|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,370.66
|
|
|
Service Code
|
MS-DRG 675
|
| Min. Negotiated Rate |
$14,357.24 |
| Max. Negotiated Rate |
$20,370.66 |
| Rate for Payer: Aetna Medicare |
$15,112.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,891.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,891.10
|
| Rate for Payer: BCBS MAPPO |
$15,112.88
|
| Rate for Payer: BCN Medicare Advantage |
$15,112.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,112.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,112.88
|
| Rate for Payer: Mclaren Medicare |
$15,112.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,868.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,379.81
|
| Rate for Payer: PACE Medicare |
$14,357.24
|
| Rate for Payer: PACE SWMI |
$15,112.88
|
| Rate for Payer: PHP Commercial |
$16,624.17
|
| Rate for Payer: PHP Medicare Advantage |
$15,112.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,370.66
|
| Rate for Payer: Priority Health Medicare |
$15,112.88
|
| Rate for Payer: Priority Health Narrow Network |
$16,296.53
|
| Rate for Payer: Railroad Medicare Medicare |
$15,112.88
|
| Rate for Payer: UHC Medicare Advantage |
$15,566.27
|
| Rate for Payer: VA VA |
$15,112.88
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$44,377.61
|
|
|
Service Code
|
MS-DRG 271
|
| Min. Negotiated Rate |
$29,395.38 |
| Max. Negotiated Rate |
$44,377.61 |
| Rate for Payer: Aetna Medicare |
$30,942.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,678.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,678.12
|
| Rate for Payer: BCBS MAPPO |
$30,942.50
|
| Rate for Payer: BCN Medicare Advantage |
$30,942.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,942.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,942.50
|
| Rate for Payer: Mclaren Medicare |
$30,942.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32,489.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,583.88
|
| Rate for Payer: PACE Medicare |
$29,395.38
|
| Rate for Payer: PACE SWMI |
$30,942.50
|
| Rate for Payer: PHP Commercial |
$34,036.75
|
| Rate for Payer: PHP Medicare Advantage |
$30,942.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,377.61
|
| Rate for Payer: Priority Health Medicare |
$30,942.50
|
| Rate for Payer: Priority Health Narrow Network |
$35,502.09
|
| Rate for Payer: Railroad Medicare Medicare |
$30,942.50
|
| Rate for Payer: UHC Medicare Advantage |
$31,870.78
|
| Rate for Payer: VA VA |
$30,942.50
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,930.60
|
|
|
Service Code
|
MS-DRG 270
|
| Min. Negotiated Rate |
$42,269.93 |
| Max. Negotiated Rate |
$64,930.60 |
| Rate for Payer: Aetna Medicare |
$44,494.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,618.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,618.32
|
| Rate for Payer: BCBS MAPPO |
$44,494.66
|
| Rate for Payer: BCN Medicare Advantage |
$44,494.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,494.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,494.66
|
| Rate for Payer: Mclaren Medicare |
$44,494.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46,719.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,168.86
|
| Rate for Payer: PACE Medicare |
$42,269.93
|
| Rate for Payer: PACE SWMI |
$44,494.66
|
| Rate for Payer: PHP Commercial |
$48,944.13
|
| Rate for Payer: PHP Medicare Advantage |
$44,494.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,930.60
|
| Rate for Payer: Priority Health Medicare |
$44,494.66
|
| Rate for Payer: Priority Health Narrow Network |
$51,944.48
|
| Rate for Payer: Railroad Medicare Medicare |
$44,494.66
|
| Rate for Payer: UHC Medicare Advantage |
$45,829.50
|
| Rate for Payer: VA VA |
$44,494.66
|
|
|
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,323.18
|
|
|
Service Code
|
MS-DRG 272
|
| Min. Negotiated Rate |
$21,217.97 |
| Max. Negotiated Rate |
$31,323.18 |
| Rate for Payer: Aetna Medicare |
$22,334.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,918.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,918.39
|
| Rate for Payer: BCBS MAPPO |
$22,334.71
|
| Rate for Payer: BCN Medicare Advantage |
$22,334.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,334.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,334.71
|
| Rate for Payer: Mclaren Medicare |
$22,334.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23,451.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,684.92
|
| Rate for Payer: PACE Medicare |
$21,217.97
|
| Rate for Payer: PACE SWMI |
$22,334.71
|
| Rate for Payer: PHP Commercial |
$24,568.18
|
| Rate for Payer: PHP Medicare Advantage |
$22,334.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,323.18
|
| Rate for Payer: Priority Health Medicare |
$22,334.71
|
| Rate for Payer: Priority Health Narrow Network |
$25,058.54
|
| Rate for Payer: Railroad Medicare Medicare |
$22,334.71
|
| Rate for Payer: UHC Medicare Advantage |
$23,004.75
|
| Rate for Payer: VA VA |
$22,334.71
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$12,890.08
|
|
|
Service Code
|
MS-DRG 729
|
| Min. Negotiated Rate |
$9,671.34 |
| Max. Negotiated Rate |
$12,890.08 |
| Rate for Payer: Aetna Medicare |
$10,180.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,725.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,725.45
|
| Rate for Payer: BCBS MAPPO |
$10,180.36
|
| Rate for Payer: BCN Medicare Advantage |
$10,180.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,180.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,180.36
|
| Rate for Payer: Mclaren Medicare |
$10,180.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,689.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,707.41
|
| Rate for Payer: PACE Medicare |
$9,671.34
|
| Rate for Payer: PACE SWMI |
$10,180.36
|
| Rate for Payer: PHP Commercial |
$11,198.40
|
| Rate for Payer: PHP Medicare Advantage |
$10,180.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,890.08
|
| Rate for Payer: Priority Health Medicare |
$10,180.36
|
| Rate for Payer: Priority Health Narrow Network |
$10,312.06
|
| Rate for Payer: Railroad Medicare Medicare |
$10,180.36
|
| Rate for Payer: UHC Medicare Advantage |
$10,485.77
|
| Rate for Payer: VA VA |
$10,180.36
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,679.56
|
|
|
Service Code
|
MS-DRG 730
|
| Min. Negotiated Rate |
$6,385.07 |
| Max. Negotiated Rate |
$8,679.56 |
| Rate for Payer: Aetna Medicare |
$6,943.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,679.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,679.56
|
| Rate for Payer: BCBS MAPPO |
$6,943.65
|
| Rate for Payer: BCN Medicare Advantage |
$6,943.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,943.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,943.65
|
| Rate for Payer: Mclaren Medicare |
$6,943.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,290.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,985.20
|
| Rate for Payer: PACE Medicare |
$6,596.47
|
| Rate for Payer: PACE SWMI |
$6,943.65
|
| Rate for Payer: PHP Commercial |
$7,638.02
|
| Rate for Payer: PHP Medicare Advantage |
$6,943.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,981.34
|
| Rate for Payer: Priority Health Medicare |
$6,943.65
|
| Rate for Payer: Priority Health Narrow Network |
$6,385.07
|
| Rate for Payer: Railroad Medicare Medicare |
$6,943.65
|
| Rate for Payer: UHC Medicare Advantage |
$7,151.96
|
| Rate for Payer: VA VA |
$6,943.65
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$23,287.91
|
|
|
Service Code
|
MS-DRG 717
|
| Min. Negotiated Rate |
$16,184.62 |
| Max. Negotiated Rate |
$23,287.91 |
| Rate for Payer: Aetna Medicare |
$17,036.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,295.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,295.55
|
| Rate for Payer: BCBS MAPPO |
$17,036.44
|
| Rate for Payer: BCN Medicare Advantage |
$17,036.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,036.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,036.44
|
| Rate for Payer: Mclaren Medicare |
$17,036.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17,888.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,591.91
|
| Rate for Payer: PACE Medicare |
$16,184.62
|
| Rate for Payer: PACE SWMI |
$17,036.44
|
| Rate for Payer: PHP Commercial |
$18,740.08
|
| Rate for Payer: PHP Medicare Advantage |
$17,036.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,287.91
|
| Rate for Payer: Priority Health Medicare |
$17,036.44
|
| Rate for Payer: Priority Health Narrow Network |
$18,630.33
|
| Rate for Payer: Railroad Medicare Medicare |
$17,036.44
|
| Rate for Payer: UHC Medicare Advantage |
$17,547.53
|
| Rate for Payer: VA VA |
$17,036.44
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$15,097.27
|
|
|
Service Code
|
MS-DRG 718
|
| Min. Negotiated Rate |
$11,053.94 |
| Max. Negotiated Rate |
$15,097.27 |
| Rate for Payer: Aetna Medicare |
$11,635.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,544.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,544.66
|
| Rate for Payer: BCBS MAPPO |
$11,635.73
|
| Rate for Payer: BCN Medicare Advantage |
$11,635.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,635.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,635.73
|
| Rate for Payer: Mclaren Medicare |
$11,635.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,217.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,381.09
|
| Rate for Payer: PACE Medicare |
$11,053.94
|
| Rate for Payer: PACE SWMI |
$11,635.73
|
| Rate for Payer: PHP Commercial |
$12,799.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,635.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,097.27
|
| Rate for Payer: Priority Health Medicare |
$11,635.73
|
| Rate for Payer: Priority Health Narrow Network |
$12,077.82
|
| Rate for Payer: Railroad Medicare Medicare |
$11,635.73
|
| Rate for Payer: UHC Medicare Advantage |
$11,984.80
|
| Rate for Payer: VA VA |
$11,635.73
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$28,344.30
|
|
|
Service Code
|
MS-DRG 715
|
| Min. Negotiated Rate |
$19,351.98 |
| Max. Negotiated Rate |
$28,344.30 |
| Rate for Payer: Aetna Medicare |
$20,370.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,463.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,463.14
|
| Rate for Payer: BCBS MAPPO |
$20,370.51
|
| Rate for Payer: BCN Medicare Advantage |
$20,370.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,370.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,370.51
|
| Rate for Payer: Mclaren Medicare |
$20,370.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21,389.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,426.09
|
| Rate for Payer: PACE Medicare |
$19,351.98
|
| Rate for Payer: PACE SWMI |
$20,370.51
|
| Rate for Payer: PHP Commercial |
$22,407.56
|
| Rate for Payer: PHP Medicare Advantage |
$20,370.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,344.30
|
| Rate for Payer: Priority Health Medicare |
$20,370.51
|
| Rate for Payer: Priority Health Narrow Network |
$22,675.44
|
| Rate for Payer: Railroad Medicare Medicare |
$20,370.51
|
| Rate for Payer: UHC Medicare Advantage |
$20,981.63
|
| Rate for Payer: VA VA |
$20,370.51
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$18,261.05
|
|
|
Service Code
|
MS-DRG 716
|
| Min. Negotiated Rate |
$13,035.76 |
| Max. Negotiated Rate |
$18,261.05 |
| Rate for Payer: Aetna Medicare |
$13,721.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,152.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,152.31
|
| Rate for Payer: BCBS MAPPO |
$13,721.85
|
| Rate for Payer: BCN Medicare Advantage |
$13,721.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,721.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,721.85
|
| Rate for Payer: Mclaren Medicare |
$13,721.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14,407.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,780.13
|
| Rate for Payer: PACE Medicare |
$13,035.76
|
| Rate for Payer: PACE SWMI |
$13,721.85
|
| Rate for Payer: PHP Commercial |
$15,094.04
|
| Rate for Payer: PHP Medicare Advantage |
$13,721.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,261.05
|
| Rate for Payer: Priority Health Medicare |
$13,721.85
|
| Rate for Payer: Priority Health Narrow Network |
$14,608.84
|
| Rate for Payer: Railroad Medicare Medicare |
$13,721.85
|
| Rate for Payer: UHC Medicare Advantage |
$14,133.51
|
| Rate for Payer: VA VA |
$13,721.85
|
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$16,635.50
|
|
|
Service Code
|
MS-DRG 887
|
| Min. Negotiated Rate |
$12,017.50 |
| Max. Negotiated Rate |
$16,635.50 |
| Rate for Payer: Aetna Medicare |
$12,650.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,812.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,812.50
|
| Rate for Payer: BCBS MAPPO |
$12,650.00
|
| Rate for Payer: BCN Medicare Advantage |
$12,650.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,650.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,650.00
|
| Rate for Payer: Mclaren Medicare |
$12,650.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13,282.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,547.50
|
| Rate for Payer: PACE Medicare |
$12,017.50
|
| Rate for Payer: PACE SWMI |
$12,650.00
|
| Rate for Payer: PHP Commercial |
$13,915.00
|
| Rate for Payer: PHP Medicare Advantage |
$12,650.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,635.50
|
| Rate for Payer: Priority Health Medicare |
$12,650.00
|
| Rate for Payer: Priority Health Narrow Network |
$13,308.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,650.00
|
| Rate for Payer: UHC Medicare Advantage |
$13,029.50
|
| Rate for Payer: VA VA |
$12,650.00
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$19,272.84
|
|
|
Service Code
|
MS-DRG 964
|
| Min. Negotiated Rate |
$13,669.54 |
| Max. Negotiated Rate |
$19,272.84 |
| Rate for Payer: Aetna Medicare |
$14,388.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,986.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,986.24
|
| Rate for Payer: BCBS MAPPO |
$14,388.99
|
| Rate for Payer: BCN Medicare Advantage |
$14,388.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,388.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,388.99
|
| Rate for Payer: Mclaren Medicare |
$14,388.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,108.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,547.34
|
| Rate for Payer: PACE Medicare |
$13,669.54
|
| Rate for Payer: PACE SWMI |
$14,388.99
|
| Rate for Payer: PHP Commercial |
$15,827.89
|
| Rate for Payer: PHP Medicare Advantage |
$14,388.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,272.84
|
| Rate for Payer: Priority Health Medicare |
$14,388.99
|
| Rate for Payer: Priority Health Narrow Network |
$15,418.27
|
| Rate for Payer: Railroad Medicare Medicare |
$14,388.99
|
| Rate for Payer: UHC Medicare Advantage |
$14,820.66
|
| Rate for Payer: VA VA |
$14,388.99
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$35,108.41
|
|
|
Service Code
|
MS-DRG 963
|
| Min. Negotiated Rate |
$23,589.08 |
| Max. Negotiated Rate |
$35,108.41 |
| Rate for Payer: Aetna Medicare |
$24,830.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,038.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,038.26
|
| Rate for Payer: BCBS MAPPO |
$24,830.61
|
| Rate for Payer: BCN Medicare Advantage |
$24,830.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,830.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,830.61
|
| Rate for Payer: Mclaren Medicare |
$24,830.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26,072.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,555.20
|
| Rate for Payer: PACE Medicare |
$23,589.08
|
| Rate for Payer: PACE SWMI |
$24,830.61
|
| Rate for Payer: PHP Commercial |
$27,313.67
|
| Rate for Payer: PHP Medicare Advantage |
$24,830.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,108.41
|
| Rate for Payer: Priority Health Medicare |
$24,830.61
|
| Rate for Payer: Priority Health Narrow Network |
$28,086.73
|
| Rate for Payer: Railroad Medicare Medicare |
$24,830.61
|
| Rate for Payer: UHC Medicare Advantage |
$25,575.53
|
| Rate for Payer: VA VA |
$24,830.61
|
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$12,273.76
|
|
|
Service Code
|
MS-DRG 965
|
| Min. Negotiated Rate |
$9,285.26 |
| Max. Negotiated Rate |
$12,273.76 |
| Rate for Payer: Aetna Medicare |
$9,773.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,217.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,217.45
|
| Rate for Payer: BCBS MAPPO |
$9,773.96
|
| Rate for Payer: BCN Medicare Advantage |
$9,773.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,773.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,773.96
|
| Rate for Payer: Mclaren Medicare |
$9,773.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,262.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,240.05
|
| Rate for Payer: PACE Medicare |
$9,285.26
|
| Rate for Payer: PACE SWMI |
$9,773.96
|
| Rate for Payer: PHP Commercial |
$10,751.36
|
| Rate for Payer: PHP Medicare Advantage |
$9,773.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,273.76
|
| Rate for Payer: Priority Health Medicare |
$9,773.96
|
| Rate for Payer: Priority Health Narrow Network |
$9,819.01
|
| Rate for Payer: Railroad Medicare Medicare |
$9,773.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,067.18
|
| Rate for Payer: VA VA |
$9,773.96
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,832.30
|
|
|
Service Code
|
MS-DRG 565
|
| Min. Negotiated Rate |
$9,635.15 |
| Max. Negotiated Rate |
$12,832.30 |
| Rate for Payer: Aetna Medicare |
$10,142.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,677.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,677.82
|
| Rate for Payer: BCBS MAPPO |
$10,142.26
|
| Rate for Payer: BCN Medicare Advantage |
$10,142.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,142.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,142.26
|
| Rate for Payer: Mclaren Medicare |
$10,142.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,649.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,663.60
|
| Rate for Payer: PACE Medicare |
$9,635.15
|
| Rate for Payer: PACE SWMI |
$10,142.26
|
| Rate for Payer: PHP Commercial |
$11,156.49
|
| Rate for Payer: PHP Medicare Advantage |
$10,142.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,832.30
|
| Rate for Payer: Priority Health Medicare |
$10,142.26
|
| Rate for Payer: Priority Health Narrow Network |
$10,265.84
|
| Rate for Payer: Railroad Medicare Medicare |
$10,142.26
|
| Rate for Payer: UHC Medicare Advantage |
$10,446.53
|
| Rate for Payer: VA VA |
$10,142.26
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$20,054.80
|
|
|
Service Code
|
MS-DRG 564
|
| Min. Negotiated Rate |
$14,159.37 |
| Max. Negotiated Rate |
$20,054.80 |
| Rate for Payer: Aetna Medicare |
$14,904.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,630.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,630.75
|
| Rate for Payer: BCBS MAPPO |
$14,904.60
|
| Rate for Payer: BCN Medicare Advantage |
$14,904.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,904.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,904.60
|
| Rate for Payer: Mclaren Medicare |
$14,904.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,649.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,140.29
|
| Rate for Payer: PACE Medicare |
$14,159.37
|
| Rate for Payer: PACE SWMI |
$14,904.60
|
| Rate for Payer: PHP Commercial |
$16,395.06
|
| Rate for Payer: PHP Medicare Advantage |
$14,904.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,054.80
|
| Rate for Payer: Priority Health Medicare |
$14,904.60
|
| Rate for Payer: Priority Health Narrow Network |
$16,043.84
|
| Rate for Payer: Railroad Medicare Medicare |
$14,904.60
|
| Rate for Payer: UHC Medicare Advantage |
$15,351.74
|
| Rate for Payer: VA VA |
$14,904.60
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,043.72
|
|
|
Service Code
|
MS-DRG 566
|
| Min. Negotiated Rate |
$7,633.23 |
| Max. Negotiated Rate |
$10,043.72 |
| Rate for Payer: Aetna Medicare |
$8,034.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,043.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,043.72
|
| Rate for Payer: BCBS MAPPO |
$8,034.98
|
| Rate for Payer: BCN Medicare Advantage |
$8,034.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,034.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,034.98
|
| Rate for Payer: Mclaren Medicare |
$8,034.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$8,436.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,240.23
|
| Rate for Payer: PACE Medicare |
$7,633.23
|
| Rate for Payer: PACE SWMI |
$8,034.98
|
| Rate for Payer: PHP Commercial |
$8,838.48
|
| Rate for Payer: PHP Medicare Advantage |
$8,034.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,636.42
|
| Rate for Payer: Priority Health Medicare |
$8,034.98
|
| Rate for Payer: Priority Health Narrow Network |
$7,709.14
|
| Rate for Payer: Railroad Medicare Medicare |
$8,034.98
|
| Rate for Payer: UHC Medicare Advantage |
$8,276.03
|
| Rate for Payer: VA VA |
$8,034.98
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$26,203.87
|
|
|
Service Code
|
MS-DRG 516
|
| Min. Negotiated Rate |
$18,011.20 |
| Max. Negotiated Rate |
$26,203.87 |
| Rate for Payer: Aetna Medicare |
$18,959.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,698.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,698.95
|
| Rate for Payer: BCBS MAPPO |
$18,959.16
|
| Rate for Payer: BCN Medicare Advantage |
$18,959.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,959.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,959.16
|
| Rate for Payer: Mclaren Medicare |
$18,959.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,907.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,803.03
|
| Rate for Payer: PACE Medicare |
$18,011.20
|
| Rate for Payer: PACE SWMI |
$18,959.16
|
| Rate for Payer: PHP Commercial |
$20,855.08
|
| Rate for Payer: PHP Medicare Advantage |
$18,959.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,203.87
|
| Rate for Payer: Priority Health Medicare |
$18,959.16
|
| Rate for Payer: Priority Health Narrow Network |
$20,963.10
|
| Rate for Payer: Railroad Medicare Medicare |
$18,959.16
|
| Rate for Payer: UHC Medicare Advantage |
$19,527.93
|
| Rate for Payer: VA VA |
$18,959.16
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$40,593.66
|
|
|
Service Code
|
MS-DRG 515
|
| Min. Negotiated Rate |
$27,025.09 |
| Max. Negotiated Rate |
$40,593.66 |
| Rate for Payer: Aetna Medicare |
$28,447.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,559.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,559.32
|
| Rate for Payer: BCBS MAPPO |
$28,447.46
|
| Rate for Payer: BCN Medicare Advantage |
$28,447.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,447.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,447.46
|
| Rate for Payer: Mclaren Medicare |
$28,447.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29,869.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,714.58
|
| Rate for Payer: PACE Medicare |
$27,025.09
|
| Rate for Payer: PACE SWMI |
$28,447.46
|
| Rate for Payer: PHP Commercial |
$31,292.21
|
| Rate for Payer: PHP Medicare Advantage |
$28,447.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,593.66
|
| Rate for Payer: Priority Health Medicare |
$28,447.46
|
| Rate for Payer: Priority Health Narrow Network |
$32,474.93
|
| Rate for Payer: Railroad Medicare Medicare |
$28,447.46
|
| Rate for Payer: UHC Medicare Advantage |
$29,300.88
|
| Rate for Payer: VA VA |
$28,447.46
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,188.10
|
|
|
Service Code
|
MS-DRG 517
|
| Min. Negotiated Rate |
$13,616.45 |
| Max. Negotiated Rate |
$19,188.10 |
| Rate for Payer: Aetna Medicare |
$14,333.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,916.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,916.39
|
| Rate for Payer: BCBS MAPPO |
$14,333.11
|
| Rate for Payer: BCN Medicare Advantage |
$14,333.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,333.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,333.11
|
| Rate for Payer: Mclaren Medicare |
$14,333.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15,049.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,483.08
|
| Rate for Payer: PACE Medicare |
$13,616.45
|
| Rate for Payer: PACE SWMI |
$14,333.11
|
| Rate for Payer: PHP Commercial |
$15,766.42
|
| Rate for Payer: PHP Medicare Advantage |
$14,333.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,188.10
|
| Rate for Payer: Priority Health Medicare |
$14,333.11
|
| Rate for Payer: Priority Health Narrow Network |
$15,350.48
|
| Rate for Payer: Railroad Medicare Medicare |
$14,333.11
|
| Rate for Payer: UHC Medicare Advantage |
$14,763.10
|
| Rate for Payer: VA VA |
$14,333.11
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$14,858.45
|
|
|
Service Code
|
MS-DRG 844
|
| Min. Negotiated Rate |
$10,904.34 |
| Max. Negotiated Rate |
$14,858.45 |
| Rate for Payer: Aetna Medicare |
$11,478.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,347.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,347.81
|
| Rate for Payer: BCBS MAPPO |
$11,478.25
|
| Rate for Payer: BCN Medicare Advantage |
$11,478.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,478.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,478.25
|
| Rate for Payer: Mclaren Medicare |
$11,478.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,052.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,199.99
|
| Rate for Payer: PACE Medicare |
$10,904.34
|
| Rate for Payer: PACE SWMI |
$11,478.25
|
| Rate for Payer: PHP Commercial |
$12,626.08
|
| Rate for Payer: PHP Medicare Advantage |
$11,478.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,858.45
|
| Rate for Payer: Priority Health Medicare |
$11,478.25
|
| Rate for Payer: Priority Health Narrow Network |
$11,886.76
|
| Rate for Payer: Railroad Medicare Medicare |
$11,478.25
|
| Rate for Payer: UHC Medicare Advantage |
$11,822.60
|
| Rate for Payer: VA VA |
$11,478.25
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$23,890.10
|
|
|
Service Code
|
MS-DRG 843
|
| Min. Negotiated Rate |
$16,561.83 |
| Max. Negotiated Rate |
$23,890.10 |
| Rate for Payer: Aetna Medicare |
$17,433.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,791.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,791.89
|
| Rate for Payer: BCBS MAPPO |
$17,433.51
|
| Rate for Payer: BCN Medicare Advantage |
$17,433.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,433.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,433.51
|
| Rate for Payer: Mclaren Medicare |
$17,433.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18,305.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,048.54
|
| Rate for Payer: PACE Medicare |
$16,561.83
|
| Rate for Payer: PACE SWMI |
$17,433.51
|
| Rate for Payer: PHP Commercial |
$19,176.86
|
| Rate for Payer: PHP Medicare Advantage |
$17,433.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,890.10
|
| Rate for Payer: Priority Health Medicare |
$17,433.51
|
| Rate for Payer: Priority Health Narrow Network |
$19,112.08
|
| Rate for Payer: Railroad Medicare Medicare |
$17,433.51
|
| Rate for Payer: UHC Medicare Advantage |
$17,956.52
|
| Rate for Payer: VA VA |
$17,433.51
|
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,254.39
|
|
|
Service Code
|
MS-DRG 845
|
| Min. Negotiated Rate |
$8,553.33 |
| Max. Negotiated Rate |
$11,254.39 |
| Rate for Payer: Aetna Medicare |
$9,003.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,254.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,254.39
|
| Rate for Payer: BCBS MAPPO |
$9,003.51
|
| Rate for Payer: BCN Medicare Advantage |
$9,003.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,003.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,003.51
|
| Rate for Payer: Mclaren Medicare |
$9,003.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9,453.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,354.04
|
| Rate for Payer: PACE Medicare |
$8,553.33
|
| Rate for Payer: PACE SWMI |
$9,003.51
|
| Rate for Payer: PHP Commercial |
$9,903.86
|
| Rate for Payer: PHP Medicare Advantage |
$9,003.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,105.32
|
| Rate for Payer: Priority Health Medicare |
$9,003.51
|
| Rate for Payer: Priority Health Narrow Network |
$8,884.26
|
| Rate for Payer: Railroad Medicare Medicare |
$9,003.51
|
| Rate for Payer: UHC Medicare Advantage |
$9,273.62
|
| Rate for Payer: VA VA |
$9,003.51
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$25,732.64
|
|
|
Service Code
|
MS-DRG 908
|
| Min. Negotiated Rate |
$17,716.02 |
| Max. Negotiated Rate |
$25,732.64 |
| Rate for Payer: Aetna Medicare |
$18,648.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,310.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,310.55
|
| Rate for Payer: BCBS MAPPO |
$18,648.44
|
| Rate for Payer: BCN Medicare Advantage |
$18,648.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,648.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,648.44
|
| Rate for Payer: Mclaren Medicare |
$18,648.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19,580.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,445.71
|
| Rate for Payer: PACE Medicare |
$17,716.02
|
| Rate for Payer: PACE SWMI |
$18,648.44
|
| Rate for Payer: PHP Commercial |
$20,513.28
|
| Rate for Payer: PHP Medicare Advantage |
$18,648.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,732.64
|
| Rate for Payer: Priority Health Medicare |
$18,648.44
|
| Rate for Payer: Priority Health Narrow Network |
$20,586.11
|
| Rate for Payer: Railroad Medicare Medicare |
$18,648.44
|
| Rate for Payer: UHC Medicare Advantage |
$19,207.89
|
| Rate for Payer: VA VA |
$18,648.44
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$47,758.38
|
|
|
Service Code
|
MS-DRG 907
|
| Min. Negotiated Rate |
$31,513.12 |
| Max. Negotiated Rate |
$47,758.38 |
| Rate for Payer: Aetna Medicare |
$33,171.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,464.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,464.62
|
| Rate for Payer: BCBS MAPPO |
$33,171.70
|
| Rate for Payer: BCN Medicare Advantage |
$33,171.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,171.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,171.70
|
| Rate for Payer: Mclaren Medicare |
$33,171.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34,830.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,147.46
|
| Rate for Payer: PACE Medicare |
$31,513.12
|
| Rate for Payer: PACE SWMI |
$33,171.70
|
| Rate for Payer: PHP Commercial |
$36,488.87
|
| Rate for Payer: PHP Medicare Advantage |
$33,171.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,758.38
|
| Rate for Payer: Priority Health Medicare |
$33,171.70
|
| Rate for Payer: Priority Health Narrow Network |
$38,206.70
|
| Rate for Payer: Railroad Medicare Medicare |
$33,171.70
|
| Rate for Payer: UHC Medicare Advantage |
$34,166.85
|
| Rate for Payer: VA VA |
$33,171.70
|
|
