|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,688.57
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$13,121.72 |
| Max. Negotiated Rate |
$33,688.57 |
| Rate for Payer: Aetna Medicare |
$14,364.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,265.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,265.42
|
| Rate for Payer: BCBS MAPPO |
$13,812.34
|
| Rate for Payer: BCBS Trust/PPO |
$33,688.57
|
| Rate for Payer: BCN Commercial |
$33,688.57
|
| Rate for Payer: BCN Medicare Advantage |
$13,812.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,812.34
|
| Rate for Payer: Mclaren Medicare |
$13,812.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,502.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,884.19
|
| Rate for Payer: Nomi Health Commercial |
$21,297.90
|
| Rate for Payer: PACE Medicare |
$13,121.72
|
| Rate for Payer: PACE SWMI |
$13,812.34
|
| Rate for Payer: PHP Medicare Advantage |
$13,812.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,350.13
|
| Rate for Payer: Priority Health Medicare |
$13,812.34
|
| Rate for Payer: Priority Health Narrow Network |
$20,280.11
|
| Rate for Payer: Railroad Medicare Medicare |
$13,812.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,815.04
|
| Rate for Payer: UHC Core |
$20,650.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,812.34
|
| Rate for Payer: UHC Exchange |
$16,417.54
|
| Rate for Payer: UHC Medicare Advantage |
$13,812.34
|
| Rate for Payer: VA VA |
$13,812.34
|
|
|
MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$23,439.93
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$11,952.99 |
| Max. Negotiated Rate |
$23,439.93 |
| Rate for Payer: Aetna Medicare |
$13,085.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,727.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,727.61
|
| Rate for Payer: BCBS MAPPO |
$12,582.09
|
| Rate for Payer: BCBS Trust/PPO |
$23,006.89
|
| Rate for Payer: BCN Commercial |
$23,006.89
|
| Rate for Payer: BCN Medicare Advantage |
$12,582.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,582.09
|
| Rate for Payer: Mclaren Medicare |
$12,582.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,211.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,469.40
|
| Rate for Payer: Nomi Health Commercial |
$19,338.39
|
| Rate for Payer: PACE Medicare |
$11,952.99
|
| Rate for Payer: PACE SWMI |
$12,582.09
|
| Rate for Payer: PHP Medicare Advantage |
$12,582.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,016.26
|
| Rate for Payer: Priority Health Medicare |
$12,582.09
|
| Rate for Payer: Priority Health Narrow Network |
$18,413.01
|
| Rate for Payer: Railroad Medicare Medicare |
$12,582.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,439.93
|
| Rate for Payer: UHC Core |
$18,750.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,582.09
|
| Rate for Payer: UHC Exchange |
$14,907.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,582.09
|
| Rate for Payer: VA VA |
$12,582.09
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$18,692.94
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$8,959.95 |
| Max. Negotiated Rate |
$18,692.94 |
| Rate for Payer: Aetna Medicare |
$9,808.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,789.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,789.41
|
| Rate for Payer: BCBS MAPPO |
$9,431.53
|
| Rate for Payer: BCBS Trust/PPO |
$18,692.94
|
| Rate for Payer: BCN Commercial |
$18,692.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,431.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,431.53
|
| Rate for Payer: Mclaren Medicare |
$9,431.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,903.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,846.26
|
| Rate for Payer: Nomi Health Commercial |
$14,320.29
|
| Rate for Payer: PACE Medicare |
$8,959.95
|
| Rate for Payer: PACE SWMI |
$9,431.53
|
| Rate for Payer: PHP Medicare Advantage |
$9,431.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,044.93
|
| Rate for Payer: Priority Health Medicare |
$9,431.53
|
| Rate for Payer: Priority Health Narrow Network |
$13,635.95
|
| Rate for Payer: Railroad Medicare Medicare |
$9,431.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,357.52
|
| Rate for Payer: UHC Core |
$13,885.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,431.53
|
| Rate for Payer: UHC Exchange |
$11,038.83
|
| Rate for Payer: UHC Medicare Advantage |
$9,431.53
|
| Rate for Payer: VA VA |
$9,431.53
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$40,633.25
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$14,339.72 |
| Max. Negotiated Rate |
$40,633.25 |
| Rate for Payer: Aetna Medicare |
$15,698.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,868.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,868.05
|
| Rate for Payer: BCBS MAPPO |
$15,094.44
|
| Rate for Payer: BCBS Trust/PPO |
$40,633.25
|
| Rate for Payer: BCN Commercial |
$40,633.25
|
| Rate for Payer: BCN Medicare Advantage |
$15,094.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,094.44
|
| Rate for Payer: Mclaren Medicare |
$15,094.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,849.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,358.61
|
| Rate for Payer: Nomi Health Commercial |
$23,339.97
|
| Rate for Payer: PACE Medicare |
$14,339.72
|
| Rate for Payer: PACE SWMI |
$15,094.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,094.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,779.20
|
| Rate for Payer: Priority Health Medicare |
$15,094.44
|
| Rate for Payer: Priority Health Narrow Network |
$22,223.36
|
| Rate for Payer: Railroad Medicare Medicare |
$15,094.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,290.21
|
| Rate for Payer: UHC Core |
$22,630.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,094.44
|
| Rate for Payer: UHC Exchange |
$17,991.68
|
| Rate for Payer: UHC Medicare Advantage |
$15,094.44
|
| Rate for Payer: VA VA |
$15,094.44
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$14,932.38
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$7,766.59 |
| Max. Negotiated Rate |
$14,932.38 |
| Rate for Payer: Aetna Medicare |
$8,502.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,219.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,219.20
|
| Rate for Payer: BCBS MAPPO |
$8,175.36
|
| Rate for Payer: BCBS Trust/PPO |
$14,146.08
|
| Rate for Payer: BCN Commercial |
$14,146.08
|
| Rate for Payer: BCN Medicare Advantage |
$8,175.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,175.36
|
| Rate for Payer: Mclaren Medicare |
$8,175.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,584.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,401.66
|
| Rate for Payer: Nomi Health Commercial |
$12,319.50
|
| Rate for Payer: PACE Medicare |
$7,766.59
|
| Rate for Payer: PACE SWMI |
$8,175.36
|
| Rate for Payer: PHP Medicare Advantage |
$8,175.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,661.93
|
| Rate for Payer: Priority Health Medicare |
$8,175.36
|
| Rate for Payer: Priority Health Narrow Network |
$11,729.54
|
| Rate for Payer: Railroad Medicare Medicare |
$8,175.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,932.38
|
| Rate for Payer: UHC Core |
$11,945.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,175.36
|
| Rate for Payer: UHC Exchange |
$9,496.52
|
| Rate for Payer: UHC Medicare Advantage |
$8,175.36
|
| Rate for Payer: VA VA |
$8,175.36
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$21,725.94
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$9,058.43 |
| Max. Negotiated Rate |
$21,725.94 |
| Rate for Payer: Aetna Medicare |
$9,916.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,918.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,918.99
|
| Rate for Payer: BCBS MAPPO |
$9,535.19
|
| Rate for Payer: BCBS Trust/PPO |
$21,725.94
|
| Rate for Payer: BCN Commercial |
$21,725.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,535.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,535.19
|
| Rate for Payer: Mclaren Medicare |
$9,535.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,011.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,965.47
|
| Rate for Payer: Nomi Health Commercial |
$14,485.41
|
| Rate for Payer: PACE Medicare |
$9,058.43
|
| Rate for Payer: PACE SWMI |
$9,535.19
|
| Rate for Payer: PHP Medicare Advantage |
$9,535.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,241.47
|
| Rate for Payer: Priority Health Medicare |
$9,535.19
|
| Rate for Payer: Priority Health Narrow Network |
$13,793.18
|
| Rate for Payer: Railroad Medicare Medicare |
$9,535.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,557.66
|
| Rate for Payer: UHC Core |
$14,045.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,535.19
|
| Rate for Payer: UHC Exchange |
$11,166.12
|
| Rate for Payer: UHC Medicare Advantage |
$9,535.19
|
| Rate for Payer: VA VA |
$9,535.19
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$27,117.06
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$13,721.12 |
| Max. Negotiated Rate |
$27,117.06 |
| Rate for Payer: Aetna Medicare |
$15,021.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,054.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,054.10
|
| Rate for Payer: BCBS MAPPO |
$14,443.28
|
| Rate for Payer: BCBS Trust/PPO |
$27,117.06
|
| Rate for Payer: BCN Commercial |
$27,117.06
|
| Rate for Payer: BCN Medicare Advantage |
$14,443.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,443.28
|
| Rate for Payer: Mclaren Medicare |
$14,443.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,165.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,609.77
|
| Rate for Payer: Nomi Health Commercial |
$22,302.81
|
| Rate for Payer: PACE Medicare |
$13,721.12
|
| Rate for Payer: PACE SWMI |
$14,443.28
|
| Rate for Payer: PHP Medicare Advantage |
$14,443.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,544.70
|
| Rate for Payer: Priority Health Medicare |
$14,443.28
|
| Rate for Payer: Priority Health Narrow Network |
$21,235.77
|
| Rate for Payer: Railroad Medicare Medicare |
$14,443.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,033.08
|
| Rate for Payer: UHC Core |
$21,625.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,443.28
|
| Rate for Payer: UHC Exchange |
$17,192.18
|
| Rate for Payer: UHC Medicare Advantage |
$14,443.28
|
| Rate for Payer: VA VA |
$14,443.28
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$16,697.40
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$6,024.62 |
| Max. Negotiated Rate |
$16,697.40 |
| Rate for Payer: Aetna Medicare |
$6,595.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,927.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,927.14
|
| Rate for Payer: BCBS MAPPO |
$6,341.71
|
| Rate for Payer: BCBS Trust/PPO |
$16,697.40
|
| Rate for Payer: BCN Commercial |
$16,697.40
|
| Rate for Payer: BCN Medicare Advantage |
$6,341.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,341.71
|
| Rate for Payer: Mclaren Medicare |
$6,341.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,658.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,292.97
|
| Rate for Payer: Nomi Health Commercial |
$9,398.94
|
| Rate for Payer: PACE Medicare |
$6,024.62
|
| Rate for Payer: PACE SWMI |
$6,341.71
|
| Rate for Payer: PHP Medicare Advantage |
$6,341.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,187.22
|
| Rate for Payer: Priority Health Medicare |
$6,341.71
|
| Rate for Payer: Priority Health Narrow Network |
$8,949.78
|
| Rate for Payer: Railroad Medicare Medicare |
$6,341.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,392.39
|
| Rate for Payer: UHC Core |
$9,113.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,341.71
|
| Rate for Payer: UHC Exchange |
$7,245.20
|
| Rate for Payer: UHC Medicare Advantage |
$6,341.71
|
| Rate for Payer: VA VA |
$6,341.71
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$23,874.98
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$9,095.37 |
| Max. Negotiated Rate |
$23,874.98 |
| Rate for Payer: Aetna Medicare |
$9,957.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,967.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,967.59
|
| Rate for Payer: BCBS MAPPO |
$9,574.07
|
| Rate for Payer: BCBS Trust/PPO |
$23,874.98
|
| Rate for Payer: BCN Commercial |
$23,874.98
|
| Rate for Payer: BCN Medicare Advantage |
$9,574.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,574.07
|
| Rate for Payer: Mclaren Medicare |
$9,574.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,052.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,010.18
|
| Rate for Payer: Nomi Health Commercial |
$14,547.33
|
| Rate for Payer: PACE Medicare |
$9,095.37
|
| Rate for Payer: PACE SWMI |
$9,574.07
|
| Rate for Payer: PHP Medicare Advantage |
$9,574.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,313.63
|
| Rate for Payer: Priority Health Medicare |
$9,574.07
|
| Rate for Payer: Priority Health Narrow Network |
$13,850.91
|
| Rate for Payer: Railroad Medicare Medicare |
$9,574.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,632.72
|
| Rate for Payer: UHC Core |
$14,105.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,574.07
|
| Rate for Payer: UHC Exchange |
$11,213.85
|
| Rate for Payer: UHC Medicare Advantage |
$9,574.07
|
| Rate for Payer: VA VA |
$9,574.07
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$37,152.97
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$14,457.43 |
| Max. Negotiated Rate |
$37,152.97 |
| Rate for Payer: Aetna Medicare |
$15,827.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,022.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,022.94
|
| Rate for Payer: BCBS MAPPO |
$15,218.35
|
| Rate for Payer: BCBS Trust/PPO |
$37,152.97
|
| Rate for Payer: BCN Commercial |
$37,152.97
|
| Rate for Payer: BCN Medicare Advantage |
$15,218.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,218.35
|
| Rate for Payer: Mclaren Medicare |
$15,218.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,979.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,501.10
|
| Rate for Payer: Nomi Health Commercial |
$23,537.34
|
| Rate for Payer: PACE Medicare |
$14,457.43
|
| Rate for Payer: PACE SWMI |
$15,218.35
|
| Rate for Payer: PHP Medicare Advantage |
$15,218.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,014.12
|
| Rate for Payer: Priority Health Medicare |
$15,218.35
|
| Rate for Payer: Priority Health Narrow Network |
$22,411.30
|
| Rate for Payer: Railroad Medicare Medicare |
$15,218.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,529.45
|
| Rate for Payer: UHC Core |
$22,822.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,218.35
|
| Rate for Payer: UHC Exchange |
$18,143.82
|
| Rate for Payer: UHC Medicare Advantage |
$15,218.35
|
| Rate for Payer: VA VA |
$15,218.35
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,079.75
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$6,460.11 |
| Max. Negotiated Rate |
$20,079.75 |
| Rate for Payer: Aetna Medicare |
$7,072.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,500.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,500.15
|
| Rate for Payer: BCBS MAPPO |
$6,800.12
|
| Rate for Payer: BCBS Trust/PPO |
$20,079.75
|
| Rate for Payer: BCN Commercial |
$20,079.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,800.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,800.12
|
| Rate for Payer: Mclaren Medicare |
$6,800.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,140.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,820.14
|
| Rate for Payer: Nomi Health Commercial |
$10,129.08
|
| Rate for Payer: PACE Medicare |
$6,460.11
|
| Rate for Payer: PACE SWMI |
$6,800.12
|
| Rate for Payer: PHP Medicare Advantage |
$6,800.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,054.75
|
| Rate for Payer: Priority Health Medicare |
$6,800.12
|
| Rate for Payer: Priority Health Narrow Network |
$9,643.80
|
| Rate for Payer: Railroad Medicare Medicare |
$6,800.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,277.39
|
| Rate for Payer: UHC Core |
$9,821.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,800.12
|
| Rate for Payer: UHC Exchange |
$7,808.03
|
| Rate for Payer: UHC Medicare Advantage |
$6,800.12
|
| Rate for Payer: VA VA |
$6,800.12
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC
|
Facility
|
IP
|
$19,036.99
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$8,719.89 |
| Max. Negotiated Rate |
$19,036.99 |
| Rate for Payer: Aetna Medicare |
$9,545.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,473.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,473.54
|
| Rate for Payer: BCBS MAPPO |
$9,178.83
|
| Rate for Payer: BCBS Trust/PPO |
$19,036.99
|
| Rate for Payer: BCN Commercial |
$19,036.99
|
| Rate for Payer: BCN Medicare Advantage |
$9,178.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,178.83
|
| Rate for Payer: Mclaren Medicare |
$9,178.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,637.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,555.65
|
| Rate for Payer: Nomi Health Commercial |
$13,917.81
|
| Rate for Payer: PACE Medicare |
$8,719.89
|
| Rate for Payer: PACE SWMI |
$9,178.83
|
| Rate for Payer: PHP Medicare Advantage |
$9,178.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,565.87
|
| Rate for Payer: Priority Health Medicare |
$9,178.83
|
| Rate for Payer: Priority Health Narrow Network |
$13,252.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,178.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,869.68
|
| Rate for Payer: UHC Core |
$13,494.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,178.83
|
| Rate for Payer: UHC Exchange |
$10,728.58
|
| Rate for Payer: UHC Medicare Advantage |
$9,178.83
|
| Rate for Payer: VA VA |
$9,178.83
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC
|
Facility
|
IP
|
$36,022.87
|
|
|
Service Code
|
MSDRG 597
|
| Min. Negotiated Rate |
$13,935.01 |
| Max. Negotiated Rate |
$36,022.87 |
| Rate for Payer: Aetna Medicare |
$15,255.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,335.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,335.54
|
| Rate for Payer: BCBS MAPPO |
$14,668.43
|
| Rate for Payer: BCBS Trust/PPO |
$36,022.87
|
| Rate for Payer: BCN Commercial |
$36,022.87
|
| Rate for Payer: BCN Medicare Advantage |
$14,668.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,668.43
|
| Rate for Payer: Mclaren Medicare |
$14,668.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,401.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,868.69
|
| Rate for Payer: Nomi Health Commercial |
$22,661.43
|
| Rate for Payer: PACE Medicare |
$13,935.01
|
| Rate for Payer: PACE SWMI |
$14,668.43
|
| Rate for Payer: PHP Medicare Advantage |
$14,668.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,970.02
|
| Rate for Payer: Priority Health Medicare |
$14,668.43
|
| Rate for Payer: Priority Health Narrow Network |
$21,576.02
|
| Rate for Payer: Railroad Medicare Medicare |
$14,668.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,467.76
|
| Rate for Payer: UHC Core |
$21,972.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,668.43
|
| Rate for Payer: UHC Exchange |
$17,468.62
|
| Rate for Payer: UHC Medicare Advantage |
$14,668.43
|
| Rate for Payer: VA VA |
$14,668.43
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,367.22
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$6,996.40 |
| Max. Negotiated Rate |
$13,367.22 |
| Rate for Payer: Aetna Medicare |
$7,659.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,205.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,205.79
|
| Rate for Payer: BCBS MAPPO |
$7,364.63
|
| Rate for Payer: BCBS Trust/PPO |
$13,182.71
|
| Rate for Payer: BCN Commercial |
$13,182.71
|
| Rate for Payer: BCN Medicare Advantage |
$7,364.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,364.63
|
| Rate for Payer: Mclaren Medicare |
$7,364.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,732.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,469.32
|
| Rate for Payer: Nomi Health Commercial |
$11,028.21
|
| Rate for Payer: PACE Medicare |
$6,996.40
|
| Rate for Payer: PACE SWMI |
$7,364.63
|
| Rate for Payer: PHP Medicare Advantage |
$7,364.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,126.49
|
| Rate for Payer: Priority Health Medicare |
$7,364.63
|
| Rate for Payer: Priority Health Narrow Network |
$10,501.19
|
| Rate for Payer: Railroad Medicare Medicare |
$7,364.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,367.22
|
| Rate for Payer: UHC Core |
$10,693.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,364.63
|
| Rate for Payer: UHC Exchange |
$8,501.13
|
| Rate for Payer: UHC Medicare Advantage |
$7,364.63
|
| Rate for Payer: VA VA |
$7,364.63
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$83,844.29
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$13,892.69 |
| Max. Negotiated Rate |
$83,844.29 |
| Rate for Payer: Aetna Medicare |
$15,208.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,279.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,279.85
|
| Rate for Payer: BCBS MAPPO |
$14,623.88
|
| Rate for Payer: BCBS Trust/PPO |
$83,844.29
|
| Rate for Payer: BCN Commercial |
$83,844.29
|
| Rate for Payer: BCN Medicare Advantage |
$14,623.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,623.88
|
| Rate for Payer: Mclaren Medicare |
$14,623.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,355.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,817.46
|
| Rate for Payer: Nomi Health Commercial |
$22,590.48
|
| Rate for Payer: PACE Medicare |
$13,892.69
|
| Rate for Payer: PACE SWMI |
$14,623.88
|
| Rate for Payer: PHP Medicare Advantage |
$14,623.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,887.11
|
| Rate for Payer: Priority Health Medicare |
$14,623.88
|
| Rate for Payer: Priority Health Narrow Network |
$21,509.69
|
| Rate for Payer: Railroad Medicare Medicare |
$14,623.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,381.76
|
| Rate for Payer: UHC Core |
$21,904.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,623.88
|
| Rate for Payer: UHC Exchange |
$17,413.93
|
| Rate for Payer: UHC Medicare Advantage |
$14,623.88
|
| Rate for Payer: VA VA |
$14,623.88
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$75,814.50
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$13,057.87 |
| Max. Negotiated Rate |
$75,814.50 |
| Rate for Payer: Aetna Medicare |
$14,294.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,181.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,181.41
|
| Rate for Payer: BCBS MAPPO |
$13,745.13
|
| Rate for Payer: BCBS Trust/PPO |
$75,814.50
|
| Rate for Payer: BCN Commercial |
$75,814.50
|
| Rate for Payer: BCN Medicare Advantage |
$13,745.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,745.13
|
| Rate for Payer: Mclaren Medicare |
$13,745.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,432.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,806.90
|
| Rate for Payer: Nomi Health Commercial |
$21,190.83
|
| Rate for Payer: PACE Medicare |
$13,057.87
|
| Rate for Payer: PACE SWMI |
$13,745.13
|
| Rate for Payer: PHP Medicare Advantage |
$13,745.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,219.62
|
| Rate for Payer: Priority Health Medicare |
$13,745.13
|
| Rate for Payer: Priority Health Narrow Network |
$20,175.70
|
| Rate for Payer: Railroad Medicare Medicare |
$13,745.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,685.26
|
| Rate for Payer: UHC Core |
$20,546.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,745.13
|
| Rate for Payer: UHC Exchange |
$16,335.01
|
| Rate for Payer: UHC Medicare Advantage |
$13,745.13
|
| Rate for Payer: VA VA |
$13,745.13
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC
|
Facility
|
IP
|
$32,301.75
|
|
|
Service Code
|
MSDRG 551
|
| Min. Negotiated Rate |
$13,548.00 |
| Max. Negotiated Rate |
$32,301.75 |
| Rate for Payer: Aetna Medicare |
$14,831.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,826.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,826.31
|
| Rate for Payer: BCBS MAPPO |
$14,261.05
|
| Rate for Payer: BCBS Trust/PPO |
$32,301.75
|
| Rate for Payer: BCN Commercial |
$32,301.75
|
| Rate for Payer: BCN Medicare Advantage |
$14,261.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,261.05
|
| Rate for Payer: Mclaren Medicare |
$14,261.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,974.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,400.21
|
| Rate for Payer: Nomi Health Commercial |
$22,012.56
|
| Rate for Payer: PACE Medicare |
$13,548.00
|
| Rate for Payer: PACE SWMI |
$14,261.05
|
| Rate for Payer: PHP Medicare Advantage |
$14,261.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,199.23
|
| Rate for Payer: Priority Health Medicare |
$14,261.05
|
| Rate for Payer: Priority Health Narrow Network |
$20,959.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,261.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,681.27
|
| Rate for Payer: UHC Core |
$21,343.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,261.05
|
| Rate for Payer: UHC Exchange |
$16,968.44
|
| Rate for Payer: UHC Medicare Advantage |
$14,261.05
|
| Rate for Payer: VA VA |
$14,261.05
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC
|
Facility
|
IP
|
$18,571.19
|
|
|
Service Code
|
MSDRG 552
|
| Min. Negotiated Rate |
$7,834.30 |
| Max. Negotiated Rate |
$18,571.19 |
| Rate for Payer: Aetna Medicare |
$8,576.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,308.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,308.29
|
| Rate for Payer: BCBS MAPPO |
$8,246.63
|
| Rate for Payer: BCBS Trust/PPO |
$18,571.19
|
| Rate for Payer: BCN Commercial |
$18,571.19
|
| Rate for Payer: BCN Medicare Advantage |
$8,246.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,246.63
|
| Rate for Payer: Mclaren Medicare |
$8,246.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,658.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,483.62
|
| Rate for Payer: Nomi Health Commercial |
$12,433.02
|
| Rate for Payer: PACE Medicare |
$7,834.30
|
| Rate for Payer: PACE SWMI |
$8,246.63
|
| Rate for Payer: PHP Medicare Advantage |
$8,246.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,798.58
|
| Rate for Payer: Priority Health Medicare |
$8,246.63
|
| Rate for Payer: Priority Health Narrow Network |
$11,838.87
|
| Rate for Payer: Railroad Medicare Medicare |
$8,246.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,069.98
|
| Rate for Payer: UHC Core |
$12,055.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,246.63
|
| Rate for Payer: UHC Exchange |
$9,584.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,246.63
|
| Rate for Payer: VA VA |
$8,246.63
|
|
|
MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$18,020.70
|
|
|
Service Code
|
MSDRG 760
|
| Min. Negotiated Rate |
$8,002.04 |
| Max. Negotiated Rate |
$18,020.70 |
| Rate for Payer: Aetna Medicare |
$8,760.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,529.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,529.00
|
| Rate for Payer: BCBS MAPPO |
$8,423.20
|
| Rate for Payer: BCBS Trust/PPO |
$18,020.70
|
| Rate for Payer: BCN Commercial |
$18,020.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,423.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,423.20
|
| Rate for Payer: Mclaren Medicare |
$8,423.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,844.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,686.68
|
| Rate for Payer: Nomi Health Commercial |
$12,714.24
|
| Rate for Payer: PACE Medicare |
$8,002.04
|
| Rate for Payer: PACE SWMI |
$8,423.20
|
| Rate for Payer: PHP Medicare Advantage |
$8,423.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,131.77
|
| Rate for Payer: Priority Health Medicare |
$8,423.20
|
| Rate for Payer: Priority Health Narrow Network |
$12,105.42
|
| Rate for Payer: Railroad Medicare Medicare |
$8,423.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,410.84
|
| Rate for Payer: UHC Core |
$12,327.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,423.20
|
| Rate for Payer: UHC Exchange |
$9,800.81
|
| Rate for Payer: UHC Medicare Advantage |
$8,423.20
|
| Rate for Payer: VA VA |
$8,423.20
|
|
|
MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,964.86
|
|
|
Service Code
|
MSDRG 761
|
| Min. Negotiated Rate |
$5,295.97 |
| Max. Negotiated Rate |
$10,964.86 |
| Rate for Payer: Aetna Medicare |
$5,797.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,968.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,968.39
|
| Rate for Payer: BCBS MAPPO |
$5,574.71
|
| Rate for Payer: BCBS Trust/PPO |
$10,964.86
|
| Rate for Payer: BCN Commercial |
$10,964.86
|
| Rate for Payer: BCN Medicare Advantage |
$5,574.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,574.71
|
| Rate for Payer: Mclaren Medicare |
$5,574.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,853.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,410.92
|
| Rate for Payer: Nomi Health Commercial |
$8,177.31
|
| Rate for Payer: PACE Medicare |
$5,295.97
|
| Rate for Payer: PACE SWMI |
$5,574.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,574.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,733.16
|
| Rate for Payer: Priority Health Medicare |
$5,574.71
|
| Rate for Payer: Priority Health Narrow Network |
$7,786.53
|
| Rate for Payer: Railroad Medicare Medicare |
$5,574.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,911.66
|
| Rate for Payer: UHC Core |
$7,928.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,574.71
|
| Rate for Payer: UHC Exchange |
$6,303.50
|
| Rate for Payer: UHC Medicare Advantage |
$5,574.71
|
| Rate for Payer: VA VA |
$5,574.71
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$36,141.97
|
|
|
Service Code
|
MSDRG 663
|
| Min. Negotiated Rate |
$12,170.75 |
| Max. Negotiated Rate |
$36,141.97 |
| Rate for Payer: Aetna Medicare |
$13,323.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,014.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,014.15
|
| Rate for Payer: BCBS MAPPO |
$12,811.32
|
| Rate for Payer: BCBS Trust/PPO |
$36,141.97
|
| Rate for Payer: BCN Commercial |
$36,141.97
|
| Rate for Payer: BCN Medicare Advantage |
$12,811.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,811.32
|
| Rate for Payer: Mclaren Medicare |
$12,811.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,451.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,733.02
|
| Rate for Payer: Nomi Health Commercial |
$19,703.46
|
| Rate for Payer: PACE Medicare |
$12,170.75
|
| Rate for Payer: PACE SWMI |
$12,811.32
|
| Rate for Payer: PHP Medicare Advantage |
$12,811.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,450.79
|
| Rate for Payer: Priority Health Medicare |
$12,811.32
|
| Rate for Payer: Priority Health Narrow Network |
$18,760.64
|
| Rate for Payer: Railroad Medicare Medicare |
$12,811.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,882.43
|
| Rate for Payer: UHC Core |
$19,104.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,811.32
|
| Rate for Payer: UHC Exchange |
$15,188.47
|
| Rate for Payer: UHC Medicare Advantage |
$12,811.32
|
| Rate for Payer: VA VA |
$12,811.32
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$58,344.30
|
|
|
Service Code
|
MSDRG 662
|
| Min. Negotiated Rate |
$24,421.40 |
| Max. Negotiated Rate |
$58,344.30 |
| Rate for Payer: Aetna Medicare |
$26,735.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,133.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,133.42
|
| Rate for Payer: BCBS MAPPO |
$25,706.74
|
| Rate for Payer: BCBS Trust/PPO |
$58,344.30
|
| Rate for Payer: BCN Commercial |
$58,344.30
|
| Rate for Payer: BCN Medicare Advantage |
$25,706.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,706.74
|
| Rate for Payer: Mclaren Medicare |
$25,706.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,992.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,562.75
|
| Rate for Payer: Nomi Health Commercial |
$40,242.84
|
| Rate for Payer: PACE Medicare |
$24,421.40
|
| Rate for Payer: PACE SWMI |
$25,706.74
|
| Rate for Payer: PHP Medicare Advantage |
$25,706.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,896.55
|
| Rate for Payer: Priority Health Medicare |
$25,706.74
|
| Rate for Payer: Priority Health Narrow Network |
$38,317.24
|
| Rate for Payer: Railroad Medicare Medicare |
$25,706.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,778.07
|
| Rate for Payer: UHC Core |
$39,019.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,706.74
|
| Rate for Payer: UHC Exchange |
$31,021.30
|
| Rate for Payer: UHC Medicare Advantage |
$25,706.74
|
| Rate for Payer: VA VA |
$25,706.74
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,299.26
|
|
|
Service Code
|
MSDRG 664
|
| Min. Negotiated Rate |
$8,726.82 |
| Max. Negotiated Rate |
$26,299.26 |
| Rate for Payer: Aetna Medicare |
$9,553.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,482.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,482.66
|
| Rate for Payer: BCBS MAPPO |
$9,186.13
|
| Rate for Payer: BCBS Trust/PPO |
$26,299.26
|
| Rate for Payer: BCN Commercial |
$26,299.26
|
| Rate for Payer: BCN Medicare Advantage |
$9,186.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,186.13
|
| Rate for Payer: Mclaren Medicare |
$9,186.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,645.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,564.05
|
| Rate for Payer: Nomi Health Commercial |
$13,929.42
|
| Rate for Payer: PACE Medicare |
$8,726.82
|
| Rate for Payer: PACE SWMI |
$9,186.13
|
| Rate for Payer: PHP Medicare Advantage |
$9,186.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,579.69
|
| Rate for Payer: Priority Health Medicare |
$9,186.13
|
| Rate for Payer: Priority Health Narrow Network |
$13,263.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,186.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,883.75
|
| Rate for Payer: UHC Core |
$13,506.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,186.13
|
| Rate for Payer: UHC Exchange |
$10,737.53
|
| Rate for Payer: UHC Medicare Advantage |
$9,186.13
|
| Rate for Payer: VA VA |
$9,186.13
|
|
|
MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$29,499.00
|
|
|
Service Code
|
MSDRG 606
|
| Min. Negotiated Rate |
$12,808.58 |
| Max. Negotiated Rate |
$29,499.00 |
| Rate for Payer: Aetna Medicare |
$14,022.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,853.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,853.40
|
| Rate for Payer: BCBS MAPPO |
$13,482.72
|
| Rate for Payer: BCBS Trust/PPO |
$29,499.00
|
| Rate for Payer: BCN Commercial |
$29,499.00
|
| Rate for Payer: BCN Medicare Advantage |
$13,482.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,482.72
|
| Rate for Payer: Mclaren Medicare |
$13,482.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,156.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,505.13
|
| Rate for Payer: Nomi Health Commercial |
$20,772.87
|
| Rate for Payer: PACE Medicare |
$12,808.58
|
| Rate for Payer: PACE SWMI |
$13,482.72
|
| Rate for Payer: PHP Medicare Advantage |
$13,482.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,722.14
|
| Rate for Payer: Priority Health Medicare |
$13,482.72
|
| Rate for Payer: Priority Health Narrow Network |
$19,777.71
|
| Rate for Payer: Railroad Medicare Medicare |
$13,482.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,178.65
|
| Rate for Payer: UHC Core |
$20,141.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,482.72
|
| Rate for Payer: UHC Exchange |
$16,012.82
|
| Rate for Payer: UHC Medicare Advantage |
$13,482.72
|
| Rate for Payer: VA VA |
$13,482.72
|
|
|
MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$14,249.29
|
|
|
Service Code
|
MSDRG 607
|
| Min. Negotiated Rate |
$7,067.95 |
| Max. Negotiated Rate |
$14,249.29 |
| Rate for Payer: Aetna Medicare |
$7,737.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,299.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,299.94
|
| Rate for Payer: BCBS MAPPO |
$7,439.95
|
| Rate for Payer: BCBS Trust/PPO |
$14,249.29
|
| Rate for Payer: BCN Commercial |
$14,249.29
|
| Rate for Payer: BCN Medicare Advantage |
$7,439.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,439.95
|
| Rate for Payer: Mclaren Medicare |
$7,439.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,811.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,555.94
|
| Rate for Payer: Nomi Health Commercial |
$11,148.18
|
| Rate for Payer: PACE Medicare |
$7,067.95
|
| Rate for Payer: PACE SWMI |
$7,439.95
|
| Rate for Payer: PHP Medicare Advantage |
$7,439.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,270.82
|
| Rate for Payer: Priority Health Medicare |
$7,439.95
|
| Rate for Payer: Priority Health Narrow Network |
$10,616.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,439.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,512.63
|
| Rate for Payer: UHC Core |
$10,809.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,439.95
|
| Rate for Payer: UHC Exchange |
$8,593.60
|
| Rate for Payer: UHC Medicare Advantage |
$7,439.95
|
| Rate for Payer: VA VA |
$7,439.95
|
|
