|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$40,863.50
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$14,444.36 |
| Max. Negotiated Rate |
$40,863.50 |
| Rate for Payer: Aetna Medicare |
$15,812.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,005.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,005.74
|
| Rate for Payer: BCBS MAPPO |
$15,204.59
|
| Rate for Payer: BCBS Trust/PPO |
$40,863.50
|
| Rate for Payer: BCN Commercial |
$40,863.50
|
| Rate for Payer: BCN Medicare Advantage |
$15,204.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,204.59
|
| Rate for Payer: Mclaren Medicare |
$15,204.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,964.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,485.28
|
| Rate for Payer: Nomi Health Commercial |
$23,515.41
|
| Rate for Payer: PACE Medicare |
$14,444.36
|
| Rate for Payer: PACE SWMI |
$15,204.59
|
| Rate for Payer: PHP Medicare Advantage |
$15,204.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,988.02
|
| Rate for Payer: Priority Health Medicare |
$15,204.59
|
| Rate for Payer: Priority Health Narrow Network |
$22,390.42
|
| Rate for Payer: Railroad Medicare Medicare |
$15,204.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,502.86
|
| Rate for Payer: UHC Core |
$22,800.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,204.59
|
| Rate for Payer: UHC Exchange |
$18,126.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,204.59
|
| Rate for Payer: VA VA |
$15,204.59
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$18,849.09
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,491.66 |
| Max. Negotiated Rate |
$18,849.09 |
| Rate for Payer: Aetna Medicare |
$7,106.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,541.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,541.66
|
| Rate for Payer: BCBS MAPPO |
$6,833.33
|
| Rate for Payer: BCBS Trust/PPO |
$18,849.09
|
| Rate for Payer: BCN Commercial |
$18,849.09
|
| Rate for Payer: BCN Medicare Advantage |
$6,833.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,833.33
|
| Rate for Payer: Mclaren Medicare |
$6,833.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,175.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,858.33
|
| Rate for Payer: Nomi Health Commercial |
$10,181.97
|
| Rate for Payer: PACE Medicare |
$6,491.66
|
| Rate for Payer: PACE SWMI |
$6,833.33
|
| Rate for Payer: PHP Medicare Advantage |
$6,833.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,119.24
|
| Rate for Payer: Priority Health Medicare |
$6,833.33
|
| Rate for Payer: Priority Health Narrow Network |
$9,695.39
|
| Rate for Payer: Railroad Medicare Medicare |
$6,833.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,341.49
|
| Rate for Payer: UHC Core |
$9,872.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,833.33
|
| Rate for Payer: UHC Exchange |
$7,848.80
|
| Rate for Payer: UHC Medicare Advantage |
$6,833.33
|
| Rate for Payer: VA VA |
$6,833.33
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$25,444.41
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$10,451.09 |
| Max. Negotiated Rate |
$25,444.41 |
| Rate for Payer: Aetna Medicare |
$11,441.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,751.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,751.44
|
| Rate for Payer: BCBS MAPPO |
$11,001.15
|
| Rate for Payer: BCBS Trust/PPO |
$25,444.41
|
| Rate for Payer: BCN Commercial |
$25,444.41
|
| Rate for Payer: BCN Medicare Advantage |
$11,001.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,001.15
|
| Rate for Payer: Mclaren Medicare |
$11,001.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,551.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,651.32
|
| Rate for Payer: Nomi Health Commercial |
$16,820.31
|
| Rate for Payer: PACE Medicare |
$10,451.09
|
| Rate for Payer: PACE SWMI |
$11,001.15
|
| Rate for Payer: PHP Medicare Advantage |
$11,001.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,019.08
|
| Rate for Payer: Priority Health Medicare |
$11,001.15
|
| Rate for Payer: Priority Health Narrow Network |
$16,015.27
|
| Rate for Payer: Railroad Medicare Medicare |
$11,001.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,387.78
|
| Rate for Payer: UHC Core |
$16,309.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,001.15
|
| Rate for Payer: UHC Exchange |
$12,965.98
|
| Rate for Payer: UHC Medicare Advantage |
$11,001.15
|
| Rate for Payer: VA VA |
$11,001.15
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$14,273.11
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,771.71 |
| Max. Negotiated Rate |
$14,273.11 |
| Rate for Payer: Aetna Medicare |
$7,413.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,910.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,910.15
|
| Rate for Payer: BCBS MAPPO |
$7,128.12
|
| Rate for Payer: BCBS Trust/PPO |
$14,273.11
|
| Rate for Payer: BCN Commercial |
$14,273.11
|
| Rate for Payer: BCN Medicare Advantage |
$7,128.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,128.12
|
| Rate for Payer: Mclaren Medicare |
$7,128.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,484.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,197.34
|
| Rate for Payer: Nomi Health Commercial |
$10,651.53
|
| Rate for Payer: PACE Medicare |
$6,771.71
|
| Rate for Payer: PACE SWMI |
$7,128.12
|
| Rate for Payer: PHP Medicare Advantage |
$7,128.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,678.14
|
| Rate for Payer: Priority Health Medicare |
$7,128.12
|
| Rate for Payer: Priority Health Narrow Network |
$10,142.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,128.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,910.65
|
| Rate for Payer: UHC Core |
$10,327.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,128.12
|
| Rate for Payer: UHC Exchange |
$8,210.76
|
| Rate for Payer: UHC Medicare Advantage |
$7,128.12
|
| Rate for Payer: VA VA |
$7,128.12
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$22,419.35
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$7,601.93 |
| Max. Negotiated Rate |
$22,419.35 |
| Rate for Payer: Aetna Medicare |
$8,322.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,002.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,002.54
|
| Rate for Payer: BCBS MAPPO |
$8,002.03
|
| Rate for Payer: BCBS Trust/PPO |
$22,419.35
|
| Rate for Payer: BCN Commercial |
$22,419.35
|
| Rate for Payer: BCN Medicare Advantage |
$8,002.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,002.03
|
| Rate for Payer: Mclaren Medicare |
$8,002.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,402.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,202.33
|
| Rate for Payer: Nomi Health Commercial |
$12,043.44
|
| Rate for Payer: PACE Medicare |
$7,601.93
|
| Rate for Payer: PACE SWMI |
$8,002.03
|
| Rate for Payer: PHP Medicare Advantage |
$8,002.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,334.88
|
| Rate for Payer: Priority Health Medicare |
$8,002.03
|
| Rate for Payer: Priority Health Narrow Network |
$11,467.90
|
| Rate for Payer: Railroad Medicare Medicare |
$8,002.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,597.77
|
| Rate for Payer: UHC Core |
$11,677.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,002.03
|
| Rate for Payer: UHC Exchange |
$9,283.72
|
| Rate for Payer: UHC Medicare Advantage |
$8,002.03
|
| Rate for Payer: VA VA |
$8,002.03
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,428.83
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$12,931.68 |
| Max. Negotiated Rate |
$25,428.83 |
| Rate for Payer: Aetna Medicare |
$14,156.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,015.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,015.36
|
| Rate for Payer: BCBS MAPPO |
$13,612.29
|
| Rate for Payer: BCBS Trust/PPO |
$24,203.16
|
| Rate for Payer: BCN Commercial |
$24,203.16
|
| Rate for Payer: BCN Medicare Advantage |
$13,612.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,612.29
|
| Rate for Payer: Mclaren Medicare |
$13,612.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,292.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,654.13
|
| Rate for Payer: Nomi Health Commercial |
$20,979.27
|
| Rate for Payer: PACE Medicare |
$12,931.68
|
| Rate for Payer: PACE SWMI |
$13,612.29
|
| Rate for Payer: PHP Medicare Advantage |
$13,612.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,969.34
|
| Rate for Payer: Priority Health Medicare |
$13,612.29
|
| Rate for Payer: Priority Health Narrow Network |
$19,975.48
|
| Rate for Payer: Railroad Medicare Medicare |
$13,612.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,428.83
|
| Rate for Payer: UHC Core |
$20,341.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,612.29
|
| Rate for Payer: UHC Exchange |
$16,171.93
|
| Rate for Payer: UHC Medicare Advantage |
$13,612.29
|
| Rate for Payer: VA VA |
$13,612.29
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,361.85
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$5,592.20 |
| Max. Negotiated Rate |
$11,361.85 |
| Rate for Payer: Aetna Medicare |
$6,121.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,358.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,358.16
|
| Rate for Payer: BCBS MAPPO |
$5,886.53
|
| Rate for Payer: BCBS Trust/PPO |
$11,361.85
|
| Rate for Payer: BCN Commercial |
$11,361.85
|
| Rate for Payer: BCN Medicare Advantage |
$5,886.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,886.53
|
| Rate for Payer: Mclaren Medicare |
$5,886.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,180.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,769.51
|
| Rate for Payer: Nomi Health Commercial |
$8,673.96
|
| Rate for Payer: PACE Medicare |
$5,592.20
|
| Rate for Payer: PACE SWMI |
$5,886.53
|
| Rate for Payer: PHP Medicare Advantage |
$5,886.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,324.31
|
| Rate for Payer: Priority Health Medicare |
$5,886.53
|
| Rate for Payer: Priority Health Narrow Network |
$8,259.45
|
| Rate for Payer: Railroad Medicare Medicare |
$5,886.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,513.65
|
| Rate for Payer: UHC Core |
$8,410.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,886.53
|
| Rate for Payer: UHC Exchange |
$6,686.35
|
| Rate for Payer: UHC Medicare Advantage |
$5,886.53
|
| Rate for Payer: VA VA |
$5,886.53
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$35,557.07
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$13,935.01 |
| Max. Negotiated Rate |
$35,557.07 |
| Rate for Payer: Priority Health Medicare |
$14,668.43
|
| 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 |
$35,557.07
|
| Rate for Payer: BCN Commercial |
$35,557.07
|
| 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 |
$26,971.56
|
| Rate for Payer: Priority Health Narrow Network |
$21,577.25
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$82,071.07
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$25,824.05 |
| Max. Negotiated Rate |
$82,071.07 |
| Rate for Payer: Aetna Medicare |
$28,270.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,979.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,979.01
|
| Rate for Payer: BCBS MAPPO |
$27,183.21
|
| Rate for Payer: BCBS Trust/PPO |
$82,071.07
|
| Rate for Payer: BCN Commercial |
$82,071.07
|
| Rate for Payer: BCN Medicare Advantage |
$27,183.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,183.21
|
| Rate for Payer: Mclaren Medicare |
$27,183.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,542.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,260.69
|
| Rate for Payer: Nomi Health Commercial |
$42,594.51
|
| Rate for Payer: PACE Medicare |
$25,824.05
|
| Rate for Payer: PACE SWMI |
$27,183.21
|
| Rate for Payer: PHP Medicare Advantage |
$27,183.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,695.66
|
| Rate for Payer: Priority Health Medicare |
$27,183.21
|
| Rate for Payer: Priority Health Narrow Network |
$40,556.53
|
| Rate for Payer: Railroad Medicare Medicare |
$27,183.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51,628.51
|
| Rate for Payer: UHC Core |
$41,300.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,183.21
|
| Rate for Payer: UHC Exchange |
$32,834.09
|
| Rate for Payer: UHC Medicare Advantage |
$27,183.21
|
| Rate for Payer: VA VA |
$27,183.21
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,799.89
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$9,534.71 |
| Max. Negotiated Rate |
$27,799.89 |
| Rate for Payer: Aetna Medicare |
$10,438.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,545.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,545.68
|
| Rate for Payer: BCBS MAPPO |
$10,036.54
|
| Rate for Payer: BCBS Trust/PPO |
$27,799.89
|
| Rate for Payer: BCN Commercial |
$27,799.89
|
| Rate for Payer: BCN Medicare Advantage |
$10,036.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,036.54
|
| Rate for Payer: Mclaren Medicare |
$10,036.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,538.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,542.02
|
| Rate for Payer: Nomi Health Commercial |
$15,283.92
|
| Rate for Payer: PACE Medicare |
$9,534.71
|
| Rate for Payer: PACE SWMI |
$10,036.54
|
| Rate for Payer: PHP Medicare Advantage |
$10,036.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,190.37
|
| Rate for Payer: Priority Health Medicare |
$10,036.54
|
| Rate for Payer: Priority Health Narrow Network |
$14,552.30
|
| Rate for Payer: Railroad Medicare Medicare |
$10,036.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,525.53
|
| Rate for Payer: UHC Core |
$14,819.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,036.54
|
| Rate for Payer: UHC Exchange |
$11,781.65
|
| Rate for Payer: UHC Medicare Advantage |
$10,036.54
|
| Rate for Payer: VA VA |
$10,036.54
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$35,166.93
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$17,723.62 |
| Max. Negotiated Rate |
$35,166.93 |
| Rate for Payer: Aetna Medicare |
$19,402.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,320.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,320.55
|
| Rate for Payer: BCBS MAPPO |
$18,656.44
|
| Rate for Payer: BCBS Trust/PPO |
$33,034.86
|
| Rate for Payer: BCN Commercial |
$33,034.86
|
| Rate for Payer: BCN Medicare Advantage |
$18,656.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,656.44
|
| Rate for Payer: Mclaren Medicare |
$18,656.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,589.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,454.91
|
| Rate for Payer: Nomi Health Commercial |
$29,013.39
|
| Rate for Payer: PACE Medicare |
$17,723.62
|
| Rate for Payer: PACE SWMI |
$18,656.44
|
| Rate for Payer: PHP Medicare Advantage |
$18,656.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,548.96
|
| Rate for Payer: Priority Health Medicare |
$18,656.44
|
| Rate for Payer: Priority Health Narrow Network |
$27,639.17
|
| Rate for Payer: Railroad Medicare Medicare |
$18,656.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,166.93
|
| Rate for Payer: UHC Core |
$28,131.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,656.44
|
| Rate for Payer: UHC Exchange |
$22,365.05
|
| Rate for Payer: UHC Medicare Advantage |
$18,656.44
|
| Rate for Payer: VA VA |
$18,656.44
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,694.97
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$30,777.56 |
| Max. Negotiated Rate |
$61,694.97 |
| Rate for Payer: Aetna Medicare |
$33,693.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,496.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,496.79
|
| Rate for Payer: BCBS MAPPO |
$32,397.43
|
| Rate for Payer: BCBS Trust/PPO |
$57,089.81
|
| Rate for Payer: BCN Commercial |
$57,089.81
|
| Rate for Payer: BCN Medicare Advantage |
$32,397.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,397.43
|
| Rate for Payer: Mclaren Medicare |
$32,397.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,017.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,257.04
|
| Rate for Payer: Nomi Health Commercial |
$50,899.53
|
| Rate for Payer: PACE Medicare |
$30,777.56
|
| Rate for Payer: PACE SWMI |
$32,397.43
|
| Rate for Payer: PHP Medicare Advantage |
$32,397.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60,593.11
|
| Rate for Payer: Priority Health Medicare |
$32,397.43
|
| Rate for Payer: Priority Health Narrow Network |
$48,474.49
|
| Rate for Payer: Railroad Medicare Medicare |
$32,397.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,694.97
|
| Rate for Payer: UHC Core |
$49,352.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,397.43
|
| Rate for Payer: UHC Exchange |
$39,236.04
|
| Rate for Payer: UHC Medicare Advantage |
$32,397.43
|
| Rate for Payer: VA VA |
$32,397.43
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,395.79
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$11,200.49 |
| Max. Negotiated Rate |
$29,395.79 |
| Rate for Payer: Aetna Medicare |
$12,261.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,737.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,737.49
|
| Rate for Payer: BCBS MAPPO |
$11,789.99
|
| Rate for Payer: BCBS Trust/PPO |
$29,395.79
|
| Rate for Payer: BCN Commercial |
$29,395.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,789.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,789.99
|
| Rate for Payer: Mclaren Medicare |
$11,789.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,379.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,558.49
|
| Rate for Payer: Nomi Health Commercial |
$18,076.77
|
| Rate for Payer: PACE Medicare |
$11,200.49
|
| Rate for Payer: PACE SWMI |
$11,789.99
|
| Rate for Payer: PHP Medicare Advantage |
$11,789.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,514.60
|
| Rate for Payer: Priority Health Medicare |
$11,789.99
|
| Rate for Payer: Priority Health Narrow Network |
$17,211.68
|
| Rate for Payer: Railroad Medicare Medicare |
$11,789.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,910.73
|
| Rate for Payer: UHC Core |
$17,527.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,789.99
|
| Rate for Payer: UHC Exchange |
$13,934.53
|
| Rate for Payer: UHC Medicare Advantage |
$11,789.99
|
| Rate for Payer: VA VA |
$11,789.99
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$79,702.36
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$34,217.62 |
| Max. Negotiated Rate |
$79,702.36 |
| Rate for Payer: Aetna Medicare |
$37,459.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,023.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,023.19
|
| Rate for Payer: BCBS MAPPO |
$36,018.55
|
| Rate for Payer: BCBS Trust/PPO |
$79,702.36
|
| Rate for Payer: BCN Commercial |
$79,702.36
|
| Rate for Payer: BCN Medicare Advantage |
$36,018.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,018.55
|
| Rate for Payer: Mclaren Medicare |
$36,018.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,819.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,421.33
|
| Rate for Payer: Nomi Health Commercial |
$56,667.12
|
| Rate for Payer: PACE Medicare |
$34,217.62
|
| Rate for Payer: PACE SWMI |
$36,018.55
|
| Rate for Payer: PHP Medicare Advantage |
$36,018.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67,444.25
|
| Rate for Payer: Priority Health Medicare |
$36,018.55
|
| Rate for Payer: Priority Health Narrow Network |
$53,955.41
|
| Rate for Payer: Railroad Medicare Medicare |
$36,018.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68,685.82
|
| Rate for Payer: UHC Core |
$54,945.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,018.55
|
| Rate for Payer: UHC Exchange |
$43,682.00
|
| Rate for Payer: UHC Medicare Advantage |
$36,018.55
|
| Rate for Payer: VA VA |
$36,018.55
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$62,750.89
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$18,229.13 |
| Max. Negotiated Rate |
$62,750.89 |
| Rate for Payer: Aetna Medicare |
$19,956.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,985.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,985.70
|
| Rate for Payer: BCBS MAPPO |
$19,188.56
|
| Rate for Payer: BCBS Trust/PPO |
$62,750.89
|
| Rate for Payer: BCN Commercial |
$62,750.89
|
| Rate for Payer: BCN Medicare Advantage |
$19,188.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,188.56
|
| Rate for Payer: Mclaren Medicare |
$19,188.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,147.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,066.84
|
| Rate for Payer: Nomi Health Commercial |
$29,860.92
|
| Rate for Payer: PACE Medicare |
$18,229.13
|
| Rate for Payer: PACE SWMI |
$19,188.56
|
| Rate for Payer: PHP Medicare Advantage |
$19,188.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,539.32
|
| Rate for Payer: Priority Health Medicare |
$19,188.56
|
| Rate for Payer: Priority Health Narrow Network |
$28,431.46
|
| Rate for Payer: Railroad Medicare Medicare |
$19,188.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,194.21
|
| Rate for Payer: UHC Core |
$28,953.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,188.56
|
| Rate for Payer: UHC Exchange |
$23,018.37
|
| Rate for Payer: UHC Medicare Advantage |
$19,188.56
|
| Rate for Payer: VA VA |
$19,188.56
|
|
|
MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,865.61
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$4,781.26 |
| Max. Negotiated Rate |
$8,865.61 |
| Rate for Payer: Aetna Medicare |
$5,234.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,291.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,291.12
|
| Rate for Payer: BCBS MAPPO |
$5,032.90
|
| Rate for Payer: BCBS Trust/PPO |
$8,029.78
|
| Rate for Payer: BCN Commercial |
$8,029.78
|
| Rate for Payer: BCN Medicare Advantage |
$5,032.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,032.90
|
| Rate for Payer: Mclaren Medicare |
$5,032.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,284.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,787.84
|
| Rate for Payer: Nomi Health Commercial |
$7,314.30
|
| Rate for Payer: PACE Medicare |
$4,781.26
|
| Rate for Payer: PACE SWMI |
$5,032.90
|
| Rate for Payer: PHP Medicare Advantage |
$5,032.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,704.42
|
| Rate for Payer: Priority Health Medicare |
$5,032.90
|
| Rate for Payer: Priority Health Narrow Network |
$6,963.53
|
| Rate for Payer: Railroad Medicare Medicare |
$5,032.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,865.61
|
| Rate for Payer: UHC Core |
$7,092.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,032.90
|
| Rate for Payer: UHC Exchange |
$5,638.25
|
| Rate for Payer: UHC Medicare Advantage |
$5,032.90
|
| Rate for Payer: VA VA |
$5,032.90
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$43,785.35
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$20,335.80 |
| Max. Negotiated Rate |
$43,785.35 |
| Rate for Payer: Aetna Medicare |
$22,262.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,757.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,757.64
|
| Rate for Payer: BCBS MAPPO |
$21,406.11
|
| Rate for Payer: BCBS Trust/PPO |
$43,785.35
|
| Rate for Payer: BCN Commercial |
$43,785.35
|
| Rate for Payer: BCN Medicare Advantage |
$21,406.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,406.11
|
| Rate for Payer: Mclaren Medicare |
$21,406.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,476.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,617.03
|
| Rate for Payer: Nomi Health Commercial |
$33,392.94
|
| Rate for Payer: PACE Medicare |
$20,335.80
|
| Rate for Payer: PACE SWMI |
$21,406.11
|
| Rate for Payer: PHP Medicare Advantage |
$21,406.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,743.35
|
| Rate for Payer: Priority Health Medicare |
$21,406.11
|
| Rate for Payer: Priority Health Narrow Network |
$31,794.69
|
| Rate for Payer: Railroad Medicare Medicare |
$21,406.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,475.35
|
| Rate for Payer: UHC Core |
$32,378.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,406.11
|
| Rate for Payer: UHC Exchange |
$25,741.04
|
| Rate for Payer: UHC Medicare Advantage |
$21,406.11
|
| Rate for Payer: VA VA |
$21,406.11
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,657.96
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$10,340.29 |
| Max. Negotiated Rate |
$23,657.96 |
| Rate for Payer: Aetna Medicare |
$11,319.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,605.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,605.65
|
| Rate for Payer: BCBS MAPPO |
$10,884.52
|
| Rate for Payer: BCBS Trust/PPO |
$23,657.96
|
| Rate for Payer: BCN Commercial |
$23,657.96
|
| Rate for Payer: BCN Medicare Advantage |
$10,884.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,884.52
|
| Rate for Payer: Mclaren Medicare |
$10,884.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,428.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,517.20
|
| Rate for Payer: Nomi Health Commercial |
$16,634.55
|
| Rate for Payer: PACE Medicare |
$10,340.29
|
| Rate for Payer: PACE SWMI |
$10,884.52
|
| Rate for Payer: PHP Medicare Advantage |
$10,884.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,799.51
|
| Rate for Payer: Priority Health Medicare |
$10,884.52
|
| Rate for Payer: Priority Health Narrow Network |
$15,839.61
|
| Rate for Payer: Railroad Medicare Medicare |
$10,884.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,162.62
|
| Rate for Payer: UHC Core |
$16,129.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,884.52
|
| Rate for Payer: UHC Exchange |
$12,822.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,884.52
|
| Rate for Payer: VA VA |
$10,884.52
|
|
|
MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$198,598.22
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$81,936.88 |
| Max. Negotiated Rate |
$198,598.22 |
| Rate for Payer: Aetna Medicare |
$89,699.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107,811.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107,811.69
|
| Rate for Payer: BCBS MAPPO |
$86,249.35
|
| Rate for Payer: BCBS Trust/PPO |
$198,598.22
|
| Rate for Payer: BCN Commercial |
$198,598.22
|
| Rate for Payer: BCN Medicare Advantage |
$86,249.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86,249.35
|
| Rate for Payer: Mclaren Medicare |
$86,249.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90,561.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99,186.75
|
| Rate for Payer: Nomi Health Commercial |
$136,672.92
|
| Rate for Payer: PACE Medicare |
$81,936.88
|
| Rate for Payer: PACE SWMI |
$86,249.35
|
| Rate for Payer: PHP Medicare Advantage |
$86,249.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$162,667.69
|
| Rate for Payer: Priority Health Medicare |
$86,249.35
|
| Rate for Payer: Priority Health Narrow Network |
$130,134.17
|
| Rate for Payer: Railroad Medicare Medicare |
$86,249.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165,660.29
|
| Rate for Payer: UHC Core |
$132,519.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$86,249.35
|
| Rate for Payer: UHC Exchange |
$105,354.69
|
| Rate for Payer: UHC Medicare Advantage |
$86,249.35
|
| Rate for Payer: VA VA |
$86,249.35
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$45,704.14
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$17,986.76 |
| Max. Negotiated Rate |
$45,704.14 |
| Rate for Payer: Aetna Medicare |
$19,690.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,666.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,666.79
|
| Rate for Payer: BCBS MAPPO |
$18,933.43
|
| Rate for Payer: BCBS Trust/PPO |
$45,704.14
|
| Rate for Payer: BCN Commercial |
$45,704.14
|
| Rate for Payer: BCN Medicare Advantage |
$18,933.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,933.43
|
| Rate for Payer: Mclaren Medicare |
$18,933.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,880.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,773.44
|
| Rate for Payer: Nomi Health Commercial |
$29,454.57
|
| Rate for Payer: PACE Medicare |
$17,986.76
|
| Rate for Payer: PACE SWMI |
$18,933.43
|
| Rate for Payer: PHP Medicare Advantage |
$18,933.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,055.65
|
| Rate for Payer: Priority Health Medicare |
$18,933.43
|
| Rate for Payer: Priority Health Narrow Network |
$28,044.53
|
| Rate for Payer: Railroad Medicare Medicare |
$18,933.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,701.68
|
| Rate for Payer: UHC Core |
$28,559.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,933.43
|
| Rate for Payer: UHC Exchange |
$22,705.14
|
| Rate for Payer: UHC Medicare Advantage |
$18,933.43
|
| Rate for Payer: VA VA |
$18,933.43
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,297.69
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$31,713.95 |
| Max. Negotiated Rate |
$86,297.69 |
| Rate for Payer: Aetna Medicare |
$34,718.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,728.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,728.89
|
| Rate for Payer: BCBS MAPPO |
$33,383.11
|
| Rate for Payer: BCBS Trust/PPO |
$86,297.69
|
| Rate for Payer: BCN Commercial |
$86,297.69
|
| Rate for Payer: BCN Medicare Advantage |
$33,383.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,383.11
|
| Rate for Payer: Mclaren Medicare |
$33,383.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,052.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,390.58
|
| Rate for Payer: Nomi Health Commercial |
$52,469.46
|
| Rate for Payer: PACE Medicare |
$31,713.95
|
| Rate for Payer: PACE SWMI |
$33,383.11
|
| Rate for Payer: PHP Medicare Advantage |
$33,383.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62,447.92
|
| Rate for Payer: Priority Health Medicare |
$33,383.11
|
| Rate for Payer: Priority Health Narrow Network |
$49,958.34
|
| Rate for Payer: Railroad Medicare Medicare |
$33,383.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63,597.87
|
| Rate for Payer: UHC Core |
$50,875.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,383.11
|
| Rate for Payer: UHC Exchange |
$40,446.23
|
| Rate for Payer: UHC Medicare Advantage |
$33,383.11
|
| Rate for Payer: VA VA |
$33,383.11
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,075.39
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$12,312.30 |
| Max. Negotiated Rate |
$35,075.39 |
| Rate for Payer: Aetna Medicare |
$13,478.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,200.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,200.40
|
| Rate for Payer: BCBS MAPPO |
$12,960.32
|
| Rate for Payer: BCBS Trust/PPO |
$35,075.39
|
| Rate for Payer: BCN Commercial |
$35,075.39
|
| Rate for Payer: BCN Medicare Advantage |
$12,960.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,960.32
|
| Rate for Payer: Mclaren Medicare |
$12,960.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,608.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,904.37
|
| Rate for Payer: Nomi Health Commercial |
$19,940.82
|
| Rate for Payer: PACE Medicare |
$12,312.30
|
| Rate for Payer: PACE SWMI |
$12,960.32
|
| Rate for Payer: PHP Medicare Advantage |
$12,960.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,733.31
|
| Rate for Payer: Priority Health Medicare |
$12,960.32
|
| Rate for Payer: Priority Health Narrow Network |
$18,986.65
|
| Rate for Payer: Railroad Medicare Medicare |
$12,960.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,170.13
|
| Rate for Payer: UHC Core |
$19,334.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,960.32
|
| Rate for Payer: UHC Exchange |
$15,371.44
|
| Rate for Payer: UHC Medicare Advantage |
$12,960.32
|
| Rate for Payer: VA VA |
$12,960.32
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$22,826.92
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$8,498.30 |
| Max. Negotiated Rate |
$22,826.92 |
| Rate for Payer: Aetna Medicare |
$9,303.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,181.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,181.98
|
| Rate for Payer: BCBS MAPPO |
$8,945.58
|
| Rate for Payer: BCBS Trust/PPO |
$22,826.92
|
| Rate for Payer: BCN Commercial |
$22,826.92
|
| Rate for Payer: BCN Medicare Advantage |
$8,945.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,945.58
|
| Rate for Payer: Mclaren Medicare |
$8,945.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,392.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,287.42
|
| Rate for Payer: Nomi Health Commercial |
$13,546.29
|
| Rate for Payer: PACE Medicare |
$8,498.30
|
| Rate for Payer: PACE SWMI |
$8,945.58
|
| Rate for Payer: PHP Medicare Advantage |
$8,945.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,122.13
|
| Rate for Payer: Priority Health Medicare |
$8,945.58
|
| Rate for Payer: Priority Health Narrow Network |
$12,897.71
|
| Rate for Payer: Railroad Medicare Medicare |
$8,945.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,419.36
|
| Rate for Payer: UHC Core |
$13,134.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,945.58
|
| Rate for Payer: UHC Exchange |
$10,442.19
|
| Rate for Payer: UHC Medicare Advantage |
$8,945.58
|
| Rate for Payer: VA VA |
$8,945.58
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$59,858.15
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$16,917.27 |
| Max. Negotiated Rate |
$59,858.15 |
| Rate for Payer: Aetna Medicare |
$18,519.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,259.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,259.56
|
| Rate for Payer: BCBS MAPPO |
$17,807.65
|
| Rate for Payer: BCBS Trust/PPO |
$59,858.15
|
| Rate for Payer: BCN Commercial |
$59,858.15
|
| Rate for Payer: BCN Medicare Advantage |
$17,807.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,807.65
|
| Rate for Payer: Mclaren Medicare |
$17,807.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,698.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,478.80
|
| Rate for Payer: Nomi Health Commercial |
$27,661.47
|
| Rate for Payer: PACE Medicare |
$16,917.27
|
| Rate for Payer: PACE SWMI |
$17,807.65
|
| Rate for Payer: PHP Medicare Advantage |
$17,807.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,922.93
|
| Rate for Payer: Priority Health Medicare |
$17,807.65
|
| Rate for Payer: Priority Health Narrow Network |
$26,338.35
|
| Rate for Payer: Railroad Medicare Medicare |
$17,807.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,528.27
|
| Rate for Payer: UHC Core |
$26,820.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,807.65
|
| Rate for Payer: UHC Exchange |
$21,322.92
|
| Rate for Payer: UHC Medicare Advantage |
$17,807.65
|
| Rate for Payer: VA VA |
$17,807.65
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,363.77
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$5,955.38 |
| Max. Negotiated Rate |
$22,363.77 |
| Rate for Payer: Aetna Medicare |
$6,519.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,836.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,836.02
|
| Rate for Payer: BCBS MAPPO |
$6,268.82
|
| Rate for Payer: BCBS Trust/PPO |
$22,363.77
|
| Rate for Payer: BCN Commercial |
$22,363.77
|
| Rate for Payer: BCN Medicare Advantage |
$6,268.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,268.82
|
| Rate for Payer: Mclaren Medicare |
$6,268.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,582.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,209.14
|
| Rate for Payer: Nomi Health Commercial |
$9,282.84
|
| Rate for Payer: PACE Medicare |
$5,955.38
|
| Rate for Payer: PACE SWMI |
$6,268.82
|
| Rate for Payer: PHP Medicare Advantage |
$6,268.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,047.50
|
| Rate for Payer: Priority Health Medicare |
$6,268.82
|
| Rate for Payer: Priority Health Narrow Network |
$8,838.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6,268.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,251.67
|
| Rate for Payer: UHC Core |
$9,000.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,268.82
|
| Rate for Payer: UHC Exchange |
$7,155.70
|
| Rate for Payer: UHC Medicare Advantage |
$6,268.82
|
| Rate for Payer: VA VA |
$6,268.82
|
|
