Advantage |
$6,081.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,081.74
|
| Rate for Payer: Mclaren Medicare |
$6,081.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,385.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,994.00
|
| Rate for Payer: Nomi Health Commercial |
$8,984.85
|
| Rate for Payer: PACE Medicare |
$5,777.65
|
| Rate for Payer: PACE SWMI |
$6,081.74
|
| Rate for Payer: PHP Medicare Advantage |
$6,081.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,692.81
|
| Rate for Payer: Priority Health Medicare |
$6,081.74
|
| Rate for Payer: Priority Health Narrow Network |
$8,554.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,081.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,890.47
|
| Rate for Payer: UHC Core |
$8,711.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,081.74
|
| Rate for Payer: UHC Exchange |
$6,926.00
|
| Rate for Payer: UHC Medicare Advantage |
$6,081.74
|
| Rate for Payer: VA VA |
$6,081.74
|
|
|
MS-DRG 42.00: COAGULATION DISORDERS
|
Facility
|
IP
|
$33,789.14
|
|
|
Service Code
|
MSDRG 813
|
| Min. Negotiated Rate |
$12,329.23 |
| Max. Negotiated Rate |
$33,789.14 |
| Rate for Payer: Aetna Medicare |
$13,497.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,222.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,222.68
|
| Rate for Payer: BCBS MAPPO |
$12,978.14
|
| Rate for Payer: BCBS Trust/PPO |
$33,789.14
|
| Rate for Payer: BCN Commercial |
$33,789.14
|
| Rate for Payer: BCN Medicare Advantage |
$12,978.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,978.14
|
| Rate for Payer: Mclaren Medicare |
$12,978.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,627.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,924.86
|
| Rate for Payer: Nomi Health Commercial |
$19,969.20
|
| Rate for Payer: PACE Medicare |
$12,329.23
|
| Rate for Payer: PACE SWMI |
$12,978.14
|
| Rate for Payer: PHP Medicare Advantage |
$12,978.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,767.09
|
| Rate for Payer: Priority Health Medicare |
$12,978.14
|
| Rate for Payer: Priority Health Narrow Network |
$19,013.68
|
| Rate for Payer: Railroad Medicare Medicare |
$12,978.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,204.53
|
| Rate for Payer: UHC Core |
$19,362.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,978.14
|
| Rate for Payer: UHC Exchange |
$15,393.31
|
| Rate for Payer: UHC Medicare Advantage |
$12,978.14
|
| Rate for Payer: VA VA |
$12,978.14
|
|
|
MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$150,575.66
|
|
|
Service Code
|
MSDRG 429
|
| Min. Negotiated Rate |
$82,938.93 |
| Max. Negotiated Rate |
$150,575.66 |
| Rate for Payer: BCBS Trust/PPO |
$150,575.66
|
| Rate for Payer: BCN Commercial |
$150,575.66
|
| Rate for Payer: Nomi Health Commercial |
$107,593.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128,055.78
|
| Rate for Payer: Priority Health Narrow Network |
$102,444.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130,413.62
|
| Rate for Payer: UHC Core |
$104,324.22
|
| Rate for Payer: UHC Exchange |
$82,938.93
|
|
|
MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC
|
Facility
|
IP
|
$105,840.18
|
|
|
Service Code
|
MSDRG 430
|
| Min. Negotiated Rate |
$54,398.65 |
| Max. Negotiated Rate |
$105,840.18 |
| Rate for Payer: BCBS Trust/PPO |
$105,840.18
|
| Rate for Payer: BCN Commercial |
$105,840.18
|
| Rate for Payer: Nomi Health Commercial |
$70,569.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83,990.16
|
| Rate for Payer: Priority Health Narrow Network |
$67,192.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85,536.74
|
| Rate for Payer: UHC Core |
$68,425.01
|
| Rate for Payer: UHC Exchange |
$54,398.65
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC
|
Facility
|
IP
|
$19,410.16
|
|
|
Service Code
|
MSDRG 381
|
| Min. Negotiated Rate |
$8,798.38 |
| Max. Negotiated Rate |
$19,410.16 |
| Rate for Payer: Aetna Medicare |
$9,631.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,576.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,576.81
|
| Rate for Payer: BCBS MAPPO |
$9,261.45
|
| Rate for Payer: BCBS Trust/PPO |
$19,410.16
|
| Rate for Payer: BCN Commercial |
$19,410.16
|
| Rate for Payer: BCN Medicare Advantage |
$9,261.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,261.45
|
| Rate for Payer: Mclaren Medicare |
$9,261.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,724.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,650.67
|
| Rate for Payer: Nomi Health Commercial |
$14,049.39
|
| Rate for Payer: PACE Medicare |
$8,798.38
|
| Rate for Payer: PACE SWMI |
$9,261.45
|
| Rate for Payer: PHP Medicare Advantage |
$9,261.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,722.49
|
| Rate for Payer: Priority Health Medicare |
$9,261.45
|
| Rate for Payer: Priority Health Narrow Network |
$13,377.99
|
| Rate for Payer: Railroad Medicare Medicare |
$9,261.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,029.17
|
| Rate for Payer: UHC Core |
$13,622.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,261.45
|
| Rate for Payer: UHC Exchange |
$10,830.01
|
| Rate for Payer: UHC Medicare Advantage |
$9,261.45
|
| Rate for Payer: VA VA |
$9,261.45
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$42,245.03
|
|
|
Service Code
|
MSDRG 380
|
| Min. Negotiated Rate |
$15,224.55 |
| Max. Negotiated Rate |
$42,245.03 |
| Rate for Payer: Aetna Medicare |
$16,666.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,032.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,032.30
|
| Rate for Payer: BCBS MAPPO |
$16,025.84
|
| Rate for Payer: BCBS Trust/PPO |
$42,245.03
|
| Rate for Payer: BCN Commercial |
$42,245.03
|
| Rate for Payer: BCN Medicare Advantage |
$16,025.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,025.84
|
| Rate for Payer: Mclaren Medicare |
$16,025.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,827.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,429.72
|
| Rate for Payer: Nomi Health Commercial |
$24,823.47
|
| Rate for Payer: PACE Medicare |
$15,224.55
|
| Rate for Payer: PACE SWMI |
$16,025.84
|
| Rate for Payer: PHP Medicare Advantage |
$16,025.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,546.49
|
| Rate for Payer: Priority Health Medicare |
$16,025.84
|
| Rate for Payer: Priority Health Narrow Network |
$23,637.20
|
| Rate for Payer: Railroad Medicare Medicare |
$16,025.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,088.35
|
| Rate for Payer: UHC Core |
$24,069.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,025.84
|
| Rate for Payer: UHC Exchange |
$19,135.24
|
| Rate for Payer: UHC Medicare Advantage |
$16,025.84
|
| Rate for Payer: VA VA |
$16,025.84
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
|
Facility
|
IP
|
$15,850.49
|
|
|
Service Code
|
MSDRG 382
|
| Min. Negotiated Rate |
$6,183.89 |
| Max. Negotiated Rate |
$15,850.49 |
| Rate for Payer: Aetna Medicare |
$6,769.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,136.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,136.70
|
| Rate for Payer: BCBS MAPPO |
$6,509.36
|
| Rate for Payer: BCBS Trust/PPO |
$15,850.49
|
| Rate for Payer: BCN Commercial |
$15,850.49
|
| Rate for Payer: BCN Medicare Advantage |
$6,509.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,509.36
|
| Rate for Payer: Mclaren Medicare |
$6,509.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,834.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,485.76
|
| Rate for Payer: Nomi Health Commercial |
$9,665.97
|
| Rate for Payer: PACE Medicare |
$6,183.89
|
| Rate for Payer: PACE SWMI |
$6,509.36
|
| Rate for Payer: PHP Medicare Advantage |
$6,509.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,505.06
|
| Rate for Payer: Priority Health Medicare |
$6,509.36
|
| Rate for Payer: Priority Health Narrow Network |
$9,204.05
|
| Rate for Payer: Railroad Medicare Medicare |
$6,509.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,716.05
|
| Rate for Payer: UHC Core |
$9,372.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,509.36
|
| Rate for Payer: UHC Exchange |
$7,451.04
|
| Rate for Payer: UHC Medicare Advantage |
$6,509.36
|
| Rate for Payer: VA VA |
$6,509.36
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC
|
Facility
|
IP
|
$21,469.22
|
|
|
Service Code
|
MSDRG 920
|
| Min. Negotiated Rate |
$8,235.17 |
| Max. Negotiated Rate |
$21,469.22 |
| Rate for Payer: Aetna Medicare |
$9,015.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,835.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,835.75
|
| Rate for Payer: BCBS MAPPO |
$8,668.60
|
| Rate for Payer: BCBS Trust/PPO |
$21,469.22
|
| Rate for Payer: BCN Commercial |
$21,469.22
|
| Rate for Payer: BCN Medicare Advantage |
$8,668.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,668.60
|
| Rate for Payer: Mclaren Medicare |
$8,668.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,102.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,968.89
|
| Rate for Payer: Nomi Health Commercial |
$13,105.11
|
| Rate for Payer: PACE Medicare |
$8,235.17
|
| Rate for Payer: PACE SWMI |
$8,668.60
|
| Rate for Payer: PHP Medicare Advantage |
$8,668.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,597.01
|
| Rate for Payer: Priority Health Medicare |
$8,668.60
|
| Rate for Payer: Priority Health Narrow Network |
$12,477.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8,668.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,884.61
|
| Rate for Payer: UHC Core |
$12,706.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,668.60
|
| Rate for Payer: UHC Exchange |
$10,102.11
|
| Rate for Payer: UHC Medicare Advantage |
$8,668.60
|
| Rate for Payer: VA VA |
$8,668.60
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC
|
Facility
|
IP
|
$37,973.42
|
|
|
Service Code
|
MSDRG 919
|
| Min. Negotiated Rate |
$14,449.75 |
| Max. Negotiated Rate |
$37,973.42 |
| Rate for Payer: Aetna Medicare |
$15,818.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,012.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,012.82
|
| Rate for Payer: BCBS MAPPO |
$15,210.26
|
| Rate for Payer: BCBS Trust/PPO |
$37,973.42
|
| Rate for Payer: BCN Commercial |
$37,973.42
|
| Rate for Payer: BCN Medicare Advantage |
$15,210.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,210.26
|
| Rate for Payer: Mclaren Medicare |
$15,210.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,970.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,491.80
|
| Rate for Payer: Nomi Health Commercial |
$23,524.44
|
| Rate for Payer: PACE Medicare |
$14,449.75
|
| Rate for Payer: PACE SWMI |
$15,210.26
|
| Rate for Payer: PHP Medicare Advantage |
$15,210.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,997.23
|
| Rate for Payer: Priority Health Medicare |
$15,210.26
|
| Rate for Payer: Priority Health Narrow Network |
$22,397.79
|
| Rate for Payer: Railroad Medicare Medicare |
$15,210.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,513.81
|
| Rate for Payer: UHC Core |
$22,809.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,210.26
|
| Rate for Payer: UHC Exchange |
$18,133.88
|
| Rate for Payer: UHC Medicare Advantage |
$15,210.26
|
| Rate for Payer: VA VA |
$15,210.26
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$15,887.54
|
|
|
Service Code
|
MSDRG 921
|
| Min. Negotiated Rate |
$5,709.95 |
| Max. Negotiated Rate |
$15,887.54 |
| Rate for Payer: Aetna Medicare |
$6,250.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,513.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,513.09
|
| Rate for Payer: BCBS MAPPO |
$6,010.47
|
| Rate for Payer: BCBS Trust/PPO |
$15,887.54
|
| Rate for Payer: BCN Commercial |
$15,887.54
|
| Rate for Payer: BCN Medicare Advantage |
$6,010.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,010.47
|
| Rate for Payer: Mclaren Medicare |
$6,010.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,310.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,912.04
|
| Rate for Payer: Nomi Health Commercial |
$8,871.33
|
| Rate for Payer: PACE Medicare |
$5,709.95
|
| Rate for Payer: PACE SWMI |
$6,010.47
|
| Rate for Payer: PHP Medicare Advantage |
$6,010.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,557.69
|
| Rate for Payer: Priority Health Medicare |
$6,010.47
|
| Rate for Payer: Priority Health Narrow Network |
$8,446.16
|
| Rate for Payer: Railroad Medicare Medicare |
$6,010.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,752.88
|
| Rate for Payer: UHC Core |
$8,601.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,010.47
|
| Rate for Payer: UHC Exchange |
$6,838.49
|
| Rate for Payer: UHC Medicare Advantage |
$6,010.47
|
| Rate for Payer: VA VA |
$6,010.47
|
|
|
MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
|
Facility
|
IP
|
$251,440.23
|
|
|
Service Code
|
MSDRG 212
|
| Min. Negotiated Rate |
$84,238.23 |
| Max. Negotiated Rate |
$251,440.23 |
| Rate for Payer: Aetna Medicare |
$92,218.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$110,839.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$110,839.78
|
| Rate for Payer: BCBS MAPPO |
$88,671.82
|
| Rate for Payer: BCBS Trust/PPO |
$251,440.23
|
| Rate for Payer: BCN Commercial |
$251,440.23
|
| Rate for Payer: BCN Medicare Advantage |
$88,671.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88,671.82
|
| Rate for Payer: Mclaren Medicare |
$88,671.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93,105.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$101,972.59
|
| Rate for Payer: Nomi Health Commercial |
$140,531.31
|
| Rate for Payer: PACE Medicare |
$84,238.23
|
| Rate for Payer: PACE SWMI |
$88,671.82
|
| Rate for Payer: PHP Medicare Advantage |
$88,671.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167,257.12
|
| Rate for Payer: Priority Health Medicare |
$88,671.82
|
| Rate for Payer: Priority Health Narrow Network |
$133,805.72
|
| Rate for Payer: Railroad Medicare Medicare |
$88,671.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170,337.02
|
| Rate for Payer: UHC Core |
$136,260.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$88,671.82
|
| Rate for Payer: UHC Exchange |
$108,328.94
|
| Rate for Payer: UHC Medicare Advantage |
$88,671.82
|
| Rate for Payer: VA VA |
$88,671.82
|
|
|
MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
|
Facility
|
IP
|
$96,730.55
|
|
|
Service Code
|
MSDRG 317
|
| Min. Negotiated Rate |
$61,517.56 |
| Max. Negotiated Rate |
$96,730.55 |
| Rate for Payer: BCBS Trust/PPO |
$92,329.29
|
| Rate for Payer: BCN Commercial |
$92,329.29
|
| Rate for Payer: Nomi Health Commercial |
$79,804.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94,982.38
|
| Rate for Payer: Priority Health Narrow Network |
$75,985.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96,730.55
|
| Rate for Payer: UHC Core |
$77,379.49
|
| Rate for Payer: UHC Exchange |
$61,517.56
|
|
|
MS-DRG 42.00: CONCUSSION WITH CC
|
Facility
|
IP
|
$24,496.93
|
|
|
Service Code
|
MSDRG 089
|
| Min. Negotiated Rate |
$8,667.58 |
| Max. Negotiated Rate |
$24,496.93 |
| Rate for Payer: Aetna Medicare |
$9,488.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,404.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,404.71
|
| Rate for Payer: BCBS MAPPO |
$9,123.77
|
| Rate for Payer: BCBS Trust/PPO |
$24,496.93
|
| Rate for Payer: BCN Commercial |
$24,496.93
|
| Rate for Payer: BCN Medicare Advantage |
$9,123.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,123.77
|
| Rate for Payer: Mclaren Medicare |
$9,123.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,579.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,492.34
|
| Rate for Payer: Nomi Health Commercial |
$13,830.09
|
| Rate for Payer: PACE Medicare |
$8,667.58
|
| Rate for Payer: PACE SWMI |
$9,123.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,123.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,461.46
|
| Rate for Payer: Priority Health Medicare |
$9,123.77
|
| Rate for Payer: Priority Health Narrow Network |
$13,169.17
|
| Rate for Payer: Railroad Medicare Medicare |
$9,123.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,763.36
|
| Rate for Payer: UHC Core |
$13,409.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,123.77
|
| Rate for Payer: UHC Exchange |
$10,660.96
|
| Rate for Payer: UHC Medicare Advantage |
$9,123.77
|
| Rate for Payer: VA VA |
$9,123.77
|
|
|
MS-DRG 42.00: CONCUSSION WITH MCC
|
Facility
|
IP
|
$44,063.24
|
|
|
Service Code
|
MSDRG 088
|
| Min. Negotiated Rate |
$11,272.84 |
| Max. Negotiated Rate |
$44,063.24 |
| Rate for Payer: Aetna Medicare |
$12,340.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,832.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,832.69
|
| Rate for Payer: BCBS MAPPO |
$11,866.15
|
| Rate for Payer: BCBS Trust/PPO |
$44,063.24
|
| Rate for Payer: BCN Commercial |
$44,063.24
|
| Rate for Payer: BCN Medicare Advantage |
$11,866.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,866.15
|
| Rate for Payer: Mclaren Medicare |
$11,866.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,459.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,646.07
|
| Rate for Payer: Nomi Health Commercial |
$18,198.03
|
| Rate for Payer: PACE Medicare |
$11,272.84
|
| Rate for Payer: PACE SWMI |
$11,866.15
|
| Rate for Payer: PHP Medicare Advantage |
$11,866.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,658.93
|
| Rate for Payer: Priority Health Medicare |
$11,866.15
|
| Rate for Payer: Priority Health Narrow Network |
$17,327.15
|
| Rate for Payer: Railroad Medicare Medicare |
$11,866.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,057.71
|
| Rate for Payer: UHC Core |
$17,645.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,866.15
|
| Rate for Payer: UHC Exchange |
$14,028.00
|
| Rate for Payer: UHC Medicare Advantage |
$11,866.15
|
| Rate for Payer: VA VA |
$11,866.15
|
|
|
MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC
|
Facility
|
IP
|
$22,869.27
|
|
|
Service Code
|
MSDRG 090
|
| Min. Negotiated Rate |
$7,014.87 |
| Max. Negotiated Rate |
$22,869.27 |
| Rate for Payer: Aetna Medicare |
$7,679.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,230.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,230.09
|
| Rate for Payer: BCBS MAPPO |
$7,384.07
|
| Rate for Payer: BCBS Trust/PPO |
$22,869.27
|
| Rate for Payer: BCN Commercial |
$22,869.27
|
| Rate for Payer: BCN Medicare Advantage |
$7,384.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,384.07
|
| Rate for Payer: Mclaren Medicare |
$7,384.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,753.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,491.68
|
| Rate for Payer: Nomi Health Commercial |
$11,059.17
|
| Rate for Payer: PACE Medicare |
$7,014.87
|
| Rate for Payer: PACE SWMI |
$7,384.07
|
| Rate for Payer: PHP Medicare Advantage |
$7,384.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,161.80
|
| Rate for Payer: Priority Health Medicare |
$7,384.07
|
| Rate for Payer: Priority Health Narrow Network |
$10,529.44
|
| Rate for Payer: Railroad Medicare Medicare |
$7,384.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,404.74
|
| Rate for Payer: UHC Core |
$10,723.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,384.07
|
| Rate for Payer: UHC Exchange |
$8,524.99
|
| Rate for Payer: UHC Medicare Advantage |
$7,384.07
|
| Rate for Payer: VA VA |
$7,384.07
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$27,188.52
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$9,326.20 |
| Max. Negotiated Rate |
$27,188.52 |
| Rate for Payer: Aetna Medicare |
$10,209.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,271.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,271.31
|
| Rate for Payer: BCBS MAPPO |
$9,817.05
|
| Rate for Payer: BCBS Trust/PPO |
$27,188.52
|
| Rate for Payer: BCN Commercial |
$27,188.52
|
| Rate for Payer: BCN Medicare Advantage |
$9,817.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,817.05
|
| Rate for Payer: Mclaren Medicare |
$9,817.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,307.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,289.61
|
| Rate for Payer: Nomi Health Commercial |
$14,934.33
|
| Rate for Payer: PACE Medicare |
$9,326.20
|
| Rate for Payer: PACE SWMI |
$9,817.05
|
| Rate for Payer: PHP Medicare Advantage |
$9,817.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,775.80
|
| Rate for Payer: Priority Health Medicare |
$9,817.05
|
| Rate for Payer: Priority Health Narrow Network |
$14,220.64
|
| Rate for Payer: Railroad Medicare Medicare |
$9,817.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,101.80
|
| Rate for Payer: UHC Core |
$14,480.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,817.05
|
| Rate for Payer: UHC Exchange |
$11,512.17
|
| Rate for Payer: UHC Medicare Advantage |
$9,817.05
|
| Rate for Payer: VA VA |
$9,817.05
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$55,575.95
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$19,861.06 |
| Max. Negotiated Rate |
$55,575.95 |
| Rate for Payer: Aetna Medicare |
$21,742.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,132.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,132.98
|
| Rate for Payer: BCBS MAPPO |
$20,906.38
|
| Rate for Payer: BCBS Trust/PPO |
$55,575.95
|
| Rate for Payer: BCN Commercial |
$55,575.95
|
| Rate for Payer: BCN Medicare Advantage |
$20,906.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,906.38
|
| Rate for Payer: Mclaren Medicare |
$20,906.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,951.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,042.34
|
| Rate for Payer: Nomi Health Commercial |
$32,597.01
|
| Rate for Payer: PACE Medicare |
$19,861.06
|
| Rate for Payer: PACE SWMI |
$20,906.38
|
| Rate for Payer: PHP Medicare Advantage |
$20,906.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,795.99
|
| Rate for Payer: Priority Health Medicare |
$20,906.38
|
| Rate for Payer: Priority Health Narrow Network |
$31,036.80
|
| Rate for Payer: Railroad Medicare Medicare |
$20,906.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,510.61
|
| Rate for Payer: UHC Core |
$31,606.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,906.38
|
| Rate for Payer: UHC Exchange |
$25,127.49
|
| Rate for Payer: UHC Medicare Advantage |
$20,906.38
|
| Rate for Payer: VA VA |
$20,906.38
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,099.11
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$6,160.04 |
| Max. Negotiated Rate |
$22,099.11 |
| Rate for Payer: Aetna Medicare |
$6,743.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,105.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,105.31
|
| Rate for Payer: BCBS MAPPO |
$6,484.25
|
| Rate for Payer: BCBS Trust/PPO |
$22,099.11
|
| Rate for Payer: BCN Commercial |
$22,099.11
|
| Rate for Payer: BCN Medicare Advantage |
$6,484.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,484.25
|
| Rate for Payer: Mclaren Medicare |
$6,484.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,808.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,456.89
|
| Rate for Payer: Nomi Health Commercial |
$9,625.98
|
| Rate for Payer: PACE Medicare |
$6,160.04
|
| Rate for Payer: PACE SWMI |
$6,484.25
|
| Rate for Payer: PHP Medicare Advantage |
$6,484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,457.46
|
| Rate for Payer: Priority Health Medicare |
$6,484.25
|
| Rate for Payer: Priority Health Narrow Network |
$9,165.97
|
| Rate for Payer: Railroad Medicare Medicare |
$6,484.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,667.58
|
| Rate for Payer: UHC Core |
$9,333.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,484.25
|
| Rate for Payer: UHC Exchange |
$7,420.21
|
| Rate for Payer: UHC Medicare Advantage |
$6,484.25
|
| Rate for Payer: VA VA |
$6,484.25
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$133,420.40
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$60,559.39 |
| Max. Negotiated Rate |
$133,420.40 |
| Rate for Payer: Aetna Medicare |
$66,296.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$79,683.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$79,683.41
|
| Rate for Payer: BCBS MAPPO |
$63,746.73
|
| Rate for Payer: BCBS Trust/PPO |
$133,420.40
|
| Rate for Payer: BCN Commercial |
$133,420.40
|
| Rate for Payer: BCN Medicare Advantage |
$63,746.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63,746.73
|
| Rate for Payer: Mclaren Medicare |
$63,746.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66,934.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73,308.74
|
| Rate for Payer: Nomi Health Commercial |
$100,831.56
|
| Rate for Payer: PACE Medicare |
$60,559.39
|
| Rate for Payer: PACE SWMI |
$63,746.73
|
| Rate for Payer: PHP Medicare Advantage |
$63,746.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120,007.00
|
| Rate for Payer: Priority Health Medicare |
$63,746.73
|
| Rate for Payer: Priority Health Narrow Network |
$96,005.61
|
| Rate for Payer: Railroad Medicare Medicare |
$63,746.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122,217.23
|
| Rate for Payer: UHC Core |
$97,767.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$63,746.73
|
| Rate for Payer: UHC Exchange |
$77,726.28
|
| Rate for Payer: UHC Medicare Advantage |
$63,746.73
|
| Rate for Payer: VA VA |
$63,746.73
|
|
