|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$24,819.02
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$12,631.62 |
| Max. Negotiated Rate |
$24,819.02 |
| Rate for Payer: Aetna Medicare |
$13,828.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,620.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,620.55
|
| Rate for Payer: BCBS MAPPO |
$13,296.44
|
| Rate for Payer: BCBS Trust/PPO |
$23,507.10
|
| Rate for Payer: BCN Commercial |
$23,507.10
|
| Rate for Payer: BCN Medicare Advantage |
$13,296.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,296.44
|
| Rate for Payer: Mclaren Medicare |
$13,296.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,961.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,290.91
|
| Rate for Payer: Nomi Health Commercial |
$20,476.17
|
| Rate for Payer: PACE Medicare |
$12,631.62
|
| Rate for Payer: PACE SWMI |
$13,296.44
|
| Rate for Payer: PHP Medicare Advantage |
$13,296.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,370.52
|
| Rate for Payer: Priority Health Medicare |
$13,296.44
|
| Rate for Payer: Priority Health Narrow Network |
$19,496.42
|
| Rate for Payer: Railroad Medicare Medicare |
$13,296.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,819.02
|
| Rate for Payer: UHC Core |
$19,853.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,296.44
|
| Rate for Payer: UHC Exchange |
$15,784.11
|
| Rate for Payer: UHC Medicare Advantage |
$13,296.44
|
| Rate for Payer: VA VA |
$13,296.44
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$16,242.18
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$6,402.41 |
| Max. Negotiated Rate |
$16,242.18 |
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,939.59
|
| Rate for Payer: Aetna Medicare |
$7,008.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,424.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,424.22
|
| Rate for Payer: BCBS MAPPO |
$6,739.38
|
| Rate for Payer: BCBS Trust/PPO |
$16,242.18
|
| Rate for Payer: BCN Commercial |
$16,242.18
|
| Rate for Payer: BCN Medicare Advantage |
$6,739.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,739.38
|
| Rate for Payer: Mclaren Medicare |
$6,739.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,076.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,750.29
|
| Rate for Payer: Nomi Health Commercial |
$10,032.33
|
| Rate for Payer: PACE Medicare |
$6,402.41
|
| Rate for Payer: PACE SWMI |
$6,739.38
|
| Rate for Payer: PHP Medicare Advantage |
$6,739.38
|
| Rate for Payer: Priority Health Medicare |
$6,739.38
|
| Rate for Payer: Priority Health Narrow Network |
$9,551.67
|
| Rate for Payer: Railroad Medicare Medicare |
$6,739.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,160.12
|
| Rate for Payer: UHC Core |
$9,727.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,739.38
|
| Rate for Payer: UHC Exchange |
$7,733.45
|
| Rate for Payer: UHC Medicare Advantage |
$6,739.38
|
| Rate for Payer: VA VA |
$6,739.38
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$22,204.97
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$8,248.23 |
| Max. Negotiated Rate |
$22,204.97 |
| Rate for Payer: Aetna Medicare |
$9,029.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,852.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,852.94
|
| Rate for Payer: BCBS MAPPO |
$8,682.35
|
| Rate for Payer: BCBS Trust/PPO |
$22,204.97
|
| Rate for Payer: BCN Commercial |
$22,204.97
|
| Rate for Payer: BCN Medicare Advantage |
$8,682.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,682.35
|
| Rate for Payer: Mclaren Medicare |
$8,682.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,116.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,984.70
|
| Rate for Payer: Nomi Health Commercial |
$13,127.04
|
| Rate for Payer: PACE Medicare |
$8,248.23
|
| Rate for Payer: PACE SWMI |
$8,682.35
|
| Rate for Payer: PHP Medicare Advantage |
$8,682.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,624.65
|
| Rate for Payer: Priority Health Medicare |
$8,682.35
|
| Rate for Payer: Priority Health Narrow Network |
$12,499.72
|
| Rate for Payer: Railroad Medicare Medicare |
$8,682.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,911.19
|
| Rate for Payer: UHC Core |
$12,728.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,682.35
|
| Rate for Payer: UHC Exchange |
$10,119.01
|
| Rate for Payer: UHC Medicare Advantage |
$8,682.35
|
| Rate for Payer: VA VA |
$8,682.35
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$30,621.16
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$13,267.93 |
| Max. Negotiated Rate |
$30,621.16 |
| Rate for Payer: Aetna Medicare |
$14,524.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,457.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,457.80
|
| Rate for Payer: BCBS MAPPO |
$13,966.24
|
| Rate for Payer: BCBS Trust/PPO |
$30,621.16
|
| Rate for Payer: BCN Commercial |
$30,621.16
|
| Rate for Payer: BCN Medicare Advantage |
$13,966.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,966.24
|
| Rate for Payer: Mclaren Medicare |
$13,966.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,664.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,061.18
|
| Rate for Payer: Nomi Health Commercial |
$21,543.00
|
| Rate for Payer: PACE Medicare |
$13,267.93
|
| Rate for Payer: PACE SWMI |
$13,966.24
|
| Rate for Payer: PHP Medicare Advantage |
$13,966.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,640.33
|
| Rate for Payer: Priority Health Medicare |
$13,966.24
|
| Rate for Payer: Priority Health Narrow Network |
$20,512.27
|
| Rate for Payer: Railroad Medicare Medicare |
$13,966.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,112.12
|
| Rate for Payer: UHC Core |
$20,888.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,966.24
|
| Rate for Payer: UHC Exchange |
$16,606.48
|
| Rate for Payer: UHC Medicare Advantage |
$13,966.24
|
| Rate for Payer: VA VA |
$13,966.24
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,289.41
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$5,789.20 |
| Max. Negotiated Rate |
$15,289.41 |
| Rate for Payer: Aetna Medicare |
$6,337.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,617.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,617.36
|
| Rate for Payer: BCBS MAPPO |
$6,093.89
|
| Rate for Payer: BCBS Trust/PPO |
$15,289.41
|
| Rate for Payer: BCN Commercial |
$15,289.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,093.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,093.89
|
| Rate for Payer: Mclaren Medicare |
$6,093.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,398.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,007.97
|
| Rate for Payer: Nomi Health Commercial |
$9,004.20
|
| Rate for Payer: PACE Medicare |
$5,789.20
|
| Rate for Payer: PACE SWMI |
$6,093.89
|
| Rate for Payer: PHP Medicare Advantage |
$6,093.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,715.84
|
| Rate for Payer: Priority Health Medicare |
$6,093.89
|
| Rate for Payer: Priority Health Narrow Network |
$8,572.68
|
| Rate for Payer: Railroad Medicare Medicare |
$6,093.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,913.93
|
| Rate for Payer: UHC Core |
$8,730.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,093.89
|
| Rate for Payer: UHC Exchange |
$6,940.91
|
| Rate for Payer: UHC Medicare Advantage |
$6,093.89
|
| Rate for Payer: VA VA |
$6,093.89
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$17,941.30
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$8,338.27 |
| Max. Negotiated Rate |
$17,941.30 |
| Rate for Payer: Aetna Medicare |
$9,128.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,971.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,971.41
|
| Rate for Payer: BCBS MAPPO |
$8,777.13
|
| Rate for Payer: BCBS Trust/PPO |
$17,941.30
|
| Rate for Payer: BCN Commercial |
$17,941.30
|
| Rate for Payer: BCN Medicare Advantage |
$8,777.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,777.13
|
| Rate for Payer: Mclaren Medicare |
$8,777.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,215.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,093.70
|
| Rate for Payer: Nomi Health Commercial |
$13,277.97
|
| Rate for Payer: PACE Medicare |
$8,338.27
|
| Rate for Payer: PACE SWMI |
$8,777.13
|
| Rate for Payer: PHP Medicare Advantage |
$8,777.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,804.29
|
| Rate for Payer: Priority Health Medicare |
$8,777.13
|
| Rate for Payer: Priority Health Narrow Network |
$12,643.44
|
| Rate for Payer: Railroad Medicare Medicare |
$8,777.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,094.13
|
| Rate for Payer: UHC Core |
$12,874.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,777.13
|
| Rate for Payer: UHC Exchange |
$10,235.36
|
| Rate for Payer: UHC Medicare Advantage |
$8,777.13
|
| Rate for Payer: VA VA |
$8,777.13
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$34,556.66
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$13,868.06 |
| Max. Negotiated Rate |
$34,556.66 |
| Rate for Payer: Aetna Medicare |
$15,181.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,247.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,247.45
|
| Rate for Payer: BCBS MAPPO |
$14,597.96
|
| Rate for Payer: BCBS Trust/PPO |
$34,556.66
|
| Rate for Payer: BCN Commercial |
$34,556.66
|
| Rate for Payer: BCN Medicare Advantage |
$14,597.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,597.96
|
| Rate for Payer: Mclaren Medicare |
$14,597.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,327.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,787.65
|
| Rate for Payer: Nomi Health Commercial |
$22,549.20
|
| Rate for Payer: PACE Medicare |
$13,868.06
|
| Rate for Payer: PACE SWMI |
$14,597.96
|
| Rate for Payer: PHP Medicare Advantage |
$14,597.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,844.12
|
| Rate for Payer: Priority Health Medicare |
$14,597.96
|
| Rate for Payer: Priority Health Narrow Network |
$21,475.30
|
| Rate for Payer: Railroad Medicare Medicare |
$14,597.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,331.73
|
| Rate for Payer: UHC Core |
$21,863.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,597.96
|
| Rate for Payer: UHC Exchange |
$17,382.11
|
| Rate for Payer: UHC Medicare Advantage |
$14,597.96
|
| Rate for Payer: VA VA |
$14,597.96
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,456.14
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$6,000.00 |
| Max. Negotiated Rate |
$15,456.14 |
| Rate for Payer: Aetna Medicare |
$6,568.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,894.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,894.74
|
| Rate for Payer: BCBS MAPPO |
$6,315.79
|
| Rate for Payer: BCBS Trust/PPO |
$15,456.14
|
| Rate for Payer: BCN Commercial |
$15,456.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,315.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,315.79
|
| Rate for Payer: Mclaren Medicare |
$6,315.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,631.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,263.16
|
| Rate for Payer: Nomi Health Commercial |
$9,357.66
|
| Rate for Payer: PACE Medicare |
$6,000.00
|
| Rate for Payer: PACE SWMI |
$6,315.79
|
| Rate for Payer: PHP Medicare Advantage |
$6,315.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,136.55
|
| Rate for Payer: Priority Health Medicare |
$6,315.79
|
| Rate for Payer: Priority Health Narrow Network |
$8,909.24
|
| Rate for Payer: Railroad Medicare Medicare |
$6,315.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,342.35
|
| Rate for Payer: UHC Core |
$9,073.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,315.79
|
| Rate for Payer: UHC Exchange |
$7,213.38
|
| Rate for Payer: UHC Medicare Advantage |
$6,315.79
|
| Rate for Payer: VA VA |
$6,315.79
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$67,694.73
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$16,949.59 |
| Max. Negotiated Rate |
$67,694.73 |
| Rate for Payer: Aetna Medicare |
$18,555.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,302.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,302.09
|
| Rate for Payer: BCBS MAPPO |
$17,841.67
|
| Rate for Payer: BCBS Trust/PPO |
$67,694.73
|
| Rate for Payer: BCN Commercial |
$67,694.73
|
| Rate for Payer: BCN Medicare Advantage |
$17,841.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,841.67
|
| Rate for Payer: Mclaren Medicare |
$17,841.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,733.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,517.92
|
| Rate for Payer: Nomi Health Commercial |
$27,715.65
|
| Rate for Payer: PACE Medicare |
$16,949.59
|
| Rate for Payer: PACE SWMI |
$17,841.67
|
| Rate for Payer: PHP Medicare Advantage |
$17,841.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,985.88
|
| Rate for Payer: Priority Health Medicare |
$17,841.67
|
| Rate for Payer: Priority Health Narrow Network |
$26,388.71
|
| Rate for Payer: Railroad Medicare Medicare |
$17,841.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,593.95
|
| Rate for Payer: UHC Core |
$26,873.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,841.67
|
| Rate for Payer: UHC Exchange |
$21,364.68
|
| Rate for Payer: UHC Medicare Advantage |
$17,841.67
|
| Rate for Payer: VA VA |
$17,841.67
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$88,692.86
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$32,958.86 |
| Max. Negotiated Rate |
$88,692.86 |
| Rate for Payer: Aetna Medicare |
$36,081.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,366.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,366.92
|
| Rate for Payer: BCBS MAPPO |
$34,693.54
|
| Rate for Payer: BCBS Trust/PPO |
$88,692.86
|
| Rate for Payer: BCN Commercial |
$88,692.86
|
| Rate for Payer: BCN Medicare Advantage |
$34,693.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,693.54
|
| Rate for Payer: Mclaren Medicare |
$34,693.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,428.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,897.57
|
| Rate for Payer: Nomi Health Commercial |
$54,556.68
|
| Rate for Payer: PACE Medicare |
$32,958.86
|
| Rate for Payer: PACE SWMI |
$34,693.54
|
| Rate for Payer: PHP Medicare Advantage |
$34,693.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,933.80
|
| Rate for Payer: Priority Health Medicare |
$34,693.54
|
| Rate for Payer: Priority Health Narrow Network |
$51,947.05
|
| Rate for Payer: Railroad Medicare Medicare |
$34,693.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66,127.77
|
| Rate for Payer: UHC Core |
$52,898.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,693.54
|
| Rate for Payer: UHC Exchange |
$42,055.16
|
| Rate for Payer: UHC Medicare Advantage |
$34,693.54
|
| Rate for Payer: VA VA |
$34,693.54
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$50,060.44
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$12,516.98 |
| Max. Negotiated Rate |
$50,060.44 |
| Rate for Payer: Aetna Medicare |
$13,702.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,469.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,469.71
|
| Rate for Payer: BCBS MAPPO |
$13,175.77
|
| Rate for Payer: BCBS Trust/PPO |
$50,060.44
|
| Rate for Payer: BCN Commercial |
$50,060.44
|
| Rate for Payer: BCN Medicare Advantage |
$13,175.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,175.77
|
| Rate for Payer: Mclaren Medicare |
$13,175.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,834.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,152.14
|
| Rate for Payer: Nomi Health Commercial |
$20,283.96
|
| Rate for Payer: PACE Medicare |
$12,516.98
|
| Rate for Payer: PACE SWMI |
$13,175.77
|
| Rate for Payer: PHP Medicare Advantage |
$13,175.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,141.74
|
| Rate for Payer: Priority Health Medicare |
$13,175.77
|
| Rate for Payer: Priority Health Narrow Network |
$19,313.39
|
| Rate for Payer: Railroad Medicare Medicare |
$13,175.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,586.05
|
| Rate for Payer: UHC Core |
$19,667.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,175.77
|
| Rate for Payer: UHC Exchange |
$15,635.95
|
| Rate for Payer: UHC Medicare Advantage |
$13,175.77
|
| Rate for Payer: VA VA |
$13,175.77
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$22,347.89
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$9,947.89 |
| Max. Negotiated Rate |
$22,347.89 |
| Rate for Payer: Aetna Medicare |
$10,890.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,089.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,089.32
|
| Rate for Payer: BCBS MAPPO |
$10,471.46
|
| Rate for Payer: BCBS Trust/PPO |
$22,347.89
|
| Rate for Payer: BCN Commercial |
$22,347.89
|
| Rate for Payer: BCN Medicare Advantage |
$10,471.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,471.46
|
| Rate for Payer: Mclaren Medicare |
$10,471.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,995.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,042.18
|
| Rate for Payer: Nomi Health Commercial |
$15,976.65
|
| Rate for Payer: PACE Medicare |
$9,947.89
|
| Rate for Payer: PACE SWMI |
$10,471.46
|
| Rate for Payer: PHP Medicare Advantage |
$10,471.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,016.44
|
| Rate for Payer: Priority Health Medicare |
$10,471.46
|
| Rate for Payer: Priority Health Narrow Network |
$15,213.15
|
| Rate for Payer: Railroad Medicare Medicare |
$10,471.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,365.19
|
| Rate for Payer: UHC Core |
$15,491.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,471.46
|
| Rate for Payer: UHC Exchange |
$12,315.64
|
| Rate for Payer: UHC Medicare Advantage |
$10,471.46
|
| Rate for Payer: VA VA |
$10,471.46
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$45,878.81
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$18,040.63 |
| Max. Negotiated Rate |
$45,878.81 |
| Rate for Payer: Aetna Medicare |
$19,749.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,737.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,737.68
|
| Rate for Payer: BCBS MAPPO |
$18,990.14
|
| Rate for Payer: BCBS Trust/PPO |
$45,878.81
|
| Rate for Payer: BCN Commercial |
$45,878.81
|
| Rate for Payer: BCN Medicare Advantage |
$18,990.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,990.14
|
| Rate for Payer: Mclaren Medicare |
$18,990.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,939.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,838.66
|
| Rate for Payer: Nomi Health Commercial |
$29,544.87
|
| Rate for Payer: PACE Medicare |
$18,040.63
|
| Rate for Payer: PACE SWMI |
$18,990.14
|
| Rate for Payer: PHP Medicare Advantage |
$18,990.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,167.74
|
| Rate for Payer: Priority Health Medicare |
$18,990.14
|
| Rate for Payer: Priority Health Narrow Network |
$28,134.20
|
| Rate for Payer: Railroad Medicare Medicare |
$18,990.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,811.13
|
| Rate for Payer: UHC Core |
$28,647.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,990.14
|
| Rate for Payer: UHC Exchange |
$22,774.74
|
| Rate for Payer: UHC Medicare Advantage |
$18,990.14
|
| Rate for Payer: VA VA |
$18,990.14
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$19,788.63
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$7,741.97 |
| Max. Negotiated Rate |
$19,788.63 |
| Rate for Payer: Aetna Medicare |
$8,475.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,186.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,186.80
|
| Rate for Payer: BCBS MAPPO |
$8,149.44
|
| Rate for Payer: BCBS Trust/PPO |
$19,788.63
|
| Rate for Payer: BCN Commercial |
$19,788.63
|
| Rate for Payer: BCN Medicare Advantage |
$8,149.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,149.44
|
| Rate for Payer: Mclaren Medicare |
$8,149.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,556.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,371.86
|
| Rate for Payer: Nomi Health Commercial |
$12,278.22
|
| Rate for Payer: PACE Medicare |
$7,741.97
|
| Rate for Payer: PACE SWMI |
$8,149.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,149.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,612.79
|
| Rate for Payer: Priority Health Medicare |
$8,149.44
|
| Rate for Payer: Priority Health Narrow Network |
$11,690.24
|
| Rate for Payer: Railroad Medicare Medicare |
$8,149.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,882.34
|
| Rate for Payer: UHC Core |
$11,905.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,149.44
|
| Rate for Payer: UHC Exchange |
$9,464.70
|
| Rate for Payer: UHC Medicare Advantage |
$8,149.44
|
| Rate for Payer: VA VA |
$8,149.44
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$74,859.08
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$25,568.60 |
| Max. Negotiated Rate |
$74,859.08 |
| Rate for Payer: Aetna Medicare |
$27,990.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,642.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,642.90
|
| Rate for Payer: BCBS MAPPO |
$26,914.32
|
| Rate for Payer: BCBS Trust/PPO |
$74,859.08
|
| Rate for Payer: BCN Commercial |
$74,859.08
|
| Rate for Payer: BCN Medicare Advantage |
$26,914.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,914.32
|
| Rate for Payer: Mclaren Medicare |
$26,914.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,260.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,951.47
|
| Rate for Payer: Nomi Health Commercial |
$42,166.23
|
| Rate for Payer: PACE Medicare |
$25,568.60
|
| Rate for Payer: PACE SWMI |
$26,914.32
|
| Rate for Payer: PHP Medicare Advantage |
$26,914.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,185.89
|
| Rate for Payer: Priority Health Medicare |
$26,914.32
|
| Rate for Payer: Priority Health Narrow Network |
$40,148.72
|
| Rate for Payer: Railroad Medicare Medicare |
$26,914.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,109.39
|
| Rate for Payer: UHC Core |
$40,884.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,914.32
|
| Rate for Payer: UHC Exchange |
$32,503.95
|
| Rate for Payer: UHC Medicare Advantage |
$26,914.32
|
| Rate for Payer: VA VA |
$26,914.32
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$40,598.84
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$14,926.02 |
| Max. Negotiated Rate |
$40,598.84 |
| Rate for Payer: Aetna Medicare |
$16,340.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,639.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,639.50
|
| Rate for Payer: BCBS MAPPO |
$15,711.60
|
| Rate for Payer: BCBS Trust/PPO |
$40,598.84
|
| Rate for Payer: BCN Commercial |
$40,598.84
|
| Rate for Payer: BCN Medicare Advantage |
$15,711.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,711.60
|
| Rate for Payer: Mclaren Medicare |
$15,711.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,497.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,068.34
|
| Rate for Payer: Nomi Health Commercial |
$24,322.95
|
| Rate for Payer: PACE Medicare |
$14,926.02
|
| Rate for Payer: PACE SWMI |
$15,711.60
|
| Rate for Payer: PHP Medicare Advantage |
$15,711.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,950.74
|
| Rate for Payer: Priority Health Medicare |
$15,711.60
|
| Rate for Payer: Priority Health Narrow Network |
$23,160.60
|
| Rate for Payer: Railroad Medicare Medicare |
$15,711.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,481.68
|
| Rate for Payer: UHC Core |
$23,583.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,711.60
|
| Rate for Payer: UHC Exchange |
$18,749.41
|
| Rate for Payer: UHC Medicare Advantage |
$15,711.60
|
| Rate for Payer: VA VA |
$15,711.60
|
|
|
MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$42,305.90
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$20,024.94 |
| Max. Negotiated Rate |
$42,305.90 |
| Rate for Payer: Aetna Medicare |
$21,922.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,348.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,348.60
|
| Rate for Payer: BCBS MAPPO |
$21,078.88
|
| Rate for Payer: BCBS Trust/PPO |
$42,305.90
|
| Rate for Payer: BCN Commercial |
$42,305.90
|
| Rate for Payer: BCN Medicare Advantage |
$21,078.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,078.88
|
| Rate for Payer: Mclaren Medicare |
$21,078.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,132.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,240.71
|
| Rate for Payer: Nomi Health Commercial |
$32,871.78
|
| Rate for Payer: PACE Medicare |
$20,024.94
|
| Rate for Payer: PACE SWMI |
$21,078.88
|
| Rate for Payer: PHP Medicare Advantage |
$21,078.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,124.57
|
| Rate for Payer: Priority Health Medicare |
$21,078.88
|
| Rate for Payer: Priority Health Narrow Network |
$31,299.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21,078.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,843.66
|
| Rate for Payer: UHC Core |
$31,872.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,078.88
|
| Rate for Payer: UHC Exchange |
$25,339.30
|
| Rate for Payer: UHC Medicare Advantage |
$21,078.88
|
| Rate for Payer: VA VA |
$21,078.88
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$58,529.56
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$15,349.96 |
| Max. Negotiated Rate |
$58,529.56 |
| Rate for Payer: UHC Medicare Advantage |
$16,157.85
|
| Rate for Payer: Aetna Medicare |
$16,804.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,197.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,197.31
|
| Rate for Payer: BCBS MAPPO |
$16,157.85
|
| Rate for Payer: BCBS Trust/PPO |
$58,529.56
|
| Rate for Payer: BCN Commercial |
$58,529.56
|
| Rate for Payer: BCN Medicare Advantage |
$16,157.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,157.85
|
| Rate for Payer: Mclaren Medicare |
$16,157.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,965.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,581.53
|
| Rate for Payer: Nomi Health Commercial |
$25,033.74
|
| Rate for Payer: PACE Medicare |
$15,349.96
|
| Rate for Payer: PACE SWMI |
$16,157.85
|
| Rate for Payer: PHP Medicare Advantage |
$16,157.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,795.23
|
| Rate for Payer: Priority Health Medicare |
$16,157.85
|
| Rate for Payer: Priority Health Narrow Network |
$23,836.19
|
| Rate for Payer: Railroad Medicare Medicare |
$16,157.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,343.22
|
| Rate for Payer: UHC Core |
$24,273.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,157.85
|
| Rate for Payer: UHC Exchange |
$19,297.33
|
| Rate for Payer: VA VA |
$16,157.85
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,763.09
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$11,825.28 |
| Max. Negotiated Rate |
$34,763.09 |
| Rate for Payer: Aetna Medicare |
$12,945.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,559.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,559.58
|
| Rate for Payer: BCBS MAPPO |
$12,447.66
|
| Rate for Payer: BCBS Trust/PPO |
$34,763.09
|
| Rate for Payer: BCN Commercial |
$34,763.09
|
| Rate for Payer: BCN Medicare Advantage |
$12,447.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,447.66
|
| Rate for Payer: Mclaren Medicare |
$12,447.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,070.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,314.81
|
| Rate for Payer: Nomi Health Commercial |
$19,124.25
|
| Rate for Payer: PACE Medicare |
$11,825.28
|
| Rate for Payer: PACE SWMI |
$12,447.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,447.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,761.38
|
| Rate for Payer: Priority Health Medicare |
$12,447.66
|
| Rate for Payer: Priority Health Narrow Network |
$18,209.10
|
| Rate for Payer: Railroad Medicare Medicare |
$12,447.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,180.37
|
| Rate for Payer: UHC Core |
$18,543.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,447.66
|
| Rate for Payer: UHC Exchange |
$14,741.98
|
| Rate for Payer: UHC Medicare Advantage |
$12,447.66
|
| Rate for Payer: VA VA |
$12,447.66
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$30,305.70
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$15,331.51 |
| Max. Negotiated Rate |
$30,305.70 |
| Rate for Payer: Aetna Medicare |
$16,783.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,173.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,173.04
|
| Rate for Payer: BCBS MAPPO |
$16,138.43
|
| Rate for Payer: BCBS Trust/PPO |
$24,555.15
|
| Rate for Payer: BCN Commercial |
$24,555.15
|
| Rate for Payer: BCN Medicare Advantage |
$16,138.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,138.43
|
| Rate for Payer: Mclaren Medicare |
$16,138.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,945.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,559.19
|
| Rate for Payer: Nomi Health Commercial |
$25,002.78
|
| Rate for Payer: PACE Medicare |
$15,331.51
|
| Rate for Payer: PACE SWMI |
$16,138.43
|
| Rate for Payer: PHP Medicare Advantage |
$16,138.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,758.38
|
| Rate for Payer: Priority Health Medicare |
$16,138.43
|
| Rate for Payer: Priority Health Narrow Network |
$23,806.71
|
| Rate for Payer: Railroad Medicare Medicare |
$16,138.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,305.70
|
| Rate for Payer: UHC Core |
$24,243.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,138.43
|
| Rate for Payer: UHC Exchange |
$19,273.46
|
| Rate for Payer: UHC Medicare Advantage |
$16,138.43
|
| Rate for Payer: VA VA |
$16,138.43
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,179.82
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$10,348.76 |
| Max. Negotiated Rate |
$20,179.82 |
| Rate for Payer: Aetna Medicare |
$11,329.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,616.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,616.79
|
| Rate for Payer: BCBS MAPPO |
$10,893.43
|
| Rate for Payer: BCBS Trust/PPO |
$16,517.43
|
| Rate for Payer: BCN Commercial |
$16,517.43
|
| Rate for Payer: BCN Medicare Advantage |
$10,893.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,893.43
|
| Rate for Payer: Mclaren Medicare |
$10,893.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,438.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,527.44
|
| Rate for Payer: Nomi Health Commercial |
$16,648.74
|
| Rate for Payer: PACE Medicare |
$10,348.76
|
| Rate for Payer: PACE SWMI |
$10,893.43
|
| Rate for Payer: PHP Medicare Advantage |
$10,893.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,816.40
|
| Rate for Payer: Priority Health Medicare |
$10,893.43
|
| Rate for Payer: Priority Health Narrow Network |
$15,853.12
|
| Rate for Payer: Railroad Medicare Medicare |
$10,893.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,179.82
|
| Rate for Payer: UHC Core |
$16,142.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,893.43
|
| Rate for Payer: UHC Exchange |
$12,833.73
|
| Rate for Payer: UHC Medicare Advantage |
$10,893.43
|
| Rate for Payer: VA VA |
$10,893.43
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$55,102.21
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$16,692.60 |
| Max. Negotiated Rate |
$55,102.21 |
| Rate for Payer: Aetna Medicare |
$18,274.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,963.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,963.95
|
| Rate for Payer: BCBS MAPPO |
$17,571.16
|
| Rate for Payer: BCBS Trust/PPO |
$55,102.21
|
| Rate for Payer: BCN Commercial |
$55,102.21
|
| Rate for Payer: BCN Medicare Advantage |
$17,571.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,571.16
|
| Rate for Payer: Mclaren Medicare |
$17,571.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,449.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,206.83
|
| Rate for Payer: Nomi Health Commercial |
$27,284.79
|
| Rate for Payer: PACE Medicare |
$16,692.60
|
| Rate for Payer: PACE SWMI |
$17,571.16
|
| Rate for Payer: PHP Medicare Advantage |
$17,571.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,474.58
|
| Rate for Payer: Priority Health Medicare |
$17,571.16
|
| Rate for Payer: Priority Health Narrow Network |
$25,979.67
|
| Rate for Payer: Railroad Medicare Medicare |
$17,571.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,071.70
|
| Rate for Payer: UHC Core |
$26,455.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,571.16
|
| Rate for Payer: UHC Exchange |
$21,032.55
|
| Rate for Payer: UHC Medicare Advantage |
$17,571.16
|
| Rate for Payer: VA VA |
$17,571.16
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$16,904.08
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,736.81 |
| Max. Negotiated Rate |
$16,904.08 |
| Rate for Payer: Aetna Medicare |
$9,564.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,495.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,495.80
|
| Rate for Payer: BCBS MAPPO |
$9,196.64
|
| Rate for Payer: BCBS Trust/PPO |
$14,635.70
|
| Rate for Payer: BCN Commercial |
$14,635.70
|
| Rate for Payer: BCN Medicare Advantage |
$9,196.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,196.64
|
| Rate for Payer: Mclaren Medicare |
$9,196.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,656.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,576.14
|
| Rate for Payer: Nomi Health Commercial |
$13,946.19
|
| Rate for Payer: PACE Medicare |
$8,736.81
|
| Rate for Payer: PACE SWMI |
$9,196.64
|
| Rate for Payer: PHP Medicare Advantage |
$9,196.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,598.12
|
| Rate for Payer: Priority Health Medicare |
$9,196.64
|
| Rate for Payer: Priority Health Narrow Network |
$13,278.50
|
| Rate for Payer: Railroad Medicare Medicare |
$9,196.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,904.08
|
| Rate for Payer: UHC Core |
$13,522.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,196.64
|
| Rate for Payer: UHC Exchange |
$10,750.46
|
| Rate for Payer: UHC Medicare Advantage |
$9,196.64
|
| Rate for Payer: VA VA |
$9,196.64
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$45,966.15
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$18,605.37 |
| Max. Negotiated Rate |
$45,966.15 |
| Rate for Payer: Aetna Medicare |
$20,367.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,480.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,480.75
|
| Rate for Payer: BCBS MAPPO |
$19,584.60
|
| Rate for Payer: BCBS Trust/PPO |
$45,966.15
|
| Rate for Payer: BCN Commercial |
$45,966.15
|
| Rate for Payer: BCN Medicare Advantage |
$19,584.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,584.60
|
| Rate for Payer: Mclaren Medicare |
$19,584.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,563.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,522.29
|
| Rate for Payer: Nomi Health Commercial |
$30,491.73
|
| Rate for Payer: PACE Medicare |
$18,605.37
|
| Rate for Payer: PACE SWMI |
$19,584.60
|
| Rate for Payer: PHP Medicare Advantage |
$19,584.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,293.22
|
| Rate for Payer: Priority Health Medicare |
$19,584.60
|
| Rate for Payer: Priority Health Narrow Network |
$29,034.58
|
| Rate for Payer: Railroad Medicare Medicare |
$19,584.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,958.81
|
| Rate for Payer: UHC Core |
$29,565.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,584.60
|
| Rate for Payer: UHC Exchange |
$23,504.63
|
| Rate for Payer: UHC Medicare Advantage |
$19,584.60
|
| Rate for Payer: VA VA |
$19,584.60
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,825.09
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$35,749.54 |
| Max. Negotiated Rate |
$75,825.09 |
| Rate for Payer: Aetna Medicare |
$39,136.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,038.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,038.86
|
| Rate for Payer: BCBS MAPPO |
$37,631.09
|
| Rate for Payer: BCBS Trust/PPO |
$75,825.09
|
| Rate for Payer: BCN Commercial |
$75,825.09
|
| Rate for Payer: BCN Medicare Advantage |
$37,631.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,631.09
|
| Rate for Payer: Mclaren Medicare |
$37,631.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,512.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,275.75
|
| Rate for Payer: Nomi Health Commercial |
$59,235.51
|
| Rate for Payer: PACE Medicare |
$35,749.54
|
| Rate for Payer: PACE SWMI |
$37,631.09
|
| Rate for Payer: PHP Medicare Advantage |
$37,631.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$70,502.84
|
| Rate for Payer: Priority Health Medicare |
$37,631.09
|
| Rate for Payer: Priority Health Narrow Network |
$56,402.28
|
| Rate for Payer: Railroad Medicare Medicare |
$37,631.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71,798.95
|
| Rate for Payer: UHC Core |
$57,435.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,631.09
|
| Rate for Payer: UHC Exchange |
$45,661.85
|
| Rate for Payer: UHC Medicare Advantage |
$37,631.09
|
| Rate for Payer: VA VA |
$37,631.09
|
|
