|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$40,313.01
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$16,671.07 |
| Max. Negotiated Rate |
$40,313.01 |
| Rate for Payer: Aetna Medicare |
$18,250.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,935.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,935.61
|
| Rate for Payer: BCBS MAPPO |
$17,548.49
|
| Rate for Payer: BCBS Trust/PPO |
$40,313.01
|
| Rate for Payer: BCN Commercial |
$40,313.01
|
| Rate for Payer: BCN Medicare Advantage |
$17,548.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,548.49
|
| Rate for Payer: Mclaren Medicare |
$17,548.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,425.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,180.76
|
| Rate for Payer: Nomi Health Commercial |
$27,248.67
|
| Rate for Payer: PACE Medicare |
$16,671.07
|
| Rate for Payer: PACE SWMI |
$17,548.49
|
| Rate for Payer: PHP Medicare Advantage |
$17,548.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,434.66
|
| Rate for Payer: Priority Health Medicare |
$17,548.49
|
| Rate for Payer: Priority Health Narrow Network |
$25,947.73
|
| Rate for Payer: Railroad Medicare Medicare |
$17,548.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,027.92
|
| Rate for Payer: UHC Core |
$26,420.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,548.49
|
| Rate for Payer: UHC Exchange |
$21,004.71
|
| Rate for Payer: UHC Medicare Advantage |
$17,548.49
|
| Rate for Payer: VA VA |
$17,548.49
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$62,189.81
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$28,297.74 |
| Max. Negotiated Rate |
$62,189.81 |
| Rate for Payer: UHC Exchange |
$36,031.09
|
| Rate for Payer: Aetna Medicare |
$30,978.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,233.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,233.86
|
| Rate for Payer: BCBS MAPPO |
$29,787.09
|
| Rate for Payer: BCBS Trust/PPO |
$62,189.81
|
| Rate for Payer: BCN Commercial |
$62,189.81
|
| Rate for Payer: BCN Medicare Advantage |
$29,787.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,787.09
|
| Rate for Payer: Mclaren Medicare |
$29,787.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,276.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,255.15
|
| Rate for Payer: Nomi Health Commercial |
$46,741.86
|
| Rate for Payer: PACE Medicare |
$28,297.74
|
| Rate for Payer: PACE SWMI |
$29,787.09
|
| Rate for Payer: PHP Medicare Advantage |
$29,787.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,642.85
|
| Rate for Payer: Priority Health Medicare |
$29,787.09
|
| Rate for Payer: Priority Health Narrow Network |
$44,514.28
|
| Rate for Payer: Railroad Medicare Medicare |
$29,787.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56,655.48
|
| Rate for Payer: UHC Core |
$45,321.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,787.09
|
| Rate for Payer: UHC Medicare Advantage |
$29,787.09
|
| Rate for Payer: VA VA |
$29,787.09
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$34,411.09
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$12,229.97 |
| Max. Negotiated Rate |
$34,411.09 |
| Rate for Payer: Aetna Medicare |
$13,388.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,092.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,092.06
|
| Rate for Payer: BCBS MAPPO |
$12,873.65
|
| Rate for Payer: BCBS Trust/PPO |
$34,411.09
|
| Rate for Payer: BCN Commercial |
$34,411.09
|
| Rate for Payer: BCN Medicare Advantage |
$12,873.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,873.65
|
| Rate for Payer: Mclaren Medicare |
$12,873.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,517.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,804.70
|
| Rate for Payer: Nomi Health Commercial |
$19,802.79
|
| Rate for Payer: PACE Medicare |
$12,229.97
|
| Rate for Payer: PACE SWMI |
$12,873.65
|
| Rate for Payer: PHP Medicare Advantage |
$12,873.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,569.02
|
| Rate for Payer: Priority Health Medicare |
$12,873.65
|
| Rate for Payer: Priority Health Narrow Network |
$18,855.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,873.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,002.82
|
| Rate for Payer: UHC Core |
$19,201.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,873.65
|
| Rate for Payer: UHC Exchange |
$15,265.03
|
| Rate for Payer: UHC Medicare Advantage |
$12,873.65
|
| Rate for Payer: VA VA |
$12,873.65
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$49,758.73
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$17,752.10 |
| Max. Negotiated Rate |
$49,758.73 |
| Rate for Payer: Aetna Medicare |
$19,433.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,358.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,358.02
|
| Rate for Payer: BCBS MAPPO |
$18,686.42
|
| Rate for Payer: BCBS Trust/PPO |
$49,758.73
|
| Rate for Payer: BCN Commercial |
$49,758.73
|
| Rate for Payer: BCN Medicare Advantage |
$18,686.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,686.42
|
| Rate for Payer: Mclaren Medicare |
$18,686.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,620.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,489.38
|
| Rate for Payer: Nomi Health Commercial |
$29,061.12
|
| Rate for Payer: PACE Medicare |
$17,752.10
|
| Rate for Payer: PACE SWMI |
$18,686.42
|
| Rate for Payer: PHP Medicare Advantage |
$18,686.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,588.88
|
| Rate for Payer: Priority Health Medicare |
$18,686.42
|
| Rate for Payer: Priority Health Narrow Network |
$27,671.11
|
| Rate for Payer: Railroad Medicare Medicare |
$18,686.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,224.78
|
| Rate for Payer: UHC Core |
$28,178.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,686.42
|
| Rate for Payer: UHC Exchange |
$22,401.84
|
| Rate for Payer: UHC Medicare Advantage |
$18,686.42
|
| Rate for Payer: VA VA |
$18,686.42
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$78,032.35
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$26,517.28 |
| Max. Negotiated Rate |
$78,032.35 |
| Rate for Payer: Aetna Medicare |
$29,029.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,891.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,891.16
|
| Rate for Payer: BCBS MAPPO |
$27,912.93
|
| Rate for Payer: BCBS Trust/PPO |
$78,032.35
|
| Rate for Payer: BCN Commercial |
$78,032.35
|
| Rate for Payer: BCN Medicare Advantage |
$27,912.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,912.93
|
| Rate for Payer: Mclaren Medicare |
$27,912.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,308.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,099.87
|
| Rate for Payer: Nomi Health Commercial |
$43,756.80
|
| Rate for Payer: PACE Medicare |
$26,517.28
|
| Rate for Payer: PACE SWMI |
$27,912.93
|
| Rate for Payer: PHP Medicare Advantage |
$27,912.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,082.16
|
| Rate for Payer: Priority Health Medicare |
$27,912.93
|
| Rate for Payer: Priority Health Narrow Network |
$41,665.73
|
| Rate for Payer: Railroad Medicare Medicare |
$27,912.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,037.31
|
| Rate for Payer: UHC Core |
$42,427.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,912.93
|
| Rate for Payer: UHC Exchange |
$33,730.05
|
| Rate for Payer: UHC Medicare Advantage |
$27,912.93
|
| Rate for Payer: VA VA |
$27,912.93
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$44,997.49
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$14,304.35 |
| Max. Negotiated Rate |
$44,997.49 |
| Rate for Payer: Aetna Medicare |
$15,659.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,821.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,821.51
|
| Rate for Payer: BCBS MAPPO |
$15,057.21
|
| Rate for Payer: BCBS Trust/PPO |
$44,997.49
|
| Rate for Payer: BCN Commercial |
$44,997.49
|
| Rate for Payer: BCN Medicare Advantage |
$15,057.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,057.21
|
| Rate for Payer: Mclaren Medicare |
$15,057.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,810.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,315.79
|
| Rate for Payer: Nomi Health Commercial |
$23,280.63
|
| Rate for Payer: PACE Medicare |
$14,304.35
|
| Rate for Payer: PACE SWMI |
$15,057.21
|
| Rate for Payer: PHP Medicare Advantage |
$15,057.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,710.10
|
| Rate for Payer: Priority Health Medicare |
$15,057.21
|
| Rate for Payer: Priority Health Narrow Network |
$22,168.09
|
| Rate for Payer: Railroad Medicare Medicare |
$15,057.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,218.29
|
| Rate for Payer: UHC Core |
$22,573.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,057.21
|
| Rate for Payer: UHC Exchange |
$17,945.94
|
| Rate for Payer: UHC Medicare Advantage |
$15,057.21
|
| Rate for Payer: VA VA |
$15,057.21
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$18,788.21
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$8,143.60 |
| Max. Negotiated Rate |
$18,788.21 |
| Rate for Payer: Aetna Medicare |
$8,915.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,715.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,715.26
|
| Rate for Payer: BCBS MAPPO |
$8,572.21
|
| Rate for Payer: BCBS Trust/PPO |
$18,788.21
|
| Rate for Payer: BCN Commercial |
$18,788.21
|
| Rate for Payer: BCN Medicare Advantage |
$8,572.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,572.21
|
| Rate for Payer: Mclaren Medicare |
$8,572.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,000.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,858.04
|
| Rate for Payer: Nomi Health Commercial |
$12,951.60
|
| Rate for Payer: PACE Medicare |
$8,143.60
|
| Rate for Payer: PACE SWMI |
$8,572.21
|
| Rate for Payer: PHP Medicare Advantage |
$8,572.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,414.29
|
| Rate for Payer: Priority Health Medicare |
$8,572.21
|
| Rate for Payer: Priority Health Narrow Network |
$12,331.44
|
| Rate for Payer: Railroad Medicare Medicare |
$8,572.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,698.54
|
| Rate for Payer: UHC Core |
$12,558.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,572.21
|
| Rate for Payer: UHC Exchange |
$9,983.78
|
| Rate for Payer: UHC Medicare Advantage |
$8,572.21
|
| Rate for Payer: VA VA |
$8,572.21
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$28,098.95
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$12,575.46 |
| Max. Negotiated Rate |
$28,098.95 |
| Rate for Payer: Aetna Medicare |
$13,766.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,546.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,546.66
|
| Rate for Payer: BCBS MAPPO |
$13,237.33
|
| Rate for Payer: BCBS Trust/PPO |
$28,098.95
|
| Rate for Payer: BCN Commercial |
$28,098.95
|
| Rate for Payer: BCN Medicare Advantage |
$13,237.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,237.33
|
| Rate for Payer: Mclaren Medicare |
$13,237.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,899.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,222.93
|
| Rate for Payer: Nomi Health Commercial |
$20,382.00
|
| Rate for Payer: PACE Medicare |
$12,575.46
|
| Rate for Payer: PACE SWMI |
$13,237.33
|
| Rate for Payer: PHP Medicare Advantage |
$13,237.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,259.97
|
| Rate for Payer: Priority Health Medicare |
$13,237.33
|
| Rate for Payer: Priority Health Narrow Network |
$19,407.98
|
| Rate for Payer: Railroad Medicare Medicare |
$13,237.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,704.88
|
| Rate for Payer: UHC Core |
$19,762.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,237.33
|
| Rate for Payer: UHC Exchange |
$15,711.52
|
| Rate for Payer: UHC Medicare Advantage |
$13,237.33
|
| Rate for Payer: VA VA |
$13,237.33
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,077.27
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$6,067.71 |
| Max. Negotiated Rate |
$14,077.27 |
| Rate for Payer: Aetna Medicare |
$6,642.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,983.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,983.82
|
| Rate for Payer: BCBS MAPPO |
$6,387.06
|
| Rate for Payer: BCBS Trust/PPO |
$14,077.27
|
| Rate for Payer: BCN Commercial |
$14,077.27
|
| Rate for Payer: BCN Medicare Advantage |
$6,387.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,387.06
|
| Rate for Payer: Mclaren Medicare |
$6,387.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,706.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,345.12
|
| Rate for Payer: Nomi Health Commercial |
$9,471.18
|
| Rate for Payer: PACE Medicare |
$6,067.71
|
| Rate for Payer: PACE SWMI |
$6,387.06
|
| Rate for Payer: PHP Medicare Advantage |
$6,387.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,271.67
|
| Rate for Payer: Priority Health Medicare |
$6,387.06
|
| Rate for Payer: Priority Health Narrow Network |
$9,017.34
|
| Rate for Payer: Railroad Medicare Medicare |
$6,387.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,479.95
|
| Rate for Payer: UHC Core |
$9,183.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,387.06
|
| Rate for Payer: UHC Exchange |
$7,300.88
|
| Rate for Payer: UHC Medicare Advantage |
$6,387.06
|
| Rate for Payer: VA VA |
$6,387.06
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$18,467.97
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$8,939.96 |
| Max. Negotiated Rate |
$18,467.97 |
| Rate for Payer: Aetna Medicare |
$9,786.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,763.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,763.10
|
| Rate for Payer: BCBS MAPPO |
$9,410.48
|
| Rate for Payer: BCBS Trust/PPO |
$18,467.97
|
| Rate for Payer: BCN Commercial |
$18,467.97
|
| Rate for Payer: BCN Medicare Advantage |
$9,410.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,410.48
|
| Rate for Payer: Mclaren Medicare |
$9,410.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,881.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,822.05
|
| Rate for Payer: Nomi Health Commercial |
$14,286.75
|
| Rate for Payer: PACE Medicare |
$8,939.96
|
| Rate for Payer: PACE SWMI |
$9,410.48
|
| Rate for Payer: PHP Medicare Advantage |
$9,410.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,003.47
|
| Rate for Payer: Priority Health Medicare |
$9,410.48
|
| Rate for Payer: Priority Health Narrow Network |
$13,602.78
|
| Rate for Payer: Railroad Medicare Medicare |
$9,410.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,316.87
|
| Rate for Payer: UHC Core |
$13,852.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,410.48
|
| Rate for Payer: UHC Exchange |
$11,012.98
|
| Rate for Payer: UHC Medicare Advantage |
$9,410.48
|
| Rate for Payer: VA VA |
$9,410.48
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$27,602.23
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$14,001.18 |
| Max. Negotiated Rate |
$27,602.23 |
| Rate for Payer: Aetna Medicare |
$15,327.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,422.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,422.60
|
| Rate for Payer: BCBS MAPPO |
$14,738.08
|
| Rate for Payer: BCBS Trust/PPO |
$25,555.57
|
| Rate for Payer: BCN Commercial |
$25,555.57
|
| Rate for Payer: BCN Medicare Advantage |
$14,738.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,738.08
|
| Rate for Payer: Mclaren Medicare |
$14,738.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,474.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,948.79
|
| Rate for Payer: Nomi Health Commercial |
$22,772.37
|
| Rate for Payer: PACE Medicare |
$14,001.18
|
| Rate for Payer: PACE SWMI |
$14,738.08
|
| Rate for Payer: PHP Medicare Advantage |
$14,738.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,103.60
|
| Rate for Payer: Priority Health Medicare |
$14,738.08
|
| Rate for Payer: Priority Health Narrow Network |
$21,682.89
|
| Rate for Payer: Railroad Medicare Medicare |
$14,738.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,602.23
|
| Rate for Payer: UHC Core |
$22,080.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,738.08
|
| Rate for Payer: UHC Exchange |
$17,554.14
|
| Rate for Payer: UHC Medicare Advantage |
$14,738.08
|
| Rate for Payer: VA VA |
$14,738.08
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$12,563.41
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$5,628.40 |
| Max. Negotiated Rate |
$12,563.41 |
| Rate for Payer: Aetna Medicare |
$6,161.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,405.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,405.79
|
| Rate for Payer: BCBS MAPPO |
$5,924.63
|
| Rate for Payer: BCBS Trust/PPO |
$12,563.41
|
| Rate for Payer: BCN Commercial |
$12,563.41
|
| Rate for Payer: BCN Medicare Advantage |
$5,924.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,924.63
|
| Rate for Payer: Mclaren Medicare |
$5,924.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,220.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,813.32
|
| Rate for Payer: Nomi Health Commercial |
$8,734.59
|
| Rate for Payer: PACE Medicare |
$5,628.40
|
| Rate for Payer: PACE SWMI |
$5,924.63
|
| Rate for Payer: PHP Medicare Advantage |
$5,924.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,393.40
|
| Rate for Payer: Priority Health Medicare |
$5,924.63
|
| Rate for Payer: Priority Health Narrow Network |
$8,314.72
|
| Rate for Payer: Railroad Medicare Medicare |
$5,924.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,587.14
|
| Rate for Payer: UHC Core |
$8,469.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,924.63
|
| Rate for Payer: UHC Exchange |
$6,733.08
|
| Rate for Payer: UHC Medicare Advantage |
$5,924.63
|
| Rate for Payer: VA VA |
$5,924.63
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$27,535.23
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$13,034.80 |
| Max. Negotiated Rate |
$27,535.23 |
| Rate for Payer: Aetna Medicare |
$14,269.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,151.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,151.05
|
| Rate for Payer: BCBS MAPPO |
$13,720.84
|
| Rate for Payer: BCBS Trust/PPO |
$27,535.23
|
| Rate for Payer: BCN Commercial |
$27,535.23
|
| Rate for Payer: BCN Medicare Advantage |
$13,720.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,720.84
|
| Rate for Payer: Mclaren Medicare |
$13,720.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,406.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,778.97
|
| Rate for Payer: Nomi Health Commercial |
$21,152.13
|
| Rate for Payer: PACE Medicare |
$13,034.80
|
| Rate for Payer: PACE SWMI |
$13,720.84
|
| Rate for Payer: PHP Medicare Advantage |
$13,720.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,175.09
|
| Rate for Payer: Priority Health Medicare |
$13,720.84
|
| Rate for Payer: Priority Health Narrow Network |
$20,140.08
|
| Rate for Payer: Railroad Medicare Medicare |
$13,720.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,638.35
|
| Rate for Payer: UHC Core |
$20,509.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,720.84
|
| Rate for Payer: UHC Exchange |
$16,305.18
|
| Rate for Payer: UHC Medicare Advantage |
$13,720.84
|
| Rate for Payer: VA VA |
$13,720.84
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$13,831.61
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$7,224.92 |
| Max. Negotiated Rate |
$13,831.61 |
| Rate for Payer: Aetna Medicare |
$7,909.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,506.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,506.48
|
| Rate for Payer: BCBS MAPPO |
$7,605.18
|
| Rate for Payer: BCBS Trust/PPO |
$11,253.34
|
| Rate for Payer: BCN Commercial |
$11,253.34
|
| Rate for Payer: BCN Medicare Advantage |
$7,605.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,605.18
|
| Rate for Payer: Mclaren Medicare |
$7,605.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,985.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,745.96
|
| Rate for Payer: Nomi Health Commercial |
$11,411.34
|
| Rate for Payer: PACE Medicare |
$7,224.92
|
| Rate for Payer: PACE SWMI |
$7,605.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,605.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,579.44
|
| Rate for Payer: Priority Health Medicare |
$7,605.18
|
| Rate for Payer: Priority Health Narrow Network |
$10,863.55
|
| Rate for Payer: Railroad Medicare Medicare |
$7,605.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,831.61
|
| Rate for Payer: UHC Core |
$11,064.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,605.18
|
| Rate for Payer: UHC Exchange |
$8,796.46
|
| Rate for Payer: UHC Medicare Advantage |
$7,605.18
|
| Rate for Payer: VA VA |
$7,605.18
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$28,749.91
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$14,565.93 |
| Max. Negotiated Rate |
$28,749.91 |
| Rate for Payer: Aetna Medicare |
$15,945.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,165.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,165.70
|
| Rate for Payer: BCBS MAPPO |
$15,332.56
|
| Rate for Payer: BCBS Trust/PPO |
$24,637.20
|
| Rate for Payer: BCN Commercial |
$24,637.20
|
| Rate for Payer: BCN Medicare Advantage |
$15,332.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,332.56
|
| Rate for Payer: Mclaren Medicare |
$15,332.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,099.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,632.44
|
| Rate for Payer: Nomi Health Commercial |
$23,719.23
|
| Rate for Payer: PACE Medicare |
$14,565.93
|
| Rate for Payer: PACE SWMI |
$15,332.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,332.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,230.62
|
| Rate for Payer: Priority Health Medicare |
$15,332.56
|
| Rate for Payer: Priority Health Narrow Network |
$22,584.50
|
| Rate for Payer: Railroad Medicare Medicare |
$15,332.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,749.91
|
| Rate for Payer: UHC Core |
$22,998.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,332.56
|
| Rate for Payer: UHC Exchange |
$18,284.03
|
| Rate for Payer: UHC Medicare Advantage |
$15,332.56
|
| Rate for Payer: VA VA |
$15,332.56
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$16,967.35
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$8,112.06 |
| Max. Negotiated Rate |
$16,967.35 |
| Rate for Payer: Aetna Medicare |
$8,880.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,673.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,673.76
|
| Rate for Payer: BCBS MAPPO |
$8,539.01
|
| Rate for Payer: BCBS Trust/PPO |
$16,967.35
|
| Rate for Payer: BCN Commercial |
$16,967.35
|
| Rate for Payer: BCN Medicare Advantage |
$8,539.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,539.01
|
| Rate for Payer: Mclaren Medicare |
$8,539.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,965.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,819.86
|
| Rate for Payer: Nomi Health Commercial |
$12,898.71
|
| Rate for Payer: PACE Medicare |
$8,112.06
|
| Rate for Payer: PACE SWMI |
$8,539.01
|
| Rate for Payer: PHP Medicare Advantage |
$8,539.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,352.87
|
| Rate for Payer: Priority Health Medicare |
$8,539.01
|
| Rate for Payer: Priority Health Narrow Network |
$12,282.30
|
| Rate for Payer: Railroad Medicare Medicare |
$8,539.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,634.44
|
| Rate for Payer: UHC Core |
$12,506.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,539.01
|
| Rate for Payer: UHC Exchange |
$9,943.01
|
| Rate for Payer: UHC Medicare Advantage |
$8,539.01
|
| Rate for Payer: VA VA |
$8,539.01
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$34,887.48
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$17,183.49 |
| Max. Negotiated Rate |
$34,887.48 |
| Rate for Payer: Aetna Medicare |
$18,811.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,609.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,609.85
|
| Rate for Payer: BCBS MAPPO |
$18,087.88
|
| Rate for Payer: BCBS Trust/PPO |
$34,887.48
|
| Rate for Payer: BCN Commercial |
$34,887.48
|
| Rate for Payer: BCN Medicare Advantage |
$18,087.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,087.88
|
| Rate for Payer: Mclaren Medicare |
$18,087.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,992.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,801.06
|
| Rate for Payer: Nomi Health Commercial |
$28,107.81
|
| Rate for Payer: PACE Medicare |
$17,183.49
|
| Rate for Payer: PACE SWMI |
$18,087.88
|
| Rate for Payer: PHP Medicare Advantage |
$18,087.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,455.72
|
| Rate for Payer: Priority Health Medicare |
$18,087.88
|
| Rate for Payer: Priority Health Narrow Network |
$26,764.58
|
| Rate for Payer: Railroad Medicare Medicare |
$18,087.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,069.28
|
| Rate for Payer: UHC Core |
$27,253.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,087.88
|
| Rate for Payer: UHC Exchange |
$21,666.98
|
| Rate for Payer: UHC Medicare Advantage |
$18,087.88
|
| Rate for Payer: VA VA |
$18,087.88
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,035.67
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$35,131.69 |
| Max. Negotiated Rate |
$86,035.67 |
| Rate for Payer: Aetna Medicare |
$38,459.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,225.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,225.91
|
| Rate for Payer: BCBS MAPPO |
$36,980.73
|
| Rate for Payer: BCBS Trust/PPO |
$86,035.67
|
| Rate for Payer: BCN Commercial |
$86,035.67
|
| Rate for Payer: BCN Medicare Advantage |
$36,980.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,980.73
|
| Rate for Payer: Mclaren Medicare |
$36,980.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,829.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,527.84
|
| Rate for Payer: Nomi Health Commercial |
$58,199.64
|
| Rate for Payer: PACE Medicare |
$35,131.69
|
| Rate for Payer: PACE SWMI |
$36,980.73
|
| Rate for Payer: PHP Medicare Advantage |
$36,980.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69,268.35
|
| Rate for Payer: Priority Health Medicare |
$36,980.73
|
| Rate for Payer: Priority Health Narrow Network |
$55,414.69
|
| Rate for Payer: Railroad Medicare Medicare |
$36,980.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70,543.38
|
| Rate for Payer: UHC Core |
$56,431.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,980.73
|
| Rate for Payer: UHC Exchange |
$44,863.35
|
| Rate for Payer: UHC Medicare Advantage |
$36,980.73
|
| Rate for Payer: VA VA |
$36,980.73
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,303.73
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$10,331.83 |
| Max. Negotiated Rate |
$24,303.73 |
| Rate for Payer: Aetna Medicare |
$11,310.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,594.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,594.51
|
| Rate for Payer: BCBS MAPPO |
$10,875.61
|
| Rate for Payer: BCBS Trust/PPO |
$24,303.73
|
| Rate for Payer: BCN Commercial |
$24,303.73
|
| Rate for Payer: BCN Medicare Advantage |
$10,875.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,875.61
|
| Rate for Payer: Mclaren Medicare |
$10,875.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,419.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,506.95
|
| Rate for Payer: Nomi Health Commercial |
$16,620.36
|
| Rate for Payer: PACE Medicare |
$10,331.83
|
| Rate for Payer: PACE SWMI |
$10,875.61
|
| Rate for Payer: PHP Medicare Advantage |
$10,875.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,782.62
|
| Rate for Payer: Priority Health Medicare |
$10,875.61
|
| Rate for Payer: Priority Health Narrow Network |
$15,826.10
|
| Rate for Payer: Railroad Medicare Medicare |
$10,875.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,145.42
|
| Rate for Payer: UHC Core |
$16,115.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,875.61
|
| Rate for Payer: UHC Exchange |
$12,811.85
|
| Rate for Payer: UHC Medicare Advantage |
$10,875.61
|
| Rate for Payer: VA VA |
$10,875.61
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$31,491.89
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$11,109.70 |
| Max. Negotiated Rate |
$31,491.89 |
| Rate for Payer: Aetna Medicare |
$12,162.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,618.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,618.02
|
| Rate for Payer: BCBS MAPPO |
$11,694.42
|
| Rate for Payer: BCBS Trust/PPO |
$31,491.89
|
| Rate for Payer: BCN Commercial |
$31,491.89
|
| Rate for Payer: BCN Medicare Advantage |
$11,694.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,694.42
|
| Rate for Payer: Mclaren Medicare |
$11,694.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,279.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,448.58
|
| Rate for Payer: Nomi Health Commercial |
$17,924.55
|
| Rate for Payer: PACE Medicare |
$11,109.70
|
| Rate for Payer: PACE SWMI |
$11,694.42
|
| Rate for Payer: PHP Medicare Advantage |
$11,694.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,842.50
|
| Rate for Payer: Priority Health Medicare |
$11,694.42
|
| Rate for Payer: Priority Health Narrow Network |
$15,874.01
|
| Rate for Payer: Railroad Medicare Medicare |
$11,694.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,726.22
|
| Rate for Payer: UHC Core |
$17,379.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,694.42
|
| Rate for Payer: UHC Exchange |
$13,817.19
|
| Rate for Payer: UHC Medicare Advantage |
$11,694.42
|
| Rate for Payer: VA VA |
$11,694.42
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$11,156.29
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$5,908.46 |
| Max. Negotiated Rate |
$11,156.29 |
| Rate for Payer: Aetna Medicare |
$6,468.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,774.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,774.29
|
| Rate for Payer: BCBS MAPPO |
$6,219.43
|
| Rate for Payer: BCBS Trust/PPO |
$8,635.86
|
| Rate for Payer: BCN Commercial |
$8,635.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,219.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,219.43
|
| Rate for Payer: Mclaren Medicare |
$6,219.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,530.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,152.34
|
| Rate for Payer: Nomi Health Commercial |
$9,204.15
|
| Rate for Payer: PACE Medicare |
$5,908.46
|
| Rate for Payer: PACE SWMI |
$6,219.43
|
| Rate for Payer: PHP Medicare Advantage |
$6,219.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,507.45
|
| Rate for Payer: Priority Health Medicare |
$6,219.43
|
| Rate for Payer: Priority Health Narrow Network |
$7,605.96
|
| Rate for Payer: Railroad Medicare Medicare |
$6,219.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,156.29
|
| Rate for Payer: UHC Core |
$8,924.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,219.43
|
| Rate for Payer: UHC Exchange |
$7,095.04
|
| Rate for Payer: UHC Medicare Advantage |
$6,219.43
|
| Rate for Payer: VA VA |
$6,219.43
|
|
|
MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$63,480.60
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$13,111.26 |
| Max. Negotiated Rate |
$63,480.60 |
| Rate for Payer: Aetna Medicare |
$34,655.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,652.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,652.94
|
| Rate for Payer: BCBS MAPPO |
$33,322.35
|
| Rate for Payer: BCBS Trust/PPO |
$13,111.26
|
| Rate for Payer: BCN Commercial |
$13,111.26
|
| Rate for Payer: BCN Medicare Advantage |
$33,322.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,322.35
|
| Rate for Payer: Mclaren Medicare |
$33,322.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,988.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,320.70
|
| Rate for Payer: Nomi Health Commercial |
$52,372.71
|
| Rate for Payer: PACE Medicare |
$31,656.23
|
| Rate for Payer: PACE SWMI |
$33,322.35
|
| Rate for Payer: PHP Medicare Advantage |
$33,322.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,504.08
|
| Rate for Payer: Priority Health Medicare |
$33,322.35
|
| Rate for Payer: Priority Health Narrow Network |
$34,003.27
|
| Rate for Payer: Railroad Medicare Medicare |
$33,322.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63,480.60
|
| Rate for Payer: UHC Core |
$50,781.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,322.35
|
| Rate for Payer: UHC Exchange |
$40,371.65
|
| Rate for Payer: UHC Medicare Advantage |
$33,322.35
|
| Rate for Payer: VA VA |
$33,322.35
|
|
|
MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$38,303.51
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$6,755.94 |
| Max. Negotiated Rate |
$38,303.51 |
| Rate for Payer: Aetna Medicare |
$21,092.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,351.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,351.42
|
| Rate for Payer: BCBS MAPPO |
$20,281.14
|
| Rate for Payer: BCBS Trust/PPO |
$6,859.99
|
| Rate for Payer: BCN Commercial |
$6,859.99
|
| Rate for Payer: BCN Medicare Advantage |
$20,281.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,281.14
|
| Rate for Payer: Mclaren Medicare |
$20,281.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,295.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,323.31
|
| Rate for Payer: Nomi Health Commercial |
$31,601.13
|
| Rate for Payer: PACE Medicare |
$19,267.08
|
| Rate for Payer: PACE SWMI |
$20,281.14
|
| Rate for Payer: PHP Medicare Advantage |
$20,281.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,444.93
|
| Rate for Payer: Priority Health Medicare |
$20,281.14
|
| Rate for Payer: Priority Health Narrow Network |
$6,755.94
|
| Rate for Payer: Railroad Medicare Medicare |
$20,281.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,303.51
|
| Rate for Payer: UHC Core |
$30,640.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,281.14
|
| Rate for Payer: UHC Exchange |
$24,359.82
|
| Rate for Payer: UHC Medicare Advantage |
$20,281.14
|
| Rate for Payer: VA VA |
$20,281.14
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$30,247.99
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$13,093.27 |
| Max. Negotiated Rate |
$30,247.99 |
| Rate for Payer: Aetna Medicare |
$14,333.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,227.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,227.99
|
| Rate for Payer: BCBS MAPPO |
$13,782.39
|
| Rate for Payer: BCBS Trust/PPO |
$30,247.99
|
| Rate for Payer: BCN Commercial |
$30,247.99
|
| Rate for Payer: BCN Medicare Advantage |
$13,782.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,782.39
|
| Rate for Payer: Mclaren Medicare |
$13,782.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,471.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,849.75
|
| Rate for Payer: Nomi Health Commercial |
$21,250.17
|
| Rate for Payer: PACE Medicare |
$13,093.27
|
| Rate for Payer: PACE SWMI |
$13,782.39
|
| Rate for Payer: PHP Medicare Advantage |
$13,782.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,291.78
|
| Rate for Payer: Priority Health Medicare |
$13,782.39
|
| Rate for Payer: Priority Health Narrow Network |
$20,233.43
|
| Rate for Payer: Railroad Medicare Medicare |
$13,782.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,757.18
|
| Rate for Payer: UHC Core |
$20,604.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,782.39
|
| Rate for Payer: UHC Exchange |
$16,380.75
|
| Rate for Payer: UHC Medicare Advantage |
$13,782.39
|
| Rate for Payer: VA VA |
$13,782.39
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$57,799.10
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$26,837.37 |
| Max. Negotiated Rate |
$57,799.10 |
| Rate for Payer: Aetna Medicare |
$29,379.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,312.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,312.32
|
| Rate for Payer: BCBS MAPPO |
$28,249.86
|
| Rate for Payer: BCBS Trust/PPO |
$57,799.10
|
| Rate for Payer: BCN Commercial |
$57,799.10
|
| Rate for Payer: BCN Medicare Advantage |
$28,249.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,249.86
|
| Rate for Payer: Mclaren Medicare |
$28,249.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,662.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,487.34
|
| Rate for Payer: Nomi Health Commercial |
$44,293.44
|
| Rate for Payer: PACE Medicare |
$26,837.37
|
| Rate for Payer: PACE SWMI |
$28,249.86
|
| Rate for Payer: PHP Medicare Advantage |
$28,249.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,717.83
|
| Rate for Payer: Priority Health Medicare |
$28,249.86
|
| Rate for Payer: Priority Health Narrow Network |
$42,174.27
|
| Rate for Payer: Railroad Medicare Medicare |
$28,249.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,687.77
|
| Rate for Payer: UHC Core |
$42,947.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,249.86
|
| Rate for Payer: UHC Exchange |
$34,143.72
|
| Rate for Payer: UHC Medicare Advantage |
$28,249.86
|
| Rate for Payer: VA VA |
$28,249.86
|
|
