|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$41,629.20
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$25,514.67 |
| Max. Negotiated Rate |
$41,629.20 |
| Rate for Payer: Aetna Medicare |
$26,857.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,571.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,571.94
|
| Rate for Payer: BCBS MAPPO |
$26,857.55
|
| Rate for Payer: BCN Medicare Advantage |
$26,857.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,857.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,857.55
|
| Rate for Payer: Mclaren Medicare |
$26,857.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,200.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,886.18
|
| Rate for Payer: PACE Medicare |
$25,514.67
|
| Rate for Payer: PACE SWMI |
$26,857.55
|
| Rate for Payer: PHP Commercial |
$29,543.30
|
| Rate for Payer: PHP Medicare Advantage |
$26,857.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,769.52
|
| Rate for Payer: Priority Health Medicare |
$26,857.55
|
| Rate for Payer: Priority Health Narrow Network |
$31,015.62
|
| Rate for Payer: Railroad Medicare Medicare |
$26,857.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,857.55
|
| Rate for Payer: UHC Exchange |
$41,629.20
|
| Rate for Payer: UHC Medicare Advantage |
$26,857.55
|
| Rate for Payer: UHCCP DNSP |
$26,857.55
|
| Rate for Payer: VA VA |
$26,857.55
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$79,698.60
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$48,847.53 |
| Max. Negotiated Rate |
$79,698.60 |
| Rate for Payer: Aetna Medicare |
$51,418.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64,273.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64,273.06
|
| Rate for Payer: BCBS MAPPO |
$51,418.45
|
| Rate for Payer: BCN Medicare Advantage |
$51,418.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51,418.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$51,418.45
|
| Rate for Payer: Mclaren Medicare |
$51,418.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,989.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,131.22
|
| Rate for Payer: PACE Medicare |
$48,847.53
|
| Rate for Payer: PACE SWMI |
$51,418.45
|
| Rate for Payer: PHP Commercial |
$56,560.30
|
| Rate for Payer: PHP Medicare Advantage |
$51,418.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76,582.82
|
| Rate for Payer: Priority Health Medicare |
$51,418.45
|
| Rate for Payer: Priority Health Narrow Network |
$61,266.26
|
| Rate for Payer: Railroad Medicare Medicare |
$51,418.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$51,418.45
|
| Rate for Payer: UHC Exchange |
$79,698.60
|
| Rate for Payer: UHC Medicare Advantage |
$51,418.45
|
| Rate for Payer: UHCCP DNSP |
$51,418.45
|
| Rate for Payer: VA VA |
$51,418.45
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,328.03
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$19,201.05 |
| Max. Negotiated Rate |
$31,328.03 |
| Rate for Payer: Aetna Medicare |
$20,211.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,264.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,264.54
|
| Rate for Payer: BCBS MAPPO |
$20,211.63
|
| Rate for Payer: BCN Medicare Advantage |
$20,211.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,211.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,211.63
|
| Rate for Payer: Mclaren Medicare |
$20,211.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,222.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,243.37
|
| Rate for Payer: PACE Medicare |
$19,201.05
|
| Rate for Payer: PACE SWMI |
$20,211.63
|
| Rate for Payer: PHP Commercial |
$22,232.79
|
| Rate for Payer: PHP Medicare Advantage |
$20,211.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,538.24
|
| Rate for Payer: Priority Health Medicare |
$20,211.63
|
| Rate for Payer: Priority Health Narrow Network |
$22,830.59
|
| Rate for Payer: Railroad Medicare Medicare |
$20,211.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,211.63
|
| Rate for Payer: UHC Exchange |
$31,328.03
|
| Rate for Payer: UHC Medicare Advantage |
$20,211.63
|
| Rate for Payer: UHCCP DNSP |
$20,211.63
|
| Rate for Payer: VA VA |
$20,211.63
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$37,409.40
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$22,928.34 |
| Max. Negotiated Rate |
$37,409.40 |
| Rate for Payer: Aetna Medicare |
$24,135.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,168.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,168.88
|
| Rate for Payer: BCBS MAPPO |
$24,135.10
|
| Rate for Payer: BCN Medicare Advantage |
$24,135.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,135.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,135.10
|
| Rate for Payer: Mclaren Medicare |
$24,135.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,341.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,755.36
|
| Rate for Payer: PACE Medicare |
$22,928.34
|
| Rate for Payer: PACE SWMI |
$24,135.10
|
| Rate for Payer: PHP Commercial |
$26,548.61
|
| Rate for Payer: PHP Medicare Advantage |
$24,135.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,577.81
|
| Rate for Payer: Priority Health Medicare |
$24,135.10
|
| Rate for Payer: Priority Health Narrow Network |
$27,662.25
|
| Rate for Payer: Railroad Medicare Medicare |
$24,135.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,135.10
|
| Rate for Payer: UHC Exchange |
$37,409.40
|
| Rate for Payer: UHC Medicare Advantage |
$24,135.10
|
| Rate for Payer: UHCCP DNSP |
$24,135.10
|
| Rate for Payer: VA VA |
$24,135.10
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$66,346.32
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$40,663.88 |
| Max. Negotiated Rate |
$66,346.32 |
| Rate for Payer: Aetna Medicare |
$42,804.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,505.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,505.10
|
| Rate for Payer: BCBS MAPPO |
$42,804.08
|
| Rate for Payer: BCN Medicare Advantage |
$42,804.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,804.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,804.08
|
| Rate for Payer: Mclaren Medicare |
$42,804.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,944.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,224.69
|
| Rate for Payer: PACE Medicare |
$40,663.88
|
| Rate for Payer: PACE SWMI |
$42,804.08
|
| Rate for Payer: PHP Commercial |
$47,084.49
|
| Rate for Payer: PHP Medicare Advantage |
$42,804.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,320.76
|
| Rate for Payer: Priority Health Medicare |
$42,804.08
|
| Rate for Payer: Priority Health Narrow Network |
$50,656.60
|
| Rate for Payer: Railroad Medicare Medicare |
$42,804.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,804.08
|
| Rate for Payer: UHC Exchange |
$66,346.32
|
| Rate for Payer: UHC Medicare Advantage |
$42,804.08
|
| Rate for Payer: UHCCP DNSP |
$42,804.08
|
| Rate for Payer: VA VA |
$42,804.08
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,377.88
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$17,392.89 |
| Max. Negotiated Rate |
$28,377.88 |
| Rate for Payer: Aetna Medicare |
$18,308.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,885.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,885.39
|
| Rate for Payer: BCBS MAPPO |
$18,308.31
|
| Rate for Payer: BCN Medicare Advantage |
$18,308.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,308.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,308.31
|
| Rate for Payer: Mclaren Medicare |
$18,308.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,223.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,054.56
|
| Rate for Payer: PACE Medicare |
$17,392.89
|
| Rate for Payer: PACE SWMI |
$18,308.31
|
| Rate for Payer: PHP Commercial |
$20,139.14
|
| Rate for Payer: PHP Medicare Advantage |
$18,308.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,607.75
|
| Rate for Payer: Priority Health Medicare |
$18,308.31
|
| Rate for Payer: Priority Health Narrow Network |
$20,486.20
|
| Rate for Payer: Railroad Medicare Medicare |
$18,308.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,308.31
|
| Rate for Payer: UHC Exchange |
$28,377.88
|
| Rate for Payer: UHC Medicare Advantage |
$18,308.31
|
| Rate for Payer: UHCCP DNSP |
$18,308.31
|
| Rate for Payer: VA VA |
$18,308.31
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$17,369.94
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$10,646.09 |
| Max. Negotiated Rate |
$17,369.94 |
| Rate for Payer: Aetna Medicare |
$11,206.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,008.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,008.01
|
| Rate for Payer: BCBS MAPPO |
$11,206.41
|
| Rate for Payer: BCN Medicare Advantage |
$11,206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,206.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,206.41
|
| Rate for Payer: Mclaren Medicare |
$11,206.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,766.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,887.37
|
| Rate for Payer: PACE Medicare |
$10,646.09
|
| Rate for Payer: PACE SWMI |
$11,206.41
|
| Rate for Payer: PHP Commercial |
$12,327.05
|
| Rate for Payer: PHP Medicare Advantage |
$11,206.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,673.04
|
| Rate for Payer: Priority Health Medicare |
$11,206.41
|
| Rate for Payer: Priority Health Narrow Network |
$11,738.43
|
| Rate for Payer: Railroad Medicare Medicare |
$11,206.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,206.41
|
| Rate for Payer: UHC Exchange |
$17,369.94
|
| Rate for Payer: UHC Medicare Advantage |
$11,206.41
|
| Rate for Payer: UHCCP DNSP |
$11,206.41
|
| Rate for Payer: VA VA |
$11,206.41
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$24,550.90
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$15,047.33 |
| Max. Negotiated Rate |
$24,550.90 |
| Rate for Payer: Aetna Medicare |
$15,839.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,799.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,799.11
|
| Rate for Payer: BCBS MAPPO |
$15,839.29
|
| Rate for Payer: BCN Medicare Advantage |
$15,839.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,839.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,839.29
|
| Rate for Payer: Mclaren Medicare |
$15,839.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,631.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,215.18
|
| Rate for Payer: PACE Medicare |
$15,047.33
|
| Rate for Payer: PACE SWMI |
$15,839.29
|
| Rate for Payer: PHP Commercial |
$17,423.22
|
| Rate for Payer: PHP Medicare Advantage |
$15,839.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,806.22
|
| Rate for Payer: Priority Health Medicare |
$15,839.29
|
| Rate for Payer: Priority Health Narrow Network |
$17,444.98
|
| Rate for Payer: Railroad Medicare Medicare |
$15,839.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,839.29
|
| Rate for Payer: UHC Exchange |
$24,550.90
|
| Rate for Payer: UHC Medicare Advantage |
$15,839.29
|
| Rate for Payer: UHCCP DNSP |
$15,839.29
|
| Rate for Payer: VA VA |
$15,839.29
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$13,353.45
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$8,184.37 |
| Max. Negotiated Rate |
$13,353.45 |
| Rate for Payer: Aetna Medicare |
$8,615.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,768.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,768.91
|
| Rate for Payer: BCBS MAPPO |
$8,615.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,615.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,615.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,615.13
|
| Rate for Payer: Mclaren Medicare |
$8,615.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,045.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,907.40
|
| Rate for Payer: PACE Medicare |
$8,184.37
|
| Rate for Payer: PACE SWMI |
$8,615.13
|
| Rate for Payer: PHP Commercial |
$9,476.64
|
| Rate for Payer: PHP Medicare Advantage |
$8,615.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,683.29
|
| Rate for Payer: Priority Health Medicare |
$8,615.13
|
| Rate for Payer: Priority Health Narrow Network |
$8,546.63
|
| Rate for Payer: Railroad Medicare Medicare |
$8,615.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,615.13
|
| Rate for Payer: UHC Exchange |
$13,353.45
|
| Rate for Payer: UHC Medicare Advantage |
$8,615.13
|
| Rate for Payer: UHCCP DNSP |
$8,615.13
|
| Rate for Payer: VA VA |
$8,615.13
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$16,671.46
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$10,217.99 |
| Max. Negotiated Rate |
$16,671.46 |
| Rate for Payer: Aetna Medicare |
$10,755.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,444.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,444.72
|
| Rate for Payer: BCBS MAPPO |
$10,755.78
|
| Rate for Payer: BCN Medicare Advantage |
$10,755.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,755.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,755.78
|
| Rate for Payer: Mclaren Medicare |
$10,755.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,293.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,369.15
|
| Rate for Payer: PACE Medicare |
$10,217.99
|
| Rate for Payer: PACE SWMI |
$10,755.78
|
| Rate for Payer: PHP Commercial |
$11,831.36
|
| Rate for Payer: PHP Medicare Advantage |
$10,755.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,980.60
|
| Rate for Payer: Priority Health Medicare |
$10,755.78
|
| Rate for Payer: Priority Health Narrow Network |
$11,184.48
|
| Rate for Payer: Railroad Medicare Medicare |
$10,755.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,755.78
|
| Rate for Payer: UHC Exchange |
$16,671.46
|
| Rate for Payer: UHC Medicare Advantage |
$10,755.78
|
| Rate for Payer: UHCCP DNSP |
$10,755.78
|
| Rate for Payer: VA VA |
$10,755.78
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$25,694.71
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$15,748.37 |
| Max. Negotiated Rate |
$25,694.71 |
| Rate for Payer: Aetna Medicare |
$16,577.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,721.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,721.54
|
| Rate for Payer: BCBS MAPPO |
$16,577.23
|
| Rate for Payer: BCN Medicare Advantage |
$16,577.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,577.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,577.23
|
| Rate for Payer: Mclaren Medicare |
$16,577.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,406.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,063.81
|
| Rate for Payer: PACE Medicare |
$15,748.37
|
| Rate for Payer: PACE SWMI |
$16,577.23
|
| Rate for Payer: PHP Commercial |
$18,234.95
|
| Rate for Payer: PHP Medicare Advantage |
$16,577.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,942.42
|
| Rate for Payer: Priority Health Medicare |
$16,577.23
|
| Rate for Payer: Priority Health Narrow Network |
$18,353.94
|
| Rate for Payer: Railroad Medicare Medicare |
$16,577.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,577.23
|
| Rate for Payer: UHC Exchange |
$25,694.71
|
| Rate for Payer: UHC Medicare Advantage |
$16,577.23
|
| Rate for Payer: UHCCP DNSP |
$16,577.23
|
| Rate for Payer: VA VA |
$16,577.23
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,251.12
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$7,508.75 |
| Max. Negotiated Rate |
$12,251.12 |
| Rate for Payer: Aetna Medicare |
$7,903.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,879.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,879.94
|
| Rate for Payer: BCBS MAPPO |
$7,903.95
|
| Rate for Payer: BCN Medicare Advantage |
$7,903.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,903.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,903.95
|
| Rate for Payer: Mclaren Medicare |
$7,903.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,299.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,089.54
|
| Rate for Payer: PACE Medicare |
$7,508.75
|
| Rate for Payer: PACE SWMI |
$7,903.95
|
| Rate for Payer: PHP Commercial |
$8,694.34
|
| Rate for Payer: PHP Medicare Advantage |
$7,903.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,588.31
|
| Rate for Payer: Priority Health Medicare |
$7,903.95
|
| Rate for Payer: Priority Health Narrow Network |
$7,670.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,903.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,903.95
|
| Rate for Payer: UHC Exchange |
$12,251.12
|
| Rate for Payer: UHC Medicare Advantage |
$7,903.95
|
| Rate for Payer: UHCCP DNSP |
$7,903.95
|
| Rate for Payer: VA VA |
$7,903.95
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$16,833.29
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$10,317.18 |
| Max. Negotiated Rate |
$16,833.29 |
| Rate for Payer: Aetna Medicare |
$10,860.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,575.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,575.24
|
| Rate for Payer: BCBS MAPPO |
$10,860.19
|
| Rate for Payer: BCN Medicare Advantage |
$10,860.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,860.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,860.19
|
| Rate for Payer: Mclaren Medicare |
$10,860.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,403.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,489.22
|
| Rate for Payer: PACE Medicare |
$10,317.18
|
| Rate for Payer: PACE SWMI |
$10,860.19
|
| Rate for Payer: PHP Commercial |
$11,946.21
|
| Rate for Payer: PHP Medicare Advantage |
$10,860.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,141.35
|
| Rate for Payer: Priority Health Medicare |
$10,860.19
|
| Rate for Payer: Priority Health Narrow Network |
$11,313.08
|
| Rate for Payer: Railroad Medicare Medicare |
$10,860.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,860.19
|
| Rate for Payer: UHC Exchange |
$16,833.29
|
| Rate for Payer: UHC Medicare Advantage |
$10,860.19
|
| Rate for Payer: UHCCP DNSP |
$10,860.19
|
| Rate for Payer: VA VA |
$10,860.19
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$26,773.51
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$16,409.57 |
| Max. Negotiated Rate |
$26,773.51 |
| Rate for Payer: Aetna Medicare |
$17,273.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,591.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,591.54
|
| Rate for Payer: BCBS MAPPO |
$17,273.23
|
| Rate for Payer: BCN Medicare Advantage |
$17,273.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,273.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,273.23
|
| Rate for Payer: Mclaren Medicare |
$17,273.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,136.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,864.21
|
| Rate for Payer: PACE Medicare |
$16,409.57
|
| Rate for Payer: PACE SWMI |
$17,273.23
|
| Rate for Payer: PHP Commercial |
$19,000.55
|
| Rate for Payer: PHP Medicare Advantage |
$17,273.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,019.54
|
| Rate for Payer: Priority Health Medicare |
$17,273.23
|
| Rate for Payer: Priority Health Narrow Network |
$19,215.64
|
| Rate for Payer: Railroad Medicare Medicare |
$17,273.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,273.23
|
| Rate for Payer: UHC Exchange |
$26,773.51
|
| Rate for Payer: UHC Medicare Advantage |
$17,273.23
|
| Rate for Payer: UHCCP DNSP |
$17,273.23
|
| Rate for Payer: VA VA |
$17,273.23
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,630.10
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$7,741.03 |
| Max. Negotiated Rate |
$12,630.10 |
| Rate for Payer: Aetna Medicare |
$8,148.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,185.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,185.56
|
| Rate for Payer: BCBS MAPPO |
$8,148.45
|
| Rate for Payer: BCN Medicare Advantage |
$8,148.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,148.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,148.45
|
| Rate for Payer: Mclaren Medicare |
$8,148.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,555.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,370.72
|
| Rate for Payer: PACE Medicare |
$7,741.03
|
| Rate for Payer: PACE SWMI |
$8,148.45
|
| Rate for Payer: PHP Commercial |
$8,963.30
|
| Rate for Payer: PHP Medicare Advantage |
$8,148.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,964.75
|
| Rate for Payer: Priority Health Medicare |
$8,148.45
|
| Rate for Payer: Priority Health Narrow Network |
$7,971.80
|
| Rate for Payer: Railroad Medicare Medicare |
$8,148.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,148.45
|
| Rate for Payer: UHC Exchange |
$12,630.10
|
| Rate for Payer: UHC Medicare Advantage |
$8,148.45
|
| Rate for Payer: UHCCP DNSP |
$8,148.45
|
| Rate for Payer: VA VA |
$8,148.45
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$32,312.77
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$19,804.60 |
| Max. Negotiated Rate |
$32,312.77 |
| Rate for Payer: Aetna Medicare |
$20,846.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,058.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,058.69
|
| Rate for Payer: BCBS MAPPO |
$20,846.95
|
| Rate for Payer: BCN Medicare Advantage |
$20,846.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,846.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,846.95
|
| Rate for Payer: Mclaren Medicare |
$20,846.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,889.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,973.99
|
| Rate for Payer: PACE Medicare |
$19,804.60
|
| Rate for Payer: PACE SWMI |
$20,846.95
|
| Rate for Payer: PHP Commercial |
$22,931.64
|
| Rate for Payer: PHP Medicare Advantage |
$20,846.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,515.06
|
| Rate for Payer: Priority Health Medicare |
$20,846.95
|
| Rate for Payer: Priority Health Narrow Network |
$23,612.05
|
| Rate for Payer: Railroad Medicare Medicare |
$20,846.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,846.95
|
| Rate for Payer: UHC Exchange |
$32,312.77
|
| Rate for Payer: UHC Medicare Advantage |
$20,846.95
|
| Rate for Payer: UHCCP DNSP |
$20,846.95
|
| Rate for Payer: VA VA |
$20,846.95
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,090.60
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$37,442.63 |
| Max. Negotiated Rate |
$61,090.60 |
| Rate for Payer: Aetna Medicare |
$39,413.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,266.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,266.61
|
| Rate for Payer: BCBS MAPPO |
$39,413.29
|
| Rate for Payer: BCN Medicare Advantage |
$39,413.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,413.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,413.29
|
| Rate for Payer: Mclaren Medicare |
$39,413.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,383.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,325.28
|
| Rate for Payer: PACE Medicare |
$37,442.63
|
| Rate for Payer: PACE SWMI |
$39,413.29
|
| Rate for Payer: PHP Commercial |
$43,354.62
|
| Rate for Payer: PHP Medicare Advantage |
$39,413.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,101.39
|
| Rate for Payer: Priority Health Medicare |
$39,413.29
|
| Rate for Payer: Priority Health Narrow Network |
$46,481.11
|
| Rate for Payer: Railroad Medicare Medicare |
$39,413.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,413.29
|
| Rate for Payer: UHC Exchange |
$61,090.60
|
| Rate for Payer: UHC Medicare Advantage |
$39,413.29
|
| Rate for Payer: UHCCP DNSP |
$39,413.29
|
| Rate for Payer: VA VA |
$39,413.29
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,344.83
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$14,921.02 |
| Max. Negotiated Rate |
$24,344.83 |
| Rate for Payer: Aetna Medicare |
$15,706.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,632.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,632.92
|
| Rate for Payer: BCBS MAPPO |
$15,706.34
|
| Rate for Payer: BCN Medicare Advantage |
$15,706.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,706.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,706.34
|
| Rate for Payer: Mclaren Medicare |
$15,706.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,491.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,062.29
|
| Rate for Payer: PACE Medicare |
$14,921.02
|
| Rate for Payer: PACE SWMI |
$15,706.34
|
| Rate for Payer: PHP Commercial |
$17,276.97
|
| Rate for Payer: PHP Medicare Advantage |
$15,706.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,601.52
|
| Rate for Payer: Priority Health Medicare |
$15,706.34
|
| Rate for Payer: Priority Health Narrow Network |
$17,281.21
|
| Rate for Payer: Railroad Medicare Medicare |
$15,706.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,706.34
|
| Rate for Payer: UHC Exchange |
$24,344.83
|
| Rate for Payer: UHC Medicare Advantage |
$15,706.34
|
| Rate for Payer: UHCCP DNSP |
$15,706.34
|
| Rate for Payer: VA VA |
$15,706.34
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$19,726.70
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$12,090.56 |
| Max. Negotiated Rate |
$19,726.70 |
| Rate for Payer: Aetna Medicare |
$12,726.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,908.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,908.62
|
| Rate for Payer: BCBS MAPPO |
$12,726.90
|
| Rate for Payer: BCN Medicare Advantage |
$12,726.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,726.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,726.90
|
| Rate for Payer: Mclaren Medicare |
$12,726.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,363.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,635.94
|
| Rate for Payer: PACE Medicare |
$12,090.56
|
| Rate for Payer: PACE SWMI |
$12,726.90
|
| Rate for Payer: PHP Commercial |
$13,999.59
|
| Rate for Payer: PHP Medicare Advantage |
$12,726.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,015.50
|
| Rate for Payer: Priority Health Medicare |
$12,726.90
|
| Rate for Payer: Priority Health Narrow Network |
$13,612.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,726.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,726.90
|
| Rate for Payer: UHC Exchange |
$19,726.70
|
| Rate for Payer: UHC Medicare Advantage |
$12,726.90
|
| Rate for Payer: UHCCP DNSP |
$12,726.90
|
| Rate for Payer: VA VA |
$12,726.90
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$34,273.99
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$21,006.64 |
| Max. Negotiated Rate |
$34,273.99 |
| Rate for Payer: Aetna Medicare |
$22,112.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,640.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,640.31
|
| Rate for Payer: BCBS MAPPO |
$22,112.25
|
| Rate for Payer: BCN Medicare Advantage |
$22,112.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,112.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,112.25
|
| Rate for Payer: Mclaren Medicare |
$22,112.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,217.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,429.09
|
| Rate for Payer: PACE Medicare |
$21,006.64
|
| Rate for Payer: PACE SWMI |
$22,112.25
|
| Rate for Payer: PHP Commercial |
$24,323.48
|
| Rate for Payer: PHP Medicare Advantage |
$22,112.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,467.35
|
| Rate for Payer: Priority Health Medicare |
$22,112.25
|
| Rate for Payer: Priority Health Narrow Network |
$25,173.88
|
| Rate for Payer: Railroad Medicare Medicare |
$22,112.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,112.25
|
| Rate for Payer: UHC Exchange |
$34,273.99
|
| Rate for Payer: UHC Medicare Advantage |
$22,112.25
|
| Rate for Payer: UHCCP DNSP |
$22,112.25
|
| Rate for Payer: VA VA |
$22,112.25
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,761.41
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$9,660.22 |
| Max. Negotiated Rate |
$15,761.41 |
| Rate for Payer: Aetna Medicare |
$10,168.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,710.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,710.81
|
| Rate for Payer: BCBS MAPPO |
$10,168.65
|
| Rate for Payer: BCN Medicare Advantage |
$10,168.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,168.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,168.65
|
| Rate for Payer: Mclaren Medicare |
$10,168.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,677.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,693.95
|
| Rate for Payer: PACE Medicare |
$9,660.22
|
| Rate for Payer: PACE SWMI |
$10,168.65
|
| Rate for Payer: PHP Commercial |
$11,185.52
|
| Rate for Payer: PHP Medicare Advantage |
$10,168.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,075.22
|
| Rate for Payer: Priority Health Medicare |
$10,168.65
|
| Rate for Payer: Priority Health Narrow Network |
$10,460.17
|
| Rate for Payer: Railroad Medicare Medicare |
$10,168.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,168.65
|
| Rate for Payer: UHC Exchange |
$15,761.41
|
| Rate for Payer: UHC Medicare Advantage |
$10,168.65
|
| Rate for Payer: UHCCP DNSP |
$10,168.65
|
| Rate for Payer: VA VA |
$10,168.65
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$47,806.08
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$29,300.50 |
| Max. Negotiated Rate |
$47,806.08 |
| Rate for Payer: Aetna Medicare |
$30,842.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,553.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,553.29
|
| Rate for Payer: BCBS MAPPO |
$30,842.63
|
| Rate for Payer: BCN Medicare Advantage |
$30,842.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,842.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,842.63
|
| Rate for Payer: Mclaren Medicare |
$30,842.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,384.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,469.02
|
| Rate for Payer: PACE Medicare |
$29,300.50
|
| Rate for Payer: PACE SWMI |
$30,842.63
|
| Rate for Payer: PHP Commercial |
$33,926.89
|
| Rate for Payer: PHP Medicare Advantage |
$30,842.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,905.27
|
| Rate for Payer: Priority Health Medicare |
$30,842.63
|
| Rate for Payer: Priority Health Narrow Network |
$35,924.21
|
| Rate for Payer: Railroad Medicare Medicare |
$30,842.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,842.63
|
| Rate for Payer: UHC Exchange |
$47,806.08
|
| Rate for Payer: UHC Medicare Advantage |
$30,842.63
|
| Rate for Payer: UHCCP DNSP |
$30,842.63
|
| Rate for Payer: VA VA |
$30,842.63
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$28,675.25
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$17,575.15 |
| Max. Negotiated Rate |
$28,675.25 |
| Rate for Payer: Aetna Medicare |
$18,500.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,125.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,125.20
|
| Rate for Payer: BCBS MAPPO |
$18,500.16
|
| Rate for Payer: BCN Medicare Advantage |
$18,500.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,500.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,500.16
|
| Rate for Payer: Mclaren Medicare |
$18,500.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,425.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,275.18
|
| Rate for Payer: PACE Medicare |
$17,575.15
|
| Rate for Payer: PACE SWMI |
$18,500.16
|
| Rate for Payer: PHP Commercial |
$20,350.18
|
| Rate for Payer: PHP Medicare Advantage |
$18,500.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,904.51
|
| Rate for Payer: Priority Health Medicare |
$18,500.16
|
| Rate for Payer: Priority Health Narrow Network |
$20,723.61
|
| Rate for Payer: Railroad Medicare Medicare |
$18,500.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,500.16
|
| Rate for Payer: UHC Exchange |
$28,675.25
|
| Rate for Payer: UHC Medicare Advantage |
$18,500.16
|
| Rate for Payer: UHCCP DNSP |
$18,500.16
|
| Rate for Payer: VA VA |
$18,500.16
|
|
|
MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$37,840.92
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$23,192.82 |
| Max. Negotiated Rate |
$37,840.92 |
| Rate for Payer: Aetna Medicare |
$24,413.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,516.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,516.88
|
| Rate for Payer: BCBS MAPPO |
$24,413.50
|
| Rate for Payer: BCN Medicare Advantage |
$24,413.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,413.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,413.50
|
| Rate for Payer: Mclaren Medicare |
$24,413.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,634.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,075.52
|
| Rate for Payer: PACE Medicare |
$23,192.82
|
| Rate for Payer: PACE SWMI |
$24,413.50
|
| Rate for Payer: PHP Commercial |
$26,854.85
|
| Rate for Payer: PHP Medicare Advantage |
$24,413.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,007.84
|
| Rate for Payer: Priority Health Medicare |
$24,413.50
|
| Rate for Payer: Priority Health Narrow Network |
$28,006.27
|
| Rate for Payer: Railroad Medicare Medicare |
$24,413.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,413.50
|
| Rate for Payer: UHC Exchange |
$37,840.92
|
| Rate for Payer: UHC Medicare Advantage |
$24,413.50
|
| Rate for Payer: UHCCP DNSP |
$24,413.50
|
| Rate for Payer: VA VA |
$24,413.50
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$29,437.31
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$18,042.22 |
| Max. Negotiated Rate |
$29,437.31 |
| Rate for Payer: Aetna Medicare |
$18,991.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,739.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,739.76
|
| Rate for Payer: BCBS MAPPO |
$18,991.81
|
| Rate for Payer: BCN Medicare Advantage |
$18,991.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,991.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,991.81
|
| Rate for Payer: Mclaren Medicare |
$18,991.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,941.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,840.58
|
| Rate for Payer: PACE Medicare |
$18,042.22
|
| Rate for Payer: PACE SWMI |
$18,991.81
|
| Rate for Payer: PHP Commercial |
$20,890.99
|
| Rate for Payer: PHP Medicare Advantage |
$18,991.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,660.14
|
| Rate for Payer: Priority Health Medicare |
$18,991.81
|
| Rate for Payer: Priority Health Narrow Network |
$21,328.11
|
| Rate for Payer: Railroad Medicare Medicare |
$18,991.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,991.81
|
| Rate for Payer: UHC Exchange |
$29,437.31
|
| Rate for Payer: UHC Medicare Advantage |
$18,991.81
|
| Rate for Payer: UHCCP DNSP |
$18,991.81
|
| Rate for Payer: VA VA |
$18,991.81
|
|
