|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
|
Facility
|
IP
|
$19,581.46
|
|
|
Service Code
|
MSDRG 294
|
| Min. Negotiated Rate |
$12,001.54 |
| Max. Negotiated Rate |
$19,581.46 |
| Rate for Payer: Aetna Medicare |
$12,633.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,791.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,791.50
|
| Rate for Payer: BCBS MAPPO |
$12,633.20
|
| Rate for Payer: BCN Medicare Advantage |
$12,633.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,633.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,633.20
|
| Rate for Payer: Mclaren Medicare |
$12,633.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,264.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,528.18
|
| Rate for Payer: PACE Medicare |
$12,001.54
|
| Rate for Payer: PACE SWMI |
$12,633.20
|
| Rate for Payer: PHP Commercial |
$13,896.52
|
| Rate for Payer: PHP Medicare Advantage |
$12,633.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,869.87
|
| Rate for Payer: Priority Health Medicare |
$12,633.20
|
| Rate for Payer: Priority Health Narrow Network |
$13,495.90
|
| Rate for Payer: Railroad Medicare Medicare |
$12,633.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,633.20
|
| Rate for Payer: UHC Exchange |
$19,581.46
|
| Rate for Payer: UHC Medicare Advantage |
$12,633.20
|
| Rate for Payer: UHCCP DNSP |
$12,633.20
|
| Rate for Payer: VA VA |
$12,633.20
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,520.80
|
|
|
Service Code
|
MSDRG 295
|
| Min. Negotiated Rate |
$8,286.94 |
| Max. Negotiated Rate |
$13,520.80 |
| Rate for Payer: Aetna Medicare |
$8,723.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,903.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,903.88
|
| Rate for Payer: BCBS MAPPO |
$8,723.10
|
| Rate for Payer: BCN Medicare Advantage |
$8,723.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,723.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,723.10
|
| Rate for Payer: Mclaren Medicare |
$8,723.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,159.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,031.56
|
| Rate for Payer: PACE Medicare |
$8,286.94
|
| Rate for Payer: PACE SWMI |
$8,723.10
|
| Rate for Payer: PHP Commercial |
$9,595.41
|
| Rate for Payer: PHP Medicare Advantage |
$8,723.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,850.90
|
| Rate for Payer: Priority Health Medicare |
$8,723.10
|
| Rate for Payer: Priority Health Narrow Network |
$8,680.72
|
| Rate for Payer: Railroad Medicare Medicare |
$8,723.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,723.10
|
| Rate for Payer: UHC Exchange |
$13,520.80
|
| Rate for Payer: UHC Medicare Advantage |
$8,723.10
|
| Rate for Payer: UHCCP DNSP |
$8,723.10
|
| Rate for Payer: VA VA |
$8,723.10
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$37,231.00
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$22,819.00 |
| Max. Negotiated Rate |
$37,231.00 |
| Rate for Payer: Aetna Medicare |
$24,020.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,025.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,025.00
|
| Rate for Payer: BCBS MAPPO |
$24,020.00
|
| Rate for Payer: BCN Medicare Advantage |
$24,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,020.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,020.00
|
| Rate for Payer: Mclaren Medicare |
$24,020.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,221.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,623.00
|
| Rate for Payer: PACE Medicare |
$22,819.00
|
| Rate for Payer: PACE SWMI |
$24,020.00
|
| Rate for Payer: PHP Commercial |
$26,422.00
|
| Rate for Payer: PHP Medicare Advantage |
$24,020.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,401.96
|
| Rate for Payer: Priority Health Medicare |
$24,020.00
|
| Rate for Payer: Priority Health Narrow Network |
$27,521.56
|
| Rate for Payer: Railroad Medicare Medicare |
$24,020.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,020.00
|
| Rate for Payer: UHC Exchange |
$37,231.00
|
| Rate for Payer: UHC Medicare Advantage |
$24,020.00
|
| Rate for Payer: UHCCP DNSP |
$24,020.00
|
| Rate for Payer: VA VA |
$24,020.00
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$21,053.08
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$12,903.50 |
| Max. Negotiated Rate |
$21,053.08 |
| Rate for Payer: Aetna Medicare |
$13,582.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,978.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,978.29
|
| Rate for Payer: BCBS MAPPO |
$13,582.63
|
| Rate for Payer: BCN Medicare Advantage |
$13,582.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,582.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,582.63
|
| Rate for Payer: Mclaren Medicare |
$13,582.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,261.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,620.02
|
| Rate for Payer: PACE Medicare |
$12,903.50
|
| Rate for Payer: PACE SWMI |
$13,582.63
|
| Rate for Payer: PHP Commercial |
$14,940.89
|
| Rate for Payer: PHP Medicare Advantage |
$13,582.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,337.18
|
| Rate for Payer: Priority Health Medicare |
$13,582.63
|
| Rate for Payer: Priority Health Narrow Network |
$14,669.74
|
| Rate for Payer: Railroad Medicare Medicare |
$13,582.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,582.63
|
| Rate for Payer: UHC Exchange |
$21,053.08
|
| Rate for Payer: UHC Medicare Advantage |
$13,582.63
|
| Rate for Payer: UHCCP DNSP |
$13,582.63
|
| Rate for Payer: VA VA |
$13,582.63
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$15,606.47
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$9,565.26 |
| Max. Negotiated Rate |
$15,606.47 |
| Rate for Payer: Aetna Medicare |
$10,068.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,585.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,585.86
|
| Rate for Payer: BCBS MAPPO |
$10,068.69
|
| Rate for Payer: BCN Medicare Advantage |
$10,068.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,068.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,068.69
|
| Rate for Payer: Mclaren Medicare |
$10,068.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,572.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,578.99
|
| Rate for Payer: PACE Medicare |
$9,565.26
|
| Rate for Payer: PACE SWMI |
$10,068.69
|
| Rate for Payer: PHP Commercial |
$11,075.56
|
| Rate for Payer: PHP Medicare Advantage |
$10,068.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,921.34
|
| Rate for Payer: Priority Health Medicare |
$10,068.69
|
| Rate for Payer: Priority Health Narrow Network |
$10,337.07
|
| Rate for Payer: Railroad Medicare Medicare |
$10,068.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,068.69
|
| Rate for Payer: UHC Exchange |
$15,606.47
|
| Rate for Payer: UHC Medicare Advantage |
$10,068.69
|
| Rate for Payer: UHCCP DNSP |
$10,068.69
|
| Rate for Payer: VA VA |
$10,068.69
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$25,245.21
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$15,472.87 |
| Max. Negotiated Rate |
$25,245.21 |
| Rate for Payer: Aetna Medicare |
$16,287.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,359.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,359.04
|
| Rate for Payer: BCBS MAPPO |
$16,287.23
|
| Rate for Payer: BCN Medicare Advantage |
$16,287.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,287.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,287.23
|
| Rate for Payer: Mclaren Medicare |
$16,287.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,101.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,730.31
|
| Rate for Payer: PACE Medicare |
$15,472.87
|
| Rate for Payer: PACE SWMI |
$16,287.23
|
| Rate for Payer: PHP Commercial |
$17,915.95
|
| Rate for Payer: PHP Medicare Advantage |
$16,287.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,495.91
|
| Rate for Payer: Priority Health Medicare |
$16,287.23
|
| Rate for Payer: Priority Health Narrow Network |
$17,996.73
|
| Rate for Payer: Railroad Medicare Medicare |
$16,287.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,287.23
|
| Rate for Payer: UHC Exchange |
$25,245.21
|
| Rate for Payer: UHC Medicare Advantage |
$16,287.23
|
| Rate for Payer: UHCCP DNSP |
$16,287.23
|
| Rate for Payer: VA VA |
$16,287.23
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,720.02
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$7,183.24 |
| Max. Negotiated Rate |
$11,720.02 |
| Rate for Payer: Aetna Medicare |
$7,561.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,451.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,451.62
|
| Rate for Payer: BCBS MAPPO |
$7,561.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,561.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,561.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,561.30
|
| Rate for Payer: Mclaren Medicare |
$7,561.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,939.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,695.50
|
| Rate for Payer: PACE Medicare |
$7,183.24
|
| Rate for Payer: PACE SWMI |
$7,561.30
|
| Rate for Payer: PHP Commercial |
$8,317.43
|
| Rate for Payer: PHP Medicare Advantage |
$7,561.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,062.11
|
| Rate for Payer: Priority Health Medicare |
$7,561.30
|
| Rate for Payer: Priority Health Narrow Network |
$7,249.69
|
| Rate for Payer: Railroad Medicare Medicare |
$7,561.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,561.30
|
| Rate for Payer: UHC Exchange |
$11,720.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,561.30
|
| Rate for Payer: UHCCP DNSP |
$7,561.30
|
| Rate for Payer: VA VA |
$7,561.30
|
|
|
MS-DRG 42.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$15,239.97
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$9,340.63 |
| Max. Negotiated Rate |
$15,239.97 |
| Rate for Payer: Aetna Medicare |
$9,832.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,290.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,290.30
|
| Rate for Payer: BCBS MAPPO |
$9,832.24
|
| Rate for Payer: BCN Medicare Advantage |
$9,832.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,832.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,832.24
|
| Rate for Payer: Mclaren Medicare |
$9,832.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,323.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,307.08
|
| Rate for Payer: PACE Medicare |
$9,340.63
|
| Rate for Payer: PACE SWMI |
$9,832.24
|
| Rate for Payer: PHP Commercial |
$10,815.46
|
| Rate for Payer: PHP Medicare Advantage |
$9,832.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,558.64
|
| Rate for Payer: Priority Health Medicare |
$9,832.24
|
| Rate for Payer: Priority Health Narrow Network |
$10,046.91
|
| Rate for Payer: Railroad Medicare Medicare |
$9,832.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,832.24
|
| Rate for Payer: UHC Exchange |
$15,239.97
|
| Rate for Payer: UHC Medicare Advantage |
$9,832.24
|
| Rate for Payer: UHCCP DNSP |
$9,832.24
|
| Rate for Payer: VA VA |
$9,832.24
|
|
|
MS-DRG 42.00: DIABETES WITH CC
|
Facility
|
IP
|
$15,282.84
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$9,366.90 |
| Max. Negotiated Rate |
$15,282.84 |
| Rate for Payer: Aetna Medicare |
$9,859.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,324.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,324.88
|
| Rate for Payer: BCBS MAPPO |
$9,859.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,859.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,859.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,859.90
|
| Rate for Payer: Mclaren Medicare |
$9,859.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,352.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,338.88
|
| Rate for Payer: PACE Medicare |
$9,366.90
|
| Rate for Payer: PACE SWMI |
$9,859.90
|
| Rate for Payer: PHP Commercial |
$10,845.89
|
| Rate for Payer: PHP Medicare Advantage |
$9,859.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,601.23
|
| Rate for Payer: Priority Health Medicare |
$9,859.90
|
| Rate for Payer: Priority Health Narrow Network |
$10,080.98
|
| Rate for Payer: Railroad Medicare Medicare |
$9,859.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,859.90
|
| Rate for Payer: UHC Exchange |
$15,282.84
|
| Rate for Payer: UHC Medicare Advantage |
$9,859.90
|
| Rate for Payer: UHCCP DNSP |
$9,859.90
|
| Rate for Payer: VA VA |
$9,859.90
|
|
|
MS-DRG 42.00: DIABETES WITH MCC
|
Facility
|
IP
|
$22,739.04
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$13,936.83 |
| Max. Negotiated Rate |
$22,739.04 |
| Rate for Payer: Aetna Medicare |
$14,670.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,337.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,337.94
|
| Rate for Payer: BCBS MAPPO |
$14,670.35
|
| Rate for Payer: BCN Medicare Advantage |
$14,670.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,670.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,670.35
|
| Rate for Payer: Mclaren Medicare |
$14,670.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,403.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,870.90
|
| Rate for Payer: PACE Medicare |
$13,936.83
|
| Rate for Payer: PACE SWMI |
$14,670.35
|
| Rate for Payer: PHP Commercial |
$16,137.38
|
| Rate for Payer: PHP Medicare Advantage |
$14,670.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,007.81
|
| Rate for Payer: Priority Health Medicare |
$14,670.35
|
| Rate for Payer: Priority Health Narrow Network |
$16,006.25
|
| Rate for Payer: Railroad Medicare Medicare |
$14,670.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,670.35
|
| Rate for Payer: UHC Exchange |
$22,739.04
|
| Rate for Payer: UHC Medicare Advantage |
$14,670.35
|
| Rate for Payer: UHCCP DNSP |
$14,670.35
|
| Rate for Payer: VA VA |
$14,670.35
|
|
|
MS-DRG 42.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,263.62
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$6,886.99 |
| Max. Negotiated Rate |
$11,263.62 |
| Rate for Payer: Aetna Medicare |
$7,266.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,083.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,083.56
|
| Rate for Payer: BCBS MAPPO |
$7,266.85
|
| Rate for Payer: BCN Medicare Advantage |
$7,266.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,266.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,266.85
|
| Rate for Payer: Mclaren Medicare |
$7,266.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,630.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,356.88
|
| Rate for Payer: PACE Medicare |
$6,903.51
|
| Rate for Payer: PACE SWMI |
$7,266.85
|
| Rate for Payer: PHP Commercial |
$7,993.54
|
| Rate for Payer: PHP Medicare Advantage |
$7,266.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,608.73
|
| Rate for Payer: Priority Health Medicare |
$7,266.85
|
| Rate for Payer: Priority Health Narrow Network |
$6,886.99
|
| Rate for Payer: Railroad Medicare Medicare |
$7,266.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,266.85
|
| Rate for Payer: UHC Exchange |
$11,263.62
|
| Rate for Payer: UHC Medicare Advantage |
$7,266.85
|
| Rate for Payer: UHCCP DNSP |
$7,266.85
|
| Rate for Payer: VA VA |
$7,266.85
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$19,591.15
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$12,007.48 |
| Max. Negotiated Rate |
$19,591.15 |
| Rate for Payer: Aetna Medicare |
$12,639.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,799.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,799.31
|
| Rate for Payer: BCBS MAPPO |
$12,639.45
|
| Rate for Payer: BCN Medicare Advantage |
$12,639.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,639.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,639.45
|
| Rate for Payer: Mclaren Medicare |
$12,639.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,271.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,535.37
|
| Rate for Payer: PACE Medicare |
$12,007.48
|
| Rate for Payer: PACE SWMI |
$12,639.45
|
| Rate for Payer: PHP Commercial |
$13,903.40
|
| Rate for Payer: PHP Medicare Advantage |
$12,639.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,880.86
|
| Rate for Payer: Priority Health Medicare |
$12,639.45
|
| Rate for Payer: Priority Health Narrow Network |
$13,504.69
|
| Rate for Payer: Railroad Medicare Medicare |
$12,639.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,639.45
|
| Rate for Payer: UHC Exchange |
$19,591.15
|
| Rate for Payer: UHC Medicare Advantage |
$12,639.45
|
| Rate for Payer: UHCCP DNSP |
$12,639.45
|
| Rate for Payer: VA VA |
$12,639.45
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$31,799.64
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$19,490.10 |
| Max. Negotiated Rate |
$31,799.64 |
| Rate for Payer: Aetna Medicare |
$20,515.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,644.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,644.88
|
| Rate for Payer: BCBS MAPPO |
$20,515.90
|
| Rate for Payer: BCN Medicare Advantage |
$20,515.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,515.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,515.90
|
| Rate for Payer: Mclaren Medicare |
$20,515.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,541.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,593.28
|
| Rate for Payer: PACE Medicare |
$19,490.10
|
| Rate for Payer: PACE SWMI |
$20,515.90
|
| Rate for Payer: PHP Commercial |
$22,567.49
|
| Rate for Payer: PHP Medicare Advantage |
$20,515.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,009.48
|
| Rate for Payer: Priority Health Medicare |
$20,515.90
|
| Rate for Payer: Priority Health Narrow Network |
$23,207.58
|
| Rate for Payer: Railroad Medicare Medicare |
$20,515.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,515.90
|
| Rate for Payer: UHC Exchange |
$31,799.64
|
| Rate for Payer: UHC Medicare Advantage |
$20,515.90
|
| Rate for Payer: UHCCP DNSP |
$20,515.90
|
| Rate for Payer: VA VA |
$20,515.90
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$14,809.83
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$9,076.99 |
| Max. Negotiated Rate |
$14,809.83 |
| Rate for Payer: Aetna Medicare |
$9,554.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,943.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,943.41
|
| Rate for Payer: BCBS MAPPO |
$9,554.73
|
| Rate for Payer: BCN Medicare Advantage |
$9,554.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,554.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,554.73
|
| Rate for Payer: Mclaren Medicare |
$9,554.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,032.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,987.94
|
| Rate for Payer: PACE Medicare |
$9,076.99
|
| Rate for Payer: PACE SWMI |
$9,554.73
|
| Rate for Payer: PHP Commercial |
$10,510.20
|
| Rate for Payer: PHP Medicare Advantage |
$9,554.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,129.99
|
| Rate for Payer: Priority Health Medicare |
$9,554.73
|
| Rate for Payer: Priority Health Narrow Network |
$9,703.99
|
| Rate for Payer: Railroad Medicare Medicare |
$9,554.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,554.73
|
| Rate for Payer: UHC Exchange |
$14,809.83
|
| Rate for Payer: UHC Medicare Advantage |
$9,554.73
|
| Rate for Payer: UHCCP DNSP |
$9,554.73
|
| Rate for Payer: VA VA |
$9,554.73
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$15,960.55
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$9,782.27 |
| Max. Negotiated Rate |
$15,960.55 |
| Rate for Payer: Aetna Medicare |
$10,297.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,871.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,871.41
|
| Rate for Payer: BCBS MAPPO |
$10,297.13
|
| Rate for Payer: BCN Medicare Advantage |
$10,297.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,297.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,297.13
|
| Rate for Payer: Mclaren Medicare |
$10,297.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,811.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,841.70
|
| Rate for Payer: PACE Medicare |
$9,782.27
|
| Rate for Payer: PACE SWMI |
$10,297.13
|
| Rate for Payer: PHP Commercial |
$11,326.84
|
| Rate for Payer: PHP Medicare Advantage |
$10,297.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,274.43
|
| Rate for Payer: Priority Health Medicare |
$10,297.13
|
| Rate for Payer: Priority Health Narrow Network |
$10,619.54
|
| Rate for Payer: Railroad Medicare Medicare |
$10,297.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,297.13
|
| Rate for Payer: UHC Exchange |
$15,960.55
|
| Rate for Payer: UHC Medicare Advantage |
$10,297.13
|
| Rate for Payer: UHCCP DNSP |
$10,297.13
|
| Rate for Payer: VA VA |
$10,297.13
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$28,743.03
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$17,616.70 |
| Max. Negotiated Rate |
$28,743.03 |
| Rate for Payer: Aetna Medicare |
$18,543.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,179.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,179.86
|
| Rate for Payer: BCBS MAPPO |
$18,543.89
|
| Rate for Payer: BCN Medicare Advantage |
$18,543.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,543.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,543.89
|
| Rate for Payer: Mclaren Medicare |
$18,543.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,471.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,325.47
|
| Rate for Payer: PACE Medicare |
$17,616.70
|
| Rate for Payer: PACE SWMI |
$18,543.89
|
| Rate for Payer: PHP Commercial |
$20,398.28
|
| Rate for Payer: PHP Medicare Advantage |
$18,543.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,970.45
|
| Rate for Payer: Priority Health Medicare |
$18,543.89
|
| Rate for Payer: Priority Health Narrow Network |
$20,776.36
|
| Rate for Payer: Railroad Medicare Medicare |
$18,543.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,543.89
|
| Rate for Payer: UHC Exchange |
$28,743.03
|
| Rate for Payer: UHC Medicare Advantage |
$18,543.89
|
| Rate for Payer: UHCCP DNSP |
$18,543.89
|
| Rate for Payer: VA VA |
$18,543.89
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,316.13
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$7,548.60 |
| Max. Negotiated Rate |
$12,316.13 |
| Rate for Payer: Aetna Medicare |
$7,945.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,932.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,932.36
|
| Rate for Payer: BCBS MAPPO |
$7,945.89
|
| Rate for Payer: BCN Medicare Advantage |
$7,945.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,945.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,945.89
|
| Rate for Payer: Mclaren Medicare |
$7,945.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,343.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,137.77
|
| Rate for Payer: PACE Medicare |
$7,548.60
|
| Rate for Payer: PACE SWMI |
$7,945.89
|
| Rate for Payer: PHP Commercial |
$8,740.48
|
| Rate for Payer: PHP Medicare Advantage |
$7,945.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,652.88
|
| Rate for Payer: Priority Health Medicare |
$7,945.89
|
| Rate for Payer: Priority Health Narrow Network |
$7,722.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7,945.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,945.89
|
| Rate for Payer: UHC Exchange |
$12,316.13
|
| Rate for Payer: UHC Medicare Advantage |
$7,945.89
|
| Rate for Payer: UHCCP DNSP |
$7,945.89
|
| Rate for Payer: VA VA |
$7,945.89
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$14,494.48
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$8,883.72 |
| Max. Negotiated Rate |
$14,494.48 |
| Rate for Payer: Aetna Medicare |
$9,351.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,689.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,689.10
|
| Rate for Payer: BCBS MAPPO |
$9,351.28
|
| Rate for Payer: BCN Medicare Advantage |
$9,351.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,351.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,351.28
|
| Rate for Payer: Mclaren Medicare |
$9,351.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,818.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,753.97
|
| Rate for Payer: PACE Medicare |
$8,883.72
|
| Rate for Payer: PACE SWMI |
$9,351.28
|
| Rate for Payer: PHP Commercial |
$10,286.41
|
| Rate for Payer: PHP Medicare Advantage |
$9,351.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,818.12
|
| Rate for Payer: Priority Health Medicare |
$9,351.28
|
| Rate for Payer: Priority Health Narrow Network |
$9,454.49
|
| Rate for Payer: Railroad Medicare Medicare |
$9,351.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,351.28
|
| Rate for Payer: UHC Exchange |
$14,494.48
|
| Rate for Payer: UHC Medicare Advantage |
$9,351.28
|
| Rate for Payer: UHCCP DNSP |
$9,351.28
|
| Rate for Payer: VA VA |
$9,351.28
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$25,607.57
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$15,694.96 |
| Max. Negotiated Rate |
$25,607.57 |
| Rate for Payer: Aetna Medicare |
$16,521.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,651.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,651.26
|
| Rate for Payer: BCBS MAPPO |
$16,521.01
|
| Rate for Payer: BCN Medicare Advantage |
$16,521.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,521.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,521.01
|
| Rate for Payer: Mclaren Medicare |
$16,521.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,347.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,999.16
|
| Rate for Payer: PACE Medicare |
$15,694.96
|
| Rate for Payer: PACE SWMI |
$16,521.01
|
| Rate for Payer: PHP Commercial |
$18,173.11
|
| Rate for Payer: PHP Medicare Advantage |
$16,521.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,858.62
|
| Rate for Payer: Priority Health Medicare |
$16,521.01
|
| Rate for Payer: Priority Health Narrow Network |
$18,286.89
|
| Rate for Payer: Railroad Medicare Medicare |
$16,521.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,521.01
|
| Rate for Payer: UHC Exchange |
$25,607.57
|
| Rate for Payer: UHC Medicare Advantage |
$16,521.01
|
| Rate for Payer: UHCCP DNSP |
$16,521.01
|
| Rate for Payer: VA VA |
$16,521.01
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$11,104.56
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$6,760.59 |
| Max. Negotiated Rate |
$11,104.56 |
| Rate for Payer: Aetna Medicare |
$7,164.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,955.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,955.29
|
| Rate for Payer: BCBS MAPPO |
$7,164.23
|
| Rate for Payer: BCN Medicare Advantage |
$7,164.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,164.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,164.23
|
| Rate for Payer: Mclaren Medicare |
$7,164.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,522.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,238.86
|
| Rate for Payer: PACE Medicare |
$6,806.02
|
| Rate for Payer: PACE SWMI |
$7,164.23
|
| Rate for Payer: PHP Commercial |
$7,880.65
|
| Rate for Payer: PHP Medicare Advantage |
$7,164.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,450.74
|
| Rate for Payer: Priority Health Medicare |
$7,164.23
|
| Rate for Payer: Priority Health Narrow Network |
$6,760.59
|
| Rate for Payer: Railroad Medicare Medicare |
$7,164.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,164.23
|
| Rate for Payer: UHC Exchange |
$11,104.56
|
| Rate for Payer: UHC Medicare Advantage |
$7,164.23
|
| Rate for Payer: UHCCP DNSP |
$7,164.23
|
| Rate for Payer: VA VA |
$7,164.23
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$28,238.19
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$17,307.28 |
| Max. Negotiated Rate |
$28,238.19 |
| Rate for Payer: Aetna Medicare |
$18,218.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,772.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,772.74
|
| Rate for Payer: BCBS MAPPO |
$18,218.19
|
| Rate for Payer: BCN Medicare Advantage |
$18,218.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,218.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,218.19
|
| Rate for Payer: Mclaren Medicare |
$18,218.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,129.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,950.92
|
| Rate for Payer: PACE Medicare |
$17,307.28
|
| Rate for Payer: PACE SWMI |
$18,218.19
|
| Rate for Payer: PHP Commercial |
$20,040.01
|
| Rate for Payer: PHP Medicare Advantage |
$18,218.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,504.71
|
| Rate for Payer: Priority Health Medicare |
$18,218.19
|
| Rate for Payer: Priority Health Narrow Network |
$20,403.77
|
| Rate for Payer: Railroad Medicare Medicare |
$18,218.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,218.19
|
| Rate for Payer: UHC Exchange |
$28,238.19
|
| Rate for Payer: UHC Medicare Advantage |
$18,218.19
|
| Rate for Payer: UHCCP DNSP |
$18,218.19
|
| Rate for Payer: VA VA |
$18,218.19
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$17,596.75
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$10,785.10 |
| Max. Negotiated Rate |
$17,596.75 |
| Rate for Payer: Aetna Medicare |
$11,352.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,190.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,190.92
|
| Rate for Payer: BCBS MAPPO |
$11,352.74
|
| Rate for Payer: BCN Medicare Advantage |
$11,352.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,352.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,352.74
|
| Rate for Payer: Mclaren Medicare |
$11,352.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,920.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,055.65
|
| Rate for Payer: PACE Medicare |
$10,785.10
|
| Rate for Payer: PACE SWMI |
$11,352.74
|
| Rate for Payer: PHP Commercial |
$12,488.01
|
| Rate for Payer: PHP Medicare Advantage |
$11,352.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,898.35
|
| Rate for Payer: Priority Health Medicare |
$11,352.74
|
| Rate for Payer: Priority Health Narrow Network |
$11,918.68
|
| Rate for Payer: Railroad Medicare Medicare |
$11,352.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,352.74
|
| Rate for Payer: UHC Exchange |
$17,596.75
|
| Rate for Payer: UHC Medicare Advantage |
$11,352.74
|
| Rate for Payer: UHCCP DNSP |
$11,352.74
|
| Rate for Payer: VA VA |
$11,352.74
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$25,893.85
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$15,870.42 |
| Max. Negotiated Rate |
$25,893.85 |
| Rate for Payer: Aetna Medicare |
$16,705.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,882.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,882.14
|
| Rate for Payer: BCBS MAPPO |
$16,705.71
|
| Rate for Payer: BCN Medicare Advantage |
$16,705.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,705.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,705.71
|
| Rate for Payer: Mclaren Medicare |
$16,705.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,541.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,211.57
|
| Rate for Payer: PACE Medicare |
$15,870.42
|
| Rate for Payer: PACE SWMI |
$16,705.71
|
| Rate for Payer: PHP Commercial |
$18,376.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,705.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,143.01
|
| Rate for Payer: Priority Health Medicare |
$16,705.71
|
| Rate for Payer: Priority Health Narrow Network |
$18,514.41
|
| Rate for Payer: Railroad Medicare Medicare |
$16,705.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,705.71
|
| Rate for Payer: UHC Exchange |
$25,893.85
|
| Rate for Payer: UHC Medicare Advantage |
$16,705.71
|
| Rate for Payer: UHCCP DNSP |
$16,705.71
|
| Rate for Payer: VA VA |
$16,705.71
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$13,624.55
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$8,350.53 |
| Max. Negotiated Rate |
$13,624.55 |
| Rate for Payer: Aetna Medicare |
$8,790.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,987.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,987.54
|
| Rate for Payer: BCBS MAPPO |
$8,790.03
|
| Rate for Payer: BCN Medicare Advantage |
$8,790.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,790.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,790.03
|
| Rate for Payer: Mclaren Medicare |
$8,790.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,229.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,108.53
|
| Rate for Payer: PACE Medicare |
$8,350.53
|
| Rate for Payer: PACE SWMI |
$8,790.03
|
| Rate for Payer: PHP Commercial |
$9,669.03
|
| Rate for Payer: PHP Medicare Advantage |
$8,790.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,952.57
|
| Rate for Payer: Priority Health Medicare |
$8,790.03
|
| Rate for Payer: Priority Health Narrow Network |
$8,762.06
|
| Rate for Payer: Railroad Medicare Medicare |
$8,790.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,790.03
|
| Rate for Payer: UHC Exchange |
$13,624.55
|
| Rate for Payer: UHC Medicare Advantage |
$8,790.03
|
| Rate for Payer: UHCCP DNSP |
$8,790.03
|
| Rate for Payer: VA VA |
$8,790.03
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$12,935.74
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$7,928.36 |
| Max. Negotiated Rate |
$12,935.74 |
| Rate for Payer: Aetna Medicare |
$8,345.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,432.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,432.05
|
| Rate for Payer: BCBS MAPPO |
$8,345.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,345.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,345.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,345.64
|
| Rate for Payer: Mclaren Medicare |
$8,345.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,762.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,597.49
|
| Rate for Payer: PACE Medicare |
$7,928.36
|
| Rate for Payer: PACE SWMI |
$8,345.64
|
| Rate for Payer: PHP Commercial |
$9,180.20
|
| Rate for Payer: PHP Medicare Advantage |
$8,345.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,269.75
|
| Rate for Payer: Priority Health Medicare |
$8,345.64
|
| Rate for Payer: Priority Health Narrow Network |
$8,215.80
|
| Rate for Payer: Railroad Medicare Medicare |
$8,345.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,345.64
|
| Rate for Payer: UHC Exchange |
$12,935.74
|
| Rate for Payer: UHC Medicare Advantage |
$8,345.64
|
| Rate for Payer: UHCCP DNSP |
$8,345.64
|
| Rate for Payer: VA VA |
$8,345.64
|
|
