|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$45,248.75
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$27,733.10 |
| Max. Negotiated Rate |
$45,248.75 |
| Rate for Payer: Aetna Medicare |
$29,192.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,490.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,490.92
|
| Rate for Payer: BCBS MAPPO |
$29,192.74
|
| Rate for Payer: BCN Medicare Advantage |
$29,192.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,192.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,192.74
|
| Rate for Payer: Mclaren Medicare |
$29,192.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,652.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,571.65
|
| Rate for Payer: PACE Medicare |
$27,733.10
|
| Rate for Payer: PACE SWMI |
$29,192.74
|
| Rate for Payer: PHP Commercial |
$32,112.01
|
| Rate for Payer: PHP Medicare Advantage |
$29,192.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,364.96
|
| Rate for Payer: Priority Health Medicare |
$29,192.74
|
| Rate for Payer: Priority Health Narrow Network |
$33,891.97
|
| Rate for Payer: Railroad Medicare Medicare |
$29,192.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,192.74
|
| Rate for Payer: UHC Exchange |
$45,248.75
|
| Rate for Payer: UHC Medicare Advantage |
$29,192.74
|
| Rate for Payer: UHCCP DNSP |
$29,192.74
|
| Rate for Payer: VA VA |
$29,192.74
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,824.82
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$13,989.41 |
| Max. Negotiated Rate |
$22,824.82 |
| Rate for Payer: Aetna Medicare |
$14,725.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,407.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,407.11
|
| Rate for Payer: BCBS MAPPO |
$14,725.69
|
| Rate for Payer: BCN Medicare Advantage |
$14,725.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,725.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,725.69
|
| Rate for Payer: Mclaren Medicare |
$14,725.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,461.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,934.54
|
| Rate for Payer: PACE Medicare |
$13,989.41
|
| Rate for Payer: PACE SWMI |
$14,725.69
|
| Rate for Payer: PHP Commercial |
$16,198.26
|
| Rate for Payer: PHP Medicare Advantage |
$14,725.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,091.62
|
| Rate for Payer: Priority Health Medicare |
$14,725.69
|
| Rate for Payer: Priority Health Narrow Network |
$16,073.30
|
| Rate for Payer: Railroad Medicare Medicare |
$14,725.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,725.69
|
| Rate for Payer: UHC Exchange |
$22,824.82
|
| Rate for Payer: UHC Medicare Advantage |
$14,725.69
|
| Rate for Payer: UHCCP DNSP |
$14,725.69
|
| Rate for Payer: VA VA |
$14,725.69
|
|
|
MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$31,406.90
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$16,872.42 |
| Max. Negotiated Rate |
$31,406.90 |
| Rate for Payer: Aetna Medicare |
$17,760.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,200.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,200.55
|
| Rate for Payer: BCBS MAPPO |
$17,760.44
|
| Rate for Payer: BCN Medicare Advantage |
$17,760.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,760.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,760.44
|
| Rate for Payer: Mclaren Medicare |
$17,760.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,648.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,424.51
|
| Rate for Payer: PACE Medicare |
$16,872.42
|
| Rate for Payer: PACE SWMI |
$17,760.44
|
| Rate for Payer: PHP Commercial |
$19,536.48
|
| Rate for Payer: PHP Medicare Advantage |
$17,760.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,406.90
|
| Rate for Payer: Priority Health Medicare |
$17,760.44
|
| Rate for Payer: Priority Health Narrow Network |
$25,125.52
|
| Rate for Payer: Railroad Medicare Medicare |
$17,760.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,760.44
|
| Rate for Payer: UHC Exchange |
$27,528.68
|
| Rate for Payer: UHC Medicare Advantage |
$17,760.44
|
| Rate for Payer: UHCCP DNSP |
$17,760.44
|
| Rate for Payer: VA VA |
$17,760.44
|
|
|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$23,014.26
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$2,289.43 |
| Max. Negotiated Rate |
$23,014.26 |
| Rate for Payer: Aetna Medicare |
$14,847.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,559.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,559.89
|
| Rate for Payer: BCBS MAPPO |
$14,847.91
|
| Rate for Payer: BCN Medicare Advantage |
$14,847.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,847.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,847.91
|
| Rate for Payer: Mclaren Medicare |
$14,847.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,590.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,075.10
|
| Rate for Payer: PACE Medicare |
$14,105.51
|
| Rate for Payer: PACE SWMI |
$14,847.91
|
| Rate for Payer: PHP Commercial |
$16,332.70
|
| Rate for Payer: PHP Medicare Advantage |
$14,847.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,861.79
|
| Rate for Payer: Priority Health Medicare |
$14,847.91
|
| Rate for Payer: Priority Health Narrow Network |
$2,289.43
|
| Rate for Payer: Railroad Medicare Medicare |
$14,847.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,847.91
|
| Rate for Payer: UHC Exchange |
$23,014.26
|
| Rate for Payer: UHC Medicare Advantage |
$14,847.91
|
| Rate for Payer: UHCCP DNSP |
$14,847.91
|
| Rate for Payer: VA VA |
$14,847.91
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$23,331.00
|
|
|
Service Code
|
MSDRG 054
|
| 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 |
$20,595.84
|
| Rate for Payer: Priority Health Medicare |
$15,052.26
|
| Rate for Payer: Priority Health Narrow Network |
$16,476.67
|
| 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: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$17,686.63
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$10,840.19 |
| Max. Negotiated Rate |
$17,686.63 |
| Rate for Payer: Aetna Medicare |
$11,410.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,263.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,263.41
|
| Rate for Payer: BCBS MAPPO |
$11,410.73
|
| Rate for Payer: BCN Medicare Advantage |
$11,410.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,410.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,410.73
|
| Rate for Payer: Mclaren Medicare |
$11,410.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,981.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,122.34
|
| Rate for Payer: PACE Medicare |
$10,840.19
|
| Rate for Payer: PACE SWMI |
$11,410.73
|
| Rate for Payer: PHP Commercial |
$12,551.80
|
| Rate for Payer: PHP Medicare Advantage |
$11,410.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,987.66
|
| Rate for Payer: Priority Health Medicare |
$11,410.73
|
| Rate for Payer: Priority Health Narrow Network |
$11,990.13
|
| Rate for Payer: Railroad Medicare Medicare |
$11,410.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,410.73
|
| Rate for Payer: UHC Exchange |
$17,686.63
|
| Rate for Payer: UHC Medicare Advantage |
$11,410.73
|
| Rate for Payer: UHCCP DNSP |
$11,410.73
|
| Rate for Payer: VA VA |
$11,410.73
|
|
|
MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$13,706.12
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$8,400.53 |
| Max. Negotiated Rate |
$13,706.12 |
| Rate for Payer: Aetna Medicare |
$8,842.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,053.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,053.32
|
| Rate for Payer: BCBS MAPPO |
$8,842.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,842.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,842.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,842.66
|
| Rate for Payer: Mclaren Medicare |
$8,842.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,284.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,169.06
|
| Rate for Payer: PACE Medicare |
$8,400.53
|
| Rate for Payer: PACE SWMI |
$8,842.66
|
| Rate for Payer: PHP Commercial |
$9,726.93
|
| Rate for Payer: PHP Medicare Advantage |
$8,842.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,035.00
|
| Rate for Payer: Priority Health Medicare |
$8,842.66
|
| Rate for Payer: Priority Health Narrow Network |
$8,828.00
|
| Rate for Payer: Railroad Medicare Medicare |
$8,842.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,842.66
|
| Rate for Payer: UHC Exchange |
$13,706.12
|
| Rate for Payer: UHC Medicare Advantage |
$8,842.66
|
| Rate for Payer: UHCCP DNSP |
$8,842.66
|
| Rate for Payer: VA VA |
$8,842.66
|
|
|
MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$15,902.46
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$9,746.67 |
| Max. Negotiated Rate |
$15,902.46 |
| Rate for Payer: Aetna Medicare |
$10,259.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,824.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,824.56
|
| Rate for Payer: BCBS MAPPO |
$10,259.65
|
| Rate for Payer: BCN Medicare Advantage |
$10,259.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,259.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,259.65
|
| Rate for Payer: Mclaren Medicare |
$10,259.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,772.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,798.60
|
| Rate for Payer: PACE Medicare |
$9,746.67
|
| Rate for Payer: PACE SWMI |
$10,259.65
|
| Rate for Payer: PHP Commercial |
$11,285.62
|
| Rate for Payer: PHP Medicare Advantage |
$10,259.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,215.35
|
| Rate for Payer: Priority Health Medicare |
$10,259.65
|
| Rate for Payer: Priority Health Narrow Network |
$10,572.28
|
| Rate for Payer: Railroad Medicare Medicare |
$10,259.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,259.65
|
| Rate for Payer: UHC Exchange |
$15,902.46
|
| Rate for Payer: UHC Medicare Advantage |
$10,259.65
|
| Rate for Payer: UHCCP DNSP |
$10,259.65
|
| Rate for Payer: VA VA |
$10,259.65
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$32,600.44
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$19,980.91 |
| Max. Negotiated Rate |
$32,600.44 |
| Rate for Payer: Aetna Medicare |
$21,032.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,290.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,290.68
|
| Rate for Payer: BCBS MAPPO |
$21,032.54
|
| Rate for Payer: BCN Medicare Advantage |
$21,032.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,032.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,032.54
|
| Rate for Payer: Mclaren Medicare |
$21,032.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,084.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,187.42
|
| Rate for Payer: PACE Medicare |
$19,980.91
|
| Rate for Payer: PACE SWMI |
$21,032.54
|
| Rate for Payer: PHP Commercial |
$23,135.79
|
| Rate for Payer: PHP Medicare Advantage |
$21,032.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,800.83
|
| Rate for Payer: Priority Health Medicare |
$21,032.54
|
| Rate for Payer: Priority Health Narrow Network |
$23,840.66
|
| Rate for Payer: Railroad Medicare Medicare |
$21,032.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,032.54
|
| Rate for Payer: UHC Exchange |
$32,600.44
|
| Rate for Payer: UHC Medicare Advantage |
$21,032.54
|
| Rate for Payer: UHCCP DNSP |
$21,032.54
|
| Rate for Payer: VA VA |
$21,032.54
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$52,175.23
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$31,978.37 |
| Max. Negotiated Rate |
$52,175.23 |
| Rate for Payer: Aetna Medicare |
$33,661.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,076.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,076.80
|
| Rate for Payer: BCBS MAPPO |
$33,661.44
|
| Rate for Payer: BCN Medicare Advantage |
$33,661.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,661.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,661.44
|
| Rate for Payer: Mclaren Medicare |
$33,661.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,344.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,710.66
|
| Rate for Payer: PACE Medicare |
$31,978.37
|
| Rate for Payer: PACE SWMI |
$33,661.44
|
| Rate for Payer: PHP Commercial |
$37,027.58
|
| Rate for Payer: PHP Medicare Advantage |
$33,661.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,250.85
|
| Rate for Payer: Priority Health Medicare |
$33,661.44
|
| Rate for Payer: Priority Health Narrow Network |
$39,400.68
|
| Rate for Payer: Railroad Medicare Medicare |
$33,661.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,661.44
|
| Rate for Payer: UHC Exchange |
$52,175.23
|
| Rate for Payer: UHC Medicare Advantage |
$33,661.44
|
| Rate for Payer: UHCCP DNSP |
$33,661.44
|
| Rate for Payer: VA VA |
$33,661.44
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,867.71
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$13,402.79 |
| Max. Negotiated Rate |
$21,867.71 |
| Rate for Payer: Aetna Medicare |
$14,108.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,635.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,635.25
|
| Rate for Payer: BCBS MAPPO |
$14,108.20
|
| Rate for Payer: BCN Medicare Advantage |
$14,108.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,108.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,108.20
|
| Rate for Payer: Mclaren Medicare |
$14,108.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,813.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,224.43
|
| Rate for Payer: PACE Medicare |
$13,402.79
|
| Rate for Payer: PACE SWMI |
$14,108.20
|
| Rate for Payer: PHP Commercial |
$15,519.02
|
| Rate for Payer: PHP Medicare Advantage |
$14,108.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,140.90
|
| Rate for Payer: Priority Health Medicare |
$14,108.20
|
| Rate for Payer: Priority Health Narrow Network |
$15,312.72
|
| Rate for Payer: Railroad Medicare Medicare |
$14,108.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,108.20
|
| Rate for Payer: UHC Exchange |
$21,867.71
|
| Rate for Payer: UHC Medicare Advantage |
$14,108.20
|
| Rate for Payer: UHCCP DNSP |
$14,108.20
|
| Rate for Payer: VA VA |
$14,108.20
|
|
|
MS-DRG 42.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$32,975.26
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$20,210.64 |
| Max. Negotiated Rate |
$32,975.26 |
| Rate for Payer: Aetna Medicare |
$21,274.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,592.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,592.95
|
| Rate for Payer: BCBS MAPPO |
$21,274.36
|
| Rate for Payer: BCN Medicare Advantage |
$21,274.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,274.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,274.36
|
| Rate for Payer: Mclaren Medicare |
$21,274.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,338.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,465.51
|
| Rate for Payer: PACE Medicare |
$20,210.64
|
| Rate for Payer: PACE SWMI |
$21,274.36
|
| Rate for Payer: PHP Commercial |
$23,401.80
|
| Rate for Payer: PHP Medicare Advantage |
$21,274.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,174.53
|
| Rate for Payer: Priority Health Medicare |
$21,274.36
|
| Rate for Payer: Priority Health Narrow Network |
$24,139.62
|
| Rate for Payer: Railroad Medicare Medicare |
$21,274.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,274.36
|
| Rate for Payer: UHC Exchange |
$32,975.26
|
| Rate for Payer: UHC Medicare Advantage |
$21,274.36
|
| Rate for Payer: UHCCP DNSP |
$21,274.36
|
| Rate for Payer: VA VA |
$21,274.36
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$26,330.94
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$16,138.32 |
| Max. Negotiated Rate |
$26,330.94 |
| Rate for Payer: Aetna Medicare |
$16,987.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,234.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,234.62
|
| Rate for Payer: BCBS MAPPO |
$16,987.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,987.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,987.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,987.70
|
| Rate for Payer: Mclaren Medicare |
$16,987.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,837.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,535.86
|
| Rate for Payer: PACE Medicare |
$16,138.32
|
| Rate for Payer: PACE SWMI |
$16,987.70
|
| Rate for Payer: PHP Commercial |
$18,686.47
|
| Rate for Payer: PHP Medicare Advantage |
$16,987.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,575.78
|
| Rate for Payer: Priority Health Medicare |
$16,987.70
|
| Rate for Payer: Priority Health Narrow Network |
$18,860.62
|
| Rate for Payer: Railroad Medicare Medicare |
$16,987.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,987.70
|
| Rate for Payer: UHC Exchange |
$26,330.94
|
| Rate for Payer: UHC Medicare Advantage |
$16,987.70
|
| Rate for Payer: UHCCP DNSP |
$16,987.70
|
| Rate for Payer: VA VA |
$16,987.70
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$51,042.49
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$31,284.11 |
| Max. Negotiated Rate |
$51,042.49 |
| Rate for Payer: Aetna Medicare |
$32,930.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,163.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,163.30
|
| Rate for Payer: BCBS MAPPO |
$32,930.64
|
| Rate for Payer: BCN Medicare Advantage |
$32,930.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,930.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,930.64
|
| Rate for Payer: Mclaren Medicare |
$32,930.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,577.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,870.24
|
| Rate for Payer: PACE Medicare |
$31,284.11
|
| Rate for Payer: PACE SWMI |
$32,930.64
|
| Rate for Payer: PHP Commercial |
$36,223.70
|
| Rate for Payer: PHP Medicare Advantage |
$32,930.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,127.02
|
| Rate for Payer: Priority Health Medicare |
$32,930.64
|
| Rate for Payer: Priority Health Narrow Network |
$38,501.61
|
| Rate for Payer: Railroad Medicare Medicare |
$32,930.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,930.64
|
| Rate for Payer: UHC Exchange |
$51,042.49
|
| Rate for Payer: UHC Medicare Advantage |
$32,930.64
|
| Rate for Payer: UHCCP DNSP |
$32,930.64
|
| Rate for Payer: VA VA |
$32,930.64
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,578.73
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$11,386.97 |
| Max. Negotiated Rate |
$18,578.73 |
| Rate for Payer: Aetna Medicare |
$11,986.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,982.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,982.85
|
| Rate for Payer: BCBS MAPPO |
$11,986.28
|
| Rate for Payer: BCN Medicare Advantage |
$11,986.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,986.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,986.28
|
| Rate for Payer: Mclaren Medicare |
$11,986.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,585.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,784.22
|
| Rate for Payer: PACE Medicare |
$11,386.97
|
| Rate for Payer: PACE SWMI |
$11,986.28
|
| Rate for Payer: PHP Commercial |
$13,184.91
|
| Rate for Payer: PHP Medicare Advantage |
$11,986.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,873.81
|
| Rate for Payer: Priority Health Medicare |
$11,986.28
|
| Rate for Payer: Priority Health Narrow Network |
$12,699.05
|
| Rate for Payer: Railroad Medicare Medicare |
$11,986.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,986.28
|
| Rate for Payer: UHC Exchange |
$18,578.73
|
| Rate for Payer: UHC Medicare Advantage |
$11,986.28
|
| Rate for Payer: UHCCP DNSP |
$11,986.28
|
| Rate for Payer: VA VA |
$11,986.28
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$15,827.79
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$9,700.91 |
| Max. Negotiated Rate |
$15,827.79 |
| Rate for Payer: Aetna Medicare |
$10,211.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,764.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,764.35
|
| Rate for Payer: BCBS MAPPO |
$10,211.48
|
| Rate for Payer: BCN Medicare Advantage |
$10,211.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,211.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,211.48
|
| Rate for Payer: Mclaren Medicare |
$10,211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,722.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,743.20
|
| Rate for Payer: PACE Medicare |
$9,700.91
|
| Rate for Payer: PACE SWMI |
$10,211.48
|
| Rate for Payer: PHP Commercial |
$11,232.63
|
| Rate for Payer: PHP Medicare Advantage |
$10,211.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,150.78
|
| Rate for Payer: Priority Health Medicare |
$10,211.48
|
| Rate for Payer: Priority Health Narrow Network |
$10,520.62
|
| Rate for Payer: Railroad Medicare Medicare |
$10,211.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,211.48
|
| Rate for Payer: UHC Exchange |
$15,827.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,211.48
|
| Rate for Payer: UHCCP DNSP |
$10,211.48
|
| Rate for Payer: VA VA |
$10,211.48
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,888.81
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$6,589.13 |
| Max. Negotiated Rate |
$10,888.81 |
| Rate for Payer: Aetna Medicare |
$7,025.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,781.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,781.30
|
| Rate for Payer: BCBS MAPPO |
$7,025.04
|
| Rate for Payer: BCN Medicare Advantage |
$7,025.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,025.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,025.04
|
| Rate for Payer: Mclaren Medicare |
$7,025.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,376.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,078.80
|
| Rate for Payer: PACE Medicare |
$6,673.79
|
| Rate for Payer: PACE SWMI |
$7,025.04
|
| Rate for Payer: PHP Commercial |
$7,727.54
|
| Rate for Payer: PHP Medicare Advantage |
$7,025.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,236.41
|
| Rate for Payer: Priority Health Medicare |
$7,025.04
|
| Rate for Payer: Priority Health Narrow Network |
$6,589.13
|
| Rate for Payer: Railroad Medicare Medicare |
$7,025.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,025.04
|
| Rate for Payer: UHC Exchange |
$10,888.81
|
| Rate for Payer: UHC Medicare Advantage |
$7,025.04
|
| Rate for Payer: UHCCP DNSP |
$7,025.04
|
| Rate for Payer: VA VA |
$7,025.04
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$17,173.52
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$10,525.71 |
| Max. Negotiated Rate |
$17,173.52 |
| Rate for Payer: Aetna Medicare |
$11,079.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,849.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,849.61
|
| Rate for Payer: BCBS MAPPO |
$11,079.69
|
| Rate for Payer: BCN Medicare Advantage |
$11,079.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,079.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,079.69
|
| Rate for Payer: Mclaren Medicare |
$11,079.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,633.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,741.64
|
| Rate for Payer: PACE Medicare |
$10,525.71
|
| Rate for Payer: PACE SWMI |
$11,079.69
|
| Rate for Payer: PHP Commercial |
$12,187.66
|
| Rate for Payer: PHP Medicare Advantage |
$11,079.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,477.95
|
| Rate for Payer: Priority Health Medicare |
$11,079.69
|
| Rate for Payer: Priority Health Narrow Network |
$11,582.36
|
| Rate for Payer: Railroad Medicare Medicare |
$11,079.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,079.69
|
| Rate for Payer: UHC Exchange |
$17,173.52
|
| Rate for Payer: UHC Medicare Advantage |
$11,079.69
|
| Rate for Payer: UHCCP DNSP |
$11,079.69
|
| Rate for Payer: VA VA |
$11,079.69
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$26,646.27
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$16,331.58 |
| Max. Negotiated Rate |
$26,646.27 |
| Rate for Payer: Aetna Medicare |
$17,191.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,488.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,488.92
|
| Rate for Payer: BCBS MAPPO |
$17,191.14
|
| Rate for Payer: BCN Medicare Advantage |
$17,191.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,191.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,191.14
|
| Rate for Payer: Mclaren Medicare |
$17,191.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,050.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,769.81
|
| Rate for Payer: PACE Medicare |
$16,331.58
|
| Rate for Payer: PACE SWMI |
$17,191.14
|
| Rate for Payer: PHP Commercial |
$18,910.25
|
| Rate for Payer: PHP Medicare Advantage |
$17,191.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,887.65
|
| Rate for Payer: Priority Health Medicare |
$17,191.14
|
| Rate for Payer: Priority Health Narrow Network |
$19,110.12
|
| Rate for Payer: Railroad Medicare Medicare |
$17,191.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,191.14
|
| Rate for Payer: UHC Exchange |
$26,646.27
|
| Rate for Payer: UHC Medicare Advantage |
$17,191.14
|
| Rate for Payer: UHCCP DNSP |
$17,191.14
|
| Rate for Payer: VA VA |
$17,191.14
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,973.10
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$7,951.25 |
| Max. Negotiated Rate |
$12,973.10 |
| Rate for Payer: Aetna Medicare |
$8,369.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,462.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,462.18
|
| Rate for Payer: BCBS MAPPO |
$8,369.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,369.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,369.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,369.74
|
| Rate for Payer: Mclaren Medicare |
$8,369.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,788.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,625.20
|
| Rate for Payer: PACE Medicare |
$7,951.25
|
| Rate for Payer: PACE SWMI |
$8,369.74
|
| Rate for Payer: PHP Commercial |
$9,206.71
|
| Rate for Payer: PHP Medicare Advantage |
$8,369.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,305.47
|
| Rate for Payer: Priority Health Medicare |
$8,369.74
|
| Rate for Payer: Priority Health Narrow Network |
$8,244.38
|
| Rate for Payer: Railroad Medicare Medicare |
$8,369.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,369.74
|
| Rate for Payer: UHC Exchange |
$12,973.10
|
| Rate for Payer: UHC Medicare Advantage |
$8,369.74
|
| Rate for Payer: UHCCP DNSP |
$8,369.74
|
| Rate for Payer: VA VA |
$8,369.74
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$22,719.68
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$13,924.97 |
| Max. Negotiated Rate |
$22,719.68 |
| Rate for Payer: Aetna Medicare |
$14,657.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,322.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,322.32
|
| Rate for Payer: BCBS MAPPO |
$14,657.86
|
| Rate for Payer: BCN Medicare Advantage |
$14,657.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,657.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,657.86
|
| Rate for Payer: Mclaren Medicare |
$14,657.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,390.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,856.54
|
| Rate for Payer: PACE Medicare |
$13,924.97
|
| Rate for Payer: PACE SWMI |
$14,657.86
|
| Rate for Payer: PHP Commercial |
$16,123.65
|
| Rate for Payer: PHP Medicare Advantage |
$14,657.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,000.95
|
| Rate for Payer: Priority Health Medicare |
$14,657.86
|
| Rate for Payer: Priority Health Narrow Network |
$16,000.76
|
| Rate for Payer: Railroad Medicare Medicare |
$14,657.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,657.86
|
| Rate for Payer: UHC Exchange |
$22,719.68
|
| Rate for Payer: UHC Medicare Advantage |
$14,657.86
|
| Rate for Payer: UHCCP DNSP |
$14,657.86
|
| Rate for Payer: VA VA |
$14,657.86
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$14,789.09
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$9,064.28 |
| Max. Negotiated Rate |
$14,789.09 |
| Rate for Payer: Aetna Medicare |
$9,541.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,926.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,926.69
|
| Rate for Payer: BCBS MAPPO |
$9,541.35
|
| Rate for Payer: BCN Medicare Advantage |
$9,541.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,541.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,541.35
|
| Rate for Payer: Mclaren Medicare |
$9,541.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,018.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,972.55
|
| Rate for Payer: PACE Medicare |
$9,064.28
|
| Rate for Payer: PACE SWMI |
$9,541.35
|
| Rate for Payer: PHP Commercial |
$10,495.48
|
| Rate for Payer: PHP Medicare Advantage |
$9,541.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,112.13
|
| Rate for Payer: Priority Health Medicare |
$9,541.35
|
| Rate for Payer: Priority Health Narrow Network |
$9,689.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,541.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,541.35
|
| Rate for Payer: UHC Exchange |
$14,789.09
|
| Rate for Payer: UHC Medicare Advantage |
$9,541.35
|
| Rate for Payer: UHCCP DNSP |
$9,541.35
|
| Rate for Payer: VA VA |
$9,541.35
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$30,090.15
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$18,442.35 |
| Max. Negotiated Rate |
$30,090.15 |
| Rate for Payer: Aetna Medicare |
$19,413.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,266.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,266.25
|
| Rate for Payer: BCBS MAPPO |
$19,413.00
|
| Rate for Payer: BCN Medicare Advantage |
$19,413.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,413.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,413.00
|
| Rate for Payer: Mclaren Medicare |
$19,413.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,383.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,324.95
|
| Rate for Payer: PACE Medicare |
$18,442.35
|
| Rate for Payer: PACE SWMI |
$19,413.00
|
| Rate for Payer: PHP Commercial |
$21,354.30
|
| Rate for Payer: PHP Medicare Advantage |
$19,413.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,309.99
|
| Rate for Payer: Priority Health Medicare |
$19,413.00
|
| Rate for Payer: Priority Health Narrow Network |
$21,847.99
|
| Rate for Payer: Railroad Medicare Medicare |
$19,413.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,413.00
|
| Rate for Payer: UHC Exchange |
$30,090.15
|
| Rate for Payer: UHC Medicare Advantage |
$19,413.00
|
| Rate for Payer: UHCCP DNSP |
$19,413.00
|
| Rate for Payer: VA VA |
$19,413.00
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$15,111.34
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$9,261.79 |
| Max. Negotiated Rate |
$15,111.34 |
| Rate for Payer: Aetna Medicare |
$9,749.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,186.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,186.56
|
| Rate for Payer: BCBS MAPPO |
$9,749.25
|
| Rate for Payer: BCN Medicare Advantage |
$9,749.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,749.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,749.25
|
| Rate for Payer: Mclaren Medicare |
$9,749.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,236.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,211.64
|
| Rate for Payer: PACE Medicare |
$9,261.79
|
| Rate for Payer: PACE SWMI |
$9,749.25
|
| Rate for Payer: PHP Commercial |
$10,724.18
|
| Rate for Payer: PHP Medicare Advantage |
$9,749.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,430.87
|
| Rate for Payer: Priority Health Medicare |
$9,749.25
|
| Rate for Payer: Priority Health Narrow Network |
$9,944.69
|
| Rate for Payer: Railroad Medicare Medicare |
$9,749.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,749.25
|
| Rate for Payer: UHC Exchange |
$15,111.34
|
| Rate for Payer: UHC Medicare Advantage |
$9,749.25
|
| Rate for Payer: UHCCP DNSP |
$9,749.25
|
| Rate for Payer: VA VA |
$9,749.25
|
|
|
MS-DRG 42.00: NORMAL NEWBORN
|
Facility
|
IP
|
$5,360.60
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$1,560.73 |
| Max. Negotiated Rate |
$5,360.60 |
| Rate for Payer: Aetna Medicare |
$3,458.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,323.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,323.06
|
| Rate for Payer: BCBS MAPPO |
$3,458.45
|
| Rate for Payer: BCN Medicare Advantage |
$3,458.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,458.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,458.45
|
| Rate for Payer: Mclaren Medicare |
$3,458.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,631.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,977.22
|
| Rate for Payer: PACE Medicare |
$3,285.53
|
| Rate for Payer: PACE SWMI |
$3,458.45
|
| Rate for Payer: PHP Commercial |
$3,804.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,458.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,950.91
|
| Rate for Payer: Priority Health Medicare |
$3,458.45
|
| Rate for Payer: Priority Health Narrow Network |
$1,560.73
|
| Rate for Payer: Railroad Medicare Medicare |
$3,458.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,458.45
|
| Rate for Payer: UHC Exchange |
$5,360.60
|
| Rate for Payer: UHC Medicare Advantage |
$3,458.45
|
| Rate for Payer: UHCCP DNSP |
$3,458.45
|
| Rate for Payer: VA VA |
$3,458.45
|
|
