|
MS-DRG 42.00: APPENDIX PROCEDURES WITH CC
|
Facility
|
IP
|
$23,526.04
|
|
|
Service Code
|
MSDRG 398
|
| Min. Negotiated Rate |
$14,419.19 |
| Max. Negotiated Rate |
$23,526.04 |
| Rate for Payer: Aetna Medicare |
$15,178.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,972.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,972.61
|
| Rate for Payer: BCBS MAPPO |
$15,178.09
|
| Rate for Payer: BCN Medicare Advantage |
$15,178.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,178.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,178.09
|
| Rate for Payer: Mclaren Medicare |
$15,178.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,936.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,454.80
|
| Rate for Payer: PACE Medicare |
$14,419.19
|
| Rate for Payer: PACE SWMI |
$15,178.09
|
| Rate for Payer: PHP Commercial |
$16,695.90
|
| Rate for Payer: PHP Medicare Advantage |
$15,178.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,790.93
|
| Rate for Payer: Priority Health Medicare |
$15,178.09
|
| Rate for Payer: Priority Health Narrow Network |
$16,632.74
|
| Rate for Payer: Railroad Medicare Medicare |
$15,178.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,178.09
|
| Rate for Payer: UHC Exchange |
$23,526.04
|
| Rate for Payer: UHC Medicare Advantage |
$15,178.09
|
| Rate for Payer: UHCCP DNSP |
$15,178.09
|
| Rate for Payer: VA VA |
$15,178.09
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,867.26
|
|
|
Service Code
|
MSDRG 397
|
| Min. Negotiated Rate |
$22,596.06 |
| Max. Negotiated Rate |
$36,867.26 |
| Rate for Payer: Aetna Medicare |
$23,785.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,731.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,731.66
|
| Rate for Payer: BCBS MAPPO |
$23,785.33
|
| Rate for Payer: BCN Medicare Advantage |
$23,785.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,785.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,785.33
|
| Rate for Payer: Mclaren Medicare |
$23,785.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,974.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,353.13
|
| Rate for Payer: PACE Medicare |
$22,596.06
|
| Rate for Payer: PACE SWMI |
$23,785.33
|
| Rate for Payer: PHP Commercial |
$26,163.86
|
| Rate for Payer: PHP Medicare Advantage |
$23,785.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,039.25
|
| Rate for Payer: Priority Health Medicare |
$23,785.33
|
| Rate for Payer: Priority Health Narrow Network |
$27,231.40
|
| Rate for Payer: Railroad Medicare Medicare |
$23,785.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,785.33
|
| Rate for Payer: UHC Exchange |
$36,867.26
|
| Rate for Payer: UHC Medicare Advantage |
$23,785.33
|
| Rate for Payer: UHCCP DNSP |
$23,785.33
|
| Rate for Payer: VA VA |
$23,785.33
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,140.29
|
|
|
Service Code
|
MSDRG 399
|
| Min. Negotiated Rate |
$11,118.24 |
| Max. Negotiated Rate |
$18,140.29 |
| Rate for Payer: Aetna Medicare |
$11,703.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,629.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,629.26
|
| Rate for Payer: BCBS MAPPO |
$11,703.41
|
| Rate for Payer: BCN Medicare Advantage |
$11,703.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,703.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,703.41
|
| Rate for Payer: Mclaren Medicare |
$11,703.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,288.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,458.92
|
| Rate for Payer: PACE Medicare |
$11,118.24
|
| Rate for Payer: PACE SWMI |
$11,703.41
|
| Rate for Payer: PHP Commercial |
$12,873.75
|
| Rate for Payer: PHP Medicare Advantage |
$11,703.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,443.79
|
| Rate for Payer: Priority Health Medicare |
$11,703.41
|
| Rate for Payer: Priority Health Narrow Network |
$12,355.03
|
| Rate for Payer: Railroad Medicare Medicare |
$11,703.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,703.41
|
| Rate for Payer: UHC Exchange |
$18,140.29
|
| Rate for Payer: UHC Medicare Advantage |
$11,703.41
|
| Rate for Payer: UHCCP DNSP |
$11,703.41
|
| Rate for Payer: VA VA |
$11,703.41
|
|
|
MS-DRG 42.00: ARTHROSCOPY
|
Facility
|
IP
|
$26,893.83
|
|
|
Service Code
|
MSDRG 509
|
| Min. Negotiated Rate |
$16,483.32 |
| Max. Negotiated Rate |
$26,893.83 |
| Rate for Payer: Aetna Medicare |
$17,350.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,688.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,688.58
|
| Rate for Payer: BCBS MAPPO |
$17,350.86
|
| Rate for Payer: BCN Medicare Advantage |
$17,350.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,350.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,350.86
|
| Rate for Payer: Mclaren Medicare |
$17,350.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,218.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,953.49
|
| Rate for Payer: PACE Medicare |
$16,483.32
|
| Rate for Payer: PACE SWMI |
$17,350.86
|
| Rate for Payer: PHP Commercial |
$19,085.95
|
| Rate for Payer: PHP Medicare Advantage |
$17,350.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,132.20
|
| Rate for Payer: Priority Health Medicare |
$17,350.86
|
| Rate for Payer: Priority Health Narrow Network |
$19,305.76
|
| Rate for Payer: Railroad Medicare Medicare |
$17,350.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,350.86
|
| Rate for Payer: UHC Exchange |
$26,893.83
|
| Rate for Payer: UHC Medicare Advantage |
$17,350.86
|
| Rate for Payer: UHCCP DNSP |
$17,350.86
|
| Rate for Payer: VA VA |
$17,350.86
|
|
|
MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC
|
Facility
|
IP
|
$18,686.61
|
|
|
Service Code
|
MSDRG 302
|
| Min. Negotiated Rate |
$11,453.09 |
| Max. Negotiated Rate |
$18,686.61 |
| Rate for Payer: Aetna Medicare |
$12,055.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,069.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,069.85
|
| Rate for Payer: BCBS MAPPO |
$12,055.88
|
| Rate for Payer: BCN Medicare Advantage |
$12,055.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,055.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,055.88
|
| Rate for Payer: Mclaren Medicare |
$12,055.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,658.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,864.26
|
| Rate for Payer: PACE Medicare |
$11,453.09
|
| Rate for Payer: PACE SWMI |
$12,055.88
|
| Rate for Payer: PHP Commercial |
$13,261.47
|
| Rate for Payer: PHP Medicare Advantage |
$12,055.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,980.97
|
| Rate for Payer: Priority Health Medicare |
$12,055.88
|
| Rate for Payer: Priority Health Narrow Network |
$12,784.78
|
| Rate for Payer: Railroad Medicare Medicare |
$12,055.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,055.88
|
| Rate for Payer: UHC Exchange |
$18,686.61
|
| Rate for Payer: UHC Medicare Advantage |
$12,055.88
|
| Rate for Payer: UHCCP DNSP |
$12,055.88
|
| Rate for Payer: VA VA |
$12,055.88
|
|
|
MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC
|
Facility
|
IP
|
$11,897.04
|
|
|
Service Code
|
MSDRG 303
|
| Min. Negotiated Rate |
$7,291.73 |
| Max. Negotiated Rate |
$11,897.04 |
| Rate for Payer: Aetna Medicare |
$7,675.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,594.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,594.39
|
| Rate for Payer: BCBS MAPPO |
$7,675.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,675.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,675.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,675.51
|
| Rate for Payer: Mclaren Medicare |
$7,675.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,059.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,826.84
|
| Rate for Payer: PACE Medicare |
$7,291.73
|
| Rate for Payer: PACE SWMI |
$7,675.51
|
| Rate for Payer: PHP Commercial |
$8,443.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,675.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,237.97
|
| Rate for Payer: Priority Health Medicare |
$7,675.51
|
| Rate for Payer: Priority Health Narrow Network |
$7,390.38
|
| Rate for Payer: Railroad Medicare Medicare |
$7,675.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,675.51
|
| Rate for Payer: UHC Exchange |
$11,897.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,675.51
|
| Rate for Payer: UHCCP DNSP |
$7,675.51
|
| Rate for Payer: VA VA |
$7,675.51
|
|
|
MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
|
Facility
|
IP
|
$86,078.78
|
|
|
Service Code
|
MSDRG 016
|
| Min. Negotiated Rate |
$52,757.96 |
| Max. Negotiated Rate |
$86,078.78 |
| Rate for Payer: Aetna Medicare |
$55,534.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69,418.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69,418.38
|
| Rate for Payer: BCBS MAPPO |
$55,534.70
|
| Rate for Payer: BCN Medicare Advantage |
$55,534.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,534.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$55,534.70
|
| Rate for Payer: Mclaren Medicare |
$55,534.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,311.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,864.90
|
| Rate for Payer: PACE Medicare |
$52,757.96
|
| Rate for Payer: PACE SWMI |
$55,534.70
|
| Rate for Payer: PHP Commercial |
$61,088.17
|
| Rate for Payer: PHP Medicare Advantage |
$55,534.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82,920.53
|
| Rate for Payer: Priority Health Medicare |
$55,534.70
|
| Rate for Payer: Priority Health Narrow Network |
$66,336.42
|
| Rate for Payer: Railroad Medicare Medicare |
$55,534.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,534.70
|
| Rate for Payer: UHC Exchange |
$86,078.78
|
| Rate for Payer: UHC Medicare Advantage |
$55,534.70
|
| Rate for Payer: UHCCP DNSP |
$55,534.70
|
| Rate for Payer: VA VA |
$55,534.70
|
|
|
MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$86,078.78
|
|
|
Service Code
|
MSDRG 017
|
| Min. Negotiated Rate |
$52,757.96 |
| Max. Negotiated Rate |
$86,078.78 |
| Rate for Payer: Aetna Medicare |
$55,534.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69,418.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69,418.38
|
| Rate for Payer: BCBS MAPPO |
$55,534.70
|
| Rate for Payer: BCN Medicare Advantage |
$55,534.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,534.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$55,534.70
|
| Rate for Payer: Mclaren Medicare |
$55,534.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,311.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,864.90
|
| Rate for Payer: PACE Medicare |
$52,757.96
|
| Rate for Payer: PACE SWMI |
$55,534.70
|
| Rate for Payer: PHP Commercial |
$61,088.17
|
| Rate for Payer: PHP Medicare Advantage |
$55,534.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82,920.53
|
| Rate for Payer: Priority Health Medicare |
$55,534.70
|
| Rate for Payer: Priority Health Narrow Network |
$66,336.42
|
| Rate for Payer: Railroad Medicare Medicare |
$55,534.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,534.70
|
| Rate for Payer: UHC Exchange |
$86,078.78
|
| Rate for Payer: UHC Medicare Advantage |
$55,534.70
|
| Rate for Payer: UHCCP DNSP |
$55,534.70
|
| Rate for Payer: VA VA |
$55,534.70
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
|
Facility
|
IP
|
$29,870.22
|
|
|
Service Code
|
MSDRG 519
|
| Min. Negotiated Rate |
$18,307.55 |
| Max. Negotiated Rate |
$29,870.22 |
| Rate for Payer: Aetna Medicare |
$19,271.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,088.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,088.89
|
| Rate for Payer: BCBS MAPPO |
$19,271.11
|
| Rate for Payer: BCN Medicare Advantage |
$19,271.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,271.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,271.11
|
| Rate for Payer: Mclaren Medicare |
$19,271.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,234.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,161.78
|
| Rate for Payer: PACE Medicare |
$18,307.55
|
| Rate for Payer: PACE SWMI |
$19,271.11
|
| Rate for Payer: PHP Commercial |
$21,198.22
|
| Rate for Payer: PHP Medicare Advantage |
$19,271.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,088.79
|
| Rate for Payer: Priority Health Medicare |
$19,271.11
|
| Rate for Payer: Priority Health Narrow Network |
$21,671.03
|
| Rate for Payer: Railroad Medicare Medicare |
$19,271.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,271.11
|
| Rate for Payer: UHC Exchange |
$29,870.22
|
| Rate for Payer: UHC Medicare Advantage |
$19,271.11
|
| Rate for Payer: UHCCP DNSP |
$19,271.11
|
| Rate for Payer: VA VA |
$19,271.11
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
|
Facility
|
IP
|
$52,166.92
|
|
|
Service Code
|
MSDRG 518
|
| Min. Negotiated Rate |
$31,973.28 |
| Max. Negotiated Rate |
$52,166.92 |
| Rate for Payer: Aetna Medicare |
$33,656.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,070.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,070.10
|
| Rate for Payer: BCBS MAPPO |
$33,656.08
|
| Rate for Payer: BCN Medicare Advantage |
$33,656.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,656.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,656.08
|
| Rate for Payer: Mclaren Medicare |
$33,656.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,338.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,704.49
|
| Rate for Payer: PACE Medicare |
$31,973.28
|
| Rate for Payer: PACE SWMI |
$33,656.08
|
| Rate for Payer: PHP Commercial |
$37,021.69
|
| Rate for Payer: PHP Medicare Advantage |
$33,656.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,237.11
|
| Rate for Payer: Priority Health Medicare |
$33,656.08
|
| Rate for Payer: Priority Health Narrow Network |
$39,389.69
|
| Rate for Payer: Railroad Medicare Medicare |
$33,656.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,656.08
|
| Rate for Payer: UHC Exchange |
$52,166.92
|
| Rate for Payer: UHC Medicare Advantage |
$33,656.08
|
| Rate for Payer: UHCCP DNSP |
$33,656.08
|
| Rate for Payer: VA VA |
$33,656.08
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$22,419.57
|
|
|
Service Code
|
MSDRG 520
|
| Min. Negotiated Rate |
$13,741.03 |
| Max. Negotiated Rate |
$22,419.57 |
| Rate for Payer: Aetna Medicare |
$14,464.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,080.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,080.30
|
| Rate for Payer: BCBS MAPPO |
$14,464.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,464.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,464.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,464.24
|
| Rate for Payer: Mclaren Medicare |
$14,464.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,187.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,633.88
|
| Rate for Payer: PACE Medicare |
$13,741.03
|
| Rate for Payer: PACE SWMI |
$14,464.24
|
| Rate for Payer: PHP Commercial |
$15,910.66
|
| Rate for Payer: PHP Medicare Advantage |
$14,464.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,689.07
|
| Rate for Payer: Priority Health Medicare |
$14,464.24
|
| Rate for Payer: Priority Health Narrow Network |
$15,751.26
|
| Rate for Payer: Railroad Medicare Medicare |
$14,464.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,464.24
|
| Rate for Payer: UHC Exchange |
$22,419.57
|
| Rate for Payer: UHC Medicare Advantage |
$14,464.24
|
| Rate for Payer: UHCCP DNSP |
$14,464.24
|
| Rate for Payer: VA VA |
$14,464.24
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$35,752.47
|
|
|
Service Code
|
MSDRG 095
|
| Min. Negotiated Rate |
$21,912.80 |
| Max. Negotiated Rate |
$35,752.47 |
| Rate for Payer: Aetna Medicare |
$23,066.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,832.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,832.64
|
| Rate for Payer: BCBS MAPPO |
$23,066.11
|
| Rate for Payer: BCN Medicare Advantage |
$23,066.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,066.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,066.11
|
| Rate for Payer: Mclaren Medicare |
$23,066.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,219.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,526.03
|
| Rate for Payer: PACE Medicare |
$21,912.80
|
| Rate for Payer: PACE SWMI |
$23,066.11
|
| Rate for Payer: PHP Commercial |
$25,372.72
|
| Rate for Payer: PHP Medicare Advantage |
$23,066.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,931.90
|
| Rate for Payer: Priority Health Medicare |
$23,066.11
|
| Rate for Payer: Priority Health Narrow Network |
$26,345.52
|
| Rate for Payer: Railroad Medicare Medicare |
$23,066.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,066.11
|
| Rate for Payer: UHC Exchange |
$35,752.47
|
| Rate for Payer: UHC Medicare Advantage |
$23,066.11
|
| Rate for Payer: UHCCP DNSP |
$23,066.11
|
| Rate for Payer: VA VA |
$23,066.11
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$53,061.82
|
|
|
Service Code
|
MSDRG 094
|
| Min. Negotiated Rate |
$32,521.76 |
| Max. Negotiated Rate |
$53,061.82 |
| Rate for Payer: Aetna Medicare |
$34,233.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,791.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,791.79
|
| Rate for Payer: BCBS MAPPO |
$34,233.43
|
| Rate for Payer: BCN Medicare Advantage |
$34,233.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,233.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$34,233.43
|
| Rate for Payer: Mclaren Medicare |
$34,233.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,945.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,368.44
|
| Rate for Payer: PACE Medicare |
$32,521.76
|
| Rate for Payer: PACE SWMI |
$34,233.43
|
| Rate for Payer: PHP Commercial |
$37,656.77
|
| Rate for Payer: PHP Medicare Advantage |
$34,233.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50,124.64
|
| Rate for Payer: Priority Health Medicare |
$34,233.43
|
| Rate for Payer: Priority Health Narrow Network |
$40,099.71
|
| Rate for Payer: Railroad Medicare Medicare |
$34,233.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,233.43
|
| Rate for Payer: UHC Exchange |
$53,061.82
|
| Rate for Payer: UHC Medicare Advantage |
$34,233.43
|
| Rate for Payer: UHCCP DNSP |
$34,233.43
|
| Rate for Payer: VA VA |
$34,233.43
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$35,752.47
|
|
|
Service Code
|
MSDRG 096
|
| Min. Negotiated Rate |
$21,912.80 |
| Max. Negotiated Rate |
$35,752.47 |
| Rate for Payer: Aetna Medicare |
$23,066.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,832.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,832.64
|
| Rate for Payer: BCBS MAPPO |
$23,066.11
|
| Rate for Payer: BCN Medicare Advantage |
$23,066.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,066.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,066.11
|
| Rate for Payer: Mclaren Medicare |
$23,066.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,219.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,526.03
|
| Rate for Payer: PACE Medicare |
$21,912.80
|
| Rate for Payer: PACE SWMI |
$23,066.11
|
| Rate for Payer: PHP Commercial |
$25,372.72
|
| Rate for Payer: PHP Medicare Advantage |
$23,066.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,931.90
|
| Rate for Payer: Priority Health Medicare |
$23,066.11
|
| Rate for Payer: Priority Health Narrow Network |
$26,345.52
|
| Rate for Payer: Railroad Medicare Medicare |
$23,066.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,066.11
|
| Rate for Payer: UHC Exchange |
$35,752.47
|
| Rate for Payer: UHC Medicare Advantage |
$23,066.11
|
| Rate for Payer: UHCCP DNSP |
$23,066.11
|
| Rate for Payer: VA VA |
$23,066.11
|
|
|
MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS
|
Facility
|
IP
|
$27,444.30
|
|
|
Service Code
|
MSDRG 886
|
| Min. Negotiated Rate |
$16,820.70 |
| Max. Negotiated Rate |
$27,444.30 |
| Rate for Payer: Aetna Medicare |
$17,706.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,132.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,132.50
|
| Rate for Payer: BCBS MAPPO |
$17,706.00
|
| Rate for Payer: BCN Medicare Advantage |
$17,706.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,706.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,706.00
|
| Rate for Payer: Mclaren Medicare |
$17,706.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,591.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,361.90
|
| Rate for Payer: PACE Medicare |
$16,820.70
|
| Rate for Payer: PACE SWMI |
$17,706.00
|
| Rate for Payer: PHP Commercial |
$19,476.60
|
| Rate for Payer: PHP Medicare Advantage |
$17,706.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,680.38
|
| Rate for Payer: Priority Health Medicare |
$17,706.00
|
| Rate for Payer: Priority Health Narrow Network |
$19,744.30
|
| Rate for Payer: Railroad Medicare Medicare |
$17,706.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,706.00
|
| Rate for Payer: UHC Exchange |
$27,444.30
|
| Rate for Payer: UHC Medicare Advantage |
$17,706.00
|
| Rate for Payer: UHCCP DNSP |
$17,706.00
|
| Rate for Payer: VA VA |
$17,706.00
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
|
IP
|
$20,060.02
|
|
|
Service Code
|
MSDRG 725
|
| Min. Negotiated Rate |
$12,294.85 |
| Max. Negotiated Rate |
$20,060.02 |
| Rate for Payer: Aetna Medicare |
$12,941.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,177.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,177.44
|
| Rate for Payer: BCBS MAPPO |
$12,941.95
|
| Rate for Payer: BCN Medicare Advantage |
$12,941.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,941.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,941.95
|
| Rate for Payer: Mclaren Medicare |
$12,941.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,589.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,883.24
|
| Rate for Payer: PACE Medicare |
$12,294.85
|
| Rate for Payer: PACE SWMI |
$12,941.95
|
| Rate for Payer: PHP Commercial |
$14,236.14
|
| Rate for Payer: PHP Medicare Advantage |
$12,941.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,353.48
|
| Rate for Payer: Priority Health Medicare |
$12,941.95
|
| Rate for Payer: Priority Health Narrow Network |
$13,882.78
|
| Rate for Payer: Railroad Medicare Medicare |
$12,941.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,941.95
|
| Rate for Payer: UHC Exchange |
$20,060.02
|
| Rate for Payer: UHC Medicare Advantage |
$12,941.95
|
| Rate for Payer: UHCCP DNSP |
$12,941.95
|
| Rate for Payer: VA VA |
$12,941.95
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
|
IP
|
$12,892.87
|
|
|
Service Code
|
MSDRG 726
|
| Min. Negotiated Rate |
$7,902.08 |
| Max. Negotiated Rate |
$12,892.87 |
| Rate for Payer: Aetna Medicare |
$8,317.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,397.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,397.48
|
| Rate for Payer: BCBS MAPPO |
$8,317.98
|
| Rate for Payer: BCN Medicare Advantage |
$8,317.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,317.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,317.98
|
| Rate for Payer: Mclaren Medicare |
$8,317.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,733.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,565.68
|
| Rate for Payer: PACE Medicare |
$7,902.08
|
| Rate for Payer: PACE SWMI |
$8,317.98
|
| Rate for Payer: PHP Commercial |
$9,149.78
|
| Rate for Payer: PHP Medicare Advantage |
$8,317.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,225.79
|
| Rate for Payer: Priority Health Medicare |
$8,317.98
|
| Rate for Payer: Priority Health Narrow Network |
$8,180.63
|
| Rate for Payer: Railroad Medicare Medicare |
$8,317.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,317.98
|
| Rate for Payer: UHC Exchange |
$12,892.87
|
| Rate for Payer: UHC Medicare Advantage |
$8,317.98
|
| Rate for Payer: UHCCP DNSP |
$8,317.98
|
| Rate for Payer: VA VA |
$8,317.98
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
|
IP
|
$87,472.92
|
|
|
Service Code
|
MSDRG 461
|
| Min. Negotiated Rate |
$53,612.43 |
| Max. Negotiated Rate |
$87,472.92 |
| Rate for Payer: Aetna Medicare |
$56,434.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70,542.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70,542.68
|
| Rate for Payer: BCBS MAPPO |
$56,434.14
|
| Rate for Payer: BCN Medicare Advantage |
$56,434.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,434.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,434.14
|
| Rate for Payer: Mclaren Medicare |
$56,434.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,255.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64,899.26
|
| Rate for Payer: PACE Medicare |
$53,612.43
|
| Rate for Payer: PACE SWMI |
$56,434.14
|
| Rate for Payer: PHP Commercial |
$62,077.55
|
| Rate for Payer: PHP Medicare Advantage |
$56,434.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84,310.89
|
| Rate for Payer: Priority Health Medicare |
$56,434.14
|
| Rate for Payer: Priority Health Narrow Network |
$67,448.72
|
| Rate for Payer: Railroad Medicare Medicare |
$56,434.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,434.14
|
| Rate for Payer: UHC Exchange |
$87,472.92
|
| Rate for Payer: UHC Medicare Advantage |
$56,434.14
|
| Rate for Payer: UHCCP DNSP |
$56,434.14
|
| Rate for Payer: VA VA |
$56,434.14
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$42,205.96
|
|
|
Service Code
|
MSDRG 462
|
| Min. Negotiated Rate |
$25,868.17 |
| Max. Negotiated Rate |
$42,205.96 |
| Rate for Payer: Aetna Medicare |
$27,229.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,037.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,037.06
|
| Rate for Payer: BCBS MAPPO |
$27,229.65
|
| Rate for Payer: BCN Medicare Advantage |
$27,229.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,229.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,229.65
|
| Rate for Payer: Mclaren Medicare |
$27,229.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,591.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,314.10
|
| Rate for Payer: PACE Medicare |
$25,868.17
|
| Rate for Payer: PACE SWMI |
$27,229.65
|
| Rate for Payer: PHP Commercial |
$29,952.62
|
| Rate for Payer: PHP Medicare Advantage |
$27,229.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,342.43
|
| Rate for Payer: Priority Health Medicare |
$27,229.65
|
| Rate for Payer: Priority Health Narrow Network |
$31,473.94
|
| Rate for Payer: Railroad Medicare Medicare |
$27,229.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,229.65
|
| Rate for Payer: UHC Exchange |
$42,205.96
|
| Rate for Payer: UHC Medicare Advantage |
$27,229.65
|
| Rate for Payer: UHCCP DNSP |
$27,229.65
|
| Rate for Payer: VA VA |
$27,229.65
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$31,593.57
|
|
|
Service Code
|
MSDRG 409
|
| Min. Negotiated Rate |
$19,363.80 |
| Max. Negotiated Rate |
$31,593.57 |
| Rate for Payer: Aetna Medicare |
$20,382.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,478.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,478.69
|
| Rate for Payer: BCBS MAPPO |
$20,382.95
|
| Rate for Payer: BCN Medicare Advantage |
$20,382.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,382.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,382.95
|
| Rate for Payer: Mclaren Medicare |
$20,382.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,402.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,440.39
|
| Rate for Payer: PACE Medicare |
$19,363.80
|
| Rate for Payer: PACE SWMI |
$20,382.95
|
| Rate for Payer: PHP Commercial |
$22,421.24
|
| Rate for Payer: PHP Medicare Advantage |
$20,382.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,800.65
|
| Rate for Payer: Priority Health Medicare |
$20,382.95
|
| Rate for Payer: Priority Health Narrow Network |
$23,040.52
|
| Rate for Payer: Railroad Medicare Medicare |
$20,382.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,382.95
|
| Rate for Payer: UHC Exchange |
$31,593.57
|
| Rate for Payer: UHC Medicare Advantage |
$20,382.95
|
| Rate for Payer: UHCCP DNSP |
$20,382.95
|
| Rate for Payer: VA VA |
$20,382.95
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$51,023.12
|
|
|
Service Code
|
MSDRG 408
|
| Min. Negotiated Rate |
$31,272.23 |
| Max. Negotiated Rate |
$51,023.12 |
| Rate for Payer: Aetna Medicare |
$32,918.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,147.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,147.68
|
| Rate for Payer: BCBS MAPPO |
$32,918.14
|
| Rate for Payer: BCN Medicare Advantage |
$32,918.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,918.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,918.14
|
| Rate for Payer: Mclaren Medicare |
$32,918.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,564.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,855.86
|
| Rate for Payer: PACE Medicare |
$31,272.23
|
| Rate for Payer: PACE SWMI |
$32,918.14
|
| Rate for Payer: PHP Commercial |
$36,209.95
|
| Rate for Payer: PHP Medicare Advantage |
$32,918.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,100.91
|
| Rate for Payer: Priority Health Medicare |
$32,918.14
|
| Rate for Payer: Priority Health Narrow Network |
$38,480.73
|
| Rate for Payer: Railroad Medicare Medicare |
$32,918.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,918.14
|
| Rate for Payer: UHC Exchange |
$51,023.12
|
| Rate for Payer: UHC Medicare Advantage |
$32,918.14
|
| Rate for Payer: UHCCP DNSP |
$32,918.14
|
| Rate for Payer: VA VA |
$32,918.14
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$24,050.20
|
|
|
Service Code
|
MSDRG 410
|
| Min. Negotiated Rate |
$14,740.45 |
| Max. Negotiated Rate |
$24,050.20 |
| Rate for Payer: Aetna Medicare |
$15,516.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,395.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,395.32
|
| Rate for Payer: BCBS MAPPO |
$15,516.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,516.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,516.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,516.26
|
| Rate for Payer: Mclaren Medicare |
$15,516.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,292.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,843.70
|
| Rate for Payer: PACE Medicare |
$14,740.45
|
| Rate for Payer: PACE SWMI |
$15,516.26
|
| Rate for Payer: PHP Commercial |
$17,067.89
|
| Rate for Payer: PHP Medicare Advantage |
$15,516.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,308.88
|
| Rate for Payer: Priority Health Medicare |
$15,516.26
|
| Rate for Payer: Priority Health Narrow Network |
$17,047.10
|
| Rate for Payer: Railroad Medicare Medicare |
$15,516.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,516.26
|
| Rate for Payer: UHC Exchange |
$24,050.20
|
| Rate for Payer: UHC Medicare Advantage |
$15,516.26
|
| Rate for Payer: UHCCP DNSP |
$15,516.26
|
| Rate for Payer: VA VA |
$15,516.26
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$34,942.01
|
|
|
Service Code
|
MSDRG 478
|
| Min. Negotiated Rate |
$21,416.07 |
| Max. Negotiated Rate |
$34,942.01 |
| Rate for Payer: Aetna Medicare |
$22,543.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,179.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,179.04
|
| Rate for Payer: BCBS MAPPO |
$22,543.23
|
| Rate for Payer: BCN Medicare Advantage |
$22,543.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,543.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,543.23
|
| Rate for Payer: Mclaren Medicare |
$22,543.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,670.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,924.71
|
| Rate for Payer: PACE Medicare |
$21,416.07
|
| Rate for Payer: PACE SWMI |
$22,543.23
|
| Rate for Payer: PHP Commercial |
$24,797.55
|
| Rate for Payer: PHP Medicare Advantage |
$22,543.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,126.81
|
| Rate for Payer: Priority Health Medicare |
$22,543.23
|
| Rate for Payer: Priority Health Narrow Network |
$25,701.45
|
| Rate for Payer: Railroad Medicare Medicare |
$22,543.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,543.23
|
| Rate for Payer: UHC Exchange |
$34,942.01
|
| Rate for Payer: UHC Medicare Advantage |
$22,543.23
|
| Rate for Payer: UHCCP DNSP |
$22,543.23
|
| Rate for Payer: VA VA |
$22,543.23
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$50,161.47
|
|
|
Service Code
|
MSDRG 477
|
| Min. Negotiated Rate |
$30,744.13 |
| Max. Negotiated Rate |
$50,161.47 |
| Rate for Payer: Aetna Medicare |
$32,362.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,452.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,452.80
|
| Rate for Payer: BCBS MAPPO |
$32,362.24
|
| Rate for Payer: BCN Medicare Advantage |
$32,362.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,362.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,362.24
|
| Rate for Payer: Mclaren Medicare |
$32,362.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,980.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,216.58
|
| Rate for Payer: PACE Medicare |
$30,744.13
|
| Rate for Payer: PACE SWMI |
$32,362.24
|
| Rate for Payer: PHP Commercial |
$35,598.46
|
| Rate for Payer: PHP Medicare Advantage |
$32,362.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,244.99
|
| Rate for Payer: Priority Health Medicare |
$32,362.24
|
| Rate for Payer: Priority Health Narrow Network |
$37,795.99
|
| Rate for Payer: Railroad Medicare Medicare |
$32,362.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,362.24
|
| Rate for Payer: UHC Exchange |
$50,161.47
|
| Rate for Payer: UHC Medicare Advantage |
$32,362.24
|
| Rate for Payer: UHCCP DNSP |
$32,362.24
|
| Rate for Payer: VA VA |
$32,362.24
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$27,158.00
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$16,645.23 |
| Max. Negotiated Rate |
$27,158.00 |
| Rate for Payer: Aetna Medicare |
$17,521.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,901.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,901.61
|
| Rate for Payer: BCBS MAPPO |
$17,521.29
|
| Rate for Payer: BCN Medicare Advantage |
$17,521.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,521.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,521.29
|
| Rate for Payer: Mclaren Medicare |
$17,521.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,397.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,149.48
|
| Rate for Payer: PACE Medicare |
$16,645.23
|
| Rate for Payer: PACE SWMI |
$17,521.29
|
| Rate for Payer: PHP Commercial |
$19,273.42
|
| Rate for Payer: PHP Medicare Advantage |
$17,521.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,395.99
|
| Rate for Payer: Priority Health Medicare |
$17,521.29
|
| Rate for Payer: Priority Health Narrow Network |
$19,516.79
|
| Rate for Payer: Railroad Medicare Medicare |
$17,521.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,521.29
|
| Rate for Payer: UHC Exchange |
$27,158.00
|
| Rate for Payer: UHC Medicare Advantage |
$17,521.29
|
| Rate for Payer: UHCCP DNSP |
$17,521.29
|
| Rate for Payer: VA VA |
$17,521.29
|
|
