|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$77,468.63
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$24,799.19 |
| Max. Negotiated Rate |
$77,468.63 |
| Rate for Payer: Aetna Medicare |
$27,148.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,630.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,630.51
|
| Rate for Payer: BCBS MAPPO |
$26,104.41
|
| Rate for Payer: BCBS Trust/PPO |
$77,468.63
|
| Rate for Payer: BCN Commercial |
$77,468.63
|
| Rate for Payer: BCN Medicare Advantage |
$26,104.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,104.41
|
| Rate for Payer: Mclaren Medicare |
$26,104.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,409.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,020.07
|
| Rate for Payer: Nomi Health Commercial |
$40,876.23
|
| Rate for Payer: PACE Medicare |
$24,799.19
|
| Rate for Payer: PACE SWMI |
$26,104.41
|
| Rate for Payer: PHP Medicare Advantage |
$26,104.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,650.45
|
| Rate for Payer: Priority Health Medicare |
$26,104.41
|
| Rate for Payer: Priority Health Narrow Network |
$38,920.36
|
| Rate for Payer: Railroad Medicare Medicare |
$26,104.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49,545.79
|
| Rate for Payer: UHC Core |
$39,634.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,104.41
|
| Rate for Payer: UHC Exchange |
$31,509.55
|
| Rate for Payer: UHC Medicare Advantage |
$26,104.41
|
| Rate for Payer: VA VA |
$26,104.41
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,449.96
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$11,168.95 |
| Max. Negotiated Rate |
$32,449.96 |
| Rate for Payer: Aetna Medicare |
$12,227.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,695.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,695.99
|
| Rate for Payer: BCBS MAPPO |
$11,756.79
|
| Rate for Payer: BCBS Trust/PPO |
$32,449.96
|
| Rate for Payer: BCN Commercial |
$32,449.96
|
| Rate for Payer: BCN Medicare Advantage |
$11,756.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,756.79
|
| Rate for Payer: Mclaren Medicare |
$11,756.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,344.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,520.31
|
| Rate for Payer: Nomi Health Commercial |
$18,023.88
|
| Rate for Payer: PACE Medicare |
$11,168.95
|
| Rate for Payer: PACE SWMI |
$11,756.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,756.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,451.65
|
| Rate for Payer: Priority Health Medicare |
$11,756.79
|
| Rate for Payer: Priority Health Narrow Network |
$17,161.32
|
| Rate for Payer: Railroad Medicare Medicare |
$11,756.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,846.62
|
| Rate for Payer: UHC Core |
$17,476.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,756.79
|
| Rate for Payer: UHC Exchange |
$13,893.76
|
| Rate for Payer: UHC Medicare Advantage |
$11,756.79
|
| Rate for Payer: VA VA |
$11,756.79
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$31,978.87
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$15,903.17 |
| Max. Negotiated Rate |
$31,978.87 |
| Rate for Payer: Aetna Medicare |
$17,409.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,925.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,925.22
|
| Rate for Payer: BCBS MAPPO |
$16,740.18
|
| Rate for Payer: BCBS Trust/PPO |
$31,978.87
|
| Rate for Payer: BCN Commercial |
$31,978.87
|
| Rate for Payer: BCN Medicare Advantage |
$16,740.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,740.18
|
| Rate for Payer: Mclaren Medicare |
$16,740.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,577.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,251.21
|
| Rate for Payer: Nomi Health Commercial |
$25,961.25
|
| Rate for Payer: PACE Medicare |
$15,903.17
|
| Rate for Payer: PACE SWMI |
$16,740.18
|
| Rate for Payer: PHP Medicare Advantage |
$16,740.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,899.21
|
| Rate for Payer: Priority Health Medicare |
$16,740.18
|
| Rate for Payer: Priority Health Narrow Network |
$24,719.38
|
| Rate for Payer: Railroad Medicare Medicare |
$16,740.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,467.45
|
| Rate for Payer: UHC Core |
$25,172.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,740.18
|
| Rate for Payer: UHC Exchange |
$20,012.30
|
| Rate for Payer: UHC Medicare Advantage |
$16,740.18
|
| Rate for Payer: VA VA |
$16,740.18
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,067.77
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$7,508.07 |
| Max. Negotiated Rate |
$23,067.77 |
| Rate for Payer: Aetna Medicare |
$8,219.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,879.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,879.04
|
| Rate for Payer: BCBS MAPPO |
$7,903.23
|
| Rate for Payer: BCBS Trust/PPO |
$23,067.77
|
| Rate for Payer: BCN Commercial |
$23,067.77
|
| Rate for Payer: BCN Medicare Advantage |
$7,903.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,903.23
|
| Rate for Payer: Mclaren Medicare |
$7,903.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,298.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,088.71
|
| Rate for Payer: Nomi Health Commercial |
$11,886.06
|
| Rate for Payer: PACE Medicare |
$7,508.07
|
| Rate for Payer: PACE SWMI |
$7,903.23
|
| Rate for Payer: PHP Medicare Advantage |
$7,903.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,146.02
|
| Rate for Payer: Priority Health Medicare |
$7,903.23
|
| Rate for Payer: Priority Health Narrow Network |
$11,316.82
|
| Rate for Payer: Railroad Medicare Medicare |
$7,903.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,407.01
|
| Rate for Payer: UHC Core |
$11,524.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,903.23
|
| Rate for Payer: UHC Exchange |
$9,162.40
|
| Rate for Payer: UHC Medicare Advantage |
$7,903.23
|
| Rate for Payer: VA VA |
$7,903.23
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$116,423.93
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$44,578.60 |
| Max. Negotiated Rate |
$116,423.93 |
| Rate for Payer: Aetna Medicare |
$48,801.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,656.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,656.05
|
| Rate for Payer: BCBS MAPPO |
$46,924.84
|
| Rate for Payer: BCBS Trust/PPO |
$116,423.93
|
| Rate for Payer: BCN Commercial |
$116,423.93
|
| Rate for Payer: BCN Medicare Advantage |
$46,924.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,924.84
|
| Rate for Payer: Mclaren Medicare |
$46,924.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,271.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,963.57
|
| Rate for Payer: Nomi Health Commercial |
$74,038.26
|
| Rate for Payer: PACE Medicare |
$44,578.60
|
| Rate for Payer: PACE SWMI |
$46,924.84
|
| Rate for Payer: PHP Medicare Advantage |
$46,924.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88,118.96
|
| Rate for Payer: Priority Health Medicare |
$46,924.84
|
| Rate for Payer: Priority Health Narrow Network |
$70,495.18
|
| Rate for Payer: Railroad Medicare Medicare |
$46,924.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89,741.26
|
| Rate for Payer: UHC Core |
$71,788.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,924.84
|
| Rate for Payer: UHC Exchange |
$57,072.59
|
| Rate for Payer: UHC Medicare Advantage |
$46,924.84
|
| Rate for Payer: VA VA |
$46,924.84
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$141,526.94
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$65,582.15 |
| Max. Negotiated Rate |
$141,526.94 |
| Rate for Payer: Aetna Medicare |
$71,795.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86,292.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86,292.30
|
| Rate for Payer: BCBS MAPPO |
$69,033.84
|
| Rate for Payer: BCBS Trust/PPO |
$141,526.94
|
| Rate for Payer: BCN Commercial |
$141,526.94
|
| Rate for Payer: BCN Medicare Advantage |
$69,033.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69,033.84
|
| Rate for Payer: Mclaren Medicare |
$69,033.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72,485.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79,388.92
|
| Rate for Payer: Nomi Health Commercial |
$109,252.68
|
| Rate for Payer: PACE Medicare |
$65,582.15
|
| Rate for Payer: PACE SWMI |
$69,033.84
|
| Rate for Payer: PHP Medicare Advantage |
$69,033.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130,030.36
|
| Rate for Payer: Priority Health Medicare |
$69,033.84
|
| Rate for Payer: Priority Health Narrow Network |
$104,024.30
|
| Rate for Payer: Railroad Medicare Medicare |
$69,033.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132,424.41
|
| Rate for Payer: UHC Core |
$105,932.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$69,033.84
|
| Rate for Payer: UHC Exchange |
$84,217.72
|
| Rate for Payer: UHC Medicare Advantage |
$69,033.84
|
| Rate for Payer: VA VA |
$69,033.84
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$110,103.85
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$33,642.10 |
| Max. Negotiated Rate |
$110,103.85 |
| Rate for Payer: Aetna Medicare |
$36,829.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,265.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,265.92
|
| Rate for Payer: BCBS MAPPO |
$35,412.74
|
| Rate for Payer: BCBS Trust/PPO |
$110,103.85
|
| Rate for Payer: BCN Commercial |
$110,103.85
|
| Rate for Payer: BCN Medicare Advantage |
$35,412.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,412.74
|
| Rate for Payer: Mclaren Medicare |
$35,412.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,183.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,724.65
|
| Rate for Payer: Nomi Health Commercial |
$55,702.20
|
| Rate for Payer: PACE Medicare |
$33,642.10
|
| Rate for Payer: PACE SWMI |
$35,412.74
|
| Rate for Payer: PHP Medicare Advantage |
$35,412.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66,295.74
|
| Rate for Payer: Priority Health Medicare |
$35,412.74
|
| Rate for Payer: Priority Health Narrow Network |
$53,036.60
|
| Rate for Payer: Railroad Medicare Medicare |
$35,412.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67,516.25
|
| Rate for Payer: UHC Core |
$54,009.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,412.74
|
| Rate for Payer: UHC Exchange |
$42,938.19
|
| Rate for Payer: UHC Medicare Advantage |
$35,412.74
|
| Rate for Payer: VA VA |
$35,412.74
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$67,795.31
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$26,245.70 |
| Max. Negotiated Rate |
$67,795.31 |
| Rate for Payer: Aetna Medicare |
$28,732.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,533.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,533.81
|
| Rate for Payer: BCBS MAPPO |
$27,627.05
|
| Rate for Payer: BCBS Trust/PPO |
$67,795.31
|
| Rate for Payer: BCN Commercial |
$67,795.31
|
| Rate for Payer: BCN Medicare Advantage |
$27,627.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,627.05
|
| Rate for Payer: Mclaren Medicare |
$27,627.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,008.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,771.11
|
| Rate for Payer: Nomi Health Commercial |
$43,301.43
|
| Rate for Payer: PACE Medicare |
$26,245.70
|
| Rate for Payer: PACE SWMI |
$27,627.05
|
| Rate for Payer: PHP Medicare Advantage |
$27,627.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51,537.08
|
| Rate for Payer: Priority Health Medicare |
$27,627.05
|
| Rate for Payer: Priority Health Narrow Network |
$41,229.67
|
| Rate for Payer: Railroad Medicare Medicare |
$27,627.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52,485.36
|
| Rate for Payer: UHC Core |
$41,985.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,627.05
|
| Rate for Payer: UHC Exchange |
$33,379.02
|
| Rate for Payer: UHC Medicare Advantage |
$27,627.05
|
| Rate for Payer: VA VA |
$27,627.05
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$102,918.33
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$47,195.39 |
| Max. Negotiated Rate |
$102,918.33 |
| Rate for Payer: Aetna Medicare |
$51,666.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,099.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,099.20
|
| Rate for Payer: BCBS MAPPO |
$49,679.36
|
| Rate for Payer: BCBS Trust/PPO |
$102,918.33
|
| Rate for Payer: BCN Commercial |
$102,918.33
|
| Rate for Payer: BCN Medicare Advantage |
$49,679.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,679.36
|
| Rate for Payer: Mclaren Medicare |
$49,679.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,163.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,131.26
|
| Rate for Payer: Nomi Health Commercial |
$78,425.55
|
| Rate for Payer: PACE Medicare |
$47,195.39
|
| Rate for Payer: PACE SWMI |
$49,679.36
|
| Rate for Payer: PHP Medicare Advantage |
$49,679.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93,340.99
|
| Rate for Payer: Priority Health Medicare |
$49,679.36
|
| Rate for Payer: Priority Health Narrow Network |
$74,672.81
|
| Rate for Payer: Railroad Medicare Medicare |
$49,679.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95,059.06
|
| Rate for Payer: UHC Core |
$76,042.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,679.36
|
| Rate for Payer: UHC Exchange |
$60,454.55
|
| Rate for Payer: UHC Medicare Advantage |
$49,679.36
|
| Rate for Payer: VA VA |
$49,679.36
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$49,631.69
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$17,541.27 |
| Max. Negotiated Rate |
$49,631.69 |
| Rate for Payer: Aetna Medicare |
$19,203.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,080.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,080.61
|
| Rate for Payer: BCBS MAPPO |
$18,464.49
|
| Rate for Payer: BCBS Trust/PPO |
$49,631.69
|
| Rate for Payer: BCN Commercial |
$49,631.69
|
| Rate for Payer: BCN Medicare Advantage |
$18,464.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,464.49
|
| Rate for Payer: Mclaren Medicare |
$18,464.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,387.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,234.16
|
| Rate for Payer: Nomi Health Commercial |
$28,707.66
|
| Rate for Payer: PACE Medicare |
$17,541.27
|
| Rate for Payer: PACE SWMI |
$18,464.49
|
| Rate for Payer: PHP Medicare Advantage |
$18,464.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,166.63
|
| Rate for Payer: Priority Health Medicare |
$18,464.49
|
| Rate for Payer: Priority Health Narrow Network |
$27,333.31
|
| Rate for Payer: Railroad Medicare Medicare |
$18,464.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34,796.35
|
| Rate for Payer: UHC Core |
$27,835.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,464.49
|
| Rate for Payer: UHC Exchange |
$22,129.38
|
| Rate for Payer: UHC Medicare Advantage |
$18,464.49
|
| Rate for Payer: VA VA |
$18,464.49
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$50,880.88
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$22,837.94 |
| Max. Negotiated Rate |
$50,880.88 |
| Rate for Payer: Aetna Medicare |
$25,001.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,049.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,049.92
|
| Rate for Payer: BCBS MAPPO |
$24,039.94
|
| Rate for Payer: BCBS Trust/PPO |
$50,880.88
|
| Rate for Payer: BCN Commercial |
$50,880.88
|
| Rate for Payer: BCN Medicare Advantage |
$24,039.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,039.94
|
| Rate for Payer: Mclaren Medicare |
$24,039.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,241.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,645.93
|
| Rate for Payer: Nomi Health Commercial |
$37,588.02
|
| Rate for Payer: PACE Medicare |
$22,837.94
|
| Rate for Payer: PACE SWMI |
$24,039.94
|
| Rate for Payer: PHP Medicare Advantage |
$24,039.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,736.61
|
| Rate for Payer: Priority Health Medicare |
$24,039.94
|
| Rate for Payer: Priority Health Narrow Network |
$35,789.29
|
| Rate for Payer: Railroad Medicare Medicare |
$24,039.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,560.18
|
| Rate for Payer: UHC Core |
$36,445.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,039.94
|
| Rate for Payer: UHC Exchange |
$28,974.83
|
| Rate for Payer: UHC Medicare Advantage |
$24,039.94
|
| Rate for Payer: VA VA |
$24,039.94
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$74,346.05
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$37,002.92 |
| Max. Negotiated Rate |
$74,346.05 |
| Rate for Payer: Aetna Medicare |
$40,508.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,688.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,688.05
|
| Rate for Payer: BCBS MAPPO |
$38,950.44
|
| Rate for Payer: BCBS Trust/PPO |
$69,923.17
|
| Rate for Payer: BCN Commercial |
$69,923.17
|
| Rate for Payer: BCN Medicare Advantage |
$38,950.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,950.44
|
| Rate for Payer: Mclaren Medicare |
$38,950.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,897.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,793.01
|
| Rate for Payer: Nomi Health Commercial |
$61,336.92
|
| Rate for Payer: PACE Medicare |
$37,002.92
|
| Rate for Payer: PACE SWMI |
$38,950.44
|
| Rate for Payer: PHP Medicare Advantage |
$38,950.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73,002.54
|
| Rate for Payer: Priority Health Medicare |
$38,950.44
|
| Rate for Payer: Priority Health Narrow Network |
$58,402.04
|
| Rate for Payer: Railroad Medicare Medicare |
$38,950.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74,346.05
|
| Rate for Payer: UHC Core |
$59,473.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,950.44
|
| Rate for Payer: UHC Exchange |
$47,281.73
|
| Rate for Payer: UHC Medicare Advantage |
$38,950.44
|
| Rate for Payer: VA VA |
$38,950.44
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$49,237.35
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$13,050.17 |
| Max. Negotiated Rate |
$49,237.35 |
| Rate for Payer: Aetna Medicare |
$14,286.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,171.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,171.28
|
| Rate for Payer: BCBS MAPPO |
$13,737.02
|
| Rate for Payer: BCBS Trust/PPO |
$49,237.35
|
| Rate for Payer: BCN Commercial |
$49,237.35
|
| Rate for Payer: BCN Medicare Advantage |
$13,737.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,737.02
|
| Rate for Payer: Mclaren Medicare |
$13,737.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,423.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,797.57
|
| Rate for Payer: Nomi Health Commercial |
$21,177.93
|
| Rate for Payer: PACE Medicare |
$13,050.17
|
| Rate for Payer: PACE SWMI |
$13,737.02
|
| Rate for Payer: PHP Medicare Advantage |
$13,737.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,207.33
|
| Rate for Payer: Priority Health Medicare |
$13,737.02
|
| Rate for Payer: Priority Health Narrow Network |
$20,165.87
|
| Rate for Payer: Railroad Medicare Medicare |
$13,737.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,669.62
|
| Rate for Payer: UHC Core |
$20,534.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,737.02
|
| Rate for Payer: UHC Exchange |
$16,325.06
|
| Rate for Payer: UHC Medicare Advantage |
$13,737.02
|
| Rate for Payer: VA VA |
$13,737.02
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$32,185.30
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$7,489.61 |
| Max. Negotiated Rate |
$32,185.30 |
| Rate for Payer: Aetna Medicare |
$8,199.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,854.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,854.75
|
| Rate for Payer: BCBS MAPPO |
$7,883.80
|
| Rate for Payer: BCBS Trust/PPO |
$32,185.30
|
| Rate for Payer: BCN Commercial |
$32,185.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,883.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,883.80
|
| Rate for Payer: Mclaren Medicare |
$7,883.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,277.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,066.37
|
| Rate for Payer: Nomi Health Commercial |
$11,855.10
|
| Rate for Payer: PACE Medicare |
$7,489.61
|
| Rate for Payer: PACE SWMI |
$7,883.80
|
| Rate for Payer: PHP Medicare Advantage |
$7,883.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,109.17
|
| Rate for Payer: Priority Health Medicare |
$7,883.80
|
| Rate for Payer: Priority Health Narrow Network |
$11,287.34
|
| Rate for Payer: Railroad Medicare Medicare |
$7,883.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,369.48
|
| Rate for Payer: UHC Core |
$11,494.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,883.80
|
| Rate for Payer: UHC Exchange |
$9,138.54
|
| Rate for Payer: UHC Medicare Advantage |
$7,883.80
|
| Rate for Payer: VA VA |
$7,883.80
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$16,231.60
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$5,585.28 |
| Max. Negotiated Rate |
$16,231.60 |
| Rate for Payer: Aetna Medicare |
$6,114.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,349.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,349.05
|
| Rate for Payer: BCBS MAPPO |
$5,879.24
|
| Rate for Payer: BCBS Trust/PPO |
$16,231.60
|
| Rate for Payer: BCN Commercial |
$16,231.60
|
| Rate for Payer: BCN Medicare Advantage |
$5,879.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,879.24
|
| Rate for Payer: Mclaren Medicare |
$5,879.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,173.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,761.13
|
| Rate for Payer: Nomi Health Commercial |
$8,662.35
|
| Rate for Payer: PACE Medicare |
$5,585.28
|
| Rate for Payer: PACE SWMI |
$5,879.24
|
| Rate for Payer: PHP Medicare Advantage |
$5,879.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,310.49
|
| Rate for Payer: Priority Health Medicare |
$5,879.24
|
| Rate for Payer: Priority Health Narrow Network |
$8,248.39
|
| Rate for Payer: Railroad Medicare Medicare |
$5,879.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,499.57
|
| Rate for Payer: UHC Core |
$8,399.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,879.24
|
| Rate for Payer: UHC Exchange |
$6,677.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,879.24
|
| Rate for Payer: VA VA |
$5,879.24
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$51,111.14
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$19,100.89 |
| Max. Negotiated Rate |
$51,111.14 |
| Rate for Payer: Aetna Medicare |
$20,910.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,132.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,132.75
|
| Rate for Payer: BCBS MAPPO |
$20,106.20
|
| Rate for Payer: BCBS Trust/PPO |
$51,111.14
|
| Rate for Payer: BCN Commercial |
$51,111.14
|
| Rate for Payer: BCN Medicare Advantage |
$20,106.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,106.20
|
| Rate for Payer: Mclaren Medicare |
$20,106.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,111.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,122.13
|
| Rate for Payer: Nomi Health Commercial |
$31,322.49
|
| Rate for Payer: PACE Medicare |
$19,100.89
|
| Rate for Payer: PACE SWMI |
$20,106.20
|
| Rate for Payer: PHP Medicare Advantage |
$20,106.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,282.04
|
| Rate for Payer: Priority Health Medicare |
$20,106.20
|
| Rate for Payer: Priority Health Narrow Network |
$29,825.64
|
| Rate for Payer: Railroad Medicare Medicare |
$20,106.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37,965.77
|
| Rate for Payer: UHC Core |
$30,370.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,106.20
|
| Rate for Payer: UHC Exchange |
$24,145.03
|
| Rate for Payer: UHC Medicare Advantage |
$20,106.20
|
| Rate for Payer: VA VA |
$20,106.20
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$95,796.33
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$39,497.36 |
| Max. Negotiated Rate |
$95,796.33 |
| Rate for Payer: Aetna Medicare |
$43,239.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,970.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,970.21
|
| Rate for Payer: BCBS MAPPO |
$41,576.17
|
| Rate for Payer: BCBS Trust/PPO |
$95,796.33
|
| Rate for Payer: BCN Commercial |
$95,796.33
|
| Rate for Payer: BCN Medicare Advantage |
$41,576.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,576.17
|
| Rate for Payer: Mclaren Medicare |
$41,576.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,654.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,812.60
|
| Rate for Payer: Nomi Health Commercial |
$65,519.10
|
| Rate for Payer: PACE Medicare |
$39,497.36
|
| Rate for Payer: PACE SWMI |
$41,576.17
|
| Rate for Payer: PHP Medicare Advantage |
$41,576.17
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$77,980.44
|
| Rate for Payer: Priority Health Medicare |
$41,576.17
|
| Rate for Payer: Priority Health Narrow Network |
$62,384.36
|
| Rate for Payer: Railroad Medicare Medicare |
$41,576.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79,415.24
|
| Rate for Payer: UHC Core |
$63,528.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,576.17
|
| Rate for Payer: UHC Exchange |
$50,505.58
|
| Rate for Payer: UHC Medicare Advantage |
$41,576.17
|
| Rate for Payer: VA VA |
$41,576.17
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,720.33
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$12,679.32 |
| Max. Negotiated Rate |
$33,720.33 |
| Rate for Payer: Aetna Medicare |
$13,880.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,683.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,683.31
|
| Rate for Payer: BCBS MAPPO |
$13,346.65
|
| Rate for Payer: BCBS Trust/PPO |
$33,720.33
|
| Rate for Payer: BCN Commercial |
$33,720.33
|
| Rate for Payer: BCN Medicare Advantage |
$13,346.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,346.65
|
| Rate for Payer: Mclaren Medicare |
$13,346.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,013.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,348.65
|
| Rate for Payer: Nomi Health Commercial |
$20,556.15
|
| Rate for Payer: PACE Medicare |
$12,679.32
|
| Rate for Payer: PACE SWMI |
$13,346.65
|
| Rate for Payer: PHP Medicare Advantage |
$13,346.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,465.72
|
| Rate for Payer: Priority Health Medicare |
$13,346.65
|
| Rate for Payer: Priority Health Narrow Network |
$19,572.58
|
| Rate for Payer: Railroad Medicare Medicare |
$13,346.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,915.97
|
| Rate for Payer: UHC Core |
$19,931.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,346.65
|
| Rate for Payer: UHC Exchange |
$15,845.76
|
| Rate for Payer: UHC Medicare Advantage |
$13,346.65
|
| Rate for Payer: VA VA |
$13,346.65
|
|
|
MS-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$18,460.04
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$7,122.59 |
| Max. Negotiated Rate |
$18,460.04 |
| Rate for Payer: Aetna Medicare |
$7,797.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,371.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,371.82
|
| Rate for Payer: BCBS MAPPO |
$7,497.46
|
| Rate for Payer: BCBS Trust/PPO |
$18,460.04
|
| Rate for Payer: BCN Commercial |
$18,460.04
|
| Rate for Payer: BCN Medicare Advantage |
$7,497.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,497.46
|
| Rate for Payer: Mclaren Medicare |
$7,497.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,872.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,622.08
|
| Rate for Payer: Nomi Health Commercial |
$11,239.77
|
| Rate for Payer: PACE Medicare |
$7,122.59
|
| Rate for Payer: PACE SWMI |
$7,497.46
|
| Rate for Payer: PHP Medicare Advantage |
$7,497.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,378.30
|
| Rate for Payer: Priority Health Medicare |
$7,497.46
|
| Rate for Payer: Priority Health Narrow Network |
$10,702.64
|
| Rate for Payer: Railroad Medicare Medicare |
$7,497.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,623.65
|
| Rate for Payer: UHC Core |
$10,898.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,497.46
|
| Rate for Payer: UHC Exchange |
$8,664.21
|
| Rate for Payer: UHC Medicare Advantage |
$7,497.46
|
| Rate for Payer: VA VA |
$7,497.46
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$34,350.22
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$12,342.30 |
| Max. Negotiated Rate |
$34,350.22 |
| Rate for Payer: Aetna Medicare |
$13,511.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,239.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,239.88
|
| Rate for Payer: BCBS MAPPO |
$12,991.90
|
| Rate for Payer: BCBS Trust/PPO |
$34,350.22
|
| Rate for Payer: BCN Commercial |
$34,350.22
|
| Rate for Payer: BCN Medicare Advantage |
$12,991.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,991.90
|
| Rate for Payer: Mclaren Medicare |
$12,991.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,641.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,940.68
|
| Rate for Payer: Nomi Health Commercial |
$19,991.13
|
| Rate for Payer: PACE Medicare |
$12,342.30
|
| Rate for Payer: PACE SWMI |
$12,991.90
|
| Rate for Payer: PHP Medicare Advantage |
$12,991.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,794.73
|
| Rate for Payer: Priority Health Medicare |
$12,991.90
|
| Rate for Payer: Priority Health Narrow Network |
$19,035.79
|
| Rate for Payer: Railroad Medicare Medicare |
$12,991.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,231.11
|
| Rate for Payer: UHC Core |
$19,383.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,991.90
|
| Rate for Payer: UHC Exchange |
$15,410.22
|
| Rate for Payer: UHC Medicare Advantage |
$12,991.90
|
| Rate for Payer: VA VA |
$12,991.90
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$13,506.38
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$7,064.87 |
| Max. Negotiated Rate |
$13,506.38 |
| Rate for Payer: Aetna Medicare |
$7,734.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,295.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,295.89
|
| Rate for Payer: BCBS MAPPO |
$7,436.71
|
| Rate for Payer: BCBS Trust/PPO |
$11,232.17
|
| Rate for Payer: BCN Commercial |
$11,232.17
|
| Rate for Payer: BCN Medicare Advantage |
$7,436.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,436.71
|
| Rate for Payer: Mclaren Medicare |
$7,436.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,808.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,552.22
|
| Rate for Payer: Nomi Health Commercial |
$11,143.02
|
| Rate for Payer: PACE Medicare |
$7,064.87
|
| Rate for Payer: PACE SWMI |
$7,436.71
|
| Rate for Payer: PHP Medicare Advantage |
$7,436.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,263.14
|
| Rate for Payer: Priority Health Medicare |
$7,436.71
|
| Rate for Payer: Priority Health Narrow Network |
$10,610.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,436.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,506.38
|
| Rate for Payer: UHC Core |
$10,804.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,436.71
|
| Rate for Payer: UHC Exchange |
$8,589.63
|
| Rate for Payer: UHC Medicare Advantage |
$7,436.71
|
| Rate for Payer: VA VA |
$7,436.71
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$37,613.48
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$15,119.15 |
| Max. Negotiated Rate |
$37,613.48 |
| Rate for Payer: Mclaren Medicare |
$15,914.89
|
| Rate for Payer: Aetna Medicare |
$16,551.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,893.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,893.61
|
| Rate for Payer: BCBS MAPPO |
$15,914.89
|
| Rate for Payer: BCBS Trust/PPO |
$37,613.48
|
| Rate for Payer: BCN Commercial |
$37,613.48
|
| Rate for Payer: BCN Medicare Advantage |
$15,914.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,914.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,710.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,302.12
|
| Rate for Payer: Nomi Health Commercial |
$24,646.74
|
| Rate for Payer: PACE Medicare |
$15,119.15
|
| Rate for Payer: PACE SWMI |
$15,914.89
|
| Rate for Payer: PHP Medicare Advantage |
$15,914.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,336.14
|
| Rate for Payer: Priority Health Medicare |
$15,914.89
|
| Rate for Payer: Priority Health Narrow Network |
$23,468.91
|
| Rate for Payer: Railroad Medicare Medicare |
$15,914.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29,874.14
|
| Rate for Payer: UHC Core |
$23,897.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,914.89
|
| Rate for Payer: UHC Exchange |
$18,999.01
|
| Rate for Payer: UHC Medicare Advantage |
$15,914.89
|
| Rate for Payer: VA VA |
$15,914.89
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,733.46
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$8,648.34 |
| Max. Negotiated Rate |
$20,733.46 |
| Rate for Payer: Aetna Medicare |
$9,467.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,379.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,379.40
|
| Rate for Payer: BCBS MAPPO |
$9,103.52
|
| Rate for Payer: BCBS Trust/PPO |
$20,733.46
|
| Rate for Payer: BCN Commercial |
$20,733.46
|
| Rate for Payer: BCN Medicare Advantage |
$9,103.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,103.52
|
| Rate for Payer: Mclaren Medicare |
$9,103.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,558.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,469.05
|
| Rate for Payer: Nomi Health Commercial |
$13,797.84
|
| Rate for Payer: PACE Medicare |
$8,648.34
|
| Rate for Payer: PACE SWMI |
$9,103.52
|
| Rate for Payer: PHP Medicare Advantage |
$9,103.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,423.08
|
| Rate for Payer: Priority Health Medicare |
$9,103.52
|
| Rate for Payer: Priority Health Narrow Network |
$13,138.46
|
| Rate for Payer: Railroad Medicare Medicare |
$9,103.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,724.27
|
| Rate for Payer: UHC Core |
$13,378.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,103.52
|
| Rate for Payer: UHC Exchange |
$10,636.10
|
| Rate for Payer: UHC Medicare Advantage |
$9,103.52
|
| Rate for Payer: VA VA |
$9,103.52
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$35,347.99
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$12,031.46 |
| Max. Negotiated Rate |
$35,347.99 |
| Rate for Payer: Aetna Medicare |
$13,171.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,830.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,830.88
|
| Rate for Payer: BCBS MAPPO |
$12,664.70
|
| Rate for Payer: BCBS Trust/PPO |
$35,347.99
|
| Rate for Payer: BCN Commercial |
$35,347.99
|
| Rate for Payer: BCN Medicare Advantage |
$12,664.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,664.70
|
| Rate for Payer: Mclaren Medicare |
$12,664.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,297.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,564.40
|
| Rate for Payer: Nomi Health Commercial |
$19,469.97
|
| Rate for Payer: PACE Medicare |
$12,031.46
|
| Rate for Payer: PACE SWMI |
$12,664.70
|
| Rate for Payer: PHP Medicare Advantage |
$12,664.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,172.88
|
| Rate for Payer: Priority Health Medicare |
$12,664.70
|
| Rate for Payer: Priority Health Narrow Network |
$18,538.30
|
| Rate for Payer: Railroad Medicare Medicare |
$12,664.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,599.41
|
| Rate for Payer: UHC Core |
$18,878.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,664.70
|
| Rate for Payer: UHC Exchange |
$15,008.48
|
| Rate for Payer: UHC Medicare Advantage |
$12,664.70
|
| Rate for Payer: VA VA |
$12,664.70
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,617.63
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$22,478.61 |
| Max. Negotiated Rate |
$47,617.63 |
| Rate for Payer: Aetna Medicare |
$24,608.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,577.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,577.11
|
| Rate for Payer: BCBS MAPPO |
$23,661.69
|
| Rate for Payer: BCBS Trust/PPO |
$47,617.63
|
| Rate for Payer: BCN Commercial |
$47,617.63
|
| Rate for Payer: BCN Medicare Advantage |
$23,661.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,661.69
|
| Rate for Payer: Mclaren Medicare |
$23,661.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,844.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,210.94
|
| Rate for Payer: Nomi Health Commercial |
$36,985.59
|
| Rate for Payer: PACE Medicare |
$22,478.61
|
| Rate for Payer: PACE SWMI |
$23,661.69
|
| Rate for Payer: PHP Medicare Advantage |
$23,661.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,019.56
|
| Rate for Payer: Priority Health Medicare |
$23,661.69
|
| Rate for Payer: Priority Health Narrow Network |
$35,215.65
|
| Rate for Payer: Railroad Medicare Medicare |
$23,661.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44,829.98
|
| Rate for Payer: UHC Core |
$35,861.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,661.69
|
| Rate for Payer: UHC Exchange |
$28,510.44
|
| Rate for Payer: UHC Medicare Advantage |
$23,661.69
|
| Rate for Payer: VA VA |
$23,661.69
|
|
