|
MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
|
Facility
|
IP
|
$102,629.85
|
|
|
Service Code
|
MSDRG 008
|
| Min. Negotiated Rate |
$42,283.44 |
| Max. Negotiated Rate |
$102,629.85 |
| Rate for Payer: Aetna Medicare |
$46,289.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,636.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,636.10
|
| Rate for Payer: BCBS MAPPO |
$44,508.88
|
| Rate for Payer: BCBS Trust/PPO |
$102,629.85
|
| Rate for Payer: BCN Commercial |
$102,629.85
|
| Rate for Payer: BCN Medicare Advantage |
$44,508.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,508.88
|
| Rate for Payer: Mclaren Medicare |
$44,508.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,734.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,185.21
|
| Rate for Payer: Nomi Health Commercial |
$70,190.19
|
| Rate for Payer: PACE Medicare |
$42,283.44
|
| Rate for Payer: PACE SWMI |
$44,508.88
|
| Rate for Payer: PHP Medicare Advantage |
$44,508.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83,540.27
|
| Rate for Payer: Priority Health Medicare |
$44,508.88
|
| Rate for Payer: Priority Health Narrow Network |
$66,832.23
|
| Rate for Payer: Railroad Medicare Medicare |
$44,508.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85,077.04
|
| Rate for Payer: UHC Core |
$68,057.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,508.88
|
| Rate for Payer: UHC Exchange |
$54,106.30
|
| Rate for Payer: UHC Medicare Advantage |
$44,508.88
|
| Rate for Payer: VA VA |
$44,508.88
|
|
|
MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
|
Facility
|
IP
|
$155,913.85
|
|
|
Service Code
|
MSDRG 019
|
| Min. Negotiated Rate |
$61,412.67 |
| Max. Negotiated Rate |
$155,913.85 |
| Rate for Payer: Aetna Medicare |
$67,230.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$80,806.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$80,806.15
|
| Rate for Payer: BCBS MAPPO |
$64,644.92
|
| Rate for Payer: BCBS Trust/PPO |
$155,913.85
|
| Rate for Payer: BCN Commercial |
$155,913.85
|
| Rate for Payer: BCN Medicare Advantage |
$64,644.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64,644.92
|
| Rate for Payer: Mclaren Medicare |
$64,644.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67,877.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74,341.66
|
| Rate for Payer: Nomi Health Commercial |
$102,262.17
|
| Rate for Payer: PACE Medicare |
$61,412.67
|
| Rate for Payer: PACE SWMI |
$64,644.92
|
| Rate for Payer: PHP Medicare Advantage |
$64,644.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121,709.80
|
| Rate for Payer: Priority Health Medicare |
$64,644.92
|
| Rate for Payer: Priority Health Narrow Network |
$97,367.86
|
| Rate for Payer: Railroad Medicare Medicare |
$64,644.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$123,951.26
|
| Rate for Payer: UHC Core |
$99,154.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$64,644.92
|
| Rate for Payer: UHC Exchange |
$78,829.07
|
| Rate for Payer: UHC Medicare Advantage |
$64,644.92
|
| Rate for Payer: VA VA |
$64,644.92
|
|
|
MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$65,958.57
|
|
|
Service Code
|
MSDRG 402
|
| Min. Negotiated Rate |
$38,902.92 |
| Max. Negotiated Rate |
$65,958.57 |
| Rate for Payer: BCBS Trust/PPO |
$65,958.57
|
| Rate for Payer: BCN Commercial |
$65,958.57
|
| Rate for Payer: Nomi Health Commercial |
$50,467.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60,330.55
|
| Rate for Payer: Priority Health Narrow Network |
$48,264.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,171.16
|
| Rate for Payer: UHC Core |
$48,933.80
|
| Rate for Payer: UHC Exchange |
$38,902.92
|
|
|
MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$90,479.31
|
|
|
Service Code
|
MSDRG 450
|
| Min. Negotiated Rate |
$51,212.59 |
| Max. Negotiated Rate |
$90,479.31 |
| Rate for Payer: BCBS Trust/PPO |
$90,479.31
|
| Rate for Payer: BCN Commercial |
$90,479.31
|
| Rate for Payer: Nomi Health Commercial |
$66,436.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79,070.61
|
| Rate for Payer: Priority Health Narrow Network |
$63,256.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80,526.96
|
| Rate for Payer: UHC Core |
$64,417.45
|
| Rate for Payer: UHC Exchange |
$51,212.59
|
|
|
MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$59,283.84
|
|
|
Service Code
|
MSDRG 451
|
| Min. Negotiated Rate |
$30,687.18 |
| Max. Negotiated Rate |
$59,283.84 |
| Rate for Payer: BCBS Trust/PPO |
$59,283.84
|
| Rate for Payer: BCN Commercial |
$59,283.84
|
| Rate for Payer: Nomi Health Commercial |
$39,809.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,380.64
|
| Rate for Payer: Priority Health Narrow Network |
$37,904.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48,252.70
|
| Rate for Payer: UHC Core |
$38,599.69
|
| Rate for Payer: UHC Exchange |
$30,687.18
|
|
|
MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$37,699.96
|
|
|
Service Code
|
MSDRG 135
|
| Min. Negotiated Rate |
$18,970.08 |
| Max. Negotiated Rate |
$37,699.96 |
| Rate for Payer: Aetna Medicare |
$20,767.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,960.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,960.64
|
| Rate for Payer: BCBS MAPPO |
$19,968.51
|
| Rate for Payer: BCBS Trust/PPO |
$37,174.14
|
| Rate for Payer: BCN Commercial |
$37,174.14
|
| Rate for Payer: BCN Medicare Advantage |
$19,968.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,968.51
|
| Rate for Payer: Mclaren Medicare |
$19,968.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,966.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,963.79
|
| Rate for Payer: Nomi Health Commercial |
$31,103.19
|
| Rate for Payer: PACE Medicare |
$18,970.08
|
| Rate for Payer: PACE SWMI |
$19,968.51
|
| Rate for Payer: PHP Medicare Advantage |
$19,968.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,017.95
|
| Rate for Payer: Priority Health Medicare |
$19,968.51
|
| Rate for Payer: Priority Health Narrow Network |
$29,614.36
|
| Rate for Payer: Railroad Medicare Medicare |
$19,968.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,699.96
|
| Rate for Payer: UHC Core |
$30,158.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,968.51
|
| Rate for Payer: UHC Exchange |
$23,975.98
|
| Rate for Payer: UHC Medicare Advantage |
$19,968.51
|
| Rate for Payer: VA VA |
$19,968.51
|
|
|
MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,040.88
|
|
|
Service Code
|
MSDRG 136
|
| Min. Negotiated Rate |
$7,945.10 |
| Max. Negotiated Rate |
$22,040.88 |
| Rate for Payer: Aetna Medicare |
$8,697.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,454.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,454.08
|
| Rate for Payer: BCBS MAPPO |
$8,363.26
|
| Rate for Payer: BCBS Trust/PPO |
$22,040.88
|
| Rate for Payer: BCN Commercial |
$22,040.88
|
| Rate for Payer: BCN Medicare Advantage |
$8,363.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,363.26
|
| Rate for Payer: Mclaren Medicare |
$8,363.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,781.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,617.75
|
| Rate for Payer: Nomi Health Commercial |
$12,618.78
|
| Rate for Payer: PACE Medicare |
$7,945.10
|
| Rate for Payer: PACE SWMI |
$8,363.26
|
| Rate for Payer: PHP Medicare Advantage |
$8,363.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,019.68
|
| Rate for Payer: Priority Health Medicare |
$8,363.26
|
| Rate for Payer: Priority Health Narrow Network |
$12,015.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,363.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,295.14
|
| Rate for Payer: UHC Core |
$12,235.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,363.26
|
| Rate for Payer: UHC Exchange |
$9,727.22
|
| Rate for Payer: UHC Medicare Advantage |
$8,363.26
|
| Rate for Payer: VA VA |
$8,363.26
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC
|
Facility
|
IP
|
$31,841.24
|
|
|
Service Code
|
MSDRG 571
|
| Min. Negotiated Rate |
$13,301.02 |
| Max. Negotiated Rate |
$31,841.24 |
| Rate for Payer: Aetna Medicare |
$14,561.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,501.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,501.34
|
| Rate for Payer: BCBS MAPPO |
$14,001.07
|
| Rate for Payer: BCBS Trust/PPO |
$31,841.24
|
| Rate for Payer: BCN Commercial |
$31,841.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,001.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,001.07
|
| Rate for Payer: Mclaren Medicare |
$14,001.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,701.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,101.23
|
| Rate for Payer: Nomi Health Commercial |
$21,598.47
|
| Rate for Payer: PACE Medicare |
$13,301.02
|
| Rate for Payer: PACE SWMI |
$14,001.07
|
| Rate for Payer: PHP Medicare Advantage |
$14,001.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,715.57
|
| Rate for Payer: Priority Health Medicare |
$14,001.07
|
| Rate for Payer: Priority Health Narrow Network |
$20,572.46
|
| Rate for Payer: Railroad Medicare Medicare |
$14,001.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,179.35
|
| Rate for Payer: UHC Core |
$20,942.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,001.07
|
| Rate for Payer: UHC Exchange |
$16,649.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,001.07
|
| Rate for Payer: VA VA |
$14,001.07
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC
|
Facility
|
IP
|
$47,067.49
|
|
|
Service Code
|
MSDRG 570
|
| Min. Negotiated Rate |
$23,579.66 |
| Max. Negotiated Rate |
$47,067.49 |
| Rate for Payer: Aetna Medicare |
$25,813.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,025.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,025.86
|
| Rate for Payer: BCBS MAPPO |
$24,820.69
|
| Rate for Payer: BCBS Trust/PPO |
$40,810.57
|
| Rate for Payer: BCN Commercial |
$40,810.57
|
| Rate for Payer: BCN Medicare Advantage |
$24,820.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,820.69
|
| Rate for Payer: Mclaren Medicare |
$24,820.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,061.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,543.79
|
| Rate for Payer: Nomi Health Commercial |
$38,831.58
|
| Rate for Payer: PACE Medicare |
$23,579.66
|
| Rate for Payer: PACE SWMI |
$24,820.69
|
| Rate for Payer: PHP Medicare Advantage |
$24,820.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,222.92
|
| Rate for Payer: Priority Health Medicare |
$24,820.69
|
| Rate for Payer: Priority Health Narrow Network |
$36,978.34
|
| Rate for Payer: Railroad Medicare Medicare |
$24,820.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47,067.49
|
| Rate for Payer: UHC Core |
$37,651.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,820.69
|
| Rate for Payer: UHC Exchange |
$29,933.43
|
| Rate for Payer: UHC Medicare Advantage |
$24,820.69
|
| Rate for Payer: VA VA |
$24,820.69
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$21,445.40
|
|
|
Service Code
|
MSDRG 572
|
| Min. Negotiated Rate |
$9,208.47 |
| Max. Negotiated Rate |
$21,445.40 |
| Rate for Payer: Aetna Medicare |
$10,080.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,116.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,116.41
|
| Rate for Payer: BCBS MAPPO |
$9,693.13
|
| Rate for Payer: BCBS Trust/PPO |
$21,445.40
|
| Rate for Payer: BCN Commercial |
$21,445.40
|
| Rate for Payer: BCN Medicare Advantage |
$9,693.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,693.13
|
| Rate for Payer: Mclaren Medicare |
$9,693.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,177.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,147.10
|
| Rate for Payer: Nomi Health Commercial |
$14,736.96
|
| Rate for Payer: PACE Medicare |
$9,208.47
|
| Rate for Payer: PACE SWMI |
$9,693.13
|
| Rate for Payer: PHP Medicare Advantage |
$9,693.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,540.88
|
| Rate for Payer: Priority Health Medicare |
$9,693.13
|
| Rate for Payer: Priority Health Narrow Network |
$14,032.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,693.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,862.57
|
| Rate for Payer: UHC Core |
$14,289.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,693.13
|
| Rate for Payer: UHC Exchange |
$11,360.03
|
| Rate for Payer: UHC Medicare Advantage |
$9,693.13
|
| Rate for Payer: VA VA |
$9,693.13
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$77,328.36
|
|
|
Service Code
|
MSDRG 577
|
| Min. Negotiated Rate |
$20,906.71 |
| Max. Negotiated Rate |
$77,328.36 |
| Rate for Payer: Aetna Medicare |
$22,887.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,508.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,508.82
|
| Rate for Payer: BCBS MAPPO |
$22,007.06
|
| Rate for Payer: BCBS Trust/PPO |
$77,328.36
|
| Rate for Payer: BCN Commercial |
$77,328.36
|
| Rate for Payer: BCN Medicare Advantage |
$22,007.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,007.06
|
| Rate for Payer: Mclaren Medicare |
$22,007.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,107.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,308.12
|
| Rate for Payer: Nomi Health Commercial |
$34,350.12
|
| Rate for Payer: PACE Medicare |
$20,906.71
|
| Rate for Payer: PACE SWMI |
$22,007.06
|
| Rate for Payer: PHP Medicare Advantage |
$22,007.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,882.65
|
| Rate for Payer: Priority Health Medicare |
$22,007.06
|
| Rate for Payer: Priority Health Narrow Network |
$32,706.13
|
| Rate for Payer: Railroad Medicare Medicare |
$22,007.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,635.54
|
| Rate for Payer: UHC Core |
$33,306.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,007.06
|
| Rate for Payer: UHC Exchange |
$26,478.88
|
| Rate for Payer: UHC Medicare Advantage |
$22,007.06
|
| Rate for Payer: VA VA |
$22,007.06
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$120,576.45
|
|
|
Service Code
|
MSDRG 576
|
| Min. Negotiated Rate |
$41,931.02 |
| Max. Negotiated Rate |
$120,576.45 |
| Rate for Payer: Aetna Medicare |
$45,903.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,172.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,172.40
|
| Rate for Payer: BCBS MAPPO |
$44,137.92
|
| Rate for Payer: BCBS Trust/PPO |
$120,576.45
|
| Rate for Payer: BCN Commercial |
$120,576.45
|
| Rate for Payer: BCN Medicare Advantage |
$44,137.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,137.92
|
| Rate for Payer: Mclaren Medicare |
$44,137.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,344.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,758.61
|
| Rate for Payer: Nomi Health Commercial |
$69,599.37
|
| Rate for Payer: PACE Medicare |
$41,931.02
|
| Rate for Payer: PACE SWMI |
$44,137.92
|
| Rate for Payer: PHP Medicare Advantage |
$44,137.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82,835.51
|
| Rate for Payer: Priority Health Medicare |
$44,137.92
|
| Rate for Payer: Priority Health Narrow Network |
$66,268.42
|
| Rate for Payer: Railroad Medicare Medicare |
$44,137.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84,360.91
|
| Rate for Payer: UHC Core |
$67,484.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,137.92
|
| Rate for Payer: UHC Exchange |
$53,650.86
|
| Rate for Payer: UHC Medicare Advantage |
$44,137.92
|
| Rate for Payer: VA VA |
$44,137.92
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$38,410.11
|
|
|
Service Code
|
MSDRG 578
|
| Min. Negotiated Rate |
$13,424.89 |
| Max. Negotiated Rate |
$38,410.11 |
| Rate for Payer: Aetna Medicare |
$14,696.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,664.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,664.32
|
| Rate for Payer: BCBS MAPPO |
$14,131.46
|
| Rate for Payer: BCBS Trust/PPO |
$38,410.11
|
| Rate for Payer: BCN Commercial |
$38,410.11
|
| Rate for Payer: BCN Medicare Advantage |
$14,131.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,131.46
|
| Rate for Payer: Mclaren Medicare |
$14,131.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,838.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,251.18
|
| Rate for Payer: Nomi Health Commercial |
$21,806.16
|
| Rate for Payer: PACE Medicare |
$13,424.89
|
| Rate for Payer: PACE SWMI |
$14,131.46
|
| Rate for Payer: PHP Medicare Advantage |
$14,131.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,953.56
|
| Rate for Payer: Priority Health Medicare |
$14,131.46
|
| Rate for Payer: Priority Health Narrow Network |
$20,762.85
|
| Rate for Payer: Railroad Medicare Medicare |
$14,131.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,431.09
|
| Rate for Payer: UHC Core |
$21,143.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,131.46
|
| Rate for Payer: UHC Exchange |
$16,809.34
|
| Rate for Payer: UHC Medicare Advantage |
$14,131.46
|
| Rate for Payer: VA VA |
$14,131.46
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$54,177.18
|
|
|
Service Code
|
MSDRG 574
|
| Min. Negotiated Rate |
$27,078.19 |
| Max. Negotiated Rate |
$54,177.18 |
| Rate for Payer: Aetna Medicare |
$29,643.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,629.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,629.20
|
| Rate for Payer: BCBS MAPPO |
$28,503.36
|
| Rate for Payer: BCBS Trust/PPO |
$46,903.05
|
| Rate for Payer: BCN Commercial |
$46,903.05
|
| Rate for Payer: BCN Medicare Advantage |
$28,503.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,503.36
|
| Rate for Payer: Mclaren Medicare |
$28,503.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,928.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,778.86
|
| Rate for Payer: Nomi Health Commercial |
$44,697.21
|
| Rate for Payer: PACE Medicare |
$27,078.19
|
| Rate for Payer: PACE SWMI |
$28,503.36
|
| Rate for Payer: PHP Medicare Advantage |
$28,503.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,198.42
|
| Rate for Payer: Priority Health Medicare |
$28,503.36
|
| Rate for Payer: Priority Health Narrow Network |
$42,558.75
|
| Rate for Payer: Railroad Medicare Medicare |
$28,503.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54,177.18
|
| Rate for Payer: UHC Core |
$43,338.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,503.36
|
| Rate for Payer: UHC Exchange |
$34,454.97
|
| Rate for Payer: UHC Medicare Advantage |
$28,503.36
|
| Rate for Payer: VA VA |
$28,503.36
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$136,863.63
|
|
|
Service Code
|
MSDRG 573
|
| Min. Negotiated Rate |
$47,800.92 |
| Max. Negotiated Rate |
$136,863.63 |
| Rate for Payer: Aetna Medicare |
$52,329.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,895.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,895.95
|
| Rate for Payer: BCBS MAPPO |
$50,316.76
|
| Rate for Payer: BCBS Trust/PPO |
$136,863.63
|
| Rate for Payer: BCN Commercial |
$136,863.63
|
| Rate for Payer: BCN Medicare Advantage |
$50,316.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,316.76
|
| Rate for Payer: Mclaren Medicare |
$50,316.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,832.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,864.27
|
| Rate for Payer: Nomi Health Commercial |
$79,440.78
|
| Rate for Payer: PACE Medicare |
$47,800.92
|
| Rate for Payer: PACE SWMI |
$50,316.76
|
| Rate for Payer: PHP Medicare Advantage |
$50,316.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94,549.39
|
| Rate for Payer: Priority Health Medicare |
$50,316.76
|
| Rate for Payer: Priority Health Narrow Network |
$75,639.52
|
| Rate for Payer: Railroad Medicare Medicare |
$50,316.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96,289.62
|
| Rate for Payer: UHC Core |
$77,026.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,316.76
|
| Rate for Payer: UHC Exchange |
$61,237.14
|
| Rate for Payer: UHC Medicare Advantage |
$50,316.76
|
| Rate for Payer: VA VA |
$50,316.76
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$31,220.40
|
|
|
Service Code
|
MSDRG 575
|
| Min. Negotiated Rate |
$15,781.62 |
| Max. Negotiated Rate |
$31,220.40 |
| Rate for Payer: Aetna Medicare |
$17,276.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,765.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,765.29
|
| Rate for Payer: BCBS MAPPO |
$16,612.23
|
| Rate for Payer: BCBS Trust/PPO |
$28,175.70
|
| Rate for Payer: BCN Commercial |
$28,175.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,612.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,612.23
|
| Rate for Payer: Mclaren Medicare |
$16,612.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,442.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,104.06
|
| Rate for Payer: Nomi Health Commercial |
$25,757.43
|
| Rate for Payer: PACE Medicare |
$15,781.62
|
| Rate for Payer: PACE SWMI |
$16,612.23
|
| Rate for Payer: PHP Medicare Advantage |
$16,612.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,655.08
|
| Rate for Payer: Priority Health Medicare |
$16,612.23
|
| Rate for Payer: Priority Health Narrow Network |
$24,524.07
|
| Rate for Payer: Railroad Medicare Medicare |
$16,612.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,220.40
|
| Rate for Payer: UHC Core |
$24,974.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,612.23
|
| Rate for Payer: UHC Exchange |
$19,855.18
|
| Rate for Payer: UHC Medicare Advantage |
$16,612.23
|
| Rate for Payer: VA VA |
$16,612.23
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$30,713.79
|
|
|
Service Code
|
MSDRG 623
|
| Min. Negotiated Rate |
$15,136.06 |
| Max. Negotiated Rate |
$30,713.79 |
| Rate for Payer: Aetna Medicare |
$16,570.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,915.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,915.88
|
| Rate for Payer: BCBS MAPPO |
$15,932.70
|
| Rate for Payer: BCBS Trust/PPO |
$30,713.79
|
| Rate for Payer: BCN Commercial |
$30,713.79
|
| Rate for Payer: BCN Medicare Advantage |
$15,932.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,932.70
|
| Rate for Payer: Mclaren Medicare |
$15,932.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,729.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,322.60
|
| Rate for Payer: Nomi Health Commercial |
$24,675.12
|
| Rate for Payer: PACE Medicare |
$15,136.06
|
| Rate for Payer: PACE SWMI |
$15,932.70
|
| Rate for Payer: PHP Medicare Advantage |
$15,932.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,388.34
|
| Rate for Payer: Priority Health Medicare |
$15,932.70
|
| Rate for Payer: Priority Health Narrow Network |
$23,510.68
|
| Rate for Payer: Railroad Medicare Medicare |
$15,932.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,908.54
|
| Rate for Payer: UHC Core |
$23,925.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,932.70
|
| Rate for Payer: UHC Exchange |
$19,020.88
|
| Rate for Payer: UHC Medicare Advantage |
$15,932.70
|
| Rate for Payer: VA VA |
$15,932.70
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$58,509.91
|
|
|
Service Code
|
MSDRG 622
|
| Min. Negotiated Rate |
$29,210.25 |
| Max. Negotiated Rate |
$58,509.91 |
| Rate for Payer: Aetna Medicare |
$31,977.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,434.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,434.54
|
| Rate for Payer: BCBS MAPPO |
$30,747.63
|
| Rate for Payer: BCBS Trust/PPO |
$48,665.68
|
| Rate for Payer: BCN Commercial |
$48,665.68
|
| Rate for Payer: BCN Medicare Advantage |
$30,747.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,747.63
|
| Rate for Payer: Mclaren Medicare |
$30,747.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,285.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,359.77
|
| Rate for Payer: Nomi Health Commercial |
$48,271.80
|
| Rate for Payer: PACE Medicare |
$29,210.25
|
| Rate for Payer: PACE SWMI |
$30,747.63
|
| Rate for Payer: PHP Medicare Advantage |
$30,747.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,486.91
|
| Rate for Payer: Priority Health Medicare |
$30,747.63
|
| Rate for Payer: Priority Health Narrow Network |
$45,989.54
|
| Rate for Payer: Railroad Medicare Medicare |
$30,747.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58,509.91
|
| Rate for Payer: UHC Core |
$46,804.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,747.63
|
| Rate for Payer: UHC Exchange |
$37,210.45
|
| Rate for Payer: UHC Medicare Advantage |
$30,747.63
|
| Rate for Payer: VA VA |
$30,747.63
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,112.34
|
|
|
Service Code
|
MSDRG 624
|
| Min. Negotiated Rate |
$8,136.68 |
| Max. Negotiated Rate |
$22,112.34 |
| Rate for Payer: Aetna Medicare |
$8,907.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,706.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,706.16
|
| Rate for Payer: BCBS MAPPO |
$8,564.93
|
| Rate for Payer: BCBS Trust/PPO |
$22,112.34
|
| Rate for Payer: BCN Commercial |
$22,112.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,564.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,564.93
|
| Rate for Payer: Mclaren Medicare |
$8,564.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,993.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,849.67
|
| Rate for Payer: Nomi Health Commercial |
$12,939.99
|
| Rate for Payer: PACE Medicare |
$8,136.68
|
| Rate for Payer: PACE SWMI |
$8,564.93
|
| Rate for Payer: PHP Medicare Advantage |
$8,564.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,402.01
|
| Rate for Payer: Priority Health Medicare |
$8,564.93
|
| Rate for Payer: Priority Health Narrow Network |
$12,321.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8,564.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,684.47
|
| Rate for Payer: UHC Core |
$12,546.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,564.93
|
| Rate for Payer: UHC Exchange |
$9,974.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,564.93
|
| Rate for Payer: VA VA |
$8,564.93
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC
|
Facility
|
IP
|
$66,829.30
|
|
|
Service Code
|
MSDRG 904
|
| Min. Negotiated Rate |
$30,126.62 |
| Max. Negotiated Rate |
$66,829.30 |
| Rate for Payer: Aetna Medicare |
$32,980.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,640.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,640.29
|
| Rate for Payer: BCBS MAPPO |
$31,712.23
|
| Rate for Payer: BCBS Trust/PPO |
$66,829.30
|
| Rate for Payer: BCN Commercial |
$66,829.30
|
| Rate for Payer: BCN Medicare Advantage |
$31,712.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,712.23
|
| Rate for Payer: Mclaren Medicare |
$31,712.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,297.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,469.06
|
| Rate for Payer: Nomi Health Commercial |
$49,808.19
|
| Rate for Payer: PACE Medicare |
$30,126.62
|
| Rate for Payer: PACE SWMI |
$31,712.23
|
| Rate for Payer: PHP Medicare Advantage |
$31,712.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,281.84
|
| Rate for Payer: Priority Health Medicare |
$31,712.23
|
| Rate for Payer: Priority Health Narrow Network |
$47,425.48
|
| Rate for Payer: Railroad Medicare Medicare |
$31,712.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60,372.16
|
| Rate for Payer: UHC Core |
$48,294.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,712.23
|
| Rate for Payer: UHC Exchange |
$38,394.78
|
| Rate for Payer: UHC Medicare Advantage |
$31,712.23
|
| Rate for Payer: VA VA |
$31,712.23
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,845.71
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$13,100.19 |
| Max. Negotiated Rate |
$29,845.71 |
| Rate for Payer: Aetna Medicare |
$14,341.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,237.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,237.09
|
| Rate for Payer: BCBS MAPPO |
$13,789.67
|
| Rate for Payer: BCBS Trust/PPO |
$29,845.71
|
| Rate for Payer: BCN Commercial |
$29,845.71
|
| Rate for Payer: BCN Medicare Advantage |
$13,789.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,789.67
|
| Rate for Payer: Mclaren Medicare |
$13,789.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,479.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,858.12
|
| Rate for Payer: Nomi Health Commercial |
$21,261.78
|
| Rate for Payer: PACE Medicare |
$13,100.19
|
| Rate for Payer: PACE SWMI |
$13,789.67
|
| Rate for Payer: PHP Medicare Advantage |
$13,789.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,305.60
|
| Rate for Payer: Priority Health Medicare |
$13,789.67
|
| Rate for Payer: Priority Health Narrow Network |
$20,244.49
|
| Rate for Payer: Railroad Medicare Medicare |
$13,789.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,771.26
|
| Rate for Payer: UHC Core |
$20,615.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,789.67
|
| Rate for Payer: UHC Exchange |
$16,389.70
|
| Rate for Payer: UHC Medicare Advantage |
$13,789.67
|
| Rate for Payer: VA VA |
$13,789.67
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$19,118.14
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$9,826.32 |
| Max. Negotiated Rate |
$19,118.14 |
| Rate for Payer: Aetna Medicare |
$10,757.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,929.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,929.38
|
| Rate for Payer: BCBS MAPPO |
$10,343.50
|
| Rate for Payer: BCBS Trust/PPO |
$16,750.33
|
| Rate for Payer: BCN Commercial |
$16,750.33
|
| Rate for Payer: BCN Medicare Advantage |
$10,343.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,343.50
|
| Rate for Payer: Mclaren Medicare |
$10,343.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,860.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,895.02
|
| Rate for Payer: Nomi Health Commercial |
$15,772.83
|
| Rate for Payer: PACE Medicare |
$9,826.32
|
| Rate for Payer: PACE SWMI |
$10,343.50
|
| Rate for Payer: PHP Medicare Advantage |
$10,343.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,772.30
|
| Rate for Payer: Priority Health Medicare |
$10,343.50
|
| Rate for Payer: Priority Health Narrow Network |
$15,017.84
|
| Rate for Payer: Railroad Medicare Medicare |
$10,343.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,118.14
|
| Rate for Payer: UHC Core |
$15,293.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,343.50
|
| Rate for Payer: UHC Exchange |
$12,158.53
|
| Rate for Payer: UHC Medicare Advantage |
$10,343.50
|
| Rate for Payer: VA VA |
$10,343.50
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$32,152.31
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$16,240.17 |
| Max. Negotiated Rate |
$32,152.31 |
| Rate for Payer: Aetna Medicare |
$17,778.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,368.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,368.65
|
| Rate for Payer: BCBS MAPPO |
$17,094.92
|
| Rate for Payer: BCBS Trust/PPO |
$28,088.37
|
| Rate for Payer: BCN Commercial |
$28,088.37
|
| Rate for Payer: BCN Medicare Advantage |
$17,094.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,094.92
|
| Rate for Payer: Mclaren Medicare |
$17,094.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,949.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,659.16
|
| Rate for Payer: Nomi Health Commercial |
$26,526.27
|
| Rate for Payer: PACE Medicare |
$16,240.17
|
| Rate for Payer: PACE SWMI |
$17,094.92
|
| Rate for Payer: PHP Medicare Advantage |
$17,094.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,571.74
|
| Rate for Payer: Priority Health Medicare |
$17,094.92
|
| Rate for Payer: Priority Health Narrow Network |
$25,257.39
|
| Rate for Payer: Railroad Medicare Medicare |
$17,094.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32,152.31
|
| Rate for Payer: UHC Core |
$25,720.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,094.92
|
| Rate for Payer: UHC Exchange |
$20,447.85
|
| Rate for Payer: UHC Medicare Advantage |
$17,094.92
|
| Rate for Payer: VA VA |
$17,094.92
|
|
|
MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,270.27
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$6,948.70 |
| Max. Negotiated Rate |
$13,270.27 |
| Rate for Payer: Aetna Medicare |
$7,607.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,143.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,143.02
|
| Rate for Payer: BCBS MAPPO |
$7,314.42
|
| Rate for Payer: BCBS Trust/PPO |
$10,901.35
|
| Rate for Payer: BCN Commercial |
$10,901.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,314.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,314.42
|
| Rate for Payer: Mclaren Medicare |
$7,314.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,680.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,411.58
|
| Rate for Payer: Nomi Health Commercial |
$10,948.23
|
| Rate for Payer: PACE Medicare |
$6,948.70
|
| Rate for Payer: PACE SWMI |
$7,314.42
|
| Rate for Payer: PHP Medicare Advantage |
$7,314.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,029.75
|
| Rate for Payer: Priority Health Medicare |
$7,314.42
|
| Rate for Payer: Priority Health Narrow Network |
$10,423.80
|
| Rate for Payer: Railroad Medicare Medicare |
$7,314.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,270.27
|
| Rate for Payer: UHC Core |
$10,615.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,314.42
|
| Rate for Payer: UHC Exchange |
$8,439.47
|
| Rate for Payer: UHC Medicare Advantage |
$7,314.42
|
| Rate for Payer: VA VA |
$7,314.42
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$37,526.14
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$14,150.43 |
| Max. Negotiated Rate |
$37,526.14 |
| Rate for Payer: Aetna Medicare |
$15,491.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,618.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,618.99
|
| Rate for Payer: BCBS MAPPO |
$14,895.19
|
| Rate for Payer: BCBS Trust/PPO |
$37,526.14
|
| Rate for Payer: BCN Commercial |
$37,526.14
|
| Rate for Payer: BCN Medicare Advantage |
$14,895.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,895.19
|
| Rate for Payer: Mclaren Medicare |
$14,895.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,639.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,129.47
|
| Rate for Payer: Nomi Health Commercial |
$23,022.63
|
| Rate for Payer: PACE Medicare |
$14,150.43
|
| Rate for Payer: PACE SWMI |
$14,895.19
|
| Rate for Payer: PHP Medicare Advantage |
$14,895.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,406.09
|
| Rate for Payer: Priority Health Medicare |
$14,895.19
|
| Rate for Payer: Priority Health Narrow Network |
$21,924.87
|
| Rate for Payer: Railroad Medicare Medicare |
$14,895.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27,905.57
|
| Rate for Payer: UHC Core |
$22,323.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,895.19
|
| Rate for Payer: UHC Exchange |
$17,747.06
|
| Rate for Payer: UHC Medicare Advantage |
$14,895.19
|
| Rate for Payer: VA VA |
$14,895.19
|
|
