|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$25,675.35
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$15,736.50 |
| Max. Negotiated Rate |
$25,675.35 |
| Rate for Payer: Aetna Medicare |
$16,564.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,705.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,705.92
|
| Rate for Payer: BCBS MAPPO |
$16,564.74
|
| Rate for Payer: BCN Medicare Advantage |
$16,564.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,564.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,564.74
|
| Rate for Payer: Mclaren Medicare |
$16,564.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,392.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,049.45
|
| Rate for Payer: PACE Medicare |
$15,736.50
|
| Rate for Payer: PACE SWMI |
$16,564.74
|
| Rate for Payer: PHP Commercial |
$18,221.21
|
| Rate for Payer: PHP Medicare Advantage |
$16,564.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,923.19
|
| Rate for Payer: Priority Health Medicare |
$16,564.74
|
| Rate for Payer: Priority Health Narrow Network |
$18,338.55
|
| Rate for Payer: Railroad Medicare Medicare |
$16,564.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,564.74
|
| Rate for Payer: UHC Exchange |
$25,675.35
|
| Rate for Payer: UHC Medicare Advantage |
$16,564.74
|
| Rate for Payer: UHCCP DNSP |
$16,564.74
|
| Rate for Payer: VA VA |
$16,564.74
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,515.16
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$10,735.10 |
| Max. Negotiated Rate |
$17,515.16 |
| Rate for Payer: Humana Choice PPO Medicare |
$11,300.10
|
| Rate for Payer: Mclaren Medicare |
$11,300.10
|
| Rate for Payer: Aetna Medicare |
$11,300.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,125.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,125.12
|
| Rate for Payer: BCBS MAPPO |
$11,300.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,300.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,300.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,865.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,995.12
|
| Rate for Payer: PACE Medicare |
$10,735.10
|
| Rate for Payer: PACE SWMI |
$11,300.10
|
| Rate for Payer: PHP Commercial |
$12,430.11
|
| Rate for Payer: PHP Medicare Advantage |
$11,300.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,818.67
|
| Rate for Payer: Priority Health Medicare |
$11,300.10
|
| Rate for Payer: Priority Health Narrow Network |
$11,854.94
|
| Rate for Payer: Railroad Medicare Medicare |
$11,300.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,300.10
|
| Rate for Payer: UHC Exchange |
$17,515.16
|
| Rate for Payer: UHC Medicare Advantage |
$11,300.10
|
| Rate for Payer: UHCCP DNSP |
$11,300.10
|
| Rate for Payer: VA VA |
$11,300.10
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$27,228.54
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$16,688.46 |
| Max. Negotiated Rate |
$27,228.54 |
| Rate for Payer: Aetna Medicare |
$17,566.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,958.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,958.50
|
| Rate for Payer: BCBS MAPPO |
$17,566.80
|
| Rate for Payer: BCN Medicare Advantage |
$17,566.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,566.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,566.80
|
| Rate for Payer: Mclaren Medicare |
$17,566.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,445.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,201.82
|
| Rate for Payer: PACE Medicare |
$16,688.46
|
| Rate for Payer: PACE SWMI |
$17,566.80
|
| Rate for Payer: PHP Commercial |
$19,323.48
|
| Rate for Payer: PHP Medicare Advantage |
$17,566.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,466.06
|
| Rate for Payer: Priority Health Medicare |
$17,566.80
|
| Rate for Payer: Priority Health Narrow Network |
$19,572.84
|
| Rate for Payer: Railroad Medicare Medicare |
$17,566.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,566.80
|
| Rate for Payer: UHC Exchange |
$27,228.54
|
| Rate for Payer: UHC Medicare Advantage |
$17,566.80
|
| Rate for Payer: UHCCP DNSP |
$17,566.80
|
| Rate for Payer: VA VA |
$17,566.80
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$39,987.50
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$24,508.47 |
| Max. Negotiated Rate |
$39,987.50 |
| Rate for Payer: Aetna Medicare |
$25,798.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,247.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,247.99
|
| Rate for Payer: BCBS MAPPO |
$25,798.39
|
| Rate for Payer: BCN Medicare Advantage |
$25,798.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,798.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,798.39
|
| Rate for Payer: Mclaren Medicare |
$25,798.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,088.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,668.15
|
| Rate for Payer: PACE Medicare |
$24,508.47
|
| Rate for Payer: PACE SWMI |
$25,798.39
|
| Rate for Payer: PHP Commercial |
$28,378.23
|
| Rate for Payer: PHP Medicare Advantage |
$25,798.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,138.72
|
| Rate for Payer: Priority Health Medicare |
$25,798.39
|
| Rate for Payer: Priority Health Narrow Network |
$29,710.98
|
| Rate for Payer: Railroad Medicare Medicare |
$25,798.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,798.39
|
| Rate for Payer: UHC Exchange |
$39,987.50
|
| Rate for Payer: UHC Medicare Advantage |
$25,798.39
|
| Rate for Payer: UHCCP DNSP |
$25,798.39
|
| Rate for Payer: VA VA |
$25,798.39
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$22,026.76
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$13,500.27 |
| Max. Negotiated Rate |
$22,026.76 |
| Rate for Payer: Aetna Medicare |
$14,210.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,763.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,763.51
|
| Rate for Payer: BCBS MAPPO |
$14,210.81
|
| Rate for Payer: BCN Medicare Advantage |
$14,210.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,210.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,210.81
|
| Rate for Payer: Mclaren Medicare |
$14,210.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,921.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,342.43
|
| Rate for Payer: PACE Medicare |
$13,500.27
|
| Rate for Payer: PACE SWMI |
$14,210.81
|
| Rate for Payer: PHP Commercial |
$15,631.89
|
| Rate for Payer: PHP Medicare Advantage |
$14,210.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,298.89
|
| Rate for Payer: Priority Health Medicare |
$14,210.81
|
| Rate for Payer: Priority Health Narrow Network |
$15,439.11
|
| Rate for Payer: Railroad Medicare Medicare |
$14,210.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,210.81
|
| Rate for Payer: UHC Exchange |
$22,026.76
|
| Rate for Payer: UHC Medicare Advantage |
$14,210.81
|
| Rate for Payer: UHCCP DNSP |
$14,210.81
|
| Rate for Payer: VA VA |
$14,210.81
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$27,881.37
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$17,088.58 |
| Max. Negotiated Rate |
$27,881.37 |
| Rate for Payer: Aetna Medicare |
$17,987.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,484.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,484.98
|
| Rate for Payer: BCBS MAPPO |
$17,987.98
|
| Rate for Payer: BCN Medicare Advantage |
$17,987.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,987.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,987.98
|
| Rate for Payer: Mclaren Medicare |
$17,987.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,887.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,686.18
|
| Rate for Payer: PACE Medicare |
$17,088.58
|
| Rate for Payer: PACE SWMI |
$17,987.98
|
| Rate for Payer: PHP Commercial |
$19,786.78
|
| Rate for Payer: PHP Medicare Advantage |
$17,987.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,114.53
|
| Rate for Payer: Priority Health Medicare |
$17,987.98
|
| Rate for Payer: Priority Health Narrow Network |
$20,091.62
|
| Rate for Payer: Railroad Medicare Medicare |
$17,987.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,987.98
|
| Rate for Payer: UHC Exchange |
$27,881.37
|
| Rate for Payer: UHC Medicare Advantage |
$17,987.98
|
| Rate for Payer: UHCCP DNSP |
$17,987.98
|
| Rate for Payer: VA VA |
$17,987.98
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$47,658.08
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$29,209.79 |
| Max. Negotiated Rate |
$47,658.08 |
| Rate for Payer: Aetna Medicare |
$30,747.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,433.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,433.94
|
| Rate for Payer: BCBS MAPPO |
$30,747.15
|
| Rate for Payer: BCN Medicare Advantage |
$30,747.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,747.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,747.15
|
| Rate for Payer: Mclaren Medicare |
$30,747.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,284.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,359.22
|
| Rate for Payer: PACE Medicare |
$29,209.79
|
| Rate for Payer: PACE SWMI |
$30,747.15
|
| Rate for Payer: PHP Commercial |
$33,821.86
|
| Rate for Payer: PHP Medicare Advantage |
$30,747.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,756.89
|
| Rate for Payer: Priority Health Medicare |
$30,747.15
|
| Rate for Payer: Priority Health Narrow Network |
$35,805.51
|
| Rate for Payer: Railroad Medicare Medicare |
$30,747.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,747.15
|
| Rate for Payer: UHC Exchange |
$47,658.08
|
| Rate for Payer: UHC Medicare Advantage |
$30,747.15
|
| Rate for Payer: UHCCP DNSP |
$30,747.15
|
| Rate for Payer: VA VA |
$30,747.15
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$23,398.78
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$14,341.19 |
| Max. Negotiated Rate |
$23,398.78 |
| Rate for Payer: Aetna Medicare |
$15,095.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,869.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,869.99
|
| Rate for Payer: BCBS MAPPO |
$15,095.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,095.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,095.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,095.99
|
| Rate for Payer: Mclaren Medicare |
$15,095.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,850.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,360.39
|
| Rate for Payer: PACE Medicare |
$14,341.19
|
| Rate for Payer: PACE SWMI |
$15,095.99
|
| Rate for Payer: PHP Commercial |
$16,605.59
|
| Rate for Payer: PHP Medicare Advantage |
$15,095.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,661.78
|
| Rate for Payer: Priority Health Medicare |
$15,095.99
|
| Rate for Payer: Priority Health Narrow Network |
$16,529.43
|
| Rate for Payer: Railroad Medicare Medicare |
$15,095.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,095.99
|
| Rate for Payer: UHC Exchange |
$23,398.78
|
| Rate for Payer: UHC Medicare Advantage |
$15,095.99
|
| Rate for Payer: UHCCP DNSP |
$15,095.99
|
| Rate for Payer: VA VA |
$15,095.99
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$21,130.53
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$12,950.97 |
| Max. Negotiated Rate |
$21,130.53 |
| Rate for Payer: Aetna Medicare |
$13,632.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,040.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,040.75
|
| Rate for Payer: BCBS MAPPO |
$13,632.60
|
| Rate for Payer: BCN Medicare Advantage |
$13,632.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,632.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,632.60
|
| Rate for Payer: Mclaren Medicare |
$13,632.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,314.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,677.49
|
| Rate for Payer: PACE Medicare |
$12,950.97
|
| Rate for Payer: PACE SWMI |
$13,632.60
|
| Rate for Payer: PHP Commercial |
$14,995.86
|
| Rate for Payer: PHP Medicare Advantage |
$13,632.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,408.62
|
| Rate for Payer: Priority Health Medicare |
$13,632.60
|
| Rate for Payer: Priority Health Narrow Network |
$14,726.89
|
| Rate for Payer: Railroad Medicare Medicare |
$13,632.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,632.60
|
| Rate for Payer: UHC Exchange |
$21,130.53
|
| Rate for Payer: UHC Medicare Advantage |
$13,632.60
|
| Rate for Payer: UHCCP DNSP |
$13,632.60
|
| Rate for Payer: VA VA |
$13,632.60
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$38,340.24
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$23,498.86 |
| Max. Negotiated Rate |
$38,340.24 |
| Rate for Payer: Aetna Medicare |
$24,735.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,919.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,919.55
|
| Rate for Payer: BCBS MAPPO |
$24,735.64
|
| Rate for Payer: BCN Medicare Advantage |
$24,735.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,735.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,735.64
|
| Rate for Payer: Mclaren Medicare |
$24,735.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,972.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,445.99
|
| Rate for Payer: PACE Medicare |
$23,498.86
|
| Rate for Payer: PACE SWMI |
$24,735.64
|
| Rate for Payer: PHP Commercial |
$27,209.20
|
| Rate for Payer: PHP Medicare Advantage |
$24,735.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,503.81
|
| Rate for Payer: Priority Health Medicare |
$24,735.64
|
| Rate for Payer: Priority Health Narrow Network |
$28,403.05
|
| Rate for Payer: Railroad Medicare Medicare |
$24,735.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,735.64
|
| Rate for Payer: UHC Exchange |
$38,340.24
|
| Rate for Payer: UHC Medicare Advantage |
$24,735.64
|
| Rate for Payer: UHCCP DNSP |
$24,735.64
|
| Rate for Payer: VA VA |
$24,735.64
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$16,795.96
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$10,294.30 |
| Max. Negotiated Rate |
$16,795.96 |
| Rate for Payer: Aetna Medicare |
$10,836.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,545.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,545.12
|
| Rate for Payer: BCBS MAPPO |
$10,836.10
|
| Rate for Payer: BCN Medicare Advantage |
$10,836.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,836.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,836.10
|
| Rate for Payer: Mclaren Medicare |
$10,836.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,377.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,461.52
|
| Rate for Payer: PACE Medicare |
$10,294.30
|
| Rate for Payer: PACE SWMI |
$10,836.10
|
| Rate for Payer: PHP Commercial |
$11,919.71
|
| Rate for Payer: PHP Medicare Advantage |
$10,836.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,104.25
|
| Rate for Payer: Priority Health Medicare |
$10,836.10
|
| Rate for Payer: Priority Health Narrow Network |
$11,283.40
|
| Rate for Payer: Railroad Medicare Medicare |
$10,836.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,836.10
|
| Rate for Payer: UHC Exchange |
$16,795.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,836.10
|
| Rate for Payer: UHCCP DNSP |
$10,836.10
|
| Rate for Payer: VA VA |
$10,836.10
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$18,783.43
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$11,512.42 |
| Max. Negotiated Rate |
$18,783.43 |
| Rate for Payer: Aetna Medicare |
$12,118.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,147.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,147.92
|
| Rate for Payer: BCBS MAPPO |
$12,118.34
|
| Rate for Payer: BCN Medicare Advantage |
$12,118.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,118.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,118.34
|
| Rate for Payer: Mclaren Medicare |
$12,118.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,724.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,936.09
|
| Rate for Payer: PACE Medicare |
$11,512.42
|
| Rate for Payer: PACE SWMI |
$12,118.34
|
| Rate for Payer: PHP Commercial |
$13,330.17
|
| Rate for Payer: PHP Medicare Advantage |
$12,118.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,079.89
|
| Rate for Payer: Priority Health Medicare |
$12,118.34
|
| Rate for Payer: Priority Health Narrow Network |
$12,863.91
|
| Rate for Payer: Railroad Medicare Medicare |
$12,118.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,118.34
|
| Rate for Payer: UHC Exchange |
$18,783.43
|
| Rate for Payer: UHC Medicare Advantage |
$12,118.34
|
| Rate for Payer: UHCCP DNSP |
$12,118.34
|
| Rate for Payer: VA VA |
$12,118.34
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$13,697.83
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$8,395.44 |
| Max. Negotiated Rate |
$13,697.83 |
| Rate for Payer: Aetna Medicare |
$8,837.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,046.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,046.64
|
| Rate for Payer: BCBS MAPPO |
$8,837.31
|
| Rate for Payer: BCN Medicare Advantage |
$8,837.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,837.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,837.31
|
| Rate for Payer: Mclaren Medicare |
$8,837.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,279.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,162.91
|
| Rate for Payer: PACE Medicare |
$8,395.44
|
| Rate for Payer: PACE SWMI |
$8,837.31
|
| Rate for Payer: PHP Commercial |
$9,721.04
|
| Rate for Payer: PHP Medicare Advantage |
$8,837.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,026.76
|
| Rate for Payer: Priority Health Medicare |
$8,837.31
|
| Rate for Payer: Priority Health Narrow Network |
$8,821.41
|
| Rate for Payer: Railroad Medicare Medicare |
$8,837.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,837.31
|
| Rate for Payer: UHC Exchange |
$13,697.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,837.31
|
| Rate for Payer: UHCCP DNSP |
$8,837.31
|
| Rate for Payer: VA VA |
$8,837.31
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$17,156.92
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$10,515.53 |
| Max. Negotiated Rate |
$17,156.92 |
| Rate for Payer: Aetna Medicare |
$11,068.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,836.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,836.22
|
| Rate for Payer: BCBS MAPPO |
$11,068.98
|
| Rate for Payer: BCN Medicare Advantage |
$11,068.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,068.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,068.98
|
| Rate for Payer: Mclaren Medicare |
$11,068.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,622.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,729.33
|
| Rate for Payer: PACE Medicare |
$10,515.53
|
| Rate for Payer: PACE SWMI |
$11,068.98
|
| Rate for Payer: PHP Commercial |
$12,175.88
|
| Rate for Payer: PHP Medicare Advantage |
$11,068.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,461.46
|
| Rate for Payer: Priority Health Medicare |
$11,068.98
|
| Rate for Payer: Priority Health Narrow Network |
$11,569.17
|
| Rate for Payer: Railroad Medicare Medicare |
$11,068.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,068.98
|
| Rate for Payer: UHC Exchange |
$17,156.92
|
| Rate for Payer: UHC Medicare Advantage |
$11,068.98
|
| Rate for Payer: UHCCP DNSP |
$11,068.98
|
| Rate for Payer: VA VA |
$11,068.98
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$28,678.01
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$17,576.84 |
| Max. Negotiated Rate |
$28,678.01 |
| Rate for Payer: Aetna Medicare |
$18,501.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,127.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,127.42
|
| Rate for Payer: BCBS MAPPO |
$18,501.94
|
| Rate for Payer: BCN Medicare Advantage |
$18,501.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,501.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,501.94
|
| Rate for Payer: Mclaren Medicare |
$18,501.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,427.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,277.23
|
| Rate for Payer: PACE Medicare |
$17,576.84
|
| Rate for Payer: PACE SWMI |
$18,501.94
|
| Rate for Payer: PHP Commercial |
$20,352.13
|
| Rate for Payer: PHP Medicare Advantage |
$18,501.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,905.88
|
| Rate for Payer: Priority Health Medicare |
$18,501.94
|
| Rate for Payer: Priority Health Narrow Network |
$20,724.71
|
| Rate for Payer: Railroad Medicare Medicare |
$18,501.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,501.94
|
| Rate for Payer: UHC Exchange |
$28,678.01
|
| Rate for Payer: UHC Medicare Advantage |
$18,501.94
|
| Rate for Payer: UHCCP DNSP |
$18,501.94
|
| Rate for Payer: VA VA |
$18,501.94
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,613.51
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$7,730.86 |
| Max. Negotiated Rate |
$12,613.51 |
| Rate for Payer: Aetna Medicare |
$8,137.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,172.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,172.19
|
| Rate for Payer: BCBS MAPPO |
$8,137.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,137.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,137.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,137.75
|
| Rate for Payer: Mclaren Medicare |
$8,137.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,544.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,358.41
|
| Rate for Payer: PACE Medicare |
$7,730.86
|
| Rate for Payer: PACE SWMI |
$8,137.75
|
| Rate for Payer: PHP Commercial |
$8,951.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,137.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,949.64
|
| Rate for Payer: Priority Health Medicare |
$8,137.75
|
| Rate for Payer: Priority Health Narrow Network |
$7,959.71
|
| Rate for Payer: Railroad Medicare Medicare |
$8,137.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,137.75
|
| Rate for Payer: UHC Exchange |
$12,613.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,137.75
|
| Rate for Payer: UHCCP DNSP |
$8,137.75
|
| Rate for Payer: VA VA |
$8,137.75
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$18,195.62
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$11,152.15 |
| Max. Negotiated Rate |
$18,195.62 |
| Rate for Payer: Aetna Medicare |
$11,739.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,673.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,673.89
|
| Rate for Payer: BCBS MAPPO |
$11,739.11
|
| Rate for Payer: BCN Medicare Advantage |
$11,739.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,739.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,739.11
|
| Rate for Payer: Mclaren Medicare |
$11,739.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,326.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,499.98
|
| Rate for Payer: PACE Medicare |
$11,152.15
|
| Rate for Payer: PACE SWMI |
$11,739.11
|
| Rate for Payer: PHP Commercial |
$12,913.02
|
| Rate for Payer: PHP Medicare Advantage |
$11,739.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,493.24
|
| Rate for Payer: Priority Health Medicare |
$11,739.11
|
| Rate for Payer: Priority Health Narrow Network |
$12,394.60
|
| Rate for Payer: Railroad Medicare Medicare |
$11,739.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,739.11
|
| Rate for Payer: UHC Exchange |
$18,195.62
|
| Rate for Payer: UHC Medicare Advantage |
$11,739.11
|
| Rate for Payer: UHCCP DNSP |
$11,739.11
|
| Rate for Payer: VA VA |
$11,739.11
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$12,165.38
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$7,456.20 |
| Max. Negotiated Rate |
$12,165.38 |
| Rate for Payer: Aetna Medicare |
$7,848.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,810.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,810.79
|
| Rate for Payer: BCBS MAPPO |
$7,848.63
|
| Rate for Payer: BCN Medicare Advantage |
$7,848.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,848.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,848.63
|
| Rate for Payer: Mclaren Medicare |
$7,848.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,241.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,025.92
|
| Rate for Payer: PACE Medicare |
$7,456.20
|
| Rate for Payer: PACE SWMI |
$7,848.63
|
| Rate for Payer: PHP Commercial |
$8,633.49
|
| Rate for Payer: PHP Medicare Advantage |
$7,848.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,503.13
|
| Rate for Payer: Priority Health Medicare |
$7,848.63
|
| Rate for Payer: Priority Health Narrow Network |
$7,602.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7,848.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,848.63
|
| Rate for Payer: UHC Exchange |
$12,165.38
|
| Rate for Payer: UHC Medicare Advantage |
$7,848.63
|
| Rate for Payer: UHCCP DNSP |
$7,848.63
|
| Rate for Payer: VA VA |
$7,848.63
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$45,077.26
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$27,628.00 |
| Max. Negotiated Rate |
$45,077.26 |
| Rate for Payer: Aetna Medicare |
$29,082.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,352.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,352.62
|
| Rate for Payer: BCBS MAPPO |
$29,082.10
|
| Rate for Payer: BCN Medicare Advantage |
$29,082.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,082.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,082.10
|
| Rate for Payer: Mclaren Medicare |
$29,082.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,536.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,444.42
|
| Rate for Payer: PACE Medicare |
$27,628.00
|
| Rate for Payer: PACE SWMI |
$29,082.10
|
| Rate for Payer: PHP Commercial |
$31,990.31
|
| Rate for Payer: PHP Medicare Advantage |
$29,082.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,194.60
|
| Rate for Payer: Priority Health Medicare |
$29,082.10
|
| Rate for Payer: Priority Health Narrow Network |
$33,755.68
|
| Rate for Payer: Railroad Medicare Medicare |
$29,082.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,082.10
|
| Rate for Payer: UHC Exchange |
$45,077.26
|
| Rate for Payer: UHC Medicare Advantage |
$29,082.10
|
| Rate for Payer: UHCCP DNSP |
$29,082.10
|
| Rate for Payer: VA VA |
$29,082.10
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$66,320.05
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$40,647.77 |
| Max. Negotiated Rate |
$66,320.05 |
| Rate for Payer: Aetna Medicare |
$42,787.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,483.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,483.91
|
| Rate for Payer: BCBS MAPPO |
$42,787.13
|
| Rate for Payer: BCN Medicare Advantage |
$42,787.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,787.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,787.13
|
| Rate for Payer: Mclaren Medicare |
$42,787.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,926.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,205.20
|
| Rate for Payer: PACE Medicare |
$40,647.77
|
| Rate for Payer: PACE SWMI |
$42,787.13
|
| Rate for Payer: PHP Commercial |
$47,065.84
|
| Rate for Payer: PHP Medicare Advantage |
$42,787.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,294.65
|
| Rate for Payer: Priority Health Medicare |
$42,787.13
|
| Rate for Payer: Priority Health Narrow Network |
$50,635.72
|
| Rate for Payer: Railroad Medicare Medicare |
$42,787.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,787.13
|
| Rate for Payer: UHC Exchange |
$66,320.05
|
| Rate for Payer: UHC Medicare Advantage |
$42,787.13
|
| Rate for Payer: UHCCP DNSP |
$42,787.13
|
| Rate for Payer: VA VA |
$42,787.13
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$50,624.80
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$31,028.10 |
| Max. Negotiated Rate |
$50,624.80 |
| Rate for Payer: Aetna Medicare |
$32,661.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,826.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,826.45
|
| Rate for Payer: BCBS MAPPO |
$32,661.16
|
| Rate for Payer: BCN Medicare Advantage |
$32,661.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,661.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,661.16
|
| Rate for Payer: Mclaren Medicare |
$32,661.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,294.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,560.33
|
| Rate for Payer: PACE Medicare |
$31,028.10
|
| Rate for Payer: PACE SWMI |
$32,661.16
|
| Rate for Payer: PHP Commercial |
$35,927.28
|
| Rate for Payer: PHP Medicare Advantage |
$32,661.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,703.86
|
| Rate for Payer: Priority Health Medicare |
$32,661.16
|
| Rate for Payer: Priority Health Narrow Network |
$38,163.09
|
| Rate for Payer: Railroad Medicare Medicare |
$32,661.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,661.16
|
| Rate for Payer: UHC Exchange |
$50,624.80
|
| Rate for Payer: UHC Medicare Advantage |
$32,661.16
|
| Rate for Payer: UHCCP DNSP |
$32,661.16
|
| Rate for Payer: VA VA |
$32,661.16
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$29,780.35
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$18,252.47 |
| Max. Negotiated Rate |
$29,780.35 |
| Rate for Payer: Aetna Medicare |
$19,213.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,016.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,016.41
|
| Rate for Payer: BCBS MAPPO |
$19,213.13
|
| Rate for Payer: BCN Medicare Advantage |
$19,213.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,213.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,213.13
|
| Rate for Payer: Mclaren Medicare |
$19,213.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,173.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,095.10
|
| Rate for Payer: PACE Medicare |
$18,252.47
|
| Rate for Payer: PACE SWMI |
$19,213.13
|
| Rate for Payer: PHP Commercial |
$21,134.44
|
| Rate for Payer: PHP Medicare Advantage |
$19,213.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,000.86
|
| Rate for Payer: Priority Health Medicare |
$19,213.13
|
| Rate for Payer: Priority Health Narrow Network |
$21,600.69
|
| Rate for Payer: Railroad Medicare Medicare |
$19,213.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,213.13
|
| Rate for Payer: UHC Exchange |
$29,780.35
|
| Rate for Payer: UHC Medicare Advantage |
$19,213.13
|
| Rate for Payer: UHCCP DNSP |
$19,213.13
|
| Rate for Payer: VA VA |
$19,213.13
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$19,725.32
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$12,089.71 |
| Max. Negotiated Rate |
$19,725.32 |
| Rate for Payer: Aetna Medicare |
$12,726.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,907.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,907.51
|
| Rate for Payer: BCBS MAPPO |
$12,726.01
|
| Rate for Payer: BCN Medicare Advantage |
$12,726.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,726.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,726.01
|
| Rate for Payer: Mclaren Medicare |
$12,726.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,362.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,634.91
|
| Rate for Payer: PACE Medicare |
$12,089.71
|
| Rate for Payer: PACE SWMI |
$12,726.01
|
| Rate for Payer: PHP Commercial |
$13,998.61
|
| Rate for Payer: PHP Medicare Advantage |
$12,726.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,016.88
|
| Rate for Payer: Priority Health Medicare |
$12,726.01
|
| Rate for Payer: Priority Health Narrow Network |
$13,613.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12,726.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,726.01
|
| Rate for Payer: UHC Exchange |
$19,725.32
|
| Rate for Payer: UHC Medicare Advantage |
$12,726.01
|
| Rate for Payer: UHCCP DNSP |
$12,726.01
|
| Rate for Payer: VA VA |
$12,726.01
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$31,931.02
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$19,570.63 |
| Max. Negotiated Rate |
$31,931.02 |
| Rate for Payer: Aetna Medicare |
$20,600.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,750.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,750.82
|
| Rate for Payer: BCBS MAPPO |
$20,600.66
|
| Rate for Payer: BCN Medicare Advantage |
$20,600.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,600.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,600.66
|
| Rate for Payer: Mclaren Medicare |
$20,600.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,630.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,690.76
|
| Rate for Payer: PACE Medicare |
$19,570.63
|
| Rate for Payer: PACE SWMI |
$20,600.66
|
| Rate for Payer: PHP Commercial |
$22,660.73
|
| Rate for Payer: PHP Medicare Advantage |
$20,600.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,135.87
|
| Rate for Payer: Priority Health Medicare |
$20,600.66
|
| Rate for Payer: Priority Health Narrow Network |
$23,308.70
|
| Rate for Payer: Railroad Medicare Medicare |
$20,600.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,600.66
|
| Rate for Payer: UHC Exchange |
$31,931.02
|
| Rate for Payer: UHC Medicare Advantage |
$20,600.66
|
| Rate for Payer: UHCCP DNSP |
$20,600.66
|
| Rate for Payer: VA VA |
$20,600.66
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$47,122.85
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$28,881.75 |
| Max. Negotiated Rate |
$47,122.85 |
| Rate for Payer: Aetna Medicare |
$30,401.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,002.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,002.30
|
| Rate for Payer: BCBS MAPPO |
$30,401.84
|
| Rate for Payer: BCN Medicare Advantage |
$30,401.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,401.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,401.84
|
| Rate for Payer: Mclaren Medicare |
$30,401.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,921.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,962.12
|
| Rate for Payer: PACE Medicare |
$28,881.75
|
| Rate for Payer: PACE SWMI |
$30,401.84
|
| Rate for Payer: PHP Commercial |
$33,442.02
|
| Rate for Payer: PHP Medicare Advantage |
$30,401.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,288.40
|
| Rate for Payer: Priority Health Medicare |
$30,401.84
|
| Rate for Payer: Priority Health Narrow Network |
$35,430.72
|
| Rate for Payer: Railroad Medicare Medicare |
$30,401.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,401.84
|
| Rate for Payer: UHC Exchange |
$47,122.85
|
| Rate for Payer: UHC Medicare Advantage |
$30,401.84
|
| Rate for Payer: UHCCP DNSP |
$30,401.84
|
| Rate for Payer: VA VA |
$30,401.84
|
|
