|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,284.63
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$10,166.42 |
| Max. Negotiated Rate |
$29,284.63 |
| Rate for Payer: Aetna Medicare |
$11,129.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,376.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,376.86
|
| Rate for Payer: BCBS MAPPO |
$10,701.49
|
| Rate for Payer: BCBS Trust/PPO |
$29,284.63
|
| Rate for Payer: BCN Commercial |
$29,284.63
|
| Rate for Payer: BCN Medicare Advantage |
$10,701.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,701.49
|
| Rate for Payer: Mclaren Medicare |
$10,701.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,236.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,306.71
|
| Rate for Payer: Nomi Health Commercial |
$16,343.01
|
| Rate for Payer: PACE Medicare |
$10,166.42
|
| Rate for Payer: PACE SWMI |
$10,701.49
|
| Rate for Payer: PHP Medicare Advantage |
$10,701.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,450.97
|
| Rate for Payer: Priority Health Medicare |
$10,701.49
|
| Rate for Payer: Priority Health Narrow Network |
$15,560.78
|
| Rate for Payer: Railroad Medicare Medicare |
$10,701.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,809.25
|
| Rate for Payer: UHC Core |
$15,846.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,701.49
|
| Rate for Payer: UHC Exchange |
$12,598.05
|
| Rate for Payer: UHC Medicare Advantage |
$10,701.49
|
| Rate for Payer: VA VA |
$10,701.49
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$109,402.50
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$31,993.24 |
| Max. Negotiated Rate |
$109,402.50 |
| Rate for Payer: Aetna Medicare |
$35,024.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,096.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,096.36
|
| Rate for Payer: BCBS MAPPO |
$33,677.09
|
| Rate for Payer: BCBS Trust/PPO |
$109,402.50
|
| Rate for Payer: BCN Commercial |
$109,402.50
|
| Rate for Payer: BCN Medicare Advantage |
$33,677.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,677.09
|
| Rate for Payer: Mclaren Medicare |
$33,677.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,360.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,728.65
|
| Rate for Payer: Nomi Health Commercial |
$52,937.73
|
| Rate for Payer: PACE Medicare |
$31,993.24
|
| Rate for Payer: PACE SWMI |
$33,677.09
|
| Rate for Payer: PHP Medicare Advantage |
$33,677.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,005.29
|
| Rate for Payer: Priority Health Medicare |
$33,677.09
|
| Rate for Payer: Priority Health Narrow Network |
$50,404.24
|
| Rate for Payer: Railroad Medicare Medicare |
$33,677.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64,165.45
|
| Rate for Payer: UHC Core |
$51,329.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,677.09
|
| Rate for Payer: UHC Exchange |
$40,807.19
|
| Rate for Payer: UHC Medicare Advantage |
$33,677.09
|
| Rate for Payer: VA VA |
$33,677.09
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$109,508.37
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$41,935.64 |
| Max. Negotiated Rate |
$109,508.37 |
| Rate for Payer: Aetna Medicare |
$45,908.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,178.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,178.48
|
| Rate for Payer: BCBS MAPPO |
$44,142.78
|
| Rate for Payer: BCBS Trust/PPO |
$109,508.37
|
| Rate for Payer: BCN Commercial |
$109,508.37
|
| Rate for Payer: BCN Medicare Advantage |
$44,142.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,142.78
|
| Rate for Payer: Mclaren Medicare |
$44,142.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,349.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,764.20
|
| Rate for Payer: Nomi Health Commercial |
$69,607.11
|
| Rate for Payer: PACE Medicare |
$41,935.64
|
| Rate for Payer: PACE SWMI |
$44,142.78
|
| Rate for Payer: PHP Medicare Advantage |
$44,142.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82,846.25
|
| Rate for Payer: Priority Health Medicare |
$44,142.78
|
| Rate for Payer: Priority Health Narrow Network |
$66,277.01
|
| Rate for Payer: Railroad Medicare Medicare |
$44,142.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84,370.29
|
| Rate for Payer: UHC Core |
$67,491.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,142.78
|
| Rate for Payer: UHC Exchange |
$53,656.83
|
| Rate for Payer: UHC Medicare Advantage |
$44,142.78
|
| Rate for Payer: VA VA |
$44,142.78
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$76,658.77
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$20,808.22 |
| Max. Negotiated Rate |
$76,658.77 |
| Rate for Payer: Aetna Medicare |
$22,779.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,379.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,379.24
|
| Rate for Payer: BCBS MAPPO |
$21,903.39
|
| Rate for Payer: BCBS Trust/PPO |
$76,658.77
|
| Rate for Payer: BCN Commercial |
$76,658.77
|
| Rate for Payer: BCN Medicare Advantage |
$21,903.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,903.39
|
| Rate for Payer: Mclaren Medicare |
$21,903.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,998.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,188.90
|
| Rate for Payer: Nomi Health Commercial |
$34,185.00
|
| Rate for Payer: PACE Medicare |
$20,808.22
|
| Rate for Payer: PACE SWMI |
$21,903.39
|
| Rate for Payer: PHP Medicare Advantage |
$21,903.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,686.12
|
| Rate for Payer: Priority Health Medicare |
$21,903.39
|
| Rate for Payer: Priority Health Narrow Network |
$32,548.90
|
| Rate for Payer: Railroad Medicare Medicare |
$21,903.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41,435.40
|
| Rate for Payer: UHC Core |
$33,146.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,903.39
|
| Rate for Payer: UHC Exchange |
$26,351.60
|
| Rate for Payer: UHC Medicare Advantage |
$21,903.39
|
| Rate for Payer: VA VA |
$21,903.39
|
|
|
MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$240,163.07
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$109,137.33 |
| Max. Negotiated Rate |
$240,163.07 |
| Rate for Payer: Aetna Medicare |
$119,476.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$143,601.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$143,601.75
|
| Rate for Payer: BCBS MAPPO |
$114,881.40
|
| Rate for Payer: BCBS Trust/PPO |
$240,163.07
|
| Rate for Payer: BCN Commercial |
$240,163.07
|
| Rate for Payer: BCN Medicare Advantage |
$114,881.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114,881.40
|
| Rate for Payer: Mclaren Medicare |
$114,881.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120,625.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$132,113.61
|
| Rate for Payer: Nomi Health Commercial |
$182,277.00
|
| Rate for Payer: PACE Medicare |
$109,137.33
|
| Rate for Payer: PACE SWMI |
$114,881.40
|
| Rate for Payer: PHP Medicare Advantage |
$114,881.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$216,943.99
|
| Rate for Payer: Priority Health Medicare |
$114,881.40
|
| Rate for Payer: Priority Health Narrow Network |
$173,555.22
|
| Rate for Payer: Railroad Medicare Medicare |
$114,881.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$220,936.68
|
| Rate for Payer: UHC Core |
$176,738.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$114,881.40
|
| Rate for Payer: UHC Exchange |
$140,508.72
|
| Rate for Payer: UHC Medicare Advantage |
$114,881.40
|
| Rate for Payer: VA VA |
$114,881.40
|
|
|
MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$19,296.36
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,574.76 |
| Max. Negotiated Rate |
$19,296.36 |
| Rate for Payer: Aetna Medicare |
$7,197.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,651.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,651.00
|
| Rate for Payer: BCBS MAPPO |
$6,920.80
|
| Rate for Payer: BCBS Trust/PPO |
$19,296.36
|
| Rate for Payer: BCN Commercial |
$19,296.36
|
| Rate for Payer: BCN Medicare Advantage |
$6,920.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,920.80
|
| Rate for Payer: Mclaren Medicare |
$6,920.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,266.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,958.92
|
| Rate for Payer: Nomi Health Commercial |
$10,321.29
|
| Rate for Payer: PACE Medicare |
$6,574.76
|
| Rate for Payer: PACE SWMI |
$6,920.80
|
| Rate for Payer: PHP Medicare Advantage |
$6,920.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,286.60
|
| Rate for Payer: Priority Health Medicare |
$6,920.80
|
| Rate for Payer: Priority Health Narrow Network |
$9,829.28
|
| Rate for Payer: Railroad Medicare Medicare |
$6,920.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,510.36
|
| Rate for Payer: UHC Core |
$10,007.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,920.80
|
| Rate for Payer: UHC Exchange |
$7,956.19
|
| Rate for Payer: UHC Medicare Advantage |
$6,920.80
|
| Rate for Payer: VA VA |
$6,920.80
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$35,342.70
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$12,325.39 |
| Max. Negotiated Rate |
$35,342.70 |
| Rate for Payer: Aetna Medicare |
$13,493.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,217.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,217.61
|
| Rate for Payer: BCBS MAPPO |
$12,974.09
|
| Rate for Payer: BCBS Trust/PPO |
$35,342.70
|
| Rate for Payer: BCN Commercial |
$35,342.70
|
| Rate for Payer: BCN Medicare Advantage |
$12,974.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,974.09
|
| Rate for Payer: Mclaren Medicare |
$12,974.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,622.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,920.20
|
| Rate for Payer: Nomi Health Commercial |
$19,962.75
|
| Rate for Payer: PACE Medicare |
$12,325.39
|
| Rate for Payer: PACE SWMI |
$12,974.09
|
| Rate for Payer: PHP Medicare Advantage |
$12,974.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,760.95
|
| Rate for Payer: Priority Health Medicare |
$12,974.09
|
| Rate for Payer: Priority Health Narrow Network |
$19,008.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12,974.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,196.71
|
| Rate for Payer: UHC Core |
$19,356.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,974.09
|
| Rate for Payer: UHC Exchange |
$15,388.34
|
| Rate for Payer: UHC Medicare Advantage |
$12,974.09
|
| Rate for Payer: VA VA |
$12,974.09
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$49,644.92
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$22,857.18 |
| Max. Negotiated Rate |
$49,644.92 |
| Rate for Payer: Aetna Medicare |
$25,022.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,075.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,075.24
|
| Rate for Payer: BCBS MAPPO |
$24,060.19
|
| Rate for Payer: BCBS Trust/PPO |
$49,644.92
|
| Rate for Payer: BCN Commercial |
$49,644.92
|
| Rate for Payer: BCN Medicare Advantage |
$24,060.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,060.19
|
| Rate for Payer: Mclaren Medicare |
$24,060.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,263.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,669.22
|
| Rate for Payer: Nomi Health Commercial |
$37,620.27
|
| Rate for Payer: PACE Medicare |
$22,857.18
|
| Rate for Payer: PACE SWMI |
$24,060.19
|
| Rate for Payer: PHP Medicare Advantage |
$24,060.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,775.00
|
| Rate for Payer: Priority Health Medicare |
$24,060.19
|
| Rate for Payer: Priority Health Narrow Network |
$35,820.00
|
| Rate for Payer: Railroad Medicare Medicare |
$24,060.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45,599.27
|
| Rate for Payer: UHC Core |
$36,477.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,060.19
|
| Rate for Payer: UHC Exchange |
$28,999.69
|
| Rate for Payer: UHC Medicare Advantage |
$24,060.19
|
| Rate for Payer: VA VA |
$24,060.19
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,088.11
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,771.96 |
| Max. Negotiated Rate |
$21,088.11 |
| Rate for Payer: Aetna Medicare |
$8,508.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,226.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,226.26
|
| Rate for Payer: BCBS MAPPO |
$8,181.01
|
| Rate for Payer: BCBS Trust/PPO |
$21,088.11
|
| Rate for Payer: BCN Commercial |
$21,088.11
|
| Rate for Payer: BCN Medicare Advantage |
$8,181.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,181.01
|
| Rate for Payer: Mclaren Medicare |
$8,181.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,590.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,408.16
|
| Rate for Payer: Nomi Health Commercial |
$12,328.53
|
| Rate for Payer: PACE Medicare |
$7,771.96
|
| Rate for Payer: PACE SWMI |
$8,181.01
|
| Rate for Payer: PHP Medicare Advantage |
$8,181.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,672.67
|
| Rate for Payer: Priority Health Medicare |
$8,181.01
|
| Rate for Payer: Priority Health Narrow Network |
$11,738.14
|
| Rate for Payer: Railroad Medicare Medicare |
$8,181.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,943.33
|
| Rate for Payer: UHC Core |
$11,953.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,181.01
|
| Rate for Payer: UHC Exchange |
$9,503.48
|
| Rate for Payer: UHC Medicare Advantage |
$8,181.01
|
| Rate for Payer: VA VA |
$8,181.01
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$28,302.74
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$11,544.43 |
| Max. Negotiated Rate |
$28,302.74 |
| Rate for Payer: Aetna Medicare |
$12,638.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,190.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,190.04
|
| Rate for Payer: BCBS MAPPO |
$12,152.03
|
| Rate for Payer: BCBS Trust/PPO |
$28,302.74
|
| Rate for Payer: BCN Commercial |
$28,302.74
|
| Rate for Payer: BCN Medicare Advantage |
$12,152.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,152.03
|
| Rate for Payer: Mclaren Medicare |
$12,152.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,759.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,974.83
|
| Rate for Payer: Nomi Health Commercial |
$18,653.40
|
| Rate for Payer: PACE Medicare |
$11,544.43
|
| Rate for Payer: PACE SWMI |
$12,152.03
|
| Rate for Payer: PHP Medicare Advantage |
$12,152.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,200.94
|
| Rate for Payer: Priority Health Medicare |
$12,152.03
|
| Rate for Payer: Priority Health Narrow Network |
$17,760.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12,152.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,609.66
|
| Rate for Payer: UHC Core |
$18,086.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,152.03
|
| Rate for Payer: UHC Exchange |
$14,379.02
|
| Rate for Payer: UHC Medicare Advantage |
$12,152.03
|
| Rate for Payer: VA VA |
$12,152.03
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$24,052.30
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,648.87 |
| Max. Negotiated Rate |
$24,052.30 |
| Rate for Payer: Aetna Medicare |
$8,373.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,064.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,064.30
|
| Rate for Payer: BCBS MAPPO |
$8,051.44
|
| Rate for Payer: BCBS Trust/PPO |
$24,052.30
|
| Rate for Payer: BCN Commercial |
$24,052.30
|
| Rate for Payer: BCN Medicare Advantage |
$8,051.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,051.44
|
| Rate for Payer: Mclaren Medicare |
$8,051.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,454.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,259.16
|
| Rate for Payer: Nomi Health Commercial |
$12,122.13
|
| Rate for Payer: PACE Medicare |
$7,648.87
|
| Rate for Payer: PACE SWMI |
$8,051.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,051.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,427.00
|
| Rate for Payer: Priority Health Medicare |
$8,051.44
|
| Rate for Payer: Priority Health Narrow Network |
$11,541.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,051.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,693.15
|
| Rate for Payer: UHC Core |
$11,753.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,051.44
|
| Rate for Payer: UHC Exchange |
$9,344.38
|
| Rate for Payer: UHC Medicare Advantage |
$8,051.44
|
| Rate for Payer: VA VA |
$8,051.44
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$25,303.74
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$12,870.14 |
| Max. Negotiated Rate |
$25,303.74 |
| Rate for Payer: Aetna Medicare |
$14,089.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,934.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,934.40
|
| Rate for Payer: BCBS MAPPO |
$13,547.52
|
| Rate for Payer: BCBS Trust/PPO |
$23,480.64
|
| Rate for Payer: BCN Commercial |
$23,480.64
|
| Rate for Payer: BCN Medicare Advantage |
$13,547.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,547.52
|
| Rate for Payer: Mclaren Medicare |
$13,547.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,224.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,579.65
|
| Rate for Payer: Nomi Health Commercial |
$20,876.07
|
| Rate for Payer: PACE Medicare |
$12,870.14
|
| Rate for Payer: PACE SWMI |
$13,547.52
|
| Rate for Payer: PHP Medicare Advantage |
$13,547.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,846.51
|
| Rate for Payer: Priority Health Medicare |
$13,547.52
|
| Rate for Payer: Priority Health Narrow Network |
$19,877.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13,547.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,303.74
|
| Rate for Payer: UHC Core |
$20,241.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,547.52
|
| Rate for Payer: UHC Exchange |
$16,092.38
|
| Rate for Payer: UHC Medicare Advantage |
$13,547.52
|
| Rate for Payer: VA VA |
$13,547.52
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$18,722.05
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$7,469.58 |
| Max. Negotiated Rate |
$18,722.05 |
| Rate for Payer: Aetna Medicare |
$8,177.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,828.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,828.40
|
| Rate for Payer: BCBS MAPPO |
$7,862.72
|
| Rate for Payer: BCBS Trust/PPO |
$18,722.05
|
| Rate for Payer: BCN Commercial |
$18,722.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,862.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,862.72
|
| Rate for Payer: Mclaren Medicare |
$7,862.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,255.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,042.13
|
| Rate for Payer: Nomi Health Commercial |
$11,821.56
|
| Rate for Payer: PACE Medicare |
$7,469.58
|
| Rate for Payer: PACE SWMI |
$7,862.72
|
| Rate for Payer: PHP Medicare Advantage |
$7,862.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,069.25
|
| Rate for Payer: Priority Health Medicare |
$7,862.72
|
| Rate for Payer: Priority Health Narrow Network |
$11,255.40
|
| Rate for Payer: Railroad Medicare Medicare |
$7,862.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,328.83
|
| Rate for Payer: UHC Core |
$11,462.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,862.72
|
| Rate for Payer: UHC Exchange |
$9,112.68
|
| Rate for Payer: UHC Medicare Advantage |
$7,862.72
|
| Rate for Payer: VA VA |
$7,862.72
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$23,157.75
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$10,510.32 |
| Max. Negotiated Rate |
$23,157.75 |
| Rate for Payer: Aetna Medicare |
$11,506.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,829.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,829.38
|
| Rate for Payer: BCBS MAPPO |
$11,063.50
|
| Rate for Payer: BCBS Trust/PPO |
$23,157.75
|
| Rate for Payer: BCN Commercial |
$23,157.75
|
| Rate for Payer: BCN Medicare Advantage |
$11,063.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,063.50
|
| Rate for Payer: Mclaren Medicare |
$11,063.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,616.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,723.02
|
| Rate for Payer: Nomi Health Commercial |
$16,919.64
|
| Rate for Payer: PACE Medicare |
$10,510.32
|
| Rate for Payer: PACE SWMI |
$11,063.50
|
| Rate for Payer: PHP Medicare Advantage |
$11,063.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,138.84
|
| Rate for Payer: Priority Health Medicare |
$11,063.50
|
| Rate for Payer: Priority Health Narrow Network |
$16,111.08
|
| Rate for Payer: Railroad Medicare Medicare |
$11,063.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,508.18
|
| Rate for Payer: UHC Core |
$16,405.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,063.50
|
| Rate for Payer: UHC Exchange |
$13,042.55
|
| Rate for Payer: UHC Medicare Advantage |
$11,063.50
|
| Rate for Payer: VA VA |
$11,063.50
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$28,646.80
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$11,116.63 |
| Max. Negotiated Rate |
$28,646.80 |
| Rate for Payer: Aetna Medicare |
$12,169.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,627.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,627.15
|
| Rate for Payer: BCBS MAPPO |
$11,701.72
|
| Rate for Payer: BCBS Trust/PPO |
$28,646.80
|
| Rate for Payer: BCN Commercial |
$28,646.80
|
| Rate for Payer: BCN Medicare Advantage |
$11,701.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,701.72
|
| Rate for Payer: Mclaren Medicare |
$11,701.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,286.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,456.98
|
| Rate for Payer: Nomi Health Commercial |
$17,936.16
|
| Rate for Payer: PACE Medicare |
$11,116.63
|
| Rate for Payer: PACE SWMI |
$11,701.72
|
| Rate for Payer: PHP Medicare Advantage |
$11,701.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,347.24
|
| Rate for Payer: Priority Health Medicare |
$11,701.72
|
| Rate for Payer: Priority Health Narrow Network |
$17,077.79
|
| Rate for Payer: Railroad Medicare Medicare |
$11,701.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,740.29
|
| Rate for Payer: UHC Core |
$17,391.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,701.72
|
| Rate for Payer: UHC Exchange |
$13,826.14
|
| Rate for Payer: UHC Medicare Advantage |
$11,701.72
|
| Rate for Payer: VA VA |
$11,701.72
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$43,412.18
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$17,853.65 |
| Max. Negotiated Rate |
$43,412.18 |
| Rate for Payer: UHC Dual Complete DSNP |
$18,793.32
|
| Rate for Payer: UHC Exchange |
$22,533.10
|
| Rate for Payer: Aetna Medicare |
$19,545.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,491.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,491.65
|
| Rate for Payer: BCBS MAPPO |
$18,793.32
|
| Rate for Payer: BCBS Trust/PPO |
$43,412.18
|
| Rate for Payer: BCN Commercial |
$43,412.18
|
| Rate for Payer: BCN Medicare Advantage |
$18,793.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,793.32
|
| Rate for Payer: Mclaren Medicare |
$18,793.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,732.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,612.32
|
| Rate for Payer: Nomi Health Commercial |
$29,231.40
|
| Rate for Payer: PACE Medicare |
$17,853.65
|
| Rate for Payer: PACE SWMI |
$18,793.32
|
| Rate for Payer: PHP Medicare Advantage |
$18,793.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,791.56
|
| Rate for Payer: Priority Health Medicare |
$18,793.32
|
| Rate for Payer: Priority Health Narrow Network |
$27,833.25
|
| Rate for Payer: Railroad Medicare Medicare |
$18,793.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,431.18
|
| Rate for Payer: UHC Core |
$28,343.13
|
| Rate for Payer: UHC Medicare Advantage |
$18,793.32
|
| Rate for Payer: VA VA |
$18,793.32
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$52,894.95
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$18,270.68 |
| Max. Negotiated Rate |
$52,894.95 |
| Rate for Payer: Aetna Medicare |
$20,001.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,040.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,040.36
|
| Rate for Payer: BCBS MAPPO |
$19,232.29
|
| Rate for Payer: BCBS Trust/PPO |
$52,894.95
|
| Rate for Payer: BCN Commercial |
$52,894.95
|
| Rate for Payer: BCN Medicare Advantage |
$19,232.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,232.29
|
| Rate for Payer: Mclaren Medicare |
$19,232.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,193.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,117.13
|
| Rate for Payer: Nomi Health Commercial |
$29,930.58
|
| Rate for Payer: PACE Medicare |
$18,270.68
|
| Rate for Payer: PACE SWMI |
$19,232.29
|
| Rate for Payer: PHP Medicare Advantage |
$19,232.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,623.77
|
| Rate for Payer: Priority Health Medicare |
$19,232.29
|
| Rate for Payer: Priority Health Narrow Network |
$28,499.02
|
| Rate for Payer: Railroad Medicare Medicare |
$19,232.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36,278.65
|
| Rate for Payer: UHC Core |
$29,021.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,232.29
|
| Rate for Payer: UHC Exchange |
$23,072.07
|
| Rate for Payer: UHC Medicare Advantage |
$19,232.29
|
| Rate for Payer: VA VA |
$19,232.29
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$16,146.91
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$7,220.30 |
| Max. Negotiated Rate |
$16,146.91 |
| Rate for Payer: Aetna Medicare |
$7,904.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,500.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,500.40
|
| Rate for Payer: BCBS MAPPO |
$7,600.32
|
| Rate for Payer: BCBS Trust/PPO |
$16,146.91
|
| Rate for Payer: BCN Commercial |
$16,146.91
|
| Rate for Payer: BCN Medicare Advantage |
$7,600.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,600.32
|
| Rate for Payer: Mclaren Medicare |
$7,600.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,980.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,740.37
|
| Rate for Payer: Nomi Health Commercial |
$11,403.60
|
| Rate for Payer: PACE Medicare |
$7,220.30
|
| Rate for Payer: PACE SWMI |
$7,600.32
|
| Rate for Payer: PHP Medicare Advantage |
$7,600.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,573.30
|
| Rate for Payer: Priority Health Medicare |
$7,600.32
|
| Rate for Payer: Priority Health Narrow Network |
$10,858.64
|
| Rate for Payer: Railroad Medicare Medicare |
$7,600.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,822.22
|
| Rate for Payer: UHC Core |
$11,057.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,600.32
|
| Rate for Payer: UHC Exchange |
$8,790.50
|
| Rate for Payer: UHC Medicare Advantage |
$7,600.32
|
| Rate for Payer: VA VA |
$7,600.32
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$18,346.23
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$7,775.05 |
| Max. Negotiated Rate |
$18,346.23 |
| Rate for Payer: Aetna Medicare |
$8,511.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,230.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,230.32
|
| Rate for Payer: BCBS MAPPO |
$8,184.26
|
| Rate for Payer: BCBS Trust/PPO |
$18,346.23
|
| Rate for Payer: BCN Commercial |
$18,346.23
|
| Rate for Payer: BCN Medicare Advantage |
$8,184.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,184.26
|
| Rate for Payer: Mclaren Medicare |
$8,184.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,593.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,411.90
|
| Rate for Payer: Nomi Health Commercial |
$12,333.69
|
| Rate for Payer: PACE Medicare |
$7,775.05
|
| Rate for Payer: PACE SWMI |
$8,184.26
|
| Rate for Payer: PHP Medicare Advantage |
$8,184.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,678.82
|
| Rate for Payer: Priority Health Medicare |
$8,184.26
|
| Rate for Payer: Priority Health Narrow Network |
$11,743.05
|
| Rate for Payer: Railroad Medicare Medicare |
$8,184.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,949.58
|
| Rate for Payer: UHC Core |
$11,958.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,184.26
|
| Rate for Payer: UHC Exchange |
$9,507.46
|
| Rate for Payer: UHC Medicare Advantage |
$8,184.26
|
| Rate for Payer: VA VA |
$8,184.26
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$23,230.41
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$11,849.88 |
| Max. Negotiated Rate |
$23,230.41 |
| Rate for Payer: Aetna Medicare |
$12,972.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,591.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,591.95
|
| Rate for Payer: BCBS MAPPO |
$12,473.56
|
| Rate for Payer: BCBS Trust/PPO |
$17,419.92
|
| Rate for Payer: BCN Commercial |
$17,419.92
|
| Rate for Payer: BCN Medicare Advantage |
$12,473.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,473.56
|
| Rate for Payer: Mclaren Medicare |
$12,473.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,097.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,344.59
|
| Rate for Payer: Nomi Health Commercial |
$19,165.53
|
| Rate for Payer: PACE Medicare |
$11,849.88
|
| Rate for Payer: PACE SWMI |
$12,473.56
|
| Rate for Payer: PHP Medicare Advantage |
$12,473.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,812.05
|
| Rate for Payer: Priority Health Medicare |
$12,473.56
|
| Rate for Payer: Priority Health Narrow Network |
$18,249.64
|
| Rate for Payer: Railroad Medicare Medicare |
$12,473.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,230.41
|
| Rate for Payer: UHC Core |
$18,583.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,473.56
|
| Rate for Payer: UHC Exchange |
$14,773.80
|
| Rate for Payer: UHC Medicare Advantage |
$12,473.56
|
| Rate for Payer: VA VA |
$12,473.56
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$15,003.58
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$7,525.75 |
| Max. Negotiated Rate |
$15,003.58 |
| Rate for Payer: Aetna Medicare |
$8,238.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,902.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,902.30
|
| Rate for Payer: BCBS MAPPO |
$7,921.84
|
| Rate for Payer: BCBS Trust/PPO |
$15,003.58
|
| Rate for Payer: BCN Commercial |
$15,003.58
|
| Rate for Payer: BCN Medicare Advantage |
$7,921.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,921.84
|
| Rate for Payer: Mclaren Medicare |
$7,921.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,317.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,110.12
|
| Rate for Payer: Nomi Health Commercial |
$11,915.73
|
| Rate for Payer: PACE Medicare |
$7,525.75
|
| Rate for Payer: PACE SWMI |
$7,921.84
|
| Rate for Payer: PHP Medicare Advantage |
$7,921.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,182.87
|
| Rate for Payer: Priority Health Medicare |
$7,921.84
|
| Rate for Payer: Priority Health Narrow Network |
$11,346.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7,921.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,442.97
|
| Rate for Payer: UHC Core |
$11,553.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,921.84
|
| Rate for Payer: UHC Exchange |
$9,185.27
|
| Rate for Payer: UHC Medicare Advantage |
$7,921.84
|
| Rate for Payer: VA VA |
$7,921.84
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
|
Facility
|
IP
|
$104,199.29
|
|
|
Service Code
|
MSDRG 278
|
| Min. Negotiated Rate |
$38,914.92 |
| Max. Negotiated Rate |
$104,199.29 |
| Rate for Payer: Aetna Medicare |
$42,601.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,203.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,203.84
|
| Rate for Payer: BCBS MAPPO |
$40,963.07
|
| Rate for Payer: BCBS Trust/PPO |
$104,199.29
|
| Rate for Payer: BCN Commercial |
$104,199.29
|
| Rate for Payer: BCN Medicare Advantage |
$40,963.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,963.07
|
| Rate for Payer: Mclaren Medicare |
$40,963.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,011.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,107.53
|
| Rate for Payer: Nomi Health Commercial |
$64,542.57
|
| Rate for Payer: PACE Medicare |
$38,914.92
|
| Rate for Payer: PACE SWMI |
$40,963.07
|
| Rate for Payer: PHP Medicare Advantage |
$40,963.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76,816.58
|
| Rate for Payer: Priority Health Medicare |
$40,963.07
|
| Rate for Payer: Priority Health Narrow Network |
$61,453.27
|
| Rate for Payer: Railroad Medicare Medicare |
$40,963.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78,231.60
|
| Rate for Payer: UHC Core |
$62,581.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,963.07
|
| Rate for Payer: UHC Exchange |
$49,752.82
|
| Rate for Payer: UHC Medicare Advantage |
$40,963.07
|
| Rate for Payer: VA VA |
$40,963.07
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$59,003.30
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$25,073.85 |
| Max. Negotiated Rate |
$59,003.30 |
| Rate for Payer: Aetna Medicare |
$27,449.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,991.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,991.91
|
| Rate for Payer: BCBS MAPPO |
$26,393.53
|
| Rate for Payer: BCBS Trust/PPO |
$59,003.30
|
| Rate for Payer: BCN Commercial |
$59,003.30
|
| Rate for Payer: BCN Medicare Advantage |
$26,393.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,393.53
|
| Rate for Payer: Mclaren Medicare |
$26,393.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,713.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,352.56
|
| Rate for Payer: Nomi Health Commercial |
$41,336.76
|
| Rate for Payer: PACE Medicare |
$25,073.85
|
| Rate for Payer: PACE SWMI |
$26,393.53
|
| Rate for Payer: PHP Medicare Advantage |
$26,393.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,198.60
|
| Rate for Payer: Priority Health Medicare |
$26,393.53
|
| Rate for Payer: Priority Health Narrow Network |
$39,358.89
|
| Rate for Payer: Railroad Medicare Medicare |
$26,393.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,104.00
|
| Rate for Payer: UHC Core |
$40,080.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,393.53
|
| Rate for Payer: UHC Exchange |
$31,864.55
|
| Rate for Payer: UHC Medicare Advantage |
$26,393.53
|
| Rate for Payer: VA VA |
$26,393.53
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$57,110.98
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$24,029.00 |
| Max. Negotiated Rate |
$57,110.98 |
| Rate for Payer: Aetna Medicare |
$26,305.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,617.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,617.10
|
| Rate for Payer: BCBS MAPPO |
$25,293.68
|
| Rate for Payer: BCBS Trust/PPO |
$57,110.98
|
| Rate for Payer: BCN Commercial |
$57,110.98
|
| Rate for Payer: BCN Medicare Advantage |
$25,293.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,293.68
|
| Rate for Payer: Mclaren Medicare |
$25,293.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,558.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,087.73
|
| Rate for Payer: Nomi Health Commercial |
$39,584.94
|
| Rate for Payer: PACE Medicare |
$24,029.00
|
| Rate for Payer: PACE SWMI |
$25,293.68
|
| Rate for Payer: PHP Medicare Advantage |
$25,293.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,113.47
|
| Rate for Payer: Priority Health Medicare |
$25,293.68
|
| Rate for Payer: Priority Health Narrow Network |
$37,690.78
|
| Rate for Payer: Railroad Medicare Medicare |
$25,293.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47,980.63
|
| Rate for Payer: UHC Core |
$38,382.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,293.68
|
| Rate for Payer: UHC Exchange |
$30,514.16
|
| Rate for Payer: UHC Medicare Advantage |
$25,293.68
|
| Rate for Payer: VA VA |
$25,293.68
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$23,467.40
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$10,145.64 |
| Max. Negotiated Rate |
$23,467.40 |
| Rate for Payer: Aetna Medicare |
$11,106.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,349.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,349.52
|
| Rate for Payer: BCBS MAPPO |
$10,679.62
|
| Rate for Payer: BCBS Trust/PPO |
$23,467.40
|
| Rate for Payer: BCN Commercial |
$23,467.40
|
| Rate for Payer: BCN Medicare Advantage |
$10,679.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,679.62
|
| Rate for Payer: Mclaren Medicare |
$10,679.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,213.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,281.56
|
| Rate for Payer: Nomi Health Commercial |
$16,308.18
|
| Rate for Payer: PACE Medicare |
$10,145.64
|
| Rate for Payer: PACE SWMI |
$10,679.62
|
| Rate for Payer: PHP Medicare Advantage |
$10,679.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,411.05
|
| Rate for Payer: Priority Health Medicare |
$10,679.62
|
| Rate for Payer: Priority Health Narrow Network |
$15,528.84
|
| Rate for Payer: Railroad Medicare Medicare |
$10,679.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,767.03
|
| Rate for Payer: UHC Core |
$15,812.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,679.62
|
| Rate for Payer: UHC Exchange |
$12,571.20
|
| Rate for Payer: UHC Medicare Advantage |
$10,679.62
|
| Rate for Payer: VA VA |
$10,679.62
|
|
