|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$19,813.82
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$12,143.95 |
| Max. Negotiated Rate |
$19,813.82 |
| Rate for Payer: Aetna Medicare |
$12,783.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,978.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,978.89
|
| Rate for Payer: BCBS MAPPO |
$12,783.11
|
| Rate for Payer: BCN Medicare Advantage |
$12,783.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,783.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,783.11
|
| Rate for Payer: Mclaren Medicare |
$12,783.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,422.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,700.58
|
| Rate for Payer: PACE Medicare |
$12,143.95
|
| Rate for Payer: PACE SWMI |
$12,783.11
|
| Rate for Payer: PHP Commercial |
$14,061.42
|
| Rate for Payer: PHP Medicare Advantage |
$12,783.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,100.68
|
| Rate for Payer: Priority Health Medicare |
$12,783.11
|
| Rate for Payer: Priority Health Narrow Network |
$13,680.55
|
| Rate for Payer: Railroad Medicare Medicare |
$12,783.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,783.11
|
| Rate for Payer: UHC Exchange |
$19,813.82
|
| Rate for Payer: UHC Medicare Advantage |
$12,783.11
|
| Rate for Payer: UHCCP DNSP |
$12,783.11
|
| Rate for Payer: VA VA |
$12,783.11
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$34,326.55
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$21,038.85 |
| Max. Negotiated Rate |
$34,326.55 |
| Rate for Payer: Aetna Medicare |
$22,146.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,682.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,682.70
|
| Rate for Payer: BCBS MAPPO |
$22,146.16
|
| Rate for Payer: BCN Medicare Advantage |
$22,146.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,146.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,146.16
|
| Rate for Payer: Mclaren Medicare |
$22,146.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,253.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,468.08
|
| Rate for Payer: PACE Medicare |
$21,038.85
|
| Rate for Payer: PACE SWMI |
$22,146.16
|
| Rate for Payer: PHP Commercial |
$24,360.78
|
| Rate for Payer: PHP Medicare Advantage |
$22,146.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,515.43
|
| Rate for Payer: Priority Health Medicare |
$22,146.16
|
| Rate for Payer: Priority Health Narrow Network |
$25,212.35
|
| Rate for Payer: Railroad Medicare Medicare |
$22,146.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,146.16
|
| Rate for Payer: UHC Exchange |
$34,326.55
|
| Rate for Payer: UHC Medicare Advantage |
$22,146.16
|
| Rate for Payer: UHCCP DNSP |
$22,146.16
|
| Rate for Payer: VA VA |
$22,146.16
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,671.54
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$8,379.33 |
| Max. Negotiated Rate |
$13,671.54 |
| Rate for Payer: Aetna Medicare |
$8,820.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,025.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,025.44
|
| Rate for Payer: BCBS MAPPO |
$8,820.35
|
| Rate for Payer: BCN Medicare Advantage |
$8,820.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,820.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,820.35
|
| Rate for Payer: Mclaren Medicare |
$8,820.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,261.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,143.40
|
| Rate for Payer: PACE Medicare |
$8,379.33
|
| Rate for Payer: PACE SWMI |
$8,820.35
|
| Rate for Payer: PHP Commercial |
$9,702.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,820.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,000.66
|
| Rate for Payer: Priority Health Medicare |
$8,820.35
|
| Rate for Payer: Priority Health Narrow Network |
$8,800.53
|
| Rate for Payer: Railroad Medicare Medicare |
$8,820.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,820.35
|
| Rate for Payer: UHC Exchange |
$13,671.54
|
| Rate for Payer: UHC Medicare Advantage |
$8,820.35
|
| Rate for Payer: UHCCP DNSP |
$8,820.35
|
| Rate for Payer: VA VA |
$8,820.35
|
|
|
MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$299,014.24
|
|
|
Service Code
|
MSDRG 003
|
| Min. Negotiated Rate |
$183,266.79 |
| Max. Negotiated Rate |
$299,014.24 |
| Rate for Payer: Aetna Medicare |
$192,912.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$241,140.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$241,140.51
|
| Rate for Payer: BCBS MAPPO |
$192,912.41
|
| Rate for Payer: BCN Medicare Advantage |
$192,912.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192,912.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$192,912.41
|
| Rate for Payer: Mclaren Medicare |
$192,912.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202,558.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$221,849.27
|
| Rate for Payer: PACE Medicare |
$183,266.79
|
| Rate for Payer: PACE SWMI |
$192,912.41
|
| Rate for Payer: PHP Commercial |
$212,203.65
|
| Rate for Payer: PHP Medicare Advantage |
$192,912.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$294,425.23
|
| Rate for Payer: Priority Health Medicare |
$192,912.41
|
| Rate for Payer: Priority Health Narrow Network |
$235,540.19
|
| Rate for Payer: Railroad Medicare Medicare |
$192,912.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$192,912.41
|
| Rate for Payer: UHC Exchange |
$299,014.24
|
| Rate for Payer: UHC Medicare Advantage |
$192,912.41
|
| Rate for Payer: UHCCP DNSP |
$192,912.41
|
| Rate for Payer: VA VA |
$192,912.41
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$16,889.98
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$10,351.92 |
| Max. Negotiated Rate |
$16,889.98 |
| Rate for Payer: Aetna Medicare |
$10,896.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,620.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,620.95
|
| Rate for Payer: BCBS MAPPO |
$10,896.76
|
| Rate for Payer: BCN Medicare Advantage |
$10,896.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,896.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,896.76
|
| Rate for Payer: Mclaren Medicare |
$10,896.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,441.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,531.27
|
| Rate for Payer: PACE Medicare |
$10,351.92
|
| Rate for Payer: PACE SWMI |
$10,896.76
|
| Rate for Payer: PHP Commercial |
$11,986.44
|
| Rate for Payer: PHP Medicare Advantage |
$10,896.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,199.05
|
| Rate for Payer: Priority Health Medicare |
$10,896.76
|
| Rate for Payer: Priority Health Narrow Network |
$11,359.24
|
| Rate for Payer: Railroad Medicare Medicare |
$10,896.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,896.76
|
| Rate for Payer: UHC Exchange |
$16,889.98
|
| Rate for Payer: UHC Medicare Advantage |
$10,896.76
|
| Rate for Payer: UHCCP DNSP |
$10,896.76
|
| Rate for Payer: VA VA |
$10,896.76
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$25,519.04
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$15,640.70 |
| Max. Negotiated Rate |
$25,519.04 |
| Rate for Payer: Aetna Medicare |
$16,463.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,579.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,579.88
|
| Rate for Payer: BCBS MAPPO |
$16,463.90
|
| Rate for Payer: BCN Medicare Advantage |
$16,463.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,463.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,463.90
|
| Rate for Payer: Mclaren Medicare |
$16,463.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,287.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,933.48
|
| Rate for Payer: PACE Medicare |
$15,640.70
|
| Rate for Payer: PACE SWMI |
$16,463.90
|
| Rate for Payer: PHP Commercial |
$18,110.29
|
| Rate for Payer: PHP Medicare Advantage |
$16,463.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,769.31
|
| Rate for Payer: Priority Health Medicare |
$16,463.90
|
| Rate for Payer: Priority Health Narrow Network |
$18,215.45
|
| Rate for Payer: Railroad Medicare Medicare |
$16,463.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,463.90
|
| Rate for Payer: UHC Exchange |
$25,519.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,463.90
|
| Rate for Payer: UHCCP DNSP |
$16,463.90
|
| Rate for Payer: VA VA |
$16,463.90
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,367.26
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$8,192.84 |
| Max. Negotiated Rate |
$13,367.26 |
| Rate for Payer: Aetna Medicare |
$8,624.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,780.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,780.05
|
| Rate for Payer: BCBS MAPPO |
$8,624.04
|
| Rate for Payer: BCN Medicare Advantage |
$8,624.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,624.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,624.04
|
| Rate for Payer: Mclaren Medicare |
$8,624.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,055.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,917.65
|
| Rate for Payer: PACE Medicare |
$8,192.84
|
| Rate for Payer: PACE SWMI |
$8,624.04
|
| Rate for Payer: PHP Commercial |
$9,486.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,624.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,702.53
|
| Rate for Payer: Priority Health Medicare |
$8,624.04
|
| Rate for Payer: Priority Health Narrow Network |
$8,562.02
|
| Rate for Payer: Railroad Medicare Medicare |
$8,624.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,624.04
|
| Rate for Payer: UHC Exchange |
$13,367.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,624.04
|
| Rate for Payer: UHCCP DNSP |
$8,624.04
|
| Rate for Payer: VA VA |
$8,624.04
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,455.00
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$52,375.65 |
| Max. Negotiated Rate |
$85,455.00 |
| Rate for Payer: Aetna Medicare |
$55,132.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,915.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,915.32
|
| Rate for Payer: BCBS MAPPO |
$55,132.26
|
| Rate for Payer: BCN Medicare Advantage |
$55,132.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,132.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$55,132.26
|
| Rate for Payer: Mclaren Medicare |
$55,132.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,888.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,402.10
|
| Rate for Payer: PACE Medicare |
$52,375.65
|
| Rate for Payer: PACE SWMI |
$55,132.26
|
| Rate for Payer: PHP Commercial |
$60,645.49
|
| Rate for Payer: PHP Medicare Advantage |
$55,132.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82,300.91
|
| Rate for Payer: Priority Health Medicare |
$55,132.26
|
| Rate for Payer: Priority Health Narrow Network |
$65,840.73
|
| Rate for Payer: Railroad Medicare Medicare |
$55,132.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,132.26
|
| Rate for Payer: UHC Exchange |
$85,455.00
|
| Rate for Payer: UHC Medicare Advantage |
$55,132.26
|
| Rate for Payer: UHCCP DNSP |
$55,132.26
|
| Rate for Payer: VA VA |
$55,132.26
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$67,667.16
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$41,473.42 |
| Max. Negotiated Rate |
$67,667.16 |
| Rate for Payer: Aetna Medicare |
$43,656.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,570.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,570.29
|
| Rate for Payer: BCBS MAPPO |
$43,656.23
|
| Rate for Payer: BCN Medicare Advantage |
$43,656.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,656.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,656.23
|
| Rate for Payer: Mclaren Medicare |
$43,656.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,839.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,204.66
|
| Rate for Payer: PACE Medicare |
$41,473.42
|
| Rate for Payer: PACE SWMI |
$43,656.23
|
| Rate for Payer: PHP Commercial |
$48,021.85
|
| Rate for Payer: PHP Medicare Advantage |
$43,656.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,632.81
|
| Rate for Payer: Priority Health Medicare |
$43,656.23
|
| Rate for Payer: Priority Health Narrow Network |
$51,706.25
|
| Rate for Payer: Railroad Medicare Medicare |
$43,656.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,656.23
|
| Rate for Payer: UHC Exchange |
$67,667.16
|
| Rate for Payer: UHC Medicare Advantage |
$43,656.23
|
| Rate for Payer: UHCCP DNSP |
$43,656.23
|
| Rate for Payer: VA VA |
$43,656.23
|
|
|
MS-DRG 42.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$21,714.18
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$13,308.69 |
| Max. Negotiated Rate |
$21,714.18 |
| Rate for Payer: Aetna Medicare |
$14,009.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,511.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,511.44
|
| Rate for Payer: BCBS MAPPO |
$14,009.15
|
| Rate for Payer: BCN Medicare Advantage |
$14,009.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,009.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,009.15
|
| Rate for Payer: Mclaren Medicare |
$14,009.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,709.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,110.52
|
| Rate for Payer: PACE Medicare |
$13,308.69
|
| Rate for Payer: PACE SWMI |
$14,009.15
|
| Rate for Payer: PHP Commercial |
$15,410.06
|
| Rate for Payer: PHP Medicare Advantage |
$14,009.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,988.40
|
| Rate for Payer: Priority Health Medicare |
$14,009.15
|
| Rate for Payer: Priority Health Narrow Network |
$15,190.72
|
| Rate for Payer: Railroad Medicare Medicare |
$14,009.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,009.15
|
| Rate for Payer: UHC Exchange |
$21,714.18
|
| Rate for Payer: UHC Medicare Advantage |
$14,009.15
|
| Rate for Payer: UHCCP DNSP |
$14,009.15
|
| Rate for Payer: VA VA |
$14,009.15
|
|
|
MS-DRG 42.00: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$13,080.98
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$8,017.37 |
| Max. Negotiated Rate |
$13,080.98 |
| Rate for Payer: Aetna Medicare |
$8,439.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,549.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,549.18
|
| Rate for Payer: BCBS MAPPO |
$8,439.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,439.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,439.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,439.34
|
| Rate for Payer: Mclaren Medicare |
$8,439.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,861.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,705.24
|
| Rate for Payer: PACE Medicare |
$8,017.37
|
| Rate for Payer: PACE SWMI |
$8,439.34
|
| Rate for Payer: PHP Commercial |
$9,283.27
|
| Rate for Payer: PHP Medicare Advantage |
$8,439.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,414.01
|
| Rate for Payer: Priority Health Medicare |
$8,439.34
|
| Rate for Payer: Priority Health Narrow Network |
$8,331.21
|
| Rate for Payer: Railroad Medicare Medicare |
$8,439.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,439.34
|
| Rate for Payer: UHC Exchange |
$13,080.98
|
| Rate for Payer: UHC Medicare Advantage |
$8,439.34
|
| Rate for Payer: UHCCP DNSP |
$8,439.34
|
| Rate for Payer: VA VA |
$8,439.34
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
|
IP
|
$20,362.91
|
|
|
Service Code
|
MSDRG 391
|
| Min. Negotiated Rate |
$12,480.49 |
| Max. Negotiated Rate |
$20,362.91 |
| Rate for Payer: Aetna Medicare |
$13,137.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,421.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,421.70
|
| Rate for Payer: BCBS MAPPO |
$13,137.36
|
| Rate for Payer: BCN Medicare Advantage |
$13,137.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,137.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,137.36
|
| Rate for Payer: Mclaren Medicare |
$13,137.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,794.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,107.96
|
| Rate for Payer: PACE Medicare |
$12,480.49
|
| Rate for Payer: PACE SWMI |
$13,137.36
|
| Rate for Payer: PHP Commercial |
$14,451.10
|
| Rate for Payer: PHP Medicare Advantage |
$13,137.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,652.98
|
| Rate for Payer: Priority Health Medicare |
$13,137.36
|
| Rate for Payer: Priority Health Narrow Network |
$14,122.39
|
| Rate for Payer: Railroad Medicare Medicare |
$13,137.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,137.36
|
| Rate for Payer: UHC Exchange |
$20,362.91
|
| Rate for Payer: UHC Medicare Advantage |
$13,137.36
|
| Rate for Payer: UHCCP DNSP |
$13,137.36
|
| Rate for Payer: VA VA |
$13,137.36
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$13,389.41
|
|
|
Service Code
|
MSDRG 392
|
| Min. Negotiated Rate |
$8,206.41 |
| Max. Negotiated Rate |
$13,389.41 |
| Rate for Payer: Aetna Medicare |
$8,638.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,797.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,797.91
|
| Rate for Payer: BCBS MAPPO |
$8,638.33
|
| Rate for Payer: BCN Medicare Advantage |
$8,638.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,638.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,638.33
|
| Rate for Payer: Mclaren Medicare |
$8,638.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,070.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,934.08
|
| Rate for Payer: PACE Medicare |
$8,206.41
|
| Rate for Payer: PACE SWMI |
$8,638.33
|
| Rate for Payer: PHP Commercial |
$9,502.16
|
| Rate for Payer: PHP Medicare Advantage |
$8,638.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,720.39
|
| Rate for Payer: Priority Health Medicare |
$8,638.33
|
| Rate for Payer: Priority Health Narrow Network |
$8,576.31
|
| Rate for Payer: Railroad Medicare Medicare |
$8,638.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,638.33
|
| Rate for Payer: UHC Exchange |
$13,389.41
|
| Rate for Payer: UHC Medicare Advantage |
$8,638.33
|
| Rate for Payer: UHCCP DNSP |
$8,638.33
|
| Rate for Payer: VA VA |
$8,638.33
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$62,441.87
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$38,270.83 |
| Max. Negotiated Rate |
$62,441.87 |
| Rate for Payer: Aetna Medicare |
$40,285.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,356.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,356.35
|
| Rate for Payer: BCBS MAPPO |
$40,285.08
|
| Rate for Payer: BCN Medicare Advantage |
$40,285.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,285.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,285.08
|
| Rate for Payer: Mclaren Medicare |
$40,285.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,299.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,327.84
|
| Rate for Payer: PACE Medicare |
$38,270.83
|
| Rate for Payer: PACE SWMI |
$40,285.08
|
| Rate for Payer: PHP Commercial |
$44,313.59
|
| Rate for Payer: PHP Medicare Advantage |
$40,285.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,443.67
|
| Rate for Payer: Priority Health Medicare |
$40,285.08
|
| Rate for Payer: Priority Health Narrow Network |
$47,554.93
|
| Rate for Payer: Railroad Medicare Medicare |
$40,285.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,285.08
|
| Rate for Payer: UHC Exchange |
$62,441.87
|
| Rate for Payer: UHC Medicare Advantage |
$40,285.08
|
| Rate for Payer: UHCCP DNSP |
$40,285.08
|
| Rate for Payer: VA VA |
$40,285.08
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$330,703.49
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$202,689.24 |
| Max. Negotiated Rate |
$330,703.49 |
| Rate for Payer: Aetna Medicare |
$213,357.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266,696.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266,696.36
|
| Rate for Payer: BCBS MAPPO |
$213,357.09
|
| Rate for Payer: BCN Medicare Advantage |
$213,357.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213,357.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$213,357.09
|
| Rate for Payer: Mclaren Medicare |
$213,357.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224,024.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245,360.65
|
| Rate for Payer: PACE Medicare |
$202,689.24
|
| Rate for Payer: PACE SWMI |
$213,357.09
|
| Rate for Payer: PHP Commercial |
$234,692.80
|
| Rate for Payer: PHP Medicare Advantage |
$213,357.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325,922.80
|
| Rate for Payer: Priority Health Medicare |
$213,357.09
|
| Rate for Payer: Priority Health Narrow Network |
$260,738.24
|
| Rate for Payer: Railroad Medicare Medicare |
$213,357.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$213,357.09
|
| Rate for Payer: UHC Exchange |
$330,703.49
|
| Rate for Payer: UHC Medicare Advantage |
$213,357.09
|
| Rate for Payer: UHCCP DNSP |
$213,357.09
|
| Rate for Payer: VA VA |
$213,357.09
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$36,459.24
|
|
|
Service Code
|
MSDRG 982
|
| Min. Negotiated Rate |
$22,345.99 |
| Max. Negotiated Rate |
$36,459.24 |
| Rate for Payer: Aetna Medicare |
$23,522.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,402.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,402.61
|
| Rate for Payer: BCBS MAPPO |
$23,522.09
|
| Rate for Payer: BCN Medicare Advantage |
$23,522.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,522.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,522.09
|
| Rate for Payer: Mclaren Medicare |
$23,522.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,698.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,050.40
|
| Rate for Payer: PACE Medicare |
$22,345.99
|
| Rate for Payer: PACE SWMI |
$23,522.09
|
| Rate for Payer: PHP Commercial |
$25,874.30
|
| Rate for Payer: PHP Medicare Advantage |
$23,522.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,639.45
|
| Rate for Payer: Priority Health Medicare |
$23,522.09
|
| Rate for Payer: Priority Health Narrow Network |
$26,911.56
|
| Rate for Payer: Railroad Medicare Medicare |
$23,522.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,522.09
|
| Rate for Payer: UHC Exchange |
$36,459.24
|
| Rate for Payer: UHC Medicare Advantage |
$23,522.09
|
| Rate for Payer: UHCCP DNSP |
$23,522.09
|
| Rate for Payer: VA VA |
$23,522.09
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$68,347.64
|
|
|
Service Code
|
MSDRG 981
|
| Min. Negotiated Rate |
$41,890.49 |
| Max. Negotiated Rate |
$68,347.64 |
| Rate for Payer: Aetna Medicare |
$44,095.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,119.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,119.06
|
| Rate for Payer: BCBS MAPPO |
$44,095.25
|
| Rate for Payer: BCN Medicare Advantage |
$44,095.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,095.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,095.25
|
| Rate for Payer: Mclaren Medicare |
$44,095.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,300.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,709.54
|
| Rate for Payer: PACE Medicare |
$41,890.49
|
| Rate for Payer: PACE SWMI |
$44,095.25
|
| Rate for Payer: PHP Commercial |
$48,504.78
|
| Rate for Payer: PHP Medicare Advantage |
$44,095.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,318.38
|
| Rate for Payer: Priority Health Medicare |
$44,095.25
|
| Rate for Payer: Priority Health Narrow Network |
$52,254.70
|
| Rate for Payer: Railroad Medicare Medicare |
$44,095.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,095.25
|
| Rate for Payer: UHC Exchange |
$68,347.64
|
| Rate for Payer: UHC Medicare Advantage |
$44,095.25
|
| Rate for Payer: UHCCP DNSP |
$44,095.25
|
| Rate for Payer: VA VA |
$44,095.25
|
|
|
MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$25,669.80
|
|
|
Service Code
|
MSDRG 983
|
| Min. Negotiated Rate |
$15,733.10 |
| Max. Negotiated Rate |
$25,669.80 |
| Rate for Payer: Aetna Medicare |
$16,561.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,701.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,701.45
|
| Rate for Payer: BCBS MAPPO |
$16,561.16
|
| Rate for Payer: BCN Medicare Advantage |
$16,561.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,561.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,561.16
|
| Rate for Payer: Mclaren Medicare |
$16,561.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,389.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,045.33
|
| Rate for Payer: PACE Medicare |
$15,733.10
|
| Rate for Payer: PACE SWMI |
$16,561.16
|
| Rate for Payer: PHP Commercial |
$18,217.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,561.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,917.69
|
| Rate for Payer: Priority Health Medicare |
$16,561.16
|
| Rate for Payer: Priority Health Narrow Network |
$18,334.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16,561.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,561.16
|
| Rate for Payer: UHC Exchange |
$25,669.80
|
| Rate for Payer: UHC Medicare Advantage |
$16,561.16
|
| Rate for Payer: UHCCP DNSP |
$16,561.16
|
| Rate for Payer: VA VA |
$16,561.16
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$24,882.83
|
|
|
Service Code
|
MSDRG 038
|
| Min. Negotiated Rate |
$15,250.77 |
| Max. Negotiated Rate |
$24,882.83 |
| Rate for Payer: Aetna Medicare |
$16,053.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,066.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,066.80
|
| Rate for Payer: BCBS MAPPO |
$16,053.44
|
| Rate for Payer: BCN Medicare Advantage |
$16,053.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,053.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,053.44
|
| Rate for Payer: Mclaren Medicare |
$16,053.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,856.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,461.46
|
| Rate for Payer: PACE Medicare |
$15,250.77
|
| Rate for Payer: PACE SWMI |
$16,053.44
|
| Rate for Payer: PHP Commercial |
$17,658.78
|
| Rate for Payer: PHP Medicare Advantage |
$16,053.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,134.58
|
| Rate for Payer: Priority Health Medicare |
$16,053.44
|
| Rate for Payer: Priority Health Narrow Network |
$17,707.66
|
| Rate for Payer: Railroad Medicare Medicare |
$16,053.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,053.44
|
| Rate for Payer: UHC Exchange |
$24,882.83
|
| Rate for Payer: UHC Medicare Advantage |
$16,053.44
|
| Rate for Payer: UHCCP DNSP |
$16,053.44
|
| Rate for Payer: VA VA |
$16,053.44
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,528.02
|
|
|
Service Code
|
MSDRG 037
|
| Min. Negotiated Rate |
$29,742.98 |
| Max. Negotiated Rate |
$48,528.02 |
| Rate for Payer: Aetna Medicare |
$31,308.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,135.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,135.50
|
| Rate for Payer: BCBS MAPPO |
$31,308.40
|
| Rate for Payer: BCN Medicare Advantage |
$31,308.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,308.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,308.40
|
| Rate for Payer: Mclaren Medicare |
$31,308.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,873.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,004.66
|
| Rate for Payer: PACE Medicare |
$29,742.98
|
| Rate for Payer: PACE SWMI |
$31,308.40
|
| Rate for Payer: PHP Commercial |
$34,439.24
|
| Rate for Payer: PHP Medicare Advantage |
$31,308.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,622.43
|
| Rate for Payer: Priority Health Medicare |
$31,308.40
|
| Rate for Payer: Priority Health Narrow Network |
$36,497.95
|
| Rate for Payer: Railroad Medicare Medicare |
$31,308.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,308.40
|
| Rate for Payer: UHC Exchange |
$48,528.02
|
| Rate for Payer: UHC Medicare Advantage |
$31,308.40
|
| Rate for Payer: UHCCP DNSP |
$31,308.40
|
| Rate for Payer: VA VA |
$31,308.40
|
|
|
MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,339.46
|
|
|
Service Code
|
MSDRG 039
|
| Min. Negotiated Rate |
$11,240.31 |
| Max. Negotiated Rate |
$18,339.46 |
| Rate for Payer: Aetna Medicare |
$11,831.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,789.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,789.89
|
| Rate for Payer: BCBS MAPPO |
$11,831.91
|
| Rate for Payer: BCN Medicare Advantage |
$11,831.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,831.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,831.91
|
| Rate for Payer: Mclaren Medicare |
$11,831.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,423.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,606.70
|
| Rate for Payer: PACE Medicare |
$11,240.31
|
| Rate for Payer: PACE SWMI |
$11,831.91
|
| Rate for Payer: PHP Commercial |
$13,015.10
|
| Rate for Payer: PHP Medicare Advantage |
$11,831.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,637.50
|
| Rate for Payer: Priority Health Medicare |
$11,831.91
|
| Rate for Payer: Priority Health Narrow Network |
$12,510.00
|
| Rate for Payer: Railroad Medicare Medicare |
$11,831.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,831.91
|
| Rate for Payer: UHC Exchange |
$18,339.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,831.91
|
| Rate for Payer: UHCCP DNSP |
$11,831.91
|
| Rate for Payer: VA VA |
$11,831.91
|
|
|
MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT
|
Facility
|
IP
|
$23,772.24
|
|
|
Service Code
|
MSDRG 115
|
| Min. Negotiated Rate |
$14,570.08 |
| Max. Negotiated Rate |
$23,772.24 |
| Rate for Payer: Aetna Medicare |
$15,336.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,171.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,171.16
|
| Rate for Payer: BCBS MAPPO |
$15,336.93
|
| Rate for Payer: BCN Medicare Advantage |
$15,336.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,336.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,336.93
|
| Rate for Payer: Mclaren Medicare |
$15,336.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,103.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,637.47
|
| Rate for Payer: PACE Medicare |
$14,570.08
|
| Rate for Payer: PACE SWMI |
$15,336.93
|
| Rate for Payer: PHP Commercial |
$16,870.62
|
| Rate for Payer: PHP Medicare Advantage |
$15,336.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,032.73
|
| Rate for Payer: Priority Health Medicare |
$15,336.93
|
| Rate for Payer: Priority Health Narrow Network |
$16,826.18
|
| Rate for Payer: Railroad Medicare Medicare |
$15,336.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,336.93
|
| Rate for Payer: UHC Exchange |
$23,772.24
|
| Rate for Payer: UHC Medicare Advantage |
$15,336.93
|
| Rate for Payer: UHCCP DNSP |
$15,336.93
|
| Rate for Payer: VA VA |
$15,336.93
|
|
|
MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
|
Facility
|
IP
|
$117,455.75
|
|
|
Service Code
|
MSDRG 790
|
| Min. Negotiated Rate |
$51,985.71 |
| Max. Negotiated Rate |
$117,455.75 |
| Rate for Payer: Aetna Medicare |
$54,721.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,402.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,402.25
|
| Rate for Payer: BCBS MAPPO |
$54,721.80
|
| Rate for Payer: BCN Medicare Advantage |
$54,721.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,721.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$54,721.80
|
| Rate for Payer: Mclaren Medicare |
$54,721.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,457.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,930.07
|
| Rate for Payer: PACE Medicare |
$51,985.71
|
| Rate for Payer: PACE SWMI |
$54,721.80
|
| Rate for Payer: PHP Commercial |
$60,193.98
|
| Rate for Payer: PHP Medicare Advantage |
$54,721.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$117,455.75
|
| Rate for Payer: Priority Health Medicare |
$54,721.80
|
| Rate for Payer: Priority Health Narrow Network |
$93,964.60
|
| Rate for Payer: Railroad Medicare Medicare |
$54,721.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,721.80
|
| Rate for Payer: UHC Exchange |
$84,818.79
|
| Rate for Payer: UHC Medicare Advantage |
$54,721.80
|
| Rate for Payer: UHCCP DNSP |
$54,721.80
|
| Rate for Payer: VA VA |
$54,721.80
|
|
|
MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$21,438.95
|
|
|
Service Code
|
MSDRG 748
|
| Min. Negotiated Rate |
$13,140.00 |
| Max. Negotiated Rate |
$21,438.95 |
| Rate for Payer: Aetna Medicare |
$13,831.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,289.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,289.48
|
| Rate for Payer: BCBS MAPPO |
$13,831.58
|
| Rate for Payer: BCN Medicare Advantage |
$13,831.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,831.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,831.58
|
| Rate for Payer: Mclaren Medicare |
$13,831.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,523.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,906.32
|
| Rate for Payer: PACE Medicare |
$13,140.00
|
| Rate for Payer: PACE SWMI |
$13,831.58
|
| Rate for Payer: PHP Commercial |
$15,214.74
|
| Rate for Payer: PHP Medicare Advantage |
$13,831.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,714.99
|
| Rate for Payer: Priority Health Medicare |
$13,831.58
|
| Rate for Payer: Priority Health Narrow Network |
$14,971.99
|
| Rate for Payer: Railroad Medicare Medicare |
$13,831.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,831.58
|
| Rate for Payer: UHC Exchange |
$21,438.95
|
| Rate for Payer: UHC Medicare Advantage |
$13,831.58
|
| Rate for Payer: UHCCP DNSP |
$13,831.58
|
| Rate for Payer: VA VA |
$13,831.58
|
|
|
MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$15,017.30
|
|
|
Service Code
|
MSDRG 864
|
| Min. Negotiated Rate |
$9,204.15 |
| Max. Negotiated Rate |
$15,017.30 |
| Rate for Payer: Aetna Medicare |
$9,688.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,110.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,110.72
|
| Rate for Payer: BCBS MAPPO |
$9,688.58
|
| Rate for Payer: BCN Medicare Advantage |
$9,688.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,688.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,688.58
|
| Rate for Payer: Mclaren Medicare |
$9,688.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,173.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,141.87
|
| Rate for Payer: PACE Medicare |
$9,204.15
|
| Rate for Payer: PACE SWMI |
$9,688.58
|
| Rate for Payer: PHP Commercial |
$10,657.44
|
| Rate for Payer: PHP Medicare Advantage |
$9,688.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,336.07
|
| Rate for Payer: Priority Health Medicare |
$9,688.58
|
| Rate for Payer: Priority Health Narrow Network |
$9,868.85
|
| Rate for Payer: Railroad Medicare Medicare |
$9,688.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,688.58
|
| Rate for Payer: UHC Exchange |
$15,017.30
|
| Rate for Payer: UHC Medicare Advantage |
$9,688.58
|
| Rate for Payer: UHCCP DNSP |
$9,688.58
|
| Rate for Payer: VA VA |
$9,688.58
|
|
