|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$14,696.57
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$7,109.52 |
| Max. Negotiated Rate |
$14,696.57 |
| Rate for Payer: Aetna Medicare |
$7,783.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,354.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,354.62
|
| Rate for Payer: BCBS MAPPO |
$7,483.70
|
| Rate for Payer: BCBS Trust/PPO |
$14,696.57
|
| Rate for Payer: BCN Commercial |
$14,696.57
|
| Rate for Payer: BCN Medicare Advantage |
$7,483.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,483.70
|
| Rate for Payer: Mclaren Medicare |
$7,483.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,857.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,606.26
|
| Rate for Payer: Nomi Health Commercial |
$11,217.84
|
| Rate for Payer: PACE Medicare |
$7,109.52
|
| Rate for Payer: PACE SWMI |
$7,483.70
|
| Rate for Payer: PHP Medicare Advantage |
$7,483.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,352.19
|
| Rate for Payer: Priority Health Medicare |
$7,483.70
|
| Rate for Payer: Priority Health Narrow Network |
$10,681.76
|
| Rate for Payer: Railroad Medicare Medicare |
$7,483.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,597.07
|
| Rate for Payer: UHC Core |
$10,876.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,483.70
|
| Rate for Payer: UHC Exchange |
$8,647.30
|
| Rate for Payer: UHC Medicare Advantage |
$7,483.70
|
| Rate for Payer: VA VA |
$7,483.70
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$40,908.50
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$13,450.27 |
| Max. Negotiated Rate |
$40,908.50 |
| Rate for Payer: Aetna Medicare |
$14,724.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,697.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,697.72
|
| Rate for Payer: BCBS MAPPO |
$14,158.18
|
| Rate for Payer: BCBS Trust/PPO |
$40,908.50
|
| Rate for Payer: BCN Commercial |
$40,908.50
|
| Rate for Payer: BCN Medicare Advantage |
$14,158.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,158.18
|
| Rate for Payer: Mclaren Medicare |
$14,158.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,866.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,281.91
|
| Rate for Payer: Nomi Health Commercial |
$21,848.73
|
| Rate for Payer: PACE Medicare |
$13,450.27
|
| Rate for Payer: PACE SWMI |
$14,158.18
|
| Rate for Payer: PHP Medicare Advantage |
$14,158.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,004.23
|
| Rate for Payer: Priority Health Medicare |
$14,158.18
|
| Rate for Payer: Priority Health Narrow Network |
$20,803.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,158.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,482.69
|
| Rate for Payer: UHC Core |
$21,184.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,158.18
|
| Rate for Payer: UHC Exchange |
$16,842.15
|
| Rate for Payer: UHC Medicare Advantage |
$14,158.18
|
| Rate for Payer: VA VA |
$14,158.18
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$45,264.80
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$20,550.48 |
| Max. Negotiated Rate |
$45,264.80 |
| Rate for Payer: Aetna Medicare |
$22,497.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,040.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,040.10
|
| Rate for Payer: BCBS MAPPO |
$21,632.08
|
| Rate for Payer: BCBS Trust/PPO |
$45,264.80
|
| Rate for Payer: BCN Commercial |
$45,264.80
|
| Rate for Payer: BCN Medicare Advantage |
$21,632.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,632.08
|
| Rate for Payer: Mclaren Medicare |
$21,632.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,713.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,876.89
|
| Rate for Payer: Nomi Health Commercial |
$33,752.85
|
| Rate for Payer: PACE Medicare |
$20,550.48
|
| Rate for Payer: PACE SWMI |
$21,632.08
|
| Rate for Payer: PHP Medicare Advantage |
$21,632.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,171.74
|
| Rate for Payer: Priority Health Medicare |
$21,632.08
|
| Rate for Payer: Priority Health Narrow Network |
$32,137.40
|
| Rate for Payer: Railroad Medicare Medicare |
$21,632.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40,911.59
|
| Rate for Payer: UHC Core |
$32,727.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,632.08
|
| Rate for Payer: UHC Exchange |
$26,018.48
|
| Rate for Payer: UHC Medicare Advantage |
$21,632.08
|
| Rate for Payer: VA VA |
$21,632.08
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,035.18
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$7,281.08 |
| Max. Negotiated Rate |
$21,035.18 |
| Rate for Payer: Aetna Medicare |
$7,970.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,580.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,580.38
|
| Rate for Payer: BCBS MAPPO |
$7,664.30
|
| Rate for Payer: BCBS Trust/PPO |
$21,035.18
|
| Rate for Payer: BCN Commercial |
$21,035.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,664.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,664.30
|
| Rate for Payer: Mclaren Medicare |
$7,664.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,047.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,813.94
|
| Rate for Payer: Nomi Health Commercial |
$11,505.51
|
| Rate for Payer: PACE Medicare |
$7,281.08
|
| Rate for Payer: PACE SWMI |
$7,664.30
|
| Rate for Payer: PHP Medicare Advantage |
$7,664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,694.60
|
| Rate for Payer: Priority Health Medicare |
$7,664.30
|
| Rate for Payer: Priority Health Narrow Network |
$10,955.68
|
| Rate for Payer: Railroad Medicare Medicare |
$7,664.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,945.75
|
| Rate for Payer: UHC Core |
$11,155.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,664.30
|
| Rate for Payer: UHC Exchange |
$8,869.05
|
| Rate for Payer: UHC Medicare Advantage |
$7,664.30
|
| Rate for Payer: VA VA |
$7,664.30
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$47,466.77
|
|
|
Service Code
|
MSDRG 671
|
| Min. Negotiated Rate |
$13,681.09 |
| Max. Negotiated Rate |
$47,466.77 |
| Rate for Payer: Aetna Medicare |
$14,977.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,001.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,001.44
|
| Rate for Payer: BCBS MAPPO |
$14,401.15
|
| Rate for Payer: BCBS Trust/PPO |
$47,466.77
|
| Rate for Payer: BCN Commercial |
$47,466.77
|
| Rate for Payer: BCN Medicare Advantage |
$14,401.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,401.15
|
| Rate for Payer: Mclaren Medicare |
$14,401.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,121.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,561.32
|
| Rate for Payer: Nomi Health Commercial |
$22,235.73
|
| Rate for Payer: PACE Medicare |
$13,681.09
|
| Rate for Payer: PACE SWMI |
$14,401.15
|
| Rate for Payer: PHP Medicare Advantage |
$14,401.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,464.86
|
| Rate for Payer: Priority Health Medicare |
$14,401.15
|
| Rate for Payer: Priority Health Narrow Network |
$21,171.89
|
| Rate for Payer: Railroad Medicare Medicare |
$14,401.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,951.77
|
| Rate for Payer: UHC Core |
$21,560.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,401.15
|
| Rate for Payer: UHC Exchange |
$17,140.47
|
| Rate for Payer: UHC Medicare Advantage |
$14,401.15
|
| Rate for Payer: VA VA |
$14,401.15
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,322.41
|
|
|
Service Code
|
MSDRG 672
|
| Min. Negotiated Rate |
$8,839.16 |
| Max. Negotiated Rate |
$18,322.41 |
| Rate for Payer: Aetna Medicare |
$9,676.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,630.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,630.48
|
| Rate for Payer: BCBS MAPPO |
$9,304.38
|
| Rate for Payer: BCBS Trust/PPO |
$18,322.41
|
| Rate for Payer: BCN Commercial |
$18,322.41
|
| Rate for Payer: BCN Medicare Advantage |
$9,304.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,304.38
|
| Rate for Payer: Mclaren Medicare |
$9,304.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,769.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,700.04
|
| Rate for Payer: Nomi Health Commercial |
$14,117.76
|
| Rate for Payer: PACE Medicare |
$8,839.16
|
| Rate for Payer: PACE SWMI |
$9,304.38
|
| Rate for Payer: PHP Medicare Advantage |
$9,304.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,802.33
|
| Rate for Payer: Priority Health Medicare |
$9,304.38
|
| Rate for Payer: Priority Health Narrow Network |
$13,441.87
|
| Rate for Payer: Railroad Medicare Medicare |
$9,304.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,112.04
|
| Rate for Payer: UHC Core |
$13,688.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,304.38
|
| Rate for Payer: UHC Exchange |
$10,882.71
|
| Rate for Payer: UHC Medicare Advantage |
$9,304.38
|
| Rate for Payer: VA VA |
$9,304.38
|
|
|
MS-DRG 42.00: URETHRAL STRICTURE
|
Facility
|
IP
|
$15,664.14
|
|
|
Service Code
|
MSDRG 697
|
| Min. Negotiated Rate |
$8,126.66 |
| Max. Negotiated Rate |
$15,664.14 |
| Rate for Payer: Aetna Medicare |
$8,896.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,692.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,692.98
|
| Rate for Payer: BCBS MAPPO |
$8,554.38
|
| Rate for Payer: BCBS Trust/PPO |
$15,077.68
|
| Rate for Payer: BCN Commercial |
$15,077.68
|
| Rate for Payer: BCN Medicare Advantage |
$8,554.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,554.38
|
| Rate for Payer: Mclaren Medicare |
$8,554.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,982.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,837.54
|
| Rate for Payer: Nomi Health Commercial |
$12,923.22
|
| Rate for Payer: PACE Medicare |
$8,126.66
|
| Rate for Payer: PACE SWMI |
$8,554.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,554.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,382.05
|
| Rate for Payer: Priority Health Medicare |
$8,554.38
|
| Rate for Payer: Priority Health Narrow Network |
$12,305.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,554.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,664.14
|
| Rate for Payer: UHC Core |
$12,530.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,554.38
|
| Rate for Payer: UHC Exchange |
$9,961.90
|
| Rate for Payer: UHC Medicare Advantage |
$8,554.38
|
| Rate for Payer: VA VA |
$8,554.38
|
|
|
MS-DRG 42.00: URINARY STONES WITH MCC
|
Facility
|
IP
|
$22,991.17
|
|
|
Service Code
|
MSDRG 693
|
| Min. Negotiated Rate |
$11,732.18 |
| Max. Negotiated Rate |
$22,991.17 |
| Rate for Payer: Aetna Medicare |
$12,843.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,437.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,437.08
|
| Rate for Payer: BCBS MAPPO |
$12,349.66
|
| Rate for Payer: BCBS Trust/PPO |
$17,202.90
|
| Rate for Payer: BCN Commercial |
$17,202.90
|
| Rate for Payer: BCN Medicare Advantage |
$12,349.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,349.66
|
| Rate for Payer: Mclaren Medicare |
$12,349.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,967.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,202.11
|
| Rate for Payer: Nomi Health Commercial |
$18,968.16
|
| Rate for Payer: PACE Medicare |
$11,732.18
|
| Rate for Payer: PACE SWMI |
$12,349.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,349.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,575.59
|
| Rate for Payer: Priority Health Medicare |
$12,349.66
|
| Rate for Payer: Priority Health Narrow Network |
$18,060.47
|
| Rate for Payer: Railroad Medicare Medicare |
$12,349.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22,991.17
|
| Rate for Payer: UHC Core |
$18,391.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,349.66
|
| Rate for Payer: UHC Exchange |
$14,621.66
|
| Rate for Payer: UHC Medicare Advantage |
$12,349.66
|
| Rate for Payer: VA VA |
$12,349.66
|
|
|
MS-DRG 42.00: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$13,383.86
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$6,430.87 |
| Max. Negotiated Rate |
$13,383.86 |
| Rate for Payer: Aetna Medicare |
$7,040.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,461.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,461.68
|
| Rate for Payer: BCBS MAPPO |
$6,769.34
|
| Rate for Payer: BCBS Trust/PPO |
$13,383.86
|
| Rate for Payer: BCN Commercial |
$13,383.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,769.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,769.34
|
| Rate for Payer: Mclaren Medicare |
$6,769.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,107.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,784.74
|
| Rate for Payer: Nomi Health Commercial |
$10,080.06
|
| Rate for Payer: PACE Medicare |
$6,430.87
|
| Rate for Payer: PACE SWMI |
$6,769.34
|
| Rate for Payer: PHP Medicare Advantage |
$6,769.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,997.94
|
| Rate for Payer: Priority Health Medicare |
$6,769.34
|
| Rate for Payer: Priority Health Narrow Network |
$9,598.35
|
| Rate for Payer: Railroad Medicare Medicare |
$6,769.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,217.97
|
| Rate for Payer: UHC Core |
$9,773.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,769.34
|
| Rate for Payer: UHC Exchange |
$7,770.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,769.34
|
| Rate for Payer: VA VA |
$6,769.34
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$34,376.69
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$14,473.60 |
| Max. Negotiated Rate |
$34,376.69 |
| Rate for Payer: Aetna Medicare |
$15,844.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,044.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,044.21
|
| Rate for Payer: BCBS MAPPO |
$15,235.37
|
| Rate for Payer: BCBS Trust/PPO |
$34,376.69
|
| Rate for Payer: BCN Commercial |
$34,376.69
|
| Rate for Payer: BCN Medicare Advantage |
$15,235.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,235.37
|
| Rate for Payer: Mclaren Medicare |
$15,235.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,997.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,520.68
|
| Rate for Payer: Nomi Health Commercial |
$23,564.43
|
| Rate for Payer: PACE Medicare |
$14,473.60
|
| Rate for Payer: PACE SWMI |
$15,235.37
|
| Rate for Payer: PHP Medicare Advantage |
$15,235.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,046.37
|
| Rate for Payer: Priority Health Medicare |
$15,235.37
|
| Rate for Payer: Priority Health Narrow Network |
$22,437.10
|
| Rate for Payer: Railroad Medicare Medicare |
$15,235.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,562.28
|
| Rate for Payer: UHC Core |
$22,848.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,235.37
|
| Rate for Payer: UHC Exchange |
$18,164.70
|
| Rate for Payer: UHC Medicare Advantage |
$15,235.37
|
| Rate for Payer: VA VA |
$15,235.37
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$24,909.80
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$9,641.65 |
| Max. Negotiated Rate |
$24,909.80 |
| Rate for Payer: Aetna Medicare |
$10,555.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,686.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,686.39
|
| Rate for Payer: BCBS MAPPO |
$10,149.11
|
| Rate for Payer: BCBS Trust/PPO |
$24,909.80
|
| Rate for Payer: BCN Commercial |
$24,909.80
|
| Rate for Payer: BCN Medicare Advantage |
$10,149.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,149.11
|
| Rate for Payer: Mclaren Medicare |
$10,149.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,656.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,671.48
|
| Rate for Payer: Nomi Health Commercial |
$15,463.23
|
| Rate for Payer: PACE Medicare |
$9,641.65
|
| Rate for Payer: PACE SWMI |
$10,149.11
|
| Rate for Payer: PHP Medicare Advantage |
$10,149.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,403.80
|
| Rate for Payer: Priority Health Medicare |
$10,149.11
|
| Rate for Payer: Priority Health Narrow Network |
$14,723.04
|
| Rate for Payer: Railroad Medicare Medicare |
$10,149.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,742.87
|
| Rate for Payer: UHC Core |
$14,993.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,149.11
|
| Rate for Payer: UHC Exchange |
$11,919.87
|
| Rate for Payer: UHC Medicare Advantage |
$10,149.11
|
| Rate for Payer: VA VA |
$10,149.11
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$42,070.35
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$14,408.97 |
| Max. Negotiated Rate |
$42,070.35 |
| Rate for Payer: Aetna Medicare |
$15,774.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,959.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,959.18
|
| Rate for Payer: BCBS MAPPO |
$15,167.34
|
| Rate for Payer: BCBS Trust/PPO |
$42,070.35
|
| Rate for Payer: BCN Commercial |
$42,070.35
|
| Rate for Payer: BCN Medicare Advantage |
$15,167.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,167.34
|
| Rate for Payer: Mclaren Medicare |
$15,167.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,925.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,442.44
|
| Rate for Payer: Nomi Health Commercial |
$23,456.07
|
| Rate for Payer: PACE Medicare |
$14,408.97
|
| Rate for Payer: PACE SWMI |
$15,167.34
|
| Rate for Payer: PHP Medicare Advantage |
$15,167.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,917.39
|
| Rate for Payer: Priority Health Medicare |
$15,167.34
|
| Rate for Payer: Priority Health Narrow Network |
$22,333.91
|
| Rate for Payer: Railroad Medicare Medicare |
$15,167.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,430.94
|
| Rate for Payer: UHC Core |
$22,743.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,167.34
|
| Rate for Payer: UHC Exchange |
$18,081.18
|
| Rate for Payer: UHC Medicare Advantage |
$15,167.34
|
| Rate for Payer: VA VA |
$15,167.34
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$66,559.34
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$31,048.41 |
| Max. Negotiated Rate |
$66,559.34 |
| Rate for Payer: Aetna Medicare |
$33,989.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,853.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,853.18
|
| Rate for Payer: BCBS MAPPO |
$32,682.54
|
| Rate for Payer: BCBS Trust/PPO |
$66,559.34
|
| Rate for Payer: BCN Commercial |
$66,559.34
|
| Rate for Payer: BCN Medicare Advantage |
$32,682.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,682.54
|
| Rate for Payer: Mclaren Medicare |
$32,682.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,316.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,584.92
|
| Rate for Payer: Nomi Health Commercial |
$51,353.61
|
| Rate for Payer: PACE Medicare |
$31,048.41
|
| Rate for Payer: PACE SWMI |
$32,682.54
|
| Rate for Payer: PHP Medicare Advantage |
$32,682.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,121.30
|
| Rate for Payer: Priority Health Medicare |
$32,682.54
|
| Rate for Payer: Priority Health Narrow Network |
$48,897.05
|
| Rate for Payer: Railroad Medicare Medicare |
$32,682.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62,245.35
|
| Rate for Payer: UHC Core |
$49,793.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,682.54
|
| Rate for Payer: UHC Exchange |
$39,586.07
|
| Rate for Payer: UHC Medicare Advantage |
$32,682.54
|
| Rate for Payer: VA VA |
$32,682.54
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,354.27
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$10,987.38 |
| Max. Negotiated Rate |
$31,354.27 |
| Rate for Payer: Aetna Medicare |
$12,028.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,457.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,457.08
|
| Rate for Payer: BCBS MAPPO |
$11,565.66
|
| Rate for Payer: BCBS Trust/PPO |
$31,354.27
|
| Rate for Payer: BCN Commercial |
$31,354.27
|
| Rate for Payer: BCN Medicare Advantage |
$11,565.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,565.66
|
| Rate for Payer: Mclaren Medicare |
$11,565.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,143.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,300.51
|
| Rate for Payer: Nomi Health Commercial |
$17,719.44
|
| Rate for Payer: PACE Medicare |
$10,987.38
|
| Rate for Payer: PACE SWMI |
$11,565.66
|
| Rate for Payer: PHP Medicare Advantage |
$11,565.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,089.28
|
| Rate for Payer: Priority Health Medicare |
$11,565.66
|
| Rate for Payer: Priority Health Narrow Network |
$16,871.43
|
| Rate for Payer: Railroad Medicare Medicare |
$11,565.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,477.61
|
| Rate for Payer: UHC Core |
$17,180.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,565.66
|
| Rate for Payer: UHC Exchange |
$13,659.08
|
| Rate for Payer: UHC Medicare Advantage |
$11,565.66
|
| Rate for Payer: VA VA |
$11,565.66
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$41,890.38
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$15,794.68 |
| Max. Negotiated Rate |
$41,890.38 |
| Rate for Payer: Aetna Medicare |
$17,291.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,782.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,782.48
|
| Rate for Payer: BCBS MAPPO |
$16,625.98
|
| Rate for Payer: BCBS Trust/PPO |
$41,890.38
|
| Rate for Payer: BCN Commercial |
$41,890.38
|
| Rate for Payer: BCN Medicare Advantage |
$16,625.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,625.98
|
| Rate for Payer: Mclaren Medicare |
$16,625.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,457.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,119.88
|
| Rate for Payer: Nomi Health Commercial |
$25,779.36
|
| Rate for Payer: PACE Medicare |
$15,794.68
|
| Rate for Payer: PACE SWMI |
$16,625.98
|
| Rate for Payer: PHP Medicare Advantage |
$16,625.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,682.72
|
| Rate for Payer: Priority Health Medicare |
$16,625.98
|
| Rate for Payer: Priority Health Narrow Network |
$24,546.18
|
| Rate for Payer: Railroad Medicare Medicare |
$16,625.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,246.98
|
| Rate for Payer: UHC Core |
$24,995.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,625.98
|
| Rate for Payer: UHC Exchange |
$19,872.09
|
| Rate for Payer: UHC Medicare Advantage |
$16,625.98
|
| Rate for Payer: VA VA |
$16,625.98
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$79,540.92
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$30,715.24 |
| Max. Negotiated Rate |
$79,540.92 |
| Rate for Payer: Aetna Medicare |
$33,625.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,414.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,414.79
|
| Rate for Payer: BCBS MAPPO |
$32,331.83
|
| Rate for Payer: BCBS Trust/PPO |
$79,540.92
|
| Rate for Payer: BCN Commercial |
$79,540.92
|
| Rate for Payer: BCN Medicare Advantage |
$32,331.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,331.83
|
| Rate for Payer: Mclaren Medicare |
$32,331.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,948.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,181.60
|
| Rate for Payer: Nomi Health Commercial |
$50,795.04
|
| Rate for Payer: PACE Medicare |
$30,715.24
|
| Rate for Payer: PACE SWMI |
$32,331.83
|
| Rate for Payer: PHP Medicare Advantage |
$32,331.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60,454.92
|
| Rate for Payer: Priority Health Medicare |
$32,331.83
|
| Rate for Payer: Priority Health Narrow Network |
$48,363.94
|
| Rate for Payer: Railroad Medicare Medicare |
$32,331.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61,568.31
|
| Rate for Payer: UHC Core |
$49,251.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,331.83
|
| Rate for Payer: UHC Exchange |
$39,155.49
|
| Rate for Payer: UHC Medicare Advantage |
$32,331.83
|
| Rate for Payer: VA VA |
$32,331.83
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$30,247.99
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$12,089.94 |
| Max. Negotiated Rate |
$30,247.99 |
| Rate for Payer: Aetna Medicare |
$13,235.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,907.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,907.81
|
| Rate for Payer: BCBS MAPPO |
$12,726.25
|
| Rate for Payer: BCBS Trust/PPO |
$30,247.99
|
| Rate for Payer: BCN Commercial |
$30,247.99
|
| Rate for Payer: BCN Medicare Advantage |
$12,726.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,726.25
|
| Rate for Payer: Mclaren Medicare |
$12,726.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,362.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,635.19
|
| Rate for Payer: Nomi Health Commercial |
$19,568.01
|
| Rate for Payer: PACE Medicare |
$12,089.94
|
| Rate for Payer: PACE SWMI |
$12,726.25
|
| Rate for Payer: PHP Medicare Advantage |
$12,726.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,289.57
|
| Rate for Payer: Priority Health Medicare |
$12,726.25
|
| Rate for Payer: Priority Health Narrow Network |
$18,631.66
|
| Rate for Payer: Railroad Medicare Medicare |
$12,726.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,718.25
|
| Rate for Payer: UHC Core |
$18,973.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,726.25
|
| Rate for Payer: UHC Exchange |
$15,084.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,726.25
|
| Rate for Payer: VA VA |
$12,726.25
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$31,550.12
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$13,303.32 |
| Max. Negotiated Rate |
$31,550.12 |
| Rate for Payer: Aetna Medicare |
$14,563.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,504.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,504.38
|
| Rate for Payer: BCBS MAPPO |
$14,003.50
|
| Rate for Payer: BCBS Trust/PPO |
$31,550.12
|
| Rate for Payer: BCN Commercial |
$31,550.12
|
| Rate for Payer: BCN Medicare Advantage |
$14,003.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,003.50
|
| Rate for Payer: Mclaren Medicare |
$14,003.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,703.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,104.02
|
| Rate for Payer: Nomi Health Commercial |
$21,602.34
|
| Rate for Payer: PACE Medicare |
$13,303.32
|
| Rate for Payer: PACE SWMI |
$14,003.50
|
| Rate for Payer: PHP Medicare Advantage |
$14,003.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,710.96
|
| Rate for Payer: Priority Health Medicare |
$14,003.50
|
| Rate for Payer: Priority Health Narrow Network |
$20,568.77
|
| Rate for Payer: Railroad Medicare Medicare |
$14,003.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,184.05
|
| Rate for Payer: UHC Core |
$20,945.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,003.50
|
| Rate for Payer: UHC Exchange |
$16,652.22
|
| Rate for Payer: UHC Medicare Advantage |
$14,003.50
|
| Rate for Payer: VA VA |
$14,003.50
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,148.41
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$7,768.13 |
| Max. Negotiated Rate |
$26,148.41 |
| Rate for Payer: Aetna Medicare |
$8,504.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,221.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,221.22
|
| Rate for Payer: BCBS MAPPO |
$8,176.98
|
| Rate for Payer: BCBS Trust/PPO |
$26,148.41
|
| Rate for Payer: BCN Commercial |
$26,148.41
|
| Rate for Payer: BCN Medicare Advantage |
$8,176.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,176.98
|
| Rate for Payer: Mclaren Medicare |
$8,176.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,585.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,403.53
|
| Rate for Payer: Nomi Health Commercial |
$12,322.08
|
| Rate for Payer: PACE Medicare |
$7,768.13
|
| Rate for Payer: PACE SWMI |
$8,176.98
|
| Rate for Payer: PHP Medicare Advantage |
$8,176.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,665.00
|
| Rate for Payer: Priority Health Medicare |
$8,176.98
|
| Rate for Payer: Priority Health Narrow Network |
$11,732.00
|
| Rate for Payer: Railroad Medicare Medicare |
$8,176.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,935.51
|
| Rate for Payer: UHC Core |
$11,947.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,176.98
|
| Rate for Payer: UHC Exchange |
$9,498.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,176.98
|
| Rate for Payer: VA VA |
$8,176.98
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$17,141.75
|
|
|
Service Code
|
MSDRG 768
|
| Min. Negotiated Rate |
$5,943.00 |
| Max. Negotiated Rate |
$17,141.75 |
| Rate for Payer: Aetna Medicare |
$9,692.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,649.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,649.72
|
| Rate for Payer: BCBS MAPPO |
$9,319.78
|
| Rate for Payer: BCBS Trust/PPO |
$12,364.92
|
| Rate for Payer: BCN Commercial |
$12,364.92
|
| Rate for Payer: BCN Medicare Advantage |
$9,319.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,319.78
|
| Rate for Payer: Mclaren Medicare |
$9,319.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,785.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,717.75
|
| Rate for Payer: Nomi Health Commercial |
$14,142.27
|
| Rate for Payer: PACE Medicare |
$8,853.79
|
| Rate for Payer: PACE SWMI |
$9,319.78
|
| Rate for Payer: PHP Medicare Advantage |
$9,319.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,441.50
|
| Rate for Payer: Priority Health Medicare |
$9,319.78
|
| Rate for Payer: Priority Health Narrow Network |
$13,153.20
|
| Rate for Payer: Railroad Medicare Medicare |
$9,319.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,141.75
|
| Rate for Payer: UHC Core |
$13,712.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,319.78
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$9,319.78
|
| Rate for Payer: VA VA |
$9,319.78
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
|
Facility
|
IP
|
$11,314.21
|
|
|
Service Code
|
MSDRG 806
|
| Min. Negotiated Rate |
$5,404.75 |
| Max. Negotiated Rate |
$11,314.21 |
| Rate for Payer: Aetna Medicare |
$6,553.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,876.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,876.52
|
| Rate for Payer: BCBS MAPPO |
$6,301.22
|
| Rate for Payer: BCBS Trust/PPO |
$10,403.78
|
| Rate for Payer: BCN Commercial |
$10,403.78
|
| Rate for Payer: BCN Medicare Advantage |
$6,301.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,301.22
|
| Rate for Payer: Mclaren Medicare |
$6,301.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,616.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,246.40
|
| Rate for Payer: Nomi Health Commercial |
$9,334.44
|
| Rate for Payer: PACE Medicare |
$5,986.16
|
| Rate for Payer: PACE SWMI |
$6,301.22
|
| Rate for Payer: PHP Medicare Advantage |
$6,301.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,755.94
|
| Rate for Payer: Priority Health Medicare |
$6,301.22
|
| Rate for Payer: Priority Health Narrow Network |
$5,404.75
|
| Rate for Payer: Railroad Medicare Medicare |
$6,301.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11,314.21
|
| Rate for Payer: UHC Core |
$9,050.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,301.22
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$6,301.22
|
| Rate for Payer: VA VA |
$6,301.22
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
|
Facility
|
IP
|
$15,604.73
|
|
|
Service Code
|
MSDRG 805
|
| Min. Negotiated Rate |
$5,943.00 |
| Max. Negotiated Rate |
$15,604.73 |
| Rate for Payer: Aetna Medicare |
$8,864.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,654.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,654.54
|
| Rate for Payer: BCBS MAPPO |
$8,523.63
|
| Rate for Payer: BCBS Trust/PPO |
$12,446.96
|
| Rate for Payer: BCN Commercial |
$12,446.96
|
| Rate for Payer: BCN Medicare Advantage |
$8,523.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,523.63
|
| Rate for Payer: Mclaren Medicare |
$8,523.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,949.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,802.17
|
| Rate for Payer: Nomi Health Commercial |
$12,874.20
|
| Rate for Payer: PACE Medicare |
$8,097.45
|
| Rate for Payer: PACE SWMI |
$8,523.63
|
| Rate for Payer: PHP Medicare Advantage |
$8,523.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,771.55
|
| Rate for Payer: Priority Health Medicare |
$8,523.63
|
| Rate for Payer: Priority Health Narrow Network |
$7,817.24
|
| Rate for Payer: Railroad Medicare Medicare |
$8,523.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,604.73
|
| Rate for Payer: UHC Core |
$12,482.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,523.63
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,523.63
|
| Rate for Payer: VA VA |
$8,523.63
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
|
Facility
|
IP
|
$9,964.82
|
|
|
Service Code
|
MSDRG 807
|
| Min. Negotiated Rate |
$4,691.08 |
| Max. Negotiated Rate |
$9,964.82 |
| Rate for Payer: Aetna Medicare |
$5,826.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,002.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,002.85
|
| Rate for Payer: BCBS MAPPO |
$5,602.28
|
| Rate for Payer: BCBS Trust/PPO |
$9,244.57
|
| Rate for Payer: BCN Commercial |
$9,244.57
|
| Rate for Payer: BCN Medicare Advantage |
$5,602.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,602.28
|
| Rate for Payer: Mclaren Medicare |
$5,602.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,882.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,442.62
|
| Rate for Payer: Nomi Health Commercial |
$8,221.17
|
| Rate for Payer: PACE Medicare |
$5,322.17
|
| Rate for Payer: PACE SWMI |
$5,602.28
|
| Rate for Payer: PHP Medicare Advantage |
$5,602.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,863.85
|
| Rate for Payer: Priority Health Medicare |
$5,602.28
|
| Rate for Payer: Priority Health Narrow Network |
$4,691.08
|
| Rate for Payer: Railroad Medicare Medicare |
$5,602.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,964.82
|
| Rate for Payer: UHC Core |
$7,971.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,602.28
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$5,602.28
|
| Rate for Payer: VA VA |
$5,602.28
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
|
Facility
|
IP
|
$16,374.51
|
|
|
Service Code
|
MSDRG 797
|
| Min. Negotiated Rate |
$5,943.00 |
| Max. Negotiated Rate |
$16,374.51 |
| Rate for Payer: Aetna Medicare |
$8,613.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,352.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,352.84
|
| Rate for Payer: BCBS MAPPO |
$8,282.27
|
| Rate for Payer: BCBS Trust/PPO |
$16,374.51
|
| Rate for Payer: BCN Commercial |
$16,374.51
|
| Rate for Payer: BCN Medicare Advantage |
$8,282.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,282.27
|
| Rate for Payer: Mclaren Medicare |
$8,282.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,696.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,524.61
|
| Rate for Payer: Nomi Health Commercial |
$12,489.78
|
| Rate for Payer: PACE Medicare |
$7,868.16
|
| Rate for Payer: PACE SWMI |
$8,282.27
|
| Rate for Payer: PHP Medicare Advantage |
$8,282.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,087.17
|
| Rate for Payer: Priority Health Medicare |
$8,282.27
|
| Rate for Payer: Priority Health Narrow Network |
$6,469.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,282.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15,138.78
|
| Rate for Payer: UHC Core |
$12,110.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,282.27
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,282.27
|
| Rate for Payer: VA VA |
$8,282.27
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
|
Facility
|
IP
|
$19,960.92
|
|
|
Service Code
|
MSDRG 796
|
| Min. Negotiated Rate |
$5,943.00 |
| Max. Negotiated Rate |
$19,960.92 |
| Rate for Payer: Aetna Medicare |
$11,211.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,475.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,475.05
|
| Rate for Payer: BCBS MAPPO |
$10,780.04
|
| Rate for Payer: BCBS Trust/PPO |
$19,775.40
|
| Rate for Payer: BCN Commercial |
$19,775.40
|
| Rate for Payer: BCN Medicare Advantage |
$10,780.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,780.04
|
| Rate for Payer: Mclaren Medicare |
$10,780.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,319.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,397.05
|
| Rate for Payer: Nomi Health Commercial |
$16,468.14
|
| Rate for Payer: PACE Medicare |
$10,241.04
|
| Rate for Payer: PACE SWMI |
$10,780.04
|
| Rate for Payer: PHP Medicare Advantage |
$10,780.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,020.11
|
| Rate for Payer: Priority Health Medicare |
$10,780.04
|
| Rate for Payer: Priority Health Narrow Network |
$11,216.09
|
| Rate for Payer: Railroad Medicare Medicare |
$10,780.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,960.92
|
| Rate for Payer: UHC Core |
$15,967.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,780.04
|
| Rate for Payer: UHC Exchange |
$5,943.00
|
| Rate for Payer: UHC Medicare Advantage |
$10,780.04
|
| Rate for Payer: VA VA |
$10,780.04
|
|
