|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$31,911.35
|
|
|
Service Code
|
MS-DRG 817
|
| Min. Negotiated Rate |
$23,163.36 |
| Max. Negotiated Rate |
$31,911.35 |
| Rate for Payer: Aetna Medicare |
$25,529.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,911.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,911.35
|
| Rate for Payer: BCBS MAPPO |
$25,529.08
|
| Rate for Payer: BCN Medicare Advantage |
$25,529.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,529.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,529.08
|
| Rate for Payer: Mclaren Medicare |
$25,529.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,805.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,358.44
|
| Rate for Payer: PACE Medicare |
$24,252.63
|
| Rate for Payer: PACE SWMI |
$25,529.08
|
| Rate for Payer: PHP Commercial |
$28,081.99
|
| Rate for Payer: PHP Medicare Advantage |
$25,529.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,954.20
|
| Rate for Payer: Priority Health Medicare |
$25,529.08
|
| Rate for Payer: Priority Health Narrow Network |
$23,163.36
|
| Rate for Payer: Railroad Medicare Medicare |
$25,529.08
|
| Rate for Payer: UHC Medicare Advantage |
$26,294.95
|
| Rate for Payer: VA VA |
$25,529.08
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,702.06
|
|
|
Service Code
|
MS-DRG 819
|
| Min. Negotiated Rate |
$8,893.57 |
| Max. Negotiated Rate |
$11,702.06 |
| Rate for Payer: Aetna Medicare |
$9,361.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,702.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,702.06
|
| Rate for Payer: BCBS MAPPO |
$9,361.65
|
| Rate for Payer: BCN Medicare Advantage |
$9,361.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,361.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,361.65
|
| Rate for Payer: Mclaren Medicare |
$9,361.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,829.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,765.90
|
| Rate for Payer: PACE Medicare |
$8,893.57
|
| Rate for Payer: PACE SWMI |
$9,361.65
|
| Rate for Payer: PHP Commercial |
$10,297.82
|
| Rate for Payer: PHP Medicare Advantage |
$9,361.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,648.45
|
| Rate for Payer: Priority Health Medicare |
$9,361.65
|
| Rate for Payer: Priority Health Narrow Network |
$9,318.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,361.65
|
| Rate for Payer: UHC Medicare Advantage |
$9,642.50
|
| Rate for Payer: VA VA |
$9,361.65
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$9,908.25
|
|
|
Service Code
|
MS-DRG 832
|
| Min. Negotiated Rate |
$7,530.27 |
| Max. Negotiated Rate |
$9,908.25 |
| Rate for Payer: Aetna Medicare |
$7,926.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,908.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,908.25
|
| Rate for Payer: BCBS MAPPO |
$7,926.60
|
| Rate for Payer: BCN Medicare Advantage |
$7,926.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,926.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,926.60
|
| Rate for Payer: Mclaren Medicare |
$7,926.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,322.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,115.59
|
| Rate for Payer: PACE Medicare |
$7,530.27
|
| Rate for Payer: PACE SWMI |
$7,926.60
|
| Rate for Payer: PHP Commercial |
$8,719.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,926.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,472.07
|
| Rate for Payer: Priority Health Medicare |
$7,926.60
|
| Rate for Payer: Priority Health Narrow Network |
$7,577.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,926.60
|
| Rate for Payer: UHC Medicare Advantage |
$8,164.40
|
| Rate for Payer: VA VA |
$7,926.60
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$13,481.06
|
|
|
Service Code
|
MS-DRG 831
|
| Min. Negotiated Rate |
$10,245.61 |
| Max. Negotiated Rate |
$13,481.06 |
| Rate for Payer: Aetna Medicare |
$10,784.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,481.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,481.06
|
| Rate for Payer: BCBS MAPPO |
$10,784.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,784.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,784.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,784.85
|
| Rate for Payer: Mclaren Medicare |
$10,784.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,324.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,402.58
|
| Rate for Payer: PACE Medicare |
$10,245.61
|
| Rate for Payer: PACE SWMI |
$10,784.85
|
| Rate for Payer: PHP Commercial |
$11,863.34
|
| Rate for Payer: PHP Medicare Advantage |
$10,784.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,965.83
|
| Rate for Payer: Priority Health Medicare |
$10,784.85
|
| Rate for Payer: Priority Health Narrow Network |
$10,372.66
|
| Rate for Payer: Railroad Medicare Medicare |
$10,784.85
|
| Rate for Payer: UHC Medicare Advantage |
$11,108.40
|
| Rate for Payer: VA VA |
$10,784.85
|
|
|
OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,517.56
|
|
|
Service Code
|
MS-DRG 833
|
| Min. Negotiated Rate |
$5,257.21 |
| Max. Negotiated Rate |
$7,517.56 |
| Rate for Payer: Aetna Medicare |
$6,014.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,517.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,517.56
|
| Rate for Payer: BCBS MAPPO |
$6,014.05
|
| Rate for Payer: BCN Medicare Advantage |
$6,014.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,014.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,014.05
|
| Rate for Payer: Mclaren Medicare |
$6,014.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,314.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,916.16
|
| Rate for Payer: PACE Medicare |
$5,713.35
|
| Rate for Payer: PACE SWMI |
$6,014.05
|
| Rate for Payer: PHP Commercial |
$6,615.46
|
| Rate for Payer: PHP Medicare Advantage |
$6,014.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,571.51
|
| Rate for Payer: Priority Health Medicare |
$6,014.05
|
| Rate for Payer: Priority Health Narrow Network |
$5,257.21
|
| Rate for Payer: Railroad Medicare Medicare |
$6,014.05
|
| Rate for Payer: UHC Medicare Advantage |
$6,194.47
|
| Rate for Payer: VA VA |
$6,014.05
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,696.91
|
|
|
Service Code
|
MS-DRG 228
|
| Min. Negotiated Rate |
$42,123.55 |
| Max. Negotiated Rate |
$64,696.91 |
| Rate for Payer: Aetna Medicare |
$44,340.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,425.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,425.72
|
| Rate for Payer: BCBS MAPPO |
$44,340.58
|
| Rate for Payer: BCN Medicare Advantage |
$44,340.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,340.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,340.58
|
| Rate for Payer: Mclaren Medicare |
$44,340.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46,557.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,991.67
|
| Rate for Payer: PACE Medicare |
$42,123.55
|
| Rate for Payer: PACE SWMI |
$44,340.58
|
| Rate for Payer: PHP Commercial |
$48,774.64
|
| Rate for Payer: PHP Medicare Advantage |
$44,340.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,696.91
|
| Rate for Payer: Priority Health Medicare |
$44,340.58
|
| Rate for Payer: Priority Health Narrow Network |
$51,757.53
|
| Rate for Payer: Railroad Medicare Medicare |
$44,340.58
|
| Rate for Payer: UHC Medicare Advantage |
$45,670.80
|
| Rate for Payer: VA VA |
$44,340.58
|
|
|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$40,826.06
|
|
|
Service Code
|
MS-DRG 229
|
| Min. Negotiated Rate |
$27,170.66 |
| Max. Negotiated Rate |
$40,826.06 |
| Rate for Payer: Aetna Medicare |
$28,600.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,750.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,750.86
|
| Rate for Payer: BCBS MAPPO |
$28,600.69
|
| Rate for Payer: BCN Medicare Advantage |
$28,600.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,600.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,600.69
|
| Rate for Payer: Mclaren Medicare |
$28,600.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,030.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,890.79
|
| Rate for Payer: PACE Medicare |
$27,170.66
|
| Rate for Payer: PACE SWMI |
$28,600.69
|
| Rate for Payer: PHP Commercial |
$31,460.76
|
| Rate for Payer: PHP Medicare Advantage |
$28,600.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,826.06
|
| Rate for Payer: Priority Health Medicare |
$28,600.69
|
| Rate for Payer: Priority Health Narrow Network |
$32,660.85
|
| Rate for Payer: Railroad Medicare Medicare |
$28,600.69
|
| Rate for Payer: UHC Medicare Advantage |
$29,458.71
|
| Rate for Payer: VA VA |
$28,600.69
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,420.13
|
|
|
Service Code
|
MS-DRG 315
|
| Min. Negotiated Rate |
$9,376.97 |
| Max. Negotiated Rate |
$12,420.13 |
| Rate for Payer: Aetna Medicare |
$9,870.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,338.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,338.11
|
| Rate for Payer: BCBS MAPPO |
$9,870.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,870.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,870.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,870.49
|
| Rate for Payer: Mclaren Medicare |
$9,870.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,364.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,351.06
|
| Rate for Payer: PACE Medicare |
$9,376.97
|
| Rate for Payer: PACE SWMI |
$9,870.49
|
| Rate for Payer: PHP Commercial |
$10,857.54
|
| Rate for Payer: PHP Medicare Advantage |
$9,870.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,420.13
|
| Rate for Payer: Priority Health Medicare |
$9,870.49
|
| Rate for Payer: Priority Health Narrow Network |
$9,936.10
|
| Rate for Payer: Railroad Medicare Medicare |
$9,870.49
|
| Rate for Payer: UHC Medicare Advantage |
$10,166.60
|
| Rate for Payer: VA VA |
$9,870.49
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$26,880.54
|
|
|
Service Code
|
MS-DRG 314
|
| Min. Negotiated Rate |
$18,435.07 |
| Max. Negotiated Rate |
$26,880.54 |
| Rate for Payer: Aetna Medicare |
$19,405.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,256.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,256.68
|
| Rate for Payer: BCBS MAPPO |
$19,405.34
|
| Rate for Payer: BCN Medicare Advantage |
$19,405.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,405.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,405.34
|
| Rate for Payer: Mclaren Medicare |
$19,405.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,375.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,316.14
|
| Rate for Payer: PACE Medicare |
$18,435.07
|
| Rate for Payer: PACE SWMI |
$19,405.34
|
| Rate for Payer: PHP Commercial |
$21,345.87
|
| Rate for Payer: PHP Medicare Advantage |
$19,405.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,880.54
|
| Rate for Payer: Priority Health Medicare |
$19,405.34
|
| Rate for Payer: Priority Health Narrow Network |
$21,504.43
|
| Rate for Payer: Railroad Medicare Medicare |
$19,405.34
|
| Rate for Payer: UHC Medicare Advantage |
$19,987.50
|
| Rate for Payer: VA VA |
$19,405.34
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,432.01
|
|
|
Service Code
|
MS-DRG 316
|
| Min. Negotiated Rate |
$7,115.42 |
| Max. Negotiated Rate |
$9,432.01 |
| Rate for Payer: Aetna Medicare |
$7,545.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,432.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,432.01
|
| Rate for Payer: BCBS MAPPO |
$7,545.61
|
| Rate for Payer: BCN Medicare Advantage |
$7,545.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,545.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,545.61
|
| Rate for Payer: Mclaren Medicare |
$7,545.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,922.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,677.45
|
| Rate for Payer: PACE Medicare |
$7,168.33
|
| Rate for Payer: PACE SWMI |
$7,545.61
|
| Rate for Payer: PHP Commercial |
$8,300.17
|
| Rate for Payer: PHP Medicare Advantage |
$7,545.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,894.27
|
| Rate for Payer: Priority Health Medicare |
$7,545.61
|
| Rate for Payer: Priority Health Narrow Network |
$7,115.42
|
| Rate for Payer: Railroad Medicare Medicare |
$7,545.61
|
| Rate for Payer: UHC Medicare Advantage |
$7,771.98
|
| Rate for Payer: VA VA |
$7,545.61
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$41,935.44
|
|
|
Service Code
|
MS-DRG 264
|
| Min. Negotiated Rate |
$27,865.58 |
| Max. Negotiated Rate |
$41,935.44 |
| Rate for Payer: Aetna Medicare |
$29,332.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,665.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,665.24
|
| Rate for Payer: BCBS MAPPO |
$29,332.19
|
| Rate for Payer: BCN Medicare Advantage |
$29,332.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,332.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,332.19
|
| Rate for Payer: Mclaren Medicare |
$29,332.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30,798.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,732.02
|
| Rate for Payer: PACE Medicare |
$27,865.58
|
| Rate for Payer: PACE SWMI |
$29,332.19
|
| Rate for Payer: PHP Commercial |
$32,265.41
|
| Rate for Payer: PHP Medicare Advantage |
$29,332.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,935.44
|
| Rate for Payer: Priority Health Medicare |
$29,332.19
|
| Rate for Payer: Priority Health Narrow Network |
$33,548.35
|
| Rate for Payer: Railroad Medicare Medicare |
$29,332.19
|
| Rate for Payer: UHC Medicare Advantage |
$30,212.16
|
| Rate for Payer: VA VA |
$29,332.19
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,029.80
|
|
|
Service Code
|
MS-DRG 394
|
| Min. Negotiated Rate |
$9,132.45 |
| Max. Negotiated Rate |
$12,029.80 |
| Rate for Payer: Aetna Medicare |
$9,613.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,016.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,016.39
|
| Rate for Payer: BCBS MAPPO |
$9,613.11
|
| Rate for Payer: BCN Medicare Advantage |
$9,613.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,613.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,613.11
|
| Rate for Payer: Mclaren Medicare |
$9,613.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,093.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,055.08
|
| Rate for Payer: PACE Medicare |
$9,132.45
|
| Rate for Payer: PACE SWMI |
$9,613.11
|
| Rate for Payer: PHP Commercial |
$10,574.42
|
| Rate for Payer: PHP Medicare Advantage |
$9,613.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,029.80
|
| Rate for Payer: Priority Health Medicare |
$9,613.11
|
| Rate for Payer: Priority Health Narrow Network |
$9,623.84
|
| Rate for Payer: Railroad Medicare Medicare |
$9,613.11
|
| Rate for Payer: UHC Medicare Advantage |
$9,901.50
|
| Rate for Payer: VA VA |
$9,613.11
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$20,795.66
|
|
|
Service Code
|
MS-DRG 393
|
| Min. Negotiated Rate |
$14,623.45 |
| Max. Negotiated Rate |
$20,795.66 |
| Rate for Payer: Aetna Medicare |
$15,393.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,241.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,241.39
|
| Rate for Payer: BCBS MAPPO |
$15,393.11
|
| Rate for Payer: BCN Medicare Advantage |
$15,393.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,393.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,393.11
|
| Rate for Payer: Mclaren Medicare |
$15,393.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,162.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,702.08
|
| Rate for Payer: PACE Medicare |
$14,623.45
|
| Rate for Payer: PACE SWMI |
$15,393.11
|
| Rate for Payer: PHP Commercial |
$16,932.42
|
| Rate for Payer: PHP Medicare Advantage |
$15,393.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,795.66
|
| Rate for Payer: Priority Health Medicare |
$15,393.11
|
| Rate for Payer: Priority Health Narrow Network |
$16,636.53
|
| Rate for Payer: Railroad Medicare Medicare |
$15,393.11
|
| Rate for Payer: UHC Medicare Advantage |
$15,854.90
|
| Rate for Payer: VA VA |
$15,393.11
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,953.66
|
|
|
Service Code
|
MS-DRG 395
|
| Min. Negotiated Rate |
$6,651.12 |
| Max. Negotiated Rate |
$8,953.66 |
| Rate for Payer: Aetna Medicare |
$7,162.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,953.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,953.66
|
| Rate for Payer: BCBS MAPPO |
$7,162.93
|
| Rate for Payer: BCN Medicare Advantage |
$7,162.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,162.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,162.93
|
| Rate for Payer: Mclaren Medicare |
$7,162.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,521.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,237.37
|
| Rate for Payer: PACE Medicare |
$6,804.78
|
| Rate for Payer: PACE SWMI |
$7,162.93
|
| Rate for Payer: PHP Commercial |
$7,879.22
|
| Rate for Payer: PHP Medicare Advantage |
$7,162.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,313.90
|
| Rate for Payer: Priority Health Medicare |
$7,162.93
|
| Rate for Payer: Priority Health Narrow Network |
$6,651.12
|
| Rate for Payer: Railroad Medicare Medicare |
$7,162.93
|
| Rate for Payer: UHC Medicare Advantage |
$7,377.82
|
| Rate for Payer: VA VA |
$7,162.93
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$28,206.91
|
|
|
Service Code
|
MS-DRG 357
|
| Min. Negotiated Rate |
$19,265.93 |
| Max. Negotiated Rate |
$28,206.91 |
| Rate for Payer: Aetna Medicare |
$20,279.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,349.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,349.91
|
| Rate for Payer: BCBS MAPPO |
$20,279.93
|
| Rate for Payer: BCN Medicare Advantage |
$20,279.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,279.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,279.93
|
| Rate for Payer: Mclaren Medicare |
$20,279.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,293.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,321.92
|
| Rate for Payer: PACE Medicare |
$19,265.93
|
| Rate for Payer: PACE SWMI |
$20,279.93
|
| Rate for Payer: PHP Commercial |
$22,307.92
|
| Rate for Payer: PHP Medicare Advantage |
$20,279.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,206.91
|
| Rate for Payer: Priority Health Medicare |
$20,279.93
|
| Rate for Payer: Priority Health Narrow Network |
$22,565.53
|
| Rate for Payer: Railroad Medicare Medicare |
$20,279.93
|
| Rate for Payer: UHC Medicare Advantage |
$20,888.33
|
| Rate for Payer: VA VA |
$20,279.93
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,938.51
|
|
|
Service Code
|
MS-DRG 356
|
| Min. Negotiated Rate |
$36,010.80 |
| Max. Negotiated Rate |
$54,938.51 |
| Rate for Payer: Aetna Medicare |
$37,906.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,382.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,382.62
|
| Rate for Payer: BCBS MAPPO |
$37,906.10
|
| Rate for Payer: BCN Medicare Advantage |
$37,906.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,906.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,906.10
|
| Rate for Payer: Mclaren Medicare |
$37,906.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39,801.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,592.02
|
| Rate for Payer: PACE Medicare |
$36,010.80
|
| Rate for Payer: PACE SWMI |
$37,906.10
|
| Rate for Payer: PHP Commercial |
$41,696.71
|
| Rate for Payer: PHP Medicare Advantage |
$37,906.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,938.51
|
| Rate for Payer: Priority Health Medicare |
$37,906.10
|
| Rate for Payer: Priority Health Narrow Network |
$43,950.81
|
| Rate for Payer: Railroad Medicare Medicare |
$37,906.10
|
| Rate for Payer: UHC Medicare Advantage |
$39,043.28
|
| Rate for Payer: VA VA |
$37,906.10
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,449.32
|
|
|
Service Code
|
MS-DRG 358
|
| Min. Negotiated Rate |
$11,900.88 |
| Max. Negotiated Rate |
$16,449.32 |
| Rate for Payer: Aetna Medicare |
$12,527.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,659.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,659.05
|
| Rate for Payer: BCBS MAPPO |
$12,527.24
|
| Rate for Payer: BCN Medicare Advantage |
$12,527.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,527.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,527.24
|
| Rate for Payer: Mclaren Medicare |
$12,527.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,153.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,406.33
|
| Rate for Payer: PACE Medicare |
$11,900.88
|
| Rate for Payer: PACE SWMI |
$12,527.24
|
| Rate for Payer: PHP Commercial |
$13,779.96
|
| Rate for Payer: PHP Medicare Advantage |
$12,527.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,449.32
|
| Rate for Payer: Priority Health Medicare |
$12,527.24
|
| Rate for Payer: Priority Health Narrow Network |
$13,159.46
|
| Rate for Payer: Railroad Medicare Medicare |
$12,527.24
|
| Rate for Payer: UHC Medicare Advantage |
$12,903.06
|
| Rate for Payer: VA VA |
$12,527.24
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$13,175.12
|
|
|
Service Code
|
MS-DRG 092
|
| Min. Negotiated Rate |
$9,849.88 |
| Max. Negotiated Rate |
$13,175.12 |
| Rate for Payer: Aetna Medicare |
$10,368.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,960.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,960.38
|
| Rate for Payer: BCBS MAPPO |
$10,368.30
|
| Rate for Payer: BCN Medicare Advantage |
$10,368.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,368.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,368.30
|
| Rate for Payer: Mclaren Medicare |
$10,368.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,886.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,923.54
|
| Rate for Payer: PACE Medicare |
$9,849.88
|
| Rate for Payer: PACE SWMI |
$10,368.30
|
| Rate for Payer: PHP Commercial |
$11,405.13
|
| Rate for Payer: PHP Medicare Advantage |
$10,368.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,175.12
|
| Rate for Payer: Priority Health Medicare |
$10,368.30
|
| Rate for Payer: Priority Health Narrow Network |
$10,540.10
|
| Rate for Payer: Railroad Medicare Medicare |
$10,368.30
|
| Rate for Payer: UHC Medicare Advantage |
$10,679.35
|
| Rate for Payer: VA VA |
$10,368.30
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$22,973.33
|
|
|
Service Code
|
MS-DRG 091
|
| Min. Negotiated Rate |
$15,987.58 |
| Max. Negotiated Rate |
$22,973.33 |
| Rate for Payer: Aetna Medicare |
$16,829.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,036.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,036.29
|
| Rate for Payer: BCBS MAPPO |
$16,829.03
|
| Rate for Payer: BCN Medicare Advantage |
$16,829.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,829.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,829.03
|
| Rate for Payer: Mclaren Medicare |
$16,829.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,670.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,353.38
|
| Rate for Payer: PACE Medicare |
$15,987.58
|
| Rate for Payer: PACE SWMI |
$16,829.03
|
| Rate for Payer: PHP Commercial |
$18,511.93
|
| Rate for Payer: PHP Medicare Advantage |
$16,829.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,973.33
|
| Rate for Payer: Priority Health Medicare |
$16,829.03
|
| Rate for Payer: Priority Health Narrow Network |
$18,378.66
|
| Rate for Payer: Railroad Medicare Medicare |
$16,829.03
|
| Rate for Payer: UHC Medicare Advantage |
$17,333.90
|
| Rate for Payer: VA VA |
$16,829.03
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$10,296.64
|
|
|
Service Code
|
MS-DRG 093
|
| Min. Negotiated Rate |
$7,825.44 |
| Max. Negotiated Rate |
$10,296.64 |
| Rate for Payer: Aetna Medicare |
$8,237.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,296.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,296.64
|
| Rate for Payer: BCBS MAPPO |
$8,237.31
|
| Rate for Payer: BCN Medicare Advantage |
$8,237.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,237.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,237.31
|
| Rate for Payer: Mclaren Medicare |
$8,237.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,649.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,472.91
|
| Rate for Payer: PACE Medicare |
$7,825.44
|
| Rate for Payer: PACE SWMI |
$8,237.31
|
| Rate for Payer: PHP Commercial |
$9,061.04
|
| Rate for Payer: PHP Medicare Advantage |
$8,237.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,943.30
|
| Rate for Payer: Priority Health Medicare |
$8,237.31
|
| Rate for Payer: Priority Health Narrow Network |
$7,954.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,237.31
|
| Rate for Payer: UHC Medicare Advantage |
$8,484.43
|
| Rate for Payer: VA VA |
$8,237.31
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$16,973.20
|
|
|
Service Code
|
MS-DRG 124
|
| Min. Negotiated Rate |
$12,229.05 |
| Max. Negotiated Rate |
$16,973.20 |
| Rate for Payer: Aetna Medicare |
$12,872.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,090.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,090.85
|
| Rate for Payer: BCBS MAPPO |
$12,872.68
|
| Rate for Payer: BCN Medicare Advantage |
$12,872.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,872.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,872.68
|
| Rate for Payer: Mclaren Medicare |
$12,872.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,516.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,803.58
|
| Rate for Payer: PACE Medicare |
$12,229.05
|
| Rate for Payer: PACE SWMI |
$12,872.68
|
| Rate for Payer: PHP Commercial |
$14,159.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,872.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,973.20
|
| Rate for Payer: Priority Health Medicare |
$12,872.68
|
| Rate for Payer: Priority Health Narrow Network |
$13,578.56
|
| Rate for Payer: Railroad Medicare Medicare |
$12,872.68
|
| Rate for Payer: UHC Medicare Advantage |
$13,258.86
|
| Rate for Payer: VA VA |
$12,872.68
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$10,541.11
|
|
|
Service Code
|
MS-DRG 125
|
| Min. Negotiated Rate |
$8,011.25 |
| Max. Negotiated Rate |
$10,541.11 |
| Rate for Payer: Aetna Medicare |
$8,432.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,541.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,541.11
|
| Rate for Payer: BCBS MAPPO |
$8,432.89
|
| Rate for Payer: BCN Medicare Advantage |
$8,432.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,432.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,432.89
|
| Rate for Payer: Mclaren Medicare |
$8,432.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,854.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,697.82
|
| Rate for Payer: PACE Medicare |
$8,011.25
|
| Rate for Payer: PACE SWMI |
$8,432.89
|
| Rate for Payer: PHP Commercial |
$9,276.18
|
| Rate for Payer: PHP Medicare Advantage |
$8,432.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,239.90
|
| Rate for Payer: Priority Health Medicare |
$8,432.89
|
| Rate for Payer: Priority Health Narrow Network |
$8,191.92
|
| Rate for Payer: Railroad Medicare Medicare |
$8,432.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,685.88
|
| Rate for Payer: VA VA |
$8,432.89
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,154.34
|
|
|
Service Code
|
MS-DRG 155
|
| Min. Negotiated Rate |
$9,210.48 |
| Max. Negotiated Rate |
$12,154.34 |
| Rate for Payer: Aetna Medicare |
$9,695.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,119.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,119.05
|
| Rate for Payer: BCBS MAPPO |
$9,695.24
|
| Rate for Payer: BCN Medicare Advantage |
$9,695.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,695.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,695.24
|
| Rate for Payer: Mclaren Medicare |
$9,695.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,180.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,149.53
|
| Rate for Payer: PACE Medicare |
$9,210.48
|
| Rate for Payer: PACE SWMI |
$9,695.24
|
| Rate for Payer: PHP Commercial |
$10,664.76
|
| Rate for Payer: PHP Medicare Advantage |
$9,695.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,154.34
|
| Rate for Payer: Priority Health Medicare |
$9,695.24
|
| Rate for Payer: Priority Health Narrow Network |
$9,723.47
|
| Rate for Payer: Railroad Medicare Medicare |
$9,695.24
|
| Rate for Payer: UHC Medicare Advantage |
$9,986.10
|
| Rate for Payer: VA VA |
$9,695.24
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$19,750.49
|
|
|
Service Code
|
MS-DRG 154
|
| Min. Negotiated Rate |
$13,968.75 |
| Max. Negotiated Rate |
$19,750.49 |
| Rate for Payer: Aetna Medicare |
$14,703.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,379.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,379.94
|
| Rate for Payer: BCBS MAPPO |
$14,703.95
|
| Rate for Payer: BCN Medicare Advantage |
$14,703.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,703.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,703.95
|
| Rate for Payer: Mclaren Medicare |
$14,703.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,439.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,909.54
|
| Rate for Payer: PACE Medicare |
$13,968.75
|
| Rate for Payer: PACE SWMI |
$14,703.95
|
| Rate for Payer: PHP Commercial |
$16,174.34
|
| Rate for Payer: PHP Medicare Advantage |
$14,703.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,750.49
|
| Rate for Payer: Priority Health Medicare |
$14,703.95
|
| Rate for Payer: Priority Health Narrow Network |
$15,800.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,703.95
|
| Rate for Payer: UHC Medicare Advantage |
$15,145.07
|
| Rate for Payer: VA VA |
$14,703.95
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,038.31
|
|
|
Service Code
|
MS-DRG 156
|
| Min. Negotiated Rate |
$6,733.30 |
| Max. Negotiated Rate |
$9,038.31 |
| Rate for Payer: Aetna Medicare |
$7,230.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,038.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,038.31
|
| Rate for Payer: BCBS MAPPO |
$7,230.65
|
| Rate for Payer: BCN Medicare Advantage |
$7,230.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,230.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,230.65
|
| Rate for Payer: Mclaren Medicare |
$7,230.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,592.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,315.25
|
| Rate for Payer: PACE Medicare |
$6,869.12
|
| Rate for Payer: PACE SWMI |
$7,230.65
|
| Rate for Payer: PHP Commercial |
$7,953.72
|
| Rate for Payer: PHP Medicare Advantage |
$7,230.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,416.62
|
| Rate for Payer: Priority Health Medicare |
$7,230.65
|
| Rate for Payer: Priority Health Narrow Network |
$6,733.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7,230.65
|
| Rate for Payer: UHC Medicare Advantage |
$7,447.57
|
| Rate for Payer: VA VA |
$7,230.65
|
|
