|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$130,572.66
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$46,512.92 |
| Max. Negotiated Rate |
$130,572.66 |
| Rate for Payer: Aetna Medicare |
$50,919.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,201.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,201.21
|
| Rate for Payer: BCBS MAPPO |
$48,960.97
|
| Rate for Payer: BCBS Trust/PPO |
$130,572.66
|
| Rate for Payer: BCN Commercial |
$130,572.66
|
| Rate for Payer: BCN Medicare Advantage |
$48,960.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,960.97
|
| Rate for Payer: Mclaren Medicare |
$48,960.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,409.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,305.12
|
| Rate for Payer: Nomi Health Commercial |
$77,281.32
|
| Rate for Payer: PACE Medicare |
$46,512.92
|
| Rate for Payer: PACE SWMI |
$48,960.97
|
| Rate for Payer: PHP Medicare Advantage |
$48,960.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91,979.06
|
| Rate for Payer: Priority Health Medicare |
$48,960.97
|
| Rate for Payer: Priority Health Narrow Network |
$73,583.26
|
| Rate for Payer: Railroad Medicare Medicare |
$48,960.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93,672.15
|
| Rate for Payer: UHC Core |
$74,932.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,960.97
|
| Rate for Payer: UHC Exchange |
$59,572.52
|
| Rate for Payer: UHC Medicare Advantage |
$48,960.97
|
| Rate for Payer: VA VA |
$48,960.97
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$109,579.83
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$36,617.44 |
| Max. Negotiated Rate |
$109,579.83 |
| Rate for Payer: Aetna Medicare |
$40,086.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,180.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,180.84
|
| Rate for Payer: BCBS MAPPO |
$38,544.67
|
| Rate for Payer: BCBS Trust/PPO |
$109,579.83
|
| Rate for Payer: BCN Commercial |
$109,579.83
|
| Rate for Payer: BCN Medicare Advantage |
$38,544.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,544.67
|
| Rate for Payer: Mclaren Medicare |
$38,544.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,471.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,326.37
|
| Rate for Payer: Nomi Health Commercial |
$60,690.63
|
| Rate for Payer: PACE Medicare |
$36,617.44
|
| Rate for Payer: PACE SWMI |
$38,544.67
|
| Rate for Payer: PHP Medicare Advantage |
$38,544.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,233.29
|
| Rate for Payer: Priority Health Medicare |
$38,544.67
|
| Rate for Payer: Priority Health Narrow Network |
$57,786.64
|
| Rate for Payer: Railroad Medicare Medicare |
$38,544.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73,562.69
|
| Rate for Payer: UHC Core |
$58,846.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,544.67
|
| Rate for Payer: UHC Exchange |
$46,783.54
|
| Rate for Payer: UHC Medicare Advantage |
$38,544.67
|
| Rate for Payer: VA VA |
$38,544.67
|
|
|
MS-DRG 42.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$33,617.11
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$11,053.53 |
| Max. Negotiated Rate |
$33,617.11 |
| Rate for Payer: Aetna Medicare |
$12,100.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,544.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,544.11
|
| Rate for Payer: BCBS MAPPO |
$11,635.29
|
| Rate for Payer: BCBS Trust/PPO |
$33,617.11
|
| Rate for Payer: BCN Commercial |
$33,617.11
|
| Rate for Payer: BCN Medicare Advantage |
$11,635.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,635.29
|
| Rate for Payer: Mclaren Medicare |
$11,635.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,217.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,380.58
|
| Rate for Payer: Nomi Health Commercial |
$17,830.38
|
| Rate for Payer: PACE Medicare |
$11,053.53
|
| Rate for Payer: PACE SWMI |
$11,635.29
|
| Rate for Payer: PHP Medicare Advantage |
$11,635.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,221.33
|
| Rate for Payer: Priority Health Medicare |
$11,635.29
|
| Rate for Payer: Priority Health Narrow Network |
$16,977.07
|
| Rate for Payer: Railroad Medicare Medicare |
$11,635.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,612.08
|
| Rate for Payer: UHC Core |
$17,288.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,635.29
|
| Rate for Payer: UHC Exchange |
$13,744.60
|
| Rate for Payer: UHC Medicare Advantage |
$11,635.29
|
| Rate for Payer: VA VA |
$11,635.29
|
|
|
MS-DRG 42.00: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$16,842.96
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$6,250.84 |
| Max. Negotiated Rate |
$16,842.96 |
| Rate for Payer: Aetna Medicare |
$6,843.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,224.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,224.79
|
| Rate for Payer: BCBS MAPPO |
$6,579.83
|
| Rate for Payer: BCBS Trust/PPO |
$16,842.96
|
| Rate for Payer: BCN Commercial |
$16,842.96
|
| Rate for Payer: BCN Medicare Advantage |
$6,579.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,579.83
|
| Rate for Payer: Mclaren Medicare |
$6,579.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,908.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,566.80
|
| Rate for Payer: Nomi Health Commercial |
$9,778.20
|
| Rate for Payer: PACE Medicare |
$6,250.84
|
| Rate for Payer: PACE SWMI |
$6,579.83
|
| Rate for Payer: PHP Medicare Advantage |
$6,579.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,638.64
|
| Rate for Payer: Priority Health Medicare |
$6,579.83
|
| Rate for Payer: Priority Health Narrow Network |
$9,310.92
|
| Rate for Payer: Railroad Medicare Medicare |
$6,579.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,852.09
|
| Rate for Payer: UHC Core |
$9,481.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,579.83
|
| Rate for Payer: UHC Exchange |
$7,537.55
|
| Rate for Payer: UHC Medicare Advantage |
$6,579.83
|
| Rate for Payer: VA VA |
$6,579.83
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
|
IP
|
$22,789.87
|
|
|
Service Code
|
MSDRG 391
|
| Min. Negotiated Rate |
$10,301.82 |
| Max. Negotiated Rate |
$22,789.87 |
| Rate for Payer: Aetna Medicare |
$11,277.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,555.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,555.02
|
| Rate for Payer: BCBS MAPPO |
$10,844.02
|
| Rate for Payer: BCBS Trust/PPO |
$22,789.87
|
| Rate for Payer: BCN Commercial |
$22,789.87
|
| Rate for Payer: BCN Medicare Advantage |
$10,844.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,844.02
|
| Rate for Payer: Mclaren Medicare |
$10,844.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,386.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,470.62
|
| Rate for Payer: Nomi Health Commercial |
$16,570.05
|
| Rate for Payer: PACE Medicare |
$10,301.82
|
| Rate for Payer: PACE SWMI |
$10,844.02
|
| Rate for Payer: PHP Medicare Advantage |
$10,844.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,728.88
|
| Rate for Payer: Priority Health Medicare |
$10,844.02
|
| Rate for Payer: Priority Health Narrow Network |
$15,783.11
|
| Rate for Payer: Railroad Medicare Medicare |
$10,844.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,084.44
|
| Rate for Payer: UHC Core |
$16,066.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,844.02
|
| Rate for Payer: UHC Exchange |
$12,773.07
|
| Rate for Payer: UHC Medicare Advantage |
$10,844.02
|
| Rate for Payer: VA VA |
$10,844.02
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$13,926.41
|
|
|
Service Code
|
MSDRG 392
|
| Min. Negotiated Rate |
$6,422.41 |
| Max. Negotiated Rate |
$13,926.41 |
| Rate for Payer: Aetna Medicare |
$7,030.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,450.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,450.54
|
| Rate for Payer: BCBS MAPPO |
$6,760.43
|
| Rate for Payer: BCBS Trust/PPO |
$13,926.41
|
| Rate for Payer: BCN Commercial |
$13,926.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,760.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,760.43
|
| Rate for Payer: Mclaren Medicare |
$6,760.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,098.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,774.49
|
| Rate for Payer: Nomi Health Commercial |
$10,065.87
|
| Rate for Payer: PACE Medicare |
$6,422.41
|
| Rate for Payer: PACE SWMI |
$6,760.43
|
| Rate for Payer: PHP Medicare Advantage |
$6,760.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,981.05
|
| Rate for Payer: Priority Health Medicare |
$6,760.43
|
| Rate for Payer: Priority Health Narrow Network |
$9,584.84
|
| Rate for Payer: Railroad Medicare Medicare |
$6,760.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,200.77
|
| Rate for Payer: UHC Core |
$9,759.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,760.43
|
| Rate for Payer: UHC Exchange |
$7,759.30
|
| Rate for Payer: UHC Medicare Advantage |
$6,760.43
|
| Rate for Payer: VA VA |
$6,760.43
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$67,655.41
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$33,710.58 |
| Max. Negotiated Rate |
$67,655.41 |
| Rate for Payer: Aetna Medicare |
$36,904.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,356.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,356.02
|
| Rate for Payer: BCBS MAPPO |
$35,484.82
|
| Rate for Payer: BCBS Trust/PPO |
$50,936.46
|
| Rate for Payer: BCN Commercial |
$50,936.46
|
| Rate for Payer: BCN Medicare Advantage |
$35,484.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,484.82
|
| Rate for Payer: Mclaren Medicare |
$35,484.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,259.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,807.54
|
| Rate for Payer: Nomi Health Commercial |
$55,817.01
|
| Rate for Payer: PACE Medicare |
$33,710.58
|
| Rate for Payer: PACE SWMI |
$35,484.82
|
| Rate for Payer: PHP Medicare Advantage |
$35,484.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66,433.93
|
| Rate for Payer: Priority Health Medicare |
$35,484.82
|
| Rate for Payer: Priority Health Narrow Network |
$53,147.15
|
| Rate for Payer: Railroad Medicare Medicare |
$35,484.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67,655.41
|
| Rate for Payer: UHC Core |
$54,120.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,484.82
|
| Rate for Payer: UHC Exchange |
$43,026.69
|
| Rate for Payer: UHC Medicare Advantage |
$35,484.82
|
| Rate for Payer: VA VA |
$35,484.82
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$442,823.82
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$182,946.02 |
| Max. Negotiated Rate |
$442,823.82 |
| Rate for Payer: Aetna Medicare |
$200,277.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$240,718.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$240,718.45
|
| Rate for Payer: BCBS MAPPO |
$192,574.76
|
| Rate for Payer: BCBS Trust/PPO |
$442,823.82
|
| Rate for Payer: BCN Commercial |
$442,823.82
|
| Rate for Payer: BCN Medicare Advantage |
$192,574.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192,574.76
|
| Rate for Payer: Mclaren Medicare |
$192,574.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202,203.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$221,460.97
|
| Rate for Payer: Nomi Health Commercial |
$306,024.12
|
| Rate for Payer: PACE Medicare |
$182,946.02
|
| Rate for Payer: PACE SWMI |
$192,574.76
|
| Rate for Payer: PHP Medicare Advantage |
$192,574.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$364,249.60
|
| Rate for Payer: Priority Health Medicare |
$192,574.76
|
| Rate for Payer: Priority Health Narrow Network |
$291,399.73
|
| Rate for Payer: Railroad Medicare Medicare |
$192,574.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370,929.70
|
| Rate for Payer: UHC Core |
$296,724.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$192,574.76
|
| Rate for Payer: UHC Exchange |
$235,899.52
|
| Rate for Payer: UHC Medicare Advantage |
$192,574.76
|
| Rate for Payer: VA VA |
$192,574.76
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$49,009.74
|
|
|
Service Code
|
MSDRG 982
|
| Min. Negotiated Rate |
$19,256.30 |
| Max. Negotiated Rate |
$49,009.74 |
| Rate for Payer: Aetna Medicare |
$21,080.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,337.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,337.24
|
| Rate for Payer: BCBS MAPPO |
$20,269.79
|
| Rate for Payer: BCBS Trust/PPO |
$49,009.74
|
| Rate for Payer: BCN Commercial |
$49,009.74
|
| Rate for Payer: BCN Medicare Advantage |
$20,269.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,269.79
|
| Rate for Payer: Mclaren Medicare |
$20,269.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,283.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,310.26
|
| Rate for Payer: Nomi Health Commercial |
$31,583.07
|
| Rate for Payer: PACE Medicare |
$19,256.30
|
| Rate for Payer: PACE SWMI |
$20,269.79
|
| Rate for Payer: PHP Medicare Advantage |
$20,269.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,595.27
|
| Rate for Payer: Priority Health Medicare |
$20,269.79
|
| Rate for Payer: Priority Health Narrow Network |
$30,076.22
|
| Rate for Payer: Railroad Medicare Medicare |
$20,269.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,281.62
|
| Rate for Payer: UHC Core |
$30,623.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,269.79
|
| Rate for Payer: UHC Exchange |
$24,345.90
|
| Rate for Payer: UHC Medicare Advantage |
$20,269.79
|
| Rate for Payer: VA VA |
$20,269.79
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$116,556.26
|
|
|
Service Code
|
MSDRG 981
|
| Min. Negotiated Rate |
$36,995.98 |
| Max. Negotiated Rate |
$116,556.26 |
| Rate for Payer: Aetna Medicare |
$40,500.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,678.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,678.92
|
| Rate for Payer: BCBS MAPPO |
$38,943.14
|
| Rate for Payer: BCBS Trust/PPO |
$116,556.26
|
| Rate for Payer: BCN Commercial |
$116,556.26
|
| Rate for Payer: BCN Medicare Advantage |
$38,943.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,943.14
|
| Rate for Payer: Mclaren Medicare |
$38,943.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,890.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,784.61
|
| Rate for Payer: Nomi Health Commercial |
$61,325.31
|
| Rate for Payer: PACE Medicare |
$36,995.98
|
| Rate for Payer: PACE SWMI |
$38,943.14
|
| Rate for Payer: PHP Medicare Advantage |
$38,943.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,999.47
|
| Rate for Payer: Priority Health Medicare |
$38,943.14
|
| Rate for Payer: Priority Health Narrow Network |
$58,399.59
|
| Rate for Payer: Railroad Medicare Medicare |
$38,943.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,331.98
|
| Rate for Payer: UHC Core |
$59,461.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,943.14
|
| Rate for Payer: UHC Exchange |
$47,272.78
|
| Rate for Payer: UHC Medicare Advantage |
$38,943.14
|
| Rate for Payer: VA VA |
$38,943.14
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$37,113.27
|
|
|
Service Code
|
MSDRG 983
|
| Min. Negotiated Rate |
$13,254.08 |
| Max. Negotiated Rate |
$37,113.27 |
| Rate for Payer: Aetna Medicare |
$14,509.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,439.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,439.58
|
| Rate for Payer: BCBS MAPPO |
$13,951.66
|
| Rate for Payer: BCBS Trust/PPO |
$37,113.27
|
| Rate for Payer: BCN Commercial |
$37,113.27
|
| Rate for Payer: BCN Medicare Advantage |
$13,951.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,951.66
|
| Rate for Payer: Mclaren Medicare |
$13,951.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,649.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,044.41
|
| Rate for Payer: Nomi Health Commercial |
$21,519.78
|
| Rate for Payer: PACE Medicare |
$13,254.08
|
| Rate for Payer: PACE SWMI |
$13,951.66
|
| Rate for Payer: PHP Medicare Advantage |
$13,951.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,612.69
|
| Rate for Payer: Priority Health Medicare |
$13,951.66
|
| Rate for Payer: Priority Health Narrow Network |
$20,490.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13,951.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,083.98
|
| Rate for Payer: UHC Core |
$20,865.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,951.66
|
| Rate for Payer: UHC Exchange |
$16,588.58
|
| Rate for Payer: UHC Medicare Advantage |
$13,951.66
|
| Rate for Payer: VA VA |
$13,951.66
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$33,108.97
|
|
|
Service Code
|
MSDRG 038
|
| Min. Negotiated Rate |
$12,816.28 |
| Max. Negotiated Rate |
$33,108.97 |
| Rate for Payer: Aetna Medicare |
$14,030.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,863.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,863.52
|
| Rate for Payer: BCBS MAPPO |
$13,490.82
|
| Rate for Payer: BCBS Trust/PPO |
$33,108.97
|
| Rate for Payer: BCN Commercial |
$33,108.97
|
| Rate for Payer: BCN Medicare Advantage |
$13,490.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,490.82
|
| Rate for Payer: Mclaren Medicare |
$13,490.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,165.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,514.44
|
| Rate for Payer: Nomi Health Commercial |
$20,785.77
|
| Rate for Payer: PACE Medicare |
$12,816.28
|
| Rate for Payer: PACE SWMI |
$13,490.82
|
| Rate for Payer: PHP Medicare Advantage |
$13,490.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,737.49
|
| Rate for Payer: Priority Health Medicare |
$13,490.82
|
| Rate for Payer: Priority Health Narrow Network |
$19,790.00
|
| Rate for Payer: Railroad Medicare Medicare |
$13,490.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,194.29
|
| Rate for Payer: UHC Core |
$20,154.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,490.82
|
| Rate for Payer: UHC Exchange |
$16,022.77
|
| Rate for Payer: UHC Medicare Advantage |
$13,490.82
|
| Rate for Payer: VA VA |
$13,490.82
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,925.59
|
|
|
Service Code
|
MSDRG 037
|
| Min. Negotiated Rate |
$25,970.24 |
| Max. Negotiated Rate |
$51,925.59 |
| Rate for Payer: Aetna Medicare |
$28,430.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,171.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,171.36
|
| Rate for Payer: BCBS MAPPO |
$27,337.09
|
| Rate for Payer: BCBS Trust/PPO |
$50,229.82
|
| Rate for Payer: BCN Commercial |
$50,229.82
|
| Rate for Payer: BCN Medicare Advantage |
$27,337.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,337.09
|
| Rate for Payer: Mclaren Medicare |
$27,337.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,703.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,437.65
|
| Rate for Payer: Nomi Health Commercial |
$42,839.61
|
| Rate for Payer: PACE Medicare |
$25,970.24
|
| Rate for Payer: PACE SWMI |
$27,337.09
|
| Rate for Payer: PHP Medicare Advantage |
$27,337.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,987.39
|
| Rate for Payer: Priority Health Medicare |
$27,337.09
|
| Rate for Payer: Priority Health Narrow Network |
$40,789.92
|
| Rate for Payer: Railroad Medicare Medicare |
$27,337.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,925.59
|
| Rate for Payer: UHC Core |
$41,537.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,337.09
|
| Rate for Payer: UHC Exchange |
$33,023.03
|
| Rate for Payer: UHC Medicare Advantage |
$27,337.09
|
| Rate for Payer: VA VA |
$27,337.09
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,984.16
|
|
|
Service Code
|
MSDRG 039
|
| Min. Negotiated Rate |
$9,176.16 |
| Max. Negotiated Rate |
$31,984.16 |
| Rate for Payer: Aetna Medicare |
$10,045.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,073.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,073.90
|
| Rate for Payer: BCBS MAPPO |
$9,659.12
|
| Rate for Payer: BCBS Trust/PPO |
$31,984.16
|
| Rate for Payer: BCN Commercial |
$31,984.16
|
| Rate for Payer: BCN Medicare Advantage |
$9,659.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,659.12
|
| Rate for Payer: Mclaren Medicare |
$9,659.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,142.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,107.99
|
| Rate for Payer: Nomi Health Commercial |
$14,682.78
|
| Rate for Payer: PACE Medicare |
$9,176.16
|
| Rate for Payer: PACE SWMI |
$9,659.12
|
| Rate for Payer: PHP Medicare Advantage |
$9,659.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,476.39
|
| Rate for Payer: Priority Health Medicare |
$9,659.12
|
| Rate for Payer: Priority Health Narrow Network |
$13,981.11
|
| Rate for Payer: Railroad Medicare Medicare |
$9,659.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,796.90
|
| Rate for Payer: UHC Core |
$14,236.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,659.12
|
| Rate for Payer: UHC Exchange |
$11,318.26
|
| Rate for Payer: UHC Medicare Advantage |
$9,659.12
|
| Rate for Payer: VA VA |
$9,659.12
|
|
|
MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT
|
Facility
|
IP
|
$23,938.72
|
|
|
Service Code
|
MSDRG 115
|
| Min. Negotiated Rate |
$12,198.44 |
| Max. Negotiated Rate |
$23,938.72 |
| Rate for Payer: Aetna Medicare |
$13,354.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,050.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,050.58
|
| Rate for Payer: BCBS MAPPO |
$12,840.46
|
| Rate for Payer: BCBS Trust/PPO |
$20,032.12
|
| Rate for Payer: BCN Commercial |
$20,032.12
|
| Rate for Payer: BCN Medicare Advantage |
$12,840.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,840.46
|
| Rate for Payer: Mclaren Medicare |
$12,840.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,482.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,766.53
|
| Rate for Payer: Nomi Health Commercial |
$19,749.90
|
| Rate for Payer: PACE Medicare |
$12,198.44
|
| Rate for Payer: PACE SWMI |
$12,840.46
|
| Rate for Payer: PHP Medicare Advantage |
$12,840.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,506.07
|
| Rate for Payer: Priority Health Medicare |
$12,840.46
|
| Rate for Payer: Priority Health Narrow Network |
$18,804.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,840.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,938.72
|
| Rate for Payer: UHC Core |
$19,149.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,840.46
|
| Rate for Payer: UHC Exchange |
$15,224.26
|
| Rate for Payer: UHC Medicare Advantage |
$12,840.46
|
| Rate for Payer: VA VA |
$12,840.46
|
|
|
MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
|
Facility
|
IP
|
$131,267.92
|
|
|
Service Code
|
MSDRG 790
|
| Min. Negotiated Rate |
$22,713.12 |
| Max. Negotiated Rate |
$131,267.92 |
| Rate for Payer: Aetna Medicare |
$50,531.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60,735.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60,735.51
|
| Rate for Payer: BCBS MAPPO |
$48,588.41
|
| Rate for Payer: BCBS Trust/PPO |
$22,713.12
|
| Rate for Payer: BCN Commercial |
$22,713.12
|
| Rate for Payer: BCN Medicare Advantage |
$48,588.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,588.41
|
| Rate for Payer: Mclaren Medicare |
$48,588.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,017.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55,876.67
|
| Rate for Payer: Nomi Health Commercial |
$76,687.92
|
| Rate for Payer: PACE Medicare |
$46,158.99
|
| Rate for Payer: PACE SWMI |
$48,588.41
|
| Rate for Payer: PHP Medicare Advantage |
$48,588.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$131,267.92
|
| Rate for Payer: Priority Health Medicare |
$48,588.41
|
| Rate for Payer: Priority Health Narrow Network |
$105,014.35
|
| Rate for Payer: Railroad Medicare Medicare |
$48,588.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92,952.89
|
| Rate for Payer: UHC Core |
$74,357.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,588.41
|
| Rate for Payer: UHC Exchange |
$59,115.09
|
| Rate for Payer: UHC Medicare Advantage |
$48,588.41
|
| Rate for Payer: VA VA |
$48,588.41
|
|
|
MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$39,418.46
|
|
|
Service Code
|
MSDRG 748
|
| Min. Negotiated Rate |
$10,900.41 |
| Max. Negotiated Rate |
$39,418.46 |
| Rate for Payer: Aetna Medicare |
$11,933.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,342.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,342.65
|
| Rate for Payer: BCBS MAPPO |
$11,474.12
|
| Rate for Payer: BCBS Trust/PPO |
$39,418.46
|
| Rate for Payer: BCN Commercial |
$39,418.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,474.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,474.12
|
| Rate for Payer: Mclaren Medicare |
$11,474.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,047.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,195.24
|
| Rate for Payer: Nomi Health Commercial |
$17,573.67
|
| Rate for Payer: PACE Medicare |
$10,900.41
|
| Rate for Payer: PACE SWMI |
$11,474.12
|
| Rate for Payer: PHP Medicare Advantage |
$11,474.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,915.78
|
| Rate for Payer: Priority Health Medicare |
$11,474.12
|
| Rate for Payer: Priority Health Narrow Network |
$16,732.62
|
| Rate for Payer: Railroad Medicare Medicare |
$11,474.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,300.92
|
| Rate for Payer: UHC Core |
$17,039.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,474.12
|
| Rate for Payer: UHC Exchange |
$13,546.71
|
| Rate for Payer: UHC Medicare Advantage |
$11,474.12
|
| Rate for Payer: VA VA |
$11,474.12
|
|
|
MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$15,575.24
|
|
|
Service Code
|
MSDRG 864
|
| Min. Negotiated Rate |
$7,328.02 |
| Max. Negotiated Rate |
$15,575.24 |
| Rate for Payer: Aetna Medicare |
$8,022.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,642.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,642.14
|
| Rate for Payer: BCBS MAPPO |
$7,713.71
|
| Rate for Payer: BCBS Trust/PPO |
$15,575.24
|
| Rate for Payer: BCN Commercial |
$15,575.24
|
| Rate for Payer: BCN Medicare Advantage |
$7,713.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,713.71
|
| Rate for Payer: Mclaren Medicare |
$7,713.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,099.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,870.77
|
| Rate for Payer: Nomi Health Commercial |
$11,584.20
|
| Rate for Payer: PACE Medicare |
$7,328.02
|
| Rate for Payer: PACE SWMI |
$7,713.71
|
| Rate for Payer: PHP Medicare Advantage |
$7,713.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,786.72
|
| Rate for Payer: Priority Health Medicare |
$7,713.71
|
| Rate for Payer: Priority Health Narrow Network |
$11,029.38
|
| Rate for Payer: Railroad Medicare Medicare |
$7,713.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,041.13
|
| Rate for Payer: UHC Core |
$11,232.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,713.71
|
| Rate for Payer: UHC Exchange |
$8,929.71
|
| Rate for Payer: UHC Medicare Advantage |
$7,713.71
|
| Rate for Payer: VA VA |
$7,713.71
|
|
|
MS-DRG 42.00: FOOT PROCEDURES WITH CC
|
Facility
|
IP
|
$38,341.29
|
|
|
Service Code
|
MSDRG 504
|
| Min. Negotiated Rate |
$13,921.92 |
| Max. Negotiated Rate |
$38,341.29 |
| Rate for Payer: Aetna Medicare |
$15,240.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,318.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,318.31
|
| Rate for Payer: BCBS MAPPO |
$14,654.65
|
| Rate for Payer: BCBS Trust/PPO |
$38,341.29
|
| Rate for Payer: BCN Commercial |
$38,341.29
|
| Rate for Payer: BCN Medicare Advantage |
$14,654.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,654.65
|
| Rate for Payer: Mclaren Medicare |
$14,654.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,387.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,852.85
|
| Rate for Payer: Nomi Health Commercial |
$22,639.50
|
| Rate for Payer: PACE Medicare |
$13,921.92
|
| Rate for Payer: PACE SWMI |
$14,654.65
|
| Rate for Payer: PHP Medicare Advantage |
$14,654.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,956.20
|
| Rate for Payer: Priority Health Medicare |
$14,654.65
|
| Rate for Payer: Priority Health Narrow Network |
$21,564.97
|
| Rate for Payer: Railroad Medicare Medicare |
$14,654.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,441.18
|
| Rate for Payer: UHC Core |
$21,951.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,654.65
|
| Rate for Payer: UHC Exchange |
$17,451.72
|
| Rate for Payer: UHC Medicare Advantage |
$14,654.65
|
| Rate for Payer: VA VA |
$14,654.65
|
|
|
MS-DRG 42.00: FOOT PROCEDURES WITH MCC
|
Facility
|
IP
|
$41,382.24
|
|
|
Service Code
|
MSDRG 503
|
| Min. Negotiated Rate |
$20,782.05 |
| Max. Negotiated Rate |
$41,382.24 |
| Rate for Payer: Aetna Medicare |
$22,750.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,344.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,344.80
|
| Rate for Payer: BCBS MAPPO |
$21,875.84
|
| Rate for Payer: BCBS Trust/PPO |
$40,297.13
|
| Rate for Payer: BCN Commercial |
$40,297.13
|
| Rate for Payer: BCN Medicare Advantage |
$21,875.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,875.84
|
| Rate for Payer: Mclaren Medicare |
$21,875.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,969.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,157.22
|
| Rate for Payer: Nomi Health Commercial |
$34,141.14
|
| Rate for Payer: PACE Medicare |
$20,782.05
|
| Rate for Payer: PACE SWMI |
$21,875.84
|
| Rate for Payer: PHP Medicare Advantage |
$21,875.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,635.45
|
| Rate for Payer: Priority Health Medicare |
$21,875.84
|
| Rate for Payer: Priority Health Narrow Network |
$32,508.36
|
| Rate for Payer: Railroad Medicare Medicare |
$21,875.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,382.24
|
| Rate for Payer: UHC Core |
$33,103.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,875.84
|
| Rate for Payer: UHC Exchange |
$26,317.79
|
| Rate for Payer: UHC Medicare Advantage |
$21,875.84
|
| Rate for Payer: VA VA |
$21,875.84
|
|
|
MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,027.91
|
|
|
Service Code
|
MSDRG 505
|
| Min. Negotiated Rate |
$13,921.92 |
| Max. Negotiated Rate |
$29,027.91 |
| Rate for Payer: Aetna Medicare |
$15,240.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,318.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,318.31
|
| Rate for Payer: BCBS MAPPO |
$14,654.65
|
| Rate for Payer: BCBS Trust/PPO |
$29,027.91
|
| Rate for Payer: BCN Commercial |
$29,027.91
|
| Rate for Payer: BCN Medicare Advantage |
$14,654.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,654.65
|
| Rate for Payer: Mclaren Medicare |
$14,654.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,387.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,852.85
|
| Rate for Payer: Nomi Health Commercial |
$22,639.50
|
| Rate for Payer: PACE Medicare |
$13,921.92
|
| Rate for Payer: PACE SWMI |
$14,654.65
|
| Rate for Payer: PHP Medicare Advantage |
$14,654.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,956.20
|
| Rate for Payer: Priority Health Medicare |
$14,654.65
|
| Rate for Payer: Priority Health Narrow Network |
$21,564.97
|
| Rate for Payer: Railroad Medicare Medicare |
$14,654.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,441.18
|
| Rate for Payer: UHC Core |
$21,951.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,654.65
|
| Rate for Payer: UHC Exchange |
$17,451.72
|
| Rate for Payer: UHC Medicare Advantage |
$14,654.65
|
| Rate for Payer: VA VA |
$14,654.65
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC
|
Facility
|
IP
|
$28,175.70
|
|
|
Service Code
|
MSDRG 533
|
| Min. Negotiated Rate |
$12,151.51 |
| Max. Negotiated Rate |
$28,175.70 |
| Rate for Payer: Aetna Medicare |
$13,302.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,988.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,988.82
|
| Rate for Payer: BCBS MAPPO |
$12,791.06
|
| Rate for Payer: BCBS Trust/PPO |
$28,175.70
|
| Rate for Payer: BCN Commercial |
$28,175.70
|
| Rate for Payer: BCN Medicare Advantage |
$12,791.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,791.06
|
| Rate for Payer: Mclaren Medicare |
$12,791.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,430.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,709.72
|
| Rate for Payer: Nomi Health Commercial |
$19,671.21
|
| Rate for Payer: PACE Medicare |
$12,151.51
|
| Rate for Payer: PACE SWMI |
$12,791.06
|
| Rate for Payer: PHP Medicare Advantage |
$12,791.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,412.40
|
| Rate for Payer: Priority Health Medicare |
$12,791.06
|
| Rate for Payer: Priority Health Narrow Network |
$18,729.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12,791.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,843.34
|
| Rate for Payer: UHC Core |
$19,073.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,791.06
|
| Rate for Payer: UHC Exchange |
$15,163.61
|
| Rate for Payer: UHC Medicare Advantage |
$12,791.06
|
| Rate for Payer: VA VA |
$12,791.06
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC
|
Facility
|
IP
|
$15,747.27
|
|
|
Service Code
|
MSDRG 534
|
| Min. Negotiated Rate |
$6,681.71 |
| Max. Negotiated Rate |
$15,747.27 |
| Rate for Payer: Aetna Medicare |
$7,314.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,791.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,791.72
|
| Rate for Payer: BCBS MAPPO |
$7,033.38
|
| Rate for Payer: BCBS Trust/PPO |
$15,747.27
|
| Rate for Payer: BCN Commercial |
$15,747.27
|
| Rate for Payer: BCN Medicare Advantage |
$7,033.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,033.38
|
| Rate for Payer: Mclaren Medicare |
$7,033.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,385.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,088.39
|
| Rate for Payer: Nomi Health Commercial |
$10,500.60
|
| Rate for Payer: PACE Medicare |
$6,681.71
|
| Rate for Payer: PACE SWMI |
$7,033.38
|
| Rate for Payer: PHP Medicare Advantage |
$7,033.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,496.95
|
| Rate for Payer: Priority Health Medicare |
$7,033.38
|
| Rate for Payer: Priority Health Narrow Network |
$9,997.57
|
| Rate for Payer: Railroad Medicare Medicare |
$7,033.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,727.70
|
| Rate for Payer: UHC Core |
$10,181.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,033.38
|
| Rate for Payer: UHC Exchange |
$8,094.42
|
| Rate for Payer: UHC Medicare Advantage |
$7,033.38
|
| Rate for Payer: VA VA |
$7,033.38
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC
|
Facility
|
IP
|
$21,908.55
|
|
|
Service Code
|
MSDRG 535
|
| Min. Negotiated Rate |
$10,651.13 |
| Max. Negotiated Rate |
$21,908.55 |
| Rate for Payer: Aetna Medicare |
$11,660.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,014.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,014.65
|
| Rate for Payer: BCBS MAPPO |
$11,211.72
|
| Rate for Payer: BCBS Trust/PPO |
$21,908.55
|
| Rate for Payer: BCN Commercial |
$21,908.55
|
| Rate for Payer: BCN Medicare Advantage |
$11,211.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,211.72
|
| Rate for Payer: Mclaren Medicare |
$11,211.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,772.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,893.48
|
| Rate for Payer: Nomi Health Commercial |
$17,155.71
|
| Rate for Payer: PACE Medicare |
$10,651.13
|
| Rate for Payer: PACE SWMI |
$11,211.72
|
| Rate for Payer: PHP Medicare Advantage |
$11,211.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,419.83
|
| Rate for Payer: Priority Health Medicare |
$11,211.72
|
| Rate for Payer: Priority Health Narrow Network |
$16,335.87
|
| Rate for Payer: Railroad Medicare Medicare |
$11,211.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,794.32
|
| Rate for Payer: UHC Core |
$16,634.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,211.72
|
| Rate for Payer: UHC Exchange |
$13,224.53
|
| Rate for Payer: UHC Medicare Advantage |
$11,211.72
|
| Rate for Payer: VA VA |
$11,211.72
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC
|
Facility
|
IP
|
$13,299.16
|
|
|
Service Code
|
MSDRG 536
|
| Min. Negotiated Rate |
$6,657.86 |
| Max. Negotiated Rate |
$13,299.16 |
| Rate for Payer: Aetna Medicare |
$7,288.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,760.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,760.34
|
| Rate for Payer: BCBS MAPPO |
$7,008.27
|
| Rate for Payer: BCBS Trust/PPO |
$13,299.16
|
| Rate for Payer: BCN Commercial |
$13,299.16
|
| Rate for Payer: BCN Medicare Advantage |
$7,008.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,008.27
|
| Rate for Payer: Mclaren Medicare |
$7,008.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,358.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,059.51
|
| Rate for Payer: Nomi Health Commercial |
$10,460.61
|
| Rate for Payer: PACE Medicare |
$6,657.86
|
| Rate for Payer: PACE SWMI |
$7,008.27
|
| Rate for Payer: PHP Medicare Advantage |
$7,008.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,450.89
|
| Rate for Payer: Priority Health Medicare |
$7,008.27
|
| Rate for Payer: Priority Health Narrow Network |
$9,960.71
|
| Rate for Payer: Railroad Medicare Medicare |
$7,008.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,679.23
|
| Rate for Payer: UHC Core |
$10,142.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,008.27
|
| Rate for Payer: UHC Exchange |
$8,063.59
|
| Rate for Payer: UHC Medicare Advantage |
$7,008.27
|
| Rate for Payer: VA VA |
$7,008.27
|
|
