|
MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$18,486.50
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$8,326.72 |
| Max. Negotiated Rate |
$18,486.50 |
| Rate for Payer: Aetna Medicare |
$9,115.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,956.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,956.21
|
| Rate for Payer: BCBS MAPPO |
$8,764.97
|
| Rate for Payer: BCBS Trust/PPO |
$18,486.50
|
| Rate for Payer: BCN Commercial |
$18,486.50
|
| Rate for Payer: BCN Medicare Advantage |
$8,764.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,764.97
|
| Rate for Payer: Mclaren Medicare |
$8,764.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,203.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,079.72
|
| Rate for Payer: Nomi Health Commercial |
$13,258.62
|
| Rate for Payer: PACE Medicare |
$8,326.72
|
| Rate for Payer: PACE SWMI |
$8,764.97
|
| Rate for Payer: PHP Medicare Advantage |
$8,764.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,779.73
|
| Rate for Payer: Priority Health Medicare |
$8,764.97
|
| Rate for Payer: Priority Health Narrow Network |
$12,623.78
|
| Rate for Payer: Railroad Medicare Medicare |
$8,764.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,070.68
|
| Rate for Payer: UHC Core |
$12,855.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,764.97
|
| Rate for Payer: UHC Exchange |
$10,220.44
|
| Rate for Payer: UHC Medicare Advantage |
$8,764.97
|
| Rate for Payer: VA VA |
$8,764.97
|
|
|
MS-DRG 42.00: PSYCHOSES
|
Facility
|
IP
|
$22,040.51
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$1,069.00 |
| Max. Negotiated Rate |
$22,040.51 |
| Rate for Payer: Aetna Medicare |
$12,331.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,821.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,821.52
|
| Rate for Payer: BCBS MAPPO |
$11,857.22
|
| Rate for Payer: BCBS Trust/PPO |
$18,102.74
|
| Rate for Payer: BCN Commercial |
$18,102.74
|
| Rate for Payer: BCN Medicare Advantage |
$11,857.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,857.22
|
| Rate for Payer: Mclaren Medicare |
$11,857.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,450.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,635.80
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE Medicare |
$11,264.36
|
| Rate for Payer: PACE SWMI |
$11,857.22
|
| Rate for Payer: PHP Medicare Advantage |
$11,857.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,642.04
|
| Rate for Payer: Priority Health Medicare |
$11,857.22
|
| Rate for Payer: Priority Health Narrow Network |
$17,313.64
|
| Rate for Payer: Railroad Medicare Medicare |
$11,857.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,040.51
|
| Rate for Payer: UHC Core |
$17,631.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,857.22
|
| Rate for Payer: UHC Exchange |
$14,017.06
|
| Rate for Payer: UHC Medicare Advantage |
$11,857.22
|
| Rate for Payer: VA VA |
$11,857.22
|
|
|
MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$21,980.01
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$9,939.42 |
| Max. Negotiated Rate |
$21,980.01 |
| Rate for Payer: Aetna Medicare |
$10,881.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,078.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,078.19
|
| Rate for Payer: BCBS MAPPO |
$10,462.55
|
| Rate for Payer: BCBS Trust/PPO |
$21,980.01
|
| Rate for Payer: BCN Commercial |
$21,980.01
|
| Rate for Payer: BCN Medicare Advantage |
$10,462.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,462.55
|
| Rate for Payer: Mclaren Medicare |
$10,462.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,985.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,031.93
|
| Rate for Payer: Nomi Health Commercial |
$15,962.46
|
| Rate for Payer: PACE Medicare |
$9,939.42
|
| Rate for Payer: PACE SWMI |
$10,462.55
|
| Rate for Payer: PHP Medicare Advantage |
$10,462.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,001.08
|
| Rate for Payer: Priority Health Medicare |
$10,462.55
|
| Rate for Payer: Priority Health Narrow Network |
$15,200.87
|
| Rate for Payer: Railroad Medicare Medicare |
$10,462.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,347.99
|
| Rate for Payer: UHC Core |
$15,477.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,462.55
|
| Rate for Payer: UHC Exchange |
$12,304.71
|
| Rate for Payer: UHC Medicare Advantage |
$10,462.55
|
| Rate for Payer: VA VA |
$10,462.55
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$27,667.56
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$11,260.50 |
| Max. Negotiated Rate |
$27,667.56 |
| Rate for Payer: Aetna Medicare |
$12,327.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,816.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,816.45
|
| Rate for Payer: BCBS MAPPO |
$11,853.16
|
| Rate for Payer: BCBS Trust/PPO |
$27,667.56
|
| Rate for Payer: BCN Commercial |
$27,667.56
|
| Rate for Payer: BCN Medicare Advantage |
$11,853.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,853.16
|
| Rate for Payer: Mclaren Medicare |
$11,853.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,445.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,631.13
|
| Rate for Payer: Nomi Health Commercial |
$18,177.39
|
| Rate for Payer: PACE Medicare |
$11,260.50
|
| Rate for Payer: PACE SWMI |
$11,853.16
|
| Rate for Payer: PHP Medicare Advantage |
$11,853.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,635.90
|
| Rate for Payer: Priority Health Medicare |
$11,853.16
|
| Rate for Payer: Priority Health Narrow Network |
$17,308.72
|
| Rate for Payer: Railroad Medicare Medicare |
$11,853.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,032.69
|
| Rate for Payer: UHC Core |
$17,625.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,853.16
|
| Rate for Payer: UHC Exchange |
$14,012.09
|
| Rate for Payer: UHC Medicare Advantage |
$11,853.16
|
| Rate for Payer: VA VA |
$11,853.16
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$15,853.13
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$6,685.56 |
| Max. Negotiated Rate |
$15,853.13 |
| Rate for Payer: Aetna Medicare |
$7,318.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,796.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,796.79
|
| Rate for Payer: BCBS MAPPO |
$7,037.43
|
| Rate for Payer: BCBS Trust/PPO |
$15,853.13
|
| Rate for Payer: BCN Commercial |
$15,853.13
|
| Rate for Payer: BCN Medicare Advantage |
$7,037.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,037.43
|
| Rate for Payer: Mclaren Medicare |
$7,037.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,389.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,093.04
|
| Rate for Payer: Nomi Health Commercial |
$10,507.05
|
| Rate for Payer: PACE Medicare |
$6,685.56
|
| Rate for Payer: PACE SWMI |
$7,037.43
|
| Rate for Payer: PHP Medicare Advantage |
$7,037.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,506.17
|
| Rate for Payer: Priority Health Medicare |
$7,037.43
|
| Rate for Payer: Priority Health Narrow Network |
$10,004.94
|
| Rate for Payer: Railroad Medicare Medicare |
$7,037.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,735.52
|
| Rate for Payer: UHC Core |
$10,187.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,037.43
|
| Rate for Payer: UHC Exchange |
$8,099.39
|
| Rate for Payer: UHC Medicare Advantage |
$7,037.43
|
| Rate for Payer: VA VA |
$7,037.43
|
|
|
MS-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$66,898.11
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$20,970.57 |
| Max. Negotiated Rate |
$66,898.11 |
| Rate for Payer: Aetna Medicare |
$22,957.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,592.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,592.85
|
| Rate for Payer: BCBS MAPPO |
$22,074.28
|
| Rate for Payer: BCBS Trust/PPO |
$66,898.11
|
| Rate for Payer: BCN Commercial |
$66,898.11
|
| Rate for Payer: BCN Medicare Advantage |
$22,074.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,074.28
|
| Rate for Payer: Mclaren Medicare |
$22,074.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,177.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,385.42
|
| Rate for Payer: Nomi Health Commercial |
$34,457.19
|
| Rate for Payer: PACE Medicare |
$20,970.57
|
| Rate for Payer: PACE SWMI |
$22,074.28
|
| Rate for Payer: PHP Medicare Advantage |
$22,074.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,010.09
|
| Rate for Payer: Priority Health Medicare |
$22,074.28
|
| Rate for Payer: Priority Health Narrow Network |
$32,808.08
|
| Rate for Payer: Railroad Medicare Medicare |
$22,074.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,765.32
|
| Rate for Payer: UHC Core |
$33,410.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,074.28
|
| Rate for Payer: UHC Exchange |
$26,561.42
|
| Rate for Payer: UHC Medicare Advantage |
$22,074.28
|
| Rate for Payer: VA VA |
$22,074.28
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$50,730.03
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$16,771.08 |
| Max. Negotiated Rate |
$50,730.03 |
| Rate for Payer: Aetna Medicare |
$18,359.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,067.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,067.21
|
| Rate for Payer: BCBS MAPPO |
$17,653.77
|
| Rate for Payer: BCBS Trust/PPO |
$50,730.03
|
| Rate for Payer: BCN Commercial |
$50,730.03
|
| Rate for Payer: BCN Medicare Advantage |
$17,653.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,653.77
|
| Rate for Payer: Mclaren Medicare |
$17,653.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,536.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,301.84
|
| Rate for Payer: Nomi Health Commercial |
$27,416.37
|
| Rate for Payer: PACE Medicare |
$16,771.08
|
| Rate for Payer: PACE SWMI |
$17,653.77
|
| Rate for Payer: PHP Medicare Advantage |
$17,653.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,629.66
|
| Rate for Payer: Priority Health Medicare |
$17,653.77
|
| Rate for Payer: Priority Health Narrow Network |
$26,103.73
|
| Rate for Payer: Railroad Medicare Medicare |
$17,653.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,231.19
|
| Rate for Payer: UHC Core |
$26,583.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,653.77
|
| Rate for Payer: UHC Exchange |
$21,133.98
|
| Rate for Payer: UHC Medicare Advantage |
$17,653.77
|
| Rate for Payer: VA VA |
$17,653.77
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$65,130.18
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$27,107.43 |
| Max. Negotiated Rate |
$65,130.18 |
| Rate for Payer: Aetna Medicare |
$29,675.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,667.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,667.68
|
| Rate for Payer: BCBS MAPPO |
$28,534.14
|
| Rate for Payer: BCBS Trust/PPO |
$65,130.18
|
| Rate for Payer: BCN Commercial |
$65,130.18
|
| Rate for Payer: BCN Medicare Advantage |
$28,534.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,534.14
|
| Rate for Payer: Mclaren Medicare |
$28,534.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,960.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,814.26
|
| Rate for Payer: Nomi Health Commercial |
$44,746.23
|
| Rate for Payer: PACE Medicare |
$27,107.43
|
| Rate for Payer: PACE SWMI |
$28,534.14
|
| Rate for Payer: PHP Medicare Advantage |
$28,534.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,256.77
|
| Rate for Payer: Priority Health Medicare |
$28,534.14
|
| Rate for Payer: Priority Health Narrow Network |
$42,605.42
|
| Rate for Payer: Railroad Medicare Medicare |
$28,534.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,236.59
|
| Rate for Payer: UHC Core |
$43,386.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,534.14
|
| Rate for Payer: UHC Exchange |
$34,492.75
|
| Rate for Payer: UHC Medicare Advantage |
$28,534.14
|
| Rate for Payer: VA VA |
$28,534.14
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$39,773.10
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$13,180.21 |
| Max. Negotiated Rate |
$39,773.10 |
| Rate for Payer: Aetna Medicare |
$14,428.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,342.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,342.39
|
| Rate for Payer: BCBS MAPPO |
$13,873.91
|
| Rate for Payer: BCBS Trust/PPO |
$39,773.10
|
| Rate for Payer: BCN Commercial |
$39,773.10
|
| Rate for Payer: BCN Medicare Advantage |
$13,873.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,873.91
|
| Rate for Payer: Mclaren Medicare |
$13,873.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,567.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,955.00
|
| Rate for Payer: Nomi Health Commercial |
$21,395.94
|
| Rate for Payer: PACE Medicare |
$13,180.21
|
| Rate for Payer: PACE SWMI |
$13,873.91
|
| Rate for Payer: PHP Medicare Advantage |
$13,873.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,463.75
|
| Rate for Payer: Priority Health Medicare |
$13,873.91
|
| Rate for Payer: Priority Health Narrow Network |
$20,371.01
|
| Rate for Payer: Railroad Medicare Medicare |
$13,873.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,933.87
|
| Rate for Payer: UHC Core |
$20,745.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,873.91
|
| Rate for Payer: UHC Exchange |
$16,493.12
|
| Rate for Payer: UHC Medicare Advantage |
$13,873.91
|
| Rate for Payer: VA VA |
$13,873.91
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$26,540.10
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$11,243.60 |
| Max. Negotiated Rate |
$26,540.10 |
| Rate for Payer: Aetna Medicare |
$12,308.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,794.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,794.21
|
| Rate for Payer: BCBS MAPPO |
$11,835.37
|
| Rate for Payer: BCBS Trust/PPO |
$26,540.10
|
| Rate for Payer: BCN Commercial |
$26,540.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,835.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,835.37
|
| Rate for Payer: Mclaren Medicare |
$11,835.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,427.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,610.68
|
| Rate for Payer: Nomi Health Commercial |
$18,149.01
|
| Rate for Payer: PACE Medicare |
$11,243.60
|
| Rate for Payer: PACE SWMI |
$11,835.37
|
| Rate for Payer: PHP Medicare Advantage |
$11,835.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,600.58
|
| Rate for Payer: Priority Health Medicare |
$11,835.37
|
| Rate for Payer: Priority Health Narrow Network |
$17,280.47
|
| Rate for Payer: Railroad Medicare Medicare |
$11,835.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,998.29
|
| Rate for Payer: UHC Core |
$17,597.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,835.37
|
| Rate for Payer: UHC Exchange |
$13,990.21
|
| Rate for Payer: UHC Medicare Advantage |
$11,835.37
|
| Rate for Payer: VA VA |
$11,835.37
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$18,280.07
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$7,519.61 |
| Max. Negotiated Rate |
$18,280.07 |
| Rate for Payer: Aetna Medicare |
$8,232.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,894.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,894.22
|
| Rate for Payer: BCBS MAPPO |
$7,915.38
|
| Rate for Payer: BCBS Trust/PPO |
$18,280.07
|
| Rate for Payer: BCN Commercial |
$18,280.07
|
| Rate for Payer: BCN Medicare Advantage |
$7,915.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,915.38
|
| Rate for Payer: Mclaren Medicare |
$7,915.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,311.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,102.69
|
| Rate for Payer: Nomi Health Commercial |
$11,905.41
|
| Rate for Payer: PACE Medicare |
$7,519.61
|
| Rate for Payer: PACE SWMI |
$7,915.38
|
| Rate for Payer: PHP Medicare Advantage |
$7,915.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,170.58
|
| Rate for Payer: Priority Health Medicare |
$7,915.38
|
| Rate for Payer: Priority Health Narrow Network |
$11,336.47
|
| Rate for Payer: Railroad Medicare Medicare |
$7,915.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,430.46
|
| Rate for Payer: UHC Core |
$11,543.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,915.38
|
| Rate for Payer: UHC Exchange |
$9,177.32
|
| Rate for Payer: UHC Medicare Advantage |
$7,915.38
|
| Rate for Payer: VA VA |
$7,915.38
|
|
|
MS-DRG 42.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$37,899.31
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$12,163.81 |
| Max. Negotiated Rate |
$37,899.31 |
| Rate for Payer: Aetna Medicare |
$13,316.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,005.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,005.01
|
| Rate for Payer: BCBS MAPPO |
$12,804.01
|
| Rate for Payer: BCBS Trust/PPO |
$37,899.31
|
| Rate for Payer: BCN Commercial |
$37,899.31
|
| Rate for Payer: BCN Medicare Advantage |
$12,804.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,804.01
|
| Rate for Payer: Mclaren Medicare |
$12,804.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,444.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,724.61
|
| Rate for Payer: Nomi Health Commercial |
$19,691.85
|
| Rate for Payer: PACE Medicare |
$12,163.81
|
| Rate for Payer: PACE SWMI |
$12,804.01
|
| Rate for Payer: PHP Medicare Advantage |
$12,804.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,436.97
|
| Rate for Payer: Priority Health Medicare |
$12,804.01
|
| Rate for Payer: Priority Health Narrow Network |
$18,749.58
|
| Rate for Payer: Railroad Medicare Medicare |
$12,804.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,868.35
|
| Rate for Payer: UHC Core |
$19,093.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,804.01
|
| Rate for Payer: UHC Exchange |
$15,179.52
|
| Rate for Payer: UHC Medicare Advantage |
$12,804.01
|
| Rate for Payer: VA VA |
$12,804.01
|
|
|
MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$21,715.35
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$9,009.21 |
| Max. Negotiated Rate |
$21,715.35 |
| Rate for Payer: Aetna Medicare |
$9,862.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,854.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,854.22
|
| Rate for Payer: BCBS MAPPO |
$9,483.38
|
| Rate for Payer: BCBS Trust/PPO |
$21,715.35
|
| Rate for Payer: BCN Commercial |
$21,715.35
|
| Rate for Payer: BCN Medicare Advantage |
$9,483.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,483.38
|
| Rate for Payer: Mclaren Medicare |
$9,483.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,957.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,905.89
|
| Rate for Payer: Nomi Health Commercial |
$14,402.85
|
| Rate for Payer: PACE Medicare |
$9,009.21
|
| Rate for Payer: PACE SWMI |
$9,483.38
|
| Rate for Payer: PHP Medicare Advantage |
$9,483.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,141.66
|
| Rate for Payer: Priority Health Medicare |
$9,483.38
|
| Rate for Payer: Priority Health Narrow Network |
$13,713.33
|
| Rate for Payer: Railroad Medicare Medicare |
$9,483.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,457.59
|
| Rate for Payer: UHC Core |
$13,965.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,483.38
|
| Rate for Payer: UHC Exchange |
$11,102.48
|
| Rate for Payer: UHC Medicare Advantage |
$9,483.38
|
| Rate for Payer: VA VA |
$9,483.38
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$15,638.76
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$7,258.00 |
| Max. Negotiated Rate |
$15,638.76 |
| Rate for Payer: Aetna Medicare |
$7,945.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,550.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,550.00
|
| Rate for Payer: BCBS MAPPO |
$7,640.00
|
| Rate for Payer: BCBS Trust/PPO |
$15,638.76
|
| Rate for Payer: BCN Commercial |
$15,638.76
|
| Rate for Payer: BCN Medicare Advantage |
$7,640.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,640.00
|
| Rate for Payer: Mclaren Medicare |
$7,640.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,022.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,786.00
|
| Rate for Payer: Nomi Health Commercial |
$11,466.81
|
| Rate for Payer: PACE Medicare |
$7,258.00
|
| Rate for Payer: PACE SWMI |
$7,640.00
|
| Rate for Payer: PHP Medicare Advantage |
$7,640.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,648.54
|
| Rate for Payer: Priority Health Medicare |
$7,640.00
|
| Rate for Payer: Priority Health Narrow Network |
$10,918.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7,640.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,898.84
|
| Rate for Payer: UHC Core |
$11,118.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,640.00
|
| Rate for Payer: UHC Exchange |
$8,839.22
|
| Rate for Payer: UHC Medicare Advantage |
$7,640.00
|
| Rate for Payer: VA VA |
$7,640.00
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$28,757.96
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$11,974.53 |
| Max. Negotiated Rate |
$28,757.96 |
| Rate for Payer: Aetna Medicare |
$13,108.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,755.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,755.96
|
| Rate for Payer: BCBS MAPPO |
$12,604.77
|
| Rate for Payer: BCBS Trust/PPO |
$28,757.96
|
| Rate for Payer: BCN Commercial |
$28,757.96
|
| Rate for Payer: BCN Medicare Advantage |
$12,604.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,604.77
|
| Rate for Payer: Mclaren Medicare |
$12,604.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,235.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,495.49
|
| Rate for Payer: Nomi Health Commercial |
$19,374.51
|
| Rate for Payer: PACE Medicare |
$11,974.53
|
| Rate for Payer: PACE SWMI |
$12,604.77
|
| Rate for Payer: PHP Medicare Advantage |
$12,604.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,062.32
|
| Rate for Payer: Priority Health Medicare |
$12,604.77
|
| Rate for Payer: Priority Health Narrow Network |
$18,449.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,604.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,483.71
|
| Rate for Payer: UHC Core |
$18,785.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,604.77
|
| Rate for Payer: UHC Exchange |
$14,934.89
|
| Rate for Payer: UHC Medicare Advantage |
$12,604.77
|
| Rate for Payer: VA VA |
$12,604.77
|
|
|
MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,795.90
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$5,092.10 |
| Max. Negotiated Rate |
$11,795.90 |
| Rate for Payer: Aetna Medicare |
$5,574.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,700.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,700.12
|
| Rate for Payer: BCBS MAPPO |
$5,360.10
|
| Rate for Payer: BCBS Trust/PPO |
$11,795.90
|
| Rate for Payer: BCN Commercial |
$11,795.90
|
| Rate for Payer: BCN Medicare Advantage |
$5,360.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,360.10
|
| Rate for Payer: Mclaren Medicare |
$5,360.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,628.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,164.12
|
| Rate for Payer: Nomi Health Commercial |
$7,835.46
|
| Rate for Payer: PACE Medicare |
$5,092.10
|
| Rate for Payer: PACE SWMI |
$5,360.10
|
| Rate for Payer: PHP Medicare Advantage |
$5,360.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,327.80
|
| Rate for Payer: Priority Health Medicare |
$5,360.10
|
| Rate for Payer: Priority Health Narrow Network |
$7,462.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5,360.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,497.31
|
| Rate for Payer: UHC Core |
$7,597.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,360.10
|
| Rate for Payer: UHC Exchange |
$6,039.99
|
| Rate for Payer: UHC Medicare Advantage |
$5,360.10
|
| Rate for Payer: VA VA |
$5,360.10
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$20,077.11
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$8,052.05 |
| Max. Negotiated Rate |
$20,077.11 |
| Rate for Payer: Aetna Medicare |
$8,814.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,594.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,594.80
|
| Rate for Payer: BCBS MAPPO |
$8,475.84
|
| Rate for Payer: BCBS Trust/PPO |
$20,077.11
|
| Rate for Payer: BCN Commercial |
$20,077.11
|
| Rate for Payer: BCN Medicare Advantage |
$8,475.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,475.84
|
| Rate for Payer: Mclaren Medicare |
$8,475.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,899.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,747.22
|
| Rate for Payer: Nomi Health Commercial |
$12,798.09
|
| Rate for Payer: PACE Medicare |
$8,052.05
|
| Rate for Payer: PACE SWMI |
$8,475.84
|
| Rate for Payer: PHP Medicare Advantage |
$8,475.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,233.11
|
| Rate for Payer: Priority Health Medicare |
$8,475.84
|
| Rate for Payer: Priority Health Narrow Network |
$12,186.49
|
| Rate for Payer: Railroad Medicare Medicare |
$8,475.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,512.48
|
| Rate for Payer: UHC Core |
$12,409.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,475.84
|
| Rate for Payer: UHC Exchange |
$9,865.44
|
| Rate for Payer: UHC Medicare Advantage |
$8,475.84
|
| Rate for Payer: VA VA |
$8,475.84
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$26,346.90
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$12,856.28 |
| Max. Negotiated Rate |
$26,346.90 |
| Rate for Payer: Aetna Medicare |
$14,074.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,916.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,916.16
|
| Rate for Payer: BCBS MAPPO |
$13,532.93
|
| Rate for Payer: BCBS Trust/PPO |
$26,346.90
|
| Rate for Payer: BCN Commercial |
$26,346.90
|
| Rate for Payer: BCN Medicare Advantage |
$13,532.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,532.93
|
| Rate for Payer: Mclaren Medicare |
$13,532.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,209.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,562.87
|
| Rate for Payer: Nomi Health Commercial |
$20,852.85
|
| Rate for Payer: PACE Medicare |
$12,856.28
|
| Rate for Payer: PACE SWMI |
$13,532.93
|
| Rate for Payer: PHP Medicare Advantage |
$13,532.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,820.40
|
| Rate for Payer: Priority Health Medicare |
$13,532.93
|
| Rate for Payer: Priority Health Narrow Network |
$19,856.33
|
| Rate for Payer: Railroad Medicare Medicare |
$13,532.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,275.59
|
| Rate for Payer: UHC Core |
$20,219.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,532.93
|
| Rate for Payer: UHC Exchange |
$16,074.48
|
| Rate for Payer: UHC Medicare Advantage |
$13,532.93
|
| Rate for Payer: VA VA |
$13,532.93
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,651.99
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$6,340.87 |
| Max. Negotiated Rate |
$15,651.99 |
| Rate for Payer: Aetna Medicare |
$6,941.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,343.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,343.25
|
| Rate for Payer: BCBS MAPPO |
$6,674.60
|
| Rate for Payer: BCBS Trust/PPO |
$15,651.99
|
| Rate for Payer: BCN Commercial |
$15,651.99
|
| Rate for Payer: BCN Medicare Advantage |
$6,674.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,674.60
|
| Rate for Payer: Mclaren Medicare |
$6,674.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,008.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,675.79
|
| Rate for Payer: Nomi Health Commercial |
$9,929.13
|
| Rate for Payer: PACE Medicare |
$6,340.87
|
| Rate for Payer: PACE SWMI |
$6,674.60
|
| Rate for Payer: PHP Medicare Advantage |
$6,674.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,818.29
|
| Rate for Payer: Priority Health Medicare |
$6,674.60
|
| Rate for Payer: Priority Health Narrow Network |
$9,454.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,674.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,035.03
|
| Rate for Payer: UHC Core |
$9,627.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,674.60
|
| Rate for Payer: UHC Exchange |
$7,653.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,674.60
|
| Rate for Payer: VA VA |
$6,674.60
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$21,559.20
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$8,961.50 |
| Max. Negotiated Rate |
$21,559.20 |
| Rate for Payer: Aetna Medicare |
$9,810.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,791.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,791.45
|
| Rate for Payer: BCBS MAPPO |
$9,433.16
|
| Rate for Payer: BCBS Trust/PPO |
$21,559.20
|
| Rate for Payer: BCN Commercial |
$21,559.20
|
| Rate for Payer: BCN Medicare Advantage |
$9,433.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,433.16
|
| Rate for Payer: Mclaren Medicare |
$9,433.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,904.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,848.13
|
| Rate for Payer: Nomi Health Commercial |
$14,322.87
|
| Rate for Payer: PACE Medicare |
$8,961.50
|
| Rate for Payer: PACE SWMI |
$9,433.16
|
| Rate for Payer: PHP Medicare Advantage |
$9,433.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,046.47
|
| Rate for Payer: Priority Health Medicare |
$9,433.16
|
| Rate for Payer: Priority Health Narrow Network |
$13,637.18
|
| Rate for Payer: Railroad Medicare Medicare |
$9,433.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,360.65
|
| Rate for Payer: UHC Core |
$13,887.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,433.16
|
| Rate for Payer: UHC Exchange |
$11,040.82
|
| Rate for Payer: UHC Medicare Advantage |
$9,433.16
|
| Rate for Payer: VA VA |
$9,433.16
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$34,649.29
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$13,866.53 |
| Max. Negotiated Rate |
$34,649.29 |
| Rate for Payer: Aetna Medicare |
$15,180.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,245.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,245.44
|
| Rate for Payer: BCBS MAPPO |
$14,596.35
|
| Rate for Payer: BCBS Trust/PPO |
$34,649.29
|
| Rate for Payer: BCN Commercial |
$34,649.29
|
| Rate for Payer: BCN Medicare Advantage |
$14,596.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,596.35
|
| Rate for Payer: Mclaren Medicare |
$14,596.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,326.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,785.80
|
| Rate for Payer: Nomi Health Commercial |
$22,546.62
|
| Rate for Payer: PACE Medicare |
$13,866.53
|
| Rate for Payer: PACE SWMI |
$14,596.35
|
| Rate for Payer: PHP Medicare Advantage |
$14,596.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,834.90
|
| Rate for Payer: Priority Health Medicare |
$14,596.35
|
| Rate for Payer: Priority Health Narrow Network |
$21,467.93
|
| Rate for Payer: Railroad Medicare Medicare |
$14,596.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,328.60
|
| Rate for Payer: UHC Core |
$21,861.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,596.35
|
| Rate for Payer: UHC Exchange |
$17,380.12
|
| Rate for Payer: UHC Medicare Advantage |
$14,596.35
|
| Rate for Payer: VA VA |
$14,596.35
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,095.15
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$6,862.53 |
| Max. Negotiated Rate |
$13,095.15 |
| Rate for Payer: Aetna Medicare |
$7,512.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,029.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,029.65
|
| Rate for Payer: BCBS MAPPO |
$7,223.72
|
| Rate for Payer: BCBS Trust/PPO |
$10,610.22
|
| Rate for Payer: BCN Commercial |
$10,610.22
|
| Rate for Payer: BCN Medicare Advantage |
$7,223.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,223.72
|
| Rate for Payer: Mclaren Medicare |
$7,223.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,584.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,307.28
|
| Rate for Payer: Nomi Health Commercial |
$10,803.75
|
| Rate for Payer: PACE Medicare |
$6,862.53
|
| Rate for Payer: PACE SWMI |
$7,223.72
|
| Rate for Payer: PHP Medicare Advantage |
$7,223.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,859.32
|
| Rate for Payer: Priority Health Medicare |
$7,223.72
|
| Rate for Payer: Priority Health Narrow Network |
$10,287.46
|
| Rate for Payer: Railroad Medicare Medicare |
$7,223.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,095.15
|
| Rate for Payer: UHC Core |
$10,475.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,223.72
|
| Rate for Payer: UHC Exchange |
$8,328.10
|
| Rate for Payer: UHC Medicare Advantage |
$7,223.72
|
| Rate for Payer: VA VA |
$7,223.72
|
|
|
MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$16,610.06
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$6,658.63 |
| Max. Negotiated Rate |
$16,610.06 |
| Rate for Payer: Aetna Medicare |
$7,289.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,761.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,761.35
|
| Rate for Payer: BCBS MAPPO |
$7,009.08
|
| Rate for Payer: BCBS Trust/PPO |
$16,610.06
|
| Rate for Payer: BCN Commercial |
$16,610.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,009.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,009.08
|
| Rate for Payer: Mclaren Medicare |
$7,009.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,359.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,060.44
|
| Rate for Payer: Nomi Health Commercial |
$10,461.90
|
| Rate for Payer: PACE Medicare |
$6,658.63
|
| Rate for Payer: PACE SWMI |
$7,009.08
|
| Rate for Payer: PHP Medicare Advantage |
$7,009.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,450.89
|
| Rate for Payer: Priority Health Medicare |
$7,009.08
|
| Rate for Payer: Priority Health Narrow Network |
$9,960.71
|
| Rate for Payer: Railroad Medicare Medicare |
$7,009.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,680.80
|
| Rate for Payer: UHC Core |
$10,143.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,009.08
|
| Rate for Payer: UHC Exchange |
$8,064.58
|
| Rate for Payer: UHC Medicare Advantage |
$7,009.08
|
| Rate for Payer: VA VA |
$7,009.08
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$46,908.34
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$21,068.27 |
| Max. Negotiated Rate |
$46,908.34 |
| Rate for Payer: Aetna Medicare |
$23,064.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,721.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,721.41
|
| Rate for Payer: BCBS MAPPO |
$22,177.13
|
| Rate for Payer: BCBS Trust/PPO |
$46,908.34
|
| Rate for Payer: BCN Commercial |
$46,908.34
|
| Rate for Payer: BCN Medicare Advantage |
$22,177.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,177.13
|
| Rate for Payer: Mclaren Medicare |
$22,177.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,285.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,503.70
|
| Rate for Payer: Nomi Health Commercial |
$34,621.02
|
| Rate for Payer: PACE Medicare |
$21,068.27
|
| Rate for Payer: PACE SWMI |
$22,177.13
|
| Rate for Payer: PHP Medicare Advantage |
$22,177.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,212.77
|
| Rate for Payer: Priority Health Medicare |
$22,177.13
|
| Rate for Payer: Priority Health Narrow Network |
$32,970.22
|
| Rate for Payer: Railroad Medicare Medicare |
$22,177.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,963.90
|
| Rate for Payer: UHC Core |
$33,568.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,177.13
|
| Rate for Payer: UHC Exchange |
$26,687.71
|
| Rate for Payer: UHC Medicare Advantage |
$22,177.13
|
| Rate for Payer: VA VA |
$22,177.13
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$145,997.04
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$50,178.42 |
| Max. Negotiated Rate |
$145,997.04 |
| Rate for Payer: Aetna Medicare |
$54,932.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66,024.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66,024.24
|
| Rate for Payer: BCBS MAPPO |
$52,819.39
|
| Rate for Payer: BCBS Trust/PPO |
$145,997.04
|
| Rate for Payer: BCN Commercial |
$145,997.04
|
| Rate for Payer: BCN Medicare Advantage |
$52,819.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,819.39
|
| Rate for Payer: Mclaren Medicare |
$52,819.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,460.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,742.30
|
| Rate for Payer: Nomi Health Commercial |
$83,426.88
|
| Rate for Payer: PACE Medicare |
$50,178.42
|
| Rate for Payer: PACE SWMI |
$52,819.39
|
| Rate for Payer: PHP Medicare Advantage |
$52,819.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99,307.72
|
| Rate for Payer: Priority Health Medicare |
$52,819.39
|
| Rate for Payer: Priority Health Narrow Network |
$79,446.19
|
| Rate for Payer: Railroad Medicare Medicare |
$52,819.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101,121.14
|
| Rate for Payer: UHC Core |
$80,891.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,819.39
|
| Rate for Payer: UHC Exchange |
$64,309.84
|
| Rate for Payer: UHC Medicare Advantage |
$52,819.39
|
| Rate for Payer: VA VA |
$52,819.39
|
|
