|
MS-DRG 42.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$14,292.87
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$14,292.87 |
| Rate for Payer: Aetna Medicare |
$8,157.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,805.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,805.12
|
| Rate for Payer: BCBS MAPPO |
$7,844.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,057.49
|
| Rate for Payer: BCN Commercial |
$11,057.49
|
| Rate for Payer: BCN Medicare Advantage |
$7,844.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,844.10
|
| Rate for Payer: Mclaren Medicare |
$7,844.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,236.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,020.72
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$7,451.90
|
| Rate for Payer: PACE SWMI |
$7,844.10
|
| Rate for Payer: PHP Medicare Advantage |
$7,844.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,035.47
|
| Rate for Payer: Priority Health Medicare |
$7,844.10
|
| Rate for Payer: Priority Health Narrow Network |
$11,228.37
|
| Rate for Payer: Railroad Medicare Medicare |
$7,844.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,292.87
|
| Rate for Payer: UHC Core |
$11,433.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,844.10
|
| Rate for Payer: UHC Exchange |
$9,089.81
|
| Rate for Payer: UHC Medicare Advantage |
$7,844.10
|
| Rate for Payer: VA VA |
$7,844.10
|
|
|
MS-DRG 42.00: DIABETES WITH CC
|
Facility
|
IP
|
$14,341.34
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$7,475.75 |
| Max. Negotiated Rate |
$14,341.34 |
| Rate for Payer: Aetna Medicare |
$8,183.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,836.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,836.51
|
| Rate for Payer: BCBS MAPPO |
$7,869.21
|
| Rate for Payer: BCBS Trust/PPO |
$13,833.78
|
| Rate for Payer: BCN Commercial |
$13,833.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,869.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,869.21
|
| Rate for Payer: Mclaren Medicare |
$7,869.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,262.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,049.59
|
| Rate for Payer: Nomi Health Commercial |
$11,831.88
|
| Rate for Payer: PACE Medicare |
$7,475.75
|
| Rate for Payer: PACE SWMI |
$7,869.21
|
| Rate for Payer: PHP Medicare Advantage |
$7,869.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,083.06
|
| Rate for Payer: Priority Health Medicare |
$7,869.21
|
| Rate for Payer: Priority Health Narrow Network |
$11,266.45
|
| Rate for Payer: Railroad Medicare Medicare |
$7,869.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,341.34
|
| Rate for Payer: UHC Core |
$11,472.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,869.21
|
| Rate for Payer: UHC Exchange |
$9,120.64
|
| Rate for Payer: UHC Medicare Advantage |
$7,869.21
|
| Rate for Payer: VA VA |
$7,869.21
|
|
|
MS-DRG 42.00: DIABETES WITH MCC
|
Facility
|
IP
|
$22,770.71
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$11,623.68 |
| Max. Negotiated Rate |
$22,770.71 |
| Rate for Payer: Aetna Medicare |
$12,724.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,294.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,294.31
|
| Rate for Payer: BCBS MAPPO |
$12,235.45
|
| Rate for Payer: BCBS Trust/PPO |
$22,003.83
|
| Rate for Payer: BCN Commercial |
$22,003.83
|
| Rate for Payer: BCN Medicare Advantage |
$12,235.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,235.45
|
| Rate for Payer: Mclaren Medicare |
$12,235.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,847.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,070.77
|
| Rate for Payer: Nomi Health Commercial |
$18,786.27
|
| Rate for Payer: PACE Medicare |
$11,623.68
|
| Rate for Payer: PACE SWMI |
$12,235.45
|
| Rate for Payer: PHP Medicare Advantage |
$12,235.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,360.63
|
| Rate for Payer: Priority Health Medicare |
$12,235.45
|
| Rate for Payer: Priority Health Narrow Network |
$17,888.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12,235.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,770.71
|
| Rate for Payer: UHC Core |
$18,215.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,235.45
|
| Rate for Payer: UHC Exchange |
$14,481.45
|
| Rate for Payer: UHC Medicare Advantage |
$12,235.45
|
| Rate for Payer: VA VA |
$12,235.45
|
|
|
MS-DRG 42.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,192.47
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$5,239.83 |
| Max. Negotiated Rate |
$11,192.47 |
| Rate for Payer: Aetna Medicare |
$5,736.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,894.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,894.51
|
| Rate for Payer: BCBS MAPPO |
$5,515.61
|
| Rate for Payer: BCBS Trust/PPO |
$11,192.47
|
| Rate for Payer: BCN Commercial |
$11,192.47
|
| Rate for Payer: BCN Medicare Advantage |
$5,515.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,515.61
|
| Rate for Payer: Mclaren Medicare |
$5,515.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,791.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,342.95
|
| Rate for Payer: Nomi Health Commercial |
$8,083.14
|
| Rate for Payer: PACE Medicare |
$5,239.83
|
| Rate for Payer: PACE SWMI |
$5,515.61
|
| Rate for Payer: PHP Medicare Advantage |
$5,515.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,621.07
|
| Rate for Payer: Priority Health Medicare |
$5,515.61
|
| Rate for Payer: Priority Health Narrow Network |
$7,696.86
|
| Rate for Payer: Railroad Medicare Medicare |
$5,515.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,797.52
|
| Rate for Payer: UHC Core |
$7,837.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,515.61
|
| Rate for Payer: UHC Exchange |
$6,230.91
|
| Rate for Payer: UHC Medicare Advantage |
$5,515.61
|
| Rate for Payer: VA VA |
$5,515.61
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$21,397.76
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$9,872.49 |
| Max. Negotiated Rate |
$21,397.76 |
| Rate for Payer: Aetna Medicare |
$10,807.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,990.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,990.11
|
| Rate for Payer: BCBS MAPPO |
$10,392.09
|
| Rate for Payer: BCBS Trust/PPO |
$21,397.76
|
| Rate for Payer: BCN Commercial |
$21,397.76
|
| Rate for Payer: BCN Medicare Advantage |
$10,392.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,392.09
|
| Rate for Payer: Mclaren Medicare |
$10,392.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,911.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,950.90
|
| Rate for Payer: Nomi Health Commercial |
$15,850.23
|
| Rate for Payer: PACE Medicare |
$9,872.49
|
| Rate for Payer: PACE SWMI |
$10,392.09
|
| Rate for Payer: PHP Medicare Advantage |
$10,392.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,865.96
|
| Rate for Payer: Priority Health Medicare |
$10,392.09
|
| Rate for Payer: Priority Health Narrow Network |
$15,092.77
|
| Rate for Payer: Railroad Medicare Medicare |
$10,392.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,211.95
|
| Rate for Payer: UHC Core |
$15,368.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,392.09
|
| Rate for Payer: UHC Exchange |
$12,218.19
|
| Rate for Payer: UHC Medicare Advantage |
$10,392.09
|
| Rate for Payer: VA VA |
$10,392.09
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$36,848.61
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$16,664.14 |
| Max. Negotiated Rate |
$36,848.61 |
| Rate for Payer: Aetna Medicare |
$18,242.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,926.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,926.50
|
| Rate for Payer: BCBS MAPPO |
$17,541.20
|
| Rate for Payer: BCBS Trust/PPO |
$36,848.61
|
| Rate for Payer: BCN Commercial |
$36,848.61
|
| Rate for Payer: BCN Medicare Advantage |
$17,541.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,541.20
|
| Rate for Payer: Mclaren Medicare |
$17,541.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,418.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,172.38
|
| Rate for Payer: Nomi Health Commercial |
$27,237.06
|
| Rate for Payer: PACE Medicare |
$16,664.14
|
| Rate for Payer: PACE SWMI |
$17,541.20
|
| Rate for Payer: PHP Medicare Advantage |
$17,541.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,420.84
|
| Rate for Payer: Priority Health Medicare |
$17,541.20
|
| Rate for Payer: Priority Health Narrow Network |
$25,936.67
|
| Rate for Payer: Railroad Medicare Medicare |
$17,541.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,013.85
|
| Rate for Payer: UHC Core |
$26,409.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,541.20
|
| Rate for Payer: UHC Exchange |
$20,995.76
|
| Rate for Payer: UHC Medicare Advantage |
$17,541.20
|
| Rate for Payer: VA VA |
$17,541.20
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$15,919.30
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$7,212.61 |
| Max. Negotiated Rate |
$15,919.30 |
| Rate for Payer: Aetna Medicare |
$7,895.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,490.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,490.28
|
| Rate for Payer: BCBS MAPPO |
$7,592.22
|
| Rate for Payer: BCBS Trust/PPO |
$15,919.30
|
| Rate for Payer: BCN Commercial |
$15,919.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,592.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,592.22
|
| Rate for Payer: Mclaren Medicare |
$7,592.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,971.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,731.05
|
| Rate for Payer: Nomi Health Commercial |
$11,390.70
|
| Rate for Payer: PACE Medicare |
$7,212.61
|
| Rate for Payer: PACE SWMI |
$7,592.22
|
| Rate for Payer: PHP Medicare Advantage |
$7,592.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,556.41
|
| Rate for Payer: Priority Health Medicare |
$7,592.22
|
| Rate for Payer: Priority Health Narrow Network |
$10,845.13
|
| Rate for Payer: Railroad Medicare Medicare |
$7,592.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,806.59
|
| Rate for Payer: UHC Core |
$11,044.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,592.22
|
| Rate for Payer: UHC Exchange |
$8,780.55
|
| Rate for Payer: UHC Medicare Advantage |
$7,592.22
|
| Rate for Payer: VA VA |
$7,592.22
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$19,873.32
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$7,852.75 |
| Max. Negotiated Rate |
$19,873.32 |
| Rate for Payer: Aetna Medicare |
$8,596.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,332.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,332.56
|
| Rate for Payer: BCBS MAPPO |
$8,266.05
|
| Rate for Payer: BCBS Trust/PPO |
$19,873.32
|
| Rate for Payer: BCN Commercial |
$19,873.32
|
| Rate for Payer: BCN Medicare Advantage |
$8,266.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,266.05
|
| Rate for Payer: Mclaren Medicare |
$8,266.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,679.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,505.96
|
| Rate for Payer: Nomi Health Commercial |
$12,463.98
|
| Rate for Payer: PACE Medicare |
$7,852.75
|
| Rate for Payer: PACE SWMI |
$8,266.05
|
| Rate for Payer: PHP Medicare Advantage |
$8,266.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,835.43
|
| Rate for Payer: Priority Health Medicare |
$8,266.05
|
| Rate for Payer: Priority Health Narrow Network |
$11,868.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8,266.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,107.50
|
| Rate for Payer: UHC Core |
$12,085.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,266.05
|
| Rate for Payer: UHC Exchange |
$9,607.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,266.05
|
| Rate for Payer: VA VA |
$8,266.05
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$53,093.44
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$14,963.74 |
| Max. Negotiated Rate |
$53,093.44 |
| Rate for Payer: Aetna Medicare |
$16,381.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,689.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,689.12
|
| Rate for Payer: BCBS MAPPO |
$15,751.30
|
| Rate for Payer: BCBS Trust/PPO |
$53,093.44
|
| Rate for Payer: BCN Commercial |
$53,093.44
|
| Rate for Payer: BCN Medicare Advantage |
$15,751.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,751.30
|
| Rate for Payer: Mclaren Medicare |
$15,751.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,538.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,114.00
|
| Rate for Payer: Nomi Health Commercial |
$24,386.16
|
| Rate for Payer: PACE Medicare |
$14,963.74
|
| Rate for Payer: PACE SWMI |
$15,751.30
|
| Rate for Payer: PHP Medicare Advantage |
$15,751.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,024.44
|
| Rate for Payer: Priority Health Medicare |
$15,751.30
|
| Rate for Payer: Priority Health Narrow Network |
$23,219.56
|
| Rate for Payer: Railroad Medicare Medicare |
$15,751.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,558.29
|
| Rate for Payer: UHC Core |
$23,645.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,751.30
|
| Rate for Payer: UHC Exchange |
$18,798.14
|
| Rate for Payer: UHC Medicare Advantage |
$15,751.30
|
| Rate for Payer: VA VA |
$15,751.30
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,792.26
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$5,825.34 |
| Max. Negotiated Rate |
$15,792.26 |
| Rate for Payer: Aetna Medicare |
$6,377.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,664.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,664.92
|
| Rate for Payer: BCBS MAPPO |
$6,131.94
|
| Rate for Payer: BCBS Trust/PPO |
$15,792.26
|
| Rate for Payer: BCN Commercial |
$15,792.26
|
| Rate for Payer: BCN Medicare Advantage |
$6,131.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,131.94
|
| Rate for Payer: Mclaren Medicare |
$6,131.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,438.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,051.73
|
| Rate for Payer: Nomi Health Commercial |
$9,064.83
|
| Rate for Payer: PACE Medicare |
$5,825.34
|
| Rate for Payer: PACE SWMI |
$6,131.94
|
| Rate for Payer: PHP Medicare Advantage |
$6,131.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,788.01
|
| Rate for Payer: Priority Health Medicare |
$6,131.94
|
| Rate for Payer: Priority Health Narrow Network |
$8,630.41
|
| Rate for Payer: Railroad Medicare Medicare |
$6,131.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,987.42
|
| Rate for Payer: UHC Core |
$8,789.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,131.94
|
| Rate for Payer: UHC Exchange |
$6,987.65
|
| Rate for Payer: UHC Medicare Advantage |
$6,131.94
|
| Rate for Payer: VA VA |
$6,131.94
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$17,676.64
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$7,037.17 |
| Max. Negotiated Rate |
$17,676.64 |
| Rate for Payer: Aetna Medicare |
$7,703.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,259.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,259.44
|
| Rate for Payer: BCBS MAPPO |
$7,407.55
|
| Rate for Payer: BCBS Trust/PPO |
$17,676.64
|
| Rate for Payer: BCN Commercial |
$17,676.64
|
| Rate for Payer: BCN Medicare Advantage |
$7,407.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,407.55
|
| Rate for Payer: Mclaren Medicare |
$7,407.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,777.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,518.68
|
| Rate for Payer: Nomi Health Commercial |
$11,096.58
|
| Rate for Payer: PACE Medicare |
$7,037.17
|
| Rate for Payer: PACE SWMI |
$7,407.55
|
| Rate for Payer: PHP Medicare Advantage |
$7,407.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,207.86
|
| Rate for Payer: Priority Health Medicare |
$7,407.55
|
| Rate for Payer: Priority Health Narrow Network |
$10,566.29
|
| Rate for Payer: Railroad Medicare Medicare |
$7,407.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,450.09
|
| Rate for Payer: UHC Core |
$10,759.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,407.55
|
| Rate for Payer: UHC Exchange |
$8,553.83
|
| Rate for Payer: UHC Medicare Advantage |
$7,407.55
|
| Rate for Payer: VA VA |
$7,407.55
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$34,342.28
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$13,219.46 |
| Max. Negotiated Rate |
$34,342.28 |
| Rate for Payer: Aetna Medicare |
$14,471.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,394.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,394.02
|
| Rate for Payer: BCBS MAPPO |
$13,915.22
|
| Rate for Payer: BCBS Trust/PPO |
$34,342.28
|
| Rate for Payer: BCN Commercial |
$34,342.28
|
| Rate for Payer: BCN Medicare Advantage |
$13,915.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,915.22
|
| Rate for Payer: Mclaren Medicare |
$13,915.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,610.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,002.50
|
| Rate for Payer: Nomi Health Commercial |
$21,461.73
|
| Rate for Payer: PACE Medicare |
$13,219.46
|
| Rate for Payer: PACE SWMI |
$13,915.22
|
| Rate for Payer: PHP Medicare Advantage |
$13,915.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,546.67
|
| Rate for Payer: Priority Health Medicare |
$13,915.22
|
| Rate for Payer: Priority Health Narrow Network |
$20,437.34
|
| Rate for Payer: Railroad Medicare Medicare |
$13,915.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,013.61
|
| Rate for Payer: UHC Core |
$20,809.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,915.22
|
| Rate for Payer: UHC Exchange |
$16,543.83
|
| Rate for Payer: UHC Medicare Advantage |
$13,915.22
|
| Rate for Payer: VA VA |
$13,915.22
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$12,952.46
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$5,151.35 |
| Max. Negotiated Rate |
$12,952.46 |
| Rate for Payer: Aetna Medicare |
$5,639.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,778.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,778.09
|
| Rate for Payer: BCBS MAPPO |
$5,422.47
|
| Rate for Payer: BCBS Trust/PPO |
$12,952.46
|
| Rate for Payer: BCN Commercial |
$12,952.46
|
| Rate for Payer: BCN Medicare Advantage |
$5,422.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,422.47
|
| Rate for Payer: Mclaren Medicare |
$5,422.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,693.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,235.84
|
| Rate for Payer: Nomi Health Commercial |
$7,934.79
|
| Rate for Payer: PACE Medicare |
$5,151.35
|
| Rate for Payer: PACE SWMI |
$5,422.47
|
| Rate for Payer: PHP Medicare Advantage |
$5,422.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,444.50
|
| Rate for Payer: Priority Health Medicare |
$5,422.47
|
| Rate for Payer: Priority Health Narrow Network |
$7,555.60
|
| Rate for Payer: Railroad Medicare Medicare |
$5,422.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,617.70
|
| Rate for Payer: UHC Core |
$7,693.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,422.47
|
| Rate for Payer: UHC Exchange |
$6,116.55
|
| Rate for Payer: UHC Medicare Advantage |
$5,422.47
|
| Rate for Payer: VA VA |
$5,422.47
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$28,987.58
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$28,987.58 |
| Rate for Payer: Aetna Medicare |
$16,073.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,319.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,319.59
|
| Rate for Payer: BCBS MAPPO |
$15,455.67
|
| Rate for Payer: BCBS Trust/PPO |
$21,448.05
|
| Rate for Payer: BCN Commercial |
$21,448.05
|
| Rate for Payer: BCN Medicare Advantage |
$15,455.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,455.67
|
| Rate for Payer: Mclaren Medicare |
$15,455.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,228.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,774.02
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$14,682.89
|
| Rate for Payer: PACE SWMI |
$15,455.67
|
| Rate for Payer: PHP Medicare Advantage |
$15,455.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,503.93
|
| Rate for Payer: Priority Health Medicare |
$15,455.67
|
| Rate for Payer: Priority Health Narrow Network |
$22,803.15
|
| Rate for Payer: Railroad Medicare Medicare |
$15,455.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,987.58
|
| Rate for Payer: UHC Core |
$23,188.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,455.67
|
| Rate for Payer: UHC Exchange |
$18,435.18
|
| Rate for Payer: UHC Medicare Advantage |
$15,455.67
|
| Rate for Payer: VA VA |
$15,455.67
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$20,860.50
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$8,763.00 |
| Max. Negotiated Rate |
$20,860.50 |
| Rate for Payer: Aetna Medicare |
$9,593.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,530.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,530.26
|
| Rate for Payer: BCBS MAPPO |
$9,224.21
|
| Rate for Payer: BCBS Trust/PPO |
$20,860.50
|
| Rate for Payer: BCN Commercial |
$20,860.50
|
| Rate for Payer: BCN Medicare Advantage |
$9,224.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,224.21
|
| Rate for Payer: Mclaren Medicare |
$9,224.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,685.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,607.84
|
| Rate for Payer: Nomi Health Commercial |
$13,990.05
|
| Rate for Payer: PACE Medicare |
$8,763.00
|
| Rate for Payer: PACE SWMI |
$9,224.21
|
| Rate for Payer: PHP Medicare Advantage |
$9,224.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,650.32
|
| Rate for Payer: Priority Health Medicare |
$9,224.21
|
| Rate for Payer: Priority Health Narrow Network |
$13,320.26
|
| Rate for Payer: Railroad Medicare Medicare |
$9,224.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,957.24
|
| Rate for Payer: UHC Core |
$13,564.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,224.21
|
| Rate for Payer: UHC Exchange |
$10,784.27
|
| Rate for Payer: UHC Medicare Advantage |
$9,224.21
|
| Rate for Payer: VA VA |
$9,224.21
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$35,453.85
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$13,378.72 |
| Max. Negotiated Rate |
$35,453.85 |
| Rate for Payer: Aetna Medicare |
$14,646.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,603.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,603.58
|
| Rate for Payer: BCBS MAPPO |
$14,082.86
|
| Rate for Payer: BCBS Trust/PPO |
$35,453.85
|
| Rate for Payer: BCN Commercial |
$35,453.85
|
| Rate for Payer: BCN Medicare Advantage |
$14,082.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,082.86
|
| Rate for Payer: Mclaren Medicare |
$14,082.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,787.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,195.29
|
| Rate for Payer: Nomi Health Commercial |
$21,728.76
|
| Rate for Payer: PACE Medicare |
$13,378.72
|
| Rate for Payer: PACE SWMI |
$14,082.86
|
| Rate for Payer: PHP Medicare Advantage |
$14,082.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,864.50
|
| Rate for Payer: Priority Health Medicare |
$14,082.86
|
| Rate for Payer: Priority Health Narrow Network |
$20,691.61
|
| Rate for Payer: Railroad Medicare Medicare |
$14,082.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,337.28
|
| Rate for Payer: UHC Core |
$21,068.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,082.86
|
| Rate for Payer: UHC Exchange |
$16,749.67
|
| Rate for Payer: UHC Medicare Advantage |
$14,082.86
|
| Rate for Payer: VA VA |
$14,082.86
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$17,636.94
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$6,553.21 |
| Max. Negotiated Rate |
$17,636.94 |
| Rate for Payer: Aetna Medicare |
$7,174.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,622.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,622.65
|
| Rate for Payer: BCBS MAPPO |
$6,898.12
|
| Rate for Payer: BCBS Trust/PPO |
$17,636.94
|
| Rate for Payer: BCN Commercial |
$17,636.94
|
| Rate for Payer: BCN Medicare Advantage |
$6,898.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,898.12
|
| Rate for Payer: Mclaren Medicare |
$6,898.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,243.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,932.84
|
| Rate for Payer: Nomi Health Commercial |
$10,285.17
|
| Rate for Payer: PACE Medicare |
$6,553.21
|
| Rate for Payer: PACE SWMI |
$6,898.12
|
| Rate for Payer: PHP Medicare Advantage |
$6,898.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,240.54
|
| Rate for Payer: Priority Health Medicare |
$6,898.12
|
| Rate for Payer: Priority Health Narrow Network |
$9,792.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6,898.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,466.58
|
| Rate for Payer: UHC Core |
$9,972.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,898.12
|
| Rate for Payer: UHC Exchange |
$7,928.35
|
| Rate for Payer: UHC Medicare Advantage |
$6,898.12
|
| Rate for Payer: VA VA |
$6,898.12
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$17,120.86
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$6,170.05 |
| Max. Negotiated Rate |
$17,120.86 |
| Rate for Payer: Aetna Medicare |
$6,754.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,118.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,118.49
|
| Rate for Payer: BCBS MAPPO |
$6,494.79
|
| Rate for Payer: BCBS Trust/PPO |
$17,120.86
|
| Rate for Payer: BCN Commercial |
$17,120.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,494.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,494.79
|
| Rate for Payer: Mclaren Medicare |
$6,494.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,819.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,469.01
|
| Rate for Payer: Nomi Health Commercial |
$9,642.75
|
| Rate for Payer: PACE Medicare |
$6,170.05
|
| Rate for Payer: PACE SWMI |
$6,494.79
|
| Rate for Payer: PHP Medicare Advantage |
$6,494.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,477.42
|
| Rate for Payer: Priority Health Medicare |
$6,494.79
|
| Rate for Payer: Priority Health Narrow Network |
$9,181.94
|
| Rate for Payer: Railroad Medicare Medicare |
$6,494.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,687.91
|
| Rate for Payer: UHC Core |
$9,349.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,494.79
|
| Rate for Payer: UHC Exchange |
$7,433.14
|
| Rate for Payer: UHC Medicare Advantage |
$6,494.79
|
| Rate for Payer: VA VA |
$6,494.79
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$25,957.85
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$9,996.36 |
| Max. Negotiated Rate |
$25,957.85 |
| Rate for Payer: Aetna Medicare |
$10,943.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,153.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,153.10
|
| Rate for Payer: BCBS MAPPO |
$10,522.48
|
| Rate for Payer: BCBS Trust/PPO |
$25,957.85
|
| Rate for Payer: BCN Commercial |
$25,957.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,522.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,522.48
|
| Rate for Payer: Mclaren Medicare |
$10,522.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,048.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,100.85
|
| Rate for Payer: Nomi Health Commercial |
$16,057.92
|
| Rate for Payer: PACE Medicare |
$9,996.36
|
| Rate for Payer: PACE SWMI |
$10,522.48
|
| Rate for Payer: PHP Medicare Advantage |
$10,522.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,111.63
|
| Rate for Payer: Priority Health Medicare |
$10,522.48
|
| Rate for Payer: Priority Health Narrow Network |
$15,289.31
|
| Rate for Payer: Railroad Medicare Medicare |
$10,522.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,463.69
|
| Rate for Payer: UHC Core |
$15,569.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,522.48
|
| Rate for Payer: UHC Exchange |
$12,378.29
|
| Rate for Payer: UHC Medicare Advantage |
$10,522.48
|
| Rate for Payer: VA VA |
$10,522.48
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$35,870.55
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$18,069.86 |
| Max. Negotiated Rate |
$35,870.55 |
| Rate for Payer: Aetna Medicare |
$19,781.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,776.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,776.12
|
| Rate for Payer: BCBS MAPPO |
$19,020.90
|
| Rate for Payer: BCBS Trust/PPO |
$34,667.81
|
| Rate for Payer: BCN Commercial |
$34,667.81
|
| Rate for Payer: BCN Medicare Advantage |
$19,020.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,020.90
|
| Rate for Payer: Mclaren Medicare |
$19,020.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,971.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,874.04
|
| Rate for Payer: Nomi Health Commercial |
$29,593.89
|
| Rate for Payer: PACE Medicare |
$18,069.86
|
| Rate for Payer: PACE SWMI |
$19,020.90
|
| Rate for Payer: PHP Medicare Advantage |
$19,020.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,221.48
|
| Rate for Payer: Priority Health Medicare |
$19,020.90
|
| Rate for Payer: Priority Health Narrow Network |
$28,177.19
|
| Rate for Payer: Railroad Medicare Medicare |
$19,020.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,870.55
|
| Rate for Payer: UHC Core |
$28,694.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,020.90
|
| Rate for Payer: UHC Exchange |
$22,812.53
|
| Rate for Payer: UHC Medicare Advantage |
$19,020.90
|
| Rate for Payer: VA VA |
$19,020.90
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,575.08
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$6,579.37 |
| Max. Negotiated Rate |
$21,575.08 |
| Rate for Payer: Aetna Medicare |
$7,202.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,657.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,657.06
|
| Rate for Payer: BCBS MAPPO |
$6,925.65
|
| Rate for Payer: BCBS Trust/PPO |
$21,575.08
|
| Rate for Payer: BCN Commercial |
$21,575.08
|
| Rate for Payer: BCN Medicare Advantage |
$6,925.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,925.65
|
| Rate for Payer: Mclaren Medicare |
$6,925.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,271.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,964.50
|
| Rate for Payer: Nomi Health Commercial |
$10,329.03
|
| Rate for Payer: PACE Medicare |
$6,579.37
|
| Rate for Payer: PACE SWMI |
$6,925.65
|
| Rate for Payer: PHP Medicare Advantage |
$6,925.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,294.28
|
| Rate for Payer: Priority Health Medicare |
$6,925.65
|
| Rate for Payer: Priority Health Narrow Network |
$9,835.42
|
| Rate for Payer: Railroad Medicare Medicare |
$6,925.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,519.75
|
| Rate for Payer: UHC Core |
$10,015.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,925.65
|
| Rate for Payer: UHC Exchange |
$7,962.16
|
| Rate for Payer: UHC Medicare Advantage |
$6,925.65
|
| Rate for Payer: VA VA |
$6,925.65
|
|
|
MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$497,791.05
|
|
|
Service Code
|
MSDRG 003
|
| Min. Negotiated Rate |
$165,317.12 |
| Max. Negotiated Rate |
$497,791.05 |
| Rate for Payer: Aetna Medicare |
$180,978.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$217,522.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$217,522.52
|
| Rate for Payer: BCBS MAPPO |
$174,018.02
|
| Rate for Payer: BCBS Trust/PPO |
$497,791.05
|
| Rate for Payer: BCN Commercial |
$497,791.05
|
| Rate for Payer: BCN Medicare Advantage |
$174,018.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174,018.02
|
| Rate for Payer: Mclaren Medicare |
$174,018.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182,718.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200,120.72
|
| Rate for Payer: Nomi Health Commercial |
$276,467.64
|
| Rate for Payer: PACE Medicare |
$165,317.12
|
| Rate for Payer: PACE SWMI |
$174,018.02
|
| Rate for Payer: PHP Medicare Advantage |
$174,018.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$329,048.08
|
| Rate for Payer: Priority Health Medicare |
$174,018.02
|
| Rate for Payer: Priority Health Narrow Network |
$263,238.50
|
| Rate for Payer: Railroad Medicare Medicare |
$174,018.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335,104.50
|
| Rate for Payer: UHC Core |
$268,066.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$174,018.02
|
| Rate for Payer: UHC Exchange |
$213,115.83
|
| Rate for Payer: UHC Medicare Advantage |
$174,018.02
|
| Rate for Payer: VA VA |
$174,018.02
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$19,399.58
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$8,369.82 |
| Max. Negotiated Rate |
$19,399.58 |
| Rate for Payer: Aetna Medicare |
$9,162.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,012.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,012.92
|
| Rate for Payer: BCBS MAPPO |
$8,810.34
|
| Rate for Payer: BCBS Trust/PPO |
$19,399.58
|
| Rate for Payer: BCN Commercial |
$19,399.58
|
| Rate for Payer: BCN Medicare Advantage |
$8,810.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,810.34
|
| Rate for Payer: Mclaren Medicare |
$8,810.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,250.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,131.89
|
| Rate for Payer: Nomi Health Commercial |
$13,330.86
|
| Rate for Payer: PACE Medicare |
$8,369.82
|
| Rate for Payer: PACE SWMI |
$8,810.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,810.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,868.78
|
| Rate for Payer: Priority Health Medicare |
$8,810.34
|
| Rate for Payer: Priority Health Narrow Network |
$12,695.03
|
| Rate for Payer: Railroad Medicare Medicare |
$8,810.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,158.24
|
| Rate for Payer: UHC Core |
$12,925.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,810.34
|
| Rate for Payer: UHC Exchange |
$10,276.13
|
| Rate for Payer: UHC Medicare Advantage |
$8,810.34
|
| Rate for Payer: VA VA |
$8,810.34
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$28,638.86
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$13,170.21 |
| Max. Negotiated Rate |
$28,638.86 |
| Rate for Payer: Aetna Medicare |
$14,417.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,329.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,329.22
|
| Rate for Payer: BCBS MAPPO |
$13,863.38
|
| Rate for Payer: BCBS Trust/PPO |
$28,638.86
|
| Rate for Payer: BCN Commercial |
$28,638.86
|
| Rate for Payer: BCN Medicare Advantage |
$13,863.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,863.38
|
| Rate for Payer: Mclaren Medicare |
$13,863.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,556.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,942.89
|
| Rate for Payer: Nomi Health Commercial |
$21,379.17
|
| Rate for Payer: PACE Medicare |
$13,170.21
|
| Rate for Payer: PACE SWMI |
$13,863.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,863.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,446.86
|
| Rate for Payer: Priority Health Medicare |
$13,863.38
|
| Rate for Payer: Priority Health Narrow Network |
$20,357.49
|
| Rate for Payer: Railroad Medicare Medicare |
$13,863.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,913.54
|
| Rate for Payer: UHC Core |
$20,729.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,863.38
|
| Rate for Payer: UHC Exchange |
$16,480.19
|
| Rate for Payer: UHC Medicare Advantage |
$13,863.38
|
| Rate for Payer: VA VA |
$13,863.38
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,175.75
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$6,410.10 |
| Max. Negotiated Rate |
$12,175.75 |
| Rate for Payer: Aetna Medicare |
$7,017.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,434.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,434.34
|
| Rate for Payer: BCBS MAPPO |
$6,747.47
|
| Rate for Payer: BCBS Trust/PPO |
$11,171.30
|
| Rate for Payer: BCN Commercial |
$11,171.30
|
| Rate for Payer: BCN Medicare Advantage |
$6,747.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,747.47
|
| Rate for Payer: Mclaren Medicare |
$6,747.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,084.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,759.59
|
| Rate for Payer: Nomi Health Commercial |
$10,045.23
|
| Rate for Payer: PACE Medicare |
$6,410.10
|
| Rate for Payer: PACE SWMI |
$6,747.47
|
| Rate for Payer: PHP Medicare Advantage |
$6,747.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,961.09
|
| Rate for Payer: Priority Health Medicare |
$6,747.47
|
| Rate for Payer: Priority Health Narrow Network |
$9,568.87
|
| Rate for Payer: Railroad Medicare Medicare |
$6,747.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,175.75
|
| Rate for Payer: UHC Core |
$9,739.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,747.47
|
| Rate for Payer: UHC Exchange |
$7,743.39
|
| Rate for Payer: UHC Medicare Advantage |
$6,747.47
|
| Rate for Payer: VA VA |
$6,747.47
|
|
