|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$24,452.71
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$14,987.14 |
| Max. Negotiated Rate |
$24,452.71 |
| Rate for Payer: Aetna Medicare |
$15,775.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,719.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,719.92
|
| Rate for Payer: BCBS MAPPO |
$15,775.94
|
| Rate for Payer: BCN Medicare Advantage |
$15,775.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,775.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,775.94
|
| Rate for Payer: Mclaren Medicare |
$15,775.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,564.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,142.33
|
| Rate for Payer: PACE Medicare |
$14,987.14
|
| Rate for Payer: PACE SWMI |
$15,775.94
|
| Rate for Payer: PHP Commercial |
$17,353.53
|
| Rate for Payer: PHP Medicare Advantage |
$15,775.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,708.68
|
| Rate for Payer: Priority Health Medicare |
$15,775.94
|
| Rate for Payer: Priority Health Narrow Network |
$17,366.94
|
| Rate for Payer: Railroad Medicare Medicare |
$15,775.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,775.94
|
| Rate for Payer: UHC Exchange |
$24,452.71
|
| Rate for Payer: UHC Medicare Advantage |
$15,775.94
|
| Rate for Payer: UHCCP DNSP |
$15,775.94
|
| Rate for Payer: VA VA |
$15,775.94
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$25,534.28
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$15,650.04 |
| Max. Negotiated Rate |
$25,534.28 |
| Rate for Payer: Aetna Medicare |
$16,473.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,592.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,592.16
|
| Rate for Payer: BCBS MAPPO |
$16,473.73
|
| Rate for Payer: BCN Medicare Advantage |
$16,473.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,473.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,473.73
|
| Rate for Payer: Mclaren Medicare |
$16,473.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,297.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,944.79
|
| Rate for Payer: PACE Medicare |
$15,650.04
|
| Rate for Payer: PACE SWMI |
$16,473.73
|
| Rate for Payer: PHP Commercial |
$18,121.10
|
| Rate for Payer: PHP Medicare Advantage |
$16,473.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,785.80
|
| Rate for Payer: Priority Health Medicare |
$16,473.73
|
| Rate for Payer: Priority Health Narrow Network |
$18,228.64
|
| Rate for Payer: Railroad Medicare Medicare |
$16,473.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,473.73
|
| Rate for Payer: UHC Exchange |
$25,534.28
|
| Rate for Payer: UHC Medicare Advantage |
$16,473.73
|
| Rate for Payer: UHCCP DNSP |
$16,473.73
|
| Rate for Payer: VA VA |
$16,473.73
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$35,466.19
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$21,737.34 |
| Max. Negotiated Rate |
$35,466.19 |
| Rate for Payer: Aetna Medicare |
$22,881.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,601.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,601.76
|
| Rate for Payer: BCBS MAPPO |
$22,881.41
|
| Rate for Payer: BCN Medicare Advantage |
$22,881.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,881.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,881.41
|
| Rate for Payer: Mclaren Medicare |
$22,881.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,025.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,313.62
|
| Rate for Payer: PACE Medicare |
$21,737.34
|
| Rate for Payer: PACE SWMI |
$22,881.41
|
| Rate for Payer: PHP Commercial |
$25,169.55
|
| Rate for Payer: PHP Medicare Advantage |
$22,881.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,650.26
|
| Rate for Payer: Priority Health Medicare |
$22,881.41
|
| Rate for Payer: Priority Health Narrow Network |
$26,120.21
|
| Rate for Payer: Railroad Medicare Medicare |
$22,881.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,881.41
|
| Rate for Payer: UHC Exchange |
$35,466.19
|
| Rate for Payer: UHC Medicare Advantage |
$22,881.41
|
| Rate for Payer: UHCCP DNSP |
$22,881.41
|
| Rate for Payer: VA VA |
$22,881.41
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$20,820.73
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$12,761.09 |
| Max. Negotiated Rate |
$20,820.73 |
| Rate for Payer: Aetna Medicare |
$13,432.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,790.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,790.91
|
| Rate for Payer: BCBS MAPPO |
$13,432.73
|
| Rate for Payer: BCN Medicare Advantage |
$13,432.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,432.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,432.73
|
| Rate for Payer: Mclaren Medicare |
$13,432.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,104.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,447.64
|
| Rate for Payer: PACE Medicare |
$12,761.09
|
| Rate for Payer: PACE SWMI |
$13,432.73
|
| Rate for Payer: PHP Commercial |
$14,776.00
|
| Rate for Payer: PHP Medicare Advantage |
$13,432.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,102.24
|
| Rate for Payer: Priority Health Medicare |
$13,432.73
|
| Rate for Payer: Priority Health Narrow Network |
$14,481.79
|
| Rate for Payer: Railroad Medicare Medicare |
$13,432.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,432.73
|
| Rate for Payer: UHC Exchange |
$20,820.73
|
| Rate for Payer: UHC Medicare Advantage |
$13,432.73
|
| Rate for Payer: UHCCP DNSP |
$13,432.73
|
| Rate for Payer: VA VA |
$13,432.73
|
|
|
MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$55,464.19
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$33,994.18 |
| Max. Negotiated Rate |
$55,464.19 |
| Rate for Payer: Aetna Medicare |
$35,783.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,729.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,729.19
|
| Rate for Payer: BCBS MAPPO |
$35,783.35
|
| Rate for Payer: BCN Medicare Advantage |
$35,783.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,783.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,783.35
|
| Rate for Payer: Mclaren Medicare |
$35,783.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,572.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,150.85
|
| Rate for Payer: PACE Medicare |
$33,994.18
|
| Rate for Payer: PACE SWMI |
$35,783.35
|
| Rate for Payer: PHP Commercial |
$39,361.68
|
| Rate for Payer: PHP Medicare Advantage |
$35,783.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,512.44
|
| Rate for Payer: Priority Health Medicare |
$35,783.35
|
| Rate for Payer: Priority Health Narrow Network |
$42,009.95
|
| Rate for Payer: Railroad Medicare Medicare |
$35,783.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,783.35
|
| Rate for Payer: UHC Exchange |
$55,464.19
|
| Rate for Payer: UHC Medicare Advantage |
$35,783.35
|
| Rate for Payer: UHCCP DNSP |
$35,783.35
|
| Rate for Payer: VA VA |
$35,783.35
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$149,887.37
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$91,866.45 |
| Max. Negotiated Rate |
$149,887.37 |
| Rate for Payer: Aetna Medicare |
$96,701.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120,876.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120,876.91
|
| Rate for Payer: BCBS MAPPO |
$96,701.53
|
| Rate for Payer: BCN Medicare Advantage |
$96,701.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96,701.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$96,701.53
|
| Rate for Payer: Mclaren Medicare |
$96,701.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101,536.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111,206.76
|
| Rate for Payer: PACE Medicare |
$91,866.45
|
| Rate for Payer: PACE SWMI |
$96,701.53
|
| Rate for Payer: PHP Commercial |
$106,371.68
|
| Rate for Payer: PHP Medicare Advantage |
$96,701.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146,298.99
|
| Rate for Payer: Priority Health Medicare |
$96,701.53
|
| Rate for Payer: Priority Health Narrow Network |
$117,039.19
|
| Rate for Payer: Railroad Medicare Medicare |
$96,701.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$96,701.53
|
| Rate for Payer: UHC Exchange |
$149,887.37
|
| Rate for Payer: UHC Medicare Advantage |
$96,701.53
|
| Rate for Payer: UHCCP DNSP |
$96,701.53
|
| Rate for Payer: VA VA |
$96,701.53
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$69,665.70
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$42,698.33 |
| Max. Negotiated Rate |
$69,665.70 |
| Rate for Payer: Aetna Medicare |
$44,945.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,182.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,182.01
|
| Rate for Payer: BCBS MAPPO |
$44,945.61
|
| Rate for Payer: BCN Medicare Advantage |
$44,945.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,945.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,945.61
|
| Rate for Payer: Mclaren Medicare |
$44,945.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,192.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,687.45
|
| Rate for Payer: PACE Medicare |
$42,698.33
|
| Rate for Payer: PACE SWMI |
$44,945.61
|
| Rate for Payer: PHP Commercial |
$49,440.17
|
| Rate for Payer: PHP Medicare Advantage |
$44,945.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66,618.07
|
| Rate for Payer: Priority Health Medicare |
$44,945.61
|
| Rate for Payer: Priority Health Narrow Network |
$53,294.45
|
| Rate for Payer: Railroad Medicare Medicare |
$44,945.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,945.61
|
| Rate for Payer: UHC Exchange |
$69,665.70
|
| Rate for Payer: UHC Medicare Advantage |
$44,945.61
|
| Rate for Payer: UHCCP DNSP |
$44,945.61
|
| Rate for Payer: VA VA |
$44,945.61
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
|
IP
|
$29,885.46
|
|
|
Service Code
|
MSDRG 496
|
| Min. Negotiated Rate |
$18,316.89 |
| Max. Negotiated Rate |
$29,885.46 |
| Rate for Payer: Aetna Medicare |
$19,280.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,101.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,101.18
|
| Rate for Payer: BCBS MAPPO |
$19,280.94
|
| Rate for Payer: BCN Medicare Advantage |
$19,280.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,280.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,280.94
|
| Rate for Payer: Mclaren Medicare |
$19,280.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,244.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,173.08
|
| Rate for Payer: PACE Medicare |
$18,316.89
|
| Rate for Payer: PACE SWMI |
$19,280.94
|
| Rate for Payer: PHP Commercial |
$21,209.03
|
| Rate for Payer: PHP Medicare Advantage |
$19,280.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,105.28
|
| Rate for Payer: Priority Health Medicare |
$19,280.94
|
| Rate for Payer: Priority Health Narrow Network |
$21,684.22
|
| Rate for Payer: Railroad Medicare Medicare |
$19,280.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,280.94
|
| Rate for Payer: UHC Exchange |
$29,885.46
|
| Rate for Payer: UHC Medicare Advantage |
$19,280.94
|
| Rate for Payer: UHCCP DNSP |
$19,280.94
|
| Rate for Payer: VA VA |
$19,280.94
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
|
IP
|
$51,290.06
|
|
|
Service Code
|
MSDRG 495
|
| Min. Negotiated Rate |
$31,435.84 |
| Max. Negotiated Rate |
$51,290.06 |
| Rate for Payer: Aetna Medicare |
$33,090.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,362.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,362.95
|
| Rate for Payer: BCBS MAPPO |
$33,090.36
|
| Rate for Payer: BCN Medicare Advantage |
$33,090.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,090.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,090.36
|
| Rate for Payer: Mclaren Medicare |
$33,090.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,744.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,053.91
|
| Rate for Payer: PACE Medicare |
$31,435.84
|
| Rate for Payer: PACE SWMI |
$33,090.36
|
| Rate for Payer: PHP Commercial |
$36,399.40
|
| Rate for Payer: PHP Medicare Advantage |
$33,090.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,364.70
|
| Rate for Payer: Priority Health Medicare |
$33,090.36
|
| Rate for Payer: Priority Health Narrow Network |
$38,691.76
|
| Rate for Payer: Railroad Medicare Medicare |
$33,090.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,090.36
|
| Rate for Payer: UHC Exchange |
$51,290.06
|
| Rate for Payer: UHC Medicare Advantage |
$33,090.36
|
| Rate for Payer: UHCCP DNSP |
$33,090.36
|
| Rate for Payer: VA VA |
$33,090.36
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$21,166.49
|
|
|
Service Code
|
MSDRG 497
|
| Min. Negotiated Rate |
$12,973.01 |
| Max. Negotiated Rate |
$21,166.49 |
| Rate for Payer: Aetna Medicare |
$13,655.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,069.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,069.75
|
| Rate for Payer: BCBS MAPPO |
$13,655.80
|
| Rate for Payer: BCN Medicare Advantage |
$13,655.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,655.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,655.80
|
| Rate for Payer: Mclaren Medicare |
$13,655.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,338.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,704.17
|
| Rate for Payer: PACE Medicare |
$12,973.01
|
| Rate for Payer: PACE SWMI |
$13,655.80
|
| Rate for Payer: PHP Commercial |
$15,021.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,655.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,451.21
|
| Rate for Payer: Priority Health Medicare |
$13,655.80
|
| Rate for Payer: Priority Health Narrow Network |
$14,760.97
|
| Rate for Payer: Railroad Medicare Medicare |
$13,655.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,655.80
|
| Rate for Payer: UHC Exchange |
$21,166.49
|
| Rate for Payer: UHC Medicare Advantage |
$13,655.80
|
| Rate for Payer: UHCCP DNSP |
$13,655.80
|
| Rate for Payer: VA VA |
$13,655.80
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
|
IP
|
$37,518.70
|
|
|
Service Code
|
MSDRG 498
|
| Min. Negotiated Rate |
$22,995.33 |
| Max. Negotiated Rate |
$37,518.70 |
| Rate for Payer: Aetna Medicare |
$24,205.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,257.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,257.01
|
| Rate for Payer: BCBS MAPPO |
$24,205.61
|
| Rate for Payer: BCN Medicare Advantage |
$24,205.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,205.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,205.61
|
| Rate for Payer: Mclaren Medicare |
$24,205.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,415.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,836.45
|
| Rate for Payer: PACE Medicare |
$22,995.33
|
| Rate for Payer: PACE SWMI |
$24,205.61
|
| Rate for Payer: PHP Commercial |
$26,626.17
|
| Rate for Payer: PHP Medicare Advantage |
$24,205.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,686.35
|
| Rate for Payer: Priority Health Medicare |
$24,205.61
|
| Rate for Payer: Priority Health Narrow Network |
$27,749.08
|
| Rate for Payer: Railroad Medicare Medicare |
$24,205.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,205.61
|
| Rate for Payer: UHC Exchange |
$37,518.70
|
| Rate for Payer: UHC Medicare Advantage |
$24,205.61
|
| Rate for Payer: UHCCP DNSP |
$24,205.61
|
| Rate for Payer: VA VA |
$24,205.61
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$18,652.05
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$11,431.90 |
| Max. Negotiated Rate |
$18,652.05 |
| Rate for Payer: Aetna Medicare |
$12,033.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,041.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,041.98
|
| Rate for Payer: BCBS MAPPO |
$12,033.58
|
| Rate for Payer: BCN Medicare Advantage |
$12,033.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,033.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,033.58
|
| Rate for Payer: Mclaren Medicare |
$12,033.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,635.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,838.62
|
| Rate for Payer: PACE Medicare |
$11,431.90
|
| Rate for Payer: PACE SWMI |
$12,033.58
|
| Rate for Payer: PHP Commercial |
$13,236.94
|
| Rate for Payer: PHP Medicare Advantage |
$12,033.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,948.00
|
| Rate for Payer: Priority Health Medicare |
$12,033.58
|
| Rate for Payer: Priority Health Narrow Network |
$12,758.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,033.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,033.58
|
| Rate for Payer: UHC Exchange |
$18,652.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,033.58
|
| Rate for Payer: UHCCP DNSP |
$12,033.58
|
| Rate for Payer: VA VA |
$12,033.58
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$35,805.05
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$21,945.03 |
| Max. Negotiated Rate |
$35,805.05 |
| Rate for Payer: Aetna Medicare |
$23,100.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,875.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,875.04
|
| Rate for Payer: BCBS MAPPO |
$23,100.03
|
| Rate for Payer: BCN Medicare Advantage |
$23,100.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,100.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,100.03
|
| Rate for Payer: Mclaren Medicare |
$23,100.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,255.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,565.03
|
| Rate for Payer: PACE Medicare |
$21,945.03
|
| Rate for Payer: PACE SWMI |
$23,100.03
|
| Rate for Payer: PHP Commercial |
$25,410.03
|
| Rate for Payer: PHP Medicare Advantage |
$23,100.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,986.86
|
| Rate for Payer: Priority Health Medicare |
$23,100.03
|
| Rate for Payer: Priority Health Narrow Network |
$26,389.49
|
| Rate for Payer: Railroad Medicare Medicare |
$23,100.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,100.03
|
| Rate for Payer: UHC Exchange |
$35,805.05
|
| Rate for Payer: UHC Medicare Advantage |
$23,100.03
|
| Rate for Payer: UHCCP DNSP |
$23,100.03
|
| Rate for Payer: VA VA |
$23,100.03
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$51,713.27
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$31,695.23 |
| Max. Negotiated Rate |
$51,713.27 |
| Rate for Payer: Aetna Medicare |
$33,363.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,704.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,704.25
|
| Rate for Payer: BCBS MAPPO |
$33,363.40
|
| Rate for Payer: BCN Medicare Advantage |
$33,363.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,363.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,363.40
|
| Rate for Payer: Mclaren Medicare |
$33,363.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,031.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,367.91
|
| Rate for Payer: PACE Medicare |
$31,695.23
|
| Rate for Payer: PACE SWMI |
$33,363.40
|
| Rate for Payer: PHP Commercial |
$36,699.74
|
| Rate for Payer: PHP Medicare Advantage |
$33,363.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,786.48
|
| Rate for Payer: Priority Health Medicare |
$33,363.40
|
| Rate for Payer: Priority Health Narrow Network |
$39,029.18
|
| Rate for Payer: Railroad Medicare Medicare |
$33,363.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,363.40
|
| Rate for Payer: UHC Exchange |
$51,713.27
|
| Rate for Payer: UHC Medicare Advantage |
$33,363.40
|
| Rate for Payer: UHCCP DNSP |
$33,363.40
|
| Rate for Payer: VA VA |
$33,363.40
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$28,673.88
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$17,574.32 |
| Max. Negotiated Rate |
$28,673.88 |
| Rate for Payer: Aetna Medicare |
$18,499.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,124.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,124.10
|
| Rate for Payer: BCBS MAPPO |
$18,499.28
|
| Rate for Payer: BCN Medicare Advantage |
$18,499.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,499.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,499.28
|
| Rate for Payer: Mclaren Medicare |
$18,499.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,424.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,274.17
|
| Rate for Payer: PACE Medicare |
$17,574.32
|
| Rate for Payer: PACE SWMI |
$18,499.28
|
| Rate for Payer: PHP Commercial |
$20,349.21
|
| Rate for Payer: PHP Medicare Advantage |
$18,499.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,904.51
|
| Rate for Payer: Priority Health Medicare |
$18,499.28
|
| Rate for Payer: Priority Health Narrow Network |
$20,723.61
|
| Rate for Payer: Railroad Medicare Medicare |
$18,499.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,499.28
|
| Rate for Payer: UHC Exchange |
$28,673.88
|
| Rate for Payer: UHC Medicare Advantage |
$18,499.28
|
| Rate for Payer: UHCCP DNSP |
$18,499.28
|
| Rate for Payer: VA VA |
$18,499.28
|
|
|
MS-DRG 42.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$183,349.70
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$112,375.62 |
| Max. Negotiated Rate |
$183,349.70 |
| Rate for Payer: Aetna Medicare |
$118,290.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$147,862.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$147,862.66
|
| Rate for Payer: BCBS MAPPO |
$118,290.13
|
| Rate for Payer: BCN Medicare Advantage |
$118,290.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118,290.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$118,290.13
|
| Rate for Payer: Mclaren Medicare |
$118,290.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124,204.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136,033.65
|
| Rate for Payer: PACE Medicare |
$112,375.62
|
| Rate for Payer: PACE SWMI |
$118,290.13
|
| Rate for Payer: PHP Commercial |
$130,119.14
|
| Rate for Payer: PHP Medicare Advantage |
$118,290.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179,537.26
|
| Rate for Payer: Priority Health Medicare |
$118,290.13
|
| Rate for Payer: Priority Health Narrow Network |
$143,629.81
|
| Rate for Payer: Railroad Medicare Medicare |
$118,290.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$118,290.13
|
| Rate for Payer: UHC Exchange |
$183,349.70
|
| Rate for Payer: UHC Medicare Advantage |
$118,290.13
|
| Rate for Payer: UHCCP DNSP |
$118,290.13
|
| Rate for Payer: VA VA |
$118,290.13
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,473.16
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$20,515.81 |
| Max. Negotiated Rate |
$33,473.16 |
| Rate for Payer: Aetna Medicare |
$21,595.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,994.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,994.49
|
| Rate for Payer: BCBS MAPPO |
$21,595.59
|
| Rate for Payer: BCN Medicare Advantage |
$21,595.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,595.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,595.59
|
| Rate for Payer: Mclaren Medicare |
$21,595.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,675.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,834.93
|
| Rate for Payer: PACE Medicare |
$20,515.81
|
| Rate for Payer: PACE SWMI |
$21,595.59
|
| Rate for Payer: PHP Commercial |
$23,755.15
|
| Rate for Payer: PHP Medicare Advantage |
$21,595.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,667.75
|
| Rate for Payer: Priority Health Medicare |
$21,595.59
|
| Rate for Payer: Priority Health Narrow Network |
$24,534.20
|
| Rate for Payer: Railroad Medicare Medicare |
$21,595.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,595.59
|
| Rate for Payer: UHC Exchange |
$33,473.16
|
| Rate for Payer: UHC Medicare Advantage |
$21,595.59
|
| Rate for Payer: UHCCP DNSP |
$21,595.59
|
| Rate for Payer: VA VA |
$21,595.59
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$83,124.48
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$50,947.26 |
| Max. Negotiated Rate |
$83,124.48 |
| Rate for Payer: Aetna Medicare |
$53,628.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67,035.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67,035.88
|
| Rate for Payer: BCBS MAPPO |
$53,628.70
|
| Rate for Payer: BCN Medicare Advantage |
$53,628.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53,628.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$53,628.70
|
| Rate for Payer: Mclaren Medicare |
$53,628.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56,310.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61,673.00
|
| Rate for Payer: PACE Medicare |
$50,947.26
|
| Rate for Payer: PACE SWMI |
$53,628.70
|
| Rate for Payer: PHP Commercial |
$58,991.57
|
| Rate for Payer: PHP Medicare Advantage |
$53,628.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79,985.92
|
| Rate for Payer: Priority Health Medicare |
$53,628.70
|
| Rate for Payer: Priority Health Narrow Network |
$63,988.74
|
| Rate for Payer: Railroad Medicare Medicare |
$53,628.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$53,628.70
|
| Rate for Payer: UHC Exchange |
$83,124.48
|
| Rate for Payer: UHC Medicare Advantage |
$53,628.70
|
| Rate for Payer: UHCCP DNSP |
$53,628.70
|
| Rate for Payer: VA VA |
$53,628.70
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,415.55
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$11,286.95 |
| Max. Negotiated Rate |
$18,415.55 |
| Rate for Payer: Aetna Medicare |
$11,881.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,851.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,851.25
|
| Rate for Payer: BCBS MAPPO |
$11,881.00
|
| Rate for Payer: BCN Medicare Advantage |
$11,881.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,881.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,881.00
|
| Rate for Payer: Mclaren Medicare |
$11,881.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,475.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,663.15
|
| Rate for Payer: PACE Medicare |
$11,286.95
|
| Rate for Payer: PACE SWMI |
$11,881.00
|
| Rate for Payer: PHP Commercial |
$13,069.10
|
| Rate for Payer: PHP Medicare Advantage |
$11,881.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,711.69
|
| Rate for Payer: Priority Health Medicare |
$11,881.00
|
| Rate for Payer: Priority Health Narrow Network |
$12,569.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,881.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,881.00
|
| Rate for Payer: UHC Exchange |
$18,415.55
|
| Rate for Payer: UHC Medicare Advantage |
$11,881.00
|
| Rate for Payer: UHCCP DNSP |
$11,881.00
|
| Rate for Payer: VA VA |
$11,881.00
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$24,283.97
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$14,883.73 |
| Max. Negotiated Rate |
$24,283.97 |
| Rate for Payer: Aetna Medicare |
$15,667.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,583.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,583.85
|
| Rate for Payer: BCBS MAPPO |
$15,667.08
|
| Rate for Payer: BCN Medicare Advantage |
$15,667.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,667.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,667.08
|
| Rate for Payer: Mclaren Medicare |
$15,667.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,450.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,017.14
|
| Rate for Payer: PACE Medicare |
$14,883.73
|
| Rate for Payer: PACE SWMI |
$15,667.08
|
| Rate for Payer: PHP Commercial |
$17,233.79
|
| Rate for Payer: PHP Medicare Advantage |
$15,667.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,541.06
|
| Rate for Payer: Priority Health Medicare |
$15,667.08
|
| Rate for Payer: Priority Health Narrow Network |
$17,232.85
|
| Rate for Payer: Railroad Medicare Medicare |
$15,667.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,667.08
|
| Rate for Payer: UHC Exchange |
$24,283.97
|
| Rate for Payer: UHC Medicare Advantage |
$15,667.08
|
| Rate for Payer: UHCCP DNSP |
$15,667.08
|
| Rate for Payer: VA VA |
$15,667.08
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$46,703.75
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$28,624.88 |
| Max. Negotiated Rate |
$46,703.75 |
| Rate for Payer: Aetna Medicare |
$30,131.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,664.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,664.31
|
| Rate for Payer: BCBS MAPPO |
$30,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$30,131.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,131.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,131.45
|
| Rate for Payer: Mclaren Medicare |
$30,131.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,638.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,651.17
|
| Rate for Payer: PACE Medicare |
$28,624.88
|
| Rate for Payer: PACE SWMI |
$30,131.45
|
| Rate for Payer: PHP Commercial |
$33,144.60
|
| Rate for Payer: PHP Medicare Advantage |
$30,131.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,818.53
|
| Rate for Payer: Priority Health Medicare |
$30,131.45
|
| Rate for Payer: Priority Health Narrow Network |
$35,054.82
|
| Rate for Payer: Railroad Medicare Medicare |
$30,131.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,131.45
|
| Rate for Payer: UHC Exchange |
$46,703.75
|
| Rate for Payer: UHC Medicare Advantage |
$30,131.45
|
| Rate for Payer: UHCCP DNSP |
$30,131.45
|
| Rate for Payer: VA VA |
$30,131.45
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$33,016.75
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$20,236.07 |
| Max. Negotiated Rate |
$33,016.75 |
| Rate for Payer: Aetna Medicare |
$21,301.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,626.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,626.41
|
| Rate for Payer: BCBS MAPPO |
$21,301.13
|
| Rate for Payer: BCN Medicare Advantage |
$21,301.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,301.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,301.13
|
| Rate for Payer: Mclaren Medicare |
$21,301.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,366.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,496.30
|
| Rate for Payer: PACE Medicare |
$20,236.07
|
| Rate for Payer: PACE SWMI |
$21,301.13
|
| Rate for Payer: PHP Commercial |
$23,431.24
|
| Rate for Payer: PHP Medicare Advantage |
$21,301.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,215.74
|
| Rate for Payer: Priority Health Medicare |
$21,301.13
|
| Rate for Payer: Priority Health Narrow Network |
$24,172.59
|
| Rate for Payer: Railroad Medicare Medicare |
$21,301.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,301.13
|
| Rate for Payer: UHC Exchange |
$33,016.75
|
| Rate for Payer: UHC Medicare Advantage |
$21,301.13
|
| Rate for Payer: UHCCP DNSP |
$21,301.13
|
| Rate for Payer: VA VA |
$21,301.13
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$67,318.61
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$41,259.79 |
| Max. Negotiated Rate |
$67,318.61 |
| Rate for Payer: Aetna Medicare |
$43,431.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,289.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,289.20
|
| Rate for Payer: BCBS MAPPO |
$43,431.36
|
| Rate for Payer: BCN Medicare Advantage |
$43,431.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,431.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,431.36
|
| Rate for Payer: Mclaren Medicare |
$43,431.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,602.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,946.06
|
| Rate for Payer: PACE Medicare |
$41,259.79
|
| Rate for Payer: PACE SWMI |
$43,431.36
|
| Rate for Payer: PHP Commercial |
$47,774.50
|
| Rate for Payer: PHP Medicare Advantage |
$43,431.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64,286.59
|
| Rate for Payer: Priority Health Medicare |
$43,431.36
|
| Rate for Payer: Priority Health Narrow Network |
$51,429.27
|
| Rate for Payer: Railroad Medicare Medicare |
$43,431.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,431.36
|
| Rate for Payer: UHC Exchange |
$67,318.61
|
| Rate for Payer: UHC Medicare Advantage |
$43,431.36
|
| Rate for Payer: UHCCP DNSP |
$43,431.36
|
| Rate for Payer: VA VA |
$43,431.36
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,620.19
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$12,025.28 |
| Max. Negotiated Rate |
$19,620.19 |
| Rate for Payer: Aetna Medicare |
$12,658.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,822.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,822.74
|
| Rate for Payer: BCBS MAPPO |
$12,658.19
|
| Rate for Payer: BCN Medicare Advantage |
$12,658.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,658.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,658.19
|
| Rate for Payer: Mclaren Medicare |
$12,658.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,291.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,556.92
|
| Rate for Payer: PACE Medicare |
$12,025.28
|
| Rate for Payer: PACE SWMI |
$12,658.19
|
| Rate for Payer: PHP Commercial |
$13,924.01
|
| Rate for Payer: PHP Medicare Advantage |
$12,658.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,908.34
|
| Rate for Payer: Priority Health Medicare |
$12,658.19
|
| Rate for Payer: Priority Health Narrow Network |
$13,526.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12,658.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,658.19
|
| Rate for Payer: UHC Exchange |
$19,620.19
|
| Rate for Payer: UHC Medicare Advantage |
$12,658.19
|
| Rate for Payer: UHCCP DNSP |
$12,658.19
|
| Rate for Payer: VA VA |
$12,658.19
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$17,145.85
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$10,508.75 |
| Max. Negotiated Rate |
$17,145.85 |
| Rate for Payer: Aetna Medicare |
$11,061.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,827.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,827.30
|
| Rate for Payer: BCBS MAPPO |
$11,061.84
|
| Rate for Payer: BCN Medicare Advantage |
$11,061.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,061.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,061.84
|
| Rate for Payer: Mclaren Medicare |
$11,061.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,614.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,721.12
|
| Rate for Payer: PACE Medicare |
$10,508.75
|
| Rate for Payer: PACE SWMI |
$11,061.84
|
| Rate for Payer: PHP Commercial |
$12,168.02
|
| Rate for Payer: PHP Medicare Advantage |
$11,061.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,450.47
|
| Rate for Payer: Priority Health Medicare |
$11,061.84
|
| Rate for Payer: Priority Health Narrow Network |
$11,560.38
|
| Rate for Payer: Railroad Medicare Medicare |
$11,061.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,061.84
|
| Rate for Payer: UHC Exchange |
$17,145.85
|
| Rate for Payer: UHC Medicare Advantage |
$11,061.84
|
| Rate for Payer: UHCCP DNSP |
$11,061.84
|
| Rate for Payer: VA VA |
$11,061.84
|
|
