|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$64,600.86
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$24,839.97 |
| Max. Negotiated Rate |
$64,600.86 |
| Rate for Payer: Aetna Medicare |
$27,193.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,684.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,684.18
|
| Rate for Payer: BCBS MAPPO |
$26,147.34
|
| Rate for Payer: BCBS Trust/PPO |
$64,600.86
|
| Rate for Payer: BCN Commercial |
$64,600.86
|
| Rate for Payer: BCN Medicare Advantage |
$26,147.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,147.34
|
| Rate for Payer: Mclaren Medicare |
$26,147.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,454.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,069.44
|
| Rate for Payer: Nomi Health Commercial |
$40,944.60
|
| Rate for Payer: PACE Medicare |
$24,839.97
|
| Rate for Payer: PACE SWMI |
$26,147.34
|
| Rate for Payer: PHP Medicare Advantage |
$26,147.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,731.83
|
| Rate for Payer: Priority Health Medicare |
$26,147.34
|
| Rate for Payer: Priority Health Narrow Network |
$38,985.47
|
| Rate for Payer: Railroad Medicare Medicare |
$26,147.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,628.66
|
| Rate for Payer: UHC Core |
$39,700.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,147.34
|
| Rate for Payer: UHC Exchange |
$31,562.26
|
| Rate for Payer: UHC Medicare Advantage |
$26,147.34
|
| Rate for Payer: VA VA |
$26,147.34
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,507.20
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$15,455.38 |
| Max. Negotiated Rate |
$36,507.20 |
| Rate for Payer: Aetna Medicare |
$16,919.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,336.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,336.02
|
| Rate for Payer: BCBS MAPPO |
$16,268.82
|
| Rate for Payer: BCBS Trust/PPO |
$36,507.20
|
| Rate for Payer: BCN Commercial |
$36,507.20
|
| Rate for Payer: BCN Medicare Advantage |
$16,268.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,268.82
|
| Rate for Payer: Mclaren Medicare |
$16,268.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,082.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,709.14
|
| Rate for Payer: Nomi Health Commercial |
$25,210.47
|
| Rate for Payer: PACE Medicare |
$15,455.38
|
| Rate for Payer: PACE SWMI |
$16,268.82
|
| Rate for Payer: PHP Medicare Advantage |
$16,268.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,005.59
|
| Rate for Payer: Priority Health Medicare |
$16,268.82
|
| Rate for Payer: Priority Health Narrow Network |
$24,004.47
|
| Rate for Payer: Railroad Medicare Medicare |
$16,268.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,557.43
|
| Rate for Payer: UHC Core |
$24,444.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,268.82
|
| Rate for Payer: UHC Exchange |
$19,433.56
|
| Rate for Payer: UHC Medicare Advantage |
$16,268.82
|
| Rate for Payer: VA VA |
$16,268.82
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$61,443.23
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$30,653.69 |
| Max. Negotiated Rate |
$61,443.23 |
| Rate for Payer: Aetna Medicare |
$33,557.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,333.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,333.80
|
| Rate for Payer: BCBS MAPPO |
$32,267.04
|
| Rate for Payer: BCBS Trust/PPO |
$52,574.71
|
| Rate for Payer: BCN Commercial |
$52,574.71
|
| Rate for Payer: BCN Medicare Advantage |
$32,267.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,267.04
|
| Rate for Payer: Mclaren Medicare |
$32,267.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,880.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,107.10
|
| Rate for Payer: Nomi Health Commercial |
$50,691.84
|
| Rate for Payer: PACE Medicare |
$30,653.69
|
| Rate for Payer: PACE SWMI |
$32,267.04
|
| Rate for Payer: PHP Medicare Advantage |
$32,267.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60,333.62
|
| Rate for Payer: Priority Health Medicare |
$32,267.04
|
| Rate for Payer: Priority Health Narrow Network |
$48,266.90
|
| Rate for Payer: Railroad Medicare Medicare |
$32,267.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,443.23
|
| Rate for Payer: UHC Core |
$49,151.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,267.04
|
| Rate for Payer: UHC Exchange |
$39,075.94
|
| Rate for Payer: UHC Medicare Advantage |
$32,267.04
|
| Rate for Payer: VA VA |
$32,267.04
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$20,722.88
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$10,375.69 |
| Max. Negotiated Rate |
$20,722.88 |
| Rate for Payer: Aetna Medicare |
$11,358.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,652.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,652.22
|
| Rate for Payer: BCBS MAPPO |
$10,921.78
|
| Rate for Payer: BCBS Trust/PPO |
$20,722.88
|
| Rate for Payer: BCN Commercial |
$20,722.88
|
| Rate for Payer: BCN Medicare Advantage |
$10,921.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,921.78
|
| Rate for Payer: Mclaren Medicare |
$10,921.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,467.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,560.05
|
| Rate for Payer: Nomi Health Commercial |
$16,693.89
|
| Rate for Payer: PACE Medicare |
$10,375.69
|
| Rate for Payer: PACE SWMI |
$10,921.78
|
| Rate for Payer: PHP Medicare Advantage |
$10,921.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,874.75
|
| Rate for Payer: Priority Health Medicare |
$10,921.78
|
| Rate for Payer: Priority Health Narrow Network |
$15,899.80
|
| Rate for Payer: Railroad Medicare Medicare |
$10,921.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,234.55
|
| Rate for Payer: UHC Core |
$16,186.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,921.78
|
| Rate for Payer: UHC Exchange |
$12,868.53
|
| Rate for Payer: UHC Medicare Advantage |
$10,921.78
|
| Rate for Payer: VA VA |
$10,921.78
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$31,622.25
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$15,979.36 |
| Max. Negotiated Rate |
$31,622.25 |
| Rate for Payer: Aetna Medicare |
$17,493.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,025.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,025.48
|
| Rate for Payer: BCBS MAPPO |
$16,820.38
|
| Rate for Payer: BCBS Trust/PPO |
$28,593.87
|
| Rate for Payer: BCN Commercial |
$28,593.87
|
| Rate for Payer: BCN Medicare Advantage |
$16,820.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,820.38
|
| Rate for Payer: Mclaren Medicare |
$16,820.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,661.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,343.44
|
| Rate for Payer: Nomi Health Commercial |
$26,088.96
|
| Rate for Payer: PACE Medicare |
$15,979.36
|
| Rate for Payer: PACE SWMI |
$16,820.38
|
| Rate for Payer: PHP Medicare Advantage |
$16,820.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,057.37
|
| Rate for Payer: Priority Health Medicare |
$16,820.38
|
| Rate for Payer: Priority Health Narrow Network |
$24,845.90
|
| Rate for Payer: Railroad Medicare Medicare |
$16,820.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,622.25
|
| Rate for Payer: UHC Core |
$25,296.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,820.38
|
| Rate for Payer: UHC Exchange |
$20,110.75
|
| Rate for Payer: UHC Medicare Advantage |
$16,820.38
|
| Rate for Payer: VA VA |
$16,820.38
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,679.94
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$7,150.28 |
| Max. Negotiated Rate |
$13,679.94 |
| Rate for Payer: Aetna Medicare |
$7,827.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,408.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,408.26
|
| Rate for Payer: BCBS MAPPO |
$7,526.61
|
| Rate for Payer: BCBS Trust/PPO |
$10,933.10
|
| Rate for Payer: BCN Commercial |
$10,933.10
|
| Rate for Payer: BCN Medicare Advantage |
$7,526.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,526.61
|
| Rate for Payer: Mclaren Medicare |
$7,526.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,902.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,655.60
|
| Rate for Payer: Nomi Health Commercial |
$11,286.21
|
| Rate for Payer: PACE Medicare |
$7,150.28
|
| Rate for Payer: PACE SWMI |
$7,526.61
|
| Rate for Payer: PHP Medicare Advantage |
$7,526.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,432.04
|
| Rate for Payer: Priority Health Medicare |
$7,526.61
|
| Rate for Payer: Priority Health Narrow Network |
$10,745.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,526.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,679.94
|
| Rate for Payer: UHC Core |
$10,943.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,526.61
|
| Rate for Payer: UHC Exchange |
$8,700.01
|
| Rate for Payer: UHC Medicare Advantage |
$7,526.61
|
| Rate for Payer: VA VA |
$7,526.61
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,091.17
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$10,328.74 |
| Max. Negotiated Rate |
$22,091.17 |
| Rate for Payer: Aetna Medicare |
$11,307.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,590.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,590.45
|
| Rate for Payer: BCBS MAPPO |
$10,872.36
|
| Rate for Payer: BCBS Trust/PPO |
$22,091.17
|
| Rate for Payer: BCN Commercial |
$22,091.17
|
| Rate for Payer: BCN Medicare Advantage |
$10,872.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,872.36
|
| Rate for Payer: Mclaren Medicare |
$10,872.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,415.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,503.21
|
| Rate for Payer: Nomi Health Commercial |
$16,615.20
|
| Rate for Payer: PACE Medicare |
$10,328.74
|
| Rate for Payer: PACE SWMI |
$10,872.36
|
| Rate for Payer: PHP Medicare Advantage |
$10,872.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,674.64
|
| Rate for Payer: Priority Health Medicare |
$10,872.36
|
| Rate for Payer: Priority Health Narrow Network |
$10,939.71
|
| Rate for Payer: Railroad Medicare Medicare |
$10,872.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,139.17
|
| Rate for Payer: UHC Core |
$16,110.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,872.36
|
| Rate for Payer: UHC Exchange |
$12,807.87
|
| Rate for Payer: UHC Medicare Advantage |
$10,872.36
|
| Rate for Payer: VA VA |
$10,872.36
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,638.82
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$19,924.15 |
| Max. Negotiated Rate |
$39,638.82 |
| Rate for Payer: Aetna Medicare |
$21,811.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,215.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,215.99
|
| Rate for Payer: BCBS MAPPO |
$20,972.79
|
| Rate for Payer: BCBS Trust/PPO |
$34,643.99
|
| Rate for Payer: BCN Commercial |
$34,643.99
|
| Rate for Payer: BCN Medicare Advantage |
$20,972.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,972.79
|
| Rate for Payer: Mclaren Medicare |
$20,972.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,021.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,118.71
|
| Rate for Payer: Nomi Health Commercial |
$32,702.79
|
| Rate for Payer: PACE Medicare |
$19,924.15
|
| Rate for Payer: PACE SWMI |
$20,972.79
|
| Rate for Payer: PHP Medicare Advantage |
$20,972.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,485.25
|
| Rate for Payer: Priority Health Medicare |
$20,972.79
|
| Rate for Payer: Priority Health Narrow Network |
$20,388.20
|
| Rate for Payer: Railroad Medicare Medicare |
$20,972.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,638.82
|
| Rate for Payer: UHC Core |
$31,709.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,972.79
|
| Rate for Payer: UHC Exchange |
$25,209.03
|
| Rate for Payer: UHC Medicare Advantage |
$20,972.79
|
| Rate for Payer: VA VA |
$20,972.79
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,296.52
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$6,700.94 |
| Max. Negotiated Rate |
$13,296.52 |
| Rate for Payer: Aetna Medicare |
$7,335.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,817.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,817.02
|
| Rate for Payer: BCBS MAPPO |
$7,053.62
|
| Rate for Payer: BCBS Trust/PPO |
$13,296.52
|
| Rate for Payer: BCN Commercial |
$13,296.52
|
| Rate for Payer: BCN Medicare Advantage |
$7,053.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,053.62
|
| Rate for Payer: Mclaren Medicare |
$7,053.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,406.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,111.66
|
| Rate for Payer: Nomi Health Commercial |
$10,532.85
|
| Rate for Payer: PACE Medicare |
$6,700.94
|
| Rate for Payer: PACE SWMI |
$7,053.62
|
| Rate for Payer: PHP Medicare Advantage |
$7,053.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,444.93
|
| Rate for Payer: Priority Health Medicare |
$7,053.62
|
| Rate for Payer: Priority Health Narrow Network |
$6,755.94
|
| Rate for Payer: Railroad Medicare Medicare |
$7,053.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,766.79
|
| Rate for Payer: UHC Core |
$10,212.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,053.62
|
| Rate for Payer: UHC Exchange |
$8,119.28
|
| Rate for Payer: UHC Medicare Advantage |
$7,053.62
|
| Rate for Payer: VA VA |
$7,053.62
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$11,686.35
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$5,788.00 |
| Max. Negotiated Rate |
$11,686.35 |
| Rate for Payer: Priority Health Medicare |
$6,493.97
|
| Rate for Payer: Aetna Medicare |
$6,753.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,117.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,117.46
|
| Rate for Payer: BCBS MAPPO |
$6,493.97
|
| Rate for Payer: BCBS Trust/PPO |
$10,334.97
|
| Rate for Payer: BCN Commercial |
$10,334.97
|
| Rate for Payer: BCN Medicare Advantage |
$6,493.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,493.97
|
| Rate for Payer: Mclaren Medicare |
$6,493.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,818.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,468.07
|
| Rate for Payer: Nomi Health Commercial |
$9,641.46
|
| Rate for Payer: PACE Medicare |
$6,169.27
|
| Rate for Payer: PACE SWMI |
$6,493.97
|
| Rate for Payer: PHP Medicare Advantage |
$6,493.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,235.00
|
| Rate for Payer: Priority Health Narrow Network |
$5,788.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6,493.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,686.35
|
| Rate for Payer: UHC Core |
$9,348.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,493.97
|
| Rate for Payer: UHC Exchange |
$7,432.15
|
| Rate for Payer: UHC Medicare Advantage |
$6,493.97
|
| Rate for Payer: VA VA |
$6,493.97
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$17,997.04
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$8,279.10 |
| Max. Negotiated Rate |
$17,997.04 |
| Rate for Payer: Aetna Medicare |
$10,153.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,203.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,203.49
|
| Rate for Payer: BCBS MAPPO |
$9,762.79
|
| Rate for Payer: BCBS Trust/PPO |
$16,250.12
|
| Rate for Payer: BCN Commercial |
$16,250.12
|
| Rate for Payer: BCN Medicare Advantage |
$9,762.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,762.79
|
| Rate for Payer: Mclaren Medicare |
$9,762.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,250.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,227.21
|
| Rate for Payer: Nomi Health Commercial |
$14,847.90
|
| Rate for Payer: PACE Medicare |
$9,274.65
|
| Rate for Payer: PACE SWMI |
$9,762.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,762.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,348.87
|
| Rate for Payer: Priority Health Medicare |
$9,762.79
|
| Rate for Payer: Priority Health Narrow Network |
$8,279.10
|
| Rate for Payer: Railroad Medicare Medicare |
$9,762.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,997.04
|
| Rate for Payer: UHC Core |
$14,396.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,762.79
|
| Rate for Payer: UHC Exchange |
$11,445.54
|
| Rate for Payer: UHC Medicare Advantage |
$9,762.79
|
| Rate for Payer: VA VA |
$9,762.79
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,127.59
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$3,868.08 |
| Max. Negotiated Rate |
$8,127.59 |
| Rate for Payer: Aetna Medicare |
$4,836.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,813.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,813.26
|
| Rate for Payer: BCBS MAPPO |
$4,650.61
|
| Rate for Payer: BCBS Trust/PPO |
$6,635.03
|
| Rate for Payer: BCN Commercial |
$6,635.03
|
| Rate for Payer: BCN Medicare Advantage |
$4,650.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,650.61
|
| Rate for Payer: Mclaren Medicare |
$4,650.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,883.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,348.20
|
| Rate for Payer: Nomi Health Commercial |
$6,705.42
|
| Rate for Payer: PACE Medicare |
$4,418.08
|
| Rate for Payer: PACE SWMI |
$4,650.61
|
| Rate for Payer: PHP Medicare Advantage |
$4,650.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,835.10
|
| Rate for Payer: Priority Health Medicare |
$4,650.61
|
| Rate for Payer: Priority Health Narrow Network |
$3,868.08
|
| Rate for Payer: Railroad Medicare Medicare |
$4,650.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,127.59
|
| Rate for Payer: UHC Core |
$6,501.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,650.61
|
| Rate for Payer: UHC Exchange |
$5,168.89
|
| Rate for Payer: UHC Medicare Advantage |
$4,650.61
|
| Rate for Payer: VA VA |
$4,650.61
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$134,981.89
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$38,761.03 |
| Max. Negotiated Rate |
$134,981.89 |
| Rate for Payer: Aetna Medicare |
$42,433.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,001.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,001.35
|
| Rate for Payer: BCBS MAPPO |
$40,801.08
|
| Rate for Payer: BCBS Trust/PPO |
$134,981.89
|
| Rate for Payer: BCN Commercial |
$134,981.89
|
| Rate for Payer: BCN Medicare Advantage |
$40,801.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,801.08
|
| Rate for Payer: Mclaren Medicare |
$40,801.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,841.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,921.24
|
| Rate for Payer: Nomi Health Commercial |
$64,284.57
|
| Rate for Payer: PACE Medicare |
$38,761.03
|
| Rate for Payer: PACE SWMI |
$40,801.08
|
| Rate for Payer: PHP Medicare Advantage |
$40,801.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76,509.49
|
| Rate for Payer: Priority Health Medicare |
$40,801.08
|
| Rate for Payer: Priority Health Narrow Network |
$61,207.60
|
| Rate for Payer: Railroad Medicare Medicare |
$40,801.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77,918.88
|
| Rate for Payer: UHC Core |
$62,331.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,801.08
|
| Rate for Payer: UHC Exchange |
$49,553.94
|
| Rate for Payer: UHC Medicare Advantage |
$40,801.08
|
| Rate for Payer: VA VA |
$40,801.08
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$82,796.23
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$24,319.06 |
| Max. Negotiated Rate |
$82,796.23 |
| Rate for Payer: Aetna Medicare |
$26,622.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,998.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,998.76
|
| Rate for Payer: BCBS MAPPO |
$25,599.01
|
| Rate for Payer: BCBS Trust/PPO |
$82,796.23
|
| Rate for Payer: BCN Commercial |
$82,796.23
|
| Rate for Payer: BCN Medicare Advantage |
$25,599.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,599.01
|
| Rate for Payer: Mclaren Medicare |
$25,599.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,878.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,438.86
|
| Rate for Payer: Nomi Health Commercial |
$40,071.27
|
| Rate for Payer: PACE Medicare |
$24,319.06
|
| Rate for Payer: PACE SWMI |
$25,599.01
|
| Rate for Payer: PHP Medicare Advantage |
$25,599.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,692.33
|
| Rate for Payer: Priority Health Medicare |
$25,599.01
|
| Rate for Payer: Priority Health Narrow Network |
$38,153.87
|
| Rate for Payer: Railroad Medicare Medicare |
$25,599.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,570.11
|
| Rate for Payer: UHC Core |
$38,853.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,599.01
|
| Rate for Payer: UHC Exchange |
$30,889.05
|
| Rate for Payer: UHC Medicare Advantage |
$25,599.01
|
| Rate for Payer: VA VA |
$25,599.01
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$20,564.08
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$7,822.76 |
| Max. Negotiated Rate |
$20,564.08 |
| Rate for Payer: Aetna Medicare |
$8,563.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,293.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,293.10
|
| Rate for Payer: BCBS MAPPO |
$8,234.48
|
| Rate for Payer: BCBS Trust/PPO |
$20,564.08
|
| Rate for Payer: BCN Commercial |
$20,564.08
|
| Rate for Payer: BCN Medicare Advantage |
$8,234.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,234.48
|
| Rate for Payer: Mclaren Medicare |
$8,234.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,646.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,469.65
|
| Rate for Payer: Nomi Health Commercial |
$12,413.67
|
| Rate for Payer: PACE Medicare |
$7,822.76
|
| Rate for Payer: PACE SWMI |
$8,234.48
|
| Rate for Payer: PHP Medicare Advantage |
$8,234.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,775.55
|
| Rate for Payer: Priority Health Medicare |
$8,234.48
|
| Rate for Payer: Priority Health Narrow Network |
$11,820.44
|
| Rate for Payer: Railroad Medicare Medicare |
$8,234.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,046.52
|
| Rate for Payer: UHC Core |
$12,036.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,234.48
|
| Rate for Payer: UHC Exchange |
$9,569.11
|
| Rate for Payer: UHC Medicare Advantage |
$8,234.48
|
| Rate for Payer: VA VA |
$8,234.48
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$37,629.36
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,988.05 |
| Max. Negotiated Rate |
$37,629.36 |
| Rate for Payer: Aetna Medicare |
$18,597.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,352.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,352.70
|
| Rate for Payer: BCBS MAPPO |
$17,882.16
|
| Rate for Payer: BCBS Trust/PPO |
$37,629.36
|
| Rate for Payer: BCN Commercial |
$37,629.36
|
| Rate for Payer: BCN Medicare Advantage |
$17,882.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,882.16
|
| Rate for Payer: Mclaren Medicare |
$17,882.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,776.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,564.48
|
| Rate for Payer: Nomi Health Commercial |
$27,780.15
|
| Rate for Payer: PACE Medicare |
$16,988.05
|
| Rate for Payer: PACE SWMI |
$17,882.16
|
| Rate for Payer: PHP Medicare Advantage |
$17,882.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,064.19
|
| Rate for Payer: Priority Health Medicare |
$17,882.16
|
| Rate for Payer: Priority Health Narrow Network |
$26,451.35
|
| Rate for Payer: Railroad Medicare Medicare |
$17,882.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,672.13
|
| Rate for Payer: UHC Core |
$26,935.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,882.16
|
| Rate for Payer: UHC Exchange |
$21,414.40
|
| Rate for Payer: UHC Medicare Advantage |
$17,882.16
|
| Rate for Payer: VA VA |
$17,882.16
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,481.37
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,671.47 |
| Max. Negotiated Rate |
$12,481.37 |
| Rate for Payer: Aetna Medicare |
$6,208.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,462.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,462.46
|
| Rate for Payer: BCBS MAPPO |
$5,969.97
|
| Rate for Payer: BCBS Trust/PPO |
$12,481.37
|
| Rate for Payer: BCN Commercial |
$12,481.37
|
| Rate for Payer: BCN Medicare Advantage |
$5,969.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,969.97
|
| Rate for Payer: Mclaren Medicare |
$5,969.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,268.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,865.47
|
| Rate for Payer: Nomi Health Commercial |
$8,806.83
|
| Rate for Payer: PACE Medicare |
$5,671.47
|
| Rate for Payer: PACE SWMI |
$5,969.97
|
| Rate for Payer: PHP Medicare Advantage |
$5,969.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,480.92
|
| Rate for Payer: Priority Health Medicare |
$5,969.97
|
| Rate for Payer: Priority Health Narrow Network |
$8,384.74
|
| Rate for Payer: Railroad Medicare Medicare |
$5,969.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,674.70
|
| Rate for Payer: UHC Core |
$8,539.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,969.97
|
| Rate for Payer: UHC Exchange |
$6,788.77
|
| Rate for Payer: UHC Medicare Advantage |
$5,969.97
|
| Rate for Payer: VA VA |
$5,969.97
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$55,988.82
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$27,310.57 |
| Max. Negotiated Rate |
$55,988.82 |
| Rate for Payer: Aetna Medicare |
$29,897.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,934.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,934.96
|
| Rate for Payer: BCBS MAPPO |
$28,747.97
|
| Rate for Payer: BCBS Trust/PPO |
$55,988.82
|
| Rate for Payer: BCN Commercial |
$55,988.82
|
| Rate for Payer: BCN Medicare Advantage |
$28,747.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,747.97
|
| Rate for Payer: Mclaren Medicare |
$28,747.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,185.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,060.17
|
| Rate for Payer: Nomi Health Commercial |
$45,086.79
|
| Rate for Payer: PACE Medicare |
$27,310.57
|
| Rate for Payer: PACE SWMI |
$28,747.97
|
| Rate for Payer: PHP Medicare Advantage |
$28,747.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,662.13
|
| Rate for Payer: Priority Health Medicare |
$28,747.97
|
| Rate for Payer: Priority Health Narrow Network |
$42,929.71
|
| Rate for Payer: Railroad Medicare Medicare |
$28,747.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,649.38
|
| Rate for Payer: UHC Core |
$43,716.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,747.97
|
| Rate for Payer: UHC Exchange |
$34,755.27
|
| Rate for Payer: UHC Medicare Advantage |
$28,747.97
|
| Rate for Payer: VA VA |
$28,747.97
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$18,404.46
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$7,661.16 |
| Max. Negotiated Rate |
$18,404.46 |
| Rate for Payer: Aetna Medicare |
$8,386.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,080.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,080.48
|
| Rate for Payer: BCBS MAPPO |
$8,064.38
|
| Rate for Payer: BCBS Trust/PPO |
$18,404.46
|
| Rate for Payer: BCN Commercial |
$18,404.46
|
| Rate for Payer: BCN Medicare Advantage |
$8,064.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,064.38
|
| Rate for Payer: Mclaren Medicare |
$8,064.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,467.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,274.04
|
| Rate for Payer: Nomi Health Commercial |
$12,142.77
|
| Rate for Payer: PACE Medicare |
$7,661.16
|
| Rate for Payer: PACE SWMI |
$8,064.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,064.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,453.11
|
| Rate for Payer: Priority Health Medicare |
$8,064.38
|
| Rate for Payer: Priority Health Narrow Network |
$11,562.49
|
| Rate for Payer: Railroad Medicare Medicare |
$8,064.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,718.17
|
| Rate for Payer: UHC Core |
$11,773.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,064.38
|
| Rate for Payer: UHC Exchange |
$9,360.29
|
| Rate for Payer: UHC Medicare Advantage |
$8,064.38
|
| Rate for Payer: VA VA |
$8,064.38
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$29,236.99
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$13,160.20 |
| Max. Negotiated Rate |
$29,236.99 |
| Rate for Payer: Aetna Medicare |
$14,406.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,316.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,316.05
|
| Rate for Payer: BCBS MAPPO |
$13,852.84
|
| Rate for Payer: BCBS Trust/PPO |
$29,236.99
|
| Rate for Payer: BCN Commercial |
$29,236.99
|
| Rate for Payer: BCN Medicare Advantage |
$13,852.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,852.84
|
| Rate for Payer: Mclaren Medicare |
$13,852.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,545.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,930.77
|
| Rate for Payer: Nomi Health Commercial |
$21,362.40
|
| Rate for Payer: PACE Medicare |
$13,160.20
|
| Rate for Payer: PACE SWMI |
$13,852.84
|
| Rate for Payer: PHP Medicare Advantage |
$13,852.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,425.37
|
| Rate for Payer: Priority Health Medicare |
$13,852.84
|
| Rate for Payer: Priority Health Narrow Network |
$20,340.30
|
| Rate for Payer: Railroad Medicare Medicare |
$13,852.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,893.22
|
| Rate for Payer: UHC Core |
$20,713.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,852.84
|
| Rate for Payer: UHC Exchange |
$16,467.26
|
| Rate for Payer: UHC Medicare Advantage |
$13,852.84
|
| Rate for Payer: VA VA |
$13,852.84
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,858.01
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$5,315.24 |
| Max. Negotiated Rate |
$14,858.01 |
| Rate for Payer: Aetna Medicare |
$5,818.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,993.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,993.74
|
| Rate for Payer: BCBS MAPPO |
$5,594.99
|
| Rate for Payer: BCBS Trust/PPO |
$14,858.01
|
| Rate for Payer: BCN Commercial |
$14,858.01
|
| Rate for Payer: BCN Medicare Advantage |
$5,594.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,594.99
|
| Rate for Payer: Mclaren Medicare |
$5,594.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,874.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,434.24
|
| Rate for Payer: Nomi Health Commercial |
$8,209.56
|
| Rate for Payer: PACE Medicare |
$5,315.24
|
| Rate for Payer: PACE SWMI |
$5,594.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,594.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,771.55
|
| Rate for Payer: Priority Health Medicare |
$5,594.99
|
| Rate for Payer: Priority Health Narrow Network |
$7,817.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5,594.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,950.75
|
| Rate for Payer: UHC Core |
$7,960.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,594.99
|
| Rate for Payer: UHC Exchange |
$6,328.36
|
| Rate for Payer: UHC Medicare Advantage |
$5,594.99
|
| Rate for Payer: VA VA |
$5,594.99
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$43,602.74
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$17,745.94 |
| Max. Negotiated Rate |
$43,602.74 |
| Rate for Payer: Aetna Medicare |
$19,427.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,349.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,349.92
|
| Rate for Payer: BCBS MAPPO |
$18,679.94
|
| Rate for Payer: BCBS Trust/PPO |
$43,602.74
|
| Rate for Payer: BCN Commercial |
$43,602.74
|
| Rate for Payer: BCN Medicare Advantage |
$18,679.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,679.94
|
| Rate for Payer: Mclaren Medicare |
$18,679.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,613.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,481.93
|
| Rate for Payer: Nomi Health Commercial |
$29,050.80
|
| Rate for Payer: PACE Medicare |
$17,745.94
|
| Rate for Payer: PACE SWMI |
$18,679.94
|
| Rate for Payer: PHP Medicare Advantage |
$18,679.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,576.60
|
| Rate for Payer: Priority Health Medicare |
$18,679.94
|
| Rate for Payer: Priority Health Narrow Network |
$27,661.28
|
| Rate for Payer: Railroad Medicare Medicare |
$18,679.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,212.27
|
| Rate for Payer: UHC Core |
$28,168.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,679.94
|
| Rate for Payer: UHC Exchange |
$22,393.89
|
| Rate for Payer: UHC Medicare Advantage |
$18,679.94
|
| Rate for Payer: VA VA |
$18,679.94
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,737.75
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$33,239.70 |
| Max. Negotiated Rate |
$75,737.75 |
| Rate for Payer: Aetna Medicare |
$36,388.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,736.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,736.45
|
| Rate for Payer: BCBS MAPPO |
$34,989.16
|
| Rate for Payer: BCBS Trust/PPO |
$75,737.75
|
| Rate for Payer: BCN Commercial |
$75,737.75
|
| Rate for Payer: BCN Medicare Advantage |
$34,989.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,989.16
|
| Rate for Payer: Mclaren Medicare |
$34,989.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,738.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,237.53
|
| Rate for Payer: Nomi Health Commercial |
$55,027.53
|
| Rate for Payer: PACE Medicare |
$33,239.70
|
| Rate for Payer: PACE SWMI |
$34,989.16
|
| Rate for Payer: PHP Medicare Advantage |
$34,989.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,492.70
|
| Rate for Payer: Priority Health Medicare |
$34,989.16
|
| Rate for Payer: Priority Health Narrow Network |
$52,394.17
|
| Rate for Payer: Railroad Medicare Medicare |
$34,989.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66,698.49
|
| Rate for Payer: UHC Core |
$53,355.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,989.16
|
| Rate for Payer: UHC Exchange |
$42,418.12
|
| Rate for Payer: UHC Medicare Advantage |
$34,989.16
|
| Rate for Payer: VA VA |
$34,989.16
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,681.46
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$10,845.03 |
| Max. Negotiated Rate |
$35,681.46 |
| Rate for Payer: Aetna Medicare |
$11,872.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,269.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,269.78
|
| Rate for Payer: BCBS MAPPO |
$11,415.82
|
| Rate for Payer: BCBS Trust/PPO |
$35,681.46
|
| Rate for Payer: BCN Commercial |
$35,681.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,415.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,415.82
|
| Rate for Payer: Mclaren Medicare |
$11,415.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,986.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,128.19
|
| Rate for Payer: Nomi Health Commercial |
$17,480.79
|
| Rate for Payer: PACE Medicare |
$10,845.03
|
| Rate for Payer: PACE SWMI |
$11,415.82
|
| Rate for Payer: PHP Medicare Advantage |
$11,415.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,805.23
|
| Rate for Payer: Priority Health Medicare |
$11,415.82
|
| Rate for Payer: Priority Health Narrow Network |
$16,644.18
|
| Rate for Payer: Railroad Medicare Medicare |
$11,415.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,188.34
|
| Rate for Payer: UHC Core |
$16,949.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,415.82
|
| Rate for Payer: UHC Exchange |
$13,475.11
|
| Rate for Payer: UHC Medicare Advantage |
$11,415.82
|
| Rate for Payer: VA VA |
$11,415.82
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$20,804.92
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$8,564.48 |
| Max. Negotiated Rate |
$20,804.92 |
| Rate for Payer: Aetna Medicare |
$9,375.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,269.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,269.05
|
| Rate for Payer: BCBS MAPPO |
$9,015.24
|
| Rate for Payer: BCBS Trust/PPO |
$20,804.92
|
| Rate for Payer: BCN Commercial |
$20,804.92
|
| Rate for Payer: BCN Medicare Advantage |
$9,015.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,015.24
|
| Rate for Payer: Mclaren Medicare |
$9,015.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,466.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,367.53
|
| Rate for Payer: Nomi Health Commercial |
$13,657.23
|
| Rate for Payer: PACE Medicare |
$8,564.48
|
| Rate for Payer: PACE SWMI |
$9,015.24
|
| Rate for Payer: PHP Medicare Advantage |
$9,015.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,257.25
|
| Rate for Payer: Priority Health Medicare |
$9,015.24
|
| Rate for Payer: Priority Health Narrow Network |
$13,005.80
|
| Rate for Payer: Railroad Medicare Medicare |
$9,015.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,553.83
|
| Rate for Payer: UHC Core |
$13,242.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,015.24
|
| Rate for Payer: UHC Exchange |
$10,527.71
|
| Rate for Payer: UHC Medicare Advantage |
$9,015.24
|
| Rate for Payer: VA VA |
$9,015.24
|
|
