|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$20,643.69
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$12,652.58 |
| Max. Negotiated Rate |
$20,643.69 |
| Rate for Payer: Aetna Medicare |
$13,318.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,648.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,648.14
|
| Rate for Payer: BCBS MAPPO |
$13,318.51
|
| Rate for Payer: BCN Medicare Advantage |
$13,318.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,318.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,318.51
|
| Rate for Payer: Mclaren Medicare |
$13,318.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,984.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,316.29
|
| Rate for Payer: PACE Medicare |
$12,652.58
|
| Rate for Payer: PACE SWMI |
$13,318.51
|
| Rate for Payer: PHP Commercial |
$14,650.36
|
| Rate for Payer: PHP Medicare Advantage |
$13,318.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,927.76
|
| Rate for Payer: Priority Health Medicare |
$13,318.51
|
| Rate for Payer: Priority Health Narrow Network |
$14,342.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13,318.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,318.51
|
| Rate for Payer: UHC Exchange |
$20,643.69
|
| Rate for Payer: UHC Medicare Advantage |
$13,318.51
|
| Rate for Payer: UHCCP DNSP |
$13,318.51
|
| Rate for Payer: VA VA |
$13,318.51
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$10,186.18
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$6,034.08 |
| Max. Negotiated Rate |
$10,186.18 |
| Rate for Payer: Aetna Medicare |
$6,571.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,214.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,214.66
|
| Rate for Payer: BCBS MAPPO |
$6,571.73
|
| Rate for Payer: BCN Medicare Advantage |
$6,571.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,571.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,571.73
|
| Rate for Payer: Mclaren Medicare |
$6,571.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,900.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,557.49
|
| Rate for Payer: PACE Medicare |
$6,243.14
|
| Rate for Payer: PACE SWMI |
$6,571.73
|
| Rate for Payer: PHP Commercial |
$7,228.90
|
| Rate for Payer: PHP Medicare Advantage |
$6,571.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,542.60
|
| Rate for Payer: Priority Health Medicare |
$6,571.73
|
| Rate for Payer: Priority Health Narrow Network |
$6,034.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6,571.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,571.73
|
| Rate for Payer: UHC Exchange |
$10,186.18
|
| Rate for Payer: UHC Medicare Advantage |
$6,571.73
|
| Rate for Payer: UHCCP DNSP |
$6,571.73
|
| Rate for Payer: VA VA |
$6,571.73
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
|
Facility
|
IP
|
$392,188.46
|
|
|
Service Code
|
MSDRG 001
|
| Min. Negotiated Rate |
$240,373.57 |
| Max. Negotiated Rate |
$392,188.46 |
| Rate for Payer: Aetna Medicare |
$253,024.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$316,281.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$316,281.01
|
| Rate for Payer: BCBS MAPPO |
$253,024.81
|
| Rate for Payer: BCN Medicare Advantage |
$253,024.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253,024.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$253,024.81
|
| Rate for Payer: Mclaren Medicare |
$253,024.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265,676.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$290,978.53
|
| Rate for Payer: PACE Medicare |
$240,373.57
|
| Rate for Payer: PACE SWMI |
$253,024.81
|
| Rate for Payer: PHP Commercial |
$278,327.29
|
| Rate for Payer: PHP Medicare Advantage |
$253,024.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$386,972.54
|
| Rate for Payer: Priority Health Medicare |
$253,024.81
|
| Rate for Payer: Priority Health Narrow Network |
$309,578.03
|
| Rate for Payer: Railroad Medicare Medicare |
$253,024.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$253,024.81
|
| Rate for Payer: UHC Exchange |
$392,188.46
|
| Rate for Payer: UHC Medicare Advantage |
$253,024.81
|
| Rate for Payer: UHCCP DNSP |
$253,024.81
|
| Rate for Payer: VA VA |
$253,024.81
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$155,008.91
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$95,005.46 |
| Max. Negotiated Rate |
$155,008.91 |
| Rate for Payer: Aetna Medicare |
$100,005.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$125,007.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$125,007.19
|
| Rate for Payer: BCBS MAPPO |
$100,005.75
|
| Rate for Payer: BCN Medicare Advantage |
$100,005.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100,005.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$100,005.75
|
| Rate for Payer: Mclaren Medicare |
$100,005.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105,006.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115,006.61
|
| Rate for Payer: PACE Medicare |
$95,005.46
|
| Rate for Payer: PACE SWMI |
$100,005.75
|
| Rate for Payer: PHP Commercial |
$110,006.32
|
| Rate for Payer: PHP Medicare Advantage |
$100,005.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$151,397.45
|
| Rate for Payer: Priority Health Medicare |
$100,005.75
|
| Rate for Payer: Priority Health Narrow Network |
$121,117.96
|
| Rate for Payer: Railroad Medicare Medicare |
$100,005.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$100,005.75
|
| Rate for Payer: UHC Exchange |
$155,008.91
|
| Rate for Payer: UHC Medicare Advantage |
$100,005.75
|
| Rate for Payer: UHCCP DNSP |
$100,005.75
|
| Rate for Payer: VA VA |
$100,005.75
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$25,246.60
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$15,473.72 |
| Max. Negotiated Rate |
$25,246.60 |
| Rate for Payer: Aetna Medicare |
$16,288.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,360.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,360.16
|
| Rate for Payer: BCBS MAPPO |
$16,288.13
|
| Rate for Payer: BCN Medicare Advantage |
$16,288.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,288.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,288.13
|
| Rate for Payer: Mclaren Medicare |
$16,288.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,102.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,731.35
|
| Rate for Payer: PACE Medicare |
$15,473.72
|
| Rate for Payer: PACE SWMI |
$16,288.13
|
| Rate for Payer: PHP Commercial |
$17,916.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,288.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,497.28
|
| Rate for Payer: Priority Health Medicare |
$16,288.13
|
| Rate for Payer: Priority Health Narrow Network |
$17,997.83
|
| Rate for Payer: Railroad Medicare Medicare |
$16,288.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,288.13
|
| Rate for Payer: UHC Exchange |
$25,246.60
|
| Rate for Payer: UHC Medicare Advantage |
$16,288.13
|
| Rate for Payer: UHCCP DNSP |
$16,288.13
|
| Rate for Payer: VA VA |
$16,288.13
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,413.17
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$31,511.30 |
| Max. Negotiated Rate |
$51,413.17 |
| Rate for Payer: Aetna Medicare |
$33,169.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,462.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,462.24
|
| Rate for Payer: BCBS MAPPO |
$33,169.79
|
| Rate for Payer: BCN Medicare Advantage |
$33,169.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,169.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,169.79
|
| Rate for Payer: Mclaren Medicare |
$33,169.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,828.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,145.26
|
| Rate for Payer: PACE Medicare |
$31,511.30
|
| Rate for Payer: PACE SWMI |
$33,169.79
|
| Rate for Payer: PHP Commercial |
$36,486.77
|
| Rate for Payer: PHP Medicare Advantage |
$33,169.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,486.97
|
| Rate for Payer: Priority Health Medicare |
$33,169.79
|
| Rate for Payer: Priority Health Narrow Network |
$38,789.58
|
| Rate for Payer: Railroad Medicare Medicare |
$33,169.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,169.79
|
| Rate for Payer: UHC Exchange |
$51,413.17
|
| Rate for Payer: UHC Medicare Advantage |
$33,169.79
|
| Rate for Payer: UHCCP DNSP |
$33,169.79
|
| Rate for Payer: VA VA |
$33,169.79
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,920.24
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$14,047.89 |
| Max. Negotiated Rate |
$22,920.24 |
| Rate for Payer: Aetna Medicare |
$14,787.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,484.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,484.06
|
| Rate for Payer: BCBS MAPPO |
$14,787.25
|
| Rate for Payer: BCN Medicare Advantage |
$14,787.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,787.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,787.25
|
| Rate for Payer: Mclaren Medicare |
$14,787.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,526.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,005.34
|
| Rate for Payer: PACE Medicare |
$14,047.89
|
| Rate for Payer: PACE SWMI |
$14,787.25
|
| Rate for Payer: PHP Commercial |
$16,265.98
|
| Rate for Payer: PHP Medicare Advantage |
$14,787.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,186.42
|
| Rate for Payer: Priority Health Medicare |
$14,787.25
|
| Rate for Payer: Priority Health Narrow Network |
$16,149.14
|
| Rate for Payer: Railroad Medicare Medicare |
$14,787.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,787.25
|
| Rate for Payer: UHC Exchange |
$22,920.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,787.25
|
| Rate for Payer: UHCCP DNSP |
$14,787.25
|
| Rate for Payer: VA VA |
$14,787.25
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$26,124.85
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$16,012.00 |
| Max. Negotiated Rate |
$26,124.85 |
| Rate for Payer: Aetna Medicare |
$16,854.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,068.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,068.42
|
| Rate for Payer: BCBS MAPPO |
$16,854.74
|
| Rate for Payer: BCN Medicare Advantage |
$16,854.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,854.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,854.74
|
| Rate for Payer: Mclaren Medicare |
$16,854.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,697.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,382.95
|
| Rate for Payer: PACE Medicare |
$16,012.00
|
| Rate for Payer: PACE SWMI |
$16,854.74
|
| Rate for Payer: PHP Commercial |
$18,540.21
|
| Rate for Payer: PHP Medicare Advantage |
$16,854.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,371.07
|
| Rate for Payer: Priority Health Medicare |
$16,854.74
|
| Rate for Payer: Priority Health Narrow Network |
$18,696.86
|
| Rate for Payer: Railroad Medicare Medicare |
$16,854.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,854.74
|
| Rate for Payer: UHC Exchange |
$26,124.85
|
| Rate for Payer: UHC Medicare Advantage |
$16,854.74
|
| Rate for Payer: UHCCP DNSP |
$16,854.74
|
| Rate for Payer: VA VA |
$16,854.74
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$43,163.05
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$26,454.77 |
| Max. Negotiated Rate |
$43,163.05 |
| Rate for Payer: Aetna Medicare |
$27,847.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,808.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,808.91
|
| Rate for Payer: BCBS MAPPO |
$27,847.13
|
| Rate for Payer: BCN Medicare Advantage |
$27,847.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,847.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,847.13
|
| Rate for Payer: Mclaren Medicare |
$27,847.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,239.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,024.20
|
| Rate for Payer: PACE Medicare |
$26,454.77
|
| Rate for Payer: PACE SWMI |
$27,847.13
|
| Rate for Payer: PHP Commercial |
$30,631.84
|
| Rate for Payer: PHP Medicare Advantage |
$27,847.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,293.15
|
| Rate for Payer: Priority Health Medicare |
$27,847.13
|
| Rate for Payer: Priority Health Narrow Network |
$32,234.52
|
| Rate for Payer: Railroad Medicare Medicare |
$27,847.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,847.13
|
| Rate for Payer: UHC Exchange |
$43,163.05
|
| Rate for Payer: UHC Medicare Advantage |
$27,847.13
|
| Rate for Payer: UHCCP DNSP |
$27,847.13
|
| Rate for Payer: VA VA |
$27,847.13
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$21,036.49
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$12,893.33 |
| Max. Negotiated Rate |
$21,036.49 |
| Rate for Payer: Aetna Medicare |
$13,571.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,964.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,964.91
|
| Rate for Payer: BCBS MAPPO |
$13,571.93
|
| Rate for Payer: BCN Medicare Advantage |
$13,571.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,571.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,571.93
|
| Rate for Payer: Mclaren Medicare |
$13,571.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,250.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,607.72
|
| Rate for Payer: PACE Medicare |
$12,893.33
|
| Rate for Payer: PACE SWMI |
$13,571.93
|
| Rate for Payer: PHP Commercial |
$14,929.12
|
| Rate for Payer: PHP Medicare Advantage |
$13,571.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,315.19
|
| Rate for Payer: Priority Health Medicare |
$13,571.93
|
| Rate for Payer: Priority Health Narrow Network |
$14,652.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13,571.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,571.93
|
| Rate for Payer: UHC Exchange |
$21,036.49
|
| Rate for Payer: UHC Medicare Advantage |
$13,571.93
|
| Rate for Payer: UHCCP DNSP |
$13,571.93
|
| Rate for Payer: VA VA |
$13,571.93
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$31,294.81
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$19,180.69 |
| Max. Negotiated Rate |
$31,294.81 |
| Rate for Payer: Aetna Medicare |
$20,190.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,237.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,237.75
|
| Rate for Payer: BCBS MAPPO |
$20,190.20
|
| Rate for Payer: BCN Medicare Advantage |
$20,190.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,190.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,190.20
|
| Rate for Payer: Mclaren Medicare |
$20,190.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,199.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,218.73
|
| Rate for Payer: PACE Medicare |
$19,180.69
|
| Rate for Payer: PACE SWMI |
$20,190.20
|
| Rate for Payer: PHP Commercial |
$22,209.22
|
| Rate for Payer: PHP Medicare Advantage |
$20,190.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,506.64
|
| Rate for Payer: Priority Health Medicare |
$20,190.20
|
| Rate for Payer: Priority Health Narrow Network |
$22,805.31
|
| Rate for Payer: Railroad Medicare Medicare |
$20,190.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,190.20
|
| Rate for Payer: UHC Exchange |
$31,294.81
|
| Rate for Payer: UHC Medicare Advantage |
$20,190.20
|
| Rate for Payer: UHCCP DNSP |
$20,190.20
|
| Rate for Payer: VA VA |
$20,190.20
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$43,273.69
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$26,522.58 |
| Max. Negotiated Rate |
$43,273.69 |
| Rate for Payer: Aetna Medicare |
$27,918.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,898.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,898.14
|
| Rate for Payer: BCBS MAPPO |
$27,918.51
|
| Rate for Payer: BCN Medicare Advantage |
$27,918.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,918.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,918.51
|
| Rate for Payer: Mclaren Medicare |
$27,918.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,314.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,106.29
|
| Rate for Payer: PACE Medicare |
$26,522.58
|
| Rate for Payer: PACE SWMI |
$27,918.51
|
| Rate for Payer: PHP Commercial |
$30,710.36
|
| Rate for Payer: PHP Medicare Advantage |
$27,918.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,405.81
|
| Rate for Payer: Priority Health Medicare |
$27,918.51
|
| Rate for Payer: Priority Health Narrow Network |
$32,324.65
|
| Rate for Payer: Railroad Medicare Medicare |
$27,918.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,918.51
|
| Rate for Payer: UHC Exchange |
$43,273.69
|
| Rate for Payer: UHC Medicare Advantage |
$27,918.51
|
| Rate for Payer: UHCCP DNSP |
$27,918.51
|
| Rate for Payer: VA VA |
$27,918.51
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$24,538.44
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$15,039.69 |
| Max. Negotiated Rate |
$24,538.44 |
| Rate for Payer: Aetna Medicare |
$15,831.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,789.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,789.06
|
| Rate for Payer: BCBS MAPPO |
$15,831.25
|
| Rate for Payer: BCN Medicare Advantage |
$15,831.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,831.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,831.25
|
| Rate for Payer: Mclaren Medicare |
$15,831.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,622.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,205.94
|
| Rate for Payer: PACE Medicare |
$15,039.69
|
| Rate for Payer: PACE SWMI |
$15,831.25
|
| Rate for Payer: PHP Commercial |
$17,414.38
|
| Rate for Payer: PHP Medicare Advantage |
$15,831.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,795.23
|
| Rate for Payer: Priority Health Medicare |
$15,831.25
|
| Rate for Payer: Priority Health Narrow Network |
$17,436.19
|
| Rate for Payer: Railroad Medicare Medicare |
$15,831.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,831.25
|
| Rate for Payer: UHC Exchange |
$24,538.44
|
| Rate for Payer: UHC Medicare Advantage |
$15,831.25
|
| Rate for Payer: UHCCP DNSP |
$15,831.25
|
| Rate for Payer: VA VA |
$15,831.25
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$42,909.97
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$26,299.66 |
| Max. Negotiated Rate |
$42,909.97 |
| Rate for Payer: Aetna Medicare |
$27,683.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,604.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,604.81
|
| Rate for Payer: BCBS MAPPO |
$27,683.85
|
| Rate for Payer: BCN Medicare Advantage |
$27,683.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,683.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,683.85
|
| Rate for Payer: Mclaren Medicare |
$27,683.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,068.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,836.43
|
| Rate for Payer: PACE Medicare |
$26,299.66
|
| Rate for Payer: PACE SWMI |
$27,683.85
|
| Rate for Payer: PHP Commercial |
$30,452.24
|
| Rate for Payer: PHP Medicare Advantage |
$27,683.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,043.11
|
| Rate for Payer: Priority Health Medicare |
$27,683.85
|
| Rate for Payer: Priority Health Narrow Network |
$32,034.49
|
| Rate for Payer: Railroad Medicare Medicare |
$27,683.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,683.85
|
| Rate for Payer: UHC Exchange |
$42,909.97
|
| Rate for Payer: UHC Medicare Advantage |
$27,683.85
|
| Rate for Payer: UHCCP DNSP |
$27,683.85
|
| Rate for Payer: VA VA |
$27,683.85
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$31,754.00
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$19,462.13 |
| Max. Negotiated Rate |
$31,754.00 |
| Rate for Payer: Aetna Medicare |
$20,486.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,608.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,608.06
|
| Rate for Payer: BCBS MAPPO |
$20,486.45
|
| Rate for Payer: BCN Medicare Advantage |
$20,486.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,486.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,486.45
|
| Rate for Payer: Mclaren Medicare |
$20,486.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,510.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,559.42
|
| Rate for Payer: PACE Medicare |
$19,462.13
|
| Rate for Payer: PACE SWMI |
$20,486.45
|
| Rate for Payer: PHP Commercial |
$22,535.10
|
| Rate for Payer: PHP Medicare Advantage |
$20,486.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,964.14
|
| Rate for Payer: Priority Health Medicare |
$20,486.45
|
| Rate for Payer: Priority Health Narrow Network |
$23,171.31
|
| Rate for Payer: Railroad Medicare Medicare |
$20,486.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,486.45
|
| Rate for Payer: UHC Exchange |
$31,754.00
|
| Rate for Payer: UHC Medicare Advantage |
$20,486.45
|
| Rate for Payer: UHCCP DNSP |
$20,486.45
|
| Rate for Payer: VA VA |
$20,486.45
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,067.57
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$55,202.70 |
| Max. Negotiated Rate |
$90,067.57 |
| Rate for Payer: Aetna Medicare |
$58,108.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72,635.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72,635.14
|
| Rate for Payer: BCBS MAPPO |
$58,108.11
|
| Rate for Payer: BCN Medicare Advantage |
$58,108.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58,108.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$58,108.11
|
| Rate for Payer: Mclaren Medicare |
$58,108.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61,013.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66,824.33
|
| Rate for Payer: PACE Medicare |
$55,202.70
|
| Rate for Payer: PACE SWMI |
$58,108.11
|
| Rate for Payer: PHP Commercial |
$63,918.92
|
| Rate for Payer: PHP Medicare Advantage |
$58,108.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86,882.80
|
| Rate for Payer: Priority Health Medicare |
$58,108.11
|
| Rate for Payer: Priority Health Narrow Network |
$69,506.24
|
| Rate for Payer: Railroad Medicare Medicare |
$58,108.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$58,108.11
|
| Rate for Payer: UHC Exchange |
$90,067.57
|
| Rate for Payer: UHC Medicare Advantage |
$58,108.11
|
| Rate for Payer: UHCCP DNSP |
$58,108.11
|
| Rate for Payer: VA VA |
$58,108.11
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$39,294.58
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$24,083.77 |
| Max. Negotiated Rate |
$39,294.58 |
| Rate for Payer: Aetna Medicare |
$25,351.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,689.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,689.18
|
| Rate for Payer: BCBS MAPPO |
$25,351.34
|
| Rate for Payer: BCN Medicare Advantage |
$25,351.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,351.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,351.34
|
| Rate for Payer: Mclaren Medicare |
$25,351.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,618.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,154.04
|
| Rate for Payer: PACE Medicare |
$24,083.77
|
| Rate for Payer: PACE SWMI |
$25,351.34
|
| Rate for Payer: PHP Commercial |
$27,886.47
|
| Rate for Payer: PHP Medicare Advantage |
$25,351.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,451.78
|
| Rate for Payer: Priority Health Medicare |
$25,351.34
|
| Rate for Payer: Priority Health Narrow Network |
$29,161.43
|
| Rate for Payer: Railroad Medicare Medicare |
$25,351.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,351.34
|
| Rate for Payer: UHC Exchange |
$39,294.58
|
| Rate for Payer: UHC Medicare Advantage |
$25,351.34
|
| Rate for Payer: UHCCP DNSP |
$25,351.34
|
| Rate for Payer: VA VA |
$25,351.34
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$22,256.36
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$13,640.99 |
| Max. Negotiated Rate |
$22,256.36 |
| Rate for Payer: Aetna Medicare |
$14,358.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,948.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,948.68
|
| Rate for Payer: BCBS MAPPO |
$14,358.94
|
| Rate for Payer: BCN Medicare Advantage |
$14,358.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,358.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,358.94
|
| Rate for Payer: Mclaren Medicare |
$14,358.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,076.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,512.78
|
| Rate for Payer: PACE Medicare |
$13,640.99
|
| Rate for Payer: PACE SWMI |
$14,358.94
|
| Rate for Payer: PHP Commercial |
$15,794.83
|
| Rate for Payer: PHP Medicare Advantage |
$14,358.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,526.96
|
| Rate for Payer: Priority Health Medicare |
$14,358.94
|
| Rate for Payer: Priority Health Narrow Network |
$15,621.57
|
| Rate for Payer: Railroad Medicare Medicare |
$14,358.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,358.94
|
| Rate for Payer: UHC Exchange |
$22,256.36
|
| Rate for Payer: UHC Medicare Advantage |
$14,358.94
|
| Rate for Payer: UHCCP DNSP |
$14,358.94
|
| Rate for Payer: VA VA |
$14,358.94
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$43,898.85
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$26,905.75 |
| Max. Negotiated Rate |
$43,898.85 |
| Rate for Payer: Aetna Medicare |
$28,321.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,402.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,402.30
|
| Rate for Payer: BCBS MAPPO |
$28,321.84
|
| Rate for Payer: BCN Medicare Advantage |
$28,321.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,321.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,321.84
|
| Rate for Payer: Mclaren Medicare |
$28,321.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,737.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,570.12
|
| Rate for Payer: PACE Medicare |
$26,905.75
|
| Rate for Payer: PACE SWMI |
$28,321.84
|
| Rate for Payer: PHP Commercial |
$31,154.02
|
| Rate for Payer: PHP Medicare Advantage |
$28,321.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41,024.06
|
| Rate for Payer: Priority Health Medicare |
$28,321.84
|
| Rate for Payer: Priority Health Narrow Network |
$32,819.25
|
| Rate for Payer: Railroad Medicare Medicare |
$28,321.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,321.84
|
| Rate for Payer: UHC Exchange |
$43,898.85
|
| Rate for Payer: UHC Medicare Advantage |
$28,321.84
|
| Rate for Payer: UHCCP DNSP |
$28,321.84
|
| Rate for Payer: VA VA |
$28,321.84
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$16,469.54
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$10,094.23 |
| Max. Negotiated Rate |
$16,469.54 |
| Rate for Payer: Aetna Medicare |
$10,625.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,281.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,281.89
|
| Rate for Payer: BCBS MAPPO |
$10,625.51
|
| Rate for Payer: BCN Medicare Advantage |
$10,625.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,625.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,625.51
|
| Rate for Payer: Mclaren Medicare |
$10,625.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,156.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,219.34
|
| Rate for Payer: PACE Medicare |
$10,094.23
|
| Rate for Payer: PACE SWMI |
$10,625.51
|
| Rate for Payer: PHP Commercial |
$11,688.06
|
| Rate for Payer: PHP Medicare Advantage |
$10,625.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,778.64
|
| Rate for Payer: Priority Health Medicare |
$10,625.51
|
| Rate for Payer: Priority Health Narrow Network |
$11,022.91
|
| Rate for Payer: Railroad Medicare Medicare |
$10,625.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,625.51
|
| Rate for Payer: UHC Exchange |
$16,469.54
|
| Rate for Payer: UHC Medicare Advantage |
$10,625.51
|
| Rate for Payer: UHCCP DNSP |
$10,625.51
|
| Rate for Payer: VA VA |
$10,625.51
|
|
|
MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$22,539.87
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$13,814.76 |
| Max. Negotiated Rate |
$22,539.87 |
| Rate for Payer: Aetna Medicare |
$14,541.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,177.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,177.31
|
| Rate for Payer: BCBS MAPPO |
$14,541.85
|
| Rate for Payer: BCN Medicare Advantage |
$14,541.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,541.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,541.85
|
| Rate for Payer: Mclaren Medicare |
$14,541.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,268.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,723.13
|
| Rate for Payer: PACE Medicare |
$13,814.76
|
| Rate for Payer: PACE SWMI |
$14,541.85
|
| Rate for Payer: PHP Commercial |
$15,996.04
|
| Rate for Payer: PHP Medicare Advantage |
$14,541.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,808.60
|
| Rate for Payer: Priority Health Medicare |
$14,541.85
|
| Rate for Payer: Priority Health Narrow Network |
$15,846.88
|
| Rate for Payer: Railroad Medicare Medicare |
$14,541.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,541.85
|
| Rate for Payer: UHC Exchange |
$22,539.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,541.85
|
| Rate for Payer: UHCCP DNSP |
$14,541.85
|
| Rate for Payer: VA VA |
$14,541.85
|
|
|
MS-DRG 42.00: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$18,845.68
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$11,550.58 |
| Max. Negotiated Rate |
$18,845.68 |
| Rate for Payer: Aetna Medicare |
$12,158.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,198.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,198.12
|
| Rate for Payer: BCBS MAPPO |
$12,158.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,158.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,158.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,158.50
|
| Rate for Payer: Mclaren Medicare |
$12,158.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,766.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,982.28
|
| Rate for Payer: PACE Medicare |
$11,550.58
|
| Rate for Payer: PACE SWMI |
$12,158.50
|
| Rate for Payer: PHP Commercial |
$13,374.35
|
| Rate for Payer: PHP Medicare Advantage |
$12,158.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,140.34
|
| Rate for Payer: Priority Health Medicare |
$12,158.50
|
| Rate for Payer: Priority Health Narrow Network |
$12,912.27
|
| Rate for Payer: Railroad Medicare Medicare |
$12,158.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,158.50
|
| Rate for Payer: UHC Exchange |
$18,845.68
|
| Rate for Payer: UHC Medicare Advantage |
$12,158.50
|
| Rate for Payer: UHCCP DNSP |
$12,158.50
|
| Rate for Payer: VA VA |
$12,158.50
|
|
|
MS-DRG 42.00: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$12,980.03
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$7,955.50 |
| Max. Negotiated Rate |
$12,980.03 |
| Rate for Payer: Aetna Medicare |
$8,374.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,467.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,467.76
|
| Rate for Payer: BCBS MAPPO |
$8,374.21
|
| Rate for Payer: BCN Medicare Advantage |
$8,374.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,374.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,374.21
|
| Rate for Payer: Mclaren Medicare |
$8,374.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,792.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,630.34
|
| Rate for Payer: PACE Medicare |
$7,955.50
|
| Rate for Payer: PACE SWMI |
$8,374.21
|
| Rate for Payer: PHP Commercial |
$9,211.63
|
| Rate for Payer: PHP Medicare Advantage |
$8,374.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,313.72
|
| Rate for Payer: Priority Health Medicare |
$8,374.21
|
| Rate for Payer: Priority Health Narrow Network |
$8,250.97
|
| Rate for Payer: Railroad Medicare Medicare |
$8,374.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,374.21
|
| Rate for Payer: UHC Exchange |
$12,980.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,374.21
|
| Rate for Payer: UHCCP DNSP |
$8,374.21
|
| Rate for Payer: VA VA |
$8,374.21
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$16,399.00
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$10,051.00 |
| Max. Negotiated Rate |
$16,399.00 |
| Rate for Payer: Aetna Medicare |
$10,580.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,225.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,225.00
|
| Rate for Payer: BCBS MAPPO |
$10,580.00
|
| Rate for Payer: BCN Medicare Advantage |
$10,580.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,580.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,580.00
|
| Rate for Payer: Mclaren Medicare |
$10,580.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,109.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,167.00
|
| Rate for Payer: PACE Medicare |
$10,051.00
|
| Rate for Payer: PACE SWMI |
$10,580.00
|
| Rate for Payer: PHP Commercial |
$11,638.00
|
| Rate for Payer: PHP Medicare Advantage |
$10,580.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,708.57
|
| Rate for Payer: Priority Health Medicare |
$10,580.00
|
| Rate for Payer: Priority Health Narrow Network |
$10,966.86
|
| Rate for Payer: Railroad Medicare Medicare |
$10,580.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,580.00
|
| Rate for Payer: UHC Exchange |
$16,399.00
|
| Rate for Payer: UHC Medicare Advantage |
$10,580.00
|
| Rate for Payer: UHCCP DNSP |
$10,580.00
|
| Rate for Payer: VA VA |
$10,580.00
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$23,983.83
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$14,699.77 |
| Max. Negotiated Rate |
$23,983.83 |
| Rate for Payer: Aetna Medicare |
$15,473.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,341.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,341.80
|
| Rate for Payer: BCBS MAPPO |
$15,473.44
|
| Rate for Payer: BCN Medicare Advantage |
$15,473.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,473.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,473.44
|
| Rate for Payer: Mclaren Medicare |
$15,473.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,247.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,794.46
|
| Rate for Payer: PACE Medicare |
$14,699.77
|
| Rate for Payer: PACE SWMI |
$15,473.44
|
| Rate for Payer: PHP Commercial |
$17,020.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,473.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,242.93
|
| Rate for Payer: Priority Health Medicare |
$15,473.44
|
| Rate for Payer: Priority Health Narrow Network |
$16,994.35
|
| Rate for Payer: Railroad Medicare Medicare |
$15,473.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,473.44
|
| Rate for Payer: UHC Exchange |
$23,983.83
|
| Rate for Payer: UHC Medicare Advantage |
$15,473.44
|
| Rate for Payer: UHCCP DNSP |
$15,473.44
|
| Rate for Payer: VA VA |
$15,473.44
|
|
