|
MS-DRG 42.00: CONCUSSION WITH CC
|
Facility
|
IP
|
$17,425.26
|
|
|
Service Code
|
MSDRG 089
|
| Min. Negotiated Rate |
$10,680.00 |
| Max. Negotiated Rate |
$17,425.26 |
| Rate for Payer: Aetna Medicare |
$11,242.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,052.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,052.62
|
| Rate for Payer: BCBS MAPPO |
$11,242.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,242.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,242.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,242.10
|
| Rate for Payer: Mclaren Medicare |
$11,242.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,804.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,928.42
|
| Rate for Payer: PACE Medicare |
$10,680.00
|
| Rate for Payer: PACE SWMI |
$11,242.10
|
| Rate for Payer: PHP Commercial |
$12,366.31
|
| Rate for Payer: PHP Medicare Advantage |
$11,242.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,729.37
|
| Rate for Payer: Priority Health Medicare |
$11,242.10
|
| Rate for Payer: Priority Health Narrow Network |
$11,783.49
|
| Rate for Payer: Railroad Medicare Medicare |
$11,242.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,242.10
|
| Rate for Payer: UHC Exchange |
$17,425.26
|
| Rate for Payer: UHC Medicare Advantage |
$11,242.10
|
| Rate for Payer: UHCCP DNSP |
$11,242.10
|
| Rate for Payer: VA VA |
$11,242.10
|
|
|
MS-DRG 42.00: CONCUSSION WITH MCC
|
Facility
|
IP
|
$22,108.36
|
|
|
Service Code
|
MSDRG 088
|
| Min. Negotiated Rate |
$13,550.29 |
| Max. Negotiated Rate |
$22,108.36 |
| Rate for Payer: Aetna Medicare |
$14,263.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,829.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,829.32
|
| Rate for Payer: BCBS MAPPO |
$14,263.46
|
| Rate for Payer: BCN Medicare Advantage |
$14,263.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,263.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,263.46
|
| Rate for Payer: Mclaren Medicare |
$14,263.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,976.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,402.98
|
| Rate for Payer: PACE Medicare |
$13,550.29
|
| Rate for Payer: PACE SWMI |
$14,263.46
|
| Rate for Payer: PHP Commercial |
$15,689.81
|
| Rate for Payer: PHP Medicare Advantage |
$14,263.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,379.95
|
| Rate for Payer: Priority Health Medicare |
$14,263.46
|
| Rate for Payer: Priority Health Narrow Network |
$15,503.96
|
| Rate for Payer: Railroad Medicare Medicare |
$14,263.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,263.46
|
| Rate for Payer: UHC Exchange |
$22,108.36
|
| Rate for Payer: UHC Medicare Advantage |
$14,263.46
|
| Rate for Payer: UHCCP DNSP |
$14,263.46
|
| Rate for Payer: VA VA |
$14,263.46
|
|
|
MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,454.37
|
|
|
Service Code
|
MSDRG 090
|
| Min. Negotiated Rate |
$8,859.13 |
| Max. Negotiated Rate |
$14,454.37 |
| Rate for Payer: Aetna Medicare |
$9,325.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,656.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,656.75
|
| Rate for Payer: BCBS MAPPO |
$9,325.40
|
| Rate for Payer: BCN Medicare Advantage |
$9,325.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,325.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,325.40
|
| Rate for Payer: Mclaren Medicare |
$9,325.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,791.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,724.21
|
| Rate for Payer: PACE Medicare |
$8,859.13
|
| Rate for Payer: PACE SWMI |
$9,325.40
|
| Rate for Payer: PHP Commercial |
$10,257.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,325.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,776.90
|
| Rate for Payer: Priority Health Medicare |
$9,325.40
|
| Rate for Payer: Priority Health Narrow Network |
$9,421.52
|
| Rate for Payer: Railroad Medicare Medicare |
$9,325.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,325.40
|
| Rate for Payer: UHC Exchange |
$14,454.37
|
| Rate for Payer: UHC Medicare Advantage |
$9,325.40
|
| Rate for Payer: UHCCP DNSP |
$9,325.40
|
| Rate for Payer: VA VA |
$9,325.40
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$18,609.16
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$11,405.61 |
| Max. Negotiated Rate |
$18,609.16 |
| Rate for Payer: Aetna Medicare |
$12,005.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,007.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,007.39
|
| Rate for Payer: BCBS MAPPO |
$12,005.91
|
| Rate for Payer: BCN Medicare Advantage |
$12,005.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,005.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,005.91
|
| Rate for Payer: Mclaren Medicare |
$12,005.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,606.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,806.80
|
| Rate for Payer: PACE Medicare |
$11,405.61
|
| Rate for Payer: PACE SWMI |
$12,005.91
|
| Rate for Payer: PHP Commercial |
$13,206.50
|
| Rate for Payer: PHP Medicare Advantage |
$12,005.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,905.41
|
| Rate for Payer: Priority Health Medicare |
$12,005.91
|
| Rate for Payer: Priority Health Narrow Network |
$12,724.33
|
| Rate for Payer: Railroad Medicare Medicare |
$12,005.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,005.91
|
| Rate for Payer: UHC Exchange |
$18,609.16
|
| Rate for Payer: UHC Medicare Advantage |
$12,005.91
|
| Rate for Payer: UHCCP DNSP |
$12,005.91
|
| Rate for Payer: VA VA |
$12,005.91
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$37,546.35
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$23,012.28 |
| Max. Negotiated Rate |
$37,546.35 |
| Rate for Payer: Aetna Medicare |
$24,223.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,279.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,279.31
|
| Rate for Payer: BCBS MAPPO |
$24,223.45
|
| Rate for Payer: BCN Medicare Advantage |
$24,223.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,223.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,223.45
|
| Rate for Payer: Mclaren Medicare |
$24,223.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,434.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,856.97
|
| Rate for Payer: PACE Medicare |
$23,012.28
|
| Rate for Payer: PACE SWMI |
$24,223.45
|
| Rate for Payer: PHP Commercial |
$26,645.80
|
| Rate for Payer: PHP Medicare Advantage |
$24,223.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,713.83
|
| Rate for Payer: Priority Health Medicare |
$24,223.45
|
| Rate for Payer: Priority Health Narrow Network |
$27,771.06
|
| Rate for Payer: Railroad Medicare Medicare |
$24,223.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,223.45
|
| Rate for Payer: UHC Exchange |
$37,546.35
|
| Rate for Payer: UHC Medicare Advantage |
$24,223.45
|
| Rate for Payer: UHCCP DNSP |
$24,223.45
|
| Rate for Payer: VA VA |
$24,223.45
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,917.78
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$7,917.35 |
| Max. Negotiated Rate |
$12,917.78 |
| Rate for Payer: Aetna Medicare |
$8,334.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,417.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,417.56
|
| Rate for Payer: BCBS MAPPO |
$8,334.05
|
| Rate for Payer: BCN Medicare Advantage |
$8,334.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,334.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,334.05
|
| Rate for Payer: Mclaren Medicare |
$8,334.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,750.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,584.16
|
| Rate for Payer: PACE Medicare |
$7,917.35
|
| Rate for Payer: PACE SWMI |
$8,334.05
|
| Rate for Payer: PHP Commercial |
$9,167.46
|
| Rate for Payer: PHP Medicare Advantage |
$8,334.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,251.89
|
| Rate for Payer: Priority Health Medicare |
$8,334.05
|
| Rate for Payer: Priority Health Narrow Network |
$8,201.51
|
| Rate for Payer: Railroad Medicare Medicare |
$8,334.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,334.05
|
| Rate for Payer: UHC Exchange |
$12,917.78
|
| Rate for Payer: UHC Medicare Advantage |
$8,334.05
|
| Rate for Payer: UHCCP DNSP |
$8,334.05
|
| Rate for Payer: VA VA |
$8,334.05
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$110,704.56
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$67,851.18 |
| Max. Negotiated Rate |
$110,704.56 |
| Rate for Payer: Aetna Medicare |
$71,422.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89,277.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89,277.88
|
| Rate for Payer: BCBS MAPPO |
$71,422.30
|
| Rate for Payer: BCN Medicare Advantage |
$71,422.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71,422.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$71,422.30
|
| Rate for Payer: Mclaren Medicare |
$71,422.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74,993.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82,135.64
|
| Rate for Payer: PACE Medicare |
$67,851.18
|
| Rate for Payer: PACE SWMI |
$71,422.30
|
| Rate for Payer: PHP Commercial |
$78,564.53
|
| Rate for Payer: PHP Medicare Advantage |
$71,422.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$107,379.71
|
| Rate for Payer: Priority Health Medicare |
$71,422.30
|
| Rate for Payer: Priority Health Narrow Network |
$85,903.77
|
| Rate for Payer: Railroad Medicare Medicare |
$71,422.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$71,422.30
|
| Rate for Payer: UHC Exchange |
$110,704.56
|
| Rate for Payer: UHC Medicare Advantage |
$71,422.30
|
| Rate for Payer: UHCCP DNSP |
$71,422.30
|
| Rate for Payer: VA VA |
$71,422.30
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$76,180.04
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$46,690.99 |
| Max. Negotiated Rate |
$76,180.04 |
| Rate for Payer: Aetna Medicare |
$49,148.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,435.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,435.51
|
| Rate for Payer: BCBS MAPPO |
$49,148.41
|
| Rate for Payer: BCN Medicare Advantage |
$49,148.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,148.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$49,148.41
|
| Rate for Payer: Mclaren Medicare |
$49,148.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,605.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,520.67
|
| Rate for Payer: PACE Medicare |
$46,690.99
|
| Rate for Payer: PACE SWMI |
$49,148.41
|
| Rate for Payer: PHP Commercial |
$54,063.25
|
| Rate for Payer: PHP Medicare Advantage |
$49,148.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73,089.04
|
| Rate for Payer: Priority Health Medicare |
$49,148.41
|
| Rate for Payer: Priority Health Narrow Network |
$58,471.23
|
| Rate for Payer: Railroad Medicare Medicare |
$49,148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,148.41
|
| Rate for Payer: UHC Exchange |
$76,180.04
|
| Rate for Payer: UHC Medicare Advantage |
$49,148.41
|
| Rate for Payer: UHCCP DNSP |
$49,148.41
|
| Rate for Payer: VA VA |
$49,148.41
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$83,980.63
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$51,472.00 |
| Max. Negotiated Rate |
$83,980.63 |
| Rate for Payer: Aetna Medicare |
$54,181.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67,726.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67,726.31
|
| Rate for Payer: BCBS MAPPO |
$54,181.05
|
| Rate for Payer: BCN Medicare Advantage |
$54,181.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,181.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$54,181.05
|
| Rate for Payer: Mclaren Medicare |
$54,181.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56,890.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,308.21
|
| Rate for Payer: PACE Medicare |
$51,472.00
|
| Rate for Payer: PACE SWMI |
$54,181.05
|
| Rate for Payer: PHP Commercial |
$59,599.16
|
| Rate for Payer: PHP Medicare Advantage |
$54,181.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$80,836.35
|
| Rate for Payer: Priority Health Medicare |
$54,181.05
|
| Rate for Payer: Priority Health Narrow Network |
$64,669.08
|
| Rate for Payer: Railroad Medicare Medicare |
$54,181.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,181.05
|
| Rate for Payer: UHC Exchange |
$83,980.63
|
| Rate for Payer: UHC Medicare Advantage |
$54,181.05
|
| Rate for Payer: UHCCP DNSP |
$54,181.05
|
| Rate for Payer: VA VA |
$54,181.05
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$59,471.00
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$36,449.97 |
| Max. Negotiated Rate |
$59,471.00 |
| Rate for Payer: Aetna Medicare |
$38,368.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,960.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,960.49
|
| Rate for Payer: BCBS MAPPO |
$38,368.39
|
| Rate for Payer: BCN Medicare Advantage |
$38,368.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,368.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,368.39
|
| Rate for Payer: Mclaren Medicare |
$38,368.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,286.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,123.65
|
| Rate for Payer: PACE Medicare |
$36,449.97
|
| Rate for Payer: PACE SWMI |
$38,368.39
|
| Rate for Payer: PHP Commercial |
$42,205.23
|
| Rate for Payer: PHP Medicare Advantage |
$38,368.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,491.20
|
| Rate for Payer: Priority Health Medicare |
$38,368.39
|
| Rate for Payer: Priority Health Narrow Network |
$45,192.96
|
| Rate for Payer: Railroad Medicare Medicare |
$38,368.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,368.39
|
| Rate for Payer: UHC Exchange |
$59,471.00
|
| Rate for Payer: UHC Medicare Advantage |
$38,368.39
|
| Rate for Payer: UHCCP DNSP |
$38,368.39
|
| Rate for Payer: VA VA |
$38,368.39
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$119,798.35
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$73,424.80 |
| Max. Negotiated Rate |
$119,798.35 |
| Rate for Payer: Aetna Medicare |
$77,289.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96,611.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96,611.58
|
| Rate for Payer: BCBS MAPPO |
$77,289.26
|
| Rate for Payer: BCN Medicare Advantage |
$77,289.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77,289.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$77,289.26
|
| Rate for Payer: Mclaren Medicare |
$77,289.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81,153.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88,882.65
|
| Rate for Payer: PACE Medicare |
$73,424.80
|
| Rate for Payer: PACE SWMI |
$77,289.26
|
| Rate for Payer: PHP Commercial |
$85,018.19
|
| Rate for Payer: PHP Medicare Advantage |
$77,289.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$116,414.35
|
| Rate for Payer: Priority Health Medicare |
$77,289.26
|
| Rate for Payer: Priority Health Narrow Network |
$93,131.48
|
| Rate for Payer: Railroad Medicare Medicare |
$77,289.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$77,289.26
|
| Rate for Payer: UHC Exchange |
$119,798.35
|
| Rate for Payer: UHC Medicare Advantage |
$77,289.26
|
| Rate for Payer: UHCCP DNSP |
$77,289.26
|
| Rate for Payer: VA VA |
$77,289.26
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$87,085.66
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$53,375.08 |
| Max. Negotiated Rate |
$87,085.66 |
| Rate for Payer: Aetna Medicare |
$56,184.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70,230.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70,230.38
|
| Rate for Payer: BCBS MAPPO |
$56,184.30
|
| Rate for Payer: BCN Medicare Advantage |
$56,184.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,184.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,184.30
|
| Rate for Payer: Mclaren Medicare |
$56,184.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,993.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64,611.94
|
| Rate for Payer: PACE Medicare |
$53,375.08
|
| Rate for Payer: PACE SWMI |
$56,184.30
|
| Rate for Payer: PHP Commercial |
$61,802.73
|
| Rate for Payer: PHP Medicare Advantage |
$56,184.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83,920.71
|
| Rate for Payer: Priority Health Medicare |
$56,184.30
|
| Rate for Payer: Priority Health Narrow Network |
$67,136.57
|
| Rate for Payer: Railroad Medicare Medicare |
$56,184.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,184.30
|
| Rate for Payer: UHC Exchange |
$87,085.66
|
| Rate for Payer: UHC Medicare Advantage |
$56,184.30
|
| Rate for Payer: UHCCP DNSP |
$56,184.30
|
| Rate for Payer: VA VA |
$56,184.30
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$61,508.28
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$37,698.62 |
| Max. Negotiated Rate |
$61,508.28 |
| Rate for Payer: Aetna Medicare |
$39,682.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,603.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,603.45
|
| Rate for Payer: BCBS MAPPO |
$39,682.76
|
| Rate for Payer: BCN Medicare Advantage |
$39,682.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,682.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,682.76
|
| Rate for Payer: Mclaren Medicare |
$39,682.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,666.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,635.17
|
| Rate for Payer: PACE Medicare |
$37,698.62
|
| Rate for Payer: PACE SWMI |
$39,682.76
|
| Rate for Payer: PHP Commercial |
$43,651.04
|
| Rate for Payer: PHP Medicare Advantage |
$39,682.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,516.30
|
| Rate for Payer: Priority Health Medicare |
$39,682.76
|
| Rate for Payer: Priority Health Narrow Network |
$46,813.04
|
| Rate for Payer: Railroad Medicare Medicare |
$39,682.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,682.76
|
| Rate for Payer: UHC Exchange |
$61,508.28
|
| Rate for Payer: UHC Medicare Advantage |
$39,682.76
|
| Rate for Payer: UHCCP DNSP |
$39,682.76
|
| Rate for Payer: VA VA |
$39,682.76
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$46,788.11
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$28,676.59 |
| Max. Negotiated Rate |
$46,788.11 |
| Rate for Payer: Aetna Medicare |
$30,185.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,732.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,732.35
|
| Rate for Payer: BCBS MAPPO |
$30,185.88
|
| Rate for Payer: BCN Medicare Advantage |
$30,185.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,185.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,185.88
|
| Rate for Payer: Mclaren Medicare |
$30,185.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,695.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,713.76
|
| Rate for Payer: PACE Medicare |
$28,676.59
|
| Rate for Payer: PACE SWMI |
$30,185.88
|
| Rate for Payer: PHP Commercial |
$33,204.47
|
| Rate for Payer: PHP Medicare Advantage |
$30,185.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,895.47
|
| Rate for Payer: Priority Health Medicare |
$30,185.88
|
| Rate for Payer: Priority Health Narrow Network |
$35,116.37
|
| Rate for Payer: Railroad Medicare Medicare |
$30,185.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,185.88
|
| Rate for Payer: UHC Exchange |
$46,788.11
|
| Rate for Payer: UHC Medicare Advantage |
$30,185.88
|
| Rate for Payer: UHCCP DNSP |
$30,185.88
|
| Rate for Payer: VA VA |
$30,185.88
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$42,182.44
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$25,853.76 |
| Max. Negotiated Rate |
$42,182.44 |
| Rate for Payer: Aetna Medicare |
$27,214.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,018.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,018.10
|
| Rate for Payer: BCBS MAPPO |
$27,214.48
|
| Rate for Payer: BCN Medicare Advantage |
$27,214.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,214.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,214.48
|
| Rate for Payer: Mclaren Medicare |
$27,214.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,575.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,296.65
|
| Rate for Payer: PACE Medicare |
$25,853.76
|
| Rate for Payer: PACE SWMI |
$27,214.48
|
| Rate for Payer: PHP Commercial |
$29,935.93
|
| Rate for Payer: PHP Medicare Advantage |
$27,214.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,320.45
|
| Rate for Payer: Priority Health Medicare |
$27,214.48
|
| Rate for Payer: Priority Health Narrow Network |
$31,456.36
|
| Rate for Payer: Railroad Medicare Medicare |
$27,214.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,214.48
|
| Rate for Payer: UHC Exchange |
$42,182.44
|
| Rate for Payer: UHC Medicare Advantage |
$27,214.48
|
| Rate for Payer: UHCCP DNSP |
$27,214.48
|
| Rate for Payer: VA VA |
$27,214.48
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$23,974.14
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$14,693.83 |
| Max. Negotiated Rate |
$23,974.14 |
| Rate for Payer: Aetna Medicare |
$15,467.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,333.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,333.99
|
| Rate for Payer: BCBS MAPPO |
$15,467.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,467.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,467.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,467.19
|
| Rate for Payer: Mclaren Medicare |
$15,467.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,240.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,787.27
|
| Rate for Payer: PACE Medicare |
$14,693.83
|
| Rate for Payer: PACE SWMI |
$15,467.19
|
| Rate for Payer: PHP Commercial |
$17,013.91
|
| Rate for Payer: PHP Medicare Advantage |
$15,467.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,233.32
|
| Rate for Payer: Priority Health Medicare |
$15,467.19
|
| Rate for Payer: Priority Health Narrow Network |
$16,986.65
|
| Rate for Payer: Railroad Medicare Medicare |
$15,467.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,467.19
|
| Rate for Payer: UHC Exchange |
$23,974.14
|
| Rate for Payer: UHC Medicare Advantage |
$15,467.19
|
| Rate for Payer: UHCCP DNSP |
$15,467.19
|
| Rate for Payer: VA VA |
$15,467.19
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$17,014.47
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$10,428.23 |
| Max. Negotiated Rate |
$17,014.47 |
| Rate for Payer: Aetna Medicare |
$10,977.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,721.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,721.35
|
| Rate for Payer: BCBS MAPPO |
$10,977.08
|
| Rate for Payer: BCN Medicare Advantage |
$10,977.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,977.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,977.08
|
| Rate for Payer: Mclaren Medicare |
$10,977.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,525.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,623.64
|
| Rate for Payer: PACE Medicare |
$10,428.23
|
| Rate for Payer: PACE SWMI |
$10,977.08
|
| Rate for Payer: PHP Commercial |
$12,074.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,977.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,321.33
|
| Rate for Payer: Priority Health Medicare |
$10,977.08
|
| Rate for Payer: Priority Health Narrow Network |
$11,457.06
|
| Rate for Payer: Railroad Medicare Medicare |
$10,977.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,977.08
|
| Rate for Payer: UHC Exchange |
$17,014.47
|
| Rate for Payer: UHC Medicare Advantage |
$10,977.08
|
| Rate for Payer: UHCCP DNSP |
$10,977.08
|
| Rate for Payer: VA VA |
$10,977.08
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$44,900.23
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$27,519.50 |
| Max. Negotiated Rate |
$44,900.23 |
| Rate for Payer: Aetna Medicare |
$28,967.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,209.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,209.86
|
| Rate for Payer: BCBS MAPPO |
$28,967.89
|
| Rate for Payer: BCN Medicare Advantage |
$28,967.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,967.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,967.89
|
| Rate for Payer: Mclaren Medicare |
$28,967.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,416.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,313.07
|
| Rate for Payer: PACE Medicare |
$27,519.50
|
| Rate for Payer: PACE SWMI |
$28,967.89
|
| Rate for Payer: PHP Commercial |
$31,864.68
|
| Rate for Payer: PHP Medicare Advantage |
$28,967.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,018.75
|
| Rate for Payer: Priority Health Medicare |
$28,967.89
|
| Rate for Payer: Priority Health Narrow Network |
$33,615.00
|
| Rate for Payer: Railroad Medicare Medicare |
$28,967.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,967.89
|
| Rate for Payer: UHC Exchange |
$44,900.23
|
| Rate for Payer: UHC Medicare Advantage |
$28,967.89
|
| Rate for Payer: UHCCP DNSP |
$28,967.89
|
| Rate for Payer: VA VA |
$28,967.89
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,452.88
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$39,503.38 |
| Max. Negotiated Rate |
$64,452.88 |
| Rate for Payer: Aetna Medicare |
$41,582.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,978.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,978.12
|
| Rate for Payer: BCBS MAPPO |
$41,582.50
|
| Rate for Payer: BCN Medicare Advantage |
$41,582.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,582.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$41,582.50
|
| Rate for Payer: Mclaren Medicare |
$41,582.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,661.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,819.88
|
| Rate for Payer: PACE Medicare |
$39,503.38
|
| Rate for Payer: PACE SWMI |
$41,582.50
|
| Rate for Payer: PHP Commercial |
$45,740.75
|
| Rate for Payer: PHP Medicare Advantage |
$41,582.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,439.91
|
| Rate for Payer: Priority Health Medicare |
$41,582.50
|
| Rate for Payer: Priority Health Narrow Network |
$49,151.93
|
| Rate for Payer: Railroad Medicare Medicare |
$41,582.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,582.50
|
| Rate for Payer: UHC Exchange |
$64,452.88
|
| Rate for Payer: UHC Medicare Advantage |
$41,582.50
|
| Rate for Payer: UHCCP DNSP |
$41,582.50
|
| Rate for Payer: VA VA |
$41,582.50
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,728.94
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$22,511.29 |
| Max. Negotiated Rate |
$36,728.94 |
| Rate for Payer: Aetna Medicare |
$23,696.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,620.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,620.11
|
| Rate for Payer: BCBS MAPPO |
$23,696.09
|
| Rate for Payer: BCN Medicare Advantage |
$23,696.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,696.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,696.09
|
| Rate for Payer: Mclaren Medicare |
$23,696.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,880.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,250.50
|
| Rate for Payer: PACE Medicare |
$22,511.29
|
| Rate for Payer: PACE SWMI |
$23,696.09
|
| Rate for Payer: PHP Commercial |
$26,065.70
|
| Rate for Payer: PHP Medicare Advantage |
$23,696.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,901.86
|
| Rate for Payer: Priority Health Medicare |
$23,696.09
|
| Rate for Payer: Priority Health Narrow Network |
$27,121.49
|
| Rate for Payer: Railroad Medicare Medicare |
$23,696.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,696.09
|
| Rate for Payer: UHC Exchange |
$36,728.94
|
| Rate for Payer: UHC Medicare Advantage |
$23,696.09
|
| Rate for Payer: UHCCP DNSP |
$23,696.09
|
| Rate for Payer: VA VA |
$23,696.09
|
|
|
MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$97,038.35
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$59,475.12 |
| Max. Negotiated Rate |
$97,038.35 |
| Rate for Payer: Aetna Medicare |
$62,605.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$78,256.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$78,256.74
|
| Rate for Payer: BCBS MAPPO |
$62,605.39
|
| Rate for Payer: BCN Medicare Advantage |
$62,605.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62,605.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$62,605.39
|
| Rate for Payer: Mclaren Medicare |
$62,605.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65,735.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71,996.20
|
| Rate for Payer: PACE Medicare |
$59,475.12
|
| Rate for Payer: PACE SWMI |
$62,605.39
|
| Rate for Payer: PHP Commercial |
$68,865.93
|
| Rate for Payer: PHP Medicare Advantage |
$62,605.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93,807.15
|
| Rate for Payer: Priority Health Medicare |
$62,605.39
|
| Rate for Payer: Priority Health Narrow Network |
$75,045.72
|
| Rate for Payer: Railroad Medicare Medicare |
$62,605.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$62,605.39
|
| Rate for Payer: UHC Exchange |
$97,038.35
|
| Rate for Payer: UHC Medicare Advantage |
$62,605.39
|
| Rate for Payer: UHCCP DNSP |
$62,605.39
|
| Rate for Payer: VA VA |
$62,605.39
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$81,503.51
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$49,953.76 |
| Max. Negotiated Rate |
$81,503.51 |
| Rate for Payer: Aetna Medicare |
$52,582.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,728.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,728.64
|
| Rate for Payer: BCBS MAPPO |
$52,582.91
|
| Rate for Payer: BCN Medicare Advantage |
$52,582.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,582.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$52,582.91
|
| Rate for Payer: Mclaren Medicare |
$52,582.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,212.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,470.35
|
| Rate for Payer: PACE Medicare |
$49,953.76
|
| Rate for Payer: PACE SWMI |
$52,582.91
|
| Rate for Payer: PHP Commercial |
$57,841.20
|
| Rate for Payer: PHP Medicare Advantage |
$52,582.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78,375.73
|
| Rate for Payer: Priority Health Medicare |
$52,582.91
|
| Rate for Payer: Priority Health Narrow Network |
$62,700.59
|
| Rate for Payer: Railroad Medicare Medicare |
$52,582.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,582.91
|
| Rate for Payer: UHC Exchange |
$81,503.51
|
| Rate for Payer: UHC Medicare Advantage |
$52,582.91
|
| Rate for Payer: UHCCP DNSP |
$52,582.91
|
| Rate for Payer: VA VA |
$52,582.91
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$55,177.91
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$33,818.72 |
| Max. Negotiated Rate |
$55,177.91 |
| Rate for Payer: Aetna Medicare |
$35,598.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,498.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,498.31
|
| Rate for Payer: BCBS MAPPO |
$35,598.65
|
| Rate for Payer: BCN Medicare Advantage |
$35,598.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,598.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,598.65
|
| Rate for Payer: Mclaren Medicare |
$35,598.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,378.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,938.45
|
| Rate for Payer: PACE Medicare |
$33,818.72
|
| Rate for Payer: PACE SWMI |
$35,598.65
|
| Rate for Payer: PHP Commercial |
$39,158.52
|
| Rate for Payer: PHP Medicare Advantage |
$35,598.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,226.67
|
| Rate for Payer: Priority Health Medicare |
$35,598.65
|
| Rate for Payer: Priority Health Narrow Network |
$41,781.34
|
| Rate for Payer: Railroad Medicare Medicare |
$35,598.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,598.65
|
| Rate for Payer: UHC Exchange |
$55,177.91
|
| Rate for Payer: UHC Medicare Advantage |
$35,598.65
|
| Rate for Payer: UHCCP DNSP |
$35,598.65
|
| Rate for Payer: VA VA |
$35,598.65
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$29,622.67
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$18,155.83 |
| Max. Negotiated Rate |
$29,622.67 |
| Rate for Payer: Aetna Medicare |
$19,111.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,889.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,889.25
|
| Rate for Payer: BCBS MAPPO |
$19,111.40
|
| Rate for Payer: BCN Medicare Advantage |
$19,111.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,111.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,111.40
|
| Rate for Payer: Mclaren Medicare |
$19,111.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,066.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,978.11
|
| Rate for Payer: PACE Medicare |
$18,155.83
|
| Rate for Payer: PACE SWMI |
$19,111.40
|
| Rate for Payer: PHP Commercial |
$21,022.54
|
| Rate for Payer: PHP Medicare Advantage |
$19,111.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,844.24
|
| Rate for Payer: Priority Health Medicare |
$19,111.40
|
| Rate for Payer: Priority Health Narrow Network |
$21,475.39
|
| Rate for Payer: Railroad Medicare Medicare |
$19,111.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,111.40
|
| Rate for Payer: UHC Exchange |
$29,622.67
|
| Rate for Payer: UHC Medicare Advantage |
$19,111.40
|
| Rate for Payer: UHCCP DNSP |
$19,111.40
|
| Rate for Payer: VA VA |
$19,111.40
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$16,771.05
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$10,279.03 |
| Max. Negotiated Rate |
$16,771.05 |
| Rate for Payer: Aetna Medicare |
$10,820.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,525.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,525.04
|
| Rate for Payer: BCBS MAPPO |
$10,820.03
|
| Rate for Payer: BCN Medicare Advantage |
$10,820.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,820.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,820.03
|
| Rate for Payer: Mclaren Medicare |
$10,820.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,361.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,443.03
|
| Rate for Payer: PACE Medicare |
$10,279.03
|
| Rate for Payer: PACE SWMI |
$10,820.03
|
| Rate for Payer: PHP Commercial |
$11,902.03
|
| Rate for Payer: PHP Medicare Advantage |
$10,820.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,079.52
|
| Rate for Payer: Priority Health Medicare |
$10,820.03
|
| Rate for Payer: Priority Health Narrow Network |
$11,263.62
|
| Rate for Payer: Railroad Medicare Medicare |
$10,820.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,820.03
|
| Rate for Payer: UHC Exchange |
$16,771.05
|
| Rate for Payer: UHC Medicare Advantage |
$10,820.03
|
| Rate for Payer: UHCCP DNSP |
$10,820.03
|
| Rate for Payer: VA VA |
$10,820.03
|
|
