|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$18,078.92
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$8,236.70 |
| Max. Negotiated Rate |
$18,078.92 |
| Rate for Payer: Aetna Medicare |
$9,017.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,837.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,837.76
|
| Rate for Payer: BCBS MAPPO |
$8,670.21
|
| Rate for Payer: BCBS Trust/PPO |
$18,078.92
|
| Rate for Payer: BCN Commercial |
$18,078.92
|
| Rate for Payer: BCN Medicare Advantage |
$8,670.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,670.21
|
| Rate for Payer: Mclaren Medicare |
$8,670.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,103.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,970.74
|
| Rate for Payer: Nomi Health Commercial |
$13,107.69
|
| Rate for Payer: PACE Medicare |
$8,236.70
|
| Rate for Payer: PACE SWMI |
$8,670.21
|
| Rate for Payer: PHP Medicare Advantage |
$8,670.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,601.62
|
| Rate for Payer: Priority Health Medicare |
$8,670.21
|
| Rate for Payer: Priority Health Narrow Network |
$12,481.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,670.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,887.74
|
| Rate for Payer: UHC Core |
$12,709.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,670.21
|
| Rate for Payer: UHC Exchange |
$10,104.10
|
| Rate for Payer: UHC Medicare Advantage |
$8,670.21
|
| Rate for Payer: VA VA |
$8,670.21
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$44,240.57
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$16,503.32 |
| Max. Negotiated Rate |
$44,240.57 |
| Rate for Payer: Aetna Medicare |
$18,066.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,714.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,714.90
|
| Rate for Payer: BCBS MAPPO |
$17,371.92
|
| Rate for Payer: BCBS Trust/PPO |
$44,240.57
|
| Rate for Payer: BCN Commercial |
$44,240.57
|
| Rate for Payer: BCN Medicare Advantage |
$17,371.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,371.92
|
| Rate for Payer: Mclaren Medicare |
$17,371.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,240.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,977.71
|
| Rate for Payer: Nomi Health Commercial |
$26,967.45
|
| Rate for Payer: PACE Medicare |
$16,503.32
|
| Rate for Payer: PACE SWMI |
$17,371.92
|
| Rate for Payer: PHP Medicare Advantage |
$17,371.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,095.32
|
| Rate for Payer: Priority Health Medicare |
$17,371.92
|
| Rate for Payer: Priority Health Narrow Network |
$25,676.26
|
| Rate for Payer: Railroad Medicare Medicare |
$17,371.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,687.06
|
| Rate for Payer: UHC Core |
$26,147.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,371.92
|
| Rate for Payer: UHC Exchange |
$20,787.93
|
| Rate for Payer: UHC Medicare Advantage |
$17,371.92
|
| Rate for Payer: VA VA |
$17,371.92
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,923.35
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$5,492.19 |
| Max. Negotiated Rate |
$12,923.35 |
| Rate for Payer: Aetna Medicare |
$6,012.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,226.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,226.56
|
| Rate for Payer: BCBS MAPPO |
$5,781.25
|
| Rate for Payer: BCBS Trust/PPO |
$12,923.35
|
| Rate for Payer: BCN Commercial |
$12,923.35
|
| Rate for Payer: BCN Medicare Advantage |
$5,781.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,781.25
|
| Rate for Payer: Mclaren Medicare |
$5,781.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,070.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,648.44
|
| Rate for Payer: Nomi Health Commercial |
$8,506.26
|
| Rate for Payer: PACE Medicare |
$5,492.19
|
| Rate for Payer: PACE SWMI |
$5,781.25
|
| Rate for Payer: PHP Medicare Advantage |
$5,781.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,124.70
|
| Rate for Payer: Priority Health Medicare |
$5,781.25
|
| Rate for Payer: Priority Health Narrow Network |
$8,099.76
|
| Rate for Payer: Railroad Medicare Medicare |
$5,781.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,310.38
|
| Rate for Payer: UHC Core |
$8,247.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,781.25
|
| Rate for Payer: UHC Exchange |
$6,557.07
|
| Rate for Payer: UHC Medicare Advantage |
$5,781.25
|
| Rate for Payer: VA VA |
$5,781.25
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$57,605.90
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$26,772.74 |
| Max. Negotiated Rate |
$57,605.90 |
| Rate for Payer: Aetna Medicare |
$29,309.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,227.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,227.29
|
| Rate for Payer: BCBS MAPPO |
$28,181.83
|
| Rate for Payer: BCBS Trust/PPO |
$57,605.90
|
| Rate for Payer: BCN Commercial |
$57,605.90
|
| Rate for Payer: BCN Medicare Advantage |
$28,181.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,181.83
|
| Rate for Payer: Mclaren Medicare |
$28,181.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,590.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,409.10
|
| Rate for Payer: Nomi Health Commercial |
$44,185.08
|
| Rate for Payer: PACE Medicare |
$26,772.74
|
| Rate for Payer: PACE SWMI |
$28,181.83
|
| Rate for Payer: PHP Medicare Advantage |
$28,181.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,587.32
|
| Rate for Payer: Priority Health Medicare |
$28,181.83
|
| Rate for Payer: Priority Health Narrow Network |
$42,069.86
|
| Rate for Payer: Railroad Medicare Medicare |
$28,181.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53,556.43
|
| Rate for Payer: UHC Core |
$42,842.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,181.83
|
| Rate for Payer: UHC Exchange |
$34,060.19
|
| Rate for Payer: UHC Medicare Advantage |
$28,181.83
|
| Rate for Payer: VA VA |
$28,181.83
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$82,772.42
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$39,617.38 |
| Max. Negotiated Rate |
$82,772.42 |
| Rate for Payer: Aetna Medicare |
$43,370.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,128.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,128.12
|
| Rate for Payer: BCBS MAPPO |
$41,702.50
|
| Rate for Payer: BCBS Trust/PPO |
$82,772.42
|
| Rate for Payer: BCN Commercial |
$82,772.42
|
| Rate for Payer: BCN Medicare Advantage |
$41,702.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,702.50
|
| Rate for Payer: Mclaren Medicare |
$41,702.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,787.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,957.88
|
| Rate for Payer: Nomi Health Commercial |
$65,720.34
|
| Rate for Payer: PACE Medicare |
$39,617.38
|
| Rate for Payer: PACE SWMI |
$41,702.50
|
| Rate for Payer: PHP Medicare Advantage |
$41,702.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78,219.97
|
| Rate for Payer: Priority Health Medicare |
$41,702.50
|
| Rate for Payer: Priority Health Narrow Network |
$62,575.99
|
| Rate for Payer: Railroad Medicare Medicare |
$41,702.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79,659.17
|
| Rate for Payer: UHC Core |
$63,723.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,702.50
|
| Rate for Payer: UHC Exchange |
$50,660.70
|
| Rate for Payer: UHC Medicare Advantage |
$41,702.50
|
| Rate for Payer: VA VA |
$41,702.50
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$50,499.77
|
|
|
Service Code
|
MSDRG 468
|
| Min. Negotiated Rate |
$20,602.77 |
| Max. Negotiated Rate |
$50,499.77 |
| Rate for Payer: Aetna Medicare |
$22,554.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,108.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,108.91
|
| Rate for Payer: BCBS MAPPO |
$21,687.13
|
| Rate for Payer: BCBS Trust/PPO |
$50,499.77
|
| Rate for Payer: BCN Commercial |
$50,499.77
|
| Rate for Payer: BCN Medicare Advantage |
$21,687.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,687.13
|
| Rate for Payer: Mclaren Medicare |
$21,687.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,771.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,940.20
|
| Rate for Payer: Nomi Health Commercial |
$33,840.57
|
| Rate for Payer: PACE Medicare |
$20,602.77
|
| Rate for Payer: PACE SWMI |
$21,687.13
|
| Rate for Payer: PHP Medicare Advantage |
$21,687.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,277.69
|
| Rate for Payer: Priority Health Medicare |
$21,687.13
|
| Rate for Payer: Priority Health Narrow Network |
$32,222.16
|
| Rate for Payer: Railroad Medicare Medicare |
$21,687.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,017.92
|
| Rate for Payer: UHC Core |
$32,812.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,687.13
|
| Rate for Payer: UHC Exchange |
$26,086.10
|
| Rate for Payer: UHC Medicare Advantage |
$21,687.13
|
| Rate for Payer: VA VA |
$21,687.13
|
|
|
MS-DRG 42.00: SALIVARY GLAND PROCEDURES
|
Facility
|
IP
|
$25,764.65
|
|
|
Service Code
|
MSDRG 139
|
| Min. Negotiated Rate |
$10,982.75 |
| Max. Negotiated Rate |
$25,764.65 |
| Rate for Payer: Aetna Medicare |
$12,023.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,450.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,450.99
|
| Rate for Payer: BCBS MAPPO |
$11,560.79
|
| Rate for Payer: BCBS Trust/PPO |
$25,764.65
|
| Rate for Payer: BCN Commercial |
$25,764.65
|
| Rate for Payer: BCN Medicare Advantage |
$11,560.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,560.79
|
| Rate for Payer: Mclaren Medicare |
$11,560.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,138.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,294.91
|
| Rate for Payer: Nomi Health Commercial |
$17,711.70
|
| Rate for Payer: PACE Medicare |
$10,982.75
|
| Rate for Payer: PACE SWMI |
$11,560.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,560.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,080.07
|
| Rate for Payer: Priority Health Medicare |
$11,560.79
|
| Rate for Payer: Priority Health Narrow Network |
$16,864.06
|
| Rate for Payer: Railroad Medicare Medicare |
$11,560.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,468.23
|
| Rate for Payer: UHC Core |
$17,173.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,560.79
|
| Rate for Payer: UHC Exchange |
$13,653.11
|
| Rate for Payer: UHC Medicare Advantage |
$11,560.79
|
| Rate for Payer: VA VA |
$11,560.79
|
|
|
MS-DRG 42.00: SEIZURES WITH MCC
|
Facility
|
IP
|
$33,021.63
|
|
|
Service Code
|
MSDRG 100
|
| Min. Negotiated Rate |
$15,693.90 |
| Max. Negotiated Rate |
$33,021.63 |
| Rate for Payer: Aetna Medicare |
$17,180.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,649.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,649.88
|
| Rate for Payer: BCBS MAPPO |
$16,519.90
|
| Rate for Payer: BCBS Trust/PPO |
$33,021.63
|
| Rate for Payer: BCN Commercial |
$33,021.63
|
| Rate for Payer: BCN Medicare Advantage |
$16,519.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,519.90
|
| Rate for Payer: Mclaren Medicare |
$16,519.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,345.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,997.88
|
| Rate for Payer: Nomi Health Commercial |
$25,610.37
|
| Rate for Payer: PACE Medicare |
$15,693.90
|
| Rate for Payer: PACE SWMI |
$16,519.90
|
| Rate for Payer: PHP Medicare Advantage |
$16,519.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,481.57
|
| Rate for Payer: Priority Health Medicare |
$16,519.90
|
| Rate for Payer: Priority Health Narrow Network |
$24,385.26
|
| Rate for Payer: Railroad Medicare Medicare |
$16,519.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,042.15
|
| Rate for Payer: UHC Core |
$24,832.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,519.90
|
| Rate for Payer: UHC Exchange |
$19,741.82
|
| Rate for Payer: UHC Medicare Advantage |
$16,519.90
|
| Rate for Payer: VA VA |
$16,519.90
|
|
|
MS-DRG 42.00: SEIZURES WITHOUT MCC
|
Facility
|
IP
|
$15,371.45
|
|
|
Service Code
|
MSDRG 101
|
| Min. Negotiated Rate |
$7,510.38 |
| Max. Negotiated Rate |
$15,371.45 |
| Rate for Payer: Aetna Medicare |
$8,221.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,882.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,882.08
|
| Rate for Payer: BCBS MAPPO |
$7,905.66
|
| Rate for Payer: BCBS Trust/PPO |
$15,371.45
|
| Rate for Payer: BCN Commercial |
$15,371.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,905.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,905.66
|
| Rate for Payer: Mclaren Medicare |
$7,905.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,300.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,091.51
|
| Rate for Payer: Nomi Health Commercial |
$11,889.93
|
| Rate for Payer: PACE Medicare |
$7,510.38
|
| Rate for Payer: PACE SWMI |
$7,905.66
|
| Rate for Payer: PHP Medicare Advantage |
$7,905.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,150.62
|
| Rate for Payer: Priority Health Medicare |
$7,905.66
|
| Rate for Payer: Priority Health Narrow Network |
$11,320.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7,905.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,411.70
|
| Rate for Payer: UHC Core |
$11,528.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,905.66
|
| Rate for Payer: UHC Exchange |
$9,165.38
|
| Rate for Payer: UHC Medicare Advantage |
$7,905.66
|
| Rate for Payer: VA VA |
$7,905.66
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC
|
Facility
|
IP
|
$18,904.66
|
|
|
Service Code
|
MSDRG 549
|
| Min. Negotiated Rate |
$9,690.89 |
| Max. Negotiated Rate |
$18,904.66 |
| Rate for Payer: Aetna Medicare |
$10,608.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,751.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,751.18
|
| Rate for Payer: BCBS MAPPO |
$10,200.94
|
| Rate for Payer: BCBS Trust/PPO |
$18,904.66
|
| Rate for Payer: BCN Commercial |
$18,904.66
|
| Rate for Payer: BCN Medicare Advantage |
$10,200.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,200.94
|
| Rate for Payer: Mclaren Medicare |
$10,200.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,710.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,731.08
|
| Rate for Payer: Nomi Health Commercial |
$15,545.79
|
| Rate for Payer: PACE Medicare |
$9,690.89
|
| Rate for Payer: PACE SWMI |
$10,200.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,200.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,502.06
|
| Rate for Payer: Priority Health Medicare |
$10,200.94
|
| Rate for Payer: Priority Health Narrow Network |
$14,801.65
|
| Rate for Payer: Railroad Medicare Medicare |
$10,200.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,842.94
|
| Rate for Payer: UHC Core |
$15,073.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,200.94
|
| Rate for Payer: UHC Exchange |
$11,983.51
|
| Rate for Payer: UHC Medicare Advantage |
$10,200.94
|
| Rate for Payer: VA VA |
$10,200.94
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC
|
Facility
|
IP
|
$32,973.99
|
|
|
Service Code
|
MSDRG 548
|
| Min. Negotiated Rate |
$15,919.35 |
| Max. Negotiated Rate |
$32,973.99 |
| Rate for Payer: Aetna Medicare |
$17,427.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,946.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,946.51
|
| Rate for Payer: BCBS MAPPO |
$16,757.21
|
| Rate for Payer: BCBS Trust/PPO |
$32,973.99
|
| Rate for Payer: BCN Commercial |
$32,973.99
|
| Rate for Payer: BCN Medicare Advantage |
$16,757.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,757.21
|
| Rate for Payer: Mclaren Medicare |
$16,757.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,595.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,270.79
|
| Rate for Payer: Nomi Health Commercial |
$25,988.34
|
| Rate for Payer: PACE Medicare |
$15,919.35
|
| Rate for Payer: PACE SWMI |
$16,757.21
|
| Rate for Payer: PHP Medicare Advantage |
$16,757.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,931.46
|
| Rate for Payer: Priority Health Medicare |
$16,757.21
|
| Rate for Payer: Priority Health Narrow Network |
$24,745.17
|
| Rate for Payer: Railroad Medicare Medicare |
$16,757.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,500.29
|
| Rate for Payer: UHC Core |
$25,198.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,757.21
|
| Rate for Payer: UHC Exchange |
$20,033.18
|
| Rate for Payer: UHC Medicare Advantage |
$16,757.21
|
| Rate for Payer: VA VA |
$16,757.21
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,662.99
|
|
|
Service Code
|
MSDRG 550
|
| Min. Negotiated Rate |
$7,051.79 |
| Max. Negotiated Rate |
$16,662.99 |
| Rate for Payer: Aetna Medicare |
$7,719.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,278.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,278.68
|
| Rate for Payer: BCBS MAPPO |
$7,422.94
|
| Rate for Payer: BCBS Trust/PPO |
$16,662.99
|
| Rate for Payer: BCN Commercial |
$16,662.99
|
| Rate for Payer: BCN Medicare Advantage |
$7,422.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,422.94
|
| Rate for Payer: Mclaren Medicare |
$7,422.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,794.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,536.38
|
| Rate for Payer: Nomi Health Commercial |
$11,121.09
|
| Rate for Payer: PACE Medicare |
$7,051.79
|
| Rate for Payer: PACE SWMI |
$7,422.94
|
| Rate for Payer: PHP Medicare Advantage |
$7,422.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,237.04
|
| Rate for Payer: Priority Health Medicare |
$7,422.94
|
| Rate for Payer: Priority Health Narrow Network |
$10,589.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,422.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,479.80
|
| Rate for Payer: UHC Core |
$10,783.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,422.94
|
| Rate for Payer: UHC Exchange |
$8,572.72
|
| Rate for Payer: UHC Medicare Advantage |
$7,422.94
|
| Rate for Payer: VA VA |
$7,422.94
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
|
Facility
|
IP
|
$142,024.50
|
|
|
Service Code
|
MSDRG 870
|
| Min. Negotiated Rate |
$53,943.18 |
| Max. Negotiated Rate |
$142,024.50 |
| Rate for Payer: Aetna Medicare |
$59,053.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70,977.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70,977.88
|
| Rate for Payer: BCBS MAPPO |
$56,782.30
|
| Rate for Payer: BCBS Trust/PPO |
$142,024.50
|
| Rate for Payer: BCN Commercial |
$142,024.50
|
| Rate for Payer: BCN Medicare Advantage |
$56,782.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,782.30
|
| Rate for Payer: Mclaren Medicare |
$56,782.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,621.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65,299.64
|
| Rate for Payer: Nomi Health Commercial |
$89,738.85
|
| Rate for Payer: PACE Medicare |
$53,943.18
|
| Rate for Payer: PACE SWMI |
$56,782.30
|
| Rate for Payer: PHP Medicare Advantage |
$56,782.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$106,812.95
|
| Rate for Payer: Priority Health Medicare |
$56,782.30
|
| Rate for Payer: Priority Health Narrow Network |
$85,450.38
|
| Rate for Payer: Railroad Medicare Medicare |
$56,782.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108,771.83
|
| Rate for Payer: UHC Core |
$87,011.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,782.30
|
| Rate for Payer: UHC Exchange |
$69,175.44
|
| Rate for Payer: UHC Medicare Advantage |
$56,782.30
|
| Rate for Payer: VA VA |
$56,782.30
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
|
Facility
|
IP
|
$35,085.98
|
|
|
Service Code
|
MSDRG 871
|
| Min. Negotiated Rate |
$15,515.39 |
| Max. Negotiated Rate |
$35,085.98 |
| Rate for Payer: Aetna Medicare |
$16,985.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,414.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,414.99
|
| Rate for Payer: BCBS MAPPO |
$16,331.99
|
| Rate for Payer: BCBS Trust/PPO |
$35,085.98
|
| Rate for Payer: BCN Commercial |
$35,085.98
|
| Rate for Payer: BCN Medicare Advantage |
$16,331.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,331.99
|
| Rate for Payer: Mclaren Medicare |
$16,331.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,148.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,781.79
|
| Rate for Payer: Nomi Health Commercial |
$25,311.09
|
| Rate for Payer: PACE Medicare |
$15,515.39
|
| Rate for Payer: PACE SWMI |
$16,331.99
|
| Rate for Payer: PHP Medicare Advantage |
$16,331.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,129.96
|
| Rate for Payer: Priority Health Medicare |
$16,331.99
|
| Rate for Payer: Priority Health Narrow Network |
$24,103.97
|
| Rate for Payer: Railroad Medicare Medicare |
$16,331.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,679.40
|
| Rate for Payer: UHC Core |
$24,541.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,331.99
|
| Rate for Payer: UHC Exchange |
$19,511.12
|
| Rate for Payer: UHC Medicare Advantage |
$16,331.99
|
| Rate for Payer: VA VA |
$16,331.99
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
|
Facility
|
IP
|
$16,231.60
|
|
|
Service Code
|
MSDRG 872
|
| Min. Negotiated Rate |
$8,351.34 |
| Max. Negotiated Rate |
$16,231.60 |
| Rate for Payer: Aetna Medicare |
$9,142.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,988.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,988.60
|
| Rate for Payer: BCBS MAPPO |
$8,790.88
|
| Rate for Payer: BCBS Trust/PPO |
$16,231.60
|
| Rate for Payer: BCN Commercial |
$16,231.60
|
| Rate for Payer: BCN Medicare Advantage |
$8,790.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,790.88
|
| Rate for Payer: Mclaren Medicare |
$8,790.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,230.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,109.51
|
| Rate for Payer: Nomi Health Commercial |
$13,299.90
|
| Rate for Payer: PACE Medicare |
$8,351.34
|
| Rate for Payer: PACE SWMI |
$8,790.88
|
| Rate for Payer: PHP Medicare Advantage |
$8,790.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,830.40
|
| Rate for Payer: Priority Health Medicare |
$8,790.88
|
| Rate for Payer: Priority Health Narrow Network |
$12,664.32
|
| Rate for Payer: Railroad Medicare Medicare |
$8,790.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,120.72
|
| Rate for Payer: UHC Core |
$12,895.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,790.88
|
| Rate for Payer: UHC Exchange |
$10,252.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,790.88
|
| Rate for Payer: VA VA |
$8,790.88
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
|
Facility
|
IP
|
$44,023.54
|
|
|
Service Code
|
MSDRG 511
|
| Min. Negotiated Rate |
$15,508.46 |
| Max. Negotiated Rate |
$44,023.54 |
| Rate for Payer: Aetna Medicare |
$16,977.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,405.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,405.88
|
| Rate for Payer: BCBS MAPPO |
$16,324.70
|
| Rate for Payer: BCBS Trust/PPO |
$44,023.54
|
| Rate for Payer: BCN Commercial |
$44,023.54
|
| Rate for Payer: BCN Medicare Advantage |
$16,324.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,324.70
|
| Rate for Payer: Mclaren Medicare |
$16,324.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,140.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,773.40
|
| Rate for Payer: Nomi Health Commercial |
$25,299.48
|
| Rate for Payer: PACE Medicare |
$15,508.46
|
| Rate for Payer: PACE SWMI |
$16,324.70
|
| Rate for Payer: PHP Medicare Advantage |
$16,324.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,116.14
|
| Rate for Payer: Priority Health Medicare |
$16,324.70
|
| Rate for Payer: Priority Health Narrow Network |
$24,092.92
|
| Rate for Payer: Railroad Medicare Medicare |
$16,324.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30,665.32
|
| Rate for Payer: UHC Core |
$24,530.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,324.70
|
| Rate for Payer: UHC Exchange |
$19,502.17
|
| Rate for Payer: UHC Medicare Advantage |
$16,324.70
|
| Rate for Payer: VA VA |
$16,324.70
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,604.81
|
|
|
Service Code
|
MSDRG 510
|
| Min. Negotiated Rate |
$22,409.37 |
| Max. Negotiated Rate |
$48,604.81 |
| Rate for Payer: Aetna Medicare |
$24,532.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,486.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,486.01
|
| Rate for Payer: BCBS MAPPO |
$23,588.81
|
| Rate for Payer: BCBS Trust/PPO |
$48,604.81
|
| Rate for Payer: BCN Commercial |
$48,604.81
|
| Rate for Payer: BCN Medicare Advantage |
$23,588.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,588.81
|
| Rate for Payer: Mclaren Medicare |
$23,588.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,768.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,127.13
|
| Rate for Payer: Nomi Health Commercial |
$36,869.49
|
| Rate for Payer: PACE Medicare |
$22,409.37
|
| Rate for Payer: PACE SWMI |
$23,588.81
|
| Rate for Payer: PHP Medicare Advantage |
$23,588.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,882.90
|
| Rate for Payer: Priority Health Medicare |
$23,588.81
|
| Rate for Payer: Priority Health Narrow Network |
$35,106.33
|
| Rate for Payer: Railroad Medicare Medicare |
$23,588.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,689.25
|
| Rate for Payer: UHC Core |
$35,749.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,588.81
|
| Rate for Payer: UHC Exchange |
$28,420.95
|
| Rate for Payer: UHC Medicare Advantage |
$23,588.81
|
| Rate for Payer: VA VA |
$23,588.81
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,628.53
|
|
|
Service Code
|
MSDRG 512
|
| Min. Negotiated Rate |
$12,789.36 |
| Max. Negotiated Rate |
$35,628.53 |
| Rate for Payer: Aetna Medicare |
$14,000.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,828.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,828.10
|
| Rate for Payer: BCBS MAPPO |
$13,462.48
|
| Rate for Payer: BCBS Trust/PPO |
$35,628.53
|
| Rate for Payer: BCN Commercial |
$35,628.53
|
| Rate for Payer: BCN Medicare Advantage |
$13,462.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,462.48
|
| Rate for Payer: Mclaren Medicare |
$13,462.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,135.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,481.85
|
| Rate for Payer: Nomi Health Commercial |
$20,740.62
|
| Rate for Payer: PACE Medicare |
$12,789.36
|
| Rate for Payer: PACE SWMI |
$13,462.48
|
| Rate for Payer: PHP Medicare Advantage |
$13,462.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,685.28
|
| Rate for Payer: Priority Health Medicare |
$13,462.48
|
| Rate for Payer: Priority Health Narrow Network |
$19,748.23
|
| Rate for Payer: Railroad Medicare Medicare |
$13,462.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,139.56
|
| Rate for Payer: UHC Core |
$20,110.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,462.48
|
| Rate for Payer: UHC Exchange |
$15,987.96
|
| Rate for Payer: UHC Medicare Advantage |
$13,462.48
|
| Rate for Payer: VA VA |
$13,462.48
|
|
|
MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$33,307.46
|
|
|
Service Code
|
MSDRG 555
|
| Min. Negotiated Rate |
$10,779.62 |
| Max. Negotiated Rate |
$33,307.46 |
| Rate for Payer: Aetna Medicare |
$11,800.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,183.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,183.71
|
| Rate for Payer: BCBS MAPPO |
$11,346.97
|
| Rate for Payer: BCBS Trust/PPO |
$33,307.46
|
| Rate for Payer: BCN Commercial |
$33,307.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,346.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,346.97
|
| Rate for Payer: Mclaren Medicare |
$11,346.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,914.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,049.02
|
| Rate for Payer: Nomi Health Commercial |
$17,371.14
|
| Rate for Payer: PACE Medicare |
$10,779.62
|
| Rate for Payer: PACE SWMI |
$11,346.97
|
| Rate for Payer: PHP Medicare Advantage |
$11,346.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,674.71
|
| Rate for Payer: Priority Health Medicare |
$11,346.97
|
| Rate for Payer: Priority Health Narrow Network |
$16,539.77
|
| Rate for Payer: Railroad Medicare Medicare |
$11,346.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,055.44
|
| Rate for Payer: UHC Core |
$16,843.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,346.97
|
| Rate for Payer: UHC Exchange |
$13,390.59
|
| Rate for Payer: UHC Medicare Advantage |
$11,346.97
|
| Rate for Payer: VA VA |
$11,346.97
|
|
|
MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
|
Facility
|
IP
|
$18,774.98
|
|
|
Service Code
|
MSDRG 556
|
| Min. Negotiated Rate |
$6,700.94 |
| Max. Negotiated Rate |
$18,774.98 |
| Rate for Payer: Aetna Medicare |
$7,335.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,817.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,817.02
|
| Rate for Payer: BCBS MAPPO |
$7,053.62
|
| Rate for Payer: BCBS Trust/PPO |
$18,774.98
|
| Rate for Payer: BCN Commercial |
$18,774.98
|
| Rate for Payer: BCN Medicare Advantage |
$7,053.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,053.62
|
| Rate for Payer: Mclaren Medicare |
$7,053.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,406.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,111.66
|
| Rate for Payer: Nomi Health Commercial |
$10,532.85
|
| Rate for Payer: PACE Medicare |
$6,700.94
|
| Rate for Payer: PACE SWMI |
$7,053.62
|
| Rate for Payer: PHP Medicare Advantage |
$7,053.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,536.88
|
| Rate for Payer: Priority Health Medicare |
$7,053.62
|
| Rate for Payer: Priority Health Narrow Network |
$10,029.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7,053.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,766.79
|
| Rate for Payer: UHC Core |
$10,212.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,053.62
|
| Rate for Payer: UHC Exchange |
$8,119.28
|
| Rate for Payer: UHC Medicare Advantage |
$7,053.62
|
| Rate for Payer: VA VA |
$7,053.62
|
|
|
MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$25,306.79
|
|
|
Service Code
|
MSDRG 947
|
| Min. Negotiated Rate |
$10,314.90 |
| Max. Negotiated Rate |
$25,306.79 |
| Rate for Payer: Aetna Medicare |
$11,292.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,572.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,572.24
|
| Rate for Payer: BCBS MAPPO |
$10,857.79
|
| Rate for Payer: BCBS Trust/PPO |
$25,306.79
|
| Rate for Payer: BCN Commercial |
$25,306.79
|
| Rate for Payer: BCN Medicare Advantage |
$10,857.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,857.79
|
| Rate for Payer: Mclaren Medicare |
$10,857.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,400.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,486.46
|
| Rate for Payer: Nomi Health Commercial |
$16,591.98
|
| Rate for Payer: PACE Medicare |
$10,314.90
|
| Rate for Payer: PACE SWMI |
$10,857.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,857.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,747.31
|
| Rate for Payer: Priority Health Medicare |
$10,857.79
|
| Rate for Payer: Priority Health Narrow Network |
$15,797.85
|
| Rate for Payer: Railroad Medicare Medicare |
$10,857.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,111.02
|
| Rate for Payer: UHC Core |
$16,087.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,857.79
|
| Rate for Payer: UHC Exchange |
$12,789.97
|
| Rate for Payer: UHC Medicare Advantage |
$10,857.79
|
| Rate for Payer: VA VA |
$10,857.79
|
|
|
MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$19,780.69
|
|
|
Service Code
|
MSDRG 948
|
| Min. Negotiated Rate |
$6,531.68 |
| Max. Negotiated Rate |
$19,780.69 |
| Rate for Payer: Aetna Medicare |
$7,150.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,594.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,594.31
|
| Rate for Payer: BCBS MAPPO |
$6,875.45
|
| Rate for Payer: BCBS Trust/PPO |
$19,780.69
|
| Rate for Payer: BCN Commercial |
$19,780.69
|
| Rate for Payer: BCN Medicare Advantage |
$6,875.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,875.45
|
| Rate for Payer: Mclaren Medicare |
$6,875.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,219.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,906.77
|
| Rate for Payer: Nomi Health Commercial |
$10,249.05
|
| Rate for Payer: PACE Medicare |
$6,531.68
|
| Rate for Payer: PACE SWMI |
$6,875.45
|
| Rate for Payer: PHP Medicare Advantage |
$6,875.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,199.08
|
| Rate for Payer: Priority Health Medicare |
$6,875.45
|
| Rate for Payer: Priority Health Narrow Network |
$9,759.26
|
| Rate for Payer: Railroad Medicare Medicare |
$6,875.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,422.80
|
| Rate for Payer: UHC Core |
$9,937.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,875.45
|
| Rate for Payer: UHC Exchange |
$7,900.51
|
| Rate for Payer: UHC Medicare Advantage |
$6,875.45
|
| Rate for Payer: VA VA |
$6,875.45
|
|
|
MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC
|
Facility
|
IP
|
$12,955.11
|
|
|
Service Code
|
MSDRG 194
|
| Min. Negotiated Rate |
$6,727.87 |
| Max. Negotiated Rate |
$12,955.11 |
| Rate for Payer: Aetna Medicare |
$7,365.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,852.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,852.46
|
| Rate for Payer: BCBS MAPPO |
$7,081.97
|
| Rate for Payer: BCBS Trust/PPO |
$12,955.11
|
| Rate for Payer: BCN Commercial |
$12,955.11
|
| Rate for Payer: BCN Medicare Advantage |
$7,081.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,081.97
|
| Rate for Payer: Mclaren Medicare |
$7,081.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,436.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,144.27
|
| Rate for Payer: Nomi Health Commercial |
$10,578.00
|
| Rate for Payer: PACE Medicare |
$6,727.87
|
| Rate for Payer: PACE SWMI |
$7,081.97
|
| Rate for Payer: PHP Medicare Advantage |
$7,081.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,590.62
|
| Rate for Payer: Priority Health Medicare |
$7,081.97
|
| Rate for Payer: Priority Health Narrow Network |
$10,072.49
|
| Rate for Payer: Railroad Medicare Medicare |
$7,081.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,821.52
|
| Rate for Payer: UHC Core |
$10,256.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,081.97
|
| Rate for Payer: UHC Exchange |
$8,154.08
|
| Rate for Payer: UHC Medicare Advantage |
$7,081.97
|
| Rate for Payer: VA VA |
$7,081.97
|
|
|
MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC
|
Facility
|
IP
|
$20,603.56
|
|
|
Service Code
|
MSDRG 193
|
| Min. Negotiated Rate |
$10,557.26 |
| Max. Negotiated Rate |
$20,603.56 |
| Rate for Payer: Aetna Medicare |
$11,557.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,891.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,891.14
|
| Rate for Payer: BCBS MAPPO |
$11,112.91
|
| Rate for Payer: BCBS Trust/PPO |
$20,328.53
|
| Rate for Payer: BCN Commercial |
$20,328.53
|
| Rate for Payer: BCN Medicare Advantage |
$11,112.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,112.91
|
| Rate for Payer: Mclaren Medicare |
$11,112.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,668.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,779.85
|
| Rate for Payer: Nomi Health Commercial |
$16,998.33
|
| Rate for Payer: PACE Medicare |
$10,557.26
|
| Rate for Payer: PACE SWMI |
$11,112.91
|
| Rate for Payer: PHP Medicare Advantage |
$11,112.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,234.04
|
| Rate for Payer: Priority Health Medicare |
$11,112.91
|
| Rate for Payer: Priority Health Narrow Network |
$16,187.24
|
| Rate for Payer: Railroad Medicare Medicare |
$11,112.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,603.56
|
| Rate for Payer: UHC Core |
$16,481.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,112.91
|
| Rate for Payer: UHC Exchange |
$13,103.21
|
| Rate for Payer: UHC Medicare Advantage |
$11,112.91
|
| Rate for Payer: VA VA |
$11,112.91
|
|
|
MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
|
Facility
|
IP
|
$9,736.54
|
|
|
Service Code
|
MSDRG 195
|
| Min. Negotiated Rate |
$5,209.82 |
| Max. Negotiated Rate |
$9,736.54 |
| Rate for Payer: Aetna Medicare |
$5,703.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,855.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,855.02
|
| Rate for Payer: BCBS MAPPO |
$5,484.02
|
| Rate for Payer: BCBS Trust/PPO |
$8,789.36
|
| Rate for Payer: BCN Commercial |
$8,789.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,484.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,484.02
|
| Rate for Payer: Mclaren Medicare |
$5,484.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,758.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,306.62
|
| Rate for Payer: Nomi Health Commercial |
$8,032.83
|
| Rate for Payer: PACE Medicare |
$5,209.82
|
| Rate for Payer: PACE SWMI |
$5,484.02
|
| Rate for Payer: PHP Medicare Advantage |
$5,484.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,562.73
|
| Rate for Payer: Priority Health Medicare |
$5,484.02
|
| Rate for Payer: Priority Health Narrow Network |
$7,650.18
|
| Rate for Payer: Railroad Medicare Medicare |
$5,484.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,736.54
|
| Rate for Payer: UHC Core |
$7,788.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,484.02
|
| Rate for Payer: UHC Exchange |
$6,192.13
|
| Rate for Payer: UHC Medicare Advantage |
$5,484.02
|
| Rate for Payer: VA VA |
$5,484.02
|
|
