|
MS-DRG 42.00: FOOT PROCEDURES WITH CC
|
Facility
|
IP
|
$26,870.32
|
|
|
Service Code
|
MSDRG 504
|
| Min. Negotiated Rate |
$16,468.91 |
| Max. Negotiated Rate |
$26,870.32 |
| Rate for Payer: Aetna Medicare |
$17,335.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,669.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,669.61
|
| Rate for Payer: BCBS MAPPO |
$17,335.69
|
| Rate for Payer: BCN Medicare Advantage |
$17,335.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,335.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,335.69
|
| Rate for Payer: Mclaren Medicare |
$17,335.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,202.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,936.04
|
| Rate for Payer: PACE Medicare |
$16,468.91
|
| Rate for Payer: PACE SWMI |
$17,335.69
|
| Rate for Payer: PHP Commercial |
$19,069.26
|
| Rate for Payer: PHP Medicare Advantage |
$17,335.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,119.84
|
| Rate for Payer: Priority Health Medicare |
$17,335.69
|
| Rate for Payer: Priority Health Narrow Network |
$19,295.87
|
| Rate for Payer: Railroad Medicare Medicare |
$17,335.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,335.69
|
| Rate for Payer: UHC Exchange |
$26,870.32
|
| Rate for Payer: UHC Medicare Advantage |
$17,335.69
|
| Rate for Payer: UHCCP DNSP |
$17,335.69
|
| Rate for Payer: VA VA |
$17,335.69
|
|
|
MS-DRG 42.00: FOOT PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,201.90
|
|
|
Service Code
|
MSDRG 503
|
| Min. Negotiated Rate |
$24,026.97 |
| Max. Negotiated Rate |
$39,201.90 |
| Rate for Payer: Aetna Medicare |
$25,291.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,614.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,614.44
|
| Rate for Payer: BCBS MAPPO |
$25,291.55
|
| Rate for Payer: BCN Medicare Advantage |
$25,291.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,291.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,291.55
|
| Rate for Payer: Mclaren Medicare |
$25,291.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,556.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,085.28
|
| Rate for Payer: PACE Medicare |
$24,026.97
|
| Rate for Payer: PACE SWMI |
$25,291.55
|
| Rate for Payer: PHP Commercial |
$27,820.70
|
| Rate for Payer: PHP Medicare Advantage |
$25,291.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,359.73
|
| Rate for Payer: Priority Health Medicare |
$25,291.55
|
| Rate for Payer: Priority Health Narrow Network |
$29,087.79
|
| Rate for Payer: Railroad Medicare Medicare |
$25,291.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,291.55
|
| Rate for Payer: UHC Exchange |
$39,201.90
|
| Rate for Payer: UHC Medicare Advantage |
$25,291.55
|
| Rate for Payer: UHCCP DNSP |
$25,291.55
|
| Rate for Payer: VA VA |
$25,291.55
|
|
|
MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,870.32
|
|
|
Service Code
|
MSDRG 505
|
| Min. Negotiated Rate |
$16,468.91 |
| Max. Negotiated Rate |
$26,870.32 |
| Rate for Payer: Aetna Medicare |
$17,335.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,669.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,669.61
|
| Rate for Payer: BCBS MAPPO |
$17,335.69
|
| Rate for Payer: BCN Medicare Advantage |
$17,335.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,335.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,335.69
|
| Rate for Payer: Mclaren Medicare |
$17,335.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,202.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,936.04
|
| Rate for Payer: PACE Medicare |
$16,468.91
|
| Rate for Payer: PACE SWMI |
$17,335.69
|
| Rate for Payer: PHP Commercial |
$19,069.26
|
| Rate for Payer: PHP Medicare Advantage |
$17,335.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,119.84
|
| Rate for Payer: Priority Health Medicare |
$17,335.69
|
| Rate for Payer: Priority Health Narrow Network |
$19,295.87
|
| Rate for Payer: Railroad Medicare Medicare |
$17,335.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,335.69
|
| Rate for Payer: UHC Exchange |
$26,870.32
|
| Rate for Payer: UHC Medicare Advantage |
$17,335.69
|
| Rate for Payer: UHCCP DNSP |
$17,335.69
|
| Rate for Payer: VA VA |
$17,335.69
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC
|
Facility
|
IP
|
$23,687.86
|
|
|
Service Code
|
MSDRG 533
|
| Min. Negotiated Rate |
$14,518.37 |
| Max. Negotiated Rate |
$23,687.86 |
| Rate for Payer: Aetna Medicare |
$15,282.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,103.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,103.11
|
| Rate for Payer: BCBS MAPPO |
$15,282.49
|
| Rate for Payer: BCN Medicare Advantage |
$15,282.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,282.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,282.49
|
| Rate for Payer: Mclaren Medicare |
$15,282.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,046.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,574.86
|
| Rate for Payer: PACE Medicare |
$14,518.37
|
| Rate for Payer: PACE SWMI |
$15,282.49
|
| Rate for Payer: PHP Commercial |
$16,810.74
|
| Rate for Payer: PHP Medicare Advantage |
$15,282.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,948.92
|
| Rate for Payer: Priority Health Medicare |
$15,282.49
|
| Rate for Payer: Priority Health Narrow Network |
$16,759.14
|
| Rate for Payer: Railroad Medicare Medicare |
$15,282.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,282.49
|
| Rate for Payer: UHC Exchange |
$23,687.86
|
| Rate for Payer: UHC Medicare Advantage |
$15,282.49
|
| Rate for Payer: UHCCP DNSP |
$15,282.49
|
| Rate for Payer: VA VA |
$15,282.49
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC
|
Facility
|
IP
|
$13,855.51
|
|
|
Service Code
|
MSDRG 534
|
| Min. Negotiated Rate |
$8,492.09 |
| Max. Negotiated Rate |
$13,855.51 |
| Rate for Payer: Aetna Medicare |
$8,939.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,173.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,173.80
|
| Rate for Payer: BCBS MAPPO |
$8,939.04
|
| Rate for Payer: BCN Medicare Advantage |
$8,939.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,939.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,939.04
|
| Rate for Payer: Mclaren Medicare |
$8,939.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,385.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,279.90
|
| Rate for Payer: PACE Medicare |
$8,492.09
|
| Rate for Payer: PACE SWMI |
$8,939.04
|
| Rate for Payer: PHP Commercial |
$9,832.94
|
| Rate for Payer: PHP Medicare Advantage |
$8,939.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,182.01
|
| Rate for Payer: Priority Health Medicare |
$8,939.04
|
| Rate for Payer: Priority Health Narrow Network |
$8,945.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8,939.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,939.04
|
| Rate for Payer: UHC Exchange |
$13,855.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,939.04
|
| Rate for Payer: UHCCP DNSP |
$8,939.04
|
| Rate for Payer: VA VA |
$8,939.04
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC
|
Facility
|
IP
|
$20,990.84
|
|
|
Service Code
|
MSDRG 535
|
| Min. Negotiated Rate |
$12,865.36 |
| Max. Negotiated Rate |
$20,990.84 |
| Rate for Payer: Aetna Medicare |
$13,542.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,928.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,928.10
|
| Rate for Payer: BCBS MAPPO |
$13,542.48
|
| Rate for Payer: BCN Medicare Advantage |
$13,542.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,542.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,542.48
|
| Rate for Payer: Mclaren Medicare |
$13,542.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,219.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,573.85
|
| Rate for Payer: PACE Medicare |
$12,865.36
|
| Rate for Payer: PACE SWMI |
$13,542.48
|
| Rate for Payer: PHP Commercial |
$14,896.73
|
| Rate for Payer: PHP Medicare Advantage |
$13,542.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,271.23
|
| Rate for Payer: Priority Health Medicare |
$13,542.48
|
| Rate for Payer: Priority Health Narrow Network |
$14,616.98
|
| Rate for Payer: Railroad Medicare Medicare |
$13,542.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,542.48
|
| Rate for Payer: UHC Exchange |
$20,990.84
|
| Rate for Payer: UHC Medicare Advantage |
$13,542.48
|
| Rate for Payer: UHCCP DNSP |
$13,542.48
|
| Rate for Payer: VA VA |
$13,542.48
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC
|
Facility
|
IP
|
$13,812.64
|
|
|
Service Code
|
MSDRG 536
|
| Min. Negotiated Rate |
$8,465.81 |
| Max. Negotiated Rate |
$13,812.64 |
| Rate for Payer: Aetna Medicare |
$8,911.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,139.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,139.22
|
| Rate for Payer: BCBS MAPPO |
$8,911.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,911.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,911.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,911.38
|
| Rate for Payer: Mclaren Medicare |
$8,911.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,356.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,248.09
|
| Rate for Payer: PACE Medicare |
$8,465.81
|
| Rate for Payer: PACE SWMI |
$8,911.38
|
| Rate for Payer: PHP Commercial |
$9,802.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,911.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,140.79
|
| Rate for Payer: Priority Health Medicare |
$8,911.38
|
| Rate for Payer: Priority Health Narrow Network |
$8,912.63
|
| Rate for Payer: Railroad Medicare Medicare |
$8,911.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,911.38
|
| Rate for Payer: UHC Exchange |
$13,812.64
|
| Rate for Payer: UHC Medicare Advantage |
$8,911.38
|
| Rate for Payer: UHCCP DNSP |
$8,911.38
|
| Rate for Payer: VA VA |
$8,911.38
|
|
|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
|
Facility
|
IP
|
$22,838.63
|
|
|
Service Code
|
MSDRG 562
|
| Min. Negotiated Rate |
$13,997.87 |
| Max. Negotiated Rate |
$22,838.63 |
| Rate for Payer: Aetna Medicare |
$14,734.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,418.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,418.25
|
| Rate for Payer: BCBS MAPPO |
$14,734.60
|
| Rate for Payer: BCN Medicare Advantage |
$14,734.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,734.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,734.60
|
| Rate for Payer: Mclaren Medicare |
$14,734.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,471.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,944.79
|
| Rate for Payer: PACE Medicare |
$13,997.87
|
| Rate for Payer: PACE SWMI |
$14,734.60
|
| Rate for Payer: PHP Commercial |
$16,208.06
|
| Rate for Payer: PHP Medicare Advantage |
$14,734.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,109.48
|
| Rate for Payer: Priority Health Medicare |
$14,734.60
|
| Rate for Payer: Priority Health Narrow Network |
$16,087.59
|
| Rate for Payer: Railroad Medicare Medicare |
$14,734.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,734.60
|
| Rate for Payer: UHC Exchange |
$22,838.63
|
| Rate for Payer: UHC Medicare Advantage |
$14,734.60
|
| Rate for Payer: UHCCP DNSP |
$14,734.60
|
| Rate for Payer: VA VA |
$14,734.60
|
|
|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
|
Facility
|
IP
|
$14,959.20
|
|
|
Service Code
|
MSDRG 563
|
| Min. Negotiated Rate |
$9,168.54 |
| Max. Negotiated Rate |
$14,959.20 |
| Rate for Payer: Aetna Medicare |
$9,651.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,063.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,063.88
|
| Rate for Payer: BCBS MAPPO |
$9,651.10
|
| Rate for Payer: BCN Medicare Advantage |
$9,651.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,651.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,651.10
|
| Rate for Payer: Mclaren Medicare |
$9,651.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,133.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,098.76
|
| Rate for Payer: PACE Medicare |
$9,168.54
|
| Rate for Payer: PACE SWMI |
$9,651.10
|
| Rate for Payer: PHP Commercial |
$10,616.21
|
| Rate for Payer: PHP Medicare Advantage |
$9,651.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,278.37
|
| Rate for Payer: Priority Health Medicare |
$9,651.10
|
| Rate for Payer: Priority Health Narrow Network |
$9,822.69
|
| Rate for Payer: Railroad Medicare Medicare |
$9,651.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,651.10
|
| Rate for Payer: UHC Exchange |
$14,959.20
|
| Rate for Payer: UHC Medicare Advantage |
$9,651.10
|
| Rate for Payer: UHCCP DNSP |
$9,651.10
|
| Rate for Payer: VA VA |
$9,651.10
|
|
|
MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$60,278.71
|
|
|
Service Code
|
MSDRG 793
|
| Min. Negotiated Rate |
$7,898.16 |
| Max. Negotiated Rate |
$60,278.71 |
| Rate for Payer: Aetna Medicare |
$38,889.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,611.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,611.86
|
| Rate for Payer: BCBS MAPPO |
$38,889.49
|
| Rate for Payer: BCN Medicare Advantage |
$38,889.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,889.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,889.49
|
| Rate for Payer: Mclaren Medicare |
$38,889.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,833.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,722.91
|
| Rate for Payer: PACE Medicare |
$36,945.02
|
| Rate for Payer: PACE SWMI |
$38,889.49
|
| Rate for Payer: PHP Commercial |
$42,778.44
|
| Rate for Payer: PHP Medicare Advantage |
$38,889.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,872.70
|
| Rate for Payer: Priority Health Medicare |
$38,889.49
|
| Rate for Payer: Priority Health Narrow Network |
$7,898.16
|
| Rate for Payer: Railroad Medicare Medicare |
$38,889.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,889.49
|
| Rate for Payer: UHC Exchange |
$60,278.71
|
| Rate for Payer: UHC Medicare Advantage |
$38,889.49
|
| Rate for Payer: UHCCP DNSP |
$38,889.49
|
| Rate for Payer: VA VA |
$38,889.49
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
|
Facility
|
IP
|
$32,275.43
|
|
|
Service Code
|
MSDRG 934
|
| Min. Negotiated Rate |
$19,781.72 |
| Max. Negotiated Rate |
$32,275.43 |
| Rate for Payer: Aetna Medicare |
$20,822.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,028.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,028.58
|
| Rate for Payer: BCBS MAPPO |
$20,822.86
|
| Rate for Payer: BCN Medicare Advantage |
$20,822.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,822.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,822.86
|
| Rate for Payer: Mclaren Medicare |
$20,822.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,864.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,946.29
|
| Rate for Payer: PACE Medicare |
$19,781.72
|
| Rate for Payer: PACE SWMI |
$20,822.86
|
| Rate for Payer: PHP Commercial |
$22,905.15
|
| Rate for Payer: PHP Medicare Advantage |
$20,822.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,479.34
|
| Rate for Payer: Priority Health Medicare |
$20,822.86
|
| Rate for Payer: Priority Health Narrow Network |
$23,583.47
|
| Rate for Payer: Railroad Medicare Medicare |
$20,822.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,822.86
|
| Rate for Payer: UHC Exchange |
$32,275.43
|
| Rate for Payer: UHC Medicare Advantage |
$20,822.86
|
| Rate for Payer: UHCCP DNSP |
$20,822.86
|
| Rate for Payer: VA VA |
$20,822.86
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
|
Facility
|
IP
|
$94,972.00
|
|
|
Service Code
|
MSDRG 928
|
| Min. Negotiated Rate |
$58,208.65 |
| Max. Negotiated Rate |
$94,972.00 |
| Rate for Payer: Aetna Medicare |
$61,272.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76,590.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76,590.32
|
| Rate for Payer: BCBS MAPPO |
$61,272.26
|
| Rate for Payer: BCN Medicare Advantage |
$61,272.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61,272.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$61,272.26
|
| Rate for Payer: Mclaren Medicare |
$61,272.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64,335.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70,463.10
|
| Rate for Payer: PACE Medicare |
$58,208.65
|
| Rate for Payer: PACE SWMI |
$61,272.26
|
| Rate for Payer: PHP Commercial |
$67,399.49
|
| Rate for Payer: PHP Medicare Advantage |
$61,272.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91,754.58
|
| Rate for Payer: Priority Health Medicare |
$61,272.26
|
| Rate for Payer: Priority Health Narrow Network |
$73,403.66
|
| Rate for Payer: Railroad Medicare Medicare |
$61,272.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$61,272.26
|
| Rate for Payer: UHC Exchange |
$94,972.00
|
| Rate for Payer: UHC Medicare Advantage |
$61,272.26
|
| Rate for Payer: UHCCP DNSP |
$61,272.26
|
| Rate for Payer: VA VA |
$61,272.26
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
|
Facility
|
IP
|
$46,584.80
|
|
|
Service Code
|
MSDRG 929
|
| Min. Negotiated Rate |
$28,551.97 |
| Max. Negotiated Rate |
$46,584.80 |
| Rate for Payer: Aetna Medicare |
$30,054.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,568.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,568.39
|
| Rate for Payer: BCBS MAPPO |
$30,054.71
|
| Rate for Payer: BCN Medicare Advantage |
$30,054.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,054.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,054.71
|
| Rate for Payer: Mclaren Medicare |
$30,054.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,557.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,562.92
|
| Rate for Payer: PACE Medicare |
$28,551.97
|
| Rate for Payer: PACE SWMI |
$30,054.71
|
| Rate for Payer: PHP Commercial |
$33,060.18
|
| Rate for Payer: PHP Medicare Advantage |
$30,054.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,692.13
|
| Rate for Payer: Priority Health Medicare |
$30,054.71
|
| Rate for Payer: Priority Health Narrow Network |
$34,953.71
|
| Rate for Payer: Railroad Medicare Medicare |
$30,054.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,054.71
|
| Rate for Payer: UHC Exchange |
$46,584.80
|
| Rate for Payer: UHC Medicare Advantage |
$30,054.71
|
| Rate for Payer: UHCCP DNSP |
$30,054.71
|
| Rate for Payer: VA VA |
$30,054.71
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
|
IP
|
$16,233.04
|
|
|
Service Code
|
MSDRG 378
|
| Min. Negotiated Rate |
$9,949.28 |
| Max. Negotiated Rate |
$16,233.04 |
| Rate for Payer: Aetna Medicare |
$10,472.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,091.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,091.16
|
| Rate for Payer: BCBS MAPPO |
$10,472.93
|
| Rate for Payer: BCN Medicare Advantage |
$10,472.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,472.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,472.93
|
| Rate for Payer: Mclaren Medicare |
$10,472.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,996.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,043.87
|
| Rate for Payer: PACE Medicare |
$9,949.28
|
| Rate for Payer: PACE SWMI |
$10,472.93
|
| Rate for Payer: PHP Commercial |
$11,520.22
|
| Rate for Payer: PHP Medicare Advantage |
$10,472.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,545.08
|
| Rate for Payer: Priority Health Medicare |
$10,472.93
|
| Rate for Payer: Priority Health Narrow Network |
$10,836.07
|
| Rate for Payer: Railroad Medicare Medicare |
$10,472.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,472.93
|
| Rate for Payer: UHC Exchange |
$16,233.04
|
| Rate for Payer: UHC Medicare Advantage |
$10,472.93
|
| Rate for Payer: UHCCP DNSP |
$10,472.93
|
| Rate for Payer: VA VA |
$10,472.93
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$27,744.44
|
|
|
Service Code
|
MSDRG 377
|
| Min. Negotiated Rate |
$17,004.66 |
| Max. Negotiated Rate |
$27,744.44 |
| Rate for Payer: Aetna Medicare |
$17,899.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,374.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,374.55
|
| Rate for Payer: BCBS MAPPO |
$17,899.64
|
| Rate for Payer: BCN Medicare Advantage |
$17,899.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,899.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,899.64
|
| Rate for Payer: Mclaren Medicare |
$17,899.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,794.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,584.59
|
| Rate for Payer: PACE Medicare |
$17,004.66
|
| Rate for Payer: PACE SWMI |
$17,899.64
|
| Rate for Payer: PHP Commercial |
$19,689.60
|
| Rate for Payer: PHP Medicare Advantage |
$17,899.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,978.51
|
| Rate for Payer: Priority Health Medicare |
$17,899.64
|
| Rate for Payer: Priority Health Narrow Network |
$19,982.81
|
| Rate for Payer: Railroad Medicare Medicare |
$17,899.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,899.64
|
| Rate for Payer: UHC Exchange |
$27,744.44
|
| Rate for Payer: UHC Medicare Advantage |
$17,899.64
|
| Rate for Payer: UHCCP DNSP |
$17,899.64
|
| Rate for Payer: VA VA |
$17,899.64
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,403.29
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$6,989.11 |
| Max. Negotiated Rate |
$11,403.29 |
| Rate for Payer: Aetna Medicare |
$7,356.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,196.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,196.20
|
| Rate for Payer: BCBS MAPPO |
$7,356.96
|
| Rate for Payer: BCN Medicare Advantage |
$7,356.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,356.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,356.96
|
| Rate for Payer: Mclaren Medicare |
$7,356.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,724.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,460.50
|
| Rate for Payer: PACE Medicare |
$6,989.11
|
| Rate for Payer: PACE SWMI |
$7,356.96
|
| Rate for Payer: PHP Commercial |
$8,092.66
|
| Rate for Payer: PHP Medicare Advantage |
$7,356.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,746.12
|
| Rate for Payer: Priority Health Medicare |
$7,356.96
|
| Rate for Payer: Priority Health Narrow Network |
$6,996.90
|
| Rate for Payer: Railroad Medicare Medicare |
$7,356.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,356.96
|
| Rate for Payer: UHC Exchange |
$11,403.29
|
| Rate for Payer: UHC Medicare Advantage |
$7,356.96
|
| Rate for Payer: UHCCP DNSP |
$7,356.96
|
| Rate for Payer: VA VA |
$7,356.96
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$13,684.00
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$8,386.97 |
| Max. Negotiated Rate |
$13,684.00 |
| Rate for Payer: Aetna Medicare |
$8,828.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,035.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,035.49
|
| Rate for Payer: BCBS MAPPO |
$8,828.39
|
| Rate for Payer: BCN Medicare Advantage |
$8,828.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,828.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,828.39
|
| Rate for Payer: Mclaren Medicare |
$8,828.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,269.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,152.65
|
| Rate for Payer: PACE Medicare |
$8,386.97
|
| Rate for Payer: PACE SWMI |
$8,828.39
|
| Rate for Payer: PHP Commercial |
$9,711.23
|
| Rate for Payer: PHP Medicare Advantage |
$8,828.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,014.40
|
| Rate for Payer: Priority Health Medicare |
$8,828.39
|
| Rate for Payer: Priority Health Narrow Network |
$8,811.52
|
| Rate for Payer: Railroad Medicare Medicare |
$8,828.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,828.39
|
| Rate for Payer: UHC Exchange |
$13,684.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,828.39
|
| Rate for Payer: UHCCP DNSP |
$8,828.39
|
| Rate for Payer: VA VA |
$8,828.39
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$22,927.14
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$14,052.12 |
| Max. Negotiated Rate |
$22,927.14 |
| Rate for Payer: Aetna Medicare |
$14,791.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,489.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,489.62
|
| Rate for Payer: BCBS MAPPO |
$14,791.70
|
| Rate for Payer: BCN Medicare Advantage |
$14,791.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,791.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,791.70
|
| Rate for Payer: Mclaren Medicare |
$14,791.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,531.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,010.46
|
| Rate for Payer: PACE Medicare |
$14,052.12
|
| Rate for Payer: PACE SWMI |
$14,791.70
|
| Rate for Payer: PHP Commercial |
$16,270.87
|
| Rate for Payer: PHP Medicare Advantage |
$14,791.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,196.04
|
| Rate for Payer: Priority Health Medicare |
$14,791.70
|
| Rate for Payer: Priority Health Narrow Network |
$16,156.83
|
| Rate for Payer: Railroad Medicare Medicare |
$14,791.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,791.70
|
| Rate for Payer: UHC Exchange |
$22,927.14
|
| Rate for Payer: UHC Medicare Advantage |
$14,791.70
|
| Rate for Payer: UHCCP DNSP |
$14,791.70
|
| Rate for Payer: VA VA |
$14,791.70
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$10,165.44
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$6,013.20 |
| Max. Negotiated Rate |
$10,165.44 |
| Rate for Payer: Aetna Medicare |
$6,558.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,197.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,197.94
|
| Rate for Payer: BCBS MAPPO |
$6,558.35
|
| Rate for Payer: BCN Medicare Advantage |
$6,558.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,558.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,558.35
|
| Rate for Payer: Mclaren Medicare |
$6,558.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,886.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,542.10
|
| Rate for Payer: PACE Medicare |
$6,230.43
|
| Rate for Payer: PACE SWMI |
$6,558.35
|
| Rate for Payer: PHP Commercial |
$7,214.18
|
| Rate for Payer: PHP Medicare Advantage |
$6,558.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,516.50
|
| Rate for Payer: Priority Health Medicare |
$6,558.35
|
| Rate for Payer: Priority Health Narrow Network |
$6,013.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6,558.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,558.35
|
| Rate for Payer: UHC Exchange |
$10,165.44
|
| Rate for Payer: UHC Medicare Advantage |
$6,558.35
|
| Rate for Payer: UHCCP DNSP |
$6,558.35
|
| Rate for Payer: VA VA |
$6,558.35
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,420.90
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$14,354.75 |
| Max. Negotiated Rate |
$23,420.90 |
| Rate for Payer: Aetna Medicare |
$15,110.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,887.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,887.82
|
| Rate for Payer: BCBS MAPPO |
$15,110.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,110.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,110.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,110.26
|
| Rate for Payer: Mclaren Medicare |
$15,110.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,865.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,376.80
|
| Rate for Payer: PACE Medicare |
$14,354.75
|
| Rate for Payer: PACE SWMI |
$15,110.26
|
| Rate for Payer: PHP Commercial |
$16,621.29
|
| Rate for Payer: PHP Medicare Advantage |
$15,110.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,683.76
|
| Rate for Payer: Priority Health Medicare |
$15,110.26
|
| Rate for Payer: Priority Health Narrow Network |
$16,547.01
|
| Rate for Payer: Railroad Medicare Medicare |
$15,110.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,110.26
|
| Rate for Payer: UHC Exchange |
$23,420.90
|
| Rate for Payer: UHC Medicare Advantage |
$15,110.26
|
| Rate for Payer: UHCCP DNSP |
$15,110.26
|
| Rate for Payer: VA VA |
$15,110.26
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,699.14
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$10,234.96 |
| Max. Negotiated Rate |
$16,699.14 |
| Rate for Payer: Aetna Medicare |
$10,773.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,467.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,467.05
|
| Rate for Payer: BCBS MAPPO |
$10,773.64
|
| Rate for Payer: BCN Medicare Advantage |
$10,773.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,773.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,773.64
|
| Rate for Payer: Mclaren Medicare |
$10,773.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,312.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,389.69
|
| Rate for Payer: PACE Medicare |
$10,234.96
|
| Rate for Payer: PACE SWMI |
$10,773.64
|
| Rate for Payer: PHP Commercial |
$11,851.00
|
| Rate for Payer: PHP Medicare Advantage |
$10,773.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,008.08
|
| Rate for Payer: Priority Health Medicare |
$10,773.64
|
| Rate for Payer: Priority Health Narrow Network |
$11,206.46
|
| Rate for Payer: Railroad Medicare Medicare |
$10,773.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,773.64
|
| Rate for Payer: UHC Exchange |
$16,699.14
|
| Rate for Payer: UHC Medicare Advantage |
$10,773.64
|
| Rate for Payer: UHCCP DNSP |
$10,773.64
|
| Rate for Payer: VA VA |
$10,773.64
|
|
|
MS-DRG 42.00: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$32,783.01
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$20,092.81 |
| Max. Negotiated Rate |
$32,783.01 |
| Rate for Payer: Aetna Medicare |
$21,150.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,437.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,437.91
|
| Rate for Payer: BCBS MAPPO |
$21,150.33
|
| Rate for Payer: BCN Medicare Advantage |
$21,150.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,150.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,150.33
|
| Rate for Payer: Mclaren Medicare |
$21,150.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,207.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,322.88
|
| Rate for Payer: PACE Medicare |
$20,092.81
|
| Rate for Payer: PACE SWMI |
$21,150.33
|
| Rate for Payer: PHP Commercial |
$23,265.36
|
| Rate for Payer: PHP Medicare Advantage |
$21,150.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,983.56
|
| Rate for Payer: Priority Health Medicare |
$21,150.33
|
| Rate for Payer: Priority Health Narrow Network |
$23,986.85
|
| Rate for Payer: Railroad Medicare Medicare |
$21,150.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,150.33
|
| Rate for Payer: UHC Exchange |
$32,783.01
|
| Rate for Payer: UHC Medicare Advantage |
$21,150.33
|
| Rate for Payer: UHCCP DNSP |
$21,150.33
|
| Rate for Payer: VA VA |
$21,150.33
|
|
|
MS-DRG 42.00: HEADACHES WITH MCC
|
Facility
|
IP
|
$18,634.04
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$11,420.86 |
| Max. Negotiated Rate |
$18,634.04 |
| Rate for Payer: Aetna Medicare |
$12,021.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,027.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,027.45
|
| Rate for Payer: BCBS MAPPO |
$12,021.96
|
| Rate for Payer: BCN Medicare Advantage |
$12,021.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,021.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,021.96
|
| Rate for Payer: Mclaren Medicare |
$12,021.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,623.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,825.25
|
| Rate for Payer: PACE Medicare |
$11,420.86
|
| Rate for Payer: PACE SWMI |
$12,021.96
|
| Rate for Payer: PHP Commercial |
$13,224.16
|
| Rate for Payer: PHP Medicare Advantage |
$12,021.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,928.76
|
| Rate for Payer: Priority Health Medicare |
$12,021.96
|
| Rate for Payer: Priority Health Narrow Network |
$12,743.01
|
| Rate for Payer: Railroad Medicare Medicare |
$12,021.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,021.96
|
| Rate for Payer: UHC Exchange |
$18,634.04
|
| Rate for Payer: UHC Medicare Advantage |
$12,021.96
|
| Rate for Payer: UHCCP DNSP |
$12,021.96
|
| Rate for Payer: VA VA |
$12,021.96
|
|
|
MS-DRG 42.00: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$14,356.18
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$8,798.95 |
| Max. Negotiated Rate |
$14,356.18 |
| Rate for Payer: Aetna Medicare |
$9,262.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,577.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,577.56
|
| Rate for Payer: BCBS MAPPO |
$9,262.05
|
| Rate for Payer: BCN Medicare Advantage |
$9,262.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,262.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,262.05
|
| Rate for Payer: Mclaren Medicare |
$9,262.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,725.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,651.36
|
| Rate for Payer: PACE Medicare |
$8,798.95
|
| Rate for Payer: PACE SWMI |
$9,262.05
|
| Rate for Payer: PHP Commercial |
$10,188.26
|
| Rate for Payer: PHP Medicare Advantage |
$9,262.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,680.73
|
| Rate for Payer: Priority Health Medicare |
$9,262.05
|
| Rate for Payer: Priority Health Narrow Network |
$9,344.58
|
| Rate for Payer: Railroad Medicare Medicare |
$9,262.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,262.05
|
| Rate for Payer: UHC Exchange |
$14,356.18
|
| Rate for Payer: UHC Medicare Advantage |
$9,262.05
|
| Rate for Payer: UHCCP DNSP |
$9,262.05
|
| Rate for Payer: VA VA |
$9,262.05
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$14,508.33
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$8,892.20 |
| Max. Negotiated Rate |
$14,508.33 |
| Rate for Payer: Aetna Medicare |
$9,360.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,700.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,700.26
|
| Rate for Payer: BCBS MAPPO |
$9,360.21
|
| Rate for Payer: BCN Medicare Advantage |
$9,360.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,360.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,360.21
|
| Rate for Payer: Mclaren Medicare |
$9,360.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,828.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,764.24
|
| Rate for Payer: PACE Medicare |
$8,892.20
|
| Rate for Payer: PACE SWMI |
$9,360.21
|
| Rate for Payer: PHP Commercial |
$10,296.23
|
| Rate for Payer: PHP Medicare Advantage |
$9,360.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,833.23
|
| Rate for Payer: Priority Health Medicare |
$9,360.21
|
| Rate for Payer: Priority Health Narrow Network |
$9,466.58
|
| Rate for Payer: Railroad Medicare Medicare |
$9,360.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,360.21
|
| Rate for Payer: UHC Exchange |
$14,508.33
|
| Rate for Payer: UHC Medicare Advantage |
$9,360.21
|
| Rate for Payer: UHCCP DNSP |
$9,360.21
|
| Rate for Payer: VA VA |
$9,360.21
|
|
