|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$20,660.28
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$12,662.75 |
| Max. Negotiated Rate |
$20,660.28 |
| Rate for Payer: Aetna Medicare |
$13,329.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,661.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,661.51
|
| Rate for Payer: BCBS MAPPO |
$13,329.21
|
| Rate for Payer: BCN Medicare Advantage |
$13,329.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,329.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,329.21
|
| Rate for Payer: Mclaren Medicare |
$13,329.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,995.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,328.59
|
| Rate for Payer: PACE Medicare |
$12,662.75
|
| Rate for Payer: PACE SWMI |
$13,329.21
|
| Rate for Payer: PHP Commercial |
$14,662.13
|
| Rate for Payer: PHP Medicare Advantage |
$13,329.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,946.99
|
| Rate for Payer: Priority Health Medicare |
$13,329.21
|
| Rate for Payer: Priority Health Narrow Network |
$14,357.60
|
| Rate for Payer: Railroad Medicare Medicare |
$13,329.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,329.21
|
| Rate for Payer: UHC Exchange |
$20,660.28
|
| Rate for Payer: UHC Medicare Advantage |
$13,329.21
|
| Rate for Payer: UHCCP DNSP |
$13,329.21
|
| Rate for Payer: VA VA |
$13,329.21
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$14,140.42
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$8,666.71 |
| Max. Negotiated Rate |
$14,140.42 |
| Rate for Payer: Aetna Medicare |
$9,122.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,403.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,403.56
|
| Rate for Payer: BCBS MAPPO |
$9,122.85
|
| Rate for Payer: BCN Medicare Advantage |
$9,122.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,122.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,122.85
|
| Rate for Payer: Mclaren Medicare |
$9,122.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,578.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,491.28
|
| Rate for Payer: PACE Medicare |
$8,666.71
|
| Rate for Payer: PACE SWMI |
$9,122.85
|
| Rate for Payer: PHP Commercial |
$10,035.14
|
| Rate for Payer: PHP Medicare Advantage |
$9,122.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,466.40
|
| Rate for Payer: Priority Health Medicare |
$9,122.85
|
| Rate for Payer: Priority Health Narrow Network |
$9,173.12
|
| Rate for Payer: Railroad Medicare Medicare |
$9,122.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,122.85
|
| Rate for Payer: UHC Exchange |
$14,140.42
|
| Rate for Payer: UHC Medicare Advantage |
$9,122.85
|
| Rate for Payer: UHCCP DNSP |
$9,122.85
|
| Rate for Payer: VA VA |
$9,122.85
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$30,914.46
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$18,947.57 |
| Max. Negotiated Rate |
$30,914.46 |
| Rate for Payer: Aetna Medicare |
$19,944.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,931.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,931.01
|
| Rate for Payer: BCBS MAPPO |
$19,944.81
|
| Rate for Payer: BCN Medicare Advantage |
$19,944.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,944.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,944.81
|
| Rate for Payer: Mclaren Medicare |
$19,944.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,942.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,936.53
|
| Rate for Payer: PACE Medicare |
$18,947.57
|
| Rate for Payer: PACE SWMI |
$19,944.81
|
| Rate for Payer: PHP Commercial |
$21,939.29
|
| Rate for Payer: PHP Medicare Advantage |
$19,944.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,127.45
|
| Rate for Payer: Priority Health Medicare |
$19,944.81
|
| Rate for Payer: Priority Health Narrow Network |
$22,501.96
|
| Rate for Payer: Railroad Medicare Medicare |
$19,944.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,944.81
|
| Rate for Payer: UHC Exchange |
$30,914.46
|
| Rate for Payer: UHC Medicare Advantage |
$19,944.81
|
| Rate for Payer: UHCCP DNSP |
$19,944.81
|
| Rate for Payer: VA VA |
$19,944.81
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,052.81
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$18,419.46 |
| Max. Negotiated Rate |
$30,052.81 |
| Rate for Payer: Aetna Medicare |
$19,388.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,236.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,236.14
|
| Rate for Payer: BCBS MAPPO |
$19,388.91
|
| Rate for Payer: BCN Medicare Advantage |
$19,388.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,388.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,388.91
|
| Rate for Payer: Mclaren Medicare |
$19,388.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,358.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,297.25
|
| Rate for Payer: PACE Medicare |
$18,419.46
|
| Rate for Payer: PACE SWMI |
$19,388.91
|
| Rate for Payer: PHP Commercial |
$21,327.80
|
| Rate for Payer: PHP Medicare Advantage |
$19,388.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,271.52
|
| Rate for Payer: Priority Health Medicare |
$19,388.91
|
| Rate for Payer: Priority Health Narrow Network |
$21,817.21
|
| Rate for Payer: Railroad Medicare Medicare |
$19,388.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,388.91
|
| Rate for Payer: UHC Exchange |
$30,052.81
|
| Rate for Payer: UHC Medicare Advantage |
$19,388.91
|
| Rate for Payer: UHCCP DNSP |
$19,388.91
|
| Rate for Payer: VA VA |
$19,388.91
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$15,967.48
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$9,786.52 |
| Max. Negotiated Rate |
$15,967.48 |
| Rate for Payer: Aetna Medicare |
$10,301.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,877.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,877.00
|
| Rate for Payer: BCBS MAPPO |
$10,301.60
|
| Rate for Payer: BCN Medicare Advantage |
$10,301.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,301.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,301.60
|
| Rate for Payer: Mclaren Medicare |
$10,301.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,816.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,846.84
|
| Rate for Payer: PACE Medicare |
$9,786.52
|
| Rate for Payer: PACE SWMI |
$10,301.60
|
| Rate for Payer: PHP Commercial |
$11,331.76
|
| Rate for Payer: PHP Medicare Advantage |
$10,301.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,281.30
|
| Rate for Payer: Priority Health Medicare |
$10,301.60
|
| Rate for Payer: Priority Health Narrow Network |
$10,625.04
|
| Rate for Payer: Railroad Medicare Medicare |
$10,301.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,301.60
|
| Rate for Payer: UHC Exchange |
$15,967.48
|
| Rate for Payer: UHC Medicare Advantage |
$10,301.60
|
| Rate for Payer: UHCCP DNSP |
$10,301.60
|
| Rate for Payer: VA VA |
$10,301.60
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$12,231.75
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$7,496.88 |
| Max. Negotiated Rate |
$12,231.75 |
| Rate for Payer: Aetna Medicare |
$7,891.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,864.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,864.31
|
| Rate for Payer: BCBS MAPPO |
$7,891.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,891.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,891.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,891.45
|
| Rate for Payer: Mclaren Medicare |
$7,891.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,286.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,075.17
|
| Rate for Payer: PACE Medicare |
$7,496.88
|
| Rate for Payer: PACE SWMI |
$7,891.45
|
| Rate for Payer: PHP Commercial |
$8,680.60
|
| Rate for Payer: PHP Medicare Advantage |
$7,891.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,566.33
|
| Rate for Payer: Priority Health Medicare |
$7,891.45
|
| Rate for Payer: Priority Health Narrow Network |
$7,653.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,891.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,891.45
|
| Rate for Payer: UHC Exchange |
$12,231.75
|
| Rate for Payer: UHC Medicare Advantage |
$7,891.45
|
| Rate for Payer: UHCCP DNSP |
$7,891.45
|
| Rate for Payer: VA VA |
$7,891.45
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$12,339.63
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$7,563.00 |
| Max. Negotiated Rate |
$12,339.63 |
| Rate for Payer: Aetna Medicare |
$7,961.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,951.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,951.31
|
| Rate for Payer: BCBS MAPPO |
$7,961.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,961.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,961.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,961.05
|
| Rate for Payer: Mclaren Medicare |
$7,961.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,359.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,155.21
|
| Rate for Payer: PACE Medicare |
$7,563.00
|
| Rate for Payer: PACE SWMI |
$7,961.05
|
| Rate for Payer: PHP Commercial |
$8,757.16
|
| Rate for Payer: PHP Medicare Advantage |
$7,961.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,677.61
|
| Rate for Payer: Priority Health Medicare |
$7,961.05
|
| Rate for Payer: Priority Health Narrow Network |
$7,742.09
|
| Rate for Payer: Railroad Medicare Medicare |
$7,961.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,961.05
|
| Rate for Payer: UHC Exchange |
$12,339.63
|
| Rate for Payer: UHC Medicare Advantage |
$7,961.05
|
| Rate for Payer: UHCCP DNSP |
$7,961.05
|
| Rate for Payer: VA VA |
$7,961.05
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$25,257.65
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$15,480.50 |
| Max. Negotiated Rate |
$25,257.65 |
| Rate for Payer: Aetna Medicare |
$16,295.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,369.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,369.08
|
| Rate for Payer: BCBS MAPPO |
$16,295.26
|
| Rate for Payer: BCN Medicare Advantage |
$16,295.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,295.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,295.26
|
| Rate for Payer: Mclaren Medicare |
$16,295.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,110.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,739.55
|
| Rate for Payer: PACE Medicare |
$15,480.50
|
| Rate for Payer: PACE SWMI |
$16,295.26
|
| Rate for Payer: PHP Commercial |
$17,924.79
|
| Rate for Payer: PHP Medicare Advantage |
$16,295.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,508.28
|
| Rate for Payer: Priority Health Medicare |
$16,295.26
|
| Rate for Payer: Priority Health Narrow Network |
$18,006.62
|
| Rate for Payer: Railroad Medicare Medicare |
$16,295.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,295.26
|
| Rate for Payer: UHC Exchange |
$25,257.65
|
| Rate for Payer: UHC Medicare Advantage |
$16,295.26
|
| Rate for Payer: UHCCP DNSP |
$16,295.26
|
| Rate for Payer: VA VA |
$16,295.26
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$8,706.27
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$4,853.64 |
| Max. Negotiated Rate |
$8,706.27 |
| Rate for Payer: Aetna Medicare |
$5,616.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,021.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,021.19
|
| Rate for Payer: BCBS MAPPO |
$5,616.95
|
| Rate for Payer: BCN Medicare Advantage |
$5,616.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,616.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,616.95
|
| Rate for Payer: Mclaren Medicare |
$5,616.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,897.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,459.49
|
| Rate for Payer: PACE Medicare |
$5,336.10
|
| Rate for Payer: PACE SWMI |
$5,616.95
|
| Rate for Payer: PHP Commercial |
$6,178.64
|
| Rate for Payer: PHP Medicare Advantage |
$5,616.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,067.05
|
| Rate for Payer: Priority Health Medicare |
$5,616.95
|
| Rate for Payer: Priority Health Narrow Network |
$4,853.64
|
| Rate for Payer: Railroad Medicare Medicare |
$5,616.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,616.95
|
| Rate for Payer: UHC Exchange |
$8,706.27
|
| Rate for Payer: UHC Medicare Advantage |
$5,616.95
|
| Rate for Payer: UHCCP DNSP |
$5,616.95
|
| Rate for Payer: VA VA |
$5,616.95
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$12,822.34
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$7,858.86 |
| Max. Negotiated Rate |
$12,822.34 |
| Rate for Payer: Aetna Medicare |
$8,272.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,340.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,340.60
|
| Rate for Payer: BCBS MAPPO |
$8,272.48
|
| Rate for Payer: BCN Medicare Advantage |
$8,272.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,272.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,272.48
|
| Rate for Payer: Mclaren Medicare |
$8,272.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,686.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,513.35
|
| Rate for Payer: PACE Medicare |
$7,858.86
|
| Rate for Payer: PACE SWMI |
$8,272.48
|
| Rate for Payer: PHP Commercial |
$9,099.73
|
| Rate for Payer: PHP Medicare Advantage |
$8,272.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,157.09
|
| Rate for Payer: Priority Health Medicare |
$8,272.48
|
| Rate for Payer: Priority Health Narrow Network |
$8,125.68
|
| Rate for Payer: Railroad Medicare Medicare |
$8,272.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,272.48
|
| Rate for Payer: UHC Exchange |
$12,822.34
|
| Rate for Payer: UHC Medicare Advantage |
$8,272.48
|
| Rate for Payer: UHCCP DNSP |
$8,272.48
|
| Rate for Payer: VA VA |
$8,272.48
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$19,275.80
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$11,814.20 |
| Max. Negotiated Rate |
$19,275.80 |
| Rate for Payer: Aetna Medicare |
$12,436.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,545.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,545.00
|
| Rate for Payer: BCBS MAPPO |
$12,436.00
|
| Rate for Payer: BCN Medicare Advantage |
$12,436.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,436.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,436.00
|
| Rate for Payer: Mclaren Medicare |
$12,436.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,057.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,301.40
|
| Rate for Payer: PACE Medicare |
$11,814.20
|
| Rate for Payer: PACE SWMI |
$12,436.00
|
| Rate for Payer: PHP Commercial |
$13,679.60
|
| Rate for Payer: PHP Medicare Advantage |
$12,436.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,568.99
|
| Rate for Payer: Priority Health Medicare |
$12,436.00
|
| Rate for Payer: Priority Health Narrow Network |
$13,255.19
|
| Rate for Payer: Railroad Medicare Medicare |
$12,436.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,436.00
|
| Rate for Payer: UHC Exchange |
$19,275.80
|
| Rate for Payer: UHC Medicare Advantage |
$12,436.00
|
| Rate for Payer: UHCCP DNSP |
$12,436.00
|
| Rate for Payer: VA VA |
$12,436.00
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,335.57
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$6,149.49 |
| Max. Negotiated Rate |
$10,335.57 |
| Rate for Payer: Aetna Medicare |
$6,668.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,335.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,335.14
|
| Rate for Payer: BCBS MAPPO |
$6,668.11
|
| Rate for Payer: BCN Medicare Advantage |
$6,668.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,668.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,668.11
|
| Rate for Payer: Mclaren Medicare |
$6,668.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,001.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,668.33
|
| Rate for Payer: PACE Medicare |
$6,334.70
|
| Rate for Payer: PACE SWMI |
$6,668.11
|
| Rate for Payer: PHP Commercial |
$7,334.92
|
| Rate for Payer: PHP Medicare Advantage |
$6,668.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,686.86
|
| Rate for Payer: Priority Health Medicare |
$6,668.11
|
| Rate for Payer: Priority Health Narrow Network |
$6,149.49
|
| Rate for Payer: Railroad Medicare Medicare |
$6,668.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,668.11
|
| Rate for Payer: UHC Exchange |
$10,335.57
|
| Rate for Payer: UHC Medicare Advantage |
$6,668.11
|
| Rate for Payer: UHCCP DNSP |
$6,668.11
|
| Rate for Payer: VA VA |
$6,668.11
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$23,307.50
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$14,285.24 |
| Max. Negotiated Rate |
$23,307.50 |
| Rate for Payer: Aetna Medicare |
$15,037.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,796.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,796.38
|
| Rate for Payer: BCBS MAPPO |
$15,037.10
|
| Rate for Payer: BCN Medicare Advantage |
$15,037.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,037.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,037.10
|
| Rate for Payer: Mclaren Medicare |
$15,037.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,788.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,292.66
|
| Rate for Payer: PACE Medicare |
$14,285.24
|
| Rate for Payer: PACE SWMI |
$15,037.10
|
| Rate for Payer: PHP Commercial |
$16,540.81
|
| Rate for Payer: PHP Medicare Advantage |
$15,037.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,572.48
|
| Rate for Payer: Priority Health Medicare |
$15,037.10
|
| Rate for Payer: Priority Health Narrow Network |
$16,457.98
|
| Rate for Payer: Railroad Medicare Medicare |
$15,037.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,037.10
|
| Rate for Payer: UHC Exchange |
$23,307.50
|
| Rate for Payer: UHC Medicare Advantage |
$15,037.10
|
| Rate for Payer: UHCCP DNSP |
$15,037.10
|
| Rate for Payer: VA VA |
$15,037.10
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$15,410.08
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$9,444.89 |
| Max. Negotiated Rate |
$15,410.08 |
| Rate for Payer: Aetna Medicare |
$9,941.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,427.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,427.49
|
| Rate for Payer: BCBS MAPPO |
$9,941.99
|
| Rate for Payer: BCN Medicare Advantage |
$9,941.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,941.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,941.99
|
| Rate for Payer: Mclaren Medicare |
$9,941.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,439.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,433.29
|
| Rate for Payer: PACE Medicare |
$9,444.89
|
| Rate for Payer: PACE SWMI |
$9,941.99
|
| Rate for Payer: PHP Commercial |
$10,936.19
|
| Rate for Payer: PHP Medicare Advantage |
$9,941.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,726.25
|
| Rate for Payer: Priority Health Medicare |
$9,941.99
|
| Rate for Payer: Priority Health Narrow Network |
$10,181.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9,941.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,941.99
|
| Rate for Payer: UHC Exchange |
$15,410.08
|
| Rate for Payer: UHC Medicare Advantage |
$9,941.99
|
| Rate for Payer: UHCCP DNSP |
$9,941.99
|
| Rate for Payer: VA VA |
$9,941.99
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$100,339.76
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$61,498.56 |
| Max. Negotiated Rate |
$100,339.76 |
| Rate for Payer: Aetna Medicare |
$64,735.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$80,919.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$80,919.16
|
| Rate for Payer: BCBS MAPPO |
$64,735.33
|
| Rate for Payer: BCN Medicare Advantage |
$64,735.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64,735.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$64,735.33
|
| Rate for Payer: Mclaren Medicare |
$64,735.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67,972.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74,445.63
|
| Rate for Payer: PACE Medicare |
$61,498.56
|
| Rate for Payer: PACE SWMI |
$64,735.33
|
| Rate for Payer: PHP Commercial |
$71,208.86
|
| Rate for Payer: PHP Medicare Advantage |
$64,735.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97,085.23
|
| Rate for Payer: Priority Health Medicare |
$64,735.33
|
| Rate for Payer: Priority Health Narrow Network |
$77,668.18
|
| Rate for Payer: Railroad Medicare Medicare |
$64,735.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$64,735.33
|
| Rate for Payer: UHC Exchange |
$100,339.76
|
| Rate for Payer: UHC Medicare Advantage |
$64,735.33
|
| Rate for Payer: UHCCP DNSP |
$64,735.33
|
| Rate for Payer: VA VA |
$64,735.33
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$88,270.95
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$54,101.55 |
| Max. Negotiated Rate |
$88,270.95 |
| Rate for Payer: Aetna Medicare |
$56,949.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71,186.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71,186.25
|
| Rate for Payer: BCBS MAPPO |
$56,949.00
|
| Rate for Payer: BCN Medicare Advantage |
$56,949.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,949.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,949.00
|
| Rate for Payer: Mclaren Medicare |
$56,949.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,796.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65,491.35
|
| Rate for Payer: PACE Medicare |
$54,101.55
|
| Rate for Payer: PACE SWMI |
$56,949.00
|
| Rate for Payer: PHP Commercial |
$62,643.90
|
| Rate for Payer: PHP Medicare Advantage |
$56,949.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85,098.13
|
| Rate for Payer: Priority Health Medicare |
$56,949.00
|
| Rate for Payer: Priority Health Narrow Network |
$68,078.50
|
| Rate for Payer: Railroad Medicare Medicare |
$56,949.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,949.00
|
| Rate for Payer: UHC Exchange |
$88,270.95
|
| Rate for Payer: UHC Medicare Advantage |
$56,949.00
|
| Rate for Payer: UHCCP DNSP |
$56,949.00
|
| Rate for Payer: VA VA |
$56,949.00
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$66,936.89
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$41,025.84 |
| Max. Negotiated Rate |
$66,936.89 |
| Rate for Payer: Aetna Medicare |
$43,185.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,981.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,981.36
|
| Rate for Payer: BCBS MAPPO |
$43,185.09
|
| Rate for Payer: BCN Medicare Advantage |
$43,185.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,185.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,185.09
|
| Rate for Payer: Mclaren Medicare |
$43,185.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,344.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,662.85
|
| Rate for Payer: PACE Medicare |
$41,025.84
|
| Rate for Payer: PACE SWMI |
$43,185.09
|
| Rate for Payer: PHP Commercial |
$47,503.60
|
| Rate for Payer: PHP Medicare Advantage |
$43,185.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,915.65
|
| Rate for Payer: Priority Health Medicare |
$43,185.09
|
| Rate for Payer: Priority Health Narrow Network |
$51,132.52
|
| Rate for Payer: Railroad Medicare Medicare |
$43,185.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,185.09
|
| Rate for Payer: UHC Exchange |
$66,936.89
|
| Rate for Payer: UHC Medicare Advantage |
$43,185.09
|
| Rate for Payer: UHCCP DNSP |
$43,185.09
|
| Rate for Payer: VA VA |
$43,185.09
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$41,399.63
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$25,373.97 |
| Max. Negotiated Rate |
$41,399.63 |
| Rate for Payer: Aetna Medicare |
$26,709.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,386.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,386.80
|
| Rate for Payer: BCBS MAPPO |
$26,709.44
|
| Rate for Payer: BCN Medicare Advantage |
$26,709.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,709.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,709.44
|
| Rate for Payer: Mclaren Medicare |
$26,709.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,044.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,715.86
|
| Rate for Payer: PACE Medicare |
$25,373.97
|
| Rate for Payer: PACE SWMI |
$26,709.44
|
| Rate for Payer: PHP Commercial |
$29,380.38
|
| Rate for Payer: PHP Medicare Advantage |
$26,709.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,542.83
|
| Rate for Payer: Priority Health Medicare |
$26,709.44
|
| Rate for Payer: Priority Health Narrow Network |
$30,834.26
|
| Rate for Payer: Railroad Medicare Medicare |
$26,709.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,709.44
|
| Rate for Payer: UHC Exchange |
$41,399.63
|
| Rate for Payer: UHC Medicare Advantage |
$26,709.44
|
| Rate for Payer: UHCCP DNSP |
$26,709.44
|
| Rate for Payer: VA VA |
$26,709.44
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$26,907.67
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$16,491.80 |
| Max. Negotiated Rate |
$26,907.67 |
| Rate for Payer: Aetna Medicare |
$17,359.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,699.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,699.74
|
| Rate for Payer: BCBS MAPPO |
$17,359.79
|
| Rate for Payer: BCN Medicare Advantage |
$17,359.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,359.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,359.79
|
| Rate for Payer: Mclaren Medicare |
$17,359.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,227.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,963.76
|
| Rate for Payer: PACE Medicare |
$16,491.80
|
| Rate for Payer: PACE SWMI |
$17,359.79
|
| Rate for Payer: PHP Commercial |
$19,095.77
|
| Rate for Payer: PHP Medicare Advantage |
$17,359.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,147.31
|
| Rate for Payer: Priority Health Medicare |
$17,359.79
|
| Rate for Payer: Priority Health Narrow Network |
$19,317.85
|
| Rate for Payer: Railroad Medicare Medicare |
$17,359.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,359.79
|
| Rate for Payer: UHC Exchange |
$26,907.67
|
| Rate for Payer: UHC Medicare Advantage |
$17,359.79
|
| Rate for Payer: UHCCP DNSP |
$17,359.79
|
| Rate for Payer: VA VA |
$17,359.79
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$28,842.62
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$17,677.73 |
| Max. Negotiated Rate |
$28,842.62 |
| Rate for Payer: Aetna Medicare |
$18,608.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,260.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,260.18
|
| Rate for Payer: BCBS MAPPO |
$18,608.14
|
| Rate for Payer: BCN Medicare Advantage |
$18,608.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,608.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,608.14
|
| Rate for Payer: Mclaren Medicare |
$18,608.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,538.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,399.36
|
| Rate for Payer: PACE Medicare |
$17,677.73
|
| Rate for Payer: PACE SWMI |
$18,608.14
|
| Rate for Payer: PHP Commercial |
$20,468.95
|
| Rate for Payer: PHP Medicare Advantage |
$18,608.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,068.00
|
| Rate for Payer: Priority Health Medicare |
$18,608.14
|
| Rate for Payer: Priority Health Narrow Network |
$20,854.40
|
| Rate for Payer: Railroad Medicare Medicare |
$18,608.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,608.14
|
| Rate for Payer: UHC Exchange |
$28,842.62
|
| Rate for Payer: UHC Medicare Advantage |
$18,608.14
|
| Rate for Payer: UHCCP DNSP |
$18,608.14
|
| Rate for Payer: VA VA |
$18,608.14
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$49,707.82
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$30,466.08 |
| Max. Negotiated Rate |
$49,707.82 |
| Rate for Payer: Aetna Medicare |
$32,069.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,086.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,086.95
|
| Rate for Payer: BCBS MAPPO |
$32,069.56
|
| Rate for Payer: BCN Medicare Advantage |
$32,069.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,069.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,069.56
|
| Rate for Payer: Mclaren Medicare |
$32,069.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,673.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,879.99
|
| Rate for Payer: PACE Medicare |
$30,466.08
|
| Rate for Payer: PACE SWMI |
$32,069.56
|
| Rate for Payer: PHP Commercial |
$35,276.52
|
| Rate for Payer: PHP Medicare Advantage |
$32,069.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,805.34
|
| Rate for Payer: Priority Health Medicare |
$32,069.56
|
| Rate for Payer: Priority Health Narrow Network |
$37,444.28
|
| Rate for Payer: Railroad Medicare Medicare |
$32,069.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,069.56
|
| Rate for Payer: UHC Exchange |
$49,707.82
|
| Rate for Payer: UHC Medicare Advantage |
$32,069.56
|
| Rate for Payer: UHCCP DNSP |
$32,069.56
|
| Rate for Payer: VA VA |
$32,069.56
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$23,589.65
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$14,458.17 |
| Max. Negotiated Rate |
$23,589.65 |
| Rate for Payer: Aetna Medicare |
$15,219.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,023.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,023.91
|
| Rate for Payer: BCBS MAPPO |
$15,219.13
|
| Rate for Payer: BCN Medicare Advantage |
$15,219.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,219.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,219.13
|
| Rate for Payer: Mclaren Medicare |
$15,219.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,980.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,502.00
|
| Rate for Payer: PACE Medicare |
$14,458.17
|
| Rate for Payer: PACE SWMI |
$15,219.13
|
| Rate for Payer: PHP Commercial |
$16,741.04
|
| Rate for Payer: PHP Medicare Advantage |
$15,219.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,851.38
|
| Rate for Payer: Priority Health Medicare |
$15,219.13
|
| Rate for Payer: Priority Health Narrow Network |
$16,681.10
|
| Rate for Payer: Railroad Medicare Medicare |
$15,219.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,219.13
|
| Rate for Payer: UHC Exchange |
$23,589.65
|
| Rate for Payer: UHC Medicare Advantage |
$15,219.13
|
| Rate for Payer: UHCCP DNSP |
$15,219.13
|
| Rate for Payer: VA VA |
$15,219.13
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$91,915.39
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$56,335.24 |
| Max. Negotiated Rate |
$91,915.39 |
| Rate for Payer: Aetna Medicare |
$59,300.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74,125.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74,125.31
|
| Rate for Payer: BCBS MAPPO |
$59,300.25
|
| Rate for Payer: BCN Medicare Advantage |
$59,300.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59,300.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$59,300.25
|
| Rate for Payer: Mclaren Medicare |
$59,300.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62,265.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68,195.29
|
| Rate for Payer: PACE Medicare |
$56,335.24
|
| Rate for Payer: PACE SWMI |
$59,300.25
|
| Rate for Payer: PHP Commercial |
$65,230.28
|
| Rate for Payer: PHP Medicare Advantage |
$59,300.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88,716.93
|
| Rate for Payer: Priority Health Medicare |
$59,300.25
|
| Rate for Payer: Priority Health Narrow Network |
$70,973.54
|
| Rate for Payer: Railroad Medicare Medicare |
$59,300.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$59,300.25
|
| Rate for Payer: UHC Exchange |
$91,915.39
|
| Rate for Payer: UHC Medicare Advantage |
$59,300.25
|
| Rate for Payer: UHCCP DNSP |
$59,300.25
|
| Rate for Payer: VA VA |
$59,300.25
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$136,080.02
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$83,403.88 |
| Max. Negotiated Rate |
$136,080.02 |
| Rate for Payer: Aetna Medicare |
$87,793.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$109,741.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$109,741.95
|
| Rate for Payer: BCBS MAPPO |
$87,793.56
|
| Rate for Payer: BCN Medicare Advantage |
$87,793.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87,793.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$87,793.56
|
| Rate for Payer: Mclaren Medicare |
$87,793.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92,183.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100,962.59
|
| Rate for Payer: PACE Medicare |
$83,403.88
|
| Rate for Payer: PACE SWMI |
$87,793.56
|
| Rate for Payer: PHP Commercial |
$96,572.92
|
| Rate for Payer: PHP Medicare Advantage |
$87,793.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$132,584.92
|
| Rate for Payer: Priority Health Medicare |
$87,793.56
|
| Rate for Payer: Priority Health Narrow Network |
$106,067.93
|
| Rate for Payer: Railroad Medicare Medicare |
$87,793.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$87,793.56
|
| Rate for Payer: UHC Exchange |
$136,080.02
|
| Rate for Payer: UHC Medicare Advantage |
$87,793.56
|
| Rate for Payer: UHCCP DNSP |
$87,793.56
|
| Rate for Payer: VA VA |
$87,793.56
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$84,881.02
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$52,023.85 |
| Max. Negotiated Rate |
$84,881.02 |
| Rate for Payer: Aetna Medicare |
$54,761.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,452.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,452.44
|
| Rate for Payer: BCBS MAPPO |
$54,761.95
|
| Rate for Payer: BCN Medicare Advantage |
$54,761.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,761.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$54,761.95
|
| Rate for Payer: Mclaren Medicare |
$54,761.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,500.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,976.24
|
| Rate for Payer: PACE Medicare |
$52,023.85
|
| Rate for Payer: PACE SWMI |
$54,761.95
|
| Rate for Payer: PHP Commercial |
$60,238.14
|
| Rate for Payer: PHP Medicare Advantage |
$54,761.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81,733.50
|
| Rate for Payer: Priority Health Medicare |
$54,761.95
|
| Rate for Payer: Priority Health Narrow Network |
$65,386.80
|
| Rate for Payer: Railroad Medicare Medicare |
$54,761.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,761.95
|
| Rate for Payer: UHC Exchange |
$84,881.02
|
| Rate for Payer: UHC Medicare Advantage |
$54,761.95
|
| Rate for Payer: UHCCP DNSP |
$54,761.95
|
| Rate for Payer: VA VA |
$54,761.95
|
|
