|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,417.88
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$12,926.31 |
| Max. Negotiated Rate |
$25,417.88 |
| Rate for Payer: Aetna Medicare |
$14,150.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,008.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,008.30
|
| Rate for Payer: BCBS MAPPO |
$13,606.64
|
| Rate for Payer: BCBS Trust/PPO |
$23,133.93
|
| Rate for Payer: BCN Commercial |
$23,133.93
|
| Rate for Payer: BCN Medicare Advantage |
$13,606.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,606.64
|
| Rate for Payer: Mclaren Medicare |
$13,606.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,286.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,647.64
|
| Rate for Payer: Nomi Health Commercial |
$20,970.24
|
| Rate for Payer: PACE Medicare |
$12,926.31
|
| Rate for Payer: PACE SWMI |
$13,606.64
|
| Rate for Payer: PHP Medicare Advantage |
$13,606.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,958.59
|
| Rate for Payer: Priority Health Medicare |
$13,606.64
|
| Rate for Payer: Priority Health Narrow Network |
$19,966.88
|
| Rate for Payer: Railroad Medicare Medicare |
$13,606.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,417.88
|
| Rate for Payer: UHC Core |
$20,333.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,606.64
|
| Rate for Payer: UHC Exchange |
$16,164.97
|
| Rate for Payer: UHC Medicare Advantage |
$13,606.64
|
| Rate for Payer: VA VA |
$13,606.64
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$26,172.23
|
|
|
Service Code
|
MSDRG 727
|
| Min. Negotiated Rate |
$11,724.48 |
| Max. Negotiated Rate |
$26,172.23 |
| 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 |
$26,172.23
|
| Rate for Payer: BCN Commercial |
$26,172.23
|
| 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
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$12,776.18
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$6,705.56 |
| Max. Negotiated Rate |
$12,776.18 |
| Rate for Payer: Aetna Medicare |
$7,340.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,823.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,823.10
|
| Rate for Payer: BCBS MAPPO |
$7,058.48
|
| Rate for Payer: BCBS Trust/PPO |
$11,404.20
|
| Rate for Payer: BCN Commercial |
$11,404.20
|
| Rate for Payer: BCN Medicare Advantage |
$7,058.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,058.48
|
| Rate for Payer: Mclaren Medicare |
$7,058.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,411.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,117.25
|
| Rate for Payer: Nomi Health Commercial |
$10,540.59
|
| Rate for Payer: PACE Medicare |
$6,705.56
|
| Rate for Payer: PACE SWMI |
$7,058.48
|
| Rate for Payer: PHP Medicare Advantage |
$7,058.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,546.09
|
| Rate for Payer: Priority Health Medicare |
$7,058.48
|
| Rate for Payer: Priority Health Narrow Network |
$10,036.87
|
| Rate for Payer: Railroad Medicare Medicare |
$7,058.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,776.18
|
| Rate for Payer: UHC Core |
$10,220.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,058.48
|
| Rate for Payer: UHC Exchange |
$8,125.24
|
| Rate for Payer: UHC Medicare Advantage |
$7,058.48
|
| Rate for Payer: VA VA |
$7,058.48
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
|
IP
|
$20,611.72
|
|
|
Service Code
|
MSDRG 386
|
| Min. Negotiated Rate |
$8,055.13 |
| Max. Negotiated Rate |
$20,611.72 |
| Rate for Payer: Aetna Medicare |
$8,818.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,598.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,598.85
|
| Rate for Payer: BCBS MAPPO |
$8,479.08
|
| Rate for Payer: BCBS Trust/PPO |
$20,611.72
|
| Rate for Payer: BCN Commercial |
$20,611.72
|
| Rate for Payer: BCN Medicare Advantage |
$8,479.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,479.08
|
| Rate for Payer: Mclaren Medicare |
$8,479.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,903.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,750.94
|
| Rate for Payer: Nomi Health Commercial |
$12,803.25
|
| Rate for Payer: PACE Medicare |
$8,055.13
|
| Rate for Payer: PACE SWMI |
$8,479.08
|
| Rate for Payer: PHP Medicare Advantage |
$8,479.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,237.72
|
| Rate for Payer: Priority Health Medicare |
$8,479.08
|
| Rate for Payer: Priority Health Narrow Network |
$12,190.18
|
| Rate for Payer: Railroad Medicare Medicare |
$8,479.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,518.73
|
| Rate for Payer: UHC Core |
$12,414.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,479.08
|
| Rate for Payer: UHC Exchange |
$9,869.42
|
| Rate for Payer: UHC Medicare Advantage |
$8,479.08
|
| Rate for Payer: VA VA |
$8,479.08
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
|
IP
|
$27,667.56
|
|
|
Service Code
|
MSDRG 385
|
| Min. Negotiated Rate |
$12,920.13 |
| Max. Negotiated Rate |
$27,667.56 |
| Rate for Payer: Aetna Medicare |
$14,144.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,000.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,000.18
|
| Rate for Payer: BCBS MAPPO |
$13,600.14
|
| Rate for Payer: BCBS Trust/PPO |
$27,667.56
|
| Rate for Payer: BCN Commercial |
$27,667.56
|
| Rate for Payer: BCN Medicare Advantage |
$13,600.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,600.14
|
| Rate for Payer: Mclaren Medicare |
$13,600.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,280.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,640.16
|
| Rate for Payer: Nomi Health Commercial |
$20,959.92
|
| Rate for Payer: PACE Medicare |
$12,920.13
|
| Rate for Payer: PACE SWMI |
$13,600.14
|
| Rate for Payer: PHP Medicare Advantage |
$13,600.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,946.31
|
| Rate for Payer: Priority Health Medicare |
$13,600.14
|
| Rate for Payer: Priority Health Narrow Network |
$19,957.05
|
| Rate for Payer: Railroad Medicare Medicare |
$13,600.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,405.37
|
| Rate for Payer: UHC Core |
$20,323.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,600.14
|
| Rate for Payer: UHC Exchange |
$16,157.01
|
| Rate for Payer: UHC Medicare Advantage |
$13,600.14
|
| Rate for Payer: VA VA |
$13,600.14
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$14,098.44
|
|
|
Service Code
|
MSDRG 387
|
| Min. Negotiated Rate |
$5,576.04 |
| Max. Negotiated Rate |
$14,098.44 |
| Rate for Payer: Aetna Medicare |
$6,104.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,336.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,336.90
|
| Rate for Payer: BCBS MAPPO |
$5,869.52
|
| Rate for Payer: BCBS Trust/PPO |
$14,098.44
|
| Rate for Payer: BCN Commercial |
$14,098.44
|
| Rate for Payer: BCN Medicare Advantage |
$5,869.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,869.52
|
| Rate for Payer: Mclaren Medicare |
$5,869.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,163.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,749.95
|
| Rate for Payer: Nomi Health Commercial |
$8,646.87
|
| Rate for Payer: PACE Medicare |
$5,576.04
|
| Rate for Payer: PACE SWMI |
$5,869.52
|
| Rate for Payer: PHP Medicare Advantage |
$5,869.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,292.06
|
| Rate for Payer: Priority Health Medicare |
$5,869.52
|
| Rate for Payer: Priority Health Narrow Network |
$8,233.65
|
| Rate for Payer: Railroad Medicare Medicare |
$5,869.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,480.81
|
| Rate for Payer: UHC Core |
$8,384.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,869.52
|
| Rate for Payer: UHC Exchange |
$6,665.46
|
| Rate for Payer: UHC Medicare Advantage |
$5,869.52
|
| Rate for Payer: VA VA |
$5,869.52
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$31,510.42
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$11,994.55 |
| Max. Negotiated Rate |
$31,510.42 |
| Rate for Payer: Aetna Medicare |
$13,130.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,782.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,782.30
|
| Rate for Payer: BCBS MAPPO |
$12,625.84
|
| Rate for Payer: BCBS Trust/PPO |
$31,510.42
|
| Rate for Payer: BCN Commercial |
$31,510.42
|
| Rate for Payer: BCN Medicare Advantage |
$12,625.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,625.84
|
| Rate for Payer: Mclaren Medicare |
$12,625.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,257.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,519.72
|
| Rate for Payer: Nomi Health Commercial |
$19,408.05
|
| Rate for Payer: PACE Medicare |
$11,994.55
|
| Rate for Payer: PACE SWMI |
$12,625.84
|
| Rate for Payer: PHP Medicare Advantage |
$12,625.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,103.78
|
| Rate for Payer: Priority Health Medicare |
$12,625.84
|
| Rate for Payer: Priority Health Narrow Network |
$18,483.03
|
| Rate for Payer: Railroad Medicare Medicare |
$12,625.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,524.36
|
| Rate for Payer: UHC Core |
$18,818.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,625.84
|
| Rate for Payer: UHC Exchange |
$14,960.75
|
| Rate for Payer: UHC Medicare Advantage |
$12,625.84
|
| Rate for Payer: VA VA |
$12,625.84
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$37,818.79
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$19,028.57 |
| Max. Negotiated Rate |
$37,818.79 |
| Rate for Payer: Aetna Medicare |
$20,831.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,037.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,037.59
|
| Rate for Payer: BCBS MAPPO |
$20,030.07
|
| Rate for Payer: BCBS Trust/PPO |
$36,671.29
|
| Rate for Payer: BCN Commercial |
$36,671.29
|
| Rate for Payer: BCN Medicare Advantage |
$20,030.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,030.07
|
| Rate for Payer: Mclaren Medicare |
$20,030.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,031.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,034.58
|
| Rate for Payer: Nomi Health Commercial |
$31,201.23
|
| Rate for Payer: PACE Medicare |
$19,028.57
|
| Rate for Payer: PACE SWMI |
$20,030.07
|
| Rate for Payer: PHP Medicare Advantage |
$20,030.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,154.60
|
| Rate for Payer: Priority Health Medicare |
$20,030.07
|
| Rate for Payer: Priority Health Narrow Network |
$29,723.69
|
| Rate for Payer: Railroad Medicare Medicare |
$20,030.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,818.79
|
| Rate for Payer: UHC Core |
$30,253.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,030.07
|
| Rate for Payer: UHC Exchange |
$24,051.55
|
| Rate for Payer: UHC Medicare Advantage |
$20,030.07
|
| Rate for Payer: VA VA |
$20,030.07
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,137.25
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$8,902.26 |
| Max. Negotiated Rate |
$31,137.25 |
| Rate for Payer: Mclaren Medicare |
$9,370.80
|
| Rate for Payer: Aetna Medicare |
$9,745.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,713.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,713.50
|
| Rate for Payer: BCBS MAPPO |
$9,370.80
|
| Rate for Payer: BCBS Trust/PPO |
$31,137.25
|
| Rate for Payer: BCN Commercial |
$31,137.25
|
| Rate for Payer: BCN Medicare Advantage |
$9,370.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,370.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,839.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,776.42
|
| Rate for Payer: Nomi Health Commercial |
$14,223.54
|
| Rate for Payer: PACE Medicare |
$8,902.26
|
| Rate for Payer: PACE SWMI |
$9,370.80
|
| Rate for Payer: PHP Medicare Advantage |
$9,370.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,928.24
|
| Rate for Payer: Priority Health Medicare |
$9,370.80
|
| Rate for Payer: Priority Health Narrow Network |
$13,542.59
|
| Rate for Payer: Railroad Medicare Medicare |
$9,370.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,240.25
|
| Rate for Payer: UHC Core |
$13,791.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,370.80
|
| Rate for Payer: UHC Exchange |
$10,964.25
|
| Rate for Payer: UHC Medicare Advantage |
$9,370.80
|
| Rate for Payer: VA VA |
$9,370.80
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC
|
Facility
|
IP
|
$22,091.17
|
|
|
Service Code
|
MSDRG 197
|
| Min. Negotiated Rate |
$8,035.89 |
| Max. Negotiated Rate |
$22,091.17 |
| Rate for Payer: Aetna Medicare |
$8,797.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,573.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,573.54
|
| Rate for Payer: BCBS MAPPO |
$8,458.83
|
| Rate for Payer: BCBS Trust/PPO |
$22,091.17
|
| Rate for Payer: BCN Commercial |
$22,091.17
|
| Rate for Payer: BCN Medicare Advantage |
$8,458.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,458.83
|
| Rate for Payer: Mclaren Medicare |
$8,458.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,881.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,727.65
|
| Rate for Payer: Nomi Health Commercial |
$12,771.00
|
| Rate for Payer: PACE Medicare |
$8,035.89
|
| Rate for Payer: PACE SWMI |
$8,458.83
|
| Rate for Payer: PHP Medicare Advantage |
$8,458.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,199.33
|
| Rate for Payer: Priority Health Medicare |
$8,458.83
|
| Rate for Payer: Priority Health Narrow Network |
$12,159.47
|
| Rate for Payer: Railroad Medicare Medicare |
$8,458.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,479.64
|
| Rate for Payer: UHC Core |
$12,382.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,458.83
|
| Rate for Payer: UHC Exchange |
$9,844.56
|
| Rate for Payer: UHC Medicare Advantage |
$8,458.83
|
| Rate for Payer: VA VA |
$8,458.83
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC
|
Facility
|
IP
|
$29,459.79
|
|
|
Service Code
|
MSDRG 196
|
| Min. Negotiated Rate |
$14,915.26 |
| Max. Negotiated Rate |
$29,459.79 |
| Rate for Payer: Aetna Medicare |
$16,328.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,625.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,625.34
|
| Rate for Payer: BCBS MAPPO |
$15,700.27
|
| Rate for Payer: BCBS Trust/PPO |
$26,945.03
|
| Rate for Payer: BCN Commercial |
$26,945.03
|
| Rate for Payer: BCN Medicare Advantage |
$15,700.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,700.27
|
| Rate for Payer: Mclaren Medicare |
$15,700.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,485.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,055.31
|
| Rate for Payer: Nomi Health Commercial |
$24,304.89
|
| Rate for Payer: PACE Medicare |
$14,915.26
|
| Rate for Payer: PACE SWMI |
$15,700.27
|
| Rate for Payer: PHP Medicare Advantage |
$15,700.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,930.78
|
| Rate for Payer: Priority Health Medicare |
$15,700.27
|
| Rate for Payer: Priority Health Narrow Network |
$23,144.63
|
| Rate for Payer: Railroad Medicare Medicare |
$15,700.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,459.79
|
| Rate for Payer: UHC Core |
$23,566.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,700.27
|
| Rate for Payer: UHC Exchange |
$18,735.49
|
| Rate for Payer: UHC Medicare Advantage |
$15,700.27
|
| Rate for Payer: VA VA |
$15,700.27
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$14,572.18
|
|
|
Service Code
|
MSDRG 198
|
| Min. Negotiated Rate |
$5,807.65 |
| Max. Negotiated Rate |
$14,572.18 |
| Rate for Payer: Aetna Medicare |
$6,357.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,641.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,641.65
|
| Rate for Payer: BCBS MAPPO |
$6,113.32
|
| Rate for Payer: BCBS Trust/PPO |
$14,572.18
|
| Rate for Payer: BCN Commercial |
$14,572.18
|
| Rate for Payer: BCN Medicare Advantage |
$6,113.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,113.32
|
| Rate for Payer: Mclaren Medicare |
$6,113.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,418.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,030.32
|
| Rate for Payer: Nomi Health Commercial |
$9,035.16
|
| Rate for Payer: PACE Medicare |
$5,807.65
|
| Rate for Payer: PACE SWMI |
$6,113.32
|
| Rate for Payer: PHP Medicare Advantage |
$6,113.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,754.23
|
| Rate for Payer: Priority Health Medicare |
$6,113.32
|
| Rate for Payer: Priority Health Narrow Network |
$8,603.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6,113.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,951.45
|
| Rate for Payer: UHC Core |
$8,760.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,113.32
|
| Rate for Payer: UHC Exchange |
$6,964.78
|
| Rate for Payer: UHC Medicare Advantage |
$6,113.32
|
| Rate for Payer: VA VA |
$6,113.32
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
|
IP
|
$24,682.19
|
|
|
Service Code
|
MSDRG 065
|
| Min. Negotiated Rate |
$8,242.86 |
| Max. Negotiated Rate |
$24,682.19 |
| Rate for Payer: Aetna Medicare |
$9,023.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,845.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,845.86
|
| Rate for Payer: BCBS MAPPO |
$8,676.69
|
| Rate for Payer: BCBS Trust/PPO |
$24,682.19
|
| Rate for Payer: BCN Commercial |
$24,682.19
|
| Rate for Payer: BCN Medicare Advantage |
$8,676.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,676.69
|
| Rate for Payer: Mclaren Medicare |
$8,676.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,110.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,978.19
|
| Rate for Payer: Nomi Health Commercial |
$13,118.01
|
| Rate for Payer: PACE Medicare |
$8,242.86
|
| Rate for Payer: PACE SWMI |
$8,676.69
|
| Rate for Payer: PHP Medicare Advantage |
$8,676.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,615.43
|
| Rate for Payer: Priority Health Medicare |
$8,676.69
|
| Rate for Payer: Priority Health Narrow Network |
$12,492.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8,676.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,900.25
|
| Rate for Payer: UHC Core |
$12,719.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,676.69
|
| Rate for Payer: UHC Exchange |
$10,112.05
|
| Rate for Payer: UHC Medicare Advantage |
$8,676.69
|
| Rate for Payer: VA VA |
$8,676.69
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
|
IP
|
$39,542.85
|
|
|
Service Code
|
MSDRG 064
|
| Min. Negotiated Rate |
$15,723.91 |
| Max. Negotiated Rate |
$39,542.85 |
| Rate for Payer: Aetna Medicare |
$17,213.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,689.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,689.35
|
| Rate for Payer: BCBS MAPPO |
$16,551.48
|
| Rate for Payer: BCBS Trust/PPO |
$39,542.85
|
| Rate for Payer: BCN Commercial |
$39,542.85
|
| Rate for Payer: BCN Medicare Advantage |
$16,551.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,551.48
|
| Rate for Payer: Mclaren Medicare |
$16,551.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,379.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,034.20
|
| Rate for Payer: Nomi Health Commercial |
$25,660.68
|
| Rate for Payer: PACE Medicare |
$15,723.91
|
| Rate for Payer: PACE SWMI |
$16,551.48
|
| Rate for Payer: PHP Medicare Advantage |
$16,551.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,541.46
|
| Rate for Payer: Priority Health Medicare |
$16,551.48
|
| Rate for Payer: Priority Health Narrow Network |
$24,433.17
|
| Rate for Payer: Railroad Medicare Medicare |
$16,551.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,103.13
|
| Rate for Payer: UHC Core |
$24,880.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,551.48
|
| Rate for Payer: UHC Exchange |
$19,780.60
|
| Rate for Payer: UHC Medicare Advantage |
$16,551.48
|
| Rate for Payer: VA VA |
$16,551.48
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$18,719.40
|
|
|
Service Code
|
MSDRG 066
|
| Min. Negotiated Rate |
$5,714.54 |
| Max. Negotiated Rate |
$18,719.40 |
| Rate for Payer: Aetna Medicare |
$6,255.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,519.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,519.14
|
| Rate for Payer: BCBS MAPPO |
$6,015.31
|
| Rate for Payer: BCBS Trust/PPO |
$18,719.40
|
| Rate for Payer: BCN Commercial |
$18,719.40
|
| Rate for Payer: BCN Medicare Advantage |
$6,015.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,015.31
|
| Rate for Payer: Mclaren Medicare |
$6,015.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,316.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,917.61
|
| Rate for Payer: Nomi Health Commercial |
$8,879.07
|
| Rate for Payer: PACE Medicare |
$5,714.54
|
| Rate for Payer: PACE SWMI |
$6,015.31
|
| Rate for Payer: PHP Medicare Advantage |
$6,015.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,568.44
|
| Rate for Payer: Priority Health Medicare |
$6,015.31
|
| Rate for Payer: Priority Health Narrow Network |
$8,454.75
|
| Rate for Payer: Railroad Medicare Medicare |
$6,015.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,762.26
|
| Rate for Payer: UHC Core |
$8,609.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,015.31
|
| Rate for Payer: UHC Exchange |
$6,844.46
|
| Rate for Payer: UHC Medicare Advantage |
$6,015.31
|
| Rate for Payer: VA VA |
$6,015.31
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
|
Facility
|
IP
|
$142,066.84
|
|
|
Service Code
|
MSDRG 021
|
| Min. Negotiated Rate |
$42,946.66 |
| Max. Negotiated Rate |
$142,066.84 |
| Rate for Payer: Aetna Medicare |
$47,015.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,508.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,508.76
|
| Rate for Payer: BCBS MAPPO |
$45,207.01
|
| Rate for Payer: BCBS Trust/PPO |
$142,066.84
|
| Rate for Payer: BCN Commercial |
$142,066.84
|
| Rate for Payer: BCN Medicare Advantage |
$45,207.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,207.01
|
| Rate for Payer: Mclaren Medicare |
$45,207.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,467.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,988.06
|
| Rate for Payer: Nomi Health Commercial |
$71,302.17
|
| Rate for Payer: PACE Medicare |
$42,946.66
|
| Rate for Payer: PACE SWMI |
$45,207.01
|
| Rate for Payer: PHP Medicare Advantage |
$45,207.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84,868.43
|
| Rate for Payer: Priority Health Medicare |
$45,207.01
|
| Rate for Payer: Priority Health Narrow Network |
$67,894.76
|
| Rate for Payer: Railroad Medicare Medicare |
$45,207.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86,424.86
|
| Rate for Payer: UHC Core |
$69,135.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,207.01
|
| Rate for Payer: UHC Exchange |
$54,963.47
|
| Rate for Payer: UHC Medicare Advantage |
$45,207.01
|
| Rate for Payer: VA VA |
$45,207.01
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$194,363.66
|
|
|
Service Code
|
MSDRG 020
|
| Min. Negotiated Rate |
$62,442.16 |
| Max. Negotiated Rate |
$194,363.66 |
| Rate for Payer: Aetna Medicare |
$68,357.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82,160.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82,160.74
|
| Rate for Payer: BCBS MAPPO |
$65,728.59
|
| Rate for Payer: BCBS Trust/PPO |
$194,363.66
|
| Rate for Payer: BCN Commercial |
$194,363.66
|
| Rate for Payer: BCN Medicare Advantage |
$65,728.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65,728.59
|
| Rate for Payer: Mclaren Medicare |
$65,728.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69,015.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75,587.88
|
| Rate for Payer: Nomi Health Commercial |
$103,988.19
|
| Rate for Payer: PACE Medicare |
$62,442.16
|
| Rate for Payer: PACE SWMI |
$65,728.59
|
| Rate for Payer: PHP Medicare Advantage |
$65,728.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123,764.22
|
| Rate for Payer: Priority Health Medicare |
$65,728.59
|
| Rate for Payer: Priority Health Narrow Network |
$99,011.39
|
| Rate for Payer: Railroad Medicare Medicare |
$65,728.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126,043.36
|
| Rate for Payer: UHC Core |
$100,828.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$65,728.59
|
| Rate for Payer: UHC Exchange |
$80,159.58
|
| Rate for Payer: UHC Medicare Advantage |
$65,728.59
|
| Rate for Payer: VA VA |
$65,728.59
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$91,799.97
|
|
|
Service Code
|
MSDRG 022
|
| Min. Negotiated Rate |
$27,582.16 |
| Max. Negotiated Rate |
$91,799.97 |
| Rate for Payer: Aetna Medicare |
$30,195.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,292.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,292.31
|
| Rate for Payer: BCBS MAPPO |
$29,033.85
|
| Rate for Payer: BCBS Trust/PPO |
$91,799.97
|
| Rate for Payer: BCN Commercial |
$91,799.97
|
| Rate for Payer: BCN Medicare Advantage |
$29,033.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,033.85
|
| Rate for Payer: Mclaren Medicare |
$29,033.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,485.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,388.93
|
| Rate for Payer: Nomi Health Commercial |
$45,542.16
|
| Rate for Payer: PACE Medicare |
$27,582.16
|
| Rate for Payer: PACE SWMI |
$29,033.85
|
| Rate for Payer: PHP Medicare Advantage |
$29,033.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,207.21
|
| Rate for Payer: Priority Health Medicare |
$29,033.85
|
| Rate for Payer: Priority Health Narrow Network |
$43,365.77
|
| Rate for Payer: Railroad Medicare Medicare |
$29,033.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55,201.33
|
| Rate for Payer: UHC Core |
$44,158.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,033.85
|
| Rate for Payer: UHC Exchange |
$35,106.30
|
| Rate for Payer: UHC Medicare Advantage |
$29,033.85
|
| Rate for Payer: VA VA |
$29,033.85
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$30,483.54
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$13,257.15 |
| Max. Negotiated Rate |
$30,483.54 |
| Rate for Payer: Aetna Medicare |
$14,513.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,443.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,443.61
|
| Rate for Payer: BCBS MAPPO |
$13,954.89
|
| Rate for Payer: BCBS Trust/PPO |
$30,483.54
|
| Rate for Payer: BCN Commercial |
$30,483.54
|
| Rate for Payer: BCN Medicare Advantage |
$13,954.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,954.89
|
| Rate for Payer: Mclaren Medicare |
$13,954.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,652.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,048.12
|
| Rate for Payer: Nomi Health Commercial |
$21,524.94
|
| Rate for Payer: PACE Medicare |
$13,257.15
|
| Rate for Payer: PACE SWMI |
$13,954.89
|
| Rate for Payer: PHP Medicare Advantage |
$13,954.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,618.83
|
| Rate for Payer: Priority Health Medicare |
$13,954.89
|
| Rate for Payer: Priority Health Narrow Network |
$20,495.07
|
| Rate for Payer: Railroad Medicare Medicare |
$13,954.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,090.23
|
| Rate for Payer: UHC Core |
$20,870.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,954.89
|
| Rate for Payer: UHC Exchange |
$16,592.56
|
| Rate for Payer: UHC Medicare Advantage |
$13,954.89
|
| Rate for Payer: VA VA |
$13,954.89
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,351.78
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$8,717.59 |
| Max. Negotiated Rate |
$25,351.78 |
| Rate for Payer: Aetna Medicare |
$9,543.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,470.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,470.51
|
| Rate for Payer: BCBS MAPPO |
$9,176.41
|
| Rate for Payer: BCBS Trust/PPO |
$25,351.78
|
| Rate for Payer: BCN Commercial |
$25,351.78
|
| Rate for Payer: BCN Medicare Advantage |
$9,176.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,176.41
|
| Rate for Payer: Mclaren Medicare |
$9,176.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,635.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,552.87
|
| Rate for Payer: Nomi Health Commercial |
$13,913.94
|
| Rate for Payer: PACE Medicare |
$8,717.59
|
| Rate for Payer: PACE SWMI |
$9,176.41
|
| Rate for Payer: PHP Medicare Advantage |
$9,176.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,561.27
|
| Rate for Payer: Priority Health Medicare |
$9,176.41
|
| Rate for Payer: Priority Health Narrow Network |
$13,249.02
|
| Rate for Payer: Railroad Medicare Medicare |
$9,176.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,864.99
|
| Rate for Payer: UHC Core |
$13,491.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,176.41
|
| Rate for Payer: UHC Exchange |
$10,725.60
|
| Rate for Payer: UHC Medicare Advantage |
$9,176.41
|
| Rate for Payer: VA VA |
$9,176.41
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$39,294.07
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$14,121.21 |
| Max. Negotiated Rate |
$39,294.07 |
| Rate for Payer: Aetna Medicare |
$15,459.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,580.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,580.54
|
| Rate for Payer: BCBS MAPPO |
$14,864.43
|
| Rate for Payer: BCBS Trust/PPO |
$39,294.07
|
| Rate for Payer: BCN Commercial |
$39,294.07
|
| Rate for Payer: BCN Medicare Advantage |
$14,864.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,864.43
|
| Rate for Payer: Mclaren Medicare |
$14,864.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,607.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,094.09
|
| Rate for Payer: Nomi Health Commercial |
$22,973.61
|
| Rate for Payer: PACE Medicare |
$14,121.21
|
| Rate for Payer: PACE SWMI |
$14,864.43
|
| Rate for Payer: PHP Medicare Advantage |
$14,864.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,343.13
|
| Rate for Payer: Priority Health Medicare |
$14,864.43
|
| Rate for Payer: Priority Health Narrow Network |
$21,874.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,864.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,846.15
|
| Rate for Payer: UHC Core |
$22,275.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,864.43
|
| Rate for Payer: UHC Exchange |
$17,709.27
|
| Rate for Payer: UHC Medicare Advantage |
$14,864.43
|
| Rate for Payer: VA VA |
$14,864.43
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$62,695.31
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$21,219.09 |
| Max. Negotiated Rate |
$62,695.31 |
| Rate for Payer: Aetna Medicare |
$23,229.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,919.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,919.85
|
| Rate for Payer: BCBS MAPPO |
$22,335.88
|
| Rate for Payer: BCBS Trust/PPO |
$62,695.31
|
| Rate for Payer: BCN Commercial |
$62,695.31
|
| Rate for Payer: BCN Medicare Advantage |
$22,335.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,335.88
|
| Rate for Payer: Mclaren Medicare |
$22,335.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,452.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,686.26
|
| Rate for Payer: Nomi Health Commercial |
$34,873.86
|
| Rate for Payer: PACE Medicare |
$21,219.09
|
| Rate for Payer: PACE SWMI |
$22,335.88
|
| Rate for Payer: PHP Medicare Advantage |
$22,335.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,506.04
|
| Rate for Payer: Priority Health Medicare |
$22,335.88
|
| Rate for Payer: Priority Health Narrow Network |
$33,204.84
|
| Rate for Payer: Railroad Medicare Medicare |
$22,335.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42,270.36
|
| Rate for Payer: UHC Core |
$33,814.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,335.88
|
| Rate for Payer: UHC Exchange |
$26,882.61
|
| Rate for Payer: UHC Medicare Advantage |
$22,335.88
|
| Rate for Payer: VA VA |
$22,335.88
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$39,000.30
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$11,227.42 |
| Max. Negotiated Rate |
$39,000.30 |
| Rate for Payer: Aetna Medicare |
$12,291.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,772.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,772.92
|
| Rate for Payer: BCBS MAPPO |
$11,818.34
|
| Rate for Payer: BCBS Trust/PPO |
$39,000.30
|
| Rate for Payer: BCN Commercial |
$39,000.30
|
| Rate for Payer: BCN Medicare Advantage |
$11,818.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,818.34
|
| Rate for Payer: Mclaren Medicare |
$11,818.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,409.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,591.09
|
| Rate for Payer: Nomi Health Commercial |
$18,121.92
|
| Rate for Payer: PACE Medicare |
$11,227.42
|
| Rate for Payer: PACE SWMI |
$11,818.34
|
| Rate for Payer: PHP Medicare Advantage |
$11,818.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,568.34
|
| Rate for Payer: Priority Health Medicare |
$11,818.34
|
| Rate for Payer: Priority Health Narrow Network |
$17,254.67
|
| Rate for Payer: Railroad Medicare Medicare |
$11,818.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,965.45
|
| Rate for Payer: UHC Core |
$17,571.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,818.34
|
| Rate for Payer: UHC Exchange |
$13,969.33
|
| Rate for Payer: UHC Medicare Advantage |
$11,818.34
|
| Rate for Payer: VA VA |
$11,818.34
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$42,395.89
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$14,484.37 |
| Max. Negotiated Rate |
$42,395.89 |
| Rate for Payer: Aetna Medicare |
$15,856.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,058.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,058.39
|
| Rate for Payer: BCBS MAPPO |
$15,246.71
|
| Rate for Payer: BCBS Trust/PPO |
$42,395.89
|
| Rate for Payer: BCN Commercial |
$42,395.89
|
| Rate for Payer: BCN Medicare Advantage |
$15,246.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,246.71
|
| Rate for Payer: Mclaren Medicare |
$15,246.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,009.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,533.72
|
| Rate for Payer: Nomi Health Commercial |
$23,582.49
|
| Rate for Payer: PACE Medicare |
$14,484.37
|
| Rate for Payer: PACE SWMI |
$15,246.71
|
| Rate for Payer: PHP Medicare Advantage |
$15,246.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,067.86
|
| Rate for Payer: Priority Health Medicare |
$15,246.71
|
| Rate for Payer: Priority Health Narrow Network |
$22,454.29
|
| Rate for Payer: Railroad Medicare Medicare |
$15,246.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,584.17
|
| Rate for Payer: UHC Core |
$22,865.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,246.71
|
| Rate for Payer: UHC Exchange |
$18,178.63
|
| Rate for Payer: UHC Medicare Advantage |
$15,246.71
|
| Rate for Payer: VA VA |
$15,246.71
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$75,978.59
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$25,486.27 |
| Max. Negotiated Rate |
$75,978.59 |
| Rate for Payer: Aetna Medicare |
$27,900.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,534.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,534.56
|
| Rate for Payer: BCBS MAPPO |
$26,827.65
|
| Rate for Payer: BCBS Trust/PPO |
$75,978.59
|
| Rate for Payer: BCN Commercial |
$75,978.59
|
| Rate for Payer: BCN Medicare Advantage |
$26,827.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,827.65
|
| Rate for Payer: Mclaren Medicare |
$26,827.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,169.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,851.80
|
| Rate for Payer: Nomi Health Commercial |
$42,028.20
|
| Rate for Payer: PACE Medicare |
$25,486.27
|
| Rate for Payer: PACE SWMI |
$26,827.65
|
| Rate for Payer: PHP Medicare Advantage |
$26,827.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,020.06
|
| Rate for Payer: Priority Health Medicare |
$26,827.65
|
| Rate for Payer: Priority Health Narrow Network |
$40,016.06
|
| Rate for Payer: Railroad Medicare Medicare |
$26,827.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,942.09
|
| Rate for Payer: UHC Core |
$40,751.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,827.65
|
| Rate for Payer: UHC Exchange |
$32,397.55
|
| Rate for Payer: UHC Medicare Advantage |
$26,827.65
|
| Rate for Payer: VA VA |
$26,827.65
|
|
