|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
|
Facility
|
IP
|
$24,245.50
|
|
|
Service Code
|
MSDRG 562
|
| Min. Negotiated Rate |
$11,679.07 |
| Max. Negotiated Rate |
$24,245.50 |
| Rate for Payer: Aetna Medicare |
$12,785.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,367.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,367.20
|
| Rate for Payer: BCBS MAPPO |
$12,293.76
|
| Rate for Payer: BCBS Trust/PPO |
$24,245.50
|
| Rate for Payer: BCN Commercial |
$24,245.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,293.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,293.76
|
| Rate for Payer: Mclaren Medicare |
$12,293.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,908.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,137.82
|
| Rate for Payer: Nomi Health Commercial |
$18,879.15
|
| Rate for Payer: PACE Medicare |
$11,679.07
|
| Rate for Payer: PACE SWMI |
$12,293.76
|
| Rate for Payer: PHP Medicare Advantage |
$12,293.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,474.25
|
| Rate for Payer: Priority Health Medicare |
$12,293.76
|
| Rate for Payer: Priority Health Narrow Network |
$17,979.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,293.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,883.29
|
| Rate for Payer: UHC Core |
$18,305.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,293.76
|
| Rate for Payer: UHC Exchange |
$14,553.04
|
| Rate for Payer: UHC Medicare Advantage |
$12,293.76
|
| Rate for Payer: VA VA |
$12,293.76
|
|
|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
|
Facility
|
IP
|
$18,433.57
|
|
|
Service Code
|
MSDRG 563
|
| Min. Negotiated Rate |
$7,295.72 |
| Max. Negotiated Rate |
$18,433.57 |
| Rate for Payer: Aetna Medicare |
$7,986.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,599.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,599.62
|
| Rate for Payer: BCBS MAPPO |
$7,679.70
|
| Rate for Payer: BCBS Trust/PPO |
$18,433.57
|
| Rate for Payer: BCN Commercial |
$18,433.57
|
| Rate for Payer: BCN Medicare Advantage |
$7,679.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,679.70
|
| Rate for Payer: Mclaren Medicare |
$7,679.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,063.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,831.66
|
| Rate for Payer: Nomi Health Commercial |
$11,530.02
|
| Rate for Payer: PACE Medicare |
$7,295.72
|
| Rate for Payer: PACE SWMI |
$7,679.70
|
| Rate for Payer: PHP Medicare Advantage |
$7,679.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,722.24
|
| Rate for Payer: Priority Health Medicare |
$7,679.70
|
| Rate for Payer: Priority Health Narrow Network |
$10,977.79
|
| Rate for Payer: Railroad Medicare Medicare |
$7,679.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,975.46
|
| Rate for Payer: UHC Core |
$11,179.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,679.70
|
| Rate for Payer: UHC Exchange |
$8,887.95
|
| Rate for Payer: UHC Medicare Advantage |
$7,679.70
|
| Rate for Payer: VA VA |
$7,679.70
|
|
|
MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$65,209.94
|
|
|
Service Code
|
MSDRG 793
|
| Min. Negotiated Rate |
$5,676.96 |
| Max. Negotiated Rate |
$65,209.94 |
| Rate for Payer: Aetna Medicare |
$35,586.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,772.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,772.62
|
| Rate for Payer: BCBS MAPPO |
$34,218.10
|
| Rate for Payer: BCBS Trust/PPO |
$5,676.96
|
| Rate for Payer: BCN Commercial |
$5,676.96
|
| Rate for Payer: BCN Medicare Advantage |
$34,218.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,218.10
|
| Rate for Payer: Mclaren Medicare |
$34,218.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,929.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,350.82
|
| Rate for Payer: Nomi Health Commercial |
$53,799.45
|
| Rate for Payer: PACE Medicare |
$32,507.20
|
| Rate for Payer: PACE SWMI |
$34,218.10
|
| Rate for Payer: PHP Medicare Advantage |
$34,218.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,033.68
|
| Rate for Payer: Priority Health Medicare |
$34,218.10
|
| Rate for Payer: Priority Health Narrow Network |
$8,826.94
|
| Rate for Payer: Railroad Medicare Medicare |
$34,218.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65,209.94
|
| Rate for Payer: UHC Core |
$52,164.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,218.10
|
| Rate for Payer: UHC Exchange |
$41,471.45
|
| Rate for Payer: UHC Medicare Advantage |
$34,218.10
|
| Rate for Payer: VA VA |
$34,218.10
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
|
Facility
|
IP
|
$33,551.73
|
|
|
Service Code
|
MSDRG 934
|
| Min. Negotiated Rate |
$16,928.82 |
| Max. Negotiated Rate |
$33,551.73 |
| Rate for Payer: Aetna Medicare |
$18,532.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,274.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,274.76
|
| Rate for Payer: BCBS MAPPO |
$17,819.81
|
| Rate for Payer: BCBS Trust/PPO |
$26,182.81
|
| Rate for Payer: BCN Commercial |
$26,182.81
|
| Rate for Payer: BCN Medicare Advantage |
$17,819.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,819.81
|
| Rate for Payer: Mclaren Medicare |
$17,819.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,710.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,492.78
|
| Rate for Payer: Nomi Health Commercial |
$27,680.82
|
| Rate for Payer: PACE Medicare |
$16,928.82
|
| Rate for Payer: PACE SWMI |
$17,819.81
|
| Rate for Payer: PHP Medicare Advantage |
$17,819.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,945.96
|
| Rate for Payer: Priority Health Medicare |
$17,819.81
|
| Rate for Payer: Priority Health Narrow Network |
$26,356.77
|
| Rate for Payer: Railroad Medicare Medicare |
$17,819.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,551.73
|
| Rate for Payer: UHC Core |
$26,839.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,819.81
|
| Rate for Payer: UHC Exchange |
$21,337.84
|
| Rate for Payer: UHC Medicare Advantage |
$17,819.81
|
| Rate for Payer: VA VA |
$17,819.81
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
|
Facility
|
IP
|
$116,249.26
|
|
|
Service Code
|
MSDRG 928
|
| Min. Negotiated Rate |
$51,807.27 |
| Max. Negotiated Rate |
$116,249.26 |
| Rate for Payer: Aetna Medicare |
$56,715.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,167.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,167.46
|
| Rate for Payer: BCBS MAPPO |
$54,533.97
|
| Rate for Payer: BCBS Trust/PPO |
$116,249.26
|
| Rate for Payer: BCN Commercial |
$116,249.26
|
| Rate for Payer: BCN Medicare Advantage |
$54,533.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,533.97
|
| Rate for Payer: Mclaren Medicare |
$54,533.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,260.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,714.07
|
| Rate for Payer: Nomi Health Commercial |
$86,157.81
|
| Rate for Payer: PACE Medicare |
$51,807.27
|
| Rate for Payer: PACE SWMI |
$54,533.97
|
| Rate for Payer: PHP Medicare Advantage |
$54,533.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102,544.43
|
| Rate for Payer: Priority Health Medicare |
$54,533.97
|
| Rate for Payer: Priority Health Narrow Network |
$82,035.56
|
| Rate for Payer: Railroad Medicare Medicare |
$54,533.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104,431.28
|
| Rate for Payer: UHC Core |
$83,539.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,533.97
|
| Rate for Payer: UHC Exchange |
$66,414.98
|
| Rate for Payer: UHC Medicare Advantage |
$54,533.97
|
| Rate for Payer: VA VA |
$54,533.97
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
|
Facility
|
IP
|
$54,019.75
|
|
|
Service Code
|
MSDRG 929
|
| Min. Negotiated Rate |
$24,889.21 |
| Max. Negotiated Rate |
$54,019.75 |
| Rate for Payer: Aetna Medicare |
$27,247.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,748.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,748.96
|
| Rate for Payer: BCBS MAPPO |
$26,199.17
|
| Rate for Payer: BCBS Trust/PPO |
$54,019.75
|
| Rate for Payer: BCN Commercial |
$54,019.75
|
| Rate for Payer: BCN Medicare Advantage |
$26,199.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,199.17
|
| Rate for Payer: Mclaren Medicare |
$26,199.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,509.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,129.05
|
| Rate for Payer: Nomi Health Commercial |
$41,027.16
|
| Rate for Payer: PACE Medicare |
$24,889.21
|
| Rate for Payer: PACE SWMI |
$26,199.17
|
| Rate for Payer: PHP Medicare Advantage |
$26,199.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,830.09
|
| Rate for Payer: Priority Health Medicare |
$26,199.17
|
| Rate for Payer: Priority Health Narrow Network |
$39,064.08
|
| Rate for Payer: Railroad Medicare Medicare |
$26,199.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,728.73
|
| Rate for Payer: UHC Core |
$39,780.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,199.17
|
| Rate for Payer: UHC Exchange |
$31,625.90
|
| Rate for Payer: UHC Medicare Advantage |
$26,199.17
|
| Rate for Payer: VA VA |
$26,199.17
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
|
IP
|
$21,037.82
|
|
|
Service Code
|
MSDRG 378
|
| Min. Negotiated Rate |
$8,004.34 |
| Max. Negotiated Rate |
$21,037.82 |
| Rate for Payer: Aetna Medicare |
$8,762.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,532.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,532.02
|
| Rate for Payer: BCBS MAPPO |
$8,425.62
|
| Rate for Payer: BCBS Trust/PPO |
$21,037.82
|
| Rate for Payer: BCN Commercial |
$21,037.82
|
| Rate for Payer: BCN Medicare Advantage |
$8,425.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,425.62
|
| Rate for Payer: Mclaren Medicare |
$8,425.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,846.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,689.46
|
| Rate for Payer: Nomi Health Commercial |
$12,718.11
|
| Rate for Payer: PACE Medicare |
$8,004.34
|
| Rate for Payer: PACE SWMI |
$8,425.62
|
| Rate for Payer: PHP Medicare Advantage |
$8,425.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,137.91
|
| Rate for Payer: Priority Health Medicare |
$8,425.62
|
| Rate for Payer: Priority Health Narrow Network |
$12,110.33
|
| Rate for Payer: Railroad Medicare Medicare |
$8,425.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,415.53
|
| Rate for Payer: UHC Core |
$12,331.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,425.62
|
| Rate for Payer: UHC Exchange |
$9,803.79
|
| Rate for Payer: UHC Medicare Advantage |
$8,425.62
|
| Rate for Payer: VA VA |
$8,425.62
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$32,100.61
|
|
|
Service Code
|
MSDRG 377
|
| Min. Negotiated Rate |
$14,408.20 |
| Max. Negotiated Rate |
$32,100.61 |
| Rate for Payer: Aetna Medicare |
$15,773.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,958.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,958.16
|
| Rate for Payer: BCBS MAPPO |
$15,166.53
|
| Rate for Payer: BCBS Trust/PPO |
$32,100.61
|
| Rate for Payer: BCN Commercial |
$32,100.61
|
| Rate for Payer: BCN Medicare Advantage |
$15,166.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,166.53
|
| Rate for Payer: Mclaren Medicare |
$15,166.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,924.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,441.51
|
| Rate for Payer: Nomi Health Commercial |
$23,454.78
|
| Rate for Payer: PACE Medicare |
$14,408.20
|
| Rate for Payer: PACE SWMI |
$15,166.53
|
| Rate for Payer: PHP Medicare Advantage |
$15,166.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,915.85
|
| Rate for Payer: Priority Health Medicare |
$15,166.53
|
| Rate for Payer: Priority Health Narrow Network |
$22,332.69
|
| Rate for Payer: Railroad Medicare Medicare |
$15,166.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,429.38
|
| Rate for Payer: UHC Core |
$22,742.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,166.53
|
| Rate for Payer: UHC Exchange |
$18,080.18
|
| Rate for Payer: UHC Medicare Advantage |
$15,166.53
|
| Rate for Payer: VA VA |
$15,166.53
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$15,511.72
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$5,317.53 |
| Max. Negotiated Rate |
$15,511.72 |
| Rate for Payer: Aetna Medicare |
$5,821.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,996.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,996.75
|
| Rate for Payer: BCBS MAPPO |
$5,597.40
|
| Rate for Payer: BCBS Trust/PPO |
$15,511.72
|
| Rate for Payer: BCN Commercial |
$15,511.72
|
| Rate for Payer: BCN Medicare Advantage |
$5,597.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,597.40
|
| Rate for Payer: Mclaren Medicare |
$5,597.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,877.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,437.01
|
| Rate for Payer: Nomi Health Commercial |
$8,213.43
|
| Rate for Payer: PACE Medicare |
$5,317.53
|
| Rate for Payer: PACE SWMI |
$5,597.40
|
| Rate for Payer: PHP Medicare Advantage |
$5,597.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,774.62
|
| Rate for Payer: Priority Health Medicare |
$5,597.40
|
| Rate for Payer: Priority Health Narrow Network |
$7,819.70
|
| Rate for Payer: Railroad Medicare Medicare |
$5,597.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,955.44
|
| Rate for Payer: UHC Core |
$7,963.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,597.40
|
| Rate for Payer: UHC Exchange |
$6,331.34
|
| Rate for Payer: UHC Medicare Advantage |
$5,597.40
|
| Rate for Payer: VA VA |
$5,597.40
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$13,839.07
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$6,586.29 |
| Max. Negotiated Rate |
$13,839.07 |
| Rate for Payer: Aetna Medicare |
$7,210.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,666.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,666.18
|
| Rate for Payer: BCBS MAPPO |
$6,932.94
|
| Rate for Payer: BCBS Trust/PPO |
$13,839.07
|
| Rate for Payer: BCN Commercial |
$13,839.07
|
| Rate for Payer: BCN Medicare Advantage |
$6,932.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,932.94
|
| Rate for Payer: Mclaren Medicare |
$6,932.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,279.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,972.88
|
| Rate for Payer: Nomi Health Commercial |
$10,340.64
|
| Rate for Payer: PACE Medicare |
$6,586.29
|
| Rate for Payer: PACE SWMI |
$6,932.94
|
| Rate for Payer: PHP Medicare Advantage |
$6,932.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,309.63
|
| Rate for Payer: Priority Health Medicare |
$6,932.94
|
| Rate for Payer: Priority Health Narrow Network |
$9,847.71
|
| Rate for Payer: Railroad Medicare Medicare |
$6,932.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,533.82
|
| Rate for Payer: UHC Core |
$10,026.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,932.94
|
| Rate for Payer: UHC Exchange |
$7,971.11
|
| Rate for Payer: UHC Medicare Advantage |
$6,932.94
|
| Rate for Payer: VA VA |
$6,932.94
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$24,986.55
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$11,728.32 |
| Max. Negotiated Rate |
$24,986.55 |
| Rate for Payer: Aetna Medicare |
$12,839.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,432.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,432.00
|
| Rate for Payer: BCBS MAPPO |
$12,345.60
|
| Rate for Payer: BCBS Trust/PPO |
$24,986.55
|
| Rate for Payer: BCN Commercial |
$24,986.55
|
| Rate for Payer: BCN Medicare Advantage |
$12,345.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,345.60
|
| Rate for Payer: Mclaren Medicare |
$12,345.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,962.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,197.44
|
| Rate for Payer: Nomi Health Commercial |
$18,961.71
|
| Rate for Payer: PACE Medicare |
$11,728.32
|
| Rate for Payer: PACE SWMI |
$12,345.60
|
| Rate for Payer: PHP Medicare Advantage |
$12,345.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,570.98
|
| Rate for Payer: Priority Health Medicare |
$12,345.60
|
| Rate for Payer: Priority Health Narrow Network |
$18,056.79
|
| Rate for Payer: Railroad Medicare Medicare |
$12,345.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,983.36
|
| Rate for Payer: UHC Core |
$18,385.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,345.60
|
| Rate for Payer: UHC Exchange |
$14,616.69
|
| Rate for Payer: UHC Medicare Advantage |
$12,345.60
|
| Rate for Payer: VA VA |
$12,345.60
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$10,814.01
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$4,628.90 |
| Max. Negotiated Rate |
$10,814.01 |
| Rate for Payer: Aetna Medicare |
$5,067.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,090.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,090.66
|
| Rate for Payer: BCBS MAPPO |
$4,872.53
|
| Rate for Payer: BCBS Trust/PPO |
$10,814.01
|
| Rate for Payer: BCN Commercial |
$10,814.01
|
| Rate for Payer: BCN Medicare Advantage |
$4,872.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,872.53
|
| Rate for Payer: Mclaren Medicare |
$4,872.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,116.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,603.41
|
| Rate for Payer: Nomi Health Commercial |
$7,058.88
|
| Rate for Payer: PACE Medicare |
$4,628.90
|
| Rate for Payer: PACE SWMI |
$4,872.53
|
| Rate for Payer: PHP Medicare Advantage |
$4,872.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,400.40
|
| Rate for Payer: Priority Health Medicare |
$4,872.53
|
| Rate for Payer: Priority Health Narrow Network |
$6,720.32
|
| Rate for Payer: Railroad Medicare Medicare |
$4,872.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,556.02
|
| Rate for Payer: UHC Core |
$6,844.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,872.53
|
| Rate for Payer: UHC Exchange |
$5,441.36
|
| Rate for Payer: UHC Medicare Advantage |
$4,872.53
|
| Rate for Payer: VA VA |
$4,872.53
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$27,903.10
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$12,003.01 |
| Max. Negotiated Rate |
$27,903.10 |
| Rate for Payer: PHP Medicare Advantage |
$12,634.75
|
| Rate for Payer: Aetna Medicare |
$13,140.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,793.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,793.44
|
| Rate for Payer: BCBS MAPPO |
$12,634.75
|
| Rate for Payer: BCBS Trust/PPO |
$27,903.10
|
| Rate for Payer: BCN Commercial |
$27,903.10
|
| Rate for Payer: BCN Medicare Advantage |
$12,634.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,634.75
|
| Rate for Payer: Mclaren Medicare |
$12,634.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,266.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,529.96
|
| Rate for Payer: Nomi Health Commercial |
$19,422.24
|
| Rate for Payer: PACE Medicare |
$12,003.01
|
| Rate for Payer: PACE SWMI |
$12,634.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,116.06
|
| Rate for Payer: Priority Health Medicare |
$12,634.75
|
| Rate for Payer: Priority Health Narrow Network |
$18,492.85
|
| Rate for Payer: Railroad Medicare Medicare |
$12,634.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,541.56
|
| Rate for Payer: UHC Core |
$18,832.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,634.75
|
| Rate for Payer: UHC Exchange |
$14,971.69
|
| Rate for Payer: UHC Medicare Advantage |
$12,634.75
|
| Rate for Payer: VA VA |
$12,634.75
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,471.04
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$8,263.64 |
| Max. Negotiated Rate |
$19,471.04 |
| Rate for Payer: Aetna Medicare |
$9,046.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,873.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,873.21
|
| Rate for Payer: BCBS MAPPO |
$8,698.57
|
| Rate for Payer: BCBS Trust/PPO |
$19,471.04
|
| Rate for Payer: BCN Commercial |
$19,471.04
|
| Rate for Payer: BCN Medicare Advantage |
$8,698.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,698.57
|
| Rate for Payer: Mclaren Medicare |
$8,698.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,133.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,003.36
|
| Rate for Payer: Nomi Health Commercial |
$13,152.84
|
| Rate for Payer: PACE Medicare |
$8,263.64
|
| Rate for Payer: PACE SWMI |
$8,698.57
|
| Rate for Payer: PHP Medicare Advantage |
$8,698.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,655.36
|
| Rate for Payer: Priority Health Medicare |
$8,698.57
|
| Rate for Payer: Priority Health Narrow Network |
$12,524.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,698.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,942.47
|
| Rate for Payer: UHC Core |
$12,753.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,698.57
|
| Rate for Payer: UHC Exchange |
$10,138.90
|
| Rate for Payer: UHC Medicare Advantage |
$8,698.57
|
| Rate for Payer: VA VA |
$8,698.57
|
|
|
MS-DRG 42.00: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$41,837.45
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$17,211.18 |
| Max. Negotiated Rate |
$41,837.45 |
| Rate for Payer: Aetna Medicare |
$18,841.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,646.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,646.29
|
| Rate for Payer: BCBS MAPPO |
$18,117.03
|
| Rate for Payer: BCBS Trust/PPO |
$41,837.45
|
| Rate for Payer: BCN Commercial |
$41,837.45
|
| Rate for Payer: BCN Medicare Advantage |
$18,117.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,117.03
|
| Rate for Payer: Mclaren Medicare |
$18,117.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,022.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,834.58
|
| Rate for Payer: Nomi Health Commercial |
$28,154.25
|
| Rate for Payer: PACE Medicare |
$17,211.18
|
| Rate for Payer: PACE SWMI |
$18,117.03
|
| Rate for Payer: PHP Medicare Advantage |
$18,117.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,509.46
|
| Rate for Payer: Priority Health Medicare |
$18,117.03
|
| Rate for Payer: Priority Health Narrow Network |
$26,807.58
|
| Rate for Payer: Railroad Medicare Medicare |
$18,117.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,125.57
|
| Rate for Payer: UHC Core |
$27,298.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,117.03
|
| Rate for Payer: UHC Exchange |
$21,702.78
|
| Rate for Payer: UHC Medicare Advantage |
$18,117.03
|
| Rate for Payer: VA VA |
$18,117.03
|
|
|
MS-DRG 42.00: HEADACHES WITH MCC
|
Facility
|
IP
|
$22,308.19
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$9,340.04 |
| Max. Negotiated Rate |
$22,308.19 |
| Rate for Payer: Aetna Medicare |
$10,224.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,289.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,289.52
|
| Rate for Payer: BCBS MAPPO |
$9,831.62
|
| Rate for Payer: BCBS Trust/PPO |
$22,308.19
|
| Rate for Payer: BCN Commercial |
$22,308.19
|
| Rate for Payer: BCN Medicare Advantage |
$9,831.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,831.62
|
| Rate for Payer: Mclaren Medicare |
$9,831.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,323.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,306.36
|
| Rate for Payer: Nomi Health Commercial |
$14,957.55
|
| Rate for Payer: PACE Medicare |
$9,340.04
|
| Rate for Payer: PACE SWMI |
$9,831.62
|
| Rate for Payer: PHP Medicare Advantage |
$9,831.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,801.90
|
| Rate for Payer: Priority Health Medicare |
$9,831.62
|
| Rate for Payer: Priority Health Narrow Network |
$14,241.52
|
| Rate for Payer: Railroad Medicare Medicare |
$9,831.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,129.94
|
| Rate for Payer: UHC Core |
$14,503.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,831.62
|
| Rate for Payer: UHC Exchange |
$11,530.07
|
| Rate for Payer: UHC Medicare Advantage |
$9,831.62
|
| Rate for Payer: VA VA |
$9,831.62
|
|
|
MS-DRG 42.00: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$20,418.52
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$6,960.24 |
| Max. Negotiated Rate |
$20,418.52 |
| Rate for Payer: Aetna Medicare |
$7,619.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,158.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,158.21
|
| Rate for Payer: BCBS MAPPO |
$7,326.57
|
| Rate for Payer: BCBS Trust/PPO |
$20,418.52
|
| Rate for Payer: BCN Commercial |
$20,418.52
|
| Rate for Payer: BCN Medicare Advantage |
$7,326.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,326.57
|
| Rate for Payer: Mclaren Medicare |
$7,326.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,692.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,425.56
|
| Rate for Payer: Nomi Health Commercial |
$10,967.58
|
| Rate for Payer: PACE Medicare |
$6,960.24
|
| Rate for Payer: PACE SWMI |
$7,326.57
|
| Rate for Payer: PHP Medicare Advantage |
$7,326.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,054.32
|
| Rate for Payer: Priority Health Medicare |
$7,326.57
|
| Rate for Payer: Priority Health Narrow Network |
$10,443.46
|
| Rate for Payer: Railroad Medicare Medicare |
$7,326.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,293.73
|
| Rate for Payer: UHC Core |
$10,634.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,326.57
|
| Rate for Payer: UHC Exchange |
$8,454.39
|
| Rate for Payer: UHC Medicare Advantage |
$7,326.57
|
| Rate for Payer: VA VA |
$7,326.57
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$16,009.28
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$7,044.86 |
| Max. Negotiated Rate |
$16,009.28 |
| Rate for Payer: Aetna Medicare |
$7,712.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,269.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,269.55
|
| Rate for Payer: BCBS MAPPO |
$7,415.64
|
| Rate for Payer: BCBS Trust/PPO |
$16,009.28
|
| Rate for Payer: BCN Commercial |
$16,009.28
|
| Rate for Payer: BCN Medicare Advantage |
$7,415.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,415.64
|
| Rate for Payer: Mclaren Medicare |
$7,415.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,786.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,527.99
|
| Rate for Payer: Nomi Health Commercial |
$11,109.48
|
| Rate for Payer: PACE Medicare |
$7,044.86
|
| Rate for Payer: PACE SWMI |
$7,415.64
|
| Rate for Payer: PHP Medicare Advantage |
$7,415.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,224.75
|
| Rate for Payer: Priority Health Medicare |
$7,415.64
|
| Rate for Payer: Priority Health Narrow Network |
$10,579.80
|
| Rate for Payer: Railroad Medicare Medicare |
$7,415.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,465.72
|
| Rate for Payer: UHC Core |
$10,771.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,415.64
|
| Rate for Payer: UHC Exchange |
$8,563.77
|
| Rate for Payer: UHC Medicare Advantage |
$7,415.64
|
| Rate for Payer: VA VA |
$7,415.64
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$23,803.52
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$10,458.01 |
| Max. Negotiated Rate |
$23,803.52 |
| Rate for Payer: Aetna Medicare |
$11,448.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,760.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,760.54
|
| Rate for Payer: BCBS MAPPO |
$11,008.43
|
| Rate for Payer: BCBS Trust/PPO |
$23,803.52
|
| Rate for Payer: BCN Commercial |
$23,803.52
|
| Rate for Payer: BCN Medicare Advantage |
$11,008.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,008.43
|
| Rate for Payer: Mclaren Medicare |
$11,008.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,558.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,659.69
|
| Rate for Payer: Nomi Health Commercial |
$16,831.92
|
| Rate for Payer: PACE Medicare |
$10,458.01
|
| Rate for Payer: PACE SWMI |
$11,008.43
|
| Rate for Payer: PHP Medicare Advantage |
$11,008.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,035.97
|
| Rate for Payer: Priority Health Medicare |
$11,008.43
|
| Rate for Payer: Priority Health Narrow Network |
$16,028.78
|
| Rate for Payer: Railroad Medicare Medicare |
$11,008.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,401.85
|
| Rate for Payer: UHC Core |
$16,320.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,008.43
|
| Rate for Payer: UHC Exchange |
$12,974.93
|
| Rate for Payer: UHC Medicare Advantage |
$11,008.43
|
| Rate for Payer: VA VA |
$11,008.43
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$10,496.42
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$4,640.45 |
| Max. Negotiated Rate |
$10,496.42 |
| Rate for Payer: Aetna Medicare |
$5,080.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,105.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,105.85
|
| Rate for Payer: BCBS MAPPO |
$4,884.68
|
| Rate for Payer: BCBS Trust/PPO |
$10,496.42
|
| Rate for Payer: BCN Commercial |
$10,496.42
|
| Rate for Payer: BCN Medicare Advantage |
$4,884.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,884.68
|
| Rate for Payer: Mclaren Medicare |
$4,884.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,128.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,617.38
|
| Rate for Payer: Nomi Health Commercial |
$7,078.23
|
| Rate for Payer: PACE Medicare |
$4,640.45
|
| Rate for Payer: PACE SWMI |
$4,884.68
|
| Rate for Payer: PHP Medicare Advantage |
$4,884.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,429.57
|
| Rate for Payer: Priority Health Medicare |
$4,884.68
|
| Rate for Payer: Priority Health Narrow Network |
$6,743.66
|
| Rate for Payer: Railroad Medicare Medicare |
$4,884.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,579.47
|
| Rate for Payer: UHC Core |
$6,863.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,884.68
|
| Rate for Payer: UHC Exchange |
$5,456.27
|
| Rate for Payer: UHC Medicare Advantage |
$4,884.68
|
| Rate for Payer: VA VA |
$4,884.68
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
|
Facility
|
IP
|
$648,602.26
|
|
|
Service Code
|
MSDRG 001
|
| Min. Negotiated Rate |
$217,150.46 |
| Max. Negotiated Rate |
$648,602.26 |
| Rate for Payer: Aetna Medicare |
$237,722.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$285,724.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$285,724.29
|
| Rate for Payer: BCBS MAPPO |
$228,579.43
|
| Rate for Payer: BCBS Trust/PPO |
$648,602.26
|
| Rate for Payer: BCN Commercial |
$648,602.26
|
| Rate for Payer: BCN Medicare Advantage |
$228,579.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228,579.43
|
| Rate for Payer: Mclaren Medicare |
$228,579.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240,008.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$262,866.34
|
| Rate for Payer: Nomi Health Commercial |
$363,371.07
|
| Rate for Payer: PACE Medicare |
$217,150.46
|
| Rate for Payer: PACE SWMI |
$228,579.43
|
| Rate for Payer: PHP Medicare Advantage |
$228,579.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$432,478.45
|
| Rate for Payer: Priority Health Medicare |
$228,579.43
|
| Rate for Payer: Priority Health Narrow Network |
$345,982.82
|
| Rate for Payer: Railroad Medicare Medicare |
$228,579.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440,439.54
|
| Rate for Payer: UHC Core |
$352,329.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$228,579.43
|
| Rate for Payer: UHC Exchange |
$280,105.58
|
| Rate for Payer: UHC Medicare Advantage |
$228,579.43
|
| Rate for Payer: VA VA |
$228,579.43
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$238,821.24
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$85,206.15 |
| Max. Negotiated Rate |
$238,821.24 |
| Rate for Payer: Aetna Medicare |
$93,278.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$112,113.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$112,113.35
|
| Rate for Payer: BCBS MAPPO |
$89,690.68
|
| Rate for Payer: BCBS Trust/PPO |
$238,821.24
|
| Rate for Payer: BCN Commercial |
$238,821.24
|
| Rate for Payer: BCN Medicare Advantage |
$89,690.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89,690.68
|
| Rate for Payer: Mclaren Medicare |
$89,690.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94,175.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103,144.28
|
| Rate for Payer: Nomi Health Commercial |
$142,154.13
|
| Rate for Payer: PACE Medicare |
$85,206.15
|
| Rate for Payer: PACE SWMI |
$89,690.68
|
| Rate for Payer: PHP Medicare Advantage |
$89,690.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169,200.99
|
| Rate for Payer: Priority Health Medicare |
$89,690.68
|
| Rate for Payer: Priority Health Narrow Network |
$135,360.82
|
| Rate for Payer: Railroad Medicare Medicare |
$89,690.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172,304.03
|
| Rate for Payer: UHC Core |
$137,834.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$89,690.68
|
| Rate for Payer: UHC Exchange |
$109,579.90
|
| Rate for Payer: UHC Medicare Advantage |
$89,690.68
|
| Rate for Payer: VA VA |
$89,690.68
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$42,504.40
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$13,018.63 |
| Max. Negotiated Rate |
$42,504.40 |
| Rate for Payer: Aetna Medicare |
$14,251.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,129.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,129.78
|
| Rate for Payer: BCBS MAPPO |
$13,703.82
|
| Rate for Payer: BCBS Trust/PPO |
$42,504.40
|
| Rate for Payer: BCN Commercial |
$42,504.40
|
| Rate for Payer: BCN Medicare Advantage |
$13,703.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,703.82
|
| Rate for Payer: Mclaren Medicare |
$13,703.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,389.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,759.39
|
| Rate for Payer: Nomi Health Commercial |
$21,125.04
|
| Rate for Payer: PACE Medicare |
$13,018.63
|
| Rate for Payer: PACE SWMI |
$13,703.82
|
| Rate for Payer: PHP Medicare Advantage |
$13,703.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,142.85
|
| Rate for Payer: Priority Health Medicare |
$13,703.82
|
| Rate for Payer: Priority Health Narrow Network |
$20,114.28
|
| Rate for Payer: Railroad Medicare Medicare |
$13,703.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,605.51
|
| Rate for Payer: UHC Core |
$20,483.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,703.82
|
| Rate for Payer: UHC Exchange |
$16,284.29
|
| Rate for Payer: UHC Medicare Advantage |
$13,703.82
|
| Rate for Payer: VA VA |
$13,703.82
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$88,581.70
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$27,575.25 |
| Max. Negotiated Rate |
$88,581.70 |
| Rate for Payer: Aetna Medicare |
$30,187.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,283.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,283.22
|
| Rate for Payer: BCBS MAPPO |
$29,026.58
|
| Rate for Payer: BCBS Trust/PPO |
$88,581.70
|
| Rate for Payer: BCN Commercial |
$88,581.70
|
| Rate for Payer: BCN Medicare Advantage |
$29,026.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,026.58
|
| Rate for Payer: Mclaren Medicare |
$29,026.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,477.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,380.57
|
| Rate for Payer: Nomi Health Commercial |
$45,530.55
|
| Rate for Payer: PACE Medicare |
$27,575.25
|
| Rate for Payer: PACE SWMI |
$29,026.58
|
| Rate for Payer: PHP Medicare Advantage |
$29,026.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,188.78
|
| Rate for Payer: Priority Health Medicare |
$29,026.58
|
| Rate for Payer: Priority Health Narrow Network |
$43,351.03
|
| Rate for Payer: Railroad Medicare Medicare |
$29,026.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55,187.26
|
| Rate for Payer: UHC Core |
$44,146.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,026.58
|
| Rate for Payer: UHC Exchange |
$35,097.35
|
| Rate for Payer: UHC Medicare Advantage |
$29,026.58
|
| Rate for Payer: VA VA |
$29,026.58
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,080.68
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$11,724.48 |
| Max. Negotiated Rate |
$35,080.68 |
| Rate for Payer: Aetna Medicare |
$12,835.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,426.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,426.95
|
| Rate for Payer: BCBS MAPPO |
$12,341.56
|
| Rate for Payer: BCBS Trust/PPO |
$35,080.68
|
| Rate for Payer: BCN Commercial |
$35,080.68
|
| Rate for Payer: BCN Medicare Advantage |
$12,341.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,341.56
|
| Rate for Payer: Mclaren Medicare |
$12,341.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,958.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,192.79
|
| Rate for Payer: Nomi Health Commercial |
$18,955.26
|
| Rate for Payer: PACE Medicare |
$11,724.48
|
| Rate for Payer: PACE SWMI |
$12,341.56
|
| Rate for Payer: PHP Medicare Advantage |
$12,341.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,560.23
|
| Rate for Payer: Priority Health Medicare |
$12,341.56
|
| Rate for Payer: Priority Health Narrow Network |
$18,048.19
|
| Rate for Payer: Railroad Medicare Medicare |
$12,341.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,975.54
|
| Rate for Payer: UHC Core |
$18,379.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,341.56
|
| Rate for Payer: UHC Exchange |
$14,611.71
|
| Rate for Payer: UHC Medicare Advantage |
$12,341.56
|
| Rate for Payer: VA VA |
$12,341.56
|
|
