|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$81,705.84
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$13,417.18 |
| Max. Negotiated Rate |
$81,705.84 |
| Rate for Payer: Aetna Medicare |
$14,688.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,654.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,654.19
|
| Rate for Payer: BCBS MAPPO |
$14,123.35
|
| Rate for Payer: BCBS Trust/PPO |
$81,705.84
|
| Rate for Payer: BCN Commercial |
$81,705.84
|
| Rate for Payer: BCN Medicare Advantage |
$14,123.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,123.35
|
| Rate for Payer: Mclaren Medicare |
$14,123.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,829.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,241.85
|
| Rate for Payer: Nomi Health Commercial |
$21,793.26
|
| Rate for Payer: PACE Medicare |
$13,417.18
|
| Rate for Payer: PACE SWMI |
$14,123.35
|
| Rate for Payer: PHP Medicare Advantage |
$14,123.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,936.67
|
| Rate for Payer: Priority Health Medicare |
$14,123.35
|
| Rate for Payer: Priority Health Narrow Network |
$20,749.34
|
| Rate for Payer: Railroad Medicare Medicare |
$14,123.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,415.46
|
| Rate for Payer: UHC Core |
$21,131.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,123.35
|
| Rate for Payer: UHC Exchange |
$16,799.39
|
| Rate for Payer: UHC Medicare Advantage |
$14,123.35
|
| Rate for Payer: VA VA |
$14,123.35
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$22,522.57
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$8,265.95 |
| Max. Negotiated Rate |
$22,522.57 |
| Rate for Payer: Aetna Medicare |
$9,049.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,876.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,876.25
|
| Rate for Payer: BCBS MAPPO |
$8,701.00
|
| Rate for Payer: BCBS Trust/PPO |
$22,522.57
|
| Rate for Payer: BCN Commercial |
$22,522.57
|
| Rate for Payer: BCN Medicare Advantage |
$8,701.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,701.00
|
| Rate for Payer: Mclaren Medicare |
$8,701.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,136.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,006.15
|
| Rate for Payer: Nomi Health Commercial |
$13,156.71
|
| Rate for Payer: PACE Medicare |
$8,265.95
|
| Rate for Payer: PACE SWMI |
$8,701.00
|
| Rate for Payer: PHP Medicare Advantage |
$8,701.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,658.43
|
| Rate for Payer: Priority Health Medicare |
$8,701.00
|
| Rate for Payer: Priority Health Narrow Network |
$12,526.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,701.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,947.16
|
| Rate for Payer: UHC Core |
$12,756.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,701.00
|
| Rate for Payer: UHC Exchange |
$10,141.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,701.00
|
| Rate for Payer: VA VA |
$8,701.00
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,081.99
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$8,265.95 |
| Max. Negotiated Rate |
$19,081.99 |
| Rate for Payer: Aetna Medicare |
$9,049.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,876.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,876.25
|
| Rate for Payer: BCBS MAPPO |
$8,701.00
|
| Rate for Payer: BCBS Trust/PPO |
$19,081.99
|
| Rate for Payer: BCN Commercial |
$19,081.99
|
| Rate for Payer: BCN Medicare Advantage |
$8,701.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,701.00
|
| Rate for Payer: Mclaren Medicare |
$8,701.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,136.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,006.15
|
| Rate for Payer: Nomi Health Commercial |
$13,156.71
|
| Rate for Payer: PACE Medicare |
$8,265.95
|
| Rate for Payer: PACE SWMI |
$8,701.00
|
| Rate for Payer: PHP Medicare Advantage |
$8,701.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,658.43
|
| Rate for Payer: Priority Health Medicare |
$8,701.00
|
| Rate for Payer: Priority Health Narrow Network |
$12,526.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,701.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,947.16
|
| Rate for Payer: UHC Core |
$12,756.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,701.00
|
| Rate for Payer: UHC Exchange |
$10,141.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,701.00
|
| Rate for Payer: VA VA |
$8,701.00
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$27,445.24
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$13,351.80 |
| Max. Negotiated Rate |
$27,445.24 |
| Rate for Payer: Aetna Medicare |
$14,616.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,568.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,568.16
|
| Rate for Payer: BCBS MAPPO |
$14,054.53
|
| Rate for Payer: BCBS Trust/PPO |
$27,445.24
|
| Rate for Payer: BCN Commercial |
$27,445.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,054.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,054.53
|
| Rate for Payer: Mclaren Medicare |
$14,054.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,757.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,162.71
|
| Rate for Payer: Nomi Health Commercial |
$21,683.61
|
| Rate for Payer: PACE Medicare |
$13,351.80
|
| Rate for Payer: PACE SWMI |
$14,054.53
|
| Rate for Payer: PHP Medicare Advantage |
$14,054.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,809.23
|
| Rate for Payer: Priority Health Medicare |
$14,054.53
|
| Rate for Payer: Priority Health Narrow Network |
$20,647.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,054.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,282.55
|
| Rate for Payer: UHC Core |
$21,024.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,054.53
|
| Rate for Payer: UHC Exchange |
$16,714.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,054.53
|
| Rate for Payer: VA VA |
$14,054.53
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,320.75
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$5,759.95 |
| Max. Negotiated Rate |
$14,320.75 |
| Rate for Payer: Aetna Medicare |
$6,305.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,578.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,578.89
|
| Rate for Payer: BCBS MAPPO |
$6,063.11
|
| Rate for Payer: BCBS Trust/PPO |
$14,320.75
|
| Rate for Payer: BCN Commercial |
$14,320.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,063.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,063.11
|
| Rate for Payer: Mclaren Medicare |
$6,063.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,366.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,972.58
|
| Rate for Payer: Nomi Health Commercial |
$8,955.18
|
| Rate for Payer: PACE Medicare |
$5,759.95
|
| Rate for Payer: PACE SWMI |
$6,063.11
|
| Rate for Payer: PHP Medicare Advantage |
$6,063.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,657.50
|
| Rate for Payer: Priority Health Medicare |
$6,063.11
|
| Rate for Payer: Priority Health Narrow Network |
$8,526.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6,063.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,854.51
|
| Rate for Payer: UHC Core |
$8,683.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,063.11
|
| Rate for Payer: UHC Exchange |
$6,903.12
|
| Rate for Payer: UHC Medicare Advantage |
$6,063.11
|
| Rate for Payer: VA VA |
$6,063.11
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$37,999.88
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$18,179.89 |
| Max. Negotiated Rate |
$37,999.88 |
| Rate for Payer: Aetna Medicare |
$19,902.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,920.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,920.91
|
| Rate for Payer: BCBS MAPPO |
$19,136.73
|
| Rate for Payer: BCBS Trust/PPO |
$37,999.88
|
| Rate for Payer: BCN Commercial |
$37,999.88
|
| Rate for Payer: BCN Medicare Advantage |
$19,136.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,136.73
|
| Rate for Payer: Mclaren Medicare |
$19,136.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,093.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,007.24
|
| Rate for Payer: Nomi Health Commercial |
$29,778.36
|
| Rate for Payer: PACE Medicare |
$18,179.89
|
| Rate for Payer: PACE SWMI |
$19,136.73
|
| Rate for Payer: PHP Medicare Advantage |
$19,136.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,442.58
|
| Rate for Payer: Priority Health Medicare |
$19,136.73
|
| Rate for Payer: Priority Health Narrow Network |
$28,354.07
|
| Rate for Payer: Railroad Medicare Medicare |
$19,136.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,094.14
|
| Rate for Payer: UHC Core |
$28,873.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,136.73
|
| Rate for Payer: UHC Exchange |
$22,954.73
|
| Rate for Payer: UHC Medicare Advantage |
$19,136.73
|
| Rate for Payer: VA VA |
$19,136.73
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$72,868.84
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$32,654.17 |
| Max. Negotiated Rate |
$72,868.84 |
| Rate for Payer: Aetna Medicare |
$35,747.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,966.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,966.01
|
| Rate for Payer: BCBS MAPPO |
$34,372.81
|
| Rate for Payer: BCBS Trust/PPO |
$72,868.84
|
| Rate for Payer: BCN Commercial |
$72,868.84
|
| Rate for Payer: BCN Medicare Advantage |
$34,372.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,372.81
|
| Rate for Payer: Mclaren Medicare |
$34,372.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,091.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,528.73
|
| Rate for Payer: Nomi Health Commercial |
$54,045.84
|
| Rate for Payer: PACE Medicare |
$32,654.17
|
| Rate for Payer: PACE SWMI |
$34,372.81
|
| Rate for Payer: PHP Medicare Advantage |
$34,372.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,334.98
|
| Rate for Payer: Priority Health Medicare |
$34,372.81
|
| Rate for Payer: Priority Health Narrow Network |
$51,467.99
|
| Rate for Payer: Railroad Medicare Medicare |
$34,372.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65,508.59
|
| Rate for Payer: UHC Core |
$52,403.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,372.81
|
| Rate for Payer: UHC Exchange |
$41,661.38
|
| Rate for Payer: UHC Medicare Advantage |
$34,372.81
|
| Rate for Payer: VA VA |
$34,372.81
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,063.56
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$12,462.34 |
| Max. Negotiated Rate |
$32,063.56 |
| Rate for Payer: Aetna Medicare |
$13,642.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,397.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,397.81
|
| Rate for Payer: BCBS MAPPO |
$13,118.25
|
| Rate for Payer: BCBS Trust/PPO |
$32,063.56
|
| Rate for Payer: BCN Commercial |
$32,063.56
|
| Rate for Payer: BCN Medicare Advantage |
$13,118.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,118.25
|
| Rate for Payer: Mclaren Medicare |
$13,118.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,774.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,085.99
|
| Rate for Payer: Nomi Health Commercial |
$20,192.37
|
| Rate for Payer: PACE Medicare |
$12,462.34
|
| Rate for Payer: PACE SWMI |
$13,118.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,118.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,032.72
|
| Rate for Payer: Priority Health Medicare |
$13,118.25
|
| Rate for Payer: Priority Health Narrow Network |
$19,226.18
|
| Rate for Payer: Railroad Medicare Medicare |
$13,118.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,475.03
|
| Rate for Payer: UHC Core |
$19,578.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,118.25
|
| Rate for Payer: UHC Exchange |
$15,565.34
|
| Rate for Payer: UHC Medicare Advantage |
$13,118.25
|
| Rate for Payer: VA VA |
$13,118.25
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$70,521.30
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$26,920.48 |
| Max. Negotiated Rate |
$70,521.30 |
| Rate for Payer: Aetna Medicare |
$29,470.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,421.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,421.69
|
| Rate for Payer: BCBS MAPPO |
$28,337.35
|
| Rate for Payer: BCBS Trust/PPO |
$70,521.30
|
| Rate for Payer: BCN Commercial |
$70,521.30
|
| Rate for Payer: BCN Medicare Advantage |
$28,337.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,337.35
|
| Rate for Payer: Mclaren Medicare |
$28,337.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,754.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,587.95
|
| Rate for Payer: Nomi Health Commercial |
$44,432.76
|
| Rate for Payer: PACE Medicare |
$26,920.48
|
| Rate for Payer: PACE SWMI |
$28,337.35
|
| Rate for Payer: PHP Medicare Advantage |
$28,337.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,886.73
|
| Rate for Payer: Priority Health Medicare |
$28,337.35
|
| Rate for Payer: Priority Health Narrow Network |
$42,309.39
|
| Rate for Payer: Railroad Medicare Medicare |
$28,337.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,856.64
|
| Rate for Payer: UHC Core |
$43,082.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,337.35
|
| Rate for Payer: UHC Exchange |
$34,251.11
|
| Rate for Payer: UHC Medicare Advantage |
$28,337.35
|
| Rate for Payer: VA VA |
$28,337.35
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$110,471.73
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$39,912.84 |
| Max. Negotiated Rate |
$110,471.73 |
| Rate for Payer: Aetna Medicare |
$43,694.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,516.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,516.90
|
| Rate for Payer: BCBS MAPPO |
$42,013.52
|
| Rate for Payer: BCBS Trust/PPO |
$110,471.73
|
| Rate for Payer: BCN Commercial |
$110,471.73
|
| Rate for Payer: BCN Medicare Advantage |
$42,013.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,013.52
|
| Rate for Payer: Mclaren Medicare |
$42,013.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,114.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48,315.55
|
| Rate for Payer: Nomi Health Commercial |
$66,215.70
|
| Rate for Payer: PACE Medicare |
$39,912.84
|
| Rate for Payer: PACE SWMI |
$42,013.52
|
| Rate for Payer: PHP Medicare Advantage |
$42,013.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78,811.12
|
| Rate for Payer: Priority Health Medicare |
$42,013.52
|
| Rate for Payer: Priority Health Narrow Network |
$63,048.90
|
| Rate for Payer: Railroad Medicare Medicare |
$42,013.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80,259.59
|
| Rate for Payer: UHC Core |
$64,203.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,013.52
|
| Rate for Payer: UHC Exchange |
$51,042.55
|
| Rate for Payer: UHC Medicare Advantage |
$42,013.52
|
| Rate for Payer: VA VA |
$42,013.52
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$52,341.81
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$19,671.02 |
| Max. Negotiated Rate |
$52,341.81 |
| Rate for Payer: Aetna Medicare |
$21,534.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,882.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,882.92
|
| Rate for Payer: BCBS MAPPO |
$20,706.34
|
| Rate for Payer: BCBS Trust/PPO |
$52,341.81
|
| Rate for Payer: BCN Commercial |
$52,341.81
|
| Rate for Payer: BCN Medicare Advantage |
$20,706.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,706.34
|
| Rate for Payer: Mclaren Medicare |
$20,706.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,741.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,812.29
|
| Rate for Payer: Nomi Health Commercial |
$32,278.38
|
| Rate for Payer: PACE Medicare |
$19,671.02
|
| Rate for Payer: PACE SWMI |
$20,706.34
|
| Rate for Payer: PHP Medicare Advantage |
$20,706.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,416.73
|
| Rate for Payer: Priority Health Medicare |
$20,706.34
|
| Rate for Payer: Priority Health Narrow Network |
$30,733.39
|
| Rate for Payer: Railroad Medicare Medicare |
$20,706.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,124.40
|
| Rate for Payer: UHC Core |
$31,297.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,706.34
|
| Rate for Payer: UHC Exchange |
$24,881.88
|
| Rate for Payer: UHC Medicare Advantage |
$20,706.34
|
| Rate for Payer: VA VA |
$20,706.34
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$22,117.64
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$8,889.17 |
| Max. Negotiated Rate |
$22,117.64 |
| Rate for Payer: Aetna Medicare |
$9,731.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,696.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,696.28
|
| Rate for Payer: BCBS MAPPO |
$9,357.02
|
| Rate for Payer: BCBS Trust/PPO |
$22,117.64
|
| Rate for Payer: BCN Commercial |
$22,117.64
|
| Rate for Payer: BCN Medicare Advantage |
$9,357.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,357.02
|
| Rate for Payer: Mclaren Medicare |
$9,357.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,824.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,760.57
|
| Rate for Payer: Nomi Health Commercial |
$14,201.61
|
| Rate for Payer: PACE Medicare |
$8,889.17
|
| Rate for Payer: PACE SWMI |
$9,357.02
|
| Rate for Payer: PHP Medicare Advantage |
$9,357.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,902.13
|
| Rate for Payer: Priority Health Medicare |
$9,357.02
|
| Rate for Payer: Priority Health Narrow Network |
$13,521.71
|
| Rate for Payer: Railroad Medicare Medicare |
$9,357.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,213.67
|
| Rate for Payer: UHC Core |
$13,770.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,357.02
|
| Rate for Payer: UHC Exchange |
$10,947.35
|
| Rate for Payer: UHC Medicare Advantage |
$9,357.02
|
| Rate for Payer: VA VA |
$9,357.02
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,948.00
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$5,088.25 |
| Max. Negotiated Rate |
$14,948.00 |
| Rate for Payer: Aetna Medicare |
$5,570.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,695.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,695.06
|
| Rate for Payer: BCBS MAPPO |
$5,356.05
|
| Rate for Payer: BCBS Trust/PPO |
$14,948.00
|
| Rate for Payer: BCN Commercial |
$14,948.00
|
| Rate for Payer: BCN Medicare Advantage |
$5,356.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,356.05
|
| Rate for Payer: Mclaren Medicare |
$5,356.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,623.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,159.46
|
| Rate for Payer: Nomi Health Commercial |
$7,829.01
|
| Rate for Payer: PACE Medicare |
$5,088.25
|
| Rate for Payer: PACE SWMI |
$5,356.05
|
| Rate for Payer: PHP Medicare Advantage |
$5,356.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,318.59
|
| Rate for Payer: Priority Health Medicare |
$5,356.05
|
| Rate for Payer: Priority Health Narrow Network |
$7,454.87
|
| Rate for Payer: Railroad Medicare Medicare |
$5,356.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,489.49
|
| Rate for Payer: UHC Core |
$7,591.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,356.05
|
| Rate for Payer: UHC Exchange |
$6,035.01
|
| Rate for Payer: UHC Medicare Advantage |
$5,356.05
|
| Rate for Payer: VA VA |
$5,356.05
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$30,999.63
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$14,695.19 |
| Max. Negotiated Rate |
$30,999.63 |
| Rate for Payer: Aetna Medicare |
$16,087.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,335.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,335.78
|
| Rate for Payer: BCBS MAPPO |
$15,468.62
|
| Rate for Payer: BCBS Trust/PPO |
$30,999.63
|
| Rate for Payer: BCN Commercial |
$30,999.63
|
| Rate for Payer: BCN Medicare Advantage |
$15,468.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,468.62
|
| Rate for Payer: Mclaren Medicare |
$15,468.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,242.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,788.91
|
| Rate for Payer: Nomi Health Commercial |
$23,935.95
|
| Rate for Payer: PACE Medicare |
$14,695.19
|
| Rate for Payer: PACE SWMI |
$15,468.62
|
| Rate for Payer: PHP Medicare Advantage |
$15,468.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,488.57
|
| Rate for Payer: Priority Health Medicare |
$15,468.62
|
| Rate for Payer: Priority Health Narrow Network |
$22,790.86
|
| Rate for Payer: Railroad Medicare Medicare |
$15,468.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,012.60
|
| Rate for Payer: UHC Core |
$23,208.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,468.62
|
| Rate for Payer: UHC Exchange |
$18,451.09
|
| Rate for Payer: UHC Medicare Advantage |
$15,468.62
|
| Rate for Payer: VA VA |
$15,468.62
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,159.57
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$9,897.11 |
| Max. Negotiated Rate |
$21,159.57 |
| Rate for Payer: Aetna Medicare |
$10,834.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,022.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,022.51
|
| Rate for Payer: BCBS MAPPO |
$10,418.01
|
| Rate for Payer: BCBS Trust/PPO |
$21,159.57
|
| Rate for Payer: BCN Commercial |
$21,159.57
|
| Rate for Payer: BCN Medicare Advantage |
$10,418.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,418.01
|
| Rate for Payer: Mclaren Medicare |
$10,418.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,938.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,980.71
|
| Rate for Payer: Nomi Health Commercial |
$15,891.51
|
| Rate for Payer: PACE Medicare |
$9,897.11
|
| Rate for Payer: PACE SWMI |
$10,418.01
|
| Rate for Payer: PHP Medicare Advantage |
$10,418.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,913.56
|
| Rate for Payer: Priority Health Medicare |
$10,418.01
|
| Rate for Payer: Priority Health Narrow Network |
$15,130.85
|
| Rate for Payer: Railroad Medicare Medicare |
$10,418.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,261.99
|
| Rate for Payer: UHC Core |
$15,408.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,418.01
|
| Rate for Payer: UHC Exchange |
$12,250.01
|
| Rate for Payer: UHC Medicare Advantage |
$10,418.01
|
| Rate for Payer: VA VA |
$10,418.01
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$55,001.64
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$17,794.41 |
| Max. Negotiated Rate |
$55,001.64 |
| Rate for Payer: Aetna Medicare |
$19,480.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,413.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,413.70
|
| Rate for Payer: BCBS MAPPO |
$18,730.96
|
| Rate for Payer: BCBS Trust/PPO |
$55,001.64
|
| Rate for Payer: BCN Commercial |
$55,001.64
|
| Rate for Payer: BCN Medicare Advantage |
$18,730.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,730.96
|
| Rate for Payer: Mclaren Medicare |
$18,730.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,667.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,540.60
|
| Rate for Payer: Nomi Health Commercial |
$29,132.07
|
| Rate for Payer: PACE Medicare |
$17,794.41
|
| Rate for Payer: PACE SWMI |
$18,730.96
|
| Rate for Payer: PHP Medicare Advantage |
$18,730.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,673.33
|
| Rate for Payer: Priority Health Medicare |
$18,730.96
|
| Rate for Payer: Priority Health Narrow Network |
$27,738.67
|
| Rate for Payer: Railroad Medicare Medicare |
$18,730.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,310.78
|
| Rate for Payer: UHC Core |
$28,246.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,730.96
|
| Rate for Payer: UHC Exchange |
$22,456.54
|
| Rate for Payer: UHC Medicare Advantage |
$18,730.96
|
| Rate for Payer: VA VA |
$18,730.96
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$36,054.63
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$11,339.01 |
| Max. Negotiated Rate |
$36,054.63 |
| Rate for Payer: Aetna Medicare |
$12,413.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,919.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,919.75
|
| Rate for Payer: BCBS MAPPO |
$11,935.80
|
| Rate for Payer: BCBS Trust/PPO |
$36,054.63
|
| Rate for Payer: BCN Commercial |
$36,054.63
|
| Rate for Payer: BCN Medicare Advantage |
$11,935.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,935.80
|
| Rate for Payer: Mclaren Medicare |
$11,935.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,532.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,726.17
|
| Rate for Payer: Nomi Health Commercial |
$18,308.97
|
| Rate for Payer: PACE Medicare |
$11,339.01
|
| Rate for Payer: PACE SWMI |
$11,935.80
|
| Rate for Payer: PHP Medicare Advantage |
$11,935.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,790.98
|
| Rate for Payer: Priority Health Medicare |
$11,935.80
|
| Rate for Payer: Priority Health Narrow Network |
$17,432.79
|
| Rate for Payer: Railroad Medicare Medicare |
$11,935.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,192.17
|
| Rate for Payer: UHC Core |
$17,752.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,935.80
|
| Rate for Payer: UHC Exchange |
$14,113.52
|
| Rate for Payer: UHC Medicare Advantage |
$11,935.80
|
| Rate for Payer: VA VA |
$11,935.80
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$18,597.46
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$18,597.46 |
| Rate for Payer: Aetna Medicare |
$10,476.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,592.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,592.22
|
| Rate for Payer: BCBS MAPPO |
$10,073.78
|
| Rate for Payer: BCBS Trust/PPO |
$18,520.91
|
| Rate for Payer: BCN Commercial |
$18,520.91
|
| Rate for Payer: BCN Medicare Advantage |
$10,073.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,073.78
|
| Rate for Payer: Mclaren Medicare |
$10,073.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,577.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,584.85
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$9,570.09
|
| Rate for Payer: PACE SWMI |
$10,073.78
|
| Rate for Payer: PHP Medicare Advantage |
$10,073.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,261.00
|
| Rate for Payer: Priority Health Medicare |
$10,073.78
|
| Rate for Payer: Priority Health Narrow Network |
$14,608.80
|
| Rate for Payer: Railroad Medicare Medicare |
$10,073.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,597.46
|
| Rate for Payer: UHC Core |
$14,877.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,073.78
|
| Rate for Payer: UHC Exchange |
$11,827.39
|
| Rate for Payer: UHC Medicare Advantage |
$10,073.78
|
| Rate for Payer: VA VA |
$10,073.78
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$27,723.14
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$11,960.68 |
| Max. Negotiated Rate |
$27,723.14 |
| Rate for Payer: Aetna Medicare |
$13,093.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,737.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,737.74
|
| Rate for Payer: BCBS MAPPO |
$12,590.19
|
| Rate for Payer: BCBS Trust/PPO |
$27,723.14
|
| Rate for Payer: BCN Commercial |
$27,723.14
|
| Rate for Payer: BCN Medicare Advantage |
$12,590.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,590.19
|
| Rate for Payer: Mclaren Medicare |
$12,590.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,219.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,478.72
|
| Rate for Payer: Nomi Health Commercial |
$19,351.29
|
| Rate for Payer: PACE Medicare |
$11,960.68
|
| Rate for Payer: PACE SWMI |
$12,590.19
|
| Rate for Payer: PHP Medicare Advantage |
$12,590.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,034.69
|
| Rate for Payer: Priority Health Medicare |
$12,590.19
|
| Rate for Payer: Priority Health Narrow Network |
$18,427.75
|
| Rate for Payer: Railroad Medicare Medicare |
$12,590.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,455.56
|
| Rate for Payer: UHC Core |
$18,763.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,590.19
|
| Rate for Payer: UHC Exchange |
$14,916.99
|
| Rate for Payer: UHC Medicare Advantage |
$12,590.19
|
| Rate for Payer: VA VA |
$12,590.19
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$62,139.52
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$21,321.44 |
| Max. Negotiated Rate |
$62,139.52 |
| Rate for Payer: Aetna Medicare |
$23,341.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,054.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,054.52
|
| Rate for Payer: BCBS MAPPO |
$22,443.62
|
| Rate for Payer: BCBS Trust/PPO |
$62,139.52
|
| Rate for Payer: BCN Commercial |
$62,139.52
|
| Rate for Payer: BCN Medicare Advantage |
$22,443.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,443.62
|
| Rate for Payer: Mclaren Medicare |
$22,443.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,565.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,810.16
|
| Rate for Payer: Nomi Health Commercial |
$35,045.43
|
| Rate for Payer: PACE Medicare |
$21,321.44
|
| Rate for Payer: PACE SWMI |
$22,443.62
|
| Rate for Payer: PHP Medicare Advantage |
$22,443.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,711.79
|
| Rate for Payer: Priority Health Medicare |
$22,443.62
|
| Rate for Payer: Priority Health Narrow Network |
$33,369.44
|
| Rate for Payer: Railroad Medicare Medicare |
$22,443.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42,478.32
|
| Rate for Payer: UHC Core |
$33,980.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,443.62
|
| Rate for Payer: UHC Exchange |
$27,014.86
|
| Rate for Payer: UHC Medicare Advantage |
$22,443.62
|
| Rate for Payer: VA VA |
$22,443.62
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$16,657.70
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$7,440.37 |
| Max. Negotiated Rate |
$16,657.70 |
| Rate for Payer: Aetna Medicare |
$8,145.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,789.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,789.96
|
| Rate for Payer: BCBS MAPPO |
$7,831.97
|
| Rate for Payer: BCBS Trust/PPO |
$16,657.70
|
| Rate for Payer: BCN Commercial |
$16,657.70
|
| Rate for Payer: BCN Medicare Advantage |
$7,831.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,831.97
|
| Rate for Payer: Mclaren Medicare |
$7,831.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,223.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,006.77
|
| Rate for Payer: Nomi Health Commercial |
$11,772.54
|
| Rate for Payer: PACE Medicare |
$7,440.37
|
| Rate for Payer: PACE SWMI |
$7,831.97
|
| Rate for Payer: PHP Medicare Advantage |
$7,831.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,010.90
|
| Rate for Payer: Priority Health Medicare |
$7,831.97
|
| Rate for Payer: Priority Health Narrow Network |
$11,208.72
|
| Rate for Payer: Railroad Medicare Medicare |
$7,831.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,269.41
|
| Rate for Payer: UHC Core |
$11,414.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,831.97
|
| Rate for Payer: UHC Exchange |
$9,074.89
|
| Rate for Payer: UHC Medicare Advantage |
$7,831.97
|
| Rate for Payer: VA VA |
$7,831.97
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,396.10
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$8,264.41 |
| Max. Negotiated Rate |
$17,396.10 |
| Rate for Payer: Aetna Medicare |
$9,047.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,874.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,874.22
|
| Rate for Payer: BCBS MAPPO |
$8,699.38
|
| Rate for Payer: BCBS Trust/PPO |
$17,396.10
|
| Rate for Payer: BCN Commercial |
$17,396.10
|
| Rate for Payer: BCN Medicare Advantage |
$8,699.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,699.38
|
| Rate for Payer: Mclaren Medicare |
$8,699.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,134.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,004.29
|
| Rate for Payer: Nomi Health Commercial |
$13,154.13
|
| Rate for Payer: PACE Medicare |
$8,264.41
|
| Rate for Payer: PACE SWMI |
$8,699.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,699.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,655.36
|
| Rate for Payer: Priority Health Medicare |
$8,699.38
|
| Rate for Payer: Priority Health Narrow Network |
$12,524.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,699.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,944.03
|
| Rate for Payer: UHC Core |
$12,754.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,699.38
|
| Rate for Payer: UHC Exchange |
$10,139.90
|
| Rate for Payer: UHC Medicare Advantage |
$8,699.38
|
| Rate for Payer: VA VA |
$8,699.38
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$38,801.80
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$12,492.35 |
| Max. Negotiated Rate |
$38,801.80 |
| Rate for Payer: Aetna Medicare |
$13,675.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,437.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,437.30
|
| Rate for Payer: BCBS MAPPO |
$13,149.84
|
| Rate for Payer: BCBS Trust/PPO |
$38,801.80
|
| Rate for Payer: BCN Commercial |
$38,801.80
|
| Rate for Payer: BCN Medicare Advantage |
$13,149.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,149.84
|
| Rate for Payer: Mclaren Medicare |
$13,149.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,807.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,122.32
|
| Rate for Payer: Nomi Health Commercial |
$20,242.68
|
| Rate for Payer: PACE Medicare |
$12,492.35
|
| Rate for Payer: PACE SWMI |
$13,149.84
|
| Rate for Payer: PHP Medicare Advantage |
$13,149.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,094.14
|
| Rate for Payer: Priority Health Medicare |
$13,149.84
|
| Rate for Payer: Priority Health Narrow Network |
$19,275.32
|
| Rate for Payer: Railroad Medicare Medicare |
$13,149.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,536.01
|
| Rate for Payer: UHC Core |
$19,627.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,149.84
|
| Rate for Payer: UHC Exchange |
$15,604.12
|
| Rate for Payer: UHC Medicare Advantage |
$13,149.84
|
| Rate for Payer: VA VA |
$13,149.84
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,124.07
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$6,174.66 |
| Max. Negotiated Rate |
$12,124.07 |
| Rate for Payer: Aetna Medicare |
$6,759.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,124.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,124.55
|
| Rate for Payer: BCBS MAPPO |
$6,499.64
|
| Rate for Payer: BCBS Trust/PPO |
$12,124.07
|
| Rate for Payer: BCN Commercial |
$12,124.07
|
| Rate for Payer: BCN Medicare Advantage |
$6,499.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,499.64
|
| Rate for Payer: Mclaren Medicare |
$6,499.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,824.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,474.59
|
| Rate for Payer: Nomi Health Commercial |
$9,650.49
|
| Rate for Payer: PACE Medicare |
$6,174.66
|
| Rate for Payer: PACE SWMI |
$6,499.64
|
| Rate for Payer: PHP Medicare Advantage |
$6,499.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,485.10
|
| Rate for Payer: Priority Health Medicare |
$6,499.64
|
| Rate for Payer: Priority Health Narrow Network |
$9,188.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6,499.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,697.29
|
| Rate for Payer: UHC Core |
$9,357.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,499.64
|
| Rate for Payer: UHC Exchange |
$7,439.11
|
| Rate for Payer: UHC Medicare Advantage |
$6,499.64
|
| Rate for Payer: VA VA |
$6,499.64
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$47,284.16
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$15,897.02 |
| Max. Negotiated Rate |
$47,284.16 |
| Rate for Payer: Aetna Medicare |
$17,403.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,917.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,917.12
|
| Rate for Payer: BCBS MAPPO |
$16,733.70
|
| Rate for Payer: BCBS Trust/PPO |
$47,284.16
|
| Rate for Payer: BCN Commercial |
$47,284.16
|
| Rate for Payer: BCN Medicare Advantage |
$16,733.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,733.70
|
| Rate for Payer: Mclaren Medicare |
$16,733.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,570.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,243.76
|
| Rate for Payer: Nomi Health Commercial |
$25,950.93
|
| Rate for Payer: PACE Medicare |
$15,897.02
|
| Rate for Payer: PACE SWMI |
$16,733.70
|
| Rate for Payer: PHP Medicare Advantage |
$16,733.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,886.93
|
| Rate for Payer: Priority Health Medicare |
$16,733.70
|
| Rate for Payer: Priority Health Narrow Network |
$24,709.55
|
| Rate for Payer: Railroad Medicare Medicare |
$16,733.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,454.94
|
| Rate for Payer: UHC Core |
$25,162.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,733.70
|
| Rate for Payer: UHC Exchange |
$20,004.34
|
| Rate for Payer: UHC Medicare Advantage |
$16,733.70
|
| Rate for Payer: VA VA |
$16,733.70
|
|
