|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$75,855.03
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$46,491.79 |
| Max. Negotiated Rate |
$75,855.03 |
| Rate for Payer: Aetna Medicare |
$48,938.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,173.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,173.41
|
| Rate for Payer: BCBS MAPPO |
$48,938.73
|
| Rate for Payer: BCN Medicare Advantage |
$48,938.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,938.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$48,938.73
|
| Rate for Payer: Mclaren Medicare |
$48,938.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,385.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,279.54
|
| Rate for Payer: PACE Medicare |
$46,491.79
|
| Rate for Payer: PACE SWMI |
$48,938.73
|
| Rate for Payer: PHP Commercial |
$53,832.60
|
| Rate for Payer: PHP Medicare Advantage |
$48,938.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72,764.81
|
| Rate for Payer: Priority Health Medicare |
$48,938.73
|
| Rate for Payer: Priority Health Narrow Network |
$58,211.85
|
| Rate for Payer: Railroad Medicare Medicare |
$48,938.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,938.73
|
| Rate for Payer: UHC Exchange |
$75,855.03
|
| Rate for Payer: UHC Medicare Advantage |
$48,938.73
|
| Rate for Payer: UHCCP DNSP |
$48,938.73
|
| Rate for Payer: VA VA |
$48,938.73
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$109,613.33
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$67,182.37 |
| Max. Negotiated Rate |
$109,613.33 |
| Rate for Payer: Aetna Medicare |
$70,718.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88,397.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88,397.85
|
| Rate for Payer: BCBS MAPPO |
$70,718.28
|
| Rate for Payer: BCN Medicare Advantage |
$70,718.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70,718.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$70,718.28
|
| Rate for Payer: Mclaren Medicare |
$70,718.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74,254.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81,326.02
|
| Rate for Payer: PACE Medicare |
$67,182.37
|
| Rate for Payer: PACE SWMI |
$70,718.28
|
| Rate for Payer: PHP Commercial |
$77,790.11
|
| Rate for Payer: PHP Medicare Advantage |
$70,718.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$106,297.10
|
| Rate for Payer: Priority Health Medicare |
$70,718.28
|
| Rate for Payer: Priority Health Narrow Network |
$85,037.68
|
| Rate for Payer: Railroad Medicare Medicare |
$70,718.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$70,718.28
|
| Rate for Payer: UHC Exchange |
$109,613.33
|
| Rate for Payer: UHC Medicare Advantage |
$70,718.28
|
| Rate for Payer: UHCCP DNSP |
$70,718.28
|
| Rate for Payer: VA VA |
$70,718.28
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$66,116.71
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$40,523.14 |
| Max. Negotiated Rate |
$66,116.71 |
| Rate for Payer: Aetna Medicare |
$42,655.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,319.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,319.92
|
| Rate for Payer: BCBS MAPPO |
$42,655.94
|
| Rate for Payer: BCN Medicare Advantage |
$42,655.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,655.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,655.94
|
| Rate for Payer: Mclaren Medicare |
$42,655.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,788.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,054.33
|
| Rate for Payer: PACE Medicare |
$40,523.14
|
| Rate for Payer: PACE SWMI |
$42,655.94
|
| Rate for Payer: PHP Commercial |
$46,921.53
|
| Rate for Payer: PHP Medicare Advantage |
$42,655.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,092.69
|
| Rate for Payer: Priority Health Medicare |
$42,655.94
|
| Rate for Payer: Priority Health Narrow Network |
$50,474.15
|
| Rate for Payer: Railroad Medicare Medicare |
$42,655.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,655.94
|
| Rate for Payer: UHC Exchange |
$66,116.71
|
| Rate for Payer: UHC Medicare Advantage |
$42,655.94
|
| Rate for Payer: UHCCP DNSP |
$42,655.94
|
| Rate for Payer: VA VA |
$42,655.94
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$34,059.61
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$20,875.24 |
| Max. Negotiated Rate |
$34,059.61 |
| Rate for Payer: Aetna Medicare |
$21,973.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,467.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,467.42
|
| Rate for Payer: BCBS MAPPO |
$21,973.94
|
| Rate for Payer: BCN Medicare Advantage |
$21,973.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,973.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,973.94
|
| Rate for Payer: Mclaren Medicare |
$21,973.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,072.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,270.03
|
| Rate for Payer: PACE Medicare |
$20,875.24
|
| Rate for Payer: PACE SWMI |
$21,973.94
|
| Rate for Payer: PHP Commercial |
$24,171.33
|
| Rate for Payer: PHP Medicare Advantage |
$21,973.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,250.27
|
| Rate for Payer: Priority Health Medicare |
$21,973.94
|
| Rate for Payer: Priority Health Narrow Network |
$25,000.22
|
| Rate for Payer: Railroad Medicare Medicare |
$21,973.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,973.94
|
| Rate for Payer: UHC Exchange |
$34,059.61
|
| Rate for Payer: UHC Medicare Advantage |
$21,973.94
|
| Rate for Payer: UHCCP DNSP |
$21,973.94
|
| Rate for Payer: VA VA |
$21,973.94
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,381.19
|
|
|
Service Code
|
MSDRG 034
|
| Min. Negotiated Rate |
$34,556.21 |
| Max. Negotiated Rate |
$56,381.19 |
| Rate for Payer: Aetna Medicare |
$36,374.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,468.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,468.70
|
| Rate for Payer: BCBS MAPPO |
$36,374.96
|
| Rate for Payer: BCN Medicare Advantage |
$36,374.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,374.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,374.96
|
| Rate for Payer: Mclaren Medicare |
$36,374.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,193.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,831.20
|
| Rate for Payer: PACE Medicare |
$34,556.21
|
| Rate for Payer: PACE SWMI |
$36,374.96
|
| Rate for Payer: PHP Commercial |
$40,012.46
|
| Rate for Payer: PHP Medicare Advantage |
$36,374.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,423.32
|
| Rate for Payer: Priority Health Medicare |
$36,374.96
|
| Rate for Payer: Priority Health Narrow Network |
$42,738.66
|
| Rate for Payer: Railroad Medicare Medicare |
$36,374.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,374.96
|
| Rate for Payer: UHC Exchange |
$56,381.19
|
| Rate for Payer: UHC Medicare Advantage |
$36,374.96
|
| Rate for Payer: UHCCP DNSP |
$36,374.96
|
| Rate for Payer: VA VA |
$36,374.96
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,950.51
|
|
|
Service Code
|
MSDRG 036
|
| Min. Negotiated Rate |
$17,130.96 |
| Max. Negotiated Rate |
$27,950.51 |
| Rate for Payer: Aetna Medicare |
$18,032.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,540.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,540.74
|
| Rate for Payer: BCBS MAPPO |
$18,032.59
|
| Rate for Payer: BCN Medicare Advantage |
$18,032.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,032.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,032.59
|
| Rate for Payer: Mclaren Medicare |
$18,032.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,934.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,737.48
|
| Rate for Payer: PACE Medicare |
$17,130.96
|
| Rate for Payer: PACE SWMI |
$18,032.59
|
| Rate for Payer: PHP Commercial |
$19,835.85
|
| Rate for Payer: PHP Medicare Advantage |
$18,032.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,183.22
|
| Rate for Payer: Priority Health Medicare |
$18,032.59
|
| Rate for Payer: Priority Health Narrow Network |
$20,146.58
|
| Rate for Payer: Railroad Medicare Medicare |
$18,032.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,032.59
|
| Rate for Payer: UHC Exchange |
$27,950.51
|
| Rate for Payer: UHC Medicare Advantage |
$18,032.59
|
| Rate for Payer: UHCCP DNSP |
$18,032.59
|
| Rate for Payer: VA VA |
$18,032.59
|
|
|
MS-DRG 42.00: CELLULITIS WITH MCC
|
Facility
|
IP
|
$22,917.46
|
|
|
Service Code
|
MSDRG 602
|
| Min. Negotiated Rate |
$14,046.19 |
| Max. Negotiated Rate |
$22,917.46 |
| Rate for Payer: Aetna Medicare |
$14,785.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,481.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,481.82
|
| Rate for Payer: BCBS MAPPO |
$14,785.46
|
| Rate for Payer: BCN Medicare Advantage |
$14,785.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,785.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,785.46
|
| Rate for Payer: Mclaren Medicare |
$14,785.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,524.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,003.28
|
| Rate for Payer: PACE Medicare |
$14,046.19
|
| Rate for Payer: PACE SWMI |
$14,785.46
|
| Rate for Payer: PHP Commercial |
$16,264.01
|
| Rate for Payer: PHP Medicare Advantage |
$14,785.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,187.79
|
| Rate for Payer: Priority Health Medicare |
$14,785.46
|
| Rate for Payer: Priority Health Narrow Network |
$16,150.23
|
| Rate for Payer: Railroad Medicare Medicare |
$14,785.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,785.46
|
| Rate for Payer: UHC Exchange |
$22,917.46
|
| Rate for Payer: UHC Medicare Advantage |
$14,785.46
|
| Rate for Payer: UHCCP DNSP |
$14,785.46
|
| Rate for Payer: VA VA |
$14,785.46
|
|
|
MS-DRG 42.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$14,779.40
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$9,058.34 |
| Max. Negotiated Rate |
$14,779.40 |
| Rate for Payer: Aetna Medicare |
$9,535.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,918.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,918.88
|
| Rate for Payer: BCBS MAPPO |
$9,535.10
|
| Rate for Payer: BCN Medicare Advantage |
$9,535.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,535.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,535.10
|
| Rate for Payer: Mclaren Medicare |
$9,535.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,011.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,965.36
|
| Rate for Payer: PACE Medicare |
$9,058.34
|
| Rate for Payer: PACE SWMI |
$9,535.10
|
| Rate for Payer: PHP Commercial |
$10,488.61
|
| Rate for Payer: PHP Medicare Advantage |
$9,535.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,102.51
|
| Rate for Payer: Priority Health Medicare |
$9,535.10
|
| Rate for Payer: Priority Health Narrow Network |
$9,682.01
|
| Rate for Payer: Railroad Medicare Medicare |
$9,535.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,535.10
|
| Rate for Payer: UHC Exchange |
$14,779.40
|
| Rate for Payer: UHC Medicare Advantage |
$9,535.10
|
| Rate for Payer: UHCCP DNSP |
$9,535.10
|
| Rate for Payer: VA VA |
$9,535.10
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$42,667.90
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$26,151.30 |
| Max. Negotiated Rate |
$42,667.90 |
| Rate for Payer: Aetna Medicare |
$27,527.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,409.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,409.60
|
| Rate for Payer: BCBS MAPPO |
$27,527.68
|
| Rate for Payer: BCN Medicare Advantage |
$27,527.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,527.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,527.68
|
| Rate for Payer: Mclaren Medicare |
$27,527.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,904.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,656.83
|
| Rate for Payer: PACE Medicare |
$26,151.30
|
| Rate for Payer: PACE SWMI |
$27,527.68
|
| Rate for Payer: PHP Commercial |
$30,280.45
|
| Rate for Payer: PHP Medicare Advantage |
$27,527.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,801.30
|
| Rate for Payer: Priority Health Medicare |
$27,527.68
|
| Rate for Payer: Priority Health Narrow Network |
$31,841.04
|
| Rate for Payer: Railroad Medicare Medicare |
$27,527.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,527.68
|
| Rate for Payer: UHC Exchange |
$42,667.90
|
| Rate for Payer: UHC Medicare Advantage |
$27,527.68
|
| Rate for Payer: UHCCP DNSP |
$27,527.68
|
| Rate for Payer: VA VA |
$27,527.68
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$69,777.73
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$42,767.00 |
| Max. Negotiated Rate |
$69,777.73 |
| Rate for Payer: Aetna Medicare |
$45,017.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,272.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,272.36
|
| Rate for Payer: BCBS MAPPO |
$45,017.89
|
| Rate for Payer: BCN Medicare Advantage |
$45,017.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,017.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$45,017.89
|
| Rate for Payer: Mclaren Medicare |
$45,017.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,268.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,770.57
|
| Rate for Payer: PACE Medicare |
$42,767.00
|
| Rate for Payer: PACE SWMI |
$45,017.89
|
| Rate for Payer: PHP Commercial |
$49,519.68
|
| Rate for Payer: PHP Medicare Advantage |
$45,017.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66,729.35
|
| Rate for Payer: Priority Health Medicare |
$45,017.89
|
| Rate for Payer: Priority Health Narrow Network |
$53,383.48
|
| Rate for Payer: Railroad Medicare Medicare |
$45,017.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,017.89
|
| Rate for Payer: UHC Exchange |
$69,777.73
|
| Rate for Payer: UHC Medicare Advantage |
$45,017.89
|
| Rate for Payer: UHCCP DNSP |
$45,017.89
|
| Rate for Payer: VA VA |
$45,017.89
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$35,340.36
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$21,660.22 |
| Max. Negotiated Rate |
$35,340.36 |
| Rate for Payer: Aetna Medicare |
$22,800.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,500.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,500.29
|
| Rate for Payer: BCBS MAPPO |
$22,800.23
|
| Rate for Payer: BCN Medicare Advantage |
$22,800.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,800.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,800.23
|
| Rate for Payer: Mclaren Medicare |
$22,800.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,940.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,220.26
|
| Rate for Payer: PACE Medicare |
$21,660.22
|
| Rate for Payer: PACE SWMI |
$22,800.23
|
| Rate for Payer: PHP Commercial |
$25,080.25
|
| Rate for Payer: PHP Medicare Advantage |
$22,800.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,522.49
|
| Rate for Payer: Priority Health Medicare |
$22,800.23
|
| Rate for Payer: Priority Health Narrow Network |
$26,017.99
|
| Rate for Payer: Railroad Medicare Medicare |
$22,800.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,800.23
|
| Rate for Payer: UHC Exchange |
$35,340.36
|
| Rate for Payer: UHC Medicare Advantage |
$22,800.23
|
| Rate for Payer: UHCCP DNSP |
$22,800.23
|
| Rate for Payer: VA VA |
$22,800.23
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$17,282.79
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$9,975.47 |
| Max. Negotiated Rate |
$17,282.79 |
| Rate for Payer: Aetna Medicare |
$11,150.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,937.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,937.74
|
| Rate for Payer: BCBS MAPPO |
$11,150.19
|
| Rate for Payer: BCN Medicare Advantage |
$11,150.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,150.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,150.19
|
| Rate for Payer: Mclaren Medicare |
$11,150.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,707.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,822.72
|
| Rate for Payer: PACE Medicare |
$10,592.68
|
| Rate for Payer: PACE SWMI |
$11,150.19
|
| Rate for Payer: PHP Commercial |
$12,265.21
|
| Rate for Payer: PHP Medicare Advantage |
$11,150.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,469.33
|
| Rate for Payer: Priority Health Medicare |
$11,150.19
|
| Rate for Payer: Priority Health Narrow Network |
$9,975.47
|
| Rate for Payer: Railroad Medicare Medicare |
$11,150.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,150.19
|
| Rate for Payer: UHC Exchange |
$17,282.79
|
| Rate for Payer: UHC Medicare Advantage |
$11,150.19
|
| Rate for Payer: UHCCP DNSP |
$11,150.19
|
| Rate for Payer: VA VA |
$11,150.19
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$24,946.46
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$14,346.60 |
| Max. Negotiated Rate |
$24,946.46 |
| Rate for Payer: Aetna Medicare |
$16,094.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,118.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,118.11
|
| Rate for Payer: BCBS MAPPO |
$16,094.49
|
| Rate for Payer: BCN Medicare Advantage |
$16,094.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,094.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,094.49
|
| Rate for Payer: Mclaren Medicare |
$16,094.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,899.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,508.66
|
| Rate for Payer: PACE Medicare |
$15,289.77
|
| Rate for Payer: PACE SWMI |
$16,094.49
|
| Rate for Payer: PHP Commercial |
$17,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,094.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,933.26
|
| Rate for Payer: Priority Health Medicare |
$16,094.49
|
| Rate for Payer: Priority Health Narrow Network |
$14,346.60
|
| Rate for Payer: Railroad Medicare Medicare |
$16,094.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,094.49
|
| Rate for Payer: UHC Exchange |
$24,946.46
|
| Rate for Payer: UHC Medicare Advantage |
$16,094.49
|
| Rate for Payer: UHCCP DNSP |
$16,094.49
|
| Rate for Payer: VA VA |
$16,094.49
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,109.99
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$8,930.22 |
| Max. Negotiated Rate |
$15,109.99 |
| Rate for Payer: Aetna Medicare |
$9,748.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,185.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,185.48
|
| Rate for Payer: BCBS MAPPO |
$9,748.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,748.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,748.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,748.38
|
| Rate for Payer: Mclaren Medicare |
$9,748.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,235.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,210.64
|
| Rate for Payer: PACE Medicare |
$9,260.96
|
| Rate for Payer: PACE SWMI |
$9,748.38
|
| Rate for Payer: PHP Commercial |
$10,723.22
|
| Rate for Payer: PHP Medicare Advantage |
$9,748.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,162.78
|
| Rate for Payer: Priority Health Medicare |
$9,748.38
|
| Rate for Payer: Priority Health Narrow Network |
$8,930.22
|
| Rate for Payer: Railroad Medicare Medicare |
$9,748.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,748.38
|
| Rate for Payer: UHC Exchange |
$15,109.99
|
| Rate for Payer: UHC Medicare Advantage |
$9,748.38
|
| Rate for Payer: UHCCP DNSP |
$9,748.38
|
| Rate for Payer: VA VA |
$9,748.38
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$17,576.01
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$10,168.91 |
| Max. Negotiated Rate |
$17,576.01 |
| Rate for Payer: Aetna Medicare |
$11,339.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,174.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,174.20
|
| Rate for Payer: BCBS MAPPO |
$11,339.36
|
| Rate for Payer: BCN Medicare Advantage |
$11,339.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,339.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,339.36
|
| Rate for Payer: Mclaren Medicare |
$11,339.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,906.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,040.26
|
| Rate for Payer: PACE Medicare |
$10,772.39
|
| Rate for Payer: PACE SWMI |
$11,339.36
|
| Rate for Payer: PHP Commercial |
$12,473.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,339.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,711.14
|
| Rate for Payer: Priority Health Medicare |
$11,339.36
|
| Rate for Payer: Priority Health Narrow Network |
$10,168.91
|
| Rate for Payer: Railroad Medicare Medicare |
$11,339.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,339.36
|
| Rate for Payer: UHC Exchange |
$17,576.01
|
| Rate for Payer: UHC Medicare Advantage |
$11,339.36
|
| Rate for Payer: UHCCP DNSP |
$11,339.36
|
| Rate for Payer: VA VA |
$11,339.36
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$28,075.00
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$16,106.27 |
| Max. Negotiated Rate |
$28,075.00 |
| Rate for Payer: Aetna Medicare |
$18,112.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,641.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,641.12
|
| Rate for Payer: BCBS MAPPO |
$18,112.90
|
| Rate for Payer: BCN Medicare Advantage |
$18,112.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,112.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,112.90
|
| Rate for Payer: Mclaren Medicare |
$18,112.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,018.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,829.84
|
| Rate for Payer: PACE Medicare |
$17,207.26
|
| Rate for Payer: PACE SWMI |
$18,112.90
|
| Rate for Payer: PHP Commercial |
$19,924.19
|
| Rate for Payer: PHP Medicare Advantage |
$18,112.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,132.84
|
| Rate for Payer: Priority Health Medicare |
$18,112.90
|
| Rate for Payer: Priority Health Narrow Network |
$16,106.27
|
| Rate for Payer: Railroad Medicare Medicare |
$18,112.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,112.90
|
| Rate for Payer: UHC Exchange |
$28,075.00
|
| Rate for Payer: UHC Medicare Advantage |
$18,112.90
|
| Rate for Payer: UHCCP DNSP |
$18,112.90
|
| Rate for Payer: VA VA |
$18,112.90
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,678.44
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$8,382.87 |
| Max. Negotiated Rate |
$14,678.44 |
| Rate for Payer: Aetna Medicare |
$9,469.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,837.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,837.45
|
| Rate for Payer: BCBS MAPPO |
$9,469.96
|
| Rate for Payer: BCN Medicare Advantage |
$9,469.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,469.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,469.96
|
| Rate for Payer: Mclaren Medicare |
$9,469.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,943.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,890.45
|
| Rate for Payer: PACE Medicare |
$8,996.46
|
| Rate for Payer: PACE SWMI |
$9,469.96
|
| Rate for Payer: PHP Commercial |
$10,416.96
|
| Rate for Payer: PHP Medicare Advantage |
$9,469.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,478.58
|
| Rate for Payer: Priority Health Medicare |
$9,469.96
|
| Rate for Payer: Priority Health Narrow Network |
$8,382.87
|
| Rate for Payer: Railroad Medicare Medicare |
$9,469.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,469.96
|
| Rate for Payer: UHC Exchange |
$14,678.44
|
| Rate for Payer: UHC Medicare Advantage |
$9,469.96
|
| Rate for Payer: UHCCP DNSP |
$9,469.96
|
| Rate for Payer: VA VA |
$9,469.96
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$71,850.99
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$44,037.71 |
| Max. Negotiated Rate |
$71,850.99 |
| Rate for Payer: Aetna Medicare |
$46,355.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,944.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,944.35
|
| Rate for Payer: BCBS MAPPO |
$46,355.48
|
| Rate for Payer: BCN Medicare Advantage |
$46,355.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,355.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,355.48
|
| Rate for Payer: Mclaren Medicare |
$46,355.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,673.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,308.80
|
| Rate for Payer: PACE Medicare |
$44,037.71
|
| Rate for Payer: PACE SWMI |
$46,355.48
|
| Rate for Payer: PHP Commercial |
$50,991.03
|
| Rate for Payer: PHP Medicare Advantage |
$46,355.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68,787.42
|
| Rate for Payer: Priority Health Medicare |
$46,355.48
|
| Rate for Payer: Priority Health Narrow Network |
$55,029.94
|
| Rate for Payer: Railroad Medicare Medicare |
$46,355.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,355.48
|
| Rate for Payer: UHC Exchange |
$71,850.99
|
| Rate for Payer: UHC Medicare Advantage |
$46,355.48
|
| Rate for Payer: UHCCP DNSP |
$46,355.48
|
| Rate for Payer: VA VA |
$46,355.48
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$30,648.91
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$18,784.82 |
| Max. Negotiated Rate |
$30,648.91 |
| Rate for Payer: Aetna Medicare |
$19,773.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,716.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,716.86
|
| Rate for Payer: BCBS MAPPO |
$19,773.49
|
| Rate for Payer: BCN Medicare Advantage |
$19,773.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,773.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,773.49
|
| Rate for Payer: Mclaren Medicare |
$19,773.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,762.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,739.51
|
| Rate for Payer: PACE Medicare |
$18,784.82
|
| Rate for Payer: PACE SWMI |
$19,773.49
|
| Rate for Payer: PHP Commercial |
$21,750.84
|
| Rate for Payer: PHP Medicare Advantage |
$19,773.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,863.66
|
| Rate for Payer: Priority Health Medicare |
$19,773.49
|
| Rate for Payer: Priority Health Narrow Network |
$22,290.93
|
| Rate for Payer: Railroad Medicare Medicare |
$19,773.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,773.49
|
| Rate for Payer: UHC Exchange |
$30,648.91
|
| Rate for Payer: UHC Medicare Advantage |
$19,773.49
|
| Rate for Payer: UHCCP DNSP |
$19,773.49
|
| Rate for Payer: VA VA |
$19,773.49
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,550.98
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$13,208.67 |
| Max. Negotiated Rate |
$21,550.98 |
| Rate for Payer: Aetna Medicare |
$13,903.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,379.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,379.82
|
| Rate for Payer: BCBS MAPPO |
$13,903.86
|
| Rate for Payer: BCN Medicare Advantage |
$13,903.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,903.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,903.86
|
| Rate for Payer: Mclaren Medicare |
$13,903.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,599.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,989.44
|
| Rate for Payer: PACE Medicare |
$13,208.67
|
| Rate for Payer: PACE SWMI |
$13,903.86
|
| Rate for Payer: PHP Commercial |
$15,294.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,903.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,826.28
|
| Rate for Payer: Priority Health Medicare |
$13,903.86
|
| Rate for Payer: Priority Health Narrow Network |
$15,061.02
|
| Rate for Payer: Railroad Medicare Medicare |
$13,903.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,903.86
|
| Rate for Payer: UHC Exchange |
$21,550.98
|
| Rate for Payer: UHC Medicare Advantage |
$13,903.86
|
| Rate for Payer: UHCCP DNSP |
$13,903.86
|
| Rate for Payer: VA VA |
$13,903.86
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$20,172.03
|
|
|
Service Code
|
MSDRG 847
|
| Min. Negotiated Rate |
$12,363.50 |
| Max. Negotiated Rate |
$20,172.03 |
| Rate for Payer: Aetna Medicare |
$13,014.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,267.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,267.76
|
| Rate for Payer: BCBS MAPPO |
$13,014.21
|
| Rate for Payer: BCN Medicare Advantage |
$13,014.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,014.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,014.21
|
| Rate for Payer: Mclaren Medicare |
$13,014.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,664.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,966.34
|
| Rate for Payer: PACE Medicare |
$12,363.50
|
| Rate for Payer: PACE SWMI |
$13,014.21
|
| Rate for Payer: PHP Commercial |
$14,315.63
|
| Rate for Payer: PHP Medicare Advantage |
$13,014.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,456.52
|
| Rate for Payer: Priority Health Medicare |
$13,014.21
|
| Rate for Payer: Priority Health Narrow Network |
$13,965.22
|
| Rate for Payer: Railroad Medicare Medicare |
$13,014.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,014.21
|
| Rate for Payer: UHC Exchange |
$20,172.03
|
| Rate for Payer: UHC Medicare Advantage |
$13,014.21
|
| Rate for Payer: UHCCP DNSP |
$13,014.21
|
| Rate for Payer: VA VA |
$13,014.21
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$37,918.41
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$23,240.32 |
| Max. Negotiated Rate |
$37,918.41 |
| Rate for Payer: Aetna Medicare |
$24,463.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,579.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,579.36
|
| Rate for Payer: BCBS MAPPO |
$24,463.49
|
| Rate for Payer: BCN Medicare Advantage |
$24,463.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,463.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,463.49
|
| Rate for Payer: Mclaren Medicare |
$24,463.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,686.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,133.01
|
| Rate for Payer: PACE Medicare |
$23,240.32
|
| Rate for Payer: PACE SWMI |
$24,463.49
|
| Rate for Payer: PHP Commercial |
$26,909.84
|
| Rate for Payer: PHP Medicare Advantage |
$24,463.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,083.40
|
| Rate for Payer: Priority Health Medicare |
$24,463.49
|
| Rate for Payer: Priority Health Narrow Network |
$28,066.72
|
| Rate for Payer: Railroad Medicare Medicare |
$24,463.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,463.49
|
| Rate for Payer: UHC Exchange |
$37,918.41
|
| Rate for Payer: UHC Medicare Advantage |
$24,463.49
|
| Rate for Payer: UHCCP DNSP |
$24,463.49
|
| Rate for Payer: VA VA |
$24,463.49
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,923.26
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$8,533.61 |
| Max. Negotiated Rate |
$13,923.26 |
| Rate for Payer: Aetna Medicare |
$8,982.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,228.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,228.44
|
| Rate for Payer: BCBS MAPPO |
$8,982.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,982.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,982.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,982.75
|
| Rate for Payer: Mclaren Medicare |
$8,982.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,431.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,330.16
|
| Rate for Payer: PACE Medicare |
$8,533.61
|
| Rate for Payer: PACE SWMI |
$8,982.75
|
| Rate for Payer: PHP Commercial |
$9,881.02
|
| Rate for Payer: PHP Medicare Advantage |
$8,982.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,250.70
|
| Rate for Payer: Priority Health Medicare |
$8,982.75
|
| Rate for Payer: Priority Health Narrow Network |
$9,000.56
|
| Rate for Payer: Railroad Medicare Medicare |
$8,982.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,982.75
|
| Rate for Payer: UHC Exchange |
$13,923.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,982.75
|
| Rate for Payer: UHCCP DNSP |
$8,982.75
|
| Rate for Payer: VA VA |
$8,982.75
|
|
|
MS-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$12,464.14
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$7,639.31 |
| Max. Negotiated Rate |
$12,464.14 |
| Rate for Payer: Aetna Medicare |
$8,041.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,051.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,051.72
|
| Rate for Payer: BCBS MAPPO |
$8,041.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,041.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,041.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,041.38
|
| Rate for Payer: Mclaren Medicare |
$8,041.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,443.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,247.59
|
| Rate for Payer: PACE Medicare |
$7,639.31
|
| Rate for Payer: PACE SWMI |
$8,041.38
|
| Rate for Payer: PHP Commercial |
$8,845.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,041.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,799.89
|
| Rate for Payer: Priority Health Medicare |
$8,041.38
|
| Rate for Payer: Priority Health Narrow Network |
$7,839.91
|
| Rate for Payer: Railroad Medicare Medicare |
$8,041.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,041.38
|
| Rate for Payer: UHC Exchange |
$12,464.14
|
| Rate for Payer: UHC Medicare Advantage |
$8,041.38
|
| Rate for Payer: UHCCP DNSP |
$8,041.38
|
| Rate for Payer: VA VA |
$8,041.38
|
|
|
MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$524,196.95
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$321,282.00 |
| Max. Negotiated Rate |
$524,196.95 |
| Rate for Payer: Aetna Medicare |
$338,191.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$422,739.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$422,739.48
|
| Rate for Payer: BCBS MAPPO |
$338,191.58
|
| Rate for Payer: BCN Medicare Advantage |
$338,191.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338,191.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$338,191.58
|
| Rate for Payer: Mclaren Medicare |
$338,191.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$355,101.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388,920.32
|
| Rate for Payer: PACE Medicare |
$321,282.00
|
| Rate for Payer: PACE SWMI |
$338,191.58
|
| Rate for Payer: PHP Commercial |
$372,010.74
|
| Rate for Payer: PHP Medicare Advantage |
$338,191.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$518,092.90
|
| Rate for Payer: Priority Health Medicare |
$338,191.58
|
| Rate for Payer: Priority Health Narrow Network |
$414,474.32
|
| Rate for Payer: Railroad Medicare Medicare |
$338,191.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$338,191.58
|
| Rate for Payer: UHC Exchange |
$524,196.95
|
| Rate for Payer: UHC Medicare Advantage |
$338,191.58
|
| Rate for Payer: UHCCP DNSP |
$338,191.58
|
| Rate for Payer: VA VA |
$338,191.58
|
|
