|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$37,055.05
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$11,990.68 |
| Max. Negotiated Rate |
$37,055.05 |
| Rate for Payer: Aetna Medicare |
$13,126.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,777.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,777.21
|
| Rate for Payer: BCBS MAPPO |
$12,621.77
|
| Rate for Payer: BCBS Trust/PPO |
$37,055.05
|
| Rate for Payer: BCN Commercial |
$37,055.05
|
| Rate for Payer: BCN Medicare Advantage |
$12,621.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,621.77
|
| Rate for Payer: Mclaren Medicare |
$12,621.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,252.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,515.04
|
| Rate for Payer: Nomi Health Commercial |
$19,401.60
|
| Rate for Payer: PACE Medicare |
$11,990.68
|
| Rate for Payer: PACE SWMI |
$12,621.77
|
| Rate for Payer: PHP Medicare Advantage |
$12,621.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,091.50
|
| Rate for Payer: Priority Health Medicare |
$12,621.77
|
| Rate for Payer: Priority Health Narrow Network |
$18,473.20
|
| Rate for Payer: Railroad Medicare Medicare |
$12,621.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,516.54
|
| Rate for Payer: UHC Core |
$18,812.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,621.77
|
| Rate for Payer: UHC Exchange |
$14,955.78
|
| Rate for Payer: UHC Medicare Advantage |
$12,621.77
|
| Rate for Payer: VA VA |
$12,621.77
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$23,771.76
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$10,728.84 |
| Max. Negotiated Rate |
$23,771.76 |
| Rate for Payer: Aetna Medicare |
$11,745.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,116.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,116.90
|
| Rate for Payer: BCBS MAPPO |
$11,293.52
|
| Rate for Payer: BCBS Trust/PPO |
$23,771.76
|
| Rate for Payer: BCN Commercial |
$23,771.76
|
| Rate for Payer: BCN Medicare Advantage |
$11,293.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,293.52
|
| Rate for Payer: Mclaren Medicare |
$11,293.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,858.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,987.55
|
| Rate for Payer: Nomi Health Commercial |
$17,286.00
|
| Rate for Payer: PACE Medicare |
$10,728.84
|
| Rate for Payer: PACE SWMI |
$11,293.52
|
| Rate for Payer: PHP Medicare Advantage |
$11,293.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,573.37
|
| Rate for Payer: Priority Health Medicare |
$11,293.52
|
| Rate for Payer: Priority Health Narrow Network |
$16,458.70
|
| Rate for Payer: Railroad Medicare Medicare |
$11,293.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,952.24
|
| Rate for Payer: UHC Core |
$16,760.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,293.52
|
| Rate for Payer: UHC Exchange |
$13,324.96
|
| Rate for Payer: UHC Medicare Advantage |
$11,293.52
|
| Rate for Payer: VA VA |
$11,293.52
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$40,408.11
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$20,302.72 |
| Max. Negotiated Rate |
$40,408.11 |
| Rate for Payer: Aetna Medicare |
$22,226.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,714.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,714.10
|
| Rate for Payer: BCBS MAPPO |
$21,371.28
|
| Rate for Payer: BCBS Trust/PPO |
$38,772.69
|
| Rate for Payer: BCN Commercial |
$38,772.69
|
| Rate for Payer: BCN Medicare Advantage |
$21,371.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,371.28
|
| Rate for Payer: Mclaren Medicare |
$21,371.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,439.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,576.97
|
| Rate for Payer: Nomi Health Commercial |
$33,337.47
|
| Rate for Payer: PACE Medicare |
$20,302.72
|
| Rate for Payer: PACE SWMI |
$21,371.28
|
| Rate for Payer: PHP Medicare Advantage |
$21,371.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,678.87
|
| Rate for Payer: Priority Health Medicare |
$21,371.28
|
| Rate for Payer: Priority Health Narrow Network |
$31,743.10
|
| Rate for Payer: Railroad Medicare Medicare |
$21,371.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,408.11
|
| Rate for Payer: UHC Core |
$32,324.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,371.28
|
| Rate for Payer: UHC Exchange |
$25,698.28
|
| Rate for Payer: UHC Medicare Advantage |
$21,371.28
|
| Rate for Payer: VA VA |
$21,371.28
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$22,025.01
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$8,317.50 |
| Max. Negotiated Rate |
$22,025.01 |
| Rate for Payer: Aetna Medicare |
$9,105.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,944.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,944.08
|
| Rate for Payer: BCBS MAPPO |
$8,755.26
|
| Rate for Payer: BCBS Trust/PPO |
$22,025.01
|
| Rate for Payer: BCN Commercial |
$22,025.01
|
| Rate for Payer: BCN Medicare Advantage |
$8,755.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,755.26
|
| Rate for Payer: Mclaren Medicare |
$8,755.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,193.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,068.55
|
| Rate for Payer: Nomi Health Commercial |
$13,243.14
|
| Rate for Payer: PACE Medicare |
$8,317.50
|
| Rate for Payer: PACE SWMI |
$8,755.26
|
| Rate for Payer: PHP Medicare Advantage |
$8,755.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,762.84
|
| Rate for Payer: Priority Health Medicare |
$8,755.26
|
| Rate for Payer: Priority Health Narrow Network |
$12,610.27
|
| Rate for Payer: Railroad Medicare Medicare |
$8,755.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,051.92
|
| Rate for Payer: UHC Core |
$12,840.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,755.26
|
| Rate for Payer: UHC Exchange |
$10,208.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,755.26
|
| Rate for Payer: VA VA |
$8,755.26
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$19,357.23
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$9,423.14 |
| Max. Negotiated Rate |
$19,357.23 |
| Rate for Payer: Aetna Medicare |
$10,315.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,398.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,398.86
|
| Rate for Payer: BCBS MAPPO |
$9,919.09
|
| Rate for Payer: BCBS Trust/PPO |
$19,357.23
|
| Rate for Payer: BCN Commercial |
$19,357.23
|
| Rate for Payer: BCN Medicare Advantage |
$9,919.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,919.09
|
| Rate for Payer: Mclaren Medicare |
$9,919.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,415.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,406.95
|
| Rate for Payer: Nomi Health Commercial |
$15,096.87
|
| Rate for Payer: PACE Medicare |
$9,423.14
|
| Rate for Payer: PACE SWMI |
$9,919.09
|
| Rate for Payer: PHP Medicare Advantage |
$9,919.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,970.80
|
| Rate for Payer: Priority Health Medicare |
$9,919.09
|
| Rate for Payer: Priority Health Narrow Network |
$14,376.64
|
| Rate for Payer: Railroad Medicare Medicare |
$9,919.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,298.81
|
| Rate for Payer: UHC Core |
$14,638.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,919.09
|
| Rate for Payer: UHC Exchange |
$11,637.46
|
| Rate for Payer: UHC Medicare Advantage |
$9,919.09
|
| Rate for Payer: VA VA |
$9,919.09
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$12,549.45
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,594.01 |
| Max. Negotiated Rate |
$12,549.45 |
| Rate for Payer: Aetna Medicare |
$7,218.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,676.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,676.32
|
| Rate for Payer: BCBS MAPPO |
$6,941.06
|
| Rate for Payer: BCBS Trust/PPO |
$12,229.94
|
| Rate for Payer: BCN Commercial |
$12,229.94
|
| Rate for Payer: BCN Medicare Advantage |
$6,941.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,941.06
|
| Rate for Payer: Mclaren Medicare |
$6,941.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,288.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,982.22
|
| Rate for Payer: Nomi Health Commercial |
$10,353.54
|
| Rate for Payer: PACE Medicare |
$6,594.01
|
| Rate for Payer: PACE SWMI |
$6,941.06
|
| Rate for Payer: PHP Medicare Advantage |
$6,941.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,323.45
|
| Rate for Payer: Priority Health Medicare |
$6,941.06
|
| Rate for Payer: Priority Health Narrow Network |
$9,858.76
|
| Rate for Payer: Railroad Medicare Medicare |
$6,941.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,549.45
|
| Rate for Payer: UHC Core |
$10,038.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,941.06
|
| Rate for Payer: UHC Exchange |
$7,981.05
|
| Rate for Payer: UHC Medicare Advantage |
$6,941.06
|
| Rate for Payer: VA VA |
$6,941.06
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$21,982.66
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$8,518.31 |
| Max. Negotiated Rate |
$21,982.66 |
| Rate for Payer: Aetna Medicare |
$9,325.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,208.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,208.30
|
| Rate for Payer: BCBS MAPPO |
$8,966.64
|
| Rate for Payer: BCBS Trust/PPO |
$21,982.66
|
| Rate for Payer: BCN Commercial |
$21,982.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,966.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,966.64
|
| Rate for Payer: Mclaren Medicare |
$8,966.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,414.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,311.64
|
| Rate for Payer: Nomi Health Commercial |
$13,579.83
|
| Rate for Payer: PACE Medicare |
$8,518.31
|
| Rate for Payer: PACE SWMI |
$8,966.64
|
| Rate for Payer: PHP Medicare Advantage |
$8,966.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,162.05
|
| Rate for Payer: Priority Health Medicare |
$8,966.64
|
| Rate for Payer: Priority Health Narrow Network |
$12,929.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,966.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,460.02
|
| Rate for Payer: UHC Core |
$13,167.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,966.64
|
| Rate for Payer: UHC Exchange |
$10,468.05
|
| Rate for Payer: UHC Medicare Advantage |
$8,966.64
|
| Rate for Payer: VA VA |
$8,966.64
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$52,159.19
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$14,927.55 |
| Max. Negotiated Rate |
$52,159.19 |
| Rate for Payer: Aetna Medicare |
$16,341.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,641.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,641.51
|
| Rate for Payer: BCBS MAPPO |
$15,713.21
|
| Rate for Payer: BCBS Trust/PPO |
$52,159.19
|
| Rate for Payer: BCN Commercial |
$52,159.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,713.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,713.21
|
| Rate for Payer: Mclaren Medicare |
$15,713.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,498.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,070.19
|
| Rate for Payer: Nomi Health Commercial |
$24,325.53
|
| Rate for Payer: PACE Medicare |
$14,927.55
|
| Rate for Payer: PACE SWMI |
$15,713.21
|
| Rate for Payer: PHP Medicare Advantage |
$15,713.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,952.28
|
| Rate for Payer: Priority Health Medicare |
$15,713.21
|
| Rate for Payer: Priority Health Narrow Network |
$23,161.82
|
| Rate for Payer: Railroad Medicare Medicare |
$15,713.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,484.81
|
| Rate for Payer: UHC Core |
$23,586.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,713.21
|
| Rate for Payer: UHC Exchange |
$18,751.40
|
| Rate for Payer: UHC Medicare Advantage |
$15,713.21
|
| Rate for Payer: VA VA |
$15,713.21
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,108.04
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$5,990.79 |
| Max. Negotiated Rate |
$18,108.04 |
| Rate for Payer: Aetna Medicare |
$6,558.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,882.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,882.61
|
| Rate for Payer: BCBS MAPPO |
$6,306.09
|
| Rate for Payer: BCBS Trust/PPO |
$18,108.04
|
| Rate for Payer: BCN Commercial |
$18,108.04
|
| Rate for Payer: BCN Medicare Advantage |
$6,306.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,306.09
|
| Rate for Payer: Mclaren Medicare |
$6,306.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,621.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,252.00
|
| Rate for Payer: Nomi Health Commercial |
$9,342.18
|
| Rate for Payer: PACE Medicare |
$5,990.79
|
| Rate for Payer: PACE SWMI |
$6,306.09
|
| Rate for Payer: PHP Medicare Advantage |
$6,306.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,119.66
|
| Rate for Payer: Priority Health Medicare |
$6,306.09
|
| Rate for Payer: Priority Health Narrow Network |
$8,895.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6,306.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,323.59
|
| Rate for Payer: UHC Core |
$9,058.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,306.09
|
| Rate for Payer: UHC Exchange |
$7,201.44
|
| Rate for Payer: UHC Medicare Advantage |
$6,306.09
|
| Rate for Payer: VA VA |
$6,306.09
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$18,796.15
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$9,096.14 |
| Max. Negotiated Rate |
$18,796.15 |
| Rate for Payer: Aetna Medicare |
$9,957.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,968.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,968.60
|
| Rate for Payer: BCBS MAPPO |
$9,574.88
|
| Rate for Payer: BCBS Trust/PPO |
$18,796.15
|
| Rate for Payer: BCN Commercial |
$18,796.15
|
| Rate for Payer: BCN Medicare Advantage |
$9,574.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,574.88
|
| Rate for Payer: Mclaren Medicare |
$9,574.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,053.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,011.11
|
| Rate for Payer: Nomi Health Commercial |
$14,548.62
|
| Rate for Payer: PACE Medicare |
$9,096.14
|
| Rate for Payer: PACE SWMI |
$9,574.88
|
| Rate for Payer: PHP Medicare Advantage |
$9,574.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,315.17
|
| Rate for Payer: Priority Health Medicare |
$9,574.88
|
| Rate for Payer: Priority Health Narrow Network |
$13,852.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9,574.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,634.28
|
| Rate for Payer: UHC Core |
$14,106.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,574.88
|
| Rate for Payer: UHC Exchange |
$11,214.84
|
| Rate for Payer: UHC Medicare Advantage |
$9,574.88
|
| Rate for Payer: VA VA |
$9,574.88
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$10,816.98
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$5,741.49 |
| Max. Negotiated Rate |
$10,816.98 |
| Rate for Payer: Aetna Medicare |
$6,285.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,554.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,554.59
|
| Rate for Payer: BCBS MAPPO |
$6,043.67
|
| Rate for Payer: BCBS Trust/PPO |
$10,350.85
|
| Rate for Payer: BCN Commercial |
$10,350.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,043.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,043.67
|
| Rate for Payer: Mclaren Medicare |
$6,043.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,345.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,950.22
|
| Rate for Payer: Nomi Health Commercial |
$8,924.22
|
| Rate for Payer: PACE Medicare |
$5,741.49
|
| Rate for Payer: PACE SWMI |
$6,043.67
|
| Rate for Payer: PHP Medicare Advantage |
$6,043.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,620.65
|
| Rate for Payer: Priority Health Medicare |
$6,043.67
|
| Rate for Payer: Priority Health Narrow Network |
$8,496.52
|
| Rate for Payer: Railroad Medicare Medicare |
$6,043.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,816.98
|
| Rate for Payer: UHC Core |
$8,653.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,043.67
|
| Rate for Payer: UHC Exchange |
$6,879.26
|
| Rate for Payer: UHC Medicare Advantage |
$6,043.67
|
| Rate for Payer: VA VA |
$6,043.67
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$161,723.14
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$24,050.54 |
| Max. Negotiated Rate |
$161,723.14 |
| Rate for Payer: Aetna Medicare |
$26,329.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,645.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,645.45
|
| Rate for Payer: BCBS MAPPO |
$25,316.36
|
| Rate for Payer: BCBS Trust/PPO |
$161,723.14
|
| Rate for Payer: BCN Commercial |
$161,723.14
|
| Rate for Payer: BCN Medicare Advantage |
$25,316.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,316.36
|
| Rate for Payer: Mclaren Medicare |
$25,316.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,582.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,113.81
|
| Rate for Payer: Nomi Health Commercial |
$39,621.06
|
| Rate for Payer: PACE Medicare |
$24,050.54
|
| Rate for Payer: PACE SWMI |
$25,316.36
|
| Rate for Payer: PHP Medicare Advantage |
$25,316.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,156.46
|
| Rate for Payer: Priority Health Medicare |
$25,316.36
|
| Rate for Payer: Priority Health Narrow Network |
$37,725.18
|
| Rate for Payer: Railroad Medicare Medicare |
$25,316.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,024.41
|
| Rate for Payer: UHC Core |
$38,417.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,316.36
|
| Rate for Payer: UHC Exchange |
$30,542.00
|
| Rate for Payer: UHC Medicare Advantage |
$25,316.36
|
| Rate for Payer: VA VA |
$25,316.36
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$203,232.41
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$35,868.04 |
| Max. Negotiated Rate |
$203,232.41 |
| Rate for Payer: Aetna Medicare |
$39,266.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,194.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,194.79
|
| Rate for Payer: BCBS MAPPO |
$37,755.83
|
| Rate for Payer: BCBS Trust/PPO |
$203,232.41
|
| Rate for Payer: BCN Commercial |
$203,232.41
|
| Rate for Payer: BCN Medicare Advantage |
$37,755.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,755.83
|
| Rate for Payer: Mclaren Medicare |
$37,755.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,643.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,419.20
|
| Rate for Payer: Nomi Health Commercial |
$59,434.17
|
| Rate for Payer: PACE Medicare |
$35,868.04
|
| Rate for Payer: PACE SWMI |
$37,755.83
|
| Rate for Payer: PHP Medicare Advantage |
$37,755.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$70,737.77
|
| Rate for Payer: Priority Health Medicare |
$37,755.83
|
| Rate for Payer: Priority Health Narrow Network |
$56,590.22
|
| Rate for Payer: Railroad Medicare Medicare |
$37,755.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72,039.74
|
| Rate for Payer: UHC Core |
$57,628.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,755.83
|
| Rate for Payer: UHC Exchange |
$45,814.99
|
| Rate for Payer: UHC Medicare Advantage |
$37,755.83
|
| Rate for Payer: VA VA |
$37,755.83
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$129,752.21
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$27,136.67 |
| Max. Negotiated Rate |
$129,752.21 |
| Rate for Payer: Aetna Medicare |
$29,707.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,706.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,706.15
|
| Rate for Payer: BCBS MAPPO |
$28,564.92
|
| Rate for Payer: BCBS Trust/PPO |
$129,752.21
|
| Rate for Payer: BCN Commercial |
$129,752.21
|
| Rate for Payer: BCN Medicare Advantage |
$28,564.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,564.92
|
| Rate for Payer: Mclaren Medicare |
$28,564.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,993.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,849.66
|
| Rate for Payer: Nomi Health Commercial |
$44,795.25
|
| Rate for Payer: PACE Medicare |
$27,136.67
|
| Rate for Payer: PACE SWMI |
$28,564.92
|
| Rate for Payer: PHP Medicare Advantage |
$28,564.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,313.58
|
| Rate for Payer: Priority Health Medicare |
$28,564.92
|
| Rate for Payer: Priority Health Narrow Network |
$42,650.87
|
| Rate for Payer: Railroad Medicare Medicare |
$28,564.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,296.01
|
| Rate for Payer: UHC Core |
$43,434.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,564.92
|
| Rate for Payer: UHC Exchange |
$34,530.54
|
| Rate for Payer: UHC Medicare Advantage |
$28,564.92
|
| Rate for Payer: VA VA |
$28,564.92
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$47,450.89
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$15,540.78 |
| Max. Negotiated Rate |
$47,450.89 |
| Rate for Payer: Aetna Medicare |
$17,013.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,448.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,448.40
|
| Rate for Payer: BCBS MAPPO |
$16,358.72
|
| Rate for Payer: BCBS Trust/PPO |
$47,450.89
|
| Rate for Payer: BCN Commercial |
$47,450.89
|
| Rate for Payer: BCN Medicare Advantage |
$16,358.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,358.72
|
| Rate for Payer: Mclaren Medicare |
$16,358.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,176.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,812.53
|
| Rate for Payer: Nomi Health Commercial |
$25,353.66
|
| Rate for Payer: PACE Medicare |
$15,540.78
|
| Rate for Payer: PACE SWMI |
$16,358.72
|
| Rate for Payer: PHP Medicare Advantage |
$16,358.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,176.02
|
| Rate for Payer: Priority Health Medicare |
$16,358.72
|
| Rate for Payer: Priority Health Narrow Network |
$24,140.82
|
| Rate for Payer: Railroad Medicare Medicare |
$16,358.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,730.99
|
| Rate for Payer: UHC Core |
$24,583.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,358.72
|
| Rate for Payer: UHC Exchange |
$19,543.94
|
| Rate for Payer: UHC Medicare Advantage |
$16,358.72
|
| Rate for Payer: VA VA |
$16,358.72
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$28,016.91
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$9,947.13 |
| Max. Negotiated Rate |
$28,016.91 |
| Rate for Payer: Aetna Medicare |
$10,889.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,088.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,088.32
|
| Rate for Payer: BCBS MAPPO |
$10,470.66
|
| Rate for Payer: BCBS Trust/PPO |
$28,016.91
|
| Rate for Payer: BCN Commercial |
$28,016.91
|
| Rate for Payer: BCN Medicare Advantage |
$10,470.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,470.66
|
| Rate for Payer: Mclaren Medicare |
$10,470.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,994.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,041.26
|
| Rate for Payer: Nomi Health Commercial |
$15,975.36
|
| Rate for Payer: PACE Medicare |
$9,947.13
|
| Rate for Payer: PACE SWMI |
$10,470.66
|
| Rate for Payer: PHP Medicare Advantage |
$10,470.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,017.97
|
| Rate for Payer: Priority Health Medicare |
$10,470.66
|
| Rate for Payer: Priority Health Narrow Network |
$15,214.38
|
| Rate for Payer: Railroad Medicare Medicare |
$10,470.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,363.62
|
| Rate for Payer: UHC Core |
$15,489.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,470.66
|
| Rate for Payer: UHC Exchange |
$12,314.65
|
| Rate for Payer: UHC Medicare Advantage |
$10,470.66
|
| Rate for Payer: VA VA |
$10,470.66
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$35,819.08
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$16,737.23 |
| Max. Negotiated Rate |
$35,819.08 |
| Rate for Payer: Aetna Medicare |
$18,322.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,022.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,022.68
|
| Rate for Payer: BCBS MAPPO |
$17,618.14
|
| Rate for Payer: BCBS Trust/PPO |
$35,819.08
|
| Rate for Payer: BCN Commercial |
$35,819.08
|
| Rate for Payer: BCN Medicare Advantage |
$17,618.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,618.14
|
| Rate for Payer: Mclaren Medicare |
$17,618.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,499.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,260.86
|
| Rate for Payer: Nomi Health Commercial |
$27,359.61
|
| Rate for Payer: PACE Medicare |
$16,737.23
|
| Rate for Payer: PACE SWMI |
$17,618.14
|
| Rate for Payer: PHP Medicare Advantage |
$17,618.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,562.10
|
| Rate for Payer: Priority Health Medicare |
$17,618.14
|
| Rate for Payer: Priority Health Narrow Network |
$26,049.68
|
| Rate for Payer: Railroad Medicare Medicare |
$17,618.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,162.39
|
| Rate for Payer: UHC Core |
$26,528.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,618.14
|
| Rate for Payer: UHC Exchange |
$21,090.23
|
| Rate for Payer: UHC Medicare Advantage |
$17,618.14
|
| Rate for Payer: VA VA |
$17,618.14
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$53,643.94
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$25,188.53 |
| Max. Negotiated Rate |
$53,643.94 |
| Rate for Payer: Aetna Medicare |
$27,574.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,142.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,142.80
|
| Rate for Payer: BCBS MAPPO |
$26,514.24
|
| Rate for Payer: BCBS Trust/PPO |
$53,643.94
|
| Rate for Payer: BCN Commercial |
$53,643.94
|
| Rate for Payer: BCN Medicare Advantage |
$26,514.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,514.24
|
| Rate for Payer: Mclaren Medicare |
$26,514.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,839.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,491.38
|
| Rate for Payer: Nomi Health Commercial |
$41,528.97
|
| Rate for Payer: PACE Medicare |
$25,188.53
|
| Rate for Payer: PACE SWMI |
$26,514.24
|
| Rate for Payer: PHP Medicare Advantage |
$26,514.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,496.48
|
| Rate for Payer: Priority Health Medicare |
$26,514.24
|
| Rate for Payer: Priority Health Narrow Network |
$39,597.19
|
| Rate for Payer: Railroad Medicare Medicare |
$26,514.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,336.97
|
| Rate for Payer: UHC Core |
$40,267.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,514.24
|
| Rate for Payer: UHC Exchange |
$32,012.72
|
| Rate for Payer: UHC Medicare Advantage |
$26,514.24
|
| Rate for Payer: VA VA |
$26,514.24
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$28,278.92
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$12,576.98 |
| Max. Negotiated Rate |
$28,278.92 |
| Rate for Payer: Aetna Medicare |
$13,768.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,548.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,548.66
|
| Rate for Payer: BCBS MAPPO |
$13,238.93
|
| Rate for Payer: BCBS Trust/PPO |
$28,278.92
|
| Rate for Payer: BCN Commercial |
$28,278.92
|
| Rate for Payer: BCN Medicare Advantage |
$13,238.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,238.93
|
| Rate for Payer: Mclaren Medicare |
$13,238.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,900.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,224.77
|
| Rate for Payer: Nomi Health Commercial |
$20,384.58
|
| Rate for Payer: PACE Medicare |
$12,576.98
|
| Rate for Payer: PACE SWMI |
$13,238.93
|
| Rate for Payer: PHP Medicare Advantage |
$13,238.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,261.50
|
| Rate for Payer: Priority Health Medicare |
$13,238.93
|
| Rate for Payer: Priority Health Narrow Network |
$19,409.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13,238.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,708.01
|
| Rate for Payer: UHC Core |
$19,765.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,238.93
|
| Rate for Payer: UHC Exchange |
$15,713.51
|
| Rate for Payer: UHC Medicare Advantage |
$13,238.93
|
| Rate for Payer: VA VA |
$13,238.93
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$35,705.28
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$13,178.68 |
| Max. Negotiated Rate |
$35,705.28 |
| Rate for Payer: Aetna Medicare |
$14,427.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,340.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,340.36
|
| Rate for Payer: BCBS MAPPO |
$13,872.29
|
| Rate for Payer: BCBS Trust/PPO |
$35,705.28
|
| Rate for Payer: BCN Commercial |
$35,705.28
|
| Rate for Payer: BCN Medicare Advantage |
$13,872.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,872.29
|
| Rate for Payer: Mclaren Medicare |
$13,872.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,565.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,953.13
|
| Rate for Payer: Nomi Health Commercial |
$21,393.36
|
| Rate for Payer: PACE Medicare |
$13,178.68
|
| Rate for Payer: PACE SWMI |
$13,872.29
|
| Rate for Payer: PHP Medicare Advantage |
$13,872.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,465.29
|
| Rate for Payer: Priority Health Medicare |
$13,872.29
|
| Rate for Payer: Priority Health Narrow Network |
$20,372.23
|
| Rate for Payer: Railroad Medicare Medicare |
$13,872.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,930.74
|
| Rate for Payer: UHC Core |
$20,743.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,872.29
|
| Rate for Payer: UHC Exchange |
$16,491.13
|
| Rate for Payer: UHC Medicare Advantage |
$13,872.29
|
| Rate for Payer: VA VA |
$13,872.29
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$39,360.24
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$18,703.86 |
| Max. Negotiated Rate |
$39,360.24 |
| Rate for Payer: Aetna Medicare |
$20,475.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,610.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,610.34
|
| Rate for Payer: BCBS MAPPO |
$19,688.27
|
| Rate for Payer: BCBS Trust/PPO |
$39,360.24
|
| Rate for Payer: BCN Commercial |
$39,360.24
|
| Rate for Payer: BCN Medicare Advantage |
$19,688.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,688.27
|
| Rate for Payer: Mclaren Medicare |
$19,688.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,672.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,641.51
|
| Rate for Payer: Nomi Health Commercial |
$30,656.85
|
| Rate for Payer: PACE Medicare |
$18,703.86
|
| Rate for Payer: PACE SWMI |
$19,688.27
|
| Rate for Payer: PHP Medicare Advantage |
$19,688.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,489.76
|
| Rate for Payer: Priority Health Medicare |
$19,688.27
|
| Rate for Payer: Priority Health Narrow Network |
$29,191.81
|
| Rate for Payer: Railroad Medicare Medicare |
$19,688.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,158.95
|
| Rate for Payer: UHC Core |
$29,725.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,688.27
|
| Rate for Payer: UHC Exchange |
$23,631.92
|
| Rate for Payer: UHC Medicare Advantage |
$19,688.27
|
| Rate for Payer: VA VA |
$19,688.27
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$31,838.60
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$10,556.50 |
| Max. Negotiated Rate |
$31,838.60 |
| Rate for Payer: Aetna Medicare |
$11,556.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,890.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,890.14
|
| Rate for Payer: BCBS MAPPO |
$11,112.11
|
| Rate for Payer: BCBS Trust/PPO |
$31,838.60
|
| Rate for Payer: BCN Commercial |
$31,838.60
|
| Rate for Payer: BCN Medicare Advantage |
$11,112.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,112.11
|
| Rate for Payer: Mclaren Medicare |
$11,112.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,667.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,778.93
|
| Rate for Payer: Nomi Health Commercial |
$16,997.04
|
| Rate for Payer: PACE Medicare |
$10,556.50
|
| Rate for Payer: PACE SWMI |
$11,112.11
|
| Rate for Payer: PHP Medicare Advantage |
$11,112.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,230.97
|
| Rate for Payer: Priority Health Medicare |
$11,112.11
|
| Rate for Payer: Priority Health Narrow Network |
$16,184.78
|
| Rate for Payer: Railroad Medicare Medicare |
$11,112.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,601.99
|
| Rate for Payer: UHC Core |
$16,480.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,112.11
|
| Rate for Payer: UHC Exchange |
$13,102.21
|
| Rate for Payer: UHC Medicare Advantage |
$11,112.11
|
| Rate for Payer: VA VA |
$11,112.11
|
|
|
MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$123,395.08
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$29,828.86 |
| Max. Negotiated Rate |
$123,395.08 |
| Rate for Payer: Aetna Medicare |
$32,654.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,248.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,248.50
|
| Rate for Payer: BCBS MAPPO |
$31,398.80
|
| Rate for Payer: BCBS Trust/PPO |
$123,395.08
|
| Rate for Payer: BCN Commercial |
$123,395.08
|
| Rate for Payer: BCN Medicare Advantage |
$31,398.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,398.80
|
| Rate for Payer: Mclaren Medicare |
$31,398.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,968.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,108.62
|
| Rate for Payer: Nomi Health Commercial |
$49,308.96
|
| Rate for Payer: PACE Medicare |
$29,828.86
|
| Rate for Payer: PACE SWMI |
$31,398.80
|
| Rate for Payer: PHP Medicare Advantage |
$31,398.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,687.63
|
| Rate for Payer: Priority Health Medicare |
$31,398.80
|
| Rate for Payer: Priority Health Narrow Network |
$46,950.11
|
| Rate for Payer: Railroad Medicare Medicare |
$31,398.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,767.05
|
| Rate for Payer: UHC Core |
$47,810.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,398.80
|
| Rate for Payer: UHC Exchange |
$38,009.95
|
| Rate for Payer: UHC Medicare Advantage |
$31,398.80
|
| Rate for Payer: VA VA |
$31,398.80
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$245,239.25
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$82,357.00 |
| Max. Negotiated Rate |
$245,239.25 |
| Rate for Payer: Aetna Medicare |
$90,159.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108,364.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108,364.48
|
| Rate for Payer: BCBS MAPPO |
$86,691.58
|
| Rate for Payer: BCBS Trust/PPO |
$245,239.25
|
| Rate for Payer: BCN Commercial |
$245,239.25
|
| Rate for Payer: BCN Medicare Advantage |
$86,691.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86,691.58
|
| Rate for Payer: Mclaren Medicare |
$86,691.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91,026.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99,695.32
|
| Rate for Payer: Nomi Health Commercial |
$137,377.26
|
| Rate for Payer: PACE Medicare |
$82,357.00
|
| Rate for Payer: PACE SWMI |
$86,691.58
|
| Rate for Payer: PHP Medicare Advantage |
$86,691.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$163,502.97
|
| Rate for Payer: Priority Health Medicare |
$86,691.58
|
| Rate for Payer: Priority Health Narrow Network |
$130,802.40
|
| Rate for Payer: Railroad Medicare Medicare |
$86,691.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166,514.02
|
| Rate for Payer: UHC Core |
$133,202.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$86,691.58
|
| Rate for Payer: UHC Exchange |
$105,897.63
|
| Rate for Payer: UHC Medicare Advantage |
$86,691.58
|
| Rate for Payer: VA VA |
$86,691.58
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$94,343.35
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$37,729.25 |
| Max. Negotiated Rate |
$94,343.35 |
| Rate for Payer: Aetna Medicare |
$41,303.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,643.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,643.75
|
| Rate for Payer: BCBS MAPPO |
$39,715.00
|
| Rate for Payer: BCBS Trust/PPO |
$94,343.35
|
| Rate for Payer: BCN Commercial |
$94,343.35
|
| Rate for Payer: BCN Medicare Advantage |
$39,715.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,715.00
|
| Rate for Payer: Mclaren Medicare |
$39,715.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,700.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,672.25
|
| Rate for Payer: Nomi Health Commercial |
$62,554.68
|
| Rate for Payer: PACE Medicare |
$37,729.25
|
| Rate for Payer: PACE SWMI |
$39,715.00
|
| Rate for Payer: PHP Medicare Advantage |
$39,715.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74,452.00
|
| Rate for Payer: Priority Health Medicare |
$39,715.00
|
| Rate for Payer: Priority Health Narrow Network |
$59,561.61
|
| Rate for Payer: Railroad Medicare Medicare |
$39,715.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75,822.09
|
| Rate for Payer: UHC Core |
$60,653.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,715.00
|
| Rate for Payer: UHC Exchange |
$48,220.44
|
| Rate for Payer: UHC Medicare Advantage |
$39,715.00
|
| Rate for Payer: VA VA |
$39,715.00
|
|
