|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$104,723.32
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$41,353.21 |
| Max. Negotiated Rate |
$104,723.32 |
| Rate for Payer: Aetna Medicare |
$45,270.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,412.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,412.11
|
| Rate for Payer: BCBS MAPPO |
$43,529.69
|
| Rate for Payer: BCBS Trust/PPO |
$104,723.32
|
| Rate for Payer: BCN Commercial |
$104,723.32
|
| Rate for Payer: BCN Medicare Advantage |
$43,529.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,529.69
|
| Rate for Payer: Mclaren Medicare |
$43,529.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,706.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,059.14
|
| Rate for Payer: Nomi Health Commercial |
$68,630.58
|
| Rate for Payer: PACE Medicare |
$41,353.21
|
| Rate for Payer: PACE SWMI |
$43,529.69
|
| Rate for Payer: PHP Medicare Advantage |
$43,529.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81,683.93
|
| Rate for Payer: Priority Health Medicare |
$43,529.69
|
| Rate for Payer: Priority Health Narrow Network |
$65,347.15
|
| Rate for Payer: Railroad Medicare Medicare |
$43,529.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83,186.65
|
| Rate for Payer: UHC Core |
$66,545.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,529.69
|
| Rate for Payer: UHC Exchange |
$52,904.07
|
| Rate for Payer: UHC Medicare Advantage |
$43,529.69
|
| Rate for Payer: VA VA |
$43,529.69
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$110,162.08
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$45,692.72 |
| Max. Negotiated Rate |
$110,162.08 |
| Rate for Payer: Aetna Medicare |
$50,021.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60,122.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60,122.00
|
| Rate for Payer: BCBS MAPPO |
$48,097.60
|
| Rate for Payer: BCBS Trust/PPO |
$110,162.08
|
| Rate for Payer: BCN Commercial |
$110,162.08
|
| Rate for Payer: BCN Medicare Advantage |
$48,097.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,097.60
|
| Rate for Payer: Mclaren Medicare |
$48,097.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50,502.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55,312.24
|
| Rate for Payer: Nomi Health Commercial |
$75,906.18
|
| Rate for Payer: PACE Medicare |
$45,692.72
|
| Rate for Payer: PACE SWMI |
$48,097.60
|
| Rate for Payer: PHP Medicare Advantage |
$48,097.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90,342.28
|
| Rate for Payer: Priority Health Medicare |
$48,097.60
|
| Rate for Payer: Priority Health Narrow Network |
$72,273.83
|
| Rate for Payer: Railroad Medicare Medicare |
$48,097.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92,005.35
|
| Rate for Payer: UHC Core |
$73,599.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,097.60
|
| Rate for Payer: UHC Exchange |
$58,512.48
|
| Rate for Payer: UHC Medicare Advantage |
$48,097.60
|
| Rate for Payer: VA VA |
$48,097.60
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$87,126.07
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$32,057.87 |
| Max. Negotiated Rate |
$87,126.07 |
| Rate for Payer: Aetna Medicare |
$35,094.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,181.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,181.41
|
| Rate for Payer: BCBS MAPPO |
$33,745.13
|
| Rate for Payer: BCBS Trust/PPO |
$87,126.07
|
| Rate for Payer: BCN Commercial |
$87,126.07
|
| Rate for Payer: BCN Medicare Advantage |
$33,745.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,745.13
|
| Rate for Payer: Mclaren Medicare |
$33,745.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,432.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,806.90
|
| Rate for Payer: Nomi Health Commercial |
$53,046.09
|
| Rate for Payer: PACE Medicare |
$32,057.87
|
| Rate for Payer: PACE SWMI |
$33,745.13
|
| Rate for Payer: PHP Medicare Advantage |
$33,745.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,134.26
|
| Rate for Payer: Priority Health Medicare |
$33,745.13
|
| Rate for Payer: Priority Health Narrow Network |
$50,507.42
|
| Rate for Payer: Railroad Medicare Medicare |
$33,745.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64,296.80
|
| Rate for Payer: UHC Core |
$51,434.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,745.13
|
| Rate for Payer: UHC Exchange |
$40,890.72
|
| Rate for Payer: UHC Medicare Advantage |
$33,745.13
|
| Rate for Payer: VA VA |
$33,745.13
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$164,528.54
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$65,618.31 |
| Max. Negotiated Rate |
$164,528.54 |
| Rate for Payer: Aetna Medicare |
$71,834.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86,339.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86,339.89
|
| Rate for Payer: BCBS MAPPO |
$69,071.91
|
| Rate for Payer: BCBS Trust/PPO |
$164,528.54
|
| Rate for Payer: BCN Commercial |
$164,528.54
|
| Rate for Payer: BCN Medicare Advantage |
$69,071.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69,071.91
|
| Rate for Payer: Mclaren Medicare |
$69,071.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72,525.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79,432.70
|
| Rate for Payer: Nomi Health Commercial |
$109,313.31
|
| Rate for Payer: PACE Medicare |
$65,618.31
|
| Rate for Payer: PACE SWMI |
$69,071.91
|
| Rate for Payer: PHP Medicare Advantage |
$69,071.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130,104.06
|
| Rate for Payer: Priority Health Medicare |
$69,071.91
|
| Rate for Payer: Priority Health Narrow Network |
$104,083.26
|
| Rate for Payer: Railroad Medicare Medicare |
$69,071.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132,497.90
|
| Rate for Payer: UHC Core |
$105,991.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$69,071.91
|
| Rate for Payer: UHC Exchange |
$84,264.46
|
| Rate for Payer: UHC Medicare Advantage |
$69,071.91
|
| Rate for Payer: VA VA |
$69,071.91
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$145,110.43
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$47,420.07 |
| Max. Negotiated Rate |
$145,110.43 |
| Rate for Payer: Aetna Medicare |
$51,912.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,394.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,394.82
|
| Rate for Payer: BCBS MAPPO |
$49,915.86
|
| Rate for Payer: BCBS Trust/PPO |
$145,110.43
|
| Rate for Payer: BCN Commercial |
$145,110.43
|
| Rate for Payer: BCN Medicare Advantage |
$49,915.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,915.86
|
| Rate for Payer: Mclaren Medicare |
$49,915.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,411.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,403.24
|
| Rate for Payer: Nomi Health Commercial |
$78,802.23
|
| Rate for Payer: PACE Medicare |
$47,420.07
|
| Rate for Payer: PACE SWMI |
$49,915.86
|
| Rate for Payer: PHP Medicare Advantage |
$49,915.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93,789.34
|
| Rate for Payer: Priority Health Medicare |
$49,915.86
|
| Rate for Payer: Priority Health Narrow Network |
$75,031.49
|
| Rate for Payer: Railroad Medicare Medicare |
$49,915.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95,515.63
|
| Rate for Payer: UHC Core |
$76,407.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,915.86
|
| Rate for Payer: UHC Exchange |
$60,744.91
|
| Rate for Payer: UHC Medicare Advantage |
$49,915.86
|
| Rate for Payer: VA VA |
$49,915.86
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$108,354.45
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$33,191.21 |
| Max. Negotiated Rate |
$108,354.45 |
| Rate for Payer: Aetna Medicare |
$36,335.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,672.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,672.65
|
| Rate for Payer: BCBS MAPPO |
$34,938.12
|
| Rate for Payer: BCBS Trust/PPO |
$108,354.45
|
| Rate for Payer: BCN Commercial |
$108,354.45
|
| Rate for Payer: BCN Medicare Advantage |
$34,938.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,938.12
|
| Rate for Payer: Mclaren Medicare |
$34,938.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,685.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,178.84
|
| Rate for Payer: Nomi Health Commercial |
$54,946.26
|
| Rate for Payer: PACE Medicare |
$33,191.21
|
| Rate for Payer: PACE SWMI |
$34,938.12
|
| Rate for Payer: PHP Medicare Advantage |
$34,938.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,397.50
|
| Rate for Payer: Priority Health Medicare |
$34,938.12
|
| Rate for Payer: Priority Health Narrow Network |
$52,318.01
|
| Rate for Payer: Railroad Medicare Medicare |
$34,938.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66,599.98
|
| Rate for Payer: UHC Core |
$53,276.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,938.12
|
| Rate for Payer: UHC Exchange |
$42,355.47
|
| Rate for Payer: UHC Medicare Advantage |
$34,938.12
|
| Rate for Payer: VA VA |
$34,938.12
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$72,691.52
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$25,002.30 |
| Max. Negotiated Rate |
$72,691.52 |
| Rate for Payer: Aetna Medicare |
$27,370.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,897.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,897.76
|
| Rate for Payer: BCBS MAPPO |
$26,318.21
|
| Rate for Payer: BCBS Trust/PPO |
$72,691.52
|
| Rate for Payer: BCN Commercial |
$72,691.52
|
| Rate for Payer: BCN Medicare Advantage |
$26,318.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,318.21
|
| Rate for Payer: Mclaren Medicare |
$26,318.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,634.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,265.94
|
| Rate for Payer: Nomi Health Commercial |
$41,216.79
|
| Rate for Payer: PACE Medicare |
$25,002.30
|
| Rate for Payer: PACE SWMI |
$26,318.21
|
| Rate for Payer: PHP Medicare Advantage |
$26,318.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,057.34
|
| Rate for Payer: Priority Health Medicare |
$26,318.21
|
| Rate for Payer: Priority Health Narrow Network |
$39,245.88
|
| Rate for Payer: Railroad Medicare Medicare |
$26,318.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,958.58
|
| Rate for Payer: UHC Core |
$39,964.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,318.21
|
| Rate for Payer: UHC Exchange |
$31,772.07
|
| Rate for Payer: UHC Medicare Advantage |
$26,318.21
|
| Rate for Payer: VA VA |
$26,318.21
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$44,751.80
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$22,440.14 |
| Max. Negotiated Rate |
$44,751.80 |
| Rate for Payer: Aetna Medicare |
$24,566.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,526.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,526.50
|
| Rate for Payer: BCBS MAPPO |
$23,621.20
|
| Rate for Payer: BCBS Trust/PPO |
$43,068.12
|
| Rate for Payer: BCN Commercial |
$43,068.12
|
| Rate for Payer: BCN Medicare Advantage |
$23,621.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,621.20
|
| Rate for Payer: Mclaren Medicare |
$23,621.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,802.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,164.38
|
| Rate for Payer: Nomi Health Commercial |
$36,921.09
|
| Rate for Payer: PACE Medicare |
$22,440.14
|
| Rate for Payer: PACE SWMI |
$23,621.20
|
| Rate for Payer: PHP Medicare Advantage |
$23,621.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,944.32
|
| Rate for Payer: Priority Health Medicare |
$23,621.20
|
| Rate for Payer: Priority Health Narrow Network |
$35,155.46
|
| Rate for Payer: Railroad Medicare Medicare |
$23,621.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,751.80
|
| Rate for Payer: UHC Core |
$35,799.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,621.20
|
| Rate for Payer: UHC Exchange |
$28,460.72
|
| Rate for Payer: UHC Medicare Advantage |
$23,621.20
|
| Rate for Payer: VA VA |
$23,621.20
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$30,105.08
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$12,310.76 |
| Max. Negotiated Rate |
$30,105.08 |
| Rate for Payer: Aetna Medicare |
$13,477.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,198.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,198.36
|
| Rate for Payer: BCBS MAPPO |
$12,958.69
|
| Rate for Payer: BCBS Trust/PPO |
$30,105.08
|
| Rate for Payer: BCN Commercial |
$30,105.08
|
| Rate for Payer: BCN Medicare Advantage |
$12,958.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,958.69
|
| Rate for Payer: Mclaren Medicare |
$12,958.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,606.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,902.49
|
| Rate for Payer: Nomi Health Commercial |
$19,938.24
|
| Rate for Payer: PACE Medicare |
$12,310.76
|
| Rate for Payer: PACE SWMI |
$12,958.69
|
| Rate for Payer: PHP Medicare Advantage |
$12,958.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,730.24
|
| Rate for Payer: Priority Health Medicare |
$12,958.69
|
| Rate for Payer: Priority Health Narrow Network |
$18,984.20
|
| Rate for Payer: Railroad Medicare Medicare |
$12,958.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,167.00
|
| Rate for Payer: UHC Core |
$19,332.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,958.69
|
| Rate for Payer: UHC Exchange |
$15,369.45
|
| Rate for Payer: UHC Medicare Advantage |
$12,958.69
|
| Rate for Payer: VA VA |
$12,958.69
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$21,797.40
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$8,439.06 |
| Max. Negotiated Rate |
$21,797.40 |
| Rate for Payer: Aetna Medicare |
$9,238.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,104.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,104.02
|
| Rate for Payer: BCBS MAPPO |
$8,883.22
|
| Rate for Payer: BCBS Trust/PPO |
$21,797.40
|
| Rate for Payer: BCN Commercial |
$21,797.40
|
| Rate for Payer: BCN Medicare Advantage |
$8,883.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,883.22
|
| Rate for Payer: Mclaren Medicare |
$8,883.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,327.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,215.70
|
| Rate for Payer: Nomi Health Commercial |
$13,446.96
|
| Rate for Payer: PACE Medicare |
$8,439.06
|
| Rate for Payer: PACE SWMI |
$8,883.22
|
| Rate for Payer: PHP Medicare Advantage |
$8,883.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,005.44
|
| Rate for Payer: Priority Health Medicare |
$8,883.22
|
| Rate for Payer: Priority Health Narrow Network |
$12,804.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8,883.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,298.97
|
| Rate for Payer: UHC Core |
$13,038.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,883.22
|
| Rate for Payer: UHC Exchange |
$10,365.63
|
| Rate for Payer: UHC Medicare Advantage |
$8,883.22
|
| Rate for Payer: VA VA |
$8,883.22
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$76,288.24
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$23,952.07 |
| Max. Negotiated Rate |
$76,288.24 |
| Rate for Payer: Aetna Medicare |
$26,221.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,515.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,515.89
|
| Rate for Payer: BCBS MAPPO |
$25,212.71
|
| Rate for Payer: BCBS Trust/PPO |
$76,288.24
|
| Rate for Payer: BCN Commercial |
$76,288.24
|
| Rate for Payer: BCN Medicare Advantage |
$25,212.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,212.71
|
| Rate for Payer: Mclaren Medicare |
$25,212.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,473.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,994.62
|
| Rate for Payer: Nomi Health Commercial |
$39,455.94
|
| Rate for Payer: PACE Medicare |
$23,952.07
|
| Rate for Payer: PACE SWMI |
$25,212.71
|
| Rate for Payer: PHP Medicare Advantage |
$25,212.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,959.93
|
| Rate for Payer: Priority Health Medicare |
$25,212.71
|
| Rate for Payer: Priority Health Narrow Network |
$37,567.95
|
| Rate for Payer: Railroad Medicare Medicare |
$25,212.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47,824.27
|
| Rate for Payer: UHC Core |
$38,256.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,212.71
|
| Rate for Payer: UHC Exchange |
$30,414.72
|
| Rate for Payer: UHC Medicare Advantage |
$25,212.71
|
| Rate for Payer: VA VA |
$25,212.71
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$102,399.60
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$34,829.30 |
| Max. Negotiated Rate |
$102,399.60 |
| Rate for Payer: Aetna Medicare |
$38,128.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,828.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,828.02
|
| Rate for Payer: BCBS MAPPO |
$36,662.42
|
| Rate for Payer: BCBS Trust/PPO |
$102,399.60
|
| Rate for Payer: BCN Commercial |
$102,399.60
|
| Rate for Payer: BCN Medicare Advantage |
$36,662.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,662.42
|
| Rate for Payer: Mclaren Medicare |
$36,662.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,495.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,161.78
|
| Rate for Payer: Nomi Health Commercial |
$57,692.67
|
| Rate for Payer: PACE Medicare |
$34,829.30
|
| Rate for Payer: PACE SWMI |
$36,662.42
|
| Rate for Payer: PHP Medicare Advantage |
$36,662.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68,664.92
|
| Rate for Payer: Priority Health Medicare |
$36,662.42
|
| Rate for Payer: Priority Health Narrow Network |
$54,931.95
|
| Rate for Payer: Railroad Medicare Medicare |
$36,662.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69,928.88
|
| Rate for Payer: UHC Core |
$55,939.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,662.42
|
| Rate for Payer: UHC Exchange |
$44,472.55
|
| Rate for Payer: UHC Medicare Advantage |
$36,662.42
|
| Rate for Payer: VA VA |
$36,662.42
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$69,335.63
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$19,406.34 |
| Max. Negotiated Rate |
$69,335.63 |
| Rate for Payer: Aetna Medicare |
$21,244.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,534.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,534.66
|
| Rate for Payer: BCBS MAPPO |
$20,427.73
|
| Rate for Payer: BCBS Trust/PPO |
$69,335.63
|
| Rate for Payer: BCN Commercial |
$69,335.63
|
| Rate for Payer: BCN Medicare Advantage |
$20,427.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,427.73
|
| Rate for Payer: Mclaren Medicare |
$20,427.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,449.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,491.89
|
| Rate for Payer: Nomi Health Commercial |
$31,834.62
|
| Rate for Payer: PACE Medicare |
$19,406.34
|
| Rate for Payer: PACE SWMI |
$20,427.73
|
| Rate for Payer: PHP Medicare Advantage |
$20,427.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,888.54
|
| Rate for Payer: Priority Health Medicare |
$20,427.73
|
| Rate for Payer: Priority Health Narrow Network |
$30,310.84
|
| Rate for Payer: Railroad Medicare Medicare |
$20,427.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,586.52
|
| Rate for Payer: UHC Core |
$30,867.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,427.73
|
| Rate for Payer: UHC Exchange |
$24,539.80
|
| Rate for Payer: UHC Medicare Advantage |
$20,427.73
|
| Rate for Payer: VA VA |
$20,427.73
|
|
|
MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$199,895.05
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$52,956.79 |
| Max. Negotiated Rate |
$199,895.05 |
| Rate for Payer: Aetna Medicare |
$57,973.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69,679.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69,679.99
|
| Rate for Payer: BCBS MAPPO |
$55,743.99
|
| Rate for Payer: BCBS Trust/PPO |
$199,895.05
|
| Rate for Payer: BCN Commercial |
$199,895.05
|
| Rate for Payer: BCN Medicare Advantage |
$55,743.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,743.99
|
| Rate for Payer: Mclaren Medicare |
$55,743.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,531.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64,105.59
|
| Rate for Payer: Nomi Health Commercial |
$88,085.07
|
| Rate for Payer: PACE Medicare |
$52,956.79
|
| Rate for Payer: PACE SWMI |
$55,743.99
|
| Rate for Payer: PHP Medicare Advantage |
$55,743.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$104,838.38
|
| Rate for Payer: Priority Health Medicare |
$55,743.99
|
| Rate for Payer: Priority Health Narrow Network |
$83,870.71
|
| Rate for Payer: Railroad Medicare Medicare |
$55,743.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106,767.30
|
| Rate for Payer: UHC Core |
$85,408.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,743.99
|
| Rate for Payer: UHC Exchange |
$67,900.62
|
| Rate for Payer: UHC Medicare Advantage |
$55,743.99
|
| Rate for Payer: VA VA |
$55,743.99
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$119,231.98
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$44,314.68 |
| Max. Negotiated Rate |
$119,231.98 |
| Rate for Payer: Aetna Medicare |
$48,512.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,308.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,308.79
|
| Rate for Payer: BCBS MAPPO |
$46,647.03
|
| Rate for Payer: BCBS Trust/PPO |
$119,231.98
|
| Rate for Payer: BCN Commercial |
$119,231.98
|
| Rate for Payer: BCN Medicare Advantage |
$46,647.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,647.03
|
| Rate for Payer: Mclaren Medicare |
$46,647.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,979.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,644.08
|
| Rate for Payer: Nomi Health Commercial |
$73,595.79
|
| Rate for Payer: PACE Medicare |
$44,314.68
|
| Rate for Payer: PACE SWMI |
$46,647.03
|
| Rate for Payer: PHP Medicare Advantage |
$46,647.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$87,592.30
|
| Rate for Payer: Priority Health Medicare |
$46,647.03
|
| Rate for Payer: Priority Health Narrow Network |
$70,073.85
|
| Rate for Payer: Railroad Medicare Medicare |
$46,647.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89,204.94
|
| Rate for Payer: UHC Core |
$71,359.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,647.03
|
| Rate for Payer: UHC Exchange |
$56,731.51
|
| Rate for Payer: UHC Medicare Advantage |
$46,647.03
|
| Rate for Payer: VA VA |
$46,647.03
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$91,604.12
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$29,669.59 |
| Max. Negotiated Rate |
$91,604.12 |
| Rate for Payer: Aetna Medicare |
$32,480.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,038.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,038.94
|
| Rate for Payer: BCBS MAPPO |
$31,231.15
|
| Rate for Payer: BCBS Trust/PPO |
$91,604.12
|
| Rate for Payer: BCN Commercial |
$91,604.12
|
| Rate for Payer: BCN Medicare Advantage |
$31,231.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,231.15
|
| Rate for Payer: Mclaren Medicare |
$31,231.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,792.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,915.82
|
| Rate for Payer: Nomi Health Commercial |
$49,041.93
|
| Rate for Payer: PACE Medicare |
$29,669.59
|
| Rate for Payer: PACE SWMI |
$31,231.15
|
| Rate for Payer: PHP Medicare Advantage |
$31,231.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,368.25
|
| Rate for Payer: Priority Health Medicare |
$31,231.15
|
| Rate for Payer: Priority Health Narrow Network |
$46,694.61
|
| Rate for Payer: Railroad Medicare Medicare |
$31,231.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,443.38
|
| Rate for Payer: UHC Core |
$47,551.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,231.15
|
| Rate for Payer: UHC Exchange |
$37,804.10
|
| Rate for Payer: UHC Medicare Advantage |
$31,231.15
|
| Rate for Payer: VA VA |
$31,231.15
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$34,082.91
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$15,453.08 |
| Max. Negotiated Rate |
$34,082.91 |
| Rate for Payer: Aetna Medicare |
$16,917.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,333.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,333.00
|
| Rate for Payer: BCBS MAPPO |
$16,266.40
|
| Rate for Payer: BCBS Trust/PPO |
$34,082.91
|
| Rate for Payer: BCN Commercial |
$34,082.91
|
| Rate for Payer: BCN Medicare Advantage |
$16,266.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,266.40
|
| Rate for Payer: Mclaren Medicare |
$16,266.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,079.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,706.36
|
| Rate for Payer: Nomi Health Commercial |
$25,206.60
|
| Rate for Payer: PACE Medicare |
$15,453.08
|
| Rate for Payer: PACE SWMI |
$16,266.40
|
| Rate for Payer: PHP Medicare Advantage |
$16,266.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,000.98
|
| Rate for Payer: Priority Health Medicare |
$16,266.40
|
| Rate for Payer: Priority Health Narrow Network |
$24,000.79
|
| Rate for Payer: Railroad Medicare Medicare |
$16,266.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,552.74
|
| Rate for Payer: UHC Core |
$24,440.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,266.40
|
| Rate for Payer: UHC Exchange |
$19,430.58
|
| Rate for Payer: UHC Medicare Advantage |
$16,266.40
|
| Rate for Payer: VA VA |
$16,266.40
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$27,201.75
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$8,303.64 |
| Max. Negotiated Rate |
$27,201.75 |
| Rate for Payer: Aetna Medicare |
$9,090.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,925.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,925.84
|
| Rate for Payer: BCBS MAPPO |
$8,740.67
|
| Rate for Payer: BCBS Trust/PPO |
$27,201.75
|
| Rate for Payer: BCN Commercial |
$27,201.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,740.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,740.67
|
| Rate for Payer: Mclaren Medicare |
$8,740.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,177.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,051.77
|
| Rate for Payer: Nomi Health Commercial |
$13,219.92
|
| Rate for Payer: PACE Medicare |
$8,303.64
|
| Rate for Payer: PACE SWMI |
$8,740.67
|
| Rate for Payer: PHP Medicare Advantage |
$8,740.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,735.20
|
| Rate for Payer: Priority Health Medicare |
$8,740.67
|
| Rate for Payer: Priority Health Narrow Network |
$12,588.16
|
| Rate for Payer: Railroad Medicare Medicare |
$8,740.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,023.77
|
| Rate for Payer: UHC Core |
$12,818.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,740.67
|
| Rate for Payer: UHC Exchange |
$10,190.61
|
| Rate for Payer: UHC Medicare Advantage |
$8,740.67
|
| Rate for Payer: VA VA |
$8,740.67
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
|
Facility
|
IP
|
$23,213.33
|
|
|
Service Code
|
MSDRG 294
|
| Min. Negotiated Rate |
$9,867.09 |
| Max. Negotiated Rate |
$23,213.33 |
| Rate for Payer: Aetna Medicare |
$10,801.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,983.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,983.01
|
| Rate for Payer: BCBS MAPPO |
$10,386.41
|
| Rate for Payer: BCBS Trust/PPO |
$23,213.33
|
| Rate for Payer: BCN Commercial |
$23,213.33
|
| Rate for Payer: BCN Medicare Advantage |
$10,386.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,386.41
|
| Rate for Payer: Mclaren Medicare |
$10,386.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,905.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,944.37
|
| Rate for Payer: Nomi Health Commercial |
$15,841.20
|
| Rate for Payer: PACE Medicare |
$9,867.09
|
| Rate for Payer: PACE SWMI |
$10,386.41
|
| Rate for Payer: PHP Medicare Advantage |
$10,386.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,853.68
|
| Rate for Payer: Priority Health Medicare |
$10,386.41
|
| Rate for Payer: Priority Health Narrow Network |
$15,082.95
|
| Rate for Payer: Railroad Medicare Medicare |
$10,386.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,201.01
|
| Rate for Payer: UHC Core |
$15,359.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,386.41
|
| Rate for Payer: UHC Exchange |
$12,211.23
|
| Rate for Payer: UHC Medicare Advantage |
$10,386.41
|
| Rate for Payer: VA VA |
$10,386.41
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,405.03
|
|
|
Service Code
|
MSDRG 295
|
| Min. Negotiated Rate |
$6,495.52 |
| Max. Negotiated Rate |
$13,405.03 |
| Rate for Payer: Aetna Medicare |
$7,110.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,546.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,546.74
|
| Rate for Payer: BCBS MAPPO |
$6,837.39
|
| Rate for Payer: BCBS Trust/PPO |
$13,405.03
|
| Rate for Payer: BCN Commercial |
$13,405.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,837.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,837.39
|
| Rate for Payer: Mclaren Medicare |
$6,837.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,179.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,863.00
|
| Rate for Payer: Nomi Health Commercial |
$10,188.42
|
| Rate for Payer: PACE Medicare |
$6,495.52
|
| Rate for Payer: PACE SWMI |
$6,837.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,837.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,126.91
|
| Rate for Payer: Priority Health Medicare |
$6,837.39
|
| Rate for Payer: Priority Health Narrow Network |
$9,701.53
|
| Rate for Payer: Railroad Medicare Medicare |
$6,837.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,349.31
|
| Rate for Payer: UHC Core |
$9,878.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,837.39
|
| Rate for Payer: UHC Exchange |
$7,853.77
|
| Rate for Payer: UHC Medicare Advantage |
$6,837.39
|
| Rate for Payer: VA VA |
$6,837.39
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$48,157.53
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$19,685.64 |
| Max. Negotiated Rate |
$48,157.53 |
| Rate for Payer: Aetna Medicare |
$21,550.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,902.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,902.16
|
| Rate for Payer: BCBS MAPPO |
$20,721.73
|
| Rate for Payer: BCBS Trust/PPO |
$48,157.53
|
| Rate for Payer: BCN Commercial |
$48,157.53
|
| Rate for Payer: BCN Medicare Advantage |
$20,721.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,721.73
|
| Rate for Payer: Mclaren Medicare |
$20,721.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,757.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,829.99
|
| Rate for Payer: Nomi Health Commercial |
$32,302.89
|
| Rate for Payer: PACE Medicare |
$19,685.64
|
| Rate for Payer: PACE SWMI |
$20,721.73
|
| Rate for Payer: PHP Medicare Advantage |
$20,721.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,447.44
|
| Rate for Payer: Priority Health Medicare |
$20,721.73
|
| Rate for Payer: Priority Health Narrow Network |
$30,757.96
|
| Rate for Payer: Railroad Medicare Medicare |
$20,721.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,154.11
|
| Rate for Payer: UHC Core |
$31,321.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,721.73
|
| Rate for Payer: UHC Exchange |
$24,900.77
|
| Rate for Payer: UHC Medicare Advantage |
$20,721.73
|
| Rate for Payer: VA VA |
$20,721.73
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$35,469.73
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$10,685.76 |
| Max. Negotiated Rate |
$35,469.73 |
| Rate for Payer: Aetna Medicare |
$11,698.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,060.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,060.21
|
| Rate for Payer: BCBS MAPPO |
$11,248.17
|
| Rate for Payer: BCBS Trust/PPO |
$35,469.73
|
| Rate for Payer: BCN Commercial |
$35,469.73
|
| Rate for Payer: BCN Medicare Advantage |
$11,248.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,248.17
|
| Rate for Payer: Mclaren Medicare |
$11,248.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,810.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,935.40
|
| Rate for Payer: Nomi Health Commercial |
$17,213.76
|
| Rate for Payer: PACE Medicare |
$10,685.76
|
| Rate for Payer: PACE SWMI |
$11,248.17
|
| Rate for Payer: PHP Medicare Advantage |
$11,248.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,493.53
|
| Rate for Payer: Priority Health Medicare |
$11,248.17
|
| Rate for Payer: Priority Health Narrow Network |
$16,394.83
|
| Rate for Payer: Railroad Medicare Medicare |
$11,248.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,864.68
|
| Rate for Payer: UHC Core |
$16,690.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,248.17
|
| Rate for Payer: UHC Exchange |
$13,269.27
|
| Rate for Payer: UHC Medicare Advantage |
$11,248.17
|
| Rate for Payer: VA VA |
$11,248.17
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$19,881.26
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$7,655.78 |
| Max. Negotiated Rate |
$19,881.26 |
| Rate for Payer: Aetna Medicare |
$8,381.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,073.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,073.40
|
| Rate for Payer: BCBS MAPPO |
$8,058.72
|
| Rate for Payer: BCBS Trust/PPO |
$19,881.26
|
| Rate for Payer: BCN Commercial |
$19,881.26
|
| Rate for Payer: BCN Medicare Advantage |
$8,058.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,058.72
|
| Rate for Payer: Mclaren Medicare |
$8,058.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,461.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,267.53
|
| Rate for Payer: Nomi Health Commercial |
$12,133.74
|
| Rate for Payer: PACE Medicare |
$7,655.78
|
| Rate for Payer: PACE SWMI |
$8,058.72
|
| Rate for Payer: PHP Medicare Advantage |
$8,058.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,440.82
|
| Rate for Payer: Priority Health Medicare |
$8,058.72
|
| Rate for Payer: Priority Health Narrow Network |
$11,552.66
|
| Rate for Payer: Railroad Medicare Medicare |
$8,058.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,707.22
|
| Rate for Payer: UHC Core |
$11,765.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,058.72
|
| Rate for Payer: UHC Exchange |
$9,353.33
|
| Rate for Payer: UHC Medicare Advantage |
$8,058.72
|
| Rate for Payer: VA VA |
$8,058.72
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$54,429.98
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$13,017.88 |
| Max. Negotiated Rate |
$54,429.98 |
| Rate for Payer: Aetna Medicare |
$14,251.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,128.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,128.79
|
| Rate for Payer: BCBS MAPPO |
$13,703.03
|
| Rate for Payer: BCBS Trust/PPO |
$54,429.98
|
| Rate for Payer: BCN Commercial |
$54,429.98
|
| Rate for Payer: BCN Medicare Advantage |
$13,703.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,703.03
|
| Rate for Payer: Mclaren Medicare |
$13,703.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,388.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,758.48
|
| Rate for Payer: Nomi Health Commercial |
$21,123.75
|
| Rate for Payer: PACE Medicare |
$13,017.88
|
| Rate for Payer: PACE SWMI |
$13,703.03
|
| Rate for Payer: PHP Medicare Advantage |
$13,703.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,141.31
|
| Rate for Payer: Priority Health Medicare |
$13,703.03
|
| Rate for Payer: Priority Health Narrow Network |
$20,113.05
|
| Rate for Payer: Railroad Medicare Medicare |
$13,703.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,603.95
|
| Rate for Payer: UHC Core |
$20,481.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,703.03
|
| Rate for Payer: UHC Exchange |
$16,283.30
|
| Rate for Payer: UHC Medicare Advantage |
$13,703.03
|
| Rate for Payer: VA VA |
$13,703.03
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,545.71
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$5,493.74 |
| Max. Negotiated Rate |
$14,545.71 |
| Rate for Payer: Aetna Medicare |
$6,014.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,228.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,228.60
|
| Rate for Payer: BCBS MAPPO |
$5,782.88
|
| Rate for Payer: BCBS Trust/PPO |
$14,545.71
|
| Rate for Payer: BCN Commercial |
$14,545.71
|
| Rate for Payer: BCN Medicare Advantage |
$5,782.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,782.88
|
| Rate for Payer: Mclaren Medicare |
$5,782.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,072.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,650.31
|
| Rate for Payer: Nomi Health Commercial |
$8,508.84
|
| Rate for Payer: PACE Medicare |
$5,493.74
|
| Rate for Payer: PACE SWMI |
$5,782.88
|
| Rate for Payer: PHP Medicare Advantage |
$5,782.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,127.77
|
| Rate for Payer: Priority Health Medicare |
$5,782.88
|
| Rate for Payer: Priority Health Narrow Network |
$8,102.22
|
| Rate for Payer: Railroad Medicare Medicare |
$5,782.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,313.51
|
| Rate for Payer: UHC Core |
$8,250.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,782.88
|
| Rate for Payer: UHC Exchange |
$6,559.06
|
| Rate for Payer: UHC Medicare Advantage |
$5,782.88
|
| Rate for Payer: VA VA |
$5,782.88
|
|
