|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$10,703.45
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$6,441.85 |
| Max. Negotiated Rate |
$10,703.45 |
| Rate for Payer: Aetna Medicare |
$6,905.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,631.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,631.81
|
| Rate for Payer: BCBS MAPPO |
$6,905.45
|
| Rate for Payer: BCN Medicare Advantage |
$6,905.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,905.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,905.45
|
| Rate for Payer: Mclaren Medicare |
$6,905.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,250.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,941.27
|
| Rate for Payer: PACE Medicare |
$6,560.18
|
| Rate for Payer: PACE SWMI |
$6,905.45
|
| Rate for Payer: PHP Commercial |
$7,596.00
|
| Rate for Payer: PHP Medicare Advantage |
$6,905.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,052.31
|
| Rate for Payer: Priority Health Medicare |
$6,905.45
|
| Rate for Payer: Priority Health Narrow Network |
$6,441.85
|
| Rate for Payer: Railroad Medicare Medicare |
$6,905.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,905.45
|
| Rate for Payer: UHC Exchange |
$10,703.45
|
| Rate for Payer: UHC Medicare Advantage |
$6,905.45
|
| Rate for Payer: UHCCP DNSP |
$6,905.45
|
| Rate for Payer: VA VA |
$6,905.45
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$70,185.77
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$43,017.08 |
| Max. Negotiated Rate |
$70,185.77 |
| Rate for Payer: Aetna Medicare |
$45,281.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,601.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,601.42
|
| Rate for Payer: BCBS MAPPO |
$45,281.14
|
| Rate for Payer: BCN Medicare Advantage |
$45,281.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,281.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$45,281.14
|
| Rate for Payer: Mclaren Medicare |
$45,281.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,545.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,073.31
|
| Rate for Payer: PACE Medicare |
$43,017.08
|
| Rate for Payer: PACE SWMI |
$45,281.14
|
| Rate for Payer: PHP Commercial |
$49,809.25
|
| Rate for Payer: PHP Medicare Advantage |
$45,281.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67,134.65
|
| Rate for Payer: Priority Health Medicare |
$45,281.14
|
| Rate for Payer: Priority Health Narrow Network |
$53,707.72
|
| Rate for Payer: Railroad Medicare Medicare |
$45,281.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,281.14
|
| Rate for Payer: UHC Exchange |
$70,185.77
|
| Rate for Payer: UHC Medicare Advantage |
$45,281.14
|
| Rate for Payer: UHCCP DNSP |
$45,281.14
|
| Rate for Payer: VA VA |
$45,281.14
|
|
|
MS-DRG 42.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$51,934.59
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$31,830.88 |
| Max. Negotiated Rate |
$51,934.59 |
| Rate for Payer: Aetna Medicare |
$33,506.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,882.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,882.74
|
| Rate for Payer: BCBS MAPPO |
$33,506.19
|
| Rate for Payer: BCN Medicare Advantage |
$33,506.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,506.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,506.19
|
| Rate for Payer: Mclaren Medicare |
$33,506.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,181.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,532.12
|
| Rate for Payer: PACE Medicare |
$31,830.88
|
| Rate for Payer: PACE SWMI |
$33,506.19
|
| Rate for Payer: PHP Commercial |
$36,856.81
|
| Rate for Payer: PHP Medicare Advantage |
$33,506.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,004.93
|
| Rate for Payer: Priority Health Medicare |
$33,506.19
|
| Rate for Payer: Priority Health Narrow Network |
$39,203.94
|
| Rate for Payer: Railroad Medicare Medicare |
$33,506.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,506.19
|
| Rate for Payer: UHC Exchange |
$51,934.59
|
| Rate for Payer: UHC Medicare Advantage |
$33,506.19
|
| Rate for Payer: UHCCP DNSP |
$33,506.19
|
| Rate for Payer: VA VA |
$33,506.19
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$11,229.02
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$6,859.51 |
| Max. Negotiated Rate |
$11,229.02 |
| Rate for Payer: Aetna Medicare |
$7,244.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,055.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,055.66
|
| Rate for Payer: BCBS MAPPO |
$7,244.53
|
| Rate for Payer: BCN Medicare Advantage |
$7,244.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,244.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,244.53
|
| Rate for Payer: Mclaren Medicare |
$7,244.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,606.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,331.21
|
| Rate for Payer: PACE Medicare |
$6,882.30
|
| Rate for Payer: PACE SWMI |
$7,244.53
|
| Rate for Payer: PHP Commercial |
$7,968.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,244.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,574.39
|
| Rate for Payer: Priority Health Medicare |
$7,244.53
|
| Rate for Payer: Priority Health Narrow Network |
$6,859.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,244.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,244.53
|
| Rate for Payer: UHC Exchange |
$11,229.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,244.53
|
| Rate for Payer: UHCCP DNSP |
$7,244.53
|
| Rate for Payer: VA VA |
$7,244.53
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$27,227.14
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$16,687.60 |
| Max. Negotiated Rate |
$27,227.14 |
| Rate for Payer: Aetna Medicare |
$17,565.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,957.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,957.38
|
| Rate for Payer: BCBS MAPPO |
$17,565.90
|
| Rate for Payer: BCN Medicare Advantage |
$17,565.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,565.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,565.90
|
| Rate for Payer: Mclaren Medicare |
$17,565.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,444.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,200.78
|
| Rate for Payer: PACE Medicare |
$16,687.60
|
| Rate for Payer: PACE SWMI |
$17,565.90
|
| Rate for Payer: PHP Commercial |
$19,322.49
|
| Rate for Payer: PHP Medicare Advantage |
$17,565.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,466.06
|
| Rate for Payer: Priority Health Medicare |
$17,565.90
|
| Rate for Payer: Priority Health Narrow Network |
$19,572.84
|
| Rate for Payer: Railroad Medicare Medicare |
$17,565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,565.90
|
| Rate for Payer: UHC Exchange |
$27,227.14
|
| Rate for Payer: UHC Medicare Advantage |
$17,565.90
|
| Rate for Payer: UHCCP DNSP |
$17,565.90
|
| Rate for Payer: VA VA |
$17,565.90
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$14,798.76
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$9,070.21 |
| Max. Negotiated Rate |
$14,798.76 |
| Rate for Payer: Aetna Medicare |
$9,547.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,934.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,934.49
|
| Rate for Payer: BCBS MAPPO |
$9,547.59
|
| Rate for Payer: BCN Medicare Advantage |
$9,547.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,547.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,547.59
|
| Rate for Payer: Mclaren Medicare |
$9,547.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,024.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,979.73
|
| Rate for Payer: PACE Medicare |
$9,070.21
|
| Rate for Payer: PACE SWMI |
$9,547.59
|
| Rate for Payer: PHP Commercial |
$10,502.35
|
| Rate for Payer: PHP Medicare Advantage |
$9,547.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,120.37
|
| Rate for Payer: Priority Health Medicare |
$9,547.59
|
| Rate for Payer: Priority Health Narrow Network |
$9,696.30
|
| Rate for Payer: Railroad Medicare Medicare |
$9,547.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,547.59
|
| Rate for Payer: UHC Exchange |
$14,798.76
|
| Rate for Payer: UHC Medicare Advantage |
$9,547.59
|
| Rate for Payer: UHCCP DNSP |
$9,547.59
|
| Rate for Payer: VA VA |
$9,547.59
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$22,622.87
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$13,865.63 |
| Max. Negotiated Rate |
$22,622.87 |
| Rate for Payer: Aetna Medicare |
$14,595.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,244.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,244.25
|
| Rate for Payer: BCBS MAPPO |
$14,595.40
|
| Rate for Payer: BCN Medicare Advantage |
$14,595.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,595.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,595.40
|
| Rate for Payer: Mclaren Medicare |
$14,595.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,325.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,784.71
|
| Rate for Payer: PACE Medicare |
$13,865.63
|
| Rate for Payer: PACE SWMI |
$14,595.40
|
| Rate for Payer: PHP Commercial |
$16,054.94
|
| Rate for Payer: PHP Medicare Advantage |
$14,595.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,892.41
|
| Rate for Payer: Priority Health Medicare |
$14,595.40
|
| Rate for Payer: Priority Health Narrow Network |
$15,913.93
|
| Rate for Payer: Railroad Medicare Medicare |
$14,595.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,595.40
|
| Rate for Payer: UHC Exchange |
$22,622.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,595.40
|
| Rate for Payer: UHCCP DNSP |
$14,595.40
|
| Rate for Payer: VA VA |
$14,595.40
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$26,633.80
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$16,323.94 |
| Max. Negotiated Rate |
$26,633.80 |
| Rate for Payer: Aetna Medicare |
$17,183.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,478.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,478.88
|
| Rate for Payer: BCBS MAPPO |
$17,183.10
|
| Rate for Payer: BCN Medicare Advantage |
$17,183.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,183.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,183.10
|
| Rate for Payer: Mclaren Medicare |
$17,183.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,042.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,760.56
|
| Rate for Payer: PACE Medicare |
$16,323.94
|
| Rate for Payer: PACE SWMI |
$17,183.10
|
| Rate for Payer: PHP Commercial |
$18,901.41
|
| Rate for Payer: PHP Medicare Advantage |
$17,183.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,875.29
|
| Rate for Payer: Priority Health Medicare |
$17,183.10
|
| Rate for Payer: Priority Health Narrow Network |
$19,100.23
|
| Rate for Payer: Railroad Medicare Medicare |
$17,183.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,183.10
|
| Rate for Payer: UHC Exchange |
$26,633.80
|
| Rate for Payer: UHC Medicare Advantage |
$17,183.10
|
| Rate for Payer: UHCCP DNSP |
$17,183.10
|
| Rate for Payer: VA VA |
$17,183.10
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$11,782.25
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$7,221.38 |
| Max. Negotiated Rate |
$11,782.25 |
| Rate for Payer: Aetna Medicare |
$7,601.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,501.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,501.81
|
| Rate for Payer: BCBS MAPPO |
$7,601.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,601.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,601.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,601.45
|
| Rate for Payer: Mclaren Medicare |
$7,601.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,981.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,741.67
|
| Rate for Payer: PACE Medicare |
$7,221.38
|
| Rate for Payer: PACE SWMI |
$7,601.45
|
| Rate for Payer: PHP Commercial |
$8,361.60
|
| Rate for Payer: PHP Medicare Advantage |
$7,601.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,122.56
|
| Rate for Payer: Priority Health Medicare |
$7,601.45
|
| Rate for Payer: Priority Health Narrow Network |
$7,298.05
|
| Rate for Payer: Railroad Medicare Medicare |
$7,601.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,601.45
|
| Rate for Payer: UHC Exchange |
$11,782.25
|
| Rate for Payer: UHC Medicare Advantage |
$7,601.45
|
| Rate for Payer: UHCCP DNSP |
$7,601.45
|
| Rate for Payer: VA VA |
$7,601.45
|
|
|
MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$183,806.11
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$112,655.36 |
| Max. Negotiated Rate |
$183,806.11 |
| Rate for Payer: Aetna Medicare |
$118,584.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$148,230.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$148,230.74
|
| Rate for Payer: BCBS MAPPO |
$118,584.59
|
| Rate for Payer: BCN Medicare Advantage |
$118,584.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118,584.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$118,584.59
|
| Rate for Payer: Mclaren Medicare |
$118,584.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124,513.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136,372.28
|
| Rate for Payer: PACE Medicare |
$112,655.36
|
| Rate for Payer: PACE SWMI |
$118,584.59
|
| Rate for Payer: PHP Commercial |
$130,443.05
|
| Rate for Payer: PHP Medicare Advantage |
$118,584.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179,990.64
|
| Rate for Payer: Priority Health Medicare |
$118,584.59
|
| Rate for Payer: Priority Health Narrow Network |
$143,992.52
|
| Rate for Payer: Railroad Medicare Medicare |
$118,584.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$118,584.59
|
| Rate for Payer: UHC Exchange |
$183,806.11
|
| Rate for Payer: UHC Medicare Advantage |
$118,584.59
|
| Rate for Payer: UHCCP DNSP |
$118,584.59
|
| Rate for Payer: VA VA |
$118,584.59
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$42,875.39
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$26,278.46 |
| Max. Negotiated Rate |
$42,875.39 |
| Rate for Payer: Aetna Medicare |
$27,661.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,576.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,576.92
|
| Rate for Payer: BCBS MAPPO |
$27,661.54
|
| Rate for Payer: BCN Medicare Advantage |
$27,661.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,661.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,661.54
|
| Rate for Payer: Mclaren Medicare |
$27,661.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,044.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,810.77
|
| Rate for Payer: PACE Medicare |
$26,278.46
|
| Rate for Payer: PACE SWMI |
$27,661.54
|
| Rate for Payer: PHP Commercial |
$30,427.69
|
| Rate for Payer: PHP Medicare Advantage |
$27,661.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,007.39
|
| Rate for Payer: Priority Health Medicare |
$27,661.54
|
| Rate for Payer: Priority Health Narrow Network |
$32,005.91
|
| Rate for Payer: Railroad Medicare Medicare |
$27,661.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,661.54
|
| Rate for Payer: UHC Exchange |
$42,875.39
|
| Rate for Payer: UHC Medicare Advantage |
$27,661.54
|
| Rate for Payer: UHCCP DNSP |
$27,661.54
|
| Rate for Payer: VA VA |
$27,661.54
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
|
IP
|
$72,261.76
|
|
|
Service Code
|
MSDRG 239
|
| Min. Negotiated Rate |
$44,289.47 |
| Max. Negotiated Rate |
$72,261.76 |
| Rate for Payer: Aetna Medicare |
$46,620.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,275.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,275.61
|
| Rate for Payer: BCBS MAPPO |
$46,620.49
|
| Rate for Payer: BCN Medicare Advantage |
$46,620.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,620.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,620.49
|
| Rate for Payer: Mclaren Medicare |
$46,620.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,951.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,613.56
|
| Rate for Payer: PACE Medicare |
$44,289.47
|
| Rate for Payer: PACE SWMI |
$46,620.49
|
| Rate for Payer: PHP Commercial |
$51,282.54
|
| Rate for Payer: PHP Medicare Advantage |
$46,620.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69,195.47
|
| Rate for Payer: Priority Health Medicare |
$46,620.49
|
| Rate for Payer: Priority Health Narrow Network |
$55,356.37
|
| Rate for Payer: Railroad Medicare Medicare |
$46,620.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,620.49
|
| Rate for Payer: UHC Exchange |
$72,261.76
|
| Rate for Payer: UHC Medicare Advantage |
$46,620.49
|
| Rate for Payer: UHCCP DNSP |
$46,620.49
|
| Rate for Payer: VA VA |
$46,620.49
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
|
IP
|
$23,480.38
|
|
|
Service Code
|
MSDRG 241
|
| Min. Negotiated Rate |
$14,391.20 |
| Max. Negotiated Rate |
$23,480.38 |
| Rate for Payer: Aetna Medicare |
$15,148.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,935.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,935.79
|
| Rate for Payer: BCBS MAPPO |
$15,148.63
|
| Rate for Payer: BCN Medicare Advantage |
$15,148.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,148.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,148.63
|
| Rate for Payer: Mclaren Medicare |
$15,148.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,906.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,420.92
|
| Rate for Payer: PACE Medicare |
$14,391.20
|
| Rate for Payer: PACE SWMI |
$15,148.63
|
| Rate for Payer: PHP Commercial |
$16,663.49
|
| Rate for Payer: PHP Medicare Advantage |
$15,148.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,742.84
|
| Rate for Payer: Priority Health Medicare |
$15,148.63
|
| Rate for Payer: Priority Health Narrow Network |
$16,594.27
|
| Rate for Payer: Railroad Medicare Medicare |
$15,148.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,148.63
|
| Rate for Payer: UHC Exchange |
$23,480.38
|
| Rate for Payer: UHC Medicare Advantage |
$15,148.63
|
| Rate for Payer: UHCCP DNSP |
$15,148.63
|
| Rate for Payer: VA VA |
$15,148.63
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$32,434.46
|
|
|
Service Code
|
MSDRG 475
|
| Min. Negotiated Rate |
$19,879.19 |
| Max. Negotiated Rate |
$32,434.46 |
| Rate for Payer: Aetna Medicare |
$20,925.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,156.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,156.82
|
| Rate for Payer: BCBS MAPPO |
$20,925.46
|
| Rate for Payer: BCN Medicare Advantage |
$20,925.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,925.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,925.46
|
| Rate for Payer: Mclaren Medicare |
$20,925.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,971.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,064.28
|
| Rate for Payer: PACE Medicare |
$19,879.19
|
| Rate for Payer: PACE SWMI |
$20,925.46
|
| Rate for Payer: PHP Commercial |
$23,018.01
|
| Rate for Payer: PHP Medicare Advantage |
$20,925.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,635.97
|
| Rate for Payer: Priority Health Medicare |
$20,925.46
|
| Rate for Payer: Priority Health Narrow Network |
$23,708.77
|
| Rate for Payer: Railroad Medicare Medicare |
$20,925.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,925.46
|
| Rate for Payer: UHC Exchange |
$32,434.46
|
| Rate for Payer: UHC Medicare Advantage |
$20,925.46
|
| Rate for Payer: UHCCP DNSP |
$20,925.46
|
| Rate for Payer: VA VA |
$20,925.46
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$64,624.37
|
|
|
Service Code
|
MSDRG 474
|
| Min. Negotiated Rate |
$39,608.48 |
| Max. Negotiated Rate |
$64,624.37 |
| Rate for Payer: Aetna Medicare |
$41,693.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,116.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,116.42
|
| Rate for Payer: BCBS MAPPO |
$41,693.14
|
| Rate for Payer: BCN Medicare Advantage |
$41,693.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,693.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$41,693.14
|
| Rate for Payer: Mclaren Medicare |
$41,693.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,777.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,947.11
|
| Rate for Payer: PACE Medicare |
$39,608.48
|
| Rate for Payer: PACE SWMI |
$41,693.14
|
| Rate for Payer: PHP Commercial |
$45,862.45
|
| Rate for Payer: PHP Medicare Advantage |
$41,693.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,610.27
|
| Rate for Payer: Priority Health Medicare |
$41,693.14
|
| Rate for Payer: Priority Health Narrow Network |
$49,288.22
|
| Rate for Payer: Railroad Medicare Medicare |
$41,693.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,693.14
|
| Rate for Payer: UHC Exchange |
$64,624.37
|
| Rate for Payer: UHC Medicare Advantage |
$41,693.14
|
| Rate for Payer: UHCCP DNSP |
$41,693.14
|
| Rate for Payer: VA VA |
$41,693.14
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,683.84
|
|
|
Service Code
|
MSDRG 476
|
| Min. Negotiated Rate |
$11,451.39 |
| Max. Negotiated Rate |
$18,683.84 |
| Rate for Payer: Aetna Medicare |
$12,054.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,067.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,067.61
|
| Rate for Payer: BCBS MAPPO |
$12,054.09
|
| Rate for Payer: BCN Medicare Advantage |
$12,054.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,054.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,054.09
|
| Rate for Payer: Mclaren Medicare |
$12,054.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,656.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,862.20
|
| Rate for Payer: PACE Medicare |
$11,451.39
|
| Rate for Payer: PACE SWMI |
$12,054.09
|
| Rate for Payer: PHP Commercial |
$13,259.50
|
| Rate for Payer: PHP Medicare Advantage |
$12,054.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,978.22
|
| Rate for Payer: Priority Health Medicare |
$12,054.09
|
| Rate for Payer: Priority Health Narrow Network |
$12,782.58
|
| Rate for Payer: Railroad Medicare Medicare |
$12,054.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,054.09
|
| Rate for Payer: UHC Exchange |
$18,683.84
|
| Rate for Payer: UHC Medicare Advantage |
$12,054.09
|
| Rate for Payer: UHCCP DNSP |
$12,054.09
|
| Rate for Payer: VA VA |
$12,054.09
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$29,312.84
|
|
|
Service Code
|
MSDRG 617
|
| Min. Negotiated Rate |
$17,965.93 |
| Max. Negotiated Rate |
$29,312.84 |
| Rate for Payer: Aetna Medicare |
$18,911.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,639.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,639.39
|
| Rate for Payer: BCBS MAPPO |
$18,911.51
|
| Rate for Payer: BCN Medicare Advantage |
$18,911.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,911.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,911.51
|
| Rate for Payer: Mclaren Medicare |
$18,911.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,857.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,748.24
|
| Rate for Payer: PACE Medicare |
$17,965.93
|
| Rate for Payer: PACE SWMI |
$18,911.51
|
| Rate for Payer: PHP Commercial |
$20,802.66
|
| Rate for Payer: PHP Medicare Advantage |
$18,911.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,546.11
|
| Rate for Payer: Priority Health Medicare |
$18,911.51
|
| Rate for Payer: Priority Health Narrow Network |
$21,236.89
|
| Rate for Payer: Railroad Medicare Medicare |
$18,911.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,911.51
|
| Rate for Payer: UHC Exchange |
$29,312.84
|
| Rate for Payer: UHC Medicare Advantage |
$18,911.51
|
| Rate for Payer: UHCCP DNSP |
$18,911.51
|
| Rate for Payer: VA VA |
$18,911.51
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$56,053.39
|
|
|
Service Code
|
MSDRG 616
|
| Min. Negotiated Rate |
$34,355.31 |
| Max. Negotiated Rate |
$56,053.39 |
| Rate for Payer: Aetna Medicare |
$36,163.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,204.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,204.35
|
| Rate for Payer: BCBS MAPPO |
$36,163.48
|
| Rate for Payer: BCN Medicare Advantage |
$36,163.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,163.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,163.48
|
| Rate for Payer: Mclaren Medicare |
$36,163.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,971.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,588.00
|
| Rate for Payer: PACE Medicare |
$34,355.31
|
| Rate for Payer: PACE SWMI |
$36,163.48
|
| Rate for Payer: PHP Commercial |
$39,779.83
|
| Rate for Payer: PHP Medicare Advantage |
$36,163.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,099.09
|
| Rate for Payer: Priority Health Medicare |
$36,163.48
|
| Rate for Payer: Priority Health Narrow Network |
$42,479.27
|
| Rate for Payer: Railroad Medicare Medicare |
$36,163.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,163.48
|
| Rate for Payer: UHC Exchange |
$56,053.39
|
| Rate for Payer: UHC Medicare Advantage |
$36,163.48
|
| Rate for Payer: UHCCP DNSP |
$36,163.48
|
| Rate for Payer: VA VA |
$36,163.48
|
|
|
MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,998.26
|
|
|
Service Code
|
MSDRG 618
|
| Min. Negotiated Rate |
$11,644.09 |
| Max. Negotiated Rate |
$18,998.26 |
| Rate for Payer: Aetna Medicare |
$12,256.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,321.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,321.18
|
| Rate for Payer: BCBS MAPPO |
$12,256.94
|
| Rate for Payer: BCN Medicare Advantage |
$12,256.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,256.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,256.94
|
| Rate for Payer: Mclaren Medicare |
$12,256.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,869.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,095.48
|
| Rate for Payer: PACE Medicare |
$11,644.09
|
| Rate for Payer: PACE SWMI |
$12,256.94
|
| Rate for Payer: PHP Commercial |
$13,482.63
|
| Rate for Payer: PHP Medicare Advantage |
$12,256.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,104.81
|
| Rate for Payer: Priority Health Medicare |
$12,256.94
|
| Rate for Payer: Priority Health Narrow Network |
$13,683.84
|
| Rate for Payer: Railroad Medicare Medicare |
$12,256.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,256.94
|
| Rate for Payer: UHC Exchange |
$18,998.26
|
| Rate for Payer: UHC Medicare Advantage |
$12,256.94
|
| Rate for Payer: UHCCP DNSP |
$12,256.94
|
| Rate for Payer: VA VA |
$12,256.94
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
|
IP
|
$20,008.86
|
|
|
Service Code
|
MSDRG 348
|
| Min. Negotiated Rate |
$12,263.49 |
| Max. Negotiated Rate |
$20,008.86 |
| Rate for Payer: Aetna Medicare |
$12,908.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,136.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,136.18
|
| Rate for Payer: BCBS MAPPO |
$12,908.94
|
| Rate for Payer: BCN Medicare Advantage |
$12,908.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,908.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,908.94
|
| Rate for Payer: Mclaren Medicare |
$12,908.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,554.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,845.28
|
| Rate for Payer: PACE Medicare |
$12,263.49
|
| Rate for Payer: PACE SWMI |
$12,908.94
|
| Rate for Payer: PHP Commercial |
$14,199.83
|
| Rate for Payer: PHP Medicare Advantage |
$12,908.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,294.40
|
| Rate for Payer: Priority Health Medicare |
$12,908.94
|
| Rate for Payer: Priority Health Narrow Network |
$13,835.52
|
| Rate for Payer: Railroad Medicare Medicare |
$12,908.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,908.94
|
| Rate for Payer: UHC Exchange |
$20,008.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,908.94
|
| Rate for Payer: UHCCP DNSP |
$12,908.94
|
| Rate for Payer: VA VA |
$12,908.94
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$35,332.06
|
|
|
Service Code
|
MSDRG 347
|
| Min. Negotiated Rate |
$21,655.14 |
| Max. Negotiated Rate |
$35,332.06 |
| Rate for Payer: Aetna Medicare |
$22,794.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,493.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,493.60
|
| Rate for Payer: BCBS MAPPO |
$22,794.88
|
| Rate for Payer: BCN Medicare Advantage |
$22,794.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,794.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,794.88
|
| Rate for Payer: Mclaren Medicare |
$22,794.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,934.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,214.11
|
| Rate for Payer: PACE Medicare |
$21,655.14
|
| Rate for Payer: PACE SWMI |
$22,794.88
|
| Rate for Payer: PHP Commercial |
$25,074.37
|
| Rate for Payer: PHP Medicare Advantage |
$22,794.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,514.24
|
| Rate for Payer: Priority Health Medicare |
$22,794.88
|
| Rate for Payer: Priority Health Narrow Network |
$26,011.40
|
| Rate for Payer: Railroad Medicare Medicare |
$22,794.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,794.88
|
| Rate for Payer: UHC Exchange |
$35,332.06
|
| Rate for Payer: UHC Medicare Advantage |
$22,794.88
|
| Rate for Payer: UHCCP DNSP |
$22,794.88
|
| Rate for Payer: VA VA |
$22,794.88
|
|
|
MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,780.78
|
|
|
Service Code
|
MSDRG 349
|
| Min. Negotiated Rate |
$9,059.19 |
| Max. Negotiated Rate |
$14,780.78 |
| Rate for Payer: Aetna Medicare |
$9,535.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,919.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,919.99
|
| Rate for Payer: BCBS MAPPO |
$9,535.99
|
| Rate for Payer: BCN Medicare Advantage |
$9,535.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,535.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,535.99
|
| Rate for Payer: Mclaren Medicare |
$9,535.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,012.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,966.39
|
| Rate for Payer: PACE Medicare |
$9,059.19
|
| Rate for Payer: PACE SWMI |
$9,535.99
|
| Rate for Payer: PHP Commercial |
$10,489.59
|
| Rate for Payer: PHP Medicare Advantage |
$9,535.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,102.51
|
| Rate for Payer: Priority Health Medicare |
$9,535.99
|
| Rate for Payer: Priority Health Narrow Network |
$9,682.01
|
| Rate for Payer: Railroad Medicare Medicare |
$9,535.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,535.99
|
| Rate for Payer: UHC Exchange |
$14,780.78
|
| Rate for Payer: UHC Medicare Advantage |
$9,535.99
|
| Rate for Payer: UHCCP DNSP |
$9,535.99
|
| Rate for Payer: VA VA |
$9,535.99
|
|
|
MS-DRG 42.00: ANGINA PECTORIS
|
Facility
|
IP
|
$12,255.28
|
|
|
Service Code
|
MSDRG 311
|
| Min. Negotiated Rate |
$7,511.30 |
| Max. Negotiated Rate |
$12,255.28 |
| Rate for Payer: Aetna Medicare |
$7,906.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,883.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,883.29
|
| Rate for Payer: BCBS MAPPO |
$7,906.63
|
| Rate for Payer: BCN Medicare Advantage |
$7,906.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,906.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,906.63
|
| Rate for Payer: Mclaren Medicare |
$7,906.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,301.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,092.62
|
| Rate for Payer: PACE Medicare |
$7,511.30
|
| Rate for Payer: PACE SWMI |
$7,906.63
|
| Rate for Payer: PHP Commercial |
$8,697.29
|
| Rate for Payer: PHP Medicare Advantage |
$7,906.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,596.55
|
| Rate for Payer: Priority Health Medicare |
$7,906.63
|
| Rate for Payer: Priority Health Narrow Network |
$7,677.24
|
| Rate for Payer: Railroad Medicare Medicare |
$7,906.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,906.63
|
| Rate for Payer: UHC Exchange |
$12,255.28
|
| Rate for Payer: UHC Medicare Advantage |
$7,906.63
|
| Rate for Payer: UHCCP DNSP |
$7,906.63
|
| Rate for Payer: VA VA |
$7,906.63
|
|
|
MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
|
Facility
|
IP
|
$94,815.72
|
|
|
Service Code
|
MSDRG 268
|
| Min. Negotiated Rate |
$58,112.86 |
| Max. Negotiated Rate |
$94,815.72 |
| Rate for Payer: Aetna Medicare |
$61,171.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76,464.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76,464.29
|
| Rate for Payer: BCBS MAPPO |
$61,171.43
|
| Rate for Payer: BCN Medicare Advantage |
$61,171.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61,171.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$61,171.43
|
| Rate for Payer: Mclaren Medicare |
$61,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64,230.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70,347.14
|
| Rate for Payer: PACE Medicare |
$58,112.86
|
| Rate for Payer: PACE SWMI |
$61,171.43
|
| Rate for Payer: PHP Commercial |
$67,288.57
|
| Rate for Payer: PHP Medicare Advantage |
$61,171.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91,599.33
|
| Rate for Payer: Priority Health Medicare |
$61,171.43
|
| Rate for Payer: Priority Health Narrow Network |
$73,279.46
|
| Rate for Payer: Railroad Medicare Medicare |
$61,171.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$61,171.43
|
| Rate for Payer: UHC Exchange |
$94,815.72
|
| Rate for Payer: UHC Medicare Advantage |
$61,171.43
|
| Rate for Payer: UHCCP DNSP |
$61,171.43
|
| Rate for Payer: VA VA |
$61,171.43
|
|
|
MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
|
Facility
|
IP
|
$60,143.18
|
|
|
Service Code
|
MSDRG 269
|
| Min. Negotiated Rate |
$36,861.95 |
| Max. Negotiated Rate |
$60,143.18 |
| Rate for Payer: Aetna Medicare |
$38,802.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,502.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,502.56
|
| Rate for Payer: BCBS MAPPO |
$38,802.05
|
| Rate for Payer: BCN Medicare Advantage |
$38,802.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,802.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,802.05
|
| Rate for Payer: Mclaren Medicare |
$38,802.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,742.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,622.36
|
| Rate for Payer: PACE Medicare |
$36,861.95
|
| Rate for Payer: PACE SWMI |
$38,802.05
|
| Rate for Payer: PHP Commercial |
$42,682.26
|
| Rate for Payer: PHP Medicare Advantage |
$38,802.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,158.90
|
| Rate for Payer: Priority Health Medicare |
$38,802.05
|
| Rate for Payer: Priority Health Narrow Network |
$45,727.12
|
| Rate for Payer: Railroad Medicare Medicare |
$38,802.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,802.05
|
| Rate for Payer: UHC Exchange |
$60,143.18
|
| Rate for Payer: UHC Medicare Advantage |
$38,802.05
|
| Rate for Payer: UHCCP DNSP |
$38,802.05
|
| Rate for Payer: VA VA |
$38,802.05
|
|
