|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,101.43
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$14,158.94 |
| Max. Negotiated Rate |
$23,101.43 |
| Rate for Payer: Aetna Medicare |
$14,904.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,630.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,630.19
|
| Rate for Payer: BCBS MAPPO |
$14,904.15
|
| Rate for Payer: BCN Medicare Advantage |
$14,904.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,904.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,904.15
|
| Rate for Payer: Mclaren Medicare |
$14,904.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,649.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,139.77
|
| Rate for Payer: PACE Medicare |
$14,158.94
|
| Rate for Payer: PACE SWMI |
$14,904.15
|
| Rate for Payer: PHP Commercial |
$16,394.56
|
| Rate for Payer: PHP Medicare Advantage |
$14,904.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,366.40
|
| Rate for Payer: Priority Health Medicare |
$14,904.15
|
| Rate for Payer: Priority Health Narrow Network |
$16,293.12
|
| Rate for Payer: Railroad Medicare Medicare |
$14,904.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,904.15
|
| Rate for Payer: UHC Exchange |
$23,101.43
|
| Rate for Payer: UHC Medicare Advantage |
$14,904.15
|
| Rate for Payer: UHCCP DNSP |
$14,904.15
|
| Rate for Payer: VA VA |
$14,904.15
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$29,404.14
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$18,021.89 |
| Max. Negotiated Rate |
$29,404.14 |
| Rate for Payer: Aetna Medicare |
$18,970.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,713.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,713.01
|
| Rate for Payer: BCBS MAPPO |
$18,970.41
|
| Rate for Payer: BCN Medicare Advantage |
$18,970.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,970.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,970.41
|
| Rate for Payer: Mclaren Medicare |
$18,970.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,918.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,815.97
|
| Rate for Payer: PACE Medicare |
$18,021.89
|
| Rate for Payer: PACE SWMI |
$18,970.41
|
| Rate for Payer: PHP Commercial |
$20,867.45
|
| Rate for Payer: PHP Medicare Advantage |
$18,970.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,627.17
|
| Rate for Payer: Priority Health Medicare |
$18,970.41
|
| Rate for Payer: Priority Health Narrow Network |
$21,301.73
|
| Rate for Payer: Railroad Medicare Medicare |
$18,970.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,970.41
|
| Rate for Payer: UHC Exchange |
$29,404.14
|
| Rate for Payer: UHC Medicare Advantage |
$18,970.41
|
| Rate for Payer: UHCCP DNSP |
$18,970.41
|
| Rate for Payer: VA VA |
$18,970.41
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,447.29
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$12,532.21 |
| Max. Negotiated Rate |
$20,447.29 |
| Rate for Payer: Aetna Medicare |
$13,191.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,489.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,489.75
|
| Rate for Payer: BCBS MAPPO |
$13,191.80
|
| Rate for Payer: BCN Medicare Advantage |
$13,191.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,191.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,191.80
|
| Rate for Payer: Mclaren Medicare |
$13,191.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,851.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,170.57
|
| Rate for Payer: PACE Medicare |
$12,532.21
|
| Rate for Payer: PACE SWMI |
$13,191.80
|
| Rate for Payer: PHP Commercial |
$14,510.98
|
| Rate for Payer: PHP Medicare Advantage |
$13,191.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,731.30
|
| Rate for Payer: Priority Health Medicare |
$13,191.80
|
| Rate for Payer: Priority Health Narrow Network |
$14,185.04
|
| Rate for Payer: Railroad Medicare Medicare |
$13,191.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,191.80
|
| Rate for Payer: UHC Exchange |
$20,447.29
|
| Rate for Payer: UHC Medicare Advantage |
$13,191.80
|
| Rate for Payer: UHCCP DNSP |
$13,191.80
|
| Rate for Payer: VA VA |
$13,191.80
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$31,850.81
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$19,521.46 |
| Max. Negotiated Rate |
$31,850.81 |
| Rate for Payer: Aetna Medicare |
$20,548.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,686.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,686.14
|
| Rate for Payer: BCBS MAPPO |
$20,548.91
|
| Rate for Payer: BCN Medicare Advantage |
$20,548.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,548.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,548.91
|
| Rate for Payer: Mclaren Medicare |
$20,548.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,576.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,631.25
|
| Rate for Payer: PACE Medicare |
$19,521.46
|
| Rate for Payer: PACE SWMI |
$20,548.91
|
| Rate for Payer: PHP Commercial |
$22,603.80
|
| Rate for Payer: PHP Medicare Advantage |
$20,548.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,057.56
|
| Rate for Payer: Priority Health Medicare |
$20,548.91
|
| Rate for Payer: Priority Health Narrow Network |
$23,246.05
|
| Rate for Payer: Railroad Medicare Medicare |
$20,548.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,548.91
|
| Rate for Payer: UHC Exchange |
$31,850.81
|
| Rate for Payer: UHC Medicare Advantage |
$20,548.91
|
| Rate for Payer: UHCCP DNSP |
$20,548.91
|
| Rate for Payer: VA VA |
$20,548.91
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$17,549.72
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$10,756.28 |
| Max. Negotiated Rate |
$17,549.72 |
| Rate for Payer: Aetna Medicare |
$11,322.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,153.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,153.00
|
| Rate for Payer: BCBS MAPPO |
$11,322.40
|
| Rate for Payer: BCN Medicare Advantage |
$11,322.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,322.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,322.40
|
| Rate for Payer: Mclaren Medicare |
$11,322.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,888.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,020.76
|
| Rate for Payer: PACE Medicare |
$10,756.28
|
| Rate for Payer: PACE SWMI |
$11,322.40
|
| Rate for Payer: PHP Commercial |
$12,454.64
|
| Rate for Payer: PHP Medicare Advantage |
$11,322.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,851.64
|
| Rate for Payer: Priority Health Medicare |
$11,322.40
|
| Rate for Payer: Priority Health Narrow Network |
$11,881.31
|
| Rate for Payer: Railroad Medicare Medicare |
$11,322.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,322.40
|
| Rate for Payer: UHC Exchange |
$17,549.72
|
| Rate for Payer: UHC Medicare Advantage |
$11,322.40
|
| Rate for Payer: UHCCP DNSP |
$11,322.40
|
| Rate for Payer: VA VA |
$11,322.40
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$35,289.14
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$21,628.83 |
| Max. Negotiated Rate |
$35,289.14 |
| Rate for Payer: Aetna Medicare |
$22,767.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,458.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,458.99
|
| Rate for Payer: BCBS MAPPO |
$22,767.19
|
| Rate for Payer: BCN Medicare Advantage |
$22,767.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,767.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,767.19
|
| Rate for Payer: Mclaren Medicare |
$22,767.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,905.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,182.27
|
| Rate for Payer: PACE Medicare |
$21,628.83
|
| Rate for Payer: PACE SWMI |
$22,767.19
|
| Rate for Payer: PHP Commercial |
$25,043.91
|
| Rate for Payer: PHP Medicare Advantage |
$22,767.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32,474.40
|
| Rate for Payer: Priority Health Medicare |
$22,767.19
|
| Rate for Payer: Priority Health Narrow Network |
$25,979.52
|
| Rate for Payer: Railroad Medicare Medicare |
$22,767.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,767.19
|
| Rate for Payer: UHC Exchange |
$35,289.14
|
| Rate for Payer: UHC Medicare Advantage |
$22,767.19
|
| Rate for Payer: UHCCP DNSP |
$22,767.19
|
| Rate for Payer: VA VA |
$22,767.19
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$66,107.04
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$40,517.22 |
| Max. Negotiated Rate |
$66,107.04 |
| Rate for Payer: Aetna Medicare |
$42,649.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,312.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,312.12
|
| Rate for Payer: BCBS MAPPO |
$42,649.70
|
| Rate for Payer: BCN Medicare Advantage |
$42,649.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,649.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,649.70
|
| Rate for Payer: Mclaren Medicare |
$42,649.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,782.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,047.16
|
| Rate for Payer: PACE Medicare |
$40,517.22
|
| Rate for Payer: PACE SWMI |
$42,649.70
|
| Rate for Payer: PHP Commercial |
$46,914.67
|
| Rate for Payer: PHP Medicare Advantage |
$42,649.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63,084.45
|
| Rate for Payer: Priority Health Medicare |
$42,649.70
|
| Rate for Payer: Priority Health Narrow Network |
$50,467.56
|
| Rate for Payer: Railroad Medicare Medicare |
$42,649.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,649.70
|
| Rate for Payer: UHC Exchange |
$66,107.04
|
| Rate for Payer: UHC Medicare Advantage |
$42,649.70
|
| Rate for Payer: UHCCP DNSP |
$42,649.70
|
| Rate for Payer: VA VA |
$42,649.70
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,431.92
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$15,587.31 |
| Max. Negotiated Rate |
$25,431.92 |
| Rate for Payer: Aetna Medicare |
$16,407.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,509.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,509.61
|
| Rate for Payer: BCBS MAPPO |
$16,407.69
|
| Rate for Payer: BCN Medicare Advantage |
$16,407.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,407.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,407.69
|
| Rate for Payer: Mclaren Medicare |
$16,407.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,228.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,868.84
|
| Rate for Payer: PACE Medicare |
$15,587.31
|
| Rate for Payer: PACE SWMI |
$16,407.69
|
| Rate for Payer: PHP Commercial |
$18,048.46
|
| Rate for Payer: PHP Medicare Advantage |
$16,407.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,682.76
|
| Rate for Payer: Priority Health Medicare |
$16,407.69
|
| Rate for Payer: Priority Health Narrow Network |
$18,146.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16,407.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,407.69
|
| Rate for Payer: UHC Exchange |
$25,431.92
|
| Rate for Payer: UHC Medicare Advantage |
$16,407.69
|
| Rate for Payer: UHCCP DNSP |
$16,407.69
|
| Rate for Payer: VA VA |
$16,407.69
|
|
|
MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$23,331.00
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$14,299.65 |
| Max. Negotiated Rate |
$23,331.00 |
| Rate for Payer: Aetna Medicare |
$15,052.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,815.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,815.32
|
| Rate for Payer: BCBS MAPPO |
$15,052.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,052.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,052.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,052.26
|
| Rate for Payer: Mclaren Medicare |
$15,052.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,804.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,310.10
|
| Rate for Payer: PACE Medicare |
$14,299.65
|
| Rate for Payer: PACE SWMI |
$15,052.26
|
| Rate for Payer: PHP Commercial |
$16,557.49
|
| Rate for Payer: PHP Medicare Advantage |
$15,052.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,594.46
|
| Rate for Payer: Priority Health Medicare |
$15,052.26
|
| Rate for Payer: Priority Health Narrow Network |
$16,475.57
|
| Rate for Payer: Railroad Medicare Medicare |
$15,052.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,052.26
|
| Rate for Payer: UHC Exchange |
$23,331.00
|
| Rate for Payer: UHC Medicare Advantage |
$15,052.26
|
| Rate for Payer: UHCCP DNSP |
$15,052.26
|
| Rate for Payer: VA VA |
$15,052.26
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$17,950.83
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$11,002.12 |
| Max. Negotiated Rate |
$17,950.83 |
| Rate for Payer: Aetna Medicare |
$11,581.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,476.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,476.48
|
| Rate for Payer: BCBS MAPPO |
$11,581.18
|
| Rate for Payer: BCN Medicare Advantage |
$11,581.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,581.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,581.18
|
| Rate for Payer: Mclaren Medicare |
$11,581.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,160.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,318.36
|
| Rate for Payer: PACE Medicare |
$11,002.12
|
| Rate for Payer: PACE SWMI |
$11,581.18
|
| Rate for Payer: PHP Commercial |
$12,739.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,581.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,251.44
|
| Rate for Payer: Priority Health Medicare |
$11,581.18
|
| Rate for Payer: Priority Health Narrow Network |
$12,201.15
|
| Rate for Payer: Railroad Medicare Medicare |
$11,581.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,581.18
|
| Rate for Payer: UHC Exchange |
$17,950.83
|
| Rate for Payer: UHC Medicare Advantage |
$11,581.18
|
| Rate for Payer: UHCCP DNSP |
$11,581.18
|
| Rate for Payer: VA VA |
$11,581.18
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$27,621.33
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$16,929.20 |
| Max. Negotiated Rate |
$27,621.33 |
| Rate for Payer: Aetna Medicare |
$17,820.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,275.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,275.26
|
| Rate for Payer: BCBS MAPPO |
$17,820.21
|
| Rate for Payer: BCN Medicare Advantage |
$17,820.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,820.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,820.21
|
| Rate for Payer: Mclaren Medicare |
$17,820.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,711.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,493.24
|
| Rate for Payer: PACE Medicare |
$16,929.20
|
| Rate for Payer: PACE SWMI |
$17,820.21
|
| Rate for Payer: PHP Commercial |
$19,602.23
|
| Rate for Payer: PHP Medicare Advantage |
$17,820.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,856.24
|
| Rate for Payer: Priority Health Medicare |
$17,820.21
|
| Rate for Payer: Priority Health Narrow Network |
$19,884.99
|
| Rate for Payer: Railroad Medicare Medicare |
$17,820.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,820.21
|
| Rate for Payer: UHC Exchange |
$27,621.33
|
| Rate for Payer: UHC Medicare Advantage |
$17,820.21
|
| Rate for Payer: UHCCP DNSP |
$17,820.21
|
| Rate for Payer: VA VA |
$17,820.21
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,805.66
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$9,687.34 |
| Max. Negotiated Rate |
$15,805.66 |
| Rate for Payer: Aetna Medicare |
$10,197.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,746.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,746.50
|
| Rate for Payer: BCBS MAPPO |
$10,197.20
|
| Rate for Payer: BCN Medicare Advantage |
$10,197.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,197.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,197.20
|
| Rate for Payer: Mclaren Medicare |
$10,197.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,707.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,726.78
|
| Rate for Payer: PACE Medicare |
$9,687.34
|
| Rate for Payer: PACE SWMI |
$10,197.20
|
| Rate for Payer: PHP Commercial |
$11,216.92
|
| Rate for Payer: PHP Medicare Advantage |
$10,197.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,119.18
|
| Rate for Payer: Priority Health Medicare |
$10,197.20
|
| Rate for Payer: Priority Health Narrow Network |
$10,495.34
|
| Rate for Payer: Railroad Medicare Medicare |
$10,197.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,197.20
|
| Rate for Payer: UHC Exchange |
$15,805.66
|
| Rate for Payer: UHC Medicare Advantage |
$10,197.20
|
| Rate for Payer: UHCCP DNSP |
$10,197.20
|
| Rate for Payer: VA VA |
$10,197.20
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$18,127.85
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$11,110.62 |
| Max. Negotiated Rate |
$18,127.85 |
| Rate for Payer: Aetna Medicare |
$11,695.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,619.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,619.24
|
| Rate for Payer: BCBS MAPPO |
$11,695.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,695.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,695.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,695.39
|
| Rate for Payer: Mclaren Medicare |
$11,695.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,280.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,449.70
|
| Rate for Payer: PACE Medicare |
$11,110.62
|
| Rate for Payer: PACE SWMI |
$11,695.39
|
| Rate for Payer: PHP Commercial |
$12,864.93
|
| Rate for Payer: PHP Medicare Advantage |
$11,695.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,427.30
|
| Rate for Payer: Priority Health Medicare |
$11,695.39
|
| Rate for Payer: Priority Health Narrow Network |
$12,341.84
|
| Rate for Payer: Railroad Medicare Medicare |
$11,695.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,695.39
|
| Rate for Payer: UHC Exchange |
$18,127.85
|
| Rate for Payer: UHC Medicare Advantage |
$11,695.39
|
| Rate for Payer: UHCCP DNSP |
$11,695.39
|
| Rate for Payer: VA VA |
$11,695.39
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$26,509.34
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$16,247.66 |
| Max. Negotiated Rate |
$26,509.34 |
| Rate for Payer: Aetna Medicare |
$17,102.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,378.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,378.50
|
| Rate for Payer: BCBS MAPPO |
$17,102.80
|
| Rate for Payer: BCN Medicare Advantage |
$17,102.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,102.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,102.80
|
| Rate for Payer: Mclaren Medicare |
$17,102.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,957.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,668.22
|
| Rate for Payer: PACE Medicare |
$16,247.66
|
| Rate for Payer: PACE SWMI |
$17,102.80
|
| Rate for Payer: PHP Commercial |
$18,813.08
|
| Rate for Payer: PHP Medicare Advantage |
$17,102.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,751.64
|
| Rate for Payer: Priority Health Medicare |
$17,102.80
|
| Rate for Payer: Priority Health Narrow Network |
$19,001.31
|
| Rate for Payer: Railroad Medicare Medicare |
$17,102.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,102.80
|
| Rate for Payer: UHC Exchange |
$26,509.34
|
| Rate for Payer: UHC Medicare Advantage |
$17,102.80
|
| Rate for Payer: UHCCP DNSP |
$17,102.80
|
| Rate for Payer: VA VA |
$17,102.80
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$12,674.37
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$7,768.16 |
| Max. Negotiated Rate |
$12,674.37 |
| Rate for Payer: Aetna Medicare |
$8,177.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,221.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,221.26
|
| Rate for Payer: BCBS MAPPO |
$8,177.01
|
| Rate for Payer: BCN Medicare Advantage |
$8,177.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,177.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,177.01
|
| Rate for Payer: Mclaren Medicare |
$8,177.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,585.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,403.56
|
| Rate for Payer: PACE Medicare |
$7,768.16
|
| Rate for Payer: PACE SWMI |
$8,177.01
|
| Rate for Payer: PHP Commercial |
$8,994.71
|
| Rate for Payer: PHP Medicare Advantage |
$8,177.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,010.09
|
| Rate for Payer: Priority Health Medicare |
$8,177.01
|
| Rate for Payer: Priority Health Narrow Network |
$8,008.07
|
| Rate for Payer: Railroad Medicare Medicare |
$8,177.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,177.01
|
| Rate for Payer: UHC Exchange |
$12,674.37
|
| Rate for Payer: UHC Medicare Advantage |
$8,177.01
|
| Rate for Payer: UHCCP DNSP |
$8,177.01
|
| Rate for Payer: VA VA |
$8,177.01
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$18,194.23
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$11,151.30 |
| Max. Negotiated Rate |
$18,194.23 |
| Rate for Payer: Aetna Medicare |
$11,738.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,672.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,672.76
|
| Rate for Payer: BCBS MAPPO |
$11,738.21
|
| Rate for Payer: BCN Medicare Advantage |
$11,738.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,738.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,738.21
|
| Rate for Payer: Mclaren Medicare |
$11,738.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,325.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,498.94
|
| Rate for Payer: PACE Medicare |
$11,151.30
|
| Rate for Payer: PACE SWMI |
$11,738.21
|
| Rate for Payer: PHP Commercial |
$12,912.03
|
| Rate for Payer: PHP Medicare Advantage |
$11,738.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,491.87
|
| Rate for Payer: Priority Health Medicare |
$11,738.21
|
| Rate for Payer: Priority Health Narrow Network |
$12,393.50
|
| Rate for Payer: Railroad Medicare Medicare |
$11,738.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,738.21
|
| Rate for Payer: UHC Exchange |
$18,194.23
|
| Rate for Payer: UHC Medicare Advantage |
$11,738.21
|
| Rate for Payer: UHCCP DNSP |
$11,738.21
|
| Rate for Payer: VA VA |
$11,738.21
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$27,832.95
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$17,058.90 |
| Max. Negotiated Rate |
$27,832.95 |
| Rate for Payer: Aetna Medicare |
$17,956.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,445.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,445.92
|
| Rate for Payer: BCBS MAPPO |
$17,956.74
|
| Rate for Payer: BCN Medicare Advantage |
$17,956.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,956.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,956.74
|
| Rate for Payer: Mclaren Medicare |
$17,956.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,854.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,650.25
|
| Rate for Payer: PACE Medicare |
$17,058.90
|
| Rate for Payer: PACE SWMI |
$17,956.74
|
| Rate for Payer: PHP Commercial |
$19,752.41
|
| Rate for Payer: PHP Medicare Advantage |
$17,956.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,066.44
|
| Rate for Payer: Priority Health Medicare |
$17,956.74
|
| Rate for Payer: Priority Health Narrow Network |
$20,053.15
|
| Rate for Payer: Railroad Medicare Medicare |
$17,956.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,956.74
|
| Rate for Payer: UHC Exchange |
$27,832.95
|
| Rate for Payer: UHC Medicare Advantage |
$17,956.74
|
| Rate for Payer: UHCCP DNSP |
$17,956.74
|
| Rate for Payer: VA VA |
$17,956.74
|
|
|
MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,457.16
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$8,247.94 |
| Max. Negotiated Rate |
$13,457.16 |
| Rate for Payer: Aetna Medicare |
$8,682.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,852.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,852.55
|
| Rate for Payer: BCBS MAPPO |
$8,682.04
|
| Rate for Payer: BCN Medicare Advantage |
$8,682.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,682.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,682.04
|
| Rate for Payer: Mclaren Medicare |
$8,682.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,116.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,984.35
|
| Rate for Payer: PACE Medicare |
$8,247.94
|
| Rate for Payer: PACE SWMI |
$8,682.04
|
| Rate for Payer: PHP Commercial |
$9,550.24
|
| Rate for Payer: PHP Medicare Advantage |
$8,682.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,786.33
|
| Rate for Payer: Priority Health Medicare |
$8,682.04
|
| Rate for Payer: Priority Health Narrow Network |
$8,629.07
|
| Rate for Payer: Railroad Medicare Medicare |
$8,682.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,682.04
|
| Rate for Payer: UHC Exchange |
$13,457.16
|
| Rate for Payer: UHC Medicare Advantage |
$8,682.04
|
| Rate for Payer: UHCCP DNSP |
$8,682.04
|
| Rate for Payer: VA VA |
$8,682.04
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC
|
Facility
|
IP
|
$17,519.28
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$10,737.62 |
| Max. Negotiated Rate |
$17,519.28 |
| Rate for Payer: Aetna Medicare |
$11,302.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,128.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,128.45
|
| Rate for Payer: BCBS MAPPO |
$11,302.76
|
| Rate for Payer: BCN Medicare Advantage |
$11,302.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,302.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,302.76
|
| Rate for Payer: Mclaren Medicare |
$11,302.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,867.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,998.17
|
| Rate for Payer: PACE Medicare |
$10,737.62
|
| Rate for Payer: PACE SWMI |
$11,302.76
|
| Rate for Payer: PHP Commercial |
$12,433.04
|
| Rate for Payer: PHP Medicare Advantage |
$11,302.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,822.79
|
| Rate for Payer: Priority Health Medicare |
$11,302.76
|
| Rate for Payer: Priority Health Narrow Network |
$11,858.23
|
| Rate for Payer: Railroad Medicare Medicare |
$11,302.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,302.76
|
| Rate for Payer: UHC Exchange |
$17,519.28
|
| Rate for Payer: UHC Medicare Advantage |
$11,302.76
|
| Rate for Payer: UHCCP DNSP |
$11,302.76
|
| Rate for Payer: VA VA |
$11,302.76
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC
|
Facility
|
IP
|
$26,893.83
|
|
|
Service Code
|
MSDRG 597
|
| Min. Negotiated Rate |
$16,483.32 |
| Max. Negotiated Rate |
$26,893.83 |
| Rate for Payer: Aetna Medicare |
$17,350.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,688.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,688.58
|
| Rate for Payer: BCBS MAPPO |
$17,350.86
|
| Rate for Payer: BCN Medicare Advantage |
$17,350.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,350.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,350.86
|
| Rate for Payer: Mclaren Medicare |
$17,350.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,218.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,953.49
|
| Rate for Payer: PACE Medicare |
$16,483.32
|
| Rate for Payer: PACE SWMI |
$17,350.86
|
| Rate for Payer: PHP Commercial |
$19,085.95
|
| Rate for Payer: PHP Medicare Advantage |
$17,350.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,132.20
|
| Rate for Payer: Priority Health Medicare |
$17,350.86
|
| Rate for Payer: Priority Health Narrow Network |
$19,305.76
|
| Rate for Payer: Railroad Medicare Medicare |
$17,350.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,350.86
|
| Rate for Payer: UHC Exchange |
$26,893.83
|
| Rate for Payer: UHC Medicare Advantage |
$17,350.86
|
| Rate for Payer: UHCCP DNSP |
$17,350.86
|
| Rate for Payer: VA VA |
$17,350.86
|
|
|
MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,421.18
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$8,838.79 |
| Max. Negotiated Rate |
$14,421.18 |
| Rate for Payer: Aetna Medicare |
$9,303.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,629.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,629.99
|
| Rate for Payer: BCBS MAPPO |
$9,303.99
|
| Rate for Payer: BCN Medicare Advantage |
$9,303.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,303.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,303.99
|
| Rate for Payer: Mclaren Medicare |
$9,303.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,769.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,699.59
|
| Rate for Payer: PACE Medicare |
$8,838.79
|
| Rate for Payer: PACE SWMI |
$9,303.99
|
| Rate for Payer: PHP Commercial |
$10,234.39
|
| Rate for Payer: PHP Medicare Advantage |
$9,303.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,745.30
|
| Rate for Payer: Priority Health Medicare |
$9,303.99
|
| Rate for Payer: Priority Health Narrow Network |
$9,396.24
|
| Rate for Payer: Railroad Medicare Medicare |
$9,303.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,303.99
|
| Rate for Payer: UHC Exchange |
$14,421.18
|
| Rate for Payer: UHC Medicare Advantage |
$9,303.99
|
| Rate for Payer: UHCCP DNSP |
$9,303.99
|
| Rate for Payer: VA VA |
$9,303.99
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$26,817.77
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$16,436.70 |
| Max. Negotiated Rate |
$26,817.77 |
| Rate for Payer: Aetna Medicare |
$17,301.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,627.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,627.24
|
| Rate for Payer: BCBS MAPPO |
$17,301.79
|
| Rate for Payer: BCN Medicare Advantage |
$17,301.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,301.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,301.79
|
| Rate for Payer: Mclaren Medicare |
$17,301.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,166.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,897.06
|
| Rate for Payer: PACE Medicare |
$16,436.70
|
| Rate for Payer: PACE SWMI |
$17,301.79
|
| Rate for Payer: PHP Commercial |
$19,031.97
|
| Rate for Payer: PHP Medicare Advantage |
$17,301.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,058.01
|
| Rate for Payer: Priority Health Medicare |
$17,301.79
|
| Rate for Payer: Priority Health Narrow Network |
$19,246.41
|
| Rate for Payer: Railroad Medicare Medicare |
$17,301.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,301.79
|
| Rate for Payer: UHC Exchange |
$26,817.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,301.79
|
| Rate for Payer: UHCCP DNSP |
$17,301.79
|
| Rate for Payer: VA VA |
$17,301.79
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$25,317.13
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$15,516.95 |
| Max. Negotiated Rate |
$25,317.13 |
| Rate for Payer: Aetna Medicare |
$16,333.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,417.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,417.04
|
| Rate for Payer: BCBS MAPPO |
$16,333.63
|
| Rate for Payer: BCN Medicare Advantage |
$16,333.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,333.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,333.63
|
| Rate for Payer: Mclaren Medicare |
$16,333.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,150.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,783.67
|
| Rate for Payer: PACE Medicare |
$15,516.95
|
| Rate for Payer: PACE SWMI |
$16,333.63
|
| Rate for Payer: PHP Commercial |
$17,966.99
|
| Rate for Payer: PHP Medicare Advantage |
$16,333.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,565.98
|
| Rate for Payer: Priority Health Medicare |
$16,333.63
|
| Rate for Payer: Priority Health Narrow Network |
$18,052.78
|
| Rate for Payer: Railroad Medicare Medicare |
$16,333.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,333.63
|
| Rate for Payer: UHC Exchange |
$25,317.13
|
| Rate for Payer: UHC Medicare Advantage |
$16,333.63
|
| Rate for Payer: UHCCP DNSP |
$16,333.63
|
| Rate for Payer: VA VA |
$16,333.63
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC
|
Facility
|
IP
|
$26,198.15
|
|
|
Service Code
|
MSDRG 551
|
| Min. Negotiated Rate |
$16,056.93 |
| Max. Negotiated Rate |
$26,198.15 |
| Rate for Payer: Aetna Medicare |
$16,902.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,127.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,127.54
|
| Rate for Payer: BCBS MAPPO |
$16,902.03
|
| Rate for Payer: BCN Medicare Advantage |
$16,902.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,902.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,902.03
|
| Rate for Payer: Mclaren Medicare |
$16,902.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,747.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,437.33
|
| Rate for Payer: PACE Medicare |
$16,056.93
|
| Rate for Payer: PACE SWMI |
$16,902.03
|
| Rate for Payer: PHP Commercial |
$18,592.23
|
| Rate for Payer: PHP Medicare Advantage |
$16,902.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,442.51
|
| Rate for Payer: Priority Health Medicare |
$16,902.03
|
| Rate for Payer: Priority Health Narrow Network |
$18,754.01
|
| Rate for Payer: Railroad Medicare Medicare |
$16,902.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,902.03
|
| Rate for Payer: UHC Exchange |
$26,198.15
|
| Rate for Payer: UHC Medicare Advantage |
$16,902.03
|
| Rate for Payer: UHCCP DNSP |
$16,902.03
|
| Rate for Payer: VA VA |
$16,902.03
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC
|
Facility
|
IP
|
$15,927.38
|
|
|
Service Code
|
MSDRG 552
|
| Min. Negotiated Rate |
$9,761.94 |
| Max. Negotiated Rate |
$15,927.38 |
| Rate for Payer: Aetna Medicare |
$10,275.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,844.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,844.66
|
| Rate for Payer: BCBS MAPPO |
$10,275.73
|
| Rate for Payer: BCN Medicare Advantage |
$10,275.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,275.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,275.73
|
| Rate for Payer: Mclaren Medicare |
$10,275.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,789.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,817.09
|
| Rate for Payer: PACE Medicare |
$9,761.94
|
| Rate for Payer: PACE SWMI |
$10,275.73
|
| Rate for Payer: PHP Commercial |
$11,303.30
|
| Rate for Payer: PHP Medicare Advantage |
$10,275.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,241.46
|
| Rate for Payer: Priority Health Medicare |
$10,275.73
|
| Rate for Payer: Priority Health Narrow Network |
$10,593.16
|
| Rate for Payer: Railroad Medicare Medicare |
$10,275.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,275.73
|
| Rate for Payer: UHC Exchange |
$15,927.38
|
| Rate for Payer: UHC Medicare Advantage |
$10,275.73
|
| Rate for Payer: UHCCP DNSP |
$10,275.73
|
| Rate for Payer: VA VA |
$10,275.73
|
|
