|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,219.62
|
|
|
Service Code
|
MS-DRG 144
|
| Min. Negotiated Rate |
$15,515.44 |
| Max. Negotiated Rate |
$22,219.62 |
| Rate for Payer: Aetna Medicare |
$16,332.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,415.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,415.05
|
| Rate for Payer: BCBS MAPPO |
$16,332.04
|
| Rate for Payer: BCN Medicare Advantage |
$16,332.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,332.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,332.04
|
| Rate for Payer: Mclaren Medicare |
$16,332.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,148.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,781.85
|
| Rate for Payer: PACE Medicare |
$15,515.44
|
| Rate for Payer: PACE SWMI |
$16,332.04
|
| Rate for Payer: PHP Commercial |
$17,965.24
|
| Rate for Payer: PHP Medicare Advantage |
$16,332.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,219.62
|
| Rate for Payer: Priority Health Medicare |
$16,332.04
|
| Rate for Payer: Priority Health Narrow Network |
$17,775.70
|
| Rate for Payer: Railroad Medicare Medicare |
$16,332.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,822.00
|
| Rate for Payer: VA VA |
$16,332.04
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,700.70
|
|
|
Service Code
|
MS-DRG 143
|
| Min. Negotiated Rate |
$28,344.95 |
| Max. Negotiated Rate |
$42,700.70 |
| Rate for Payer: Aetna Medicare |
$29,836.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,295.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,295.99
|
| Rate for Payer: BCBS MAPPO |
$29,836.79
|
| Rate for Payer: BCN Medicare Advantage |
$29,836.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,836.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,836.79
|
| Rate for Payer: Mclaren Medicare |
$29,836.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31,328.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,312.31
|
| Rate for Payer: PACE Medicare |
$28,344.95
|
| Rate for Payer: PACE SWMI |
$29,836.79
|
| Rate for Payer: PHP Commercial |
$32,820.47
|
| Rate for Payer: PHP Medicare Advantage |
$29,836.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,700.70
|
| Rate for Payer: Priority Health Medicare |
$29,836.79
|
| Rate for Payer: Priority Health Narrow Network |
$34,160.56
|
| Rate for Payer: Railroad Medicare Medicare |
$29,836.79
|
| Rate for Payer: UHC Medicare Advantage |
$30,731.89
|
| Rate for Payer: VA VA |
$29,836.79
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,678.92
|
|
|
Service Code
|
MS-DRG 145
|
| Min. Negotiated Rate |
$11,418.30 |
| Max. Negotiated Rate |
$15,678.92 |
| Rate for Payer: Aetna Medicare |
$12,019.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,024.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,024.08
|
| Rate for Payer: BCBS MAPPO |
$12,019.26
|
| Rate for Payer: BCN Medicare Advantage |
$12,019.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,019.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,019.26
|
| Rate for Payer: Mclaren Medicare |
$12,019.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,620.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,822.15
|
| Rate for Payer: PACE Medicare |
$11,418.30
|
| Rate for Payer: PACE SWMI |
$12,019.26
|
| Rate for Payer: PHP Commercial |
$13,221.19
|
| Rate for Payer: PHP Medicare Advantage |
$12,019.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,678.92
|
| Rate for Payer: Priority Health Medicare |
$12,019.26
|
| Rate for Payer: Priority Health Narrow Network |
$12,543.14
|
| Rate for Payer: Railroad Medicare Medicare |
$12,019.26
|
| Rate for Payer: UHC Medicare Advantage |
$12,379.84
|
| Rate for Payer: VA VA |
$12,019.26
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$29,054.35
|
|
|
Service Code
|
MS-DRG 629
|
| Min. Negotiated Rate |
$19,796.76 |
| Max. Negotiated Rate |
$29,054.35 |
| Rate for Payer: Aetna Medicare |
$20,838.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,048.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,048.38
|
| Rate for Payer: BCBS MAPPO |
$20,838.70
|
| Rate for Payer: BCN Medicare Advantage |
$20,838.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,838.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,838.70
|
| Rate for Payer: Mclaren Medicare |
$20,838.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,880.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,964.50
|
| Rate for Payer: PACE Medicare |
$19,796.76
|
| Rate for Payer: PACE SWMI |
$20,838.70
|
| Rate for Payer: PHP Commercial |
$22,922.57
|
| Rate for Payer: PHP Medicare Advantage |
$20,838.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,054.35
|
| Rate for Payer: Priority Health Medicare |
$20,838.70
|
| Rate for Payer: Priority Health Narrow Network |
$23,243.48
|
| Rate for Payer: Railroad Medicare Medicare |
$20,838.70
|
| Rate for Payer: UHC Medicare Advantage |
$21,463.86
|
| Rate for Payer: VA VA |
$20,838.70
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,546.18
|
|
|
Service Code
|
MS-DRG 628
|
| Min. Negotiated Rate |
$33,885.83 |
| Max. Negotiated Rate |
$51,546.18 |
| Rate for Payer: Aetna Medicare |
$35,669.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,586.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,586.61
|
| Rate for Payer: BCBS MAPPO |
$35,669.29
|
| Rate for Payer: BCN Medicare Advantage |
$35,669.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,669.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,669.29
|
| Rate for Payer: Mclaren Medicare |
$35,669.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37,452.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,019.68
|
| Rate for Payer: PACE Medicare |
$33,885.83
|
| Rate for Payer: PACE SWMI |
$35,669.29
|
| Rate for Payer: PHP Commercial |
$39,236.22
|
| Rate for Payer: PHP Medicare Advantage |
$35,669.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51,546.18
|
| Rate for Payer: Priority Health Medicare |
$35,669.29
|
| Rate for Payer: Priority Health Narrow Network |
$41,236.94
|
| Rate for Payer: Railroad Medicare Medicare |
$35,669.29
|
| Rate for Payer: UHC Medicare Advantage |
$36,739.37
|
| Rate for Payer: VA VA |
$35,669.29
|
|
|
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,928.49
|
|
|
Service Code
|
MS-DRG 630
|
| Min. Negotiated Rate |
$12,827.45 |
| Max. Negotiated Rate |
$17,928.49 |
| Rate for Payer: Aetna Medicare |
$13,502.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,878.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,878.22
|
| Rate for Payer: BCBS MAPPO |
$13,502.58
|
| Rate for Payer: BCN Medicare Advantage |
$13,502.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,502.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,502.58
|
| Rate for Payer: Mclaren Medicare |
$13,502.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,177.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,527.97
|
| Rate for Payer: PACE Medicare |
$12,827.45
|
| Rate for Payer: PACE SWMI |
$13,502.58
|
| Rate for Payer: PHP Commercial |
$14,852.84
|
| Rate for Payer: PHP Medicare Advantage |
$13,502.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,928.49
|
| Rate for Payer: Priority Health Medicare |
$13,502.58
|
| Rate for Payer: Priority Health Narrow Network |
$14,342.79
|
| Rate for Payer: Railroad Medicare Medicare |
$13,502.58
|
| Rate for Payer: UHC Medicare Advantage |
$13,907.66
|
| Rate for Payer: VA VA |
$13,502.58
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,006.80
|
|
|
Service Code
|
MS-DRG 319
|
| Min. Negotiated Rate |
$36,679.98 |
| Max. Negotiated Rate |
$56,006.80 |
| Rate for Payer: Aetna Medicare |
$38,610.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,263.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,263.14
|
| Rate for Payer: BCBS MAPPO |
$38,610.51
|
| Rate for Payer: BCN Medicare Advantage |
$38,610.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,610.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,610.51
|
| Rate for Payer: Mclaren Medicare |
$38,610.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40,541.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,402.09
|
| Rate for Payer: PACE Medicare |
$36,679.98
|
| Rate for Payer: PACE SWMI |
$38,610.51
|
| Rate for Payer: PHP Commercial |
$42,471.56
|
| Rate for Payer: PHP Medicare Advantage |
$38,610.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,006.80
|
| Rate for Payer: Priority Health Medicare |
$38,610.51
|
| Rate for Payer: Priority Health Narrow Network |
$44,805.44
|
| Rate for Payer: Railroad Medicare Medicare |
$38,610.51
|
| Rate for Payer: UHC Medicare Advantage |
$39,768.83
|
| Rate for Payer: VA VA |
$38,610.51
|
|
|
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$28,581.84
|
|
|
Service Code
|
MS-DRG 320
|
| Min. Negotiated Rate |
$19,500.78 |
| Max. Negotiated Rate |
$28,581.84 |
| Rate for Payer: Aetna Medicare |
$20,527.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,658.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,658.92
|
| Rate for Payer: BCBS MAPPO |
$20,527.14
|
| Rate for Payer: BCN Medicare Advantage |
$20,527.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,527.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,527.14
|
| Rate for Payer: Mclaren Medicare |
$20,527.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,553.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,606.21
|
| Rate for Payer: PACE Medicare |
$19,500.78
|
| Rate for Payer: PACE SWMI |
$20,527.14
|
| Rate for Payer: PHP Commercial |
$22,579.85
|
| Rate for Payer: PHP Medicare Advantage |
$20,527.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,581.84
|
| Rate for Payer: Priority Health Medicare |
$20,527.14
|
| Rate for Payer: Priority Health Narrow Network |
$22,865.47
|
| Rate for Payer: Railroad Medicare Medicare |
$20,527.14
|
| Rate for Payer: UHC Medicare Advantage |
$21,142.95
|
| Rate for Payer: VA VA |
$20,527.14
|
|
|
OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,345.14
|
|
|
Service Code
|
MS-DRG 951
|
| Min. Negotiated Rate |
$6,060.48 |
| Max. Negotiated Rate |
$8,345.14 |
| Rate for Payer: Aetna Medicare |
$6,676.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,345.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,345.14
|
| Rate for Payer: BCBS MAPPO |
$6,676.11
|
| Rate for Payer: BCN Medicare Advantage |
$6,676.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,676.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,676.11
|
| Rate for Payer: Mclaren Medicare |
$6,676.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,009.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,677.53
|
| Rate for Payer: PACE Medicare |
$6,342.30
|
| Rate for Payer: PACE SWMI |
$6,676.11
|
| Rate for Payer: PHP Commercial |
$7,343.72
|
| Rate for Payer: PHP Medicare Advantage |
$6,676.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,575.60
|
| Rate for Payer: Priority Health Medicare |
$6,676.11
|
| Rate for Payer: Priority Health Narrow Network |
$6,060.48
|
| Rate for Payer: Railroad Medicare Medicare |
$6,676.11
|
| Rate for Payer: UHC Medicare Advantage |
$6,876.39
|
| Rate for Payer: VA VA |
$6,676.11
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$32,320.85
|
|
|
Service Code
|
MS-DRG 749
|
| Min. Negotiated Rate |
$21,842.92 |
| Max. Negotiated Rate |
$32,320.85 |
| Rate for Payer: Aetna Medicare |
$22,992.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,740.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,740.69
|
| Rate for Payer: BCBS MAPPO |
$22,992.55
|
| Rate for Payer: BCN Medicare Advantage |
$22,992.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,992.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,992.55
|
| Rate for Payer: Mclaren Medicare |
$22,992.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24,142.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,441.43
|
| Rate for Payer: PACE Medicare |
$21,842.92
|
| Rate for Payer: PACE SWMI |
$22,992.55
|
| Rate for Payer: PHP Commercial |
$25,291.80
|
| Rate for Payer: PHP Medicare Advantage |
$22,992.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,320.85
|
| Rate for Payer: Priority Health Medicare |
$22,992.55
|
| Rate for Payer: Priority Health Narrow Network |
$25,856.68
|
| Rate for Payer: Railroad Medicare Medicare |
$22,992.55
|
| Rate for Payer: UHC Medicare Advantage |
$23,682.33
|
| Rate for Payer: VA VA |
$22,992.55
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,462.40
|
|
|
Service Code
|
MS-DRG 750
|
| Min. Negotiated Rate |
$12,535.48 |
| Max. Negotiated Rate |
$17,462.40 |
| Rate for Payer: Aetna Medicare |
$13,195.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,494.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,494.05
|
| Rate for Payer: BCBS MAPPO |
$13,195.24
|
| Rate for Payer: BCN Medicare Advantage |
$13,195.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,195.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,195.24
|
| Rate for Payer: Mclaren Medicare |
$13,195.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,855.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,174.53
|
| Rate for Payer: PACE Medicare |
$12,535.48
|
| Rate for Payer: PACE SWMI |
$13,195.24
|
| Rate for Payer: PHP Commercial |
$14,514.76
|
| Rate for Payer: PHP Medicare Advantage |
$13,195.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,462.40
|
| Rate for Payer: Priority Health Medicare |
$13,195.24
|
| Rate for Payer: Priority Health Narrow Network |
$13,969.92
|
| Rate for Payer: Railroad Medicare Medicare |
$13,195.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,591.10
|
| Rate for Payer: VA VA |
$13,195.24
|
|
|
OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$131,158.03
|
|
|
Service Code
|
MS-DRG 215
|
| Min. Negotiated Rate |
$83,755.32 |
| Max. Negotiated Rate |
$131,158.03 |
| Rate for Payer: Aetna Medicare |
$88,163.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$110,204.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$110,204.36
|
| Rate for Payer: BCBS MAPPO |
$88,163.49
|
| Rate for Payer: BCN Medicare Advantage |
$88,163.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88,163.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$88,163.49
|
| Rate for Payer: Mclaren Medicare |
$88,163.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$92,571.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$101,388.01
|
| Rate for Payer: PACE Medicare |
$83,755.32
|
| Rate for Payer: PACE SWMI |
$88,163.49
|
| Rate for Payer: PHP Commercial |
$96,979.84
|
| Rate for Payer: PHP Medicare Advantage |
$88,163.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$131,158.03
|
| Rate for Payer: Priority Health Medicare |
$88,163.49
|
| Rate for Payer: Priority Health Narrow Network |
$104,926.42
|
| Rate for Payer: Railroad Medicare Medicare |
$88,163.49
|
| Rate for Payer: UHC Medicare Advantage |
$90,808.39
|
| Rate for Payer: VA VA |
$88,163.49
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$26,800.93
|
|
|
Service Code
|
MS-DRG 424
|
| Min. Negotiated Rate |
$18,742.31 |
| Max. Negotiated Rate |
$26,800.93 |
| Rate for Payer: Aetna Medicare |
$19,728.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,660.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,660.94
|
| Rate for Payer: BCBS MAPPO |
$19,728.75
|
| Rate for Payer: BCN Medicare Advantage |
$19,728.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,728.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,728.75
|
| Rate for Payer: Mclaren Medicare |
$19,728.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,715.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,688.06
|
| Rate for Payer: PACE Medicare |
$18,742.31
|
| Rate for Payer: PACE SWMI |
$19,728.75
|
| Rate for Payer: PHP Commercial |
$21,701.62
|
| Rate for Payer: PHP Medicare Advantage |
$19,728.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,800.93
|
| Rate for Payer: Priority Health Medicare |
$19,728.75
|
| Rate for Payer: Priority Health Narrow Network |
$21,440.74
|
| Rate for Payer: Railroad Medicare Medicare |
$19,728.75
|
| Rate for Payer: UHC Medicare Advantage |
$20,320.61
|
| Rate for Payer: VA VA |
$19,728.75
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,215.96
|
|
|
Service Code
|
MS-DRG 423
|
| Min. Negotiated Rate |
$33,052.55 |
| Max. Negotiated Rate |
$50,215.96 |
| Rate for Payer: Aetna Medicare |
$34,792.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,490.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,490.20
|
| Rate for Payer: BCBS MAPPO |
$34,792.16
|
| Rate for Payer: BCN Medicare Advantage |
$34,792.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,792.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$34,792.16
|
| Rate for Payer: Mclaren Medicare |
$34,792.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36,531.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,010.98
|
| Rate for Payer: PACE Medicare |
$33,052.55
|
| Rate for Payer: PACE SWMI |
$34,792.16
|
| Rate for Payer: PHP Commercial |
$38,271.38
|
| Rate for Payer: PHP Medicare Advantage |
$34,792.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,215.96
|
| Rate for Payer: Priority Health Medicare |
$34,792.16
|
| Rate for Payer: Priority Health Narrow Network |
$40,172.77
|
| Rate for Payer: Railroad Medicare Medicare |
$34,792.16
|
| Rate for Payer: UHC Medicare Advantage |
$35,835.92
|
| Rate for Payer: VA VA |
$34,792.16
|
|
|
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,568.40
|
|
|
Service Code
|
MS-DRG 425
|
| Min. Negotiated Rate |
$14,481.10 |
| Max. Negotiated Rate |
$20,568.40 |
| Rate for Payer: Aetna Medicare |
$15,243.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,054.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,054.08
|
| Rate for Payer: BCBS MAPPO |
$15,243.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,243.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,243.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,243.26
|
| Rate for Payer: Mclaren Medicare |
$15,243.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,005.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,529.75
|
| Rate for Payer: PACE Medicare |
$14,481.10
|
| Rate for Payer: PACE SWMI |
$15,243.26
|
| Rate for Payer: PHP Commercial |
$16,767.59
|
| Rate for Payer: PHP Medicare Advantage |
$15,243.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,568.40
|
| Rate for Payer: Priority Health Medicare |
$15,243.26
|
| Rate for Payer: Priority Health Narrow Network |
$16,454.72
|
| Rate for Payer: Railroad Medicare Medicare |
$15,243.26
|
| Rate for Payer: UHC Medicare Advantage |
$15,700.56
|
| Rate for Payer: VA VA |
$15,243.26
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$13,937.82
|
|
|
Service Code
|
MS-DRG 868
|
| Min. Negotiated Rate |
$10,327.64 |
| Max. Negotiated Rate |
$13,937.82 |
| Rate for Payer: Aetna Medicare |
$10,871.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,589.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,589.00
|
| Rate for Payer: BCBS MAPPO |
$10,871.20
|
| Rate for Payer: BCN Medicare Advantage |
$10,871.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,871.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,871.20
|
| Rate for Payer: Mclaren Medicare |
$10,871.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,414.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,501.88
|
| Rate for Payer: PACE Medicare |
$10,327.64
|
| Rate for Payer: PACE SWMI |
$10,871.20
|
| Rate for Payer: PHP Commercial |
$11,958.32
|
| Rate for Payer: PHP Medicare Advantage |
$10,871.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,937.82
|
| Rate for Payer: Priority Health Medicare |
$10,871.20
|
| Rate for Payer: Priority Health Narrow Network |
$11,150.26
|
| Rate for Payer: Railroad Medicare Medicare |
$10,871.20
|
| Rate for Payer: UHC Medicare Advantage |
$11,197.34
|
| Rate for Payer: VA VA |
$10,871.20
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$26,865.13
|
|
|
Service Code
|
MS-DRG 867
|
| Min. Negotiated Rate |
$18,425.42 |
| Max. Negotiated Rate |
$26,865.13 |
| Rate for Payer: Aetna Medicare |
$19,395.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,243.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,243.98
|
| Rate for Payer: BCBS MAPPO |
$19,395.18
|
| Rate for Payer: BCN Medicare Advantage |
$19,395.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,395.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,395.18
|
| Rate for Payer: Mclaren Medicare |
$19,395.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$20,364.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,304.46
|
| Rate for Payer: PACE Medicare |
$18,425.42
|
| Rate for Payer: PACE SWMI |
$19,395.18
|
| Rate for Payer: PHP Commercial |
$21,334.70
|
| Rate for Payer: PHP Medicare Advantage |
$19,395.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,865.13
|
| Rate for Payer: Priority Health Medicare |
$19,395.18
|
| Rate for Payer: Priority Health Narrow Network |
$21,492.10
|
| Rate for Payer: Railroad Medicare Medicare |
$19,395.18
|
| Rate for Payer: UHC Medicare Advantage |
$19,977.04
|
| Rate for Payer: VA VA |
$19,395.18
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,410.86
|
|
|
Service Code
|
MS-DRG 869
|
| Min. Negotiated Rate |
$7,094.87 |
| Max. Negotiated Rate |
$9,410.86 |
| Rate for Payer: Aetna Medicare |
$7,528.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,410.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,410.86
|
| Rate for Payer: BCBS MAPPO |
$7,528.69
|
| Rate for Payer: BCN Medicare Advantage |
$7,528.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,528.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,528.69
|
| Rate for Payer: Mclaren Medicare |
$7,528.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,905.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,657.99
|
| Rate for Payer: PACE Medicare |
$7,152.26
|
| Rate for Payer: PACE SWMI |
$7,528.69
|
| Rate for Payer: PHP Commercial |
$8,281.56
|
| Rate for Payer: PHP Medicare Advantage |
$7,528.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,868.59
|
| Rate for Payer: Priority Health Medicare |
$7,528.69
|
| Rate for Payer: Priority Health Narrow Network |
$7,094.87
|
| Rate for Payer: Railroad Medicare Medicare |
$7,528.69
|
| Rate for Payer: UHC Medicare Advantage |
$7,754.55
|
| Rate for Payer: VA VA |
$7,528.69
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$22,404.52
|
|
|
Service Code
|
MS-DRG 922
|
| Min. Negotiated Rate |
$15,631.25 |
| Max. Negotiated Rate |
$22,404.52 |
| Rate for Payer: Aetna Medicare |
$16,453.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,567.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,567.44
|
| Rate for Payer: BCBS MAPPO |
$16,453.95
|
| Rate for Payer: BCN Medicare Advantage |
$16,453.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,453.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,453.95
|
| Rate for Payer: Mclaren Medicare |
$16,453.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,276.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,922.04
|
| Rate for Payer: PACE Medicare |
$15,631.25
|
| Rate for Payer: PACE SWMI |
$16,453.95
|
| Rate for Payer: PHP Commercial |
$18,099.34
|
| Rate for Payer: PHP Medicare Advantage |
$16,453.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,404.52
|
| Rate for Payer: Priority Health Medicare |
$16,453.95
|
| Rate for Payer: Priority Health Narrow Network |
$17,923.62
|
| Rate for Payer: Railroad Medicare Medicare |
$16,453.95
|
| Rate for Payer: UHC Medicare Advantage |
$16,947.57
|
| Rate for Payer: VA VA |
$16,453.95
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$12,986.38
|
|
|
Service Code
|
MS-DRG 923
|
| Min. Negotiated Rate |
$9,731.66 |
| Max. Negotiated Rate |
$12,986.38 |
| Rate for Payer: Aetna Medicare |
$10,243.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,804.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,804.81
|
| Rate for Payer: BCBS MAPPO |
$10,243.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,243.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,243.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,243.85
|
| Rate for Payer: Mclaren Medicare |
$10,243.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,756.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,780.43
|
| Rate for Payer: PACE Medicare |
$9,731.66
|
| Rate for Payer: PACE SWMI |
$10,243.85
|
| Rate for Payer: PHP Commercial |
$11,268.24
|
| Rate for Payer: PHP Medicare Advantage |
$10,243.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,986.38
|
| Rate for Payer: Priority Health Medicare |
$10,243.85
|
| Rate for Payer: Priority Health Narrow Network |
$10,389.10
|
| Rate for Payer: Railroad Medicare Medicare |
$10,243.85
|
| Rate for Payer: UHC Medicare Advantage |
$10,551.17
|
| Rate for Payer: VA VA |
$10,243.85
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$13,107.07
|
|
|
Service Code
|
MS-DRG 699
|
| Min. Negotiated Rate |
$9,807.27 |
| Max. Negotiated Rate |
$13,107.07 |
| Rate for Payer: Aetna Medicare |
$10,323.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,904.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,904.30
|
| Rate for Payer: BCBS MAPPO |
$10,323.44
|
| Rate for Payer: BCN Medicare Advantage |
$10,323.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,323.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,323.44
|
| Rate for Payer: Mclaren Medicare |
$10,323.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,839.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,871.96
|
| Rate for Payer: PACE Medicare |
$9,807.27
|
| Rate for Payer: PACE SWMI |
$10,323.44
|
| Rate for Payer: PHP Commercial |
$11,355.78
|
| Rate for Payer: PHP Medicare Advantage |
$10,323.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,107.07
|
| Rate for Payer: Priority Health Medicare |
$10,323.44
|
| Rate for Payer: Priority Health Narrow Network |
$10,485.66
|
| Rate for Payer: Railroad Medicare Medicare |
$10,323.44
|
| Rate for Payer: UHC Medicare Advantage |
$10,633.14
|
| Rate for Payer: VA VA |
$10,323.44
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,242.50
|
|
|
Service Code
|
MS-DRG 698
|
| Min. Negotiated Rate |
$14,903.35 |
| Max. Negotiated Rate |
$21,242.50 |
| Rate for Payer: Aetna Medicare |
$15,687.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,609.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,609.68
|
| Rate for Payer: BCBS MAPPO |
$15,687.74
|
| Rate for Payer: BCN Medicare Advantage |
$15,687.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,687.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,687.74
|
| Rate for Payer: Mclaren Medicare |
$15,687.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16,472.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,040.90
|
| Rate for Payer: PACE Medicare |
$14,903.35
|
| Rate for Payer: PACE SWMI |
$15,687.74
|
| Rate for Payer: PHP Commercial |
$17,256.51
|
| Rate for Payer: PHP Medicare Advantage |
$15,687.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,242.50
|
| Rate for Payer: Priority Health Medicare |
$15,687.74
|
| Rate for Payer: Priority Health Narrow Network |
$16,994.00
|
| Rate for Payer: Railroad Medicare Medicare |
$15,687.74
|
| Rate for Payer: UHC Medicare Advantage |
$16,158.37
|
| Rate for Payer: VA VA |
$15,687.74
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,597.11
|
|
|
Service Code
|
MS-DRG 700
|
| Min. Negotiated Rate |
$7,275.66 |
| Max. Negotiated Rate |
$9,597.11 |
| Rate for Payer: Aetna Medicare |
$7,677.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,597.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,597.11
|
| Rate for Payer: BCBS MAPPO |
$7,677.69
|
| Rate for Payer: BCN Medicare Advantage |
$7,677.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,677.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,677.69
|
| Rate for Payer: Mclaren Medicare |
$7,677.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,061.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,829.34
|
| Rate for Payer: PACE Medicare |
$7,293.81
|
| Rate for Payer: PACE SWMI |
$7,677.69
|
| Rate for Payer: PHP Commercial |
$8,445.46
|
| Rate for Payer: PHP Medicare Advantage |
$7,677.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,094.57
|
| Rate for Payer: Priority Health Medicare |
$7,677.69
|
| Rate for Payer: Priority Health Narrow Network |
$7,275.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,677.69
|
| Rate for Payer: UHC Medicare Advantage |
$7,908.02
|
| Rate for Payer: VA VA |
$7,677.69
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$30,587.45
|
|
|
Service Code
|
MS-DRG 674
|
| Min. Negotiated Rate |
$20,757.11 |
| Max. Negotiated Rate |
$30,587.45 |
| Rate for Payer: Aetna Medicare |
$21,849.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,311.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,311.99
|
| Rate for Payer: BCBS MAPPO |
$21,849.59
|
| Rate for Payer: BCN Medicare Advantage |
$21,849.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,849.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,849.59
|
| Rate for Payer: Mclaren Medicare |
$21,849.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22,942.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,127.03
|
| Rate for Payer: PACE Medicare |
$20,757.11
|
| Rate for Payer: PACE SWMI |
$21,849.59
|
| Rate for Payer: PHP Commercial |
$24,034.55
|
| Rate for Payer: PHP Medicare Advantage |
$21,849.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,587.45
|
| Rate for Payer: Priority Health Medicare |
$21,849.59
|
| Rate for Payer: Priority Health Narrow Network |
$24,469.96
|
| Rate for Payer: Railroad Medicare Medicare |
$21,849.59
|
| Rate for Payer: UHC Medicare Advantage |
$22,505.08
|
| Rate for Payer: VA VA |
$21,849.59
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,482.32
|
|
|
Service Code
|
MS-DRG 673
|
| Min. Negotiated Rate |
$31,340.20 |
| Max. Negotiated Rate |
$47,482.32 |
| Rate for Payer: Aetna Medicare |
$32,989.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,237.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,237.10
|
| Rate for Payer: BCBS MAPPO |
$32,989.68
|
| Rate for Payer: BCN Medicare Advantage |
$32,989.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,989.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,989.68
|
| Rate for Payer: Mclaren Medicare |
$32,989.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34,639.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,938.13
|
| Rate for Payer: PACE Medicare |
$31,340.20
|
| Rate for Payer: PACE SWMI |
$32,989.68
|
| Rate for Payer: PHP Commercial |
$36,288.65
|
| Rate for Payer: PHP Medicare Advantage |
$32,989.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,482.32
|
| Rate for Payer: Priority Health Medicare |
$32,989.68
|
| Rate for Payer: Priority Health Narrow Network |
$37,985.86
|
| Rate for Payer: Railroad Medicare Medicare |
$32,989.68
|
| Rate for Payer: UHC Medicare Advantage |
$33,979.37
|
| Rate for Payer: VA VA |
$32,989.68
|
|
