|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$99,303.08
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$24,212.11 |
| Max. Negotiated Rate |
$99,303.08 |
| Rate for Payer: Aetna Medicare |
$26,505.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,858.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,858.04
|
| Rate for Payer: BCBS MAPPO |
$25,486.43
|
| Rate for Payer: BCBS Trust/PPO |
$99,303.08
|
| Rate for Payer: BCN Commercial |
$99,303.08
|
| Rate for Payer: BCN Medicare Advantage |
$25,486.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,486.43
|
| Rate for Payer: Mclaren Medicare |
$25,486.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,760.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,309.39
|
| Rate for Payer: Nomi Health Commercial |
$39,891.96
|
| Rate for Payer: PACE Medicare |
$24,212.11
|
| Rate for Payer: PACE SWMI |
$25,486.43
|
| Rate for Payer: PHP Medicare Advantage |
$25,486.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,478.91
|
| Rate for Payer: Priority Health Medicare |
$25,486.43
|
| Rate for Payer: Priority Health Narrow Network |
$37,983.13
|
| Rate for Payer: Railroad Medicare Medicare |
$25,486.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,352.77
|
| Rate for Payer: UHC Core |
$38,679.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,486.43
|
| Rate for Payer: UHC Exchange |
$30,750.83
|
| Rate for Payer: UHC Medicare Advantage |
$25,486.43
|
| Rate for Payer: VA VA |
$25,486.43
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,158.84
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$11,903.75 |
| Max. Negotiated Rate |
$32,158.84 |
| Rate for Payer: Aetna Medicare |
$13,031.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,662.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,662.82
|
| Rate for Payer: BCBS MAPPO |
$12,530.26
|
| Rate for Payer: BCBS Trust/PPO |
$32,158.84
|
| Rate for Payer: BCN Commercial |
$32,158.84
|
| Rate for Payer: BCN Medicare Advantage |
$12,530.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,530.26
|
| Rate for Payer: Mclaren Medicare |
$12,530.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,156.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,409.80
|
| Rate for Payer: Nomi Health Commercial |
$19,255.83
|
| Rate for Payer: PACE Medicare |
$11,903.75
|
| Rate for Payer: PACE SWMI |
$12,530.26
|
| Rate for Payer: PHP Medicare Advantage |
$12,530.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,917.99
|
| Rate for Payer: Priority Health Medicare |
$12,530.26
|
| Rate for Payer: Priority Health Narrow Network |
$18,334.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,530.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,339.86
|
| Rate for Payer: UHC Core |
$18,670.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,530.26
|
| Rate for Payer: UHC Exchange |
$14,843.41
|
| Rate for Payer: UHC Medicare Advantage |
$12,530.26
|
| Rate for Payer: VA VA |
$12,530.26
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$26,672.43
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$9,614.72 |
| Max. Negotiated Rate |
$26,672.43 |
| Rate for Payer: Aetna Medicare |
$10,525.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,650.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,650.95
|
| Rate for Payer: BCBS MAPPO |
$10,120.76
|
| Rate for Payer: BCBS Trust/PPO |
$26,672.43
|
| Rate for Payer: BCN Commercial |
$26,672.43
|
| Rate for Payer: BCN Medicare Advantage |
$10,120.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,120.76
|
| Rate for Payer: Mclaren Medicare |
$10,120.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,626.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,638.87
|
| Rate for Payer: Nomi Health Commercial |
$15,418.08
|
| Rate for Payer: PACE Medicare |
$9,614.72
|
| Rate for Payer: PACE SWMI |
$10,120.76
|
| Rate for Payer: PHP Medicare Advantage |
$10,120.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,350.06
|
| Rate for Payer: Priority Health Medicare |
$10,120.76
|
| Rate for Payer: Priority Health Narrow Network |
$14,680.05
|
| Rate for Payer: Railroad Medicare Medicare |
$10,120.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,688.15
|
| Rate for Payer: UHC Core |
$14,949.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,120.76
|
| Rate for Payer: UHC Exchange |
$11,885.07
|
| Rate for Payer: UHC Medicare Advantage |
$10,120.76
|
| Rate for Payer: VA VA |
$10,120.76
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$38,505.38
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$14,986.04 |
| Max. Negotiated Rate |
$38,505.38 |
| Rate for Payer: Aetna Medicare |
$16,405.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,718.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,718.48
|
| Rate for Payer: BCBS MAPPO |
$15,774.78
|
| Rate for Payer: BCBS Trust/PPO |
$38,505.38
|
| Rate for Payer: BCN Commercial |
$38,505.38
|
| Rate for Payer: BCN Medicare Advantage |
$15,774.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,774.78
|
| Rate for Payer: Mclaren Medicare |
$15,774.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,563.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,141.00
|
| Rate for Payer: Nomi Health Commercial |
$24,423.57
|
| Rate for Payer: PACE Medicare |
$14,986.04
|
| Rate for Payer: PACE SWMI |
$15,774.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,774.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,067.43
|
| Rate for Payer: Priority Health Medicare |
$15,774.78
|
| Rate for Payer: Priority Health Narrow Network |
$23,253.95
|
| Rate for Payer: Railroad Medicare Medicare |
$15,774.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,603.64
|
| Rate for Payer: UHC Core |
$23,681.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,774.78
|
| Rate for Payer: UHC Exchange |
$18,826.98
|
| Rate for Payer: UHC Medicare Advantage |
$15,774.78
|
| Rate for Payer: VA VA |
$15,774.78
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,889.61
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$6,857.15 |
| Max. Negotiated Rate |
$20,889.61 |
| Rate for Payer: Aetna Medicare |
$7,506.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,022.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,022.56
|
| Rate for Payer: BCBS MAPPO |
$7,218.05
|
| Rate for Payer: BCBS Trust/PPO |
$20,889.61
|
| Rate for Payer: BCN Commercial |
$20,889.61
|
| Rate for Payer: BCN Medicare Advantage |
$7,218.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,218.05
|
| Rate for Payer: Mclaren Medicare |
$7,218.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,578.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,300.76
|
| Rate for Payer: Nomi Health Commercial |
$10,794.72
|
| Rate for Payer: PACE Medicare |
$6,857.15
|
| Rate for Payer: PACE SWMI |
$7,218.05
|
| Rate for Payer: PHP Medicare Advantage |
$7,218.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,847.03
|
| Rate for Payer: Priority Health Medicare |
$7,218.05
|
| Rate for Payer: Priority Health Narrow Network |
$10,277.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,218.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,084.20
|
| Rate for Payer: UHC Core |
$10,466.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,218.05
|
| Rate for Payer: UHC Exchange |
$8,321.14
|
| Rate for Payer: UHC Medicare Advantage |
$7,218.05
|
| Rate for Payer: VA VA |
$7,218.05
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$36,877.72
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$15,938.56 |
| Max. Negotiated Rate |
$36,877.72 |
| Rate for Payer: Aetna Medicare |
$17,448.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,971.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,971.79
|
| Rate for Payer: BCBS MAPPO |
$16,777.43
|
| Rate for Payer: BCBS Trust/PPO |
$36,877.72
|
| Rate for Payer: BCN Commercial |
$36,877.72
|
| Rate for Payer: BCN Medicare Advantage |
$16,777.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,777.43
|
| Rate for Payer: Mclaren Medicare |
$16,777.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,616.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,294.04
|
| Rate for Payer: Nomi Health Commercial |
$26,020.59
|
| Rate for Payer: PACE Medicare |
$15,938.56
|
| Rate for Payer: PACE SWMI |
$16,777.43
|
| Rate for Payer: PHP Medicare Advantage |
$16,777.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,969.84
|
| Rate for Payer: Priority Health Medicare |
$16,777.43
|
| Rate for Payer: Priority Health Narrow Network |
$24,775.88
|
| Rate for Payer: Railroad Medicare Medicare |
$16,777.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,539.38
|
| Rate for Payer: UHC Core |
$25,229.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,777.43
|
| Rate for Payer: UHC Exchange |
$20,058.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,777.43
|
| Rate for Payer: VA VA |
$16,777.43
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$72,982.64
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$31,069.94 |
| Max. Negotiated Rate |
$72,982.64 |
| Rate for Payer: Aetna Medicare |
$34,013.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,881.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,881.50
|
| Rate for Payer: BCBS MAPPO |
$32,705.20
|
| Rate for Payer: BCBS Trust/PPO |
$72,982.64
|
| Rate for Payer: BCN Commercial |
$72,982.64
|
| Rate for Payer: BCN Medicare Advantage |
$32,705.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,705.20
|
| Rate for Payer: Mclaren Medicare |
$32,705.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,340.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,610.98
|
| Rate for Payer: Nomi Health Commercial |
$51,389.73
|
| Rate for Payer: PACE Medicare |
$31,069.94
|
| Rate for Payer: PACE SWMI |
$32,705.20
|
| Rate for Payer: PHP Medicare Advantage |
$32,705.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,164.29
|
| Rate for Payer: Priority Health Medicare |
$32,705.20
|
| Rate for Payer: Priority Health Narrow Network |
$48,931.44
|
| Rate for Payer: Railroad Medicare Medicare |
$32,705.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62,289.13
|
| Rate for Payer: UHC Core |
$49,828.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,705.20
|
| Rate for Payer: UHC Exchange |
$39,613.91
|
| Rate for Payer: UHC Medicare Advantage |
$32,705.20
|
| Rate for Payer: VA VA |
$32,705.20
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,155.52
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$10,177.18 |
| Max. Negotiated Rate |
$24,155.52 |
| Rate for Payer: Aetna Medicare |
$11,141.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,391.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,391.02
|
| Rate for Payer: BCBS MAPPO |
$10,712.82
|
| Rate for Payer: BCBS Trust/PPO |
$24,155.52
|
| Rate for Payer: BCN Commercial |
$24,155.52
|
| Rate for Payer: BCN Medicare Advantage |
$10,712.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,712.82
|
| Rate for Payer: Mclaren Medicare |
$10,712.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,248.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,319.74
|
| Rate for Payer: Nomi Health Commercial |
$16,361.07
|
| Rate for Payer: PACE Medicare |
$10,177.18
|
| Rate for Payer: PACE SWMI |
$10,712.82
|
| Rate for Payer: PHP Medicare Advantage |
$10,712.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,472.46
|
| Rate for Payer: Priority Health Medicare |
$10,712.82
|
| Rate for Payer: Priority Health Narrow Network |
$15,577.97
|
| Rate for Payer: Railroad Medicare Medicare |
$10,712.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,831.14
|
| Rate for Payer: UHC Core |
$15,863.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,712.82
|
| Rate for Payer: UHC Exchange |
$12,611.98
|
| Rate for Payer: UHC Medicare Advantage |
$10,712.82
|
| Rate for Payer: VA VA |
$10,712.82
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$80,210.51
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$32,040.17 |
| Max. Negotiated Rate |
$80,210.51 |
| Rate for Payer: Aetna Medicare |
$35,075.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,158.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,158.11
|
| Rate for Payer: BCBS MAPPO |
$33,726.49
|
| Rate for Payer: BCBS Trust/PPO |
$80,210.51
|
| Rate for Payer: BCN Commercial |
$80,210.51
|
| Rate for Payer: BCN Medicare Advantage |
$33,726.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,726.49
|
| Rate for Payer: Mclaren Medicare |
$33,726.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,412.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,785.46
|
| Rate for Payer: Nomi Health Commercial |
$53,016.42
|
| Rate for Payer: PACE Medicare |
$32,040.17
|
| Rate for Payer: PACE SWMI |
$33,726.49
|
| Rate for Payer: PHP Medicare Advantage |
$33,726.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,098.95
|
| Rate for Payer: Priority Health Medicare |
$33,726.49
|
| Rate for Payer: Priority Health Narrow Network |
$50,479.17
|
| Rate for Payer: Railroad Medicare Medicare |
$33,726.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64,260.83
|
| Rate for Payer: UHC Core |
$51,405.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,726.49
|
| Rate for Payer: UHC Exchange |
$40,867.85
|
| Rate for Payer: UHC Medicare Advantage |
$33,726.49
|
| Rate for Payer: VA VA |
$33,726.49
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$168,768.39
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$57,849.51 |
| Max. Negotiated Rate |
$168,768.39 |
| Rate for Payer: Aetna Medicare |
$63,329.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76,117.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76,117.78
|
| Rate for Payer: BCBS MAPPO |
$60,894.22
|
| Rate for Payer: BCBS Trust/PPO |
$168,768.39
|
| Rate for Payer: BCN Commercial |
$168,768.39
|
| Rate for Payer: BCN Medicare Advantage |
$60,894.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60,894.22
|
| Rate for Payer: Mclaren Medicare |
$60,894.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63,938.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70,028.35
|
| Rate for Payer: Nomi Health Commercial |
$96,288.18
|
| Rate for Payer: PACE Medicare |
$57,849.51
|
| Rate for Payer: PACE SWMI |
$60,894.22
|
| Rate for Payer: PHP Medicare Advantage |
$60,894.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$114,600.71
|
| Rate for Payer: Priority Health Medicare |
$60,894.22
|
| Rate for Payer: Priority Health Narrow Network |
$91,680.58
|
| Rate for Payer: Railroad Medicare Medicare |
$60,894.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116,710.23
|
| Rate for Payer: UHC Core |
$93,362.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$60,894.22
|
| Rate for Payer: UHC Exchange |
$74,224.00
|
| Rate for Payer: UHC Medicare Advantage |
$60,894.22
|
| Rate for Payer: VA VA |
$60,894.22
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$47,990.80
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$20,761.28 |
| Max. Negotiated Rate |
$47,990.80 |
| Rate for Payer: Aetna Medicare |
$22,728.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,317.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,317.48
|
| Rate for Payer: BCBS MAPPO |
$21,853.98
|
| Rate for Payer: BCBS Trust/PPO |
$47,990.80
|
| Rate for Payer: BCN Commercial |
$47,990.80
|
| Rate for Payer: BCN Medicare Advantage |
$21,853.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,853.98
|
| Rate for Payer: Mclaren Medicare |
$21,853.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,946.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,132.08
|
| Rate for Payer: Nomi Health Commercial |
$34,106.31
|
| Rate for Payer: PACE Medicare |
$20,761.28
|
| Rate for Payer: PACE SWMI |
$21,853.98
|
| Rate for Payer: PHP Medicare Advantage |
$21,853.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,592.45
|
| Rate for Payer: Priority Health Medicare |
$21,853.98
|
| Rate for Payer: Priority Health Narrow Network |
$32,473.97
|
| Rate for Payer: Railroad Medicare Medicare |
$21,853.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,340.02
|
| Rate for Payer: UHC Core |
$33,069.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,853.98
|
| Rate for Payer: UHC Exchange |
$26,290.94
|
| Rate for Payer: UHC Medicare Advantage |
$21,853.98
|
| Rate for Payer: VA VA |
$21,853.98
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$35,019.81
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$14,114.28 |
| Max. Negotiated Rate |
$35,019.81 |
| Rate for Payer: Aetna Medicare |
$15,451.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,571.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,571.42
|
| Rate for Payer: BCBS MAPPO |
$14,857.14
|
| Rate for Payer: BCBS Trust/PPO |
$35,019.81
|
| Rate for Payer: BCN Commercial |
$35,019.81
|
| Rate for Payer: BCN Medicare Advantage |
$14,857.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,857.14
|
| Rate for Payer: Mclaren Medicare |
$14,857.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,600.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,085.71
|
| Rate for Payer: Nomi Health Commercial |
$22,962.00
|
| Rate for Payer: PACE Medicare |
$14,114.28
|
| Rate for Payer: PACE SWMI |
$14,857.14
|
| Rate for Payer: PHP Medicare Advantage |
$14,857.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,329.31
|
| Rate for Payer: Priority Health Medicare |
$14,857.14
|
| Rate for Payer: Priority Health Narrow Network |
$21,863.46
|
| Rate for Payer: Railroad Medicare Medicare |
$14,857.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,832.08
|
| Rate for Payer: UHC Core |
$22,264.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,857.14
|
| Rate for Payer: UHC Exchange |
$17,700.32
|
| Rate for Payer: UHC Medicare Advantage |
$14,857.14
|
| Rate for Payer: VA VA |
$14,857.14
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$64,402.36
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$28,000.73 |
| Max. Negotiated Rate |
$64,402.36 |
| Rate for Payer: Aetna Medicare |
$30,653.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,843.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,843.06
|
| Rate for Payer: BCBS MAPPO |
$29,474.45
|
| Rate for Payer: BCBS Trust/PPO |
$64,402.36
|
| Rate for Payer: BCN Commercial |
$64,402.36
|
| Rate for Payer: BCN Medicare Advantage |
$29,474.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,474.45
|
| Rate for Payer: Mclaren Medicare |
$29,474.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,948.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,895.62
|
| Rate for Payer: Nomi Health Commercial |
$46,243.92
|
| Rate for Payer: PACE Medicare |
$28,000.73
|
| Rate for Payer: PACE SWMI |
$29,474.45
|
| Rate for Payer: PHP Medicare Advantage |
$29,474.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,039.42
|
| Rate for Payer: Priority Health Medicare |
$29,474.45
|
| Rate for Payer: Priority Health Narrow Network |
$44,031.54
|
| Rate for Payer: Railroad Medicare Medicare |
$29,474.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,051.93
|
| Rate for Payer: UHC Core |
$44,838.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,474.45
|
| Rate for Payer: UHC Exchange |
$35,647.25
|
| Rate for Payer: UHC Medicare Advantage |
$29,474.45
|
| Rate for Payer: VA VA |
$29,474.45
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$33,548.30
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$8,925.34 |
| Max. Negotiated Rate |
$33,548.30 |
| Rate for Payer: Aetna Medicare |
$9,770.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,743.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,743.88
|
| Rate for Payer: BCBS MAPPO |
$9,395.10
|
| Rate for Payer: BCBS Trust/PPO |
$33,548.30
|
| Rate for Payer: BCN Commercial |
$33,548.30
|
| Rate for Payer: BCN Medicare Advantage |
$9,395.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,395.10
|
| Rate for Payer: Mclaren Medicare |
$9,395.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,864.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,804.36
|
| Rate for Payer: Nomi Health Commercial |
$14,262.24
|
| Rate for Payer: PACE Medicare |
$8,925.34
|
| Rate for Payer: PACE SWMI |
$9,395.10
|
| Rate for Payer: PHP Medicare Advantage |
$9,395.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,974.30
|
| Rate for Payer: Priority Health Medicare |
$9,395.10
|
| Rate for Payer: Priority Health Narrow Network |
$13,579.44
|
| Rate for Payer: Railroad Medicare Medicare |
$9,395.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,287.16
|
| Rate for Payer: UHC Core |
$13,828.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,395.10
|
| Rate for Payer: UHC Exchange |
$10,994.09
|
| Rate for Payer: UHC Medicare Advantage |
$9,395.10
|
| Rate for Payer: VA VA |
$9,395.10
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$35,310.94
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$14,943.71 |
| Max. Negotiated Rate |
$35,310.94 |
| Rate for Payer: Aetna Medicare |
$16,359.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,662.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,662.78
|
| Rate for Payer: BCBS MAPPO |
$15,730.22
|
| Rate for Payer: BCBS Trust/PPO |
$35,310.94
|
| Rate for Payer: BCN Commercial |
$35,310.94
|
| Rate for Payer: BCN Medicare Advantage |
$15,730.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,730.22
|
| Rate for Payer: Mclaren Medicare |
$15,730.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,516.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,089.75
|
| Rate for Payer: Nomi Health Commercial |
$24,352.62
|
| Rate for Payer: PACE Medicare |
$14,943.71
|
| Rate for Payer: PACE SWMI |
$15,730.22
|
| Rate for Payer: PHP Medicare Advantage |
$15,730.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,984.52
|
| Rate for Payer: Priority Health Medicare |
$15,730.22
|
| Rate for Payer: Priority Health Narrow Network |
$23,187.62
|
| Rate for Payer: Railroad Medicare Medicare |
$15,730.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,517.64
|
| Rate for Payer: UHC Core |
$23,612.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,730.22
|
| Rate for Payer: UHC Exchange |
$18,772.28
|
| Rate for Payer: UHC Medicare Advantage |
$15,730.22
|
| Rate for Payer: VA VA |
$15,730.22
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$16,935.59
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$7,388.04 |
| Max. Negotiated Rate |
$16,935.59 |
| Rate for Payer: Aetna Medicare |
$8,087.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,721.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,721.10
|
| Rate for Payer: BCBS MAPPO |
$7,776.88
|
| Rate for Payer: BCBS Trust/PPO |
$16,935.59
|
| Rate for Payer: BCN Commercial |
$16,935.59
|
| Rate for Payer: BCN Medicare Advantage |
$7,776.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,776.88
|
| Rate for Payer: Mclaren Medicare |
$7,776.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,165.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,943.41
|
| Rate for Payer: Nomi Health Commercial |
$11,684.82
|
| Rate for Payer: PACE Medicare |
$7,388.04
|
| Rate for Payer: PACE SWMI |
$7,776.88
|
| Rate for Payer: PHP Medicare Advantage |
$7,776.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,908.02
|
| Rate for Payer: Priority Health Medicare |
$7,776.88
|
| Rate for Payer: Priority Health Narrow Network |
$11,126.42
|
| Rate for Payer: Railroad Medicare Medicare |
$7,776.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,163.09
|
| Rate for Payer: UHC Core |
$11,329.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,776.88
|
| Rate for Payer: UHC Exchange |
$9,007.28
|
| Rate for Payer: UHC Medicare Advantage |
$7,776.88
|
| Rate for Payer: VA VA |
$7,776.88
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$38,338.65
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$14,477.46 |
| Max. Negotiated Rate |
$38,338.65 |
| Rate for Payer: Aetna Medicare |
$15,849.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,049.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,049.29
|
| Rate for Payer: BCBS MAPPO |
$15,239.43
|
| Rate for Payer: BCBS Trust/PPO |
$38,338.65
|
| Rate for Payer: BCN Commercial |
$38,338.65
|
| Rate for Payer: BCN Medicare Advantage |
$15,239.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,239.43
|
| Rate for Payer: Mclaren Medicare |
$15,239.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,001.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,525.34
|
| Rate for Payer: Nomi Health Commercial |
$23,570.88
|
| Rate for Payer: PACE Medicare |
$14,477.46
|
| Rate for Payer: PACE SWMI |
$15,239.43
|
| Rate for Payer: PHP Medicare Advantage |
$15,239.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,054.04
|
| Rate for Payer: Priority Health Medicare |
$15,239.43
|
| Rate for Payer: Priority Health Narrow Network |
$22,443.24
|
| Rate for Payer: Railroad Medicare Medicare |
$15,239.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,570.10
|
| Rate for Payer: UHC Core |
$22,854.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,239.43
|
| Rate for Payer: UHC Exchange |
$18,169.68
|
| Rate for Payer: UHC Medicare Advantage |
$15,239.43
|
| Rate for Payer: VA VA |
$15,239.43
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,976.93
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$30,043.53 |
| Max. Negotiated Rate |
$71,976.93 |
| Rate for Payer: Aetna Medicare |
$32,889.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,530.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,530.96
|
| Rate for Payer: BCBS MAPPO |
$31,624.77
|
| Rate for Payer: BCBS Trust/PPO |
$71,976.93
|
| Rate for Payer: BCN Commercial |
$71,976.93
|
| Rate for Payer: BCN Medicare Advantage |
$31,624.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,624.77
|
| Rate for Payer: Mclaren Medicare |
$31,624.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,206.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,368.49
|
| Rate for Payer: Nomi Health Commercial |
$49,668.87
|
| Rate for Payer: PACE Medicare |
$30,043.53
|
| Rate for Payer: PACE SWMI |
$31,624.77
|
| Rate for Payer: PHP Medicare Advantage |
$31,624.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,129.83
|
| Rate for Payer: Priority Health Medicare |
$31,624.77
|
| Rate for Payer: Priority Health Narrow Network |
$47,303.87
|
| Rate for Payer: Railroad Medicare Medicare |
$31,624.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,203.29
|
| Rate for Payer: UHC Core |
$48,159.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,624.77
|
| Rate for Payer: UHC Exchange |
$38,287.38
|
| Rate for Payer: UHC Medicare Advantage |
$31,624.77
|
| Rate for Payer: VA VA |
$31,624.77
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,780.37
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$10,835.80 |
| Max. Negotiated Rate |
$31,780.37 |
| Rate for Payer: Aetna Medicare |
$11,862.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,257.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,257.62
|
| Rate for Payer: BCBS MAPPO |
$11,406.10
|
| Rate for Payer: BCBS Trust/PPO |
$31,780.37
|
| Rate for Payer: BCN Commercial |
$31,780.37
|
| Rate for Payer: BCN Medicare Advantage |
$11,406.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,406.10
|
| Rate for Payer: Mclaren Medicare |
$11,406.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,976.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,117.02
|
| Rate for Payer: Nomi Health Commercial |
$17,465.31
|
| Rate for Payer: PACE Medicare |
$10,835.80
|
| Rate for Payer: PACE SWMI |
$11,406.10
|
| Rate for Payer: PHP Medicare Advantage |
$11,406.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,786.80
|
| Rate for Payer: Priority Health Medicare |
$11,406.10
|
| Rate for Payer: Priority Health Narrow Network |
$16,629.44
|
| Rate for Payer: Railroad Medicare Medicare |
$11,406.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,169.58
|
| Rate for Payer: UHC Core |
$16,934.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,406.10
|
| Rate for Payer: UHC Exchange |
$13,463.18
|
| Rate for Payer: UHC Medicare Advantage |
$11,406.10
|
| Rate for Payer: VA VA |
$11,406.10
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$44,904.86
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$14,060.43 |
| Max. Negotiated Rate |
$44,904.86 |
| Rate for Payer: Aetna Medicare |
$15,392.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,500.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,500.56
|
| Rate for Payer: BCBS MAPPO |
$14,800.45
|
| Rate for Payer: BCBS Trust/PPO |
$44,904.86
|
| Rate for Payer: BCN Commercial |
$44,904.86
|
| Rate for Payer: BCN Medicare Advantage |
$14,800.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,800.45
|
| Rate for Payer: Mclaren Medicare |
$14,800.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,540.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,020.52
|
| Rate for Payer: Nomi Health Commercial |
$22,871.70
|
| Rate for Payer: PACE Medicare |
$14,060.43
|
| Rate for Payer: PACE SWMI |
$14,800.45
|
| Rate for Payer: PHP Medicare Advantage |
$14,800.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,221.83
|
| Rate for Payer: Priority Health Medicare |
$14,800.45
|
| Rate for Payer: Priority Health Narrow Network |
$21,777.47
|
| Rate for Payer: Railroad Medicare Medicare |
$14,800.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,722.63
|
| Rate for Payer: UHC Core |
$22,176.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,800.45
|
| Rate for Payer: UHC Exchange |
$17,630.71
|
| Rate for Payer: UHC Medicare Advantage |
$14,800.45
|
| Rate for Payer: VA VA |
$14,800.45
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,963.98
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$25,497.04 |
| Max. Negotiated Rate |
$50,963.98 |
| Rate for Payer: Aetna Medicare |
$27,912.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,548.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,548.74
|
| Rate for Payer: BCBS MAPPO |
$26,838.99
|
| Rate for Payer: BCBS Trust/PPO |
$49,075.90
|
| Rate for Payer: BCN Commercial |
$49,075.90
|
| Rate for Payer: BCN Medicare Advantage |
$26,838.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,838.99
|
| Rate for Payer: Mclaren Medicare |
$26,838.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,180.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,864.84
|
| Rate for Payer: Nomi Health Commercial |
$42,046.26
|
| Rate for Payer: PACE Medicare |
$25,497.04
|
| Rate for Payer: PACE SWMI |
$26,838.99
|
| Rate for Payer: PHP Medicare Advantage |
$26,838.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,041.56
|
| Rate for Payer: Priority Health Medicare |
$26,838.99
|
| Rate for Payer: Priority Health Narrow Network |
$40,033.25
|
| Rate for Payer: Railroad Medicare Medicare |
$26,838.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,963.98
|
| Rate for Payer: UHC Core |
$40,768.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,838.99
|
| Rate for Payer: UHC Exchange |
$32,411.47
|
| Rate for Payer: UHC Medicare Advantage |
$26,838.99
|
| Rate for Payer: VA VA |
$26,838.99
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,375.13
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$11,492.10 |
| Max. Negotiated Rate |
$43,375.13 |
| Rate for Payer: Aetna Medicare |
$12,580.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,121.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,121.19
|
| Rate for Payer: BCBS MAPPO |
$12,096.95
|
| Rate for Payer: BCBS Trust/PPO |
$43,375.13
|
| Rate for Payer: BCN Commercial |
$43,375.13
|
| Rate for Payer: BCN Medicare Advantage |
$12,096.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,096.95
|
| Rate for Payer: Mclaren Medicare |
$12,096.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,701.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,911.49
|
| Rate for Payer: Nomi Health Commercial |
$18,565.68
|
| Rate for Payer: PACE Medicare |
$11,492.10
|
| Rate for Payer: PACE SWMI |
$12,096.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,096.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,096.53
|
| Rate for Payer: Priority Health Medicare |
$12,096.95
|
| Rate for Payer: Priority Health Narrow Network |
$17,677.23
|
| Rate for Payer: Railroad Medicare Medicare |
$12,096.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,503.33
|
| Rate for Payer: UHC Core |
$18,001.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,096.95
|
| Rate for Payer: UHC Exchange |
$14,311.40
|
| Rate for Payer: UHC Medicare Advantage |
$12,096.95
|
| Rate for Payer: VA VA |
$12,096.95
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$56,428.16
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$20,061.89 |
| Max. Negotiated Rate |
$56,428.16 |
| Rate for Payer: Aetna Medicare |
$21,962.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,397.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,397.22
|
| Rate for Payer: BCBS MAPPO |
$21,117.78
|
| Rate for Payer: BCBS Trust/PPO |
$56,428.16
|
| Rate for Payer: BCN Commercial |
$56,428.16
|
| Rate for Payer: BCN Medicare Advantage |
$21,117.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,117.78
|
| Rate for Payer: Mclaren Medicare |
$21,117.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,173.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,285.45
|
| Rate for Payer: Nomi Health Commercial |
$32,933.70
|
| Rate for Payer: PACE Medicare |
$20,061.89
|
| Rate for Payer: PACE SWMI |
$21,117.78
|
| Rate for Payer: PHP Medicare Advantage |
$21,117.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,198.27
|
| Rate for Payer: Priority Health Medicare |
$21,117.78
|
| Rate for Payer: Priority Health Narrow Network |
$31,358.62
|
| Rate for Payer: Railroad Medicare Medicare |
$21,117.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39,918.71
|
| Rate for Payer: UHC Core |
$31,932.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,117.78
|
| Rate for Payer: UHC Exchange |
$25,387.03
|
| Rate for Payer: UHC Medicare Advantage |
$21,117.78
|
| Rate for Payer: VA VA |
$21,117.78
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$97,905.67
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$26,812.75 |
| Max. Negotiated Rate |
$97,905.67 |
| Rate for Payer: Aetna Medicare |
$29,352.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,279.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,279.94
|
| Rate for Payer: BCBS MAPPO |
$28,223.95
|
| Rate for Payer: BCBS Trust/PPO |
$97,905.67
|
| Rate for Payer: BCN Commercial |
$97,905.67
|
| Rate for Payer: BCN Medicare Advantage |
$28,223.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,223.95
|
| Rate for Payer: Mclaren Medicare |
$28,223.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,635.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,457.54
|
| Rate for Payer: Nomi Health Commercial |
$44,252.16
|
| Rate for Payer: PACE Medicare |
$26,812.75
|
| Rate for Payer: PACE SWMI |
$28,223.95
|
| Rate for Payer: PHP Medicare Advantage |
$28,223.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,668.70
|
| Rate for Payer: Priority Health Medicare |
$28,223.95
|
| Rate for Payer: Priority Health Narrow Network |
$42,134.96
|
| Rate for Payer: Railroad Medicare Medicare |
$28,223.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,637.73
|
| Rate for Payer: UHC Core |
$42,907.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,223.95
|
| Rate for Payer: UHC Exchange |
$34,111.90
|
| Rate for Payer: UHC Medicare Advantage |
$28,223.95
|
| Rate for Payer: VA VA |
$28,223.95
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,185.97
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$13,878.84 |
| Max. Negotiated Rate |
$40,185.97 |
| Rate for Payer: Aetna Medicare |
$15,193.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,261.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,261.64
|
| Rate for Payer: BCBS MAPPO |
$14,609.31
|
| Rate for Payer: BCBS Trust/PPO |
$40,185.97
|
| Rate for Payer: BCN Commercial |
$40,185.97
|
| Rate for Payer: BCN Medicare Advantage |
$14,609.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,609.31
|
| Rate for Payer: Mclaren Medicare |
$14,609.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,339.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,800.71
|
| Rate for Payer: Nomi Health Commercial |
$22,567.26
|
| Rate for Payer: PACE Medicare |
$13,878.84
|
| Rate for Payer: PACE SWMI |
$14,609.31
|
| Rate for Payer: PHP Medicare Advantage |
$14,609.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,859.47
|
| Rate for Payer: Priority Health Medicare |
$14,609.31
|
| Rate for Payer: Priority Health Narrow Network |
$21,487.58
|
| Rate for Payer: Railroad Medicare Medicare |
$14,609.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,353.62
|
| Rate for Payer: UHC Core |
$21,881.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,609.31
|
| Rate for Payer: UHC Exchange |
$17,396.03
|
| Rate for Payer: UHC Medicare Advantage |
$14,609.31
|
| Rate for Payer: VA VA |
$14,609.31
|
|
