|
MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$29,546.64
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$29,546.64 |
| Rate for Payer: Aetna Medicare |
$8,561.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,290.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,290.06
|
| Rate for Payer: BCBS MAPPO |
$8,232.05
|
| Rate for Payer: BCBS Trust/PPO |
$29,546.64
|
| Rate for Payer: BCN Commercial |
$29,546.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,232.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,232.05
|
| Rate for Payer: Mclaren Medicare |
$8,232.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,643.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,466.86
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$7,820.45
|
| Rate for Payer: PACE SWMI |
$8,232.05
|
| Rate for Payer: PHP Medicare Advantage |
$8,232.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,769.41
|
| Rate for Payer: Priority Health Medicare |
$8,232.05
|
| Rate for Payer: Priority Health Narrow Network |
$11,815.53
|
| Rate for Payer: Railroad Medicare Medicare |
$8,232.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,041.83
|
| Rate for Payer: UHC Core |
$12,032.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,232.05
|
| Rate for Payer: UHC Exchange |
$9,566.13
|
| Rate for Payer: UHC Medicare Advantage |
$8,232.05
|
| Rate for Payer: VA VA |
$8,232.05
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$35,538.54
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$17,109.62 |
| Max. Negotiated Rate |
$35,538.54 |
| Rate for Payer: Aetna Medicare |
$18,730.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,512.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,512.66
|
| Rate for Payer: BCBS MAPPO |
$18,010.13
|
| Rate for Payer: BCBS Trust/PPO |
$35,538.54
|
| Rate for Payer: BCN Commercial |
$35,538.54
|
| Rate for Payer: BCN Medicare Advantage |
$18,010.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,010.13
|
| Rate for Payer: Mclaren Medicare |
$18,010.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,910.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,711.65
|
| Rate for Payer: Nomi Health Commercial |
$27,983.97
|
| Rate for Payer: PACE Medicare |
$17,109.62
|
| Rate for Payer: PACE SWMI |
$18,010.13
|
| Rate for Payer: PHP Medicare Advantage |
$18,010.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,305.25
|
| Rate for Payer: Priority Health Medicare |
$18,010.13
|
| Rate for Payer: Priority Health Narrow Network |
$26,644.20
|
| Rate for Payer: Railroad Medicare Medicare |
$18,010.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,919.17
|
| Rate for Payer: UHC Core |
$27,133.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,010.13
|
| Rate for Payer: UHC Exchange |
$21,571.52
|
| Rate for Payer: UHC Medicare Advantage |
$18,010.13
|
| Rate for Payer: VA VA |
$18,010.13
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$56,048.81
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$27,999.17 |
| Max. Negotiated Rate |
$56,048.81 |
| Rate for Payer: Aetna Medicare |
$30,651.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,841.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,841.01
|
| Rate for Payer: BCBS MAPPO |
$29,472.81
|
| Rate for Payer: BCBS Trust/PPO |
$46,156.70
|
| Rate for Payer: BCN Commercial |
$46,156.70
|
| Rate for Payer: BCN Medicare Advantage |
$29,472.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,472.81
|
| Rate for Payer: Mclaren Medicare |
$29,472.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,946.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,893.73
|
| Rate for Payer: Nomi Health Commercial |
$46,241.34
|
| Rate for Payer: PACE Medicare |
$27,999.17
|
| Rate for Payer: PACE SWMI |
$29,472.81
|
| Rate for Payer: PHP Medicare Advantage |
$29,472.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,042.49
|
| Rate for Payer: Priority Health Medicare |
$29,472.81
|
| Rate for Payer: Priority Health Narrow Network |
$44,034.00
|
| Rate for Payer: Railroad Medicare Medicare |
$29,472.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,048.81
|
| Rate for Payer: UHC Core |
$44,836.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,472.81
|
| Rate for Payer: UHC Exchange |
$35,645.26
|
| Rate for Payer: UHC Medicare Advantage |
$29,472.81
|
| Rate for Payer: VA VA |
$29,472.81
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$35,096.56
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$11,138.96 |
| Max. Negotiated Rate |
$35,096.56 |
| Rate for Payer: Aetna Medicare |
$12,194.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,656.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,656.52
|
| Rate for Payer: BCBS MAPPO |
$11,725.22
|
| Rate for Payer: BCBS Trust/PPO |
$35,096.56
|
| Rate for Payer: BCN Commercial |
$35,096.56
|
| Rate for Payer: BCN Medicare Advantage |
$11,725.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,725.22
|
| Rate for Payer: Mclaren Medicare |
$11,725.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,311.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,484.00
|
| Rate for Payer: Nomi Health Commercial |
$17,973.57
|
| Rate for Payer: PACE Medicare |
$11,138.96
|
| Rate for Payer: PACE SWMI |
$11,725.22
|
| Rate for Payer: PHP Medicare Advantage |
$11,725.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,391.76
|
| Rate for Payer: Priority Health Medicare |
$11,725.22
|
| Rate for Payer: Priority Health Narrow Network |
$17,113.41
|
| Rate for Payer: Railroad Medicare Medicare |
$11,725.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,785.64
|
| Rate for Payer: UHC Core |
$17,427.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,725.22
|
| Rate for Payer: UHC Exchange |
$13,854.98
|
| Rate for Payer: UHC Medicare Advantage |
$11,725.22
|
| Rate for Payer: VA VA |
$11,725.22
|
|
|
MS-DRG 42.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$34,342.91
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$17,318.14 |
| Max. Negotiated Rate |
$34,342.91 |
| Rate for Payer: Aetna Medicare |
$18,958.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,787.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,787.02
|
| Rate for Payer: BCBS MAPPO |
$18,229.62
|
| Rate for Payer: BCBS Trust/PPO |
$18,716.76
|
| Rate for Payer: BCN Commercial |
$18,716.76
|
| Rate for Payer: BCN Medicare Advantage |
$18,229.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,229.62
|
| Rate for Payer: Mclaren Medicare |
$18,229.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,141.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,964.06
|
| Rate for Payer: Nomi Health Commercial |
$28,333.56
|
| Rate for Payer: PACE Medicare |
$17,318.14
|
| Rate for Payer: PACE SWMI |
$18,229.62
|
| Rate for Payer: PHP Medicare Advantage |
$18,229.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,722.89
|
| Rate for Payer: Priority Health Medicare |
$18,229.62
|
| Rate for Payer: Priority Health Narrow Network |
$26,978.32
|
| Rate for Payer: Railroad Medicare Medicare |
$18,229.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,342.91
|
| Rate for Payer: UHC Core |
$27,472.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,229.62
|
| Rate for Payer: UHC Exchange |
$21,841.00
|
| Rate for Payer: UHC Medicare Advantage |
$18,229.62
|
| Rate for Payer: VA VA |
$18,229.62
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$33,916.18
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$13,621.84 |
| Max. Negotiated Rate |
$33,916.18 |
| Rate for Payer: Aetna Medicare |
$14,912.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,923.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,923.48
|
| Rate for Payer: BCBS MAPPO |
$14,338.78
|
| Rate for Payer: BCBS Trust/PPO |
$33,916.18
|
| Rate for Payer: BCN Commercial |
$33,916.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,338.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,338.78
|
| Rate for Payer: Mclaren Medicare |
$14,338.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,055.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,489.60
|
| Rate for Payer: Nomi Health Commercial |
$22,136.40
|
| Rate for Payer: PACE Medicare |
$13,621.84
|
| Rate for Payer: PACE SWMI |
$14,338.78
|
| Rate for Payer: PHP Medicare Advantage |
$14,338.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,348.17
|
| Rate for Payer: Priority Health Medicare |
$14,338.78
|
| Rate for Payer: Priority Health Narrow Network |
$21,078.54
|
| Rate for Payer: Railroad Medicare Medicare |
$14,338.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,831.38
|
| Rate for Payer: UHC Core |
$21,463.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,338.78
|
| Rate for Payer: UHC Exchange |
$17,063.90
|
| Rate for Payer: UHC Medicare Advantage |
$14,338.78
|
| Rate for Payer: VA VA |
$14,338.78
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$87,695.09
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$27,369.02 |
| Max. Negotiated Rate |
$87,695.09 |
| Rate for Payer: Aetna Medicare |
$29,961.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,011.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,011.88
|
| Rate for Payer: BCBS MAPPO |
$28,809.50
|
| Rate for Payer: BCBS Trust/PPO |
$87,695.09
|
| Rate for Payer: BCN Commercial |
$87,695.09
|
| Rate for Payer: BCN Medicare Advantage |
$28,809.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,809.50
|
| Rate for Payer: Mclaren Medicare |
$28,809.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,249.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,130.92
|
| Rate for Payer: Nomi Health Commercial |
$45,184.83
|
| Rate for Payer: PACE Medicare |
$27,369.02
|
| Rate for Payer: PACE SWMI |
$28,809.50
|
| Rate for Payer: PHP Medicare Advantage |
$28,809.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,786.50
|
| Rate for Payer: Priority Health Medicare |
$28,809.50
|
| Rate for Payer: Priority Health Narrow Network |
$43,029.21
|
| Rate for Payer: Railroad Medicare Medicare |
$28,809.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,768.22
|
| Rate for Payer: UHC Core |
$43,811.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,809.50
|
| Rate for Payer: UHC Exchange |
$34,830.85
|
| Rate for Payer: UHC Medicare Advantage |
$28,809.50
|
| Rate for Payer: VA VA |
$28,809.50
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,941.14
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$9,309.29 |
| Max. Negotiated Rate |
$23,941.14 |
| Rate for Payer: Aetna Medicare |
$10,191.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,249.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,249.06
|
| Rate for Payer: BCBS MAPPO |
$9,799.25
|
| Rate for Payer: BCBS Trust/PPO |
$23,941.14
|
| Rate for Payer: BCN Commercial |
$23,941.14
|
| Rate for Payer: BCN Medicare Advantage |
$9,799.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,799.25
|
| Rate for Payer: Mclaren Medicare |
$9,799.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,289.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,269.14
|
| Rate for Payer: Nomi Health Commercial |
$14,905.95
|
| Rate for Payer: PACE Medicare |
$9,309.29
|
| Rate for Payer: PACE SWMI |
$9,799.25
|
| Rate for Payer: PHP Medicare Advantage |
$9,799.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,740.49
|
| Rate for Payer: Priority Health Medicare |
$9,799.25
|
| Rate for Payer: Priority Health Narrow Network |
$14,192.39
|
| Rate for Payer: Railroad Medicare Medicare |
$9,799.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,067.40
|
| Rate for Payer: UHC Core |
$14,452.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,799.25
|
| Rate for Payer: UHC Exchange |
$11,490.29
|
| Rate for Payer: UHC Medicare Advantage |
$9,799.25
|
| Rate for Payer: VA VA |
$9,799.25
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$15,395.27
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$7,778.90 |
| Max. Negotiated Rate |
$15,395.27 |
| Rate for Payer: Aetna Medicare |
$8,515.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,235.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,235.40
|
| Rate for Payer: BCBS MAPPO |
$8,188.32
|
| Rate for Payer: BCBS Trust/PPO |
$15,395.27
|
| Rate for Payer: BCN Commercial |
$15,395.27
|
| Rate for Payer: BCN Medicare Advantage |
$8,188.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,188.32
|
| Rate for Payer: Mclaren Medicare |
$8,188.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,597.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,416.57
|
| Rate for Payer: Nomi Health Commercial |
$12,340.14
|
| Rate for Payer: PACE Medicare |
$7,778.90
|
| Rate for Payer: PACE SWMI |
$8,188.32
|
| Rate for Payer: PHP Medicare Advantage |
$8,188.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,697.24
|
| Rate for Payer: Priority Health Medicare |
$8,188.32
|
| Rate for Payer: Priority Health Narrow Network |
$11,757.79
|
| Rate for Payer: Railroad Medicare Medicare |
$8,188.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,957.40
|
| Rate for Payer: UHC Core |
$11,965.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,188.32
|
| Rate for Payer: UHC Exchange |
$9,512.43
|
| Rate for Payer: UHC Medicare Advantage |
$8,188.32
|
| Rate for Payer: VA VA |
$8,188.32
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,373.78
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$5,031.32 |
| Max. Negotiated Rate |
$9,373.78 |
| Rate for Payer: Aetna Medicare |
$5,507.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,620.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,620.16
|
| Rate for Payer: BCBS MAPPO |
$5,296.13
|
| Rate for Payer: BCBS Trust/PPO |
$8,561.75
|
| Rate for Payer: BCN Commercial |
$8,561.75
|
| Rate for Payer: BCN Medicare Advantage |
$5,296.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,296.13
|
| Rate for Payer: Mclaren Medicare |
$5,296.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,560.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,090.55
|
| Rate for Payer: Nomi Health Commercial |
$7,733.55
|
| Rate for Payer: PACE Medicare |
$5,031.32
|
| Rate for Payer: PACE SWMI |
$5,296.13
|
| Rate for Payer: PHP Medicare Advantage |
$5,296.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,204.97
|
| Rate for Payer: Priority Health Medicare |
$5,296.13
|
| Rate for Payer: Priority Health Narrow Network |
$7,363.98
|
| Rate for Payer: Railroad Medicare Medicare |
$5,296.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,373.78
|
| Rate for Payer: UHC Core |
$7,498.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,296.13
|
| Rate for Payer: UHC Exchange |
$5,961.43
|
| Rate for Payer: UHC Medicare Advantage |
$5,296.13
|
| Rate for Payer: VA VA |
$5,296.13
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$20,312.66
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$8,527.53 |
| Max. Negotiated Rate |
$20,312.66 |
| Rate for Payer: Aetna Medicare |
$9,335.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,220.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,220.44
|
| Rate for Payer: BCBS MAPPO |
$8,976.35
|
| Rate for Payer: BCBS Trust/PPO |
$20,312.66
|
| Rate for Payer: BCN Commercial |
$20,312.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,976.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,976.35
|
| Rate for Payer: Mclaren Medicare |
$8,976.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,425.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,322.80
|
| Rate for Payer: Nomi Health Commercial |
$13,595.31
|
| Rate for Payer: PACE Medicare |
$8,527.53
|
| Rate for Payer: PACE SWMI |
$8,976.35
|
| Rate for Payer: PHP Medicare Advantage |
$8,976.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,180.48
|
| Rate for Payer: Priority Health Medicare |
$8,976.35
|
| Rate for Payer: Priority Health Narrow Network |
$12,944.38
|
| Rate for Payer: Railroad Medicare Medicare |
$8,976.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,478.78
|
| Rate for Payer: UHC Core |
$13,182.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,976.35
|
| Rate for Payer: UHC Exchange |
$10,479.98
|
| Rate for Payer: UHC Medicare Advantage |
$8,976.35
|
| Rate for Payer: VA VA |
$8,976.35
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$37,221.78
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$13,797.28 |
| Max. Negotiated Rate |
$37,221.78 |
| Rate for Payer: Aetna Medicare |
$15,104.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,154.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,154.31
|
| Rate for Payer: BCBS MAPPO |
$14,523.45
|
| Rate for Payer: BCBS Trust/PPO |
$37,221.78
|
| Rate for Payer: BCN Commercial |
$37,221.78
|
| Rate for Payer: BCN Medicare Advantage |
$14,523.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,523.45
|
| Rate for Payer: Mclaren Medicare |
$14,523.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,249.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,701.97
|
| Rate for Payer: Nomi Health Commercial |
$22,430.52
|
| Rate for Payer: PACE Medicare |
$13,797.28
|
| Rate for Payer: PACE SWMI |
$14,523.45
|
| Rate for Payer: PHP Medicare Advantage |
$14,523.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,696.71
|
| Rate for Payer: Priority Health Medicare |
$14,523.45
|
| Rate for Payer: Priority Health Narrow Network |
$21,357.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14,523.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,187.88
|
| Rate for Payer: UHC Core |
$21,748.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,523.45
|
| Rate for Payer: UHC Exchange |
$17,290.63
|
| Rate for Payer: UHC Medicare Advantage |
$14,523.45
|
| Rate for Payer: VA VA |
$14,523.45
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,353.34
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$6,190.84 |
| Max. Negotiated Rate |
$16,353.34 |
| Rate for Payer: Aetna Medicare |
$6,777.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,145.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,145.84
|
| Rate for Payer: BCBS MAPPO |
$6,516.67
|
| Rate for Payer: BCBS Trust/PPO |
$16,353.34
|
| Rate for Payer: BCN Commercial |
$16,353.34
|
| Rate for Payer: BCN Medicare Advantage |
$6,516.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,516.67
|
| Rate for Payer: Mclaren Medicare |
$6,516.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,842.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,494.17
|
| Rate for Payer: Nomi Health Commercial |
$9,677.58
|
| Rate for Payer: PACE Medicare |
$6,190.84
|
| Rate for Payer: PACE SWMI |
$6,516.67
|
| Rate for Payer: PHP Medicare Advantage |
$6,516.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,517.34
|
| Rate for Payer: Priority Health Medicare |
$6,516.67
|
| Rate for Payer: Priority Health Narrow Network |
$9,213.88
|
| Rate for Payer: Railroad Medicare Medicare |
$6,516.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,730.13
|
| Rate for Payer: UHC Core |
$9,383.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,516.67
|
| Rate for Payer: UHC Exchange |
$7,459.99
|
| Rate for Payer: UHC Medicare Advantage |
$6,516.67
|
| Rate for Payer: VA VA |
$6,516.67
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$32,410.26
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$11,612.90 |
| Max. Negotiated Rate |
$32,410.26 |
| Rate for Payer: Aetna Medicare |
$12,713.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,280.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,280.14
|
| Rate for Payer: BCBS MAPPO |
$12,224.11
|
| Rate for Payer: BCBS Trust/PPO |
$32,410.26
|
| Rate for Payer: BCN Commercial |
$32,410.26
|
| Rate for Payer: BCN Medicare Advantage |
$12,224.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,224.11
|
| Rate for Payer: Mclaren Medicare |
$12,224.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,835.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,057.73
|
| Rate for Payer: Nomi Health Commercial |
$18,768.21
|
| Rate for Payer: PACE Medicare |
$11,612.90
|
| Rate for Payer: PACE SWMI |
$12,224.11
|
| Rate for Payer: PHP Medicare Advantage |
$12,224.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,352.95
|
| Rate for Payer: Priority Health Medicare |
$12,224.11
|
| Rate for Payer: Priority Health Narrow Network |
$17,882.36
|
| Rate for Payer: Railroad Medicare Medicare |
$12,224.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,748.82
|
| Rate for Payer: UHC Core |
$18,197.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,224.11
|
| Rate for Payer: UHC Exchange |
$14,467.53
|
| Rate for Payer: UHC Medicare Advantage |
$12,224.11
|
| Rate for Payer: VA VA |
$12,224.11
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$19,261.95
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$7,201.07 |
| Max. Negotiated Rate |
$19,261.95 |
| Rate for Payer: Aetna Medicare |
$7,883.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,475.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,475.09
|
| Rate for Payer: BCBS MAPPO |
$7,580.07
|
| Rate for Payer: BCBS Trust/PPO |
$19,261.95
|
| Rate for Payer: BCN Commercial |
$19,261.95
|
| Rate for Payer: BCN Medicare Advantage |
$7,580.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,580.07
|
| Rate for Payer: Mclaren Medicare |
$7,580.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,959.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,717.08
|
| Rate for Payer: Nomi Health Commercial |
$11,371.35
|
| Rate for Payer: PACE Medicare |
$7,201.07
|
| Rate for Payer: PACE SWMI |
$7,580.07
|
| Rate for Payer: PHP Medicare Advantage |
$7,580.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,536.45
|
| Rate for Payer: Priority Health Medicare |
$7,580.07
|
| Rate for Payer: Priority Health Narrow Network |
$10,829.16
|
| Rate for Payer: Railroad Medicare Medicare |
$7,580.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,783.13
|
| Rate for Payer: UHC Core |
$11,025.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,580.07
|
| Rate for Payer: UHC Exchange |
$8,765.64
|
| Rate for Payer: UHC Medicare Advantage |
$7,580.07
|
| Rate for Payer: VA VA |
$7,580.07
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$31,081.24
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$15,713.13 |
| Max. Negotiated Rate |
$31,081.24 |
| Rate for Payer: Aetna Medicare |
$17,201.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,675.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,675.18
|
| Rate for Payer: BCBS MAPPO |
$16,540.14
|
| Rate for Payer: BCBS Trust/PPO |
$28,797.65
|
| Rate for Payer: BCN Commercial |
$28,797.65
|
| Rate for Payer: BCN Medicare Advantage |
$16,540.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,540.14
|
| Rate for Payer: Mclaren Medicare |
$16,540.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,367.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,021.16
|
| Rate for Payer: Nomi Health Commercial |
$25,642.62
|
| Rate for Payer: PACE Medicare |
$15,713.13
|
| Rate for Payer: PACE SWMI |
$16,540.14
|
| Rate for Payer: PHP Medicare Advantage |
$16,540.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,521.50
|
| Rate for Payer: Priority Health Medicare |
$16,540.14
|
| Rate for Payer: Priority Health Narrow Network |
$24,417.20
|
| Rate for Payer: Railroad Medicare Medicare |
$16,540.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,081.24
|
| Rate for Payer: UHC Core |
$24,863.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,540.14
|
| Rate for Payer: UHC Exchange |
$19,766.68
|
| Rate for Payer: UHC Medicare Advantage |
$16,540.14
|
| Rate for Payer: VA VA |
$16,540.14
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$24,136.99
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$7,380.33 |
| Max. Negotiated Rate |
$24,136.99 |
| Rate for Payer: Aetna Medicare |
$8,079.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,710.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,710.96
|
| Rate for Payer: BCBS MAPPO |
$7,768.77
|
| Rate for Payer: BCBS Trust/PPO |
$24,136.99
|
| Rate for Payer: BCN Commercial |
$24,136.99
|
| Rate for Payer: BCN Medicare Advantage |
$7,768.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,768.77
|
| Rate for Payer: Mclaren Medicare |
$7,768.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,157.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,934.09
|
| Rate for Payer: Nomi Health Commercial |
$11,671.92
|
| Rate for Payer: PACE Medicare |
$7,380.33
|
| Rate for Payer: PACE SWMI |
$7,768.77
|
| Rate for Payer: PHP Medicare Advantage |
$7,768.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,892.67
|
| Rate for Payer: Priority Health Medicare |
$7,768.77
|
| Rate for Payer: Priority Health Narrow Network |
$11,114.14
|
| Rate for Payer: Railroad Medicare Medicare |
$7,768.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,147.45
|
| Rate for Payer: UHC Core |
$11,317.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,768.77
|
| Rate for Payer: UHC Exchange |
$8,997.33
|
| Rate for Payer: UHC Medicare Advantage |
$7,768.77
|
| Rate for Payer: VA VA |
$7,768.77
|
|
|
MS-DRG 42.00: NORMAL NEWBORN
|
Facility
|
IP
|
$3,124.07
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$1,744.26 |
| Max. Negotiated Rate |
$3,124.07 |
| Rate for Payer: Aetna Medicare |
$2,141.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,573.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,573.62
|
| Rate for Payer: BCBS MAPPO |
$2,058.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,905.97
|
| Rate for Payer: BCN Commercial |
$2,905.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,058.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,058.90
|
| Rate for Payer: Mclaren Medicare |
$2,058.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,161.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,367.74
|
| Rate for Payer: Nomi Health Commercial |
$2,577.42
|
| Rate for Payer: PACE Medicare |
$1,955.96
|
| Rate for Payer: PACE SWMI |
$2,058.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,058.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,180.33
|
| Rate for Payer: Priority Health Medicare |
$2,058.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,744.26
|
| Rate for Payer: Railroad Medicare Medicare |
$2,058.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,124.07
|
| Rate for Payer: UHC Core |
$2,499.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,058.90
|
| Rate for Payer: UHC Exchange |
$1,986.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,058.90
|
| Rate for Payer: VA VA |
$2,058.90
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$48,207.82
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$17,781.33 |
| Max. Negotiated Rate |
$48,207.82 |
| Rate for Payer: Aetna Medicare |
$19,465.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,396.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,396.49
|
| Rate for Payer: BCBS MAPPO |
$18,717.19
|
| Rate for Payer: BCBS Trust/PPO |
$48,207.82
|
| Rate for Payer: BCN Commercial |
$48,207.82
|
| Rate for Payer: BCN Medicare Advantage |
$18,717.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,717.19
|
| Rate for Payer: Mclaren Medicare |
$18,717.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,653.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,524.77
|
| Rate for Payer: Nomi Health Commercial |
$29,110.14
|
| Rate for Payer: PACE Medicare |
$17,781.33
|
| Rate for Payer: PACE SWMI |
$18,717.19
|
| Rate for Payer: PHP Medicare Advantage |
$18,717.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,648.76
|
| Rate for Payer: Priority Health Medicare |
$18,717.19
|
| Rate for Payer: Priority Health Narrow Network |
$27,719.01
|
| Rate for Payer: Railroad Medicare Medicare |
$18,717.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,284.20
|
| Rate for Payer: UHC Core |
$28,225.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,717.19
|
| Rate for Payer: UHC Exchange |
$22,439.63
|
| Rate for Payer: UHC Medicare Advantage |
$18,717.19
|
| Rate for Payer: VA VA |
$18,717.19
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,841.24
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$9,513.94 |
| Max. Negotiated Rate |
$31,841.24 |
| Rate for Payer: Aetna Medicare |
$10,415.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,518.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,518.34
|
| Rate for Payer: BCBS MAPPO |
$10,014.67
|
| Rate for Payer: BCBS Trust/PPO |
$31,841.24
|
| Rate for Payer: BCN Commercial |
$31,841.24
|
| Rate for Payer: BCN Medicare Advantage |
$10,014.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,014.67
|
| Rate for Payer: Mclaren Medicare |
$10,014.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,515.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,516.87
|
| Rate for Payer: Nomi Health Commercial |
$15,249.09
|
| Rate for Payer: PACE Medicare |
$9,513.94
|
| Rate for Payer: PACE SWMI |
$10,014.67
|
| Rate for Payer: PHP Medicare Advantage |
$10,014.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,150.45
|
| Rate for Payer: Priority Health Medicare |
$10,014.67
|
| Rate for Payer: Priority Health Narrow Network |
$14,520.36
|
| Rate for Payer: Railroad Medicare Medicare |
$10,014.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,483.32
|
| Rate for Payer: UHC Core |
$14,785.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,014.67
|
| Rate for Payer: UHC Exchange |
$11,754.80
|
| Rate for Payer: UHC Medicare Advantage |
$10,014.67
|
| Rate for Payer: VA VA |
$10,014.67
|
|
|
MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$26,115.25
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$26,115.25 |
| Rate for Payer: Aetna Medicare |
$14,526.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,459.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,459.82
|
| Rate for Payer: BCBS MAPPO |
$13,967.86
|
| Rate for Payer: BCBS Trust/PPO |
$22,633.72
|
| Rate for Payer: BCN Commercial |
$22,633.72
|
| Rate for Payer: BCN Medicare Advantage |
$13,967.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,967.86
|
| Rate for Payer: Mclaren Medicare |
$13,967.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,666.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,063.04
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$13,269.47
|
| Rate for Payer: PACE SWMI |
$13,967.86
|
| Rate for Payer: PHP Medicare Advantage |
$13,967.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,643.40
|
| Rate for Payer: Priority Health Medicare |
$13,967.86
|
| Rate for Payer: Priority Health Narrow Network |
$20,514.72
|
| Rate for Payer: Railroad Medicare Medicare |
$13,967.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,115.25
|
| Rate for Payer: UHC Core |
$20,890.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,967.86
|
| Rate for Payer: UHC Exchange |
$16,608.47
|
| Rate for Payer: UHC Medicare Advantage |
$13,967.86
|
| Rate for Payer: VA VA |
$13,967.86
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$33,254.53
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$12,706.26 |
| Max. Negotiated Rate |
$33,254.53 |
| Rate for Payer: Aetna Medicare |
$13,910.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,718.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,718.76
|
| Rate for Payer: BCBS MAPPO |
$13,375.01
|
| Rate for Payer: BCBS Trust/PPO |
$33,254.53
|
| Rate for Payer: BCN Commercial |
$33,254.53
|
| Rate for Payer: BCN Medicare Advantage |
$13,375.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,375.01
|
| Rate for Payer: Mclaren Medicare |
$13,375.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,043.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,381.26
|
| Rate for Payer: Nomi Health Commercial |
$20,601.30
|
| Rate for Payer: PACE Medicare |
$12,706.26
|
| Rate for Payer: PACE SWMI |
$13,375.01
|
| Rate for Payer: PHP Medicare Advantage |
$13,375.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,519.46
|
| Rate for Payer: Priority Health Medicare |
$13,375.01
|
| Rate for Payer: Priority Health Narrow Network |
$19,615.57
|
| Rate for Payer: Railroad Medicare Medicare |
$13,375.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,970.69
|
| Rate for Payer: UHC Core |
$19,975.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,375.01
|
| Rate for Payer: UHC Exchange |
$15,880.57
|
| Rate for Payer: UHC Medicare Advantage |
$13,375.01
|
| Rate for Payer: VA VA |
$13,375.01
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$46,082.60
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$21,396.81 |
| Max. Negotiated Rate |
$46,082.60 |
| Rate for Payer: Aetna Medicare |
$23,423.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,153.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,153.70
|
| Rate for Payer: BCBS MAPPO |
$22,522.96
|
| Rate for Payer: BCBS Trust/PPO |
$46,082.60
|
| Rate for Payer: BCN Commercial |
$46,082.60
|
| Rate for Payer: BCN Medicare Advantage |
$22,522.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,522.96
|
| Rate for Payer: Mclaren Medicare |
$22,522.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,649.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,901.40
|
| Rate for Payer: Nomi Health Commercial |
$35,171.85
|
| Rate for Payer: PACE Medicare |
$21,396.81
|
| Rate for Payer: PACE SWMI |
$22,522.96
|
| Rate for Payer: PHP Medicare Advantage |
$22,522.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,862.26
|
| Rate for Payer: Priority Health Medicare |
$22,522.96
|
| Rate for Payer: Priority Health Narrow Network |
$33,489.82
|
| Rate for Payer: Railroad Medicare Medicare |
$22,522.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42,631.55
|
| Rate for Payer: UHC Core |
$34,103.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,522.96
|
| Rate for Payer: UHC Exchange |
$27,112.32
|
| Rate for Payer: UHC Medicare Advantage |
$22,522.96
|
| Rate for Payer: VA VA |
$22,522.96
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$30,255.93
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$11,666.00 |
| Max. Negotiated Rate |
$30,255.93 |
| Rate for Payer: Aetna Medicare |
$12,771.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,350.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,350.00
|
| Rate for Payer: BCBS MAPPO |
$12,280.00
|
| Rate for Payer: BCBS Trust/PPO |
$30,255.93
|
| Rate for Payer: BCN Commercial |
$30,255.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,280.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,280.00
|
| Rate for Payer: Mclaren Medicare |
$12,280.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,894.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,122.00
|
| Rate for Payer: Nomi Health Commercial |
$18,857.22
|
| Rate for Payer: PACE Medicare |
$11,666.00
|
| Rate for Payer: PACE SWMI |
$12,280.00
|
| Rate for Payer: PHP Medicare Advantage |
$12,280.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,443.54
|
| Rate for Payer: Priority Health Medicare |
$12,280.00
|
| Rate for Payer: Priority Health Narrow Network |
$17,954.84
|
| Rate for Payer: Railroad Medicare Medicare |
$12,280.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,856.70
|
| Rate for Payer: UHC Core |
$18,284.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,280.00
|
| Rate for Payer: UHC Exchange |
$14,536.14
|
| Rate for Payer: UHC Medicare Advantage |
$12,280.00
|
| Rate for Payer: VA VA |
$12,280.00
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$43,531.28
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$16,664.14 |
| Max. Negotiated Rate |
$43,531.28 |
| Rate for Payer: UHC Dual Complete DSNP |
$17,541.20
|
| Rate for Payer: Aetna Medicare |
$18,242.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,926.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,926.50
|
| Rate for Payer: BCBS MAPPO |
$17,541.20
|
| Rate for Payer: BCBS Trust/PPO |
$43,531.28
|
| Rate for Payer: BCN Commercial |
$43,531.28
|
| Rate for Payer: BCN Medicare Advantage |
$17,541.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,541.20
|
| Rate for Payer: Mclaren Medicare |
$17,541.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,418.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,172.38
|
| Rate for Payer: Nomi Health Commercial |
$27,237.06
|
| Rate for Payer: PACE Medicare |
$16,664.14
|
| Rate for Payer: PACE SWMI |
$17,541.20
|
| Rate for Payer: PHP Medicare Advantage |
$17,541.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,417.77
|
| Rate for Payer: Priority Health Medicare |
$17,541.20
|
| Rate for Payer: Priority Health Narrow Network |
$25,934.22
|
| Rate for Payer: Railroad Medicare Medicare |
$17,541.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,013.85
|
| Rate for Payer: UHC Core |
$26,409.39
|
| Rate for Payer: UHC Exchange |
$20,995.76
|
| Rate for Payer: UHC Medicare Advantage |
$17,541.20
|
| Rate for Payer: VA VA |
$17,541.20
|
|
