|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$34,604.30
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$13,507.20 |
| Max. Negotiated Rate |
$34,604.30 |
| Rate for Payer: Aetna Medicare |
$14,786.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,772.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,772.64
|
| Rate for Payer: BCBS MAPPO |
$14,218.11
|
| Rate for Payer: BCBS Trust/PPO |
$34,604.30
|
| Rate for Payer: BCN Commercial |
$34,604.30
|
| Rate for Payer: BCN Medicare Advantage |
$14,218.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,218.11
|
| Rate for Payer: Mclaren Medicare |
$14,218.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,929.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,350.83
|
| Rate for Payer: Nomi Health Commercial |
$21,944.19
|
| Rate for Payer: PACE Medicare |
$13,507.20
|
| Rate for Payer: PACE SWMI |
$14,218.11
|
| Rate for Payer: PHP Medicare Advantage |
$14,218.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,119.39
|
| Rate for Payer: Priority Health Medicare |
$14,218.11
|
| Rate for Payer: Priority Health Narrow Network |
$20,895.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,218.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,598.40
|
| Rate for Payer: UHC Core |
$21,277.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,218.11
|
| Rate for Payer: UHC Exchange |
$16,915.74
|
| Rate for Payer: UHC Medicare Advantage |
$14,218.11
|
| Rate for Payer: VA VA |
$14,218.11
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$66,593.75
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$22,985.66 |
| Max. Negotiated Rate |
$66,593.75 |
| Rate for Payer: Aetna Medicare |
$25,163.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,244.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,244.29
|
| Rate for Payer: BCBS MAPPO |
$24,195.43
|
| Rate for Payer: BCBS Trust/PPO |
$66,593.75
|
| Rate for Payer: BCN Commercial |
$66,593.75
|
| Rate for Payer: BCN Medicare Advantage |
$24,195.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,195.43
|
| Rate for Payer: Mclaren Medicare |
$24,195.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,405.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,824.74
|
| Rate for Payer: Nomi Health Commercial |
$37,835.70
|
| Rate for Payer: PACE Medicare |
$22,985.66
|
| Rate for Payer: PACE SWMI |
$24,195.43
|
| Rate for Payer: PHP Medicare Advantage |
$24,195.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,031.41
|
| Rate for Payer: Priority Health Medicare |
$24,195.43
|
| Rate for Payer: Priority Health Narrow Network |
$36,025.14
|
| Rate for Payer: Railroad Medicare Medicare |
$24,195.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,860.39
|
| Rate for Payer: UHC Core |
$36,685.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,195.43
|
| Rate for Payer: UHC Exchange |
$29,165.75
|
| Rate for Payer: UHC Medicare Advantage |
$24,195.43
|
| Rate for Payer: VA VA |
$24,195.43
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$29,215.82
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$10,676.54 |
| Max. Negotiated Rate |
$29,215.82 |
| Rate for Payer: Aetna Medicare |
$11,688.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,048.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,048.08
|
| Rate for Payer: BCBS MAPPO |
$11,238.46
|
| Rate for Payer: BCBS Trust/PPO |
$29,215.82
|
| Rate for Payer: BCN Commercial |
$29,215.82
|
| Rate for Payer: BCN Medicare Advantage |
$11,238.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,238.46
|
| Rate for Payer: Mclaren Medicare |
$11,238.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,800.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,924.23
|
| Rate for Payer: Nomi Health Commercial |
$17,198.28
|
| Rate for Payer: PACE Medicare |
$10,676.54
|
| Rate for Payer: PACE SWMI |
$11,238.46
|
| Rate for Payer: PHP Medicare Advantage |
$11,238.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,468.96
|
| Rate for Payer: Priority Health Medicare |
$11,238.46
|
| Rate for Payer: Priority Health Narrow Network |
$16,375.17
|
| Rate for Payer: Railroad Medicare Medicare |
$11,238.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,845.92
|
| Rate for Payer: UHC Core |
$16,675.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,238.46
|
| Rate for Payer: UHC Exchange |
$13,257.34
|
| Rate for Payer: UHC Medicare Advantage |
$11,238.46
|
| Rate for Payer: VA VA |
$11,238.46
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$48,205.17
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$16,383.29 |
| Max. Negotiated Rate |
$48,205.17 |
| Rate for Payer: Aetna Medicare |
$17,935.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,556.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,556.96
|
| Rate for Payer: BCBS MAPPO |
$17,245.57
|
| Rate for Payer: BCBS Trust/PPO |
$48,205.17
|
| Rate for Payer: BCN Commercial |
$48,205.17
|
| Rate for Payer: BCN Medicare Advantage |
$17,245.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,245.57
|
| Rate for Payer: Mclaren Medicare |
$17,245.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,107.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,832.41
|
| Rate for Payer: Nomi Health Commercial |
$26,766.21
|
| Rate for Payer: PACE Medicare |
$16,383.29
|
| Rate for Payer: PACE SWMI |
$17,245.57
|
| Rate for Payer: PHP Medicare Advantage |
$17,245.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,858.87
|
| Rate for Payer: Priority Health Medicare |
$17,245.57
|
| Rate for Payer: Priority Health Narrow Network |
$25,487.10
|
| Rate for Payer: Railroad Medicare Medicare |
$17,245.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,443.14
|
| Rate for Payer: UHC Core |
$25,952.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,245.57
|
| Rate for Payer: UHC Exchange |
$20,632.81
|
| Rate for Payer: UHC Medicare Advantage |
$17,245.57
|
| Rate for Payer: VA VA |
$17,245.57
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$72,890.01
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$23,047.23 |
| Max. Negotiated Rate |
$72,890.01 |
| Rate for Payer: Aetna Medicare |
$25,230.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,325.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,325.30
|
| Rate for Payer: BCBS MAPPO |
$24,260.24
|
| Rate for Payer: BCBS Trust/PPO |
$72,890.01
|
| Rate for Payer: BCN Commercial |
$72,890.01
|
| Rate for Payer: BCN Medicare Advantage |
$24,260.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,260.24
|
| Rate for Payer: Mclaren Medicare |
$24,260.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,473.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,899.28
|
| Rate for Payer: Nomi Health Commercial |
$37,938.90
|
| Rate for Payer: PACE Medicare |
$23,047.23
|
| Rate for Payer: PACE SWMI |
$24,260.24
|
| Rate for Payer: PHP Medicare Advantage |
$24,260.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,157.32
|
| Rate for Payer: Priority Health Medicare |
$24,260.24
|
| Rate for Payer: Priority Health Narrow Network |
$36,125.86
|
| Rate for Payer: Railroad Medicare Medicare |
$24,260.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,985.48
|
| Rate for Payer: UHC Core |
$36,786.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,260.24
|
| Rate for Payer: UHC Exchange |
$29,245.30
|
| Rate for Payer: UHC Medicare Advantage |
$24,260.24
|
| Rate for Payer: VA VA |
$24,260.24
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$33,760.03
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$12,624.68 |
| Max. Negotiated Rate |
$33,760.03 |
| Rate for Payer: Aetna Medicare |
$13,820.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,611.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,611.42
|
| Rate for Payer: BCBS MAPPO |
$13,289.14
|
| Rate for Payer: BCBS Trust/PPO |
$33,760.03
|
| Rate for Payer: BCN Commercial |
$33,760.03
|
| Rate for Payer: BCN Medicare Advantage |
$13,289.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,289.14
|
| Rate for Payer: Mclaren Medicare |
$13,289.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,953.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,282.51
|
| Rate for Payer: Nomi Health Commercial |
$20,464.56
|
| Rate for Payer: PACE Medicare |
$12,624.68
|
| Rate for Payer: PACE SWMI |
$13,289.14
|
| Rate for Payer: PHP Medicare Advantage |
$13,289.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,358.24
|
| Rate for Payer: Priority Health Medicare |
$13,289.14
|
| Rate for Payer: Priority Health Narrow Network |
$19,486.59
|
| Rate for Payer: Railroad Medicare Medicare |
$13,289.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,804.95
|
| Rate for Payer: UHC Core |
$19,842.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,289.14
|
| Rate for Payer: UHC Exchange |
$15,775.16
|
| Rate for Payer: UHC Medicare Advantage |
$13,289.14
|
| Rate for Payer: VA VA |
$13,289.14
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$85,882.17
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$22,844.88 |
| Max. Negotiated Rate |
$85,882.17 |
| Rate for Payer: Aetna Medicare |
$25,009.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,059.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,059.05
|
| Rate for Payer: BCBS MAPPO |
$24,047.24
|
| Rate for Payer: BCBS Trust/PPO |
$85,882.17
|
| Rate for Payer: BCN Commercial |
$85,882.17
|
| Rate for Payer: BCN Medicare Advantage |
$24,047.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,047.24
|
| Rate for Payer: Mclaren Medicare |
$24,047.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,249.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,654.33
|
| Rate for Payer: Nomi Health Commercial |
$37,599.63
|
| Rate for Payer: PACE Medicare |
$22,844.88
|
| Rate for Payer: PACE SWMI |
$24,047.24
|
| Rate for Payer: PHP Medicare Advantage |
$24,047.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,751.96
|
| Rate for Payer: Priority Health Medicare |
$24,047.24
|
| Rate for Payer: Priority Health Narrow Network |
$35,801.58
|
| Rate for Payer: Railroad Medicare Medicare |
$24,047.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,574.25
|
| Rate for Payer: UHC Core |
$36,457.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,047.24
|
| Rate for Payer: UHC Exchange |
$28,983.78
|
| Rate for Payer: UHC Medicare Advantage |
$24,047.24
|
| Rate for Payer: VA VA |
$24,047.24
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$47,837.30
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$16,638.76 |
| Max. Negotiated Rate |
$47,837.30 |
| Rate for Payer: Aetna Medicare |
$18,215.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,893.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,893.10
|
| Rate for Payer: BCBS MAPPO |
$17,514.48
|
| Rate for Payer: BCBS Trust/PPO |
$47,837.30
|
| Rate for Payer: BCN Commercial |
$47,837.30
|
| Rate for Payer: BCN Medicare Advantage |
$17,514.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,514.48
|
| Rate for Payer: Mclaren Medicare |
$17,514.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,390.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,141.65
|
| Rate for Payer: Nomi Health Commercial |
$27,194.49
|
| Rate for Payer: PACE Medicare |
$16,638.76
|
| Rate for Payer: PACE SWMI |
$17,514.48
|
| Rate for Payer: PHP Medicare Advantage |
$17,514.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,370.17
|
| Rate for Payer: Priority Health Medicare |
$17,514.48
|
| Rate for Payer: Priority Health Narrow Network |
$25,896.14
|
| Rate for Payer: Railroad Medicare Medicare |
$17,514.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,962.25
|
| Rate for Payer: UHC Core |
$26,368.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,514.48
|
| Rate for Payer: UHC Exchange |
$20,962.95
|
| Rate for Payer: UHC Medicare Advantage |
$17,514.48
|
| Rate for Payer: VA VA |
$17,514.48
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$149,022.11
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$49,078.92 |
| Max. Negotiated Rate |
$149,022.11 |
| Rate for Payer: Aetna Medicare |
$53,728.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64,577.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64,577.52
|
| Rate for Payer: BCBS MAPPO |
$51,662.02
|
| Rate for Payer: BCBS Trust/PPO |
$149,022.11
|
| Rate for Payer: BCN Commercial |
$149,022.11
|
| Rate for Payer: BCN Medicare Advantage |
$51,662.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51,662.02
|
| Rate for Payer: Mclaren Medicare |
$51,662.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54,245.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,411.32
|
| Rate for Payer: Nomi Health Commercial |
$81,583.47
|
| Rate for Payer: PACE Medicare |
$49,078.92
|
| Rate for Payer: PACE SWMI |
$51,662.02
|
| Rate for Payer: PHP Medicare Advantage |
$51,662.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97,099.75
|
| Rate for Payer: Priority Health Medicare |
$51,662.02
|
| Rate for Payer: Priority Health Narrow Network |
$77,679.82
|
| Rate for Payer: Railroad Medicare Medicare |
$51,662.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98,886.75
|
| Rate for Payer: UHC Core |
$79,104.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$51,662.02
|
| Rate for Payer: UHC Exchange |
$62,888.84
|
| Rate for Payer: UHC Medicare Advantage |
$51,662.02
|
| Rate for Payer: VA VA |
$51,662.02
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$48,250.16
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$20,833.60 |
| Max. Negotiated Rate |
$48,250.16 |
| Rate for Payer: Aetna Medicare |
$22,807.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,412.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,412.64
|
| Rate for Payer: BCBS MAPPO |
$21,930.11
|
| Rate for Payer: BCBS Trust/PPO |
$48,250.16
|
| Rate for Payer: BCN Commercial |
$48,250.16
|
| Rate for Payer: BCN Medicare Advantage |
$21,930.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,930.11
|
| Rate for Payer: Mclaren Medicare |
$21,930.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,026.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,219.63
|
| Rate for Payer: Nomi Health Commercial |
$34,227.57
|
| Rate for Payer: PACE Medicare |
$20,833.60
|
| Rate for Payer: PACE SWMI |
$21,930.11
|
| Rate for Payer: PHP Medicare Advantage |
$21,930.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,738.32
|
| Rate for Payer: Priority Health Medicare |
$21,930.11
|
| Rate for Payer: Priority Health Narrow Network |
$32,590.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21,930.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,487.00
|
| Rate for Payer: UHC Core |
$33,187.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,930.11
|
| Rate for Payer: UHC Exchange |
$26,384.42
|
| Rate for Payer: UHC Medicare Advantage |
$21,930.11
|
| Rate for Payer: VA VA |
$21,930.11
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$22,225.01
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$11,355.15 |
| Max. Negotiated Rate |
$22,225.01 |
| Rate for Payer: Aetna Medicare |
$12,430.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,940.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,940.99
|
| Rate for Payer: BCBS MAPPO |
$11,952.79
|
| Rate for Payer: BCBS Trust/PPO |
$15,072.39
|
| Rate for Payer: BCN Commercial |
$15,072.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,952.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,952.79
|
| Rate for Payer: Mclaren Medicare |
$11,952.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,550.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,745.71
|
| Rate for Payer: Nomi Health Commercial |
$18,336.06
|
| Rate for Payer: PACE Medicare |
$11,355.15
|
| Rate for Payer: PACE SWMI |
$11,952.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,952.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,823.22
|
| Rate for Payer: Priority Health Medicare |
$11,952.79
|
| Rate for Payer: Priority Health Narrow Network |
$17,458.58
|
| Rate for Payer: Railroad Medicare Medicare |
$11,952.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,225.01
|
| Rate for Payer: UHC Core |
$17,778.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,952.79
|
| Rate for Payer: UHC Exchange |
$14,134.40
|
| Rate for Payer: UHC Medicare Advantage |
$11,952.79
|
| Rate for Payer: VA VA |
$11,952.79
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$57,407.40
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$23,394.99 |
| Max. Negotiated Rate |
$57,407.40 |
| Rate for Payer: Aetna Medicare |
$25,611.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,782.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,782.89
|
| Rate for Payer: BCBS MAPPO |
$24,626.31
|
| Rate for Payer: BCBS Trust/PPO |
$57,407.40
|
| Rate for Payer: BCN Commercial |
$57,407.40
|
| Rate for Payer: BCN Medicare Advantage |
$24,626.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,626.31
|
| Rate for Payer: Mclaren Medicare |
$24,626.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,857.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,320.26
|
| Rate for Payer: Nomi Health Commercial |
$38,521.98
|
| Rate for Payer: PACE Medicare |
$23,394.99
|
| Rate for Payer: PACE SWMI |
$24,626.31
|
| Rate for Payer: PHP Medicare Advantage |
$24,626.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,848.27
|
| Rate for Payer: Priority Health Medicare |
$24,626.31
|
| Rate for Payer: Priority Health Narrow Network |
$36,678.62
|
| Rate for Payer: Railroad Medicare Medicare |
$24,626.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46,692.22
|
| Rate for Payer: UHC Core |
$37,351.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,626.31
|
| Rate for Payer: UHC Exchange |
$29,694.77
|
| Rate for Payer: UHC Medicare Advantage |
$24,626.31
|
| Rate for Payer: VA VA |
$24,626.31
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,682.91
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$8,135.90 |
| Max. Negotiated Rate |
$15,682.91 |
| Rate for Payer: Aetna Medicare |
$8,906.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,705.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,705.14
|
| Rate for Payer: BCBS MAPPO |
$8,564.11
|
| Rate for Payer: BCBS Trust/PPO |
$14,635.70
|
| Rate for Payer: BCN Commercial |
$14,635.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,564.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,564.11
|
| Rate for Payer: Mclaren Medicare |
$8,564.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,992.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,848.73
|
| Rate for Payer: Nomi Health Commercial |
$12,938.70
|
| Rate for Payer: PACE Medicare |
$8,135.90
|
| Rate for Payer: PACE SWMI |
$8,564.11
|
| Rate for Payer: PHP Medicare Advantage |
$8,564.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,398.94
|
| Rate for Payer: Priority Health Medicare |
$8,564.11
|
| Rate for Payer: Priority Health Narrow Network |
$12,319.15
|
| Rate for Payer: Railroad Medicare Medicare |
$8,564.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,682.91
|
| Rate for Payer: UHC Core |
$12,545.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,564.11
|
| Rate for Payer: UHC Exchange |
$9,973.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,564.11
|
| Rate for Payer: VA VA |
$8,564.11
|
|
|
MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$22,545.55
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$11,512.87 |
| Max. Negotiated Rate |
$22,545.55 |
| Rate for Payer: Aetna Medicare |
$12,603.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,148.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,148.51
|
| Rate for Payer: BCBS MAPPO |
$12,118.81
|
| Rate for Payer: BCBS Trust/PPO |
$22,411.41
|
| Rate for Payer: BCN Commercial |
$22,411.41
|
| Rate for Payer: BCN Medicare Advantage |
$12,118.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,118.81
|
| Rate for Payer: Mclaren Medicare |
$12,118.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,724.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,936.63
|
| Rate for Payer: Nomi Health Commercial |
$18,600.51
|
| Rate for Payer: PACE Medicare |
$11,512.87
|
| Rate for Payer: PACE SWMI |
$12,118.81
|
| Rate for Payer: PHP Medicare Advantage |
$12,118.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,137.99
|
| Rate for Payer: Priority Health Medicare |
$12,118.81
|
| Rate for Payer: Priority Health Narrow Network |
$17,710.39
|
| Rate for Payer: Railroad Medicare Medicare |
$12,118.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,545.55
|
| Rate for Payer: UHC Core |
$18,035.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,118.81
|
| Rate for Payer: UHC Exchange |
$14,338.25
|
| Rate for Payer: UHC Medicare Advantage |
$12,118.81
|
| Rate for Payer: VA VA |
$12,118.81
|
|
|
MS-DRG 42.00: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$29,464.60
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$9,457.77 |
| Max. Negotiated Rate |
$29,464.60 |
| Rate for Payer: Aetna Medicare |
$10,353.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,444.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,444.44
|
| Rate for Payer: BCBS MAPPO |
$9,955.55
|
| Rate for Payer: BCBS Trust/PPO |
$29,464.60
|
| Rate for Payer: BCN Commercial |
$29,464.60
|
| Rate for Payer: BCN Medicare Advantage |
$9,955.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,955.55
|
| Rate for Payer: Mclaren Medicare |
$9,955.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,453.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,448.88
|
| Rate for Payer: Nomi Health Commercial |
$15,154.92
|
| Rate for Payer: PACE Medicare |
$9,457.77
|
| Rate for Payer: PACE SWMI |
$9,955.55
|
| Rate for Payer: PHP Medicare Advantage |
$9,955.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,038.36
|
| Rate for Payer: Priority Health Medicare |
$9,955.55
|
| Rate for Payer: Priority Health Narrow Network |
$14,430.69
|
| Rate for Payer: Railroad Medicare Medicare |
$9,955.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,369.17
|
| Rate for Payer: UHC Core |
$14,694.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,955.55
|
| Rate for Payer: UHC Exchange |
$11,682.21
|
| Rate for Payer: UHC Medicare Advantage |
$9,955.55
|
| Rate for Payer: VA VA |
$9,955.55
|
|
|
MS-DRG 42.00: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$15,329.11
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$6,194.67 |
| Max. Negotiated Rate |
$15,329.11 |
| Rate for Payer: Aetna Medicare |
$6,781.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,150.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,150.89
|
| Rate for Payer: BCBS MAPPO |
$6,520.71
|
| Rate for Payer: BCBS Trust/PPO |
$15,329.11
|
| Rate for Payer: BCN Commercial |
$15,329.11
|
| Rate for Payer: BCN Medicare Advantage |
$6,520.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,520.71
|
| Rate for Payer: Mclaren Medicare |
$6,520.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,846.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,498.82
|
| Rate for Payer: Nomi Health Commercial |
$9,684.03
|
| Rate for Payer: PACE Medicare |
$6,194.67
|
| Rate for Payer: PACE SWMI |
$6,520.71
|
| Rate for Payer: PHP Medicare Advantage |
$6,520.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,526.56
|
| Rate for Payer: Priority Health Medicare |
$6,520.71
|
| Rate for Payer: Priority Health Narrow Network |
$9,221.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,520.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,737.95
|
| Rate for Payer: UHC Core |
$9,389.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,520.71
|
| Rate for Payer: UHC Exchange |
$7,464.96
|
| Rate for Payer: UHC Medicare Advantage |
$6,520.71
|
| Rate for Payer: VA VA |
$6,520.71
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$20,595.84
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$8,096.66 |
| Max. Negotiated Rate |
$20,595.84 |
| Rate for Payer: UHC Medicare Advantage |
$8,522.80
|
| Rate for Payer: Aetna Medicare |
$8,863.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,653.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,653.50
|
| Rate for Payer: BCBS MAPPO |
$8,522.80
|
| Rate for Payer: BCBS Trust/PPO |
$20,595.84
|
| Rate for Payer: BCN Commercial |
$20,595.84
|
| Rate for Payer: BCN Medicare Advantage |
$8,522.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,522.80
|
| Rate for Payer: Mclaren Medicare |
$8,522.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,948.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,801.22
|
| Rate for Payer: Nomi Health Commercial |
$12,872.91
|
| Rate for Payer: PACE Medicare |
$8,096.66
|
| Rate for Payer: PACE SWMI |
$8,522.80
|
| Rate for Payer: PHP Medicare Advantage |
$8,522.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,320.63
|
| Rate for Payer: Priority Health Medicare |
$8,522.80
|
| Rate for Payer: Priority Health Narrow Network |
$12,256.51
|
| Rate for Payer: Railroad Medicare Medicare |
$8,522.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,603.16
|
| Rate for Payer: UHC Core |
$12,481.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,522.80
|
| Rate for Payer: UHC Exchange |
$9,923.12
|
| Rate for Payer: VA VA |
$8,522.80
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$38,719.76
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$12,316.16 |
| Max. Negotiated Rate |
$38,719.76 |
| Rate for Payer: Aetna Medicare |
$13,482.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,205.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,205.48
|
| Rate for Payer: BCBS MAPPO |
$12,964.38
|
| Rate for Payer: BCBS Trust/PPO |
$38,719.76
|
| Rate for Payer: BCN Commercial |
$38,719.76
|
| Rate for Payer: BCN Medicare Advantage |
$12,964.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,964.38
|
| Rate for Payer: Mclaren Medicare |
$12,964.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,612.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,909.04
|
| Rate for Payer: Nomi Health Commercial |
$19,947.27
|
| Rate for Payer: PACE Medicare |
$12,316.16
|
| Rate for Payer: PACE SWMI |
$12,964.38
|
| Rate for Payer: PHP Medicare Advantage |
$12,964.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,740.99
|
| Rate for Payer: Priority Health Medicare |
$12,964.38
|
| Rate for Payer: Priority Health Narrow Network |
$18,992.79
|
| Rate for Payer: Railroad Medicare Medicare |
$12,964.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,177.95
|
| Rate for Payer: UHC Core |
$19,341.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,964.38
|
| Rate for Payer: UHC Exchange |
$15,376.41
|
| Rate for Payer: UHC Medicare Advantage |
$12,964.38
|
| Rate for Payer: VA VA |
$12,964.38
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
|
Facility
|
IP
|
$16,218.36
|
|
|
Service Code
|
MSDRG 079
|
| Min. Negotiated Rate |
$5,548.36 |
| Max. Negotiated Rate |
$16,218.36 |
| Rate for Payer: Aetna Medicare |
$6,074.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,300.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,300.48
|
| Rate for Payer: BCBS MAPPO |
$5,840.38
|
| Rate for Payer: BCBS Trust/PPO |
$16,218.36
|
| Rate for Payer: BCN Commercial |
$16,218.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,840.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,840.38
|
| Rate for Payer: Mclaren Medicare |
$5,840.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,132.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,716.44
|
| Rate for Payer: Nomi Health Commercial |
$8,600.43
|
| Rate for Payer: PACE Medicare |
$5,548.36
|
| Rate for Payer: PACE SWMI |
$5,840.38
|
| Rate for Payer: PHP Medicare Advantage |
$5,840.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,236.79
|
| Rate for Payer: Priority Health Medicare |
$5,840.38
|
| Rate for Payer: Priority Health Narrow Network |
$8,189.43
|
| Rate for Payer: Railroad Medicare Medicare |
$5,840.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,424.52
|
| Rate for Payer: UHC Core |
$8,339.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,840.38
|
| Rate for Payer: UHC Exchange |
$6,629.66
|
| Rate for Payer: UHC Medicare Advantage |
$5,840.38
|
| Rate for Payer: VA VA |
$5,840.38
|
|
|
MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$45,651.20
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$9,967.88 |
| Max. Negotiated Rate |
$45,651.20 |
| Rate for Payer: Aetna Medicare |
$10,912.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,115.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,115.64
|
| Rate for Payer: BCBS MAPPO |
$10,492.51
|
| Rate for Payer: BCBS Trust/PPO |
$45,651.20
|
| Rate for Payer: BCN Commercial |
$45,651.20
|
| Rate for Payer: BCN Medicare Advantage |
$10,492.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,492.51
|
| Rate for Payer: Mclaren Medicare |
$10,492.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,017.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,066.39
|
| Rate for Payer: Nomi Health Commercial |
$16,010.19
|
| Rate for Payer: PACE Medicare |
$9,967.88
|
| Rate for Payer: PACE SWMI |
$10,492.51
|
| Rate for Payer: PHP Medicare Advantage |
$10,492.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,056.36
|
| Rate for Payer: Priority Health Medicare |
$10,492.51
|
| Rate for Payer: Priority Health Narrow Network |
$15,245.09
|
| Rate for Payer: Railroad Medicare Medicare |
$10,492.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,405.84
|
| Rate for Payer: UHC Core |
$15,523.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,492.51
|
| Rate for Payer: UHC Exchange |
$12,341.50
|
| Rate for Payer: UHC Medicare Advantage |
$10,492.51
|
| Rate for Payer: VA VA |
$10,492.51
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$15,937.77
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$8,261.33 |
| Max. Negotiated Rate |
$15,937.77 |
| Rate for Payer: Aetna Medicare |
$9,043.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,870.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,870.18
|
| Rate for Payer: BCBS MAPPO |
$8,696.14
|
| Rate for Payer: BCBS Trust/PPO |
$15,048.57
|
| Rate for Payer: BCN Commercial |
$15,048.57
|
| Rate for Payer: BCN Medicare Advantage |
$8,696.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,696.14
|
| Rate for Payer: Mclaren Medicare |
$8,696.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,130.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,000.56
|
| Rate for Payer: Nomi Health Commercial |
$13,148.97
|
| Rate for Payer: PACE Medicare |
$8,261.33
|
| Rate for Payer: PACE SWMI |
$8,696.14
|
| Rate for Payer: PHP Medicare Advantage |
$8,696.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,650.75
|
| Rate for Payer: Priority Health Medicare |
$8,696.14
|
| Rate for Payer: Priority Health Narrow Network |
$12,520.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,696.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,937.77
|
| Rate for Payer: UHC Core |
$12,749.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,696.14
|
| Rate for Payer: UHC Exchange |
$10,135.92
|
| Rate for Payer: UHC Medicare Advantage |
$8,696.14
|
| Rate for Payer: VA VA |
$8,696.14
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$22,129.63
|
|
|
Service Code
|
MSDRG 757
|
| Min. Negotiated Rate |
$11,308.22 |
| Max. Negotiated Rate |
$22,129.63 |
| Rate for Payer: Aetna Medicare |
$12,379.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,879.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,879.24
|
| Rate for Payer: BCBS MAPPO |
$11,903.39
|
| Rate for Payer: BCBS Trust/PPO |
$22,032.94
|
| Rate for Payer: BCN Commercial |
$22,032.94
|
| Rate for Payer: BCN Medicare Advantage |
$11,903.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,903.39
|
| Rate for Payer: Mclaren Medicare |
$11,903.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,498.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,688.90
|
| Rate for Payer: Nomi Health Commercial |
$18,257.37
|
| Rate for Payer: PACE Medicare |
$11,308.22
|
| Rate for Payer: PACE SWMI |
$11,903.39
|
| Rate for Payer: PHP Medicare Advantage |
$11,903.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,729.56
|
| Rate for Payer: Priority Health Medicare |
$11,903.39
|
| Rate for Payer: Priority Health Narrow Network |
$17,383.65
|
| Rate for Payer: Railroad Medicare Medicare |
$11,903.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,129.63
|
| Rate for Payer: UHC Core |
$17,702.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,903.39
|
| Rate for Payer: UHC Exchange |
$14,073.74
|
| Rate for Payer: UHC Medicare Advantage |
$11,903.39
|
| Rate for Payer: VA VA |
$11,903.39
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$14,050.80
|
|
|
Service Code
|
MSDRG 759
|
| Min. Negotiated Rate |
$5,342.92 |
| Max. Negotiated Rate |
$14,050.80 |
| Rate for Payer: Aetna Medicare |
$5,849.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,030.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,030.16
|
| Rate for Payer: BCBS MAPPO |
$5,624.13
|
| Rate for Payer: BCBS Trust/PPO |
$14,050.80
|
| Rate for Payer: BCN Commercial |
$14,050.80
|
| Rate for Payer: BCN Medicare Advantage |
$5,624.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,624.13
|
| Rate for Payer: Mclaren Medicare |
$5,624.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,905.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,467.75
|
| Rate for Payer: Nomi Health Commercial |
$8,256.00
|
| Rate for Payer: PACE Medicare |
$5,342.92
|
| Rate for Payer: PACE SWMI |
$5,624.13
|
| Rate for Payer: PHP Medicare Advantage |
$5,624.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,825.29
|
| Rate for Payer: Priority Health Medicare |
$5,624.13
|
| Rate for Payer: Priority Health Narrow Network |
$7,860.23
|
| Rate for Payer: Railroad Medicare Medicare |
$5,624.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,007.04
|
| Rate for Payer: UHC Core |
$8,005.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,624.13
|
| Rate for Payer: UHC Exchange |
$6,364.16
|
| Rate for Payer: UHC Medicare Advantage |
$5,624.13
|
| Rate for Payer: VA VA |
$5,624.13
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$31,242.29
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$15,792.38 |
| Max. Negotiated Rate |
$31,242.29 |
| Rate for Payer: Aetna Medicare |
$17,288.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,779.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,779.45
|
| Rate for Payer: BCBS MAPPO |
$16,623.56
|
| Rate for Payer: BCBS Trust/PPO |
$29,218.46
|
| Rate for Payer: BCN Commercial |
$29,218.46
|
| Rate for Payer: BCN Medicare Advantage |
$16,623.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,623.56
|
| Rate for Payer: Mclaren Medicare |
$16,623.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,454.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,117.09
|
| Rate for Payer: Nomi Health Commercial |
$25,775.49
|
| Rate for Payer: PACE Medicare |
$15,792.38
|
| Rate for Payer: PACE SWMI |
$16,623.56
|
| Rate for Payer: PHP Medicare Advantage |
$16,623.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,681.18
|
| Rate for Payer: Priority Health Medicare |
$16,623.56
|
| Rate for Payer: Priority Health Narrow Network |
$24,544.95
|
| Rate for Payer: Railroad Medicare Medicare |
$16,623.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,242.29
|
| Rate for Payer: UHC Core |
$24,992.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,623.56
|
| Rate for Payer: UHC Exchange |
$19,869.11
|
| Rate for Payer: UHC Medicare Advantage |
$16,623.56
|
| Rate for Payer: VA VA |
$16,623.56
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,236.40
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$38,899.54 |
| Max. Negotiated Rate |
$85,236.40 |
| Rate for Payer: Aetna Medicare |
$42,584.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,183.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,183.60
|
| Rate for Payer: BCBS MAPPO |
$40,946.88
|
| Rate for Payer: BCBS Trust/PPO |
$85,236.40
|
| Rate for Payer: BCN Commercial |
$85,236.40
|
| Rate for Payer: BCN Medicare Advantage |
$40,946.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,946.88
|
| Rate for Payer: Mclaren Medicare |
$40,946.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,994.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,088.91
|
| Rate for Payer: Nomi Health Commercial |
$64,516.77
|
| Rate for Payer: PACE Medicare |
$38,899.54
|
| Rate for Payer: PACE SWMI |
$40,946.88
|
| Rate for Payer: PHP Medicare Advantage |
$40,946.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76,795.08
|
| Rate for Payer: Priority Health Medicare |
$40,946.88
|
| Rate for Payer: Priority Health Narrow Network |
$61,436.08
|
| Rate for Payer: Railroad Medicare Medicare |
$40,946.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78,200.33
|
| Rate for Payer: UHC Core |
$62,556.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,946.88
|
| Rate for Payer: UHC Exchange |
$49,732.93
|
| Rate for Payer: UHC Medicare Advantage |
$40,946.88
|
| Rate for Payer: VA VA |
$40,946.88
|
|
