|
MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$33,807.89
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$20,720.96 |
| Max. Negotiated Rate |
$33,807.89 |
| Rate for Payer: Aetna Medicare |
$21,811.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,264.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,264.42
|
| Rate for Payer: BCBS MAPPO |
$21,811.54
|
| Rate for Payer: BCN Medicare Advantage |
$21,811.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,811.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,811.54
|
| Rate for Payer: Mclaren Medicare |
$21,811.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,902.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,083.27
|
| Rate for Payer: PACE Medicare |
$20,720.96
|
| Rate for Payer: PACE SWMI |
$21,811.54
|
| Rate for Payer: PHP Commercial |
$23,992.69
|
| Rate for Payer: PHP Medicare Advantage |
$21,811.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,002.98
|
| Rate for Payer: Priority Health Medicare |
$21,811.54
|
| Rate for Payer: Priority Health Narrow Network |
$24,802.38
|
| Rate for Payer: Railroad Medicare Medicare |
$21,811.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,811.54
|
| Rate for Payer: UHC Exchange |
$33,807.89
|
| Rate for Payer: UHC Medicare Advantage |
$21,811.54
|
| Rate for Payer: UHCCP DNSP |
$21,811.54
|
| Rate for Payer: VA VA |
$21,811.54
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,946.64
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$11,612.46 |
| Max. Negotiated Rate |
$18,946.64 |
| Rate for Payer: Aetna Medicare |
$12,223.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,279.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,279.55
|
| Rate for Payer: BCBS MAPPO |
$12,223.64
|
| Rate for Payer: BCN Medicare Advantage |
$12,223.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,223.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,223.64
|
| Rate for Payer: Mclaren Medicare |
$12,223.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,834.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,057.19
|
| Rate for Payer: PACE Medicare |
$11,612.46
|
| Rate for Payer: PACE SWMI |
$12,223.64
|
| Rate for Payer: PHP Commercial |
$13,446.00
|
| Rate for Payer: PHP Medicare Advantage |
$12,223.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,240.64
|
| Rate for Payer: Priority Health Medicare |
$12,223.64
|
| Rate for Payer: Priority Health Narrow Network |
$12,992.51
|
| Rate for Payer: Railroad Medicare Medicare |
$12,223.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,223.64
|
| Rate for Payer: UHC Exchange |
$18,946.64
|
| Rate for Payer: UHC Medicare Advantage |
$12,223.64
|
| Rate for Payer: UHCCP DNSP |
$12,223.64
|
| Rate for Payer: VA VA |
$12,223.64
|
|
|
MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$25,697.45
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$15,750.05 |
| Max. Negotiated Rate |
$25,697.45 |
| Rate for Payer: Aetna Medicare |
$16,579.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,723.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,723.75
|
| Rate for Payer: BCBS MAPPO |
$16,579.00
|
| Rate for Payer: BCN Medicare Advantage |
$16,579.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,579.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,579.00
|
| Rate for Payer: Mclaren Medicare |
$16,579.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,407.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,065.85
|
| Rate for Payer: PACE Medicare |
$15,750.05
|
| Rate for Payer: PACE SWMI |
$16,579.00
|
| Rate for Payer: PHP Commercial |
$18,236.90
|
| Rate for Payer: PHP Medicare Advantage |
$16,579.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,945.17
|
| Rate for Payer: Priority Health Medicare |
$16,579.00
|
| Rate for Payer: Priority Health Narrow Network |
$18,356.14
|
| Rate for Payer: Railroad Medicare Medicare |
$16,579.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,579.00
|
| Rate for Payer: UHC Exchange |
$25,697.45
|
| Rate for Payer: UHC Medicare Advantage |
$16,579.00
|
| Rate for Payer: UHCCP DNSP |
$16,579.00
|
| Rate for Payer: VA VA |
$16,579.00
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$24,685.07
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$15,129.56 |
| Max. Negotiated Rate |
$24,685.07 |
| Rate for Payer: Aetna Medicare |
$15,925.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,907.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,907.31
|
| Rate for Payer: BCBS MAPPO |
$15,925.85
|
| Rate for Payer: BCN Medicare Advantage |
$15,925.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,925.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,925.85
|
| Rate for Payer: Mclaren Medicare |
$15,925.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,722.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,314.73
|
| Rate for Payer: PACE Medicare |
$15,129.56
|
| Rate for Payer: PACE SWMI |
$15,925.85
|
| Rate for Payer: PHP Commercial |
$17,518.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,925.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,939.49
|
| Rate for Payer: Priority Health Medicare |
$15,925.85
|
| Rate for Payer: Priority Health Narrow Network |
$17,551.59
|
| Rate for Payer: Railroad Medicare Medicare |
$15,925.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,925.85
|
| Rate for Payer: UHC Exchange |
$24,685.07
|
| Rate for Payer: UHC Medicare Advantage |
$15,925.85
|
| Rate for Payer: UHCCP DNSP |
$15,925.85
|
| Rate for Payer: VA VA |
$15,925.85
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$40,306.98
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$24,704.28 |
| Max. Negotiated Rate |
$40,306.98 |
| Rate for Payer: Aetna Medicare |
$26,004.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,505.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,505.62
|
| Rate for Payer: BCBS MAPPO |
$26,004.50
|
| Rate for Payer: BCN Medicare Advantage |
$26,004.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,004.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,004.50
|
| Rate for Payer: Mclaren Medicare |
$26,004.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,304.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,905.18
|
| Rate for Payer: PACE Medicare |
$24,704.28
|
| Rate for Payer: PACE SWMI |
$26,004.50
|
| Rate for Payer: PHP Commercial |
$28,604.95
|
| Rate for Payer: PHP Medicare Advantage |
$26,004.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,457.46
|
| Rate for Payer: Priority Health Medicare |
$26,004.50
|
| Rate for Payer: Priority Health Narrow Network |
$29,965.97
|
| Rate for Payer: Railroad Medicare Medicare |
$26,004.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,004.50
|
| Rate for Payer: UHC Exchange |
$40,306.98
|
| Rate for Payer: UHC Medicare Advantage |
$26,004.50
|
| Rate for Payer: UHCCP DNSP |
$26,004.50
|
| Rate for Payer: VA VA |
$26,004.50
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$22,815.13
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$13,983.47 |
| Max. Negotiated Rate |
$22,815.13 |
| Rate for Payer: Aetna Medicare |
$14,719.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,399.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,399.30
|
| Rate for Payer: BCBS MAPPO |
$14,719.44
|
| Rate for Payer: BCN Medicare Advantage |
$14,719.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,719.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,719.44
|
| Rate for Payer: Mclaren Medicare |
$14,719.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,455.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,927.36
|
| Rate for Payer: PACE Medicare |
$13,983.47
|
| Rate for Payer: PACE SWMI |
$14,719.44
|
| Rate for Payer: PHP Commercial |
$16,191.38
|
| Rate for Payer: PHP Medicare Advantage |
$14,719.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,082.00
|
| Rate for Payer: Priority Health Medicare |
$14,719.44
|
| Rate for Payer: Priority Health Narrow Network |
$16,065.60
|
| Rate for Payer: Railroad Medicare Medicare |
$14,719.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,719.44
|
| Rate for Payer: UHC Exchange |
$22,815.13
|
| Rate for Payer: UHC Medicare Advantage |
$14,719.44
|
| Rate for Payer: UHCCP DNSP |
$14,719.44
|
| Rate for Payer: VA VA |
$14,719.44
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$31,799.64
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$19,490.10 |
| Max. Negotiated Rate |
$31,799.64 |
| Rate for Payer: Aetna Medicare |
$20,515.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,644.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,644.88
|
| Rate for Payer: BCBS MAPPO |
$20,515.90
|
| Rate for Payer: BCN Medicare Advantage |
$20,515.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,515.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,515.90
|
| Rate for Payer: Mclaren Medicare |
$20,515.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,541.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,593.28
|
| Rate for Payer: PACE Medicare |
$19,490.10
|
| Rate for Payer: PACE SWMI |
$20,515.90
|
| Rate for Payer: PHP Commercial |
$22,567.49
|
| Rate for Payer: PHP Medicare Advantage |
$20,515.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,006.73
|
| Rate for Payer: Priority Health Medicare |
$20,515.90
|
| Rate for Payer: Priority Health Narrow Network |
$23,205.38
|
| Rate for Payer: Railroad Medicare Medicare |
$20,515.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,515.90
|
| Rate for Payer: UHC Exchange |
$31,799.64
|
| Rate for Payer: UHC Medicare Advantage |
$20,515.90
|
| Rate for Payer: UHCCP DNSP |
$20,515.90
|
| Rate for Payer: VA VA |
$20,515.90
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$46,496.30
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$28,497.73 |
| Max. Negotiated Rate |
$46,496.30 |
| Rate for Payer: Aetna Medicare |
$29,997.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,497.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,497.01
|
| Rate for Payer: BCBS MAPPO |
$29,997.61
|
| Rate for Payer: BCN Medicare Advantage |
$29,997.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,997.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,997.61
|
| Rate for Payer: Mclaren Medicare |
$29,997.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,497.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,497.25
|
| Rate for Payer: PACE Medicare |
$28,497.73
|
| Rate for Payer: PACE SWMI |
$29,997.61
|
| Rate for Payer: PHP Commercial |
$32,997.37
|
| Rate for Payer: PHP Medicare Advantage |
$29,997.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,604.20
|
| Rate for Payer: Priority Health Medicare |
$29,997.61
|
| Rate for Payer: Priority Health Narrow Network |
$34,883.36
|
| Rate for Payer: Railroad Medicare Medicare |
$29,997.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,997.61
|
| Rate for Payer: UHC Exchange |
$46,496.30
|
| Rate for Payer: UHC Medicare Advantage |
$29,997.61
|
| Rate for Payer: UHCCP DNSP |
$29,997.61
|
| Rate for Payer: VA VA |
$29,997.61
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,626.82
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$18,158.38 |
| Max. Negotiated Rate |
$29,626.82 |
| Rate for Payer: Aetna Medicare |
$19,114.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,892.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,892.60
|
| Rate for Payer: BCBS MAPPO |
$19,114.08
|
| Rate for Payer: BCN Medicare Advantage |
$19,114.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,114.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,114.08
|
| Rate for Payer: Mclaren Medicare |
$19,114.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,069.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,981.19
|
| Rate for Payer: PACE Medicare |
$18,158.38
|
| Rate for Payer: PACE SWMI |
$19,114.08
|
| Rate for Payer: PHP Commercial |
$21,025.49
|
| Rate for Payer: PHP Medicare Advantage |
$19,114.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,848.36
|
| Rate for Payer: Priority Health Medicare |
$19,114.08
|
| Rate for Payer: Priority Health Narrow Network |
$21,478.69
|
| Rate for Payer: Railroad Medicare Medicare |
$19,114.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,114.08
|
| Rate for Payer: UHC Exchange |
$29,626.82
|
| Rate for Payer: UHC Medicare Advantage |
$19,114.08
|
| Rate for Payer: UHCCP DNSP |
$19,114.08
|
| Rate for Payer: VA VA |
$19,114.08
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$56,946.86
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$34,902.91 |
| Max. Negotiated Rate |
$56,946.86 |
| Rate for Payer: Aetna Medicare |
$36,739.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,924.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,924.89
|
| Rate for Payer: BCBS MAPPO |
$36,739.91
|
| Rate for Payer: BCN Medicare Advantage |
$36,739.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,739.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,739.91
|
| Rate for Payer: Mclaren Medicare |
$36,739.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,576.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,250.90
|
| Rate for Payer: PACE Medicare |
$34,902.91
|
| Rate for Payer: PACE SWMI |
$36,739.91
|
| Rate for Payer: PHP Commercial |
$40,413.90
|
| Rate for Payer: PHP Medicare Advantage |
$36,739.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,985.24
|
| Rate for Payer: Priority Health Medicare |
$36,739.91
|
| Rate for Payer: Priority Health Narrow Network |
$43,188.19
|
| Rate for Payer: Railroad Medicare Medicare |
$36,739.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,739.91
|
| Rate for Payer: UHC Exchange |
$56,946.86
|
| Rate for Payer: UHC Medicare Advantage |
$36,739.91
|
| Rate for Payer: UHCCP DNSP |
$36,739.91
|
| Rate for Payer: VA VA |
$36,739.91
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$20,495.71
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$12,561.89 |
| Max. Negotiated Rate |
$20,495.71 |
| Rate for Payer: Aetna Medicare |
$13,223.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,528.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,528.80
|
| Rate for Payer: BCBS MAPPO |
$13,223.04
|
| Rate for Payer: BCN Medicare Advantage |
$13,223.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,223.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,223.04
|
| Rate for Payer: Mclaren Medicare |
$13,223.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,884.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,206.50
|
| Rate for Payer: PACE Medicare |
$12,561.89
|
| Rate for Payer: PACE SWMI |
$13,223.04
|
| Rate for Payer: PHP Commercial |
$14,545.34
|
| Rate for Payer: PHP Medicare Advantage |
$13,223.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,783.50
|
| Rate for Payer: Priority Health Medicare |
$13,223.04
|
| Rate for Payer: Priority Health Narrow Network |
$14,226.80
|
| Rate for Payer: Railroad Medicare Medicare |
$13,223.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,223.04
|
| Rate for Payer: UHC Exchange |
$20,495.71
|
| Rate for Payer: UHC Medicare Advantage |
$13,223.04
|
| Rate for Payer: UHCCP DNSP |
$13,223.04
|
| Rate for Payer: VA VA |
$13,223.04
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$30,568.71
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$18,735.66 |
| Max. Negotiated Rate |
$30,568.71 |
| Rate for Payer: Aetna Medicare |
$19,721.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,652.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,652.19
|
| Rate for Payer: BCBS MAPPO |
$19,721.75
|
| Rate for Payer: BCN Medicare Advantage |
$19,721.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,721.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,721.75
|
| Rate for Payer: Mclaren Medicare |
$19,721.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,707.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,680.01
|
| Rate for Payer: PACE Medicare |
$18,735.66
|
| Rate for Payer: PACE SWMI |
$19,721.75
|
| Rate for Payer: PHP Commercial |
$21,693.92
|
| Rate for Payer: PHP Medicare Advantage |
$19,721.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,789.47
|
| Rate for Payer: Priority Health Medicare |
$19,721.75
|
| Rate for Payer: Priority Health Narrow Network |
$22,231.58
|
| Rate for Payer: Railroad Medicare Medicare |
$19,721.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,721.75
|
| Rate for Payer: UHC Exchange |
$30,568.71
|
| Rate for Payer: UHC Medicare Advantage |
$19,721.75
|
| Rate for Payer: UHCCP DNSP |
$19,721.75
|
| Rate for Payer: VA VA |
$19,721.75
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,697.80
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$9,008.33 |
| Max. Negotiated Rate |
$14,697.80 |
| Rate for Payer: Aetna Medicare |
$9,482.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,853.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,853.06
|
| Rate for Payer: BCBS MAPPO |
$9,482.45
|
| Rate for Payer: BCN Medicare Advantage |
$9,482.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,482.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,482.45
|
| Rate for Payer: Mclaren Medicare |
$9,482.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,956.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,904.82
|
| Rate for Payer: PACE Medicare |
$9,008.33
|
| Rate for Payer: PACE SWMI |
$9,482.45
|
| Rate for Payer: PHP Commercial |
$10,430.70
|
| Rate for Payer: PHP Medicare Advantage |
$9,482.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,018.70
|
| Rate for Payer: Priority Health Medicare |
$9,482.45
|
| Rate for Payer: Priority Health Narrow Network |
$9,614.96
|
| Rate for Payer: Railroad Medicare Medicare |
$9,482.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,482.45
|
| Rate for Payer: UHC Exchange |
$14,697.80
|
| Rate for Payer: UHC Medicare Advantage |
$9,482.45
|
| Rate for Payer: UHCCP DNSP |
$9,482.45
|
| Rate for Payer: VA VA |
$9,482.45
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,411.31
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$9,788.62 |
| Max. Negotiated Rate |
$20,411.31 |
| Rate for Payer: Aetna Medicare |
$13,168.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,460.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,460.74
|
| Rate for Payer: BCBS MAPPO |
$13,168.59
|
| Rate for Payer: BCN Medicare Advantage |
$13,168.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,168.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,168.59
|
| Rate for Payer: Mclaren Medicare |
$13,168.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,827.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,143.88
|
| Rate for Payer: PACE Medicare |
$12,510.16
|
| Rate for Payer: PACE SWMI |
$13,168.59
|
| Rate for Payer: PHP Commercial |
$14,485.45
|
| Rate for Payer: PHP Medicare Advantage |
$13,168.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,235.78
|
| Rate for Payer: Priority Health Medicare |
$13,168.59
|
| Rate for Payer: Priority Health Narrow Network |
$9,788.62
|
| Rate for Payer: Railroad Medicare Medicare |
$13,168.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,168.59
|
| Rate for Payer: UHC Exchange |
$20,411.31
|
| Rate for Payer: UHC Medicare Advantage |
$13,168.59
|
| Rate for Payer: UHCCP DNSP |
$13,168.59
|
| Rate for Payer: VA VA |
$13,168.59
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$37,659.78
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$18,242.93 |
| Max. Negotiated Rate |
$37,659.78 |
| Rate for Payer: Aetna Medicare |
$24,296.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,370.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,370.79
|
| Rate for Payer: BCBS MAPPO |
$24,296.63
|
| Rate for Payer: BCN Medicare Advantage |
$24,296.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,296.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,296.63
|
| Rate for Payer: Mclaren Medicare |
$24,296.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,511.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,941.12
|
| Rate for Payer: PACE Medicare |
$23,081.80
|
| Rate for Payer: PACE SWMI |
$24,296.63
|
| Rate for Payer: PHP Commercial |
$26,726.29
|
| Rate for Payer: PHP Medicare Advantage |
$24,296.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,803.66
|
| Rate for Payer: Priority Health Medicare |
$24,296.63
|
| Rate for Payer: Priority Health Narrow Network |
$18,242.93
|
| Rate for Payer: Railroad Medicare Medicare |
$24,296.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,296.63
|
| Rate for Payer: UHC Exchange |
$37,659.78
|
| Rate for Payer: UHC Medicare Advantage |
$24,296.63
|
| Rate for Payer: UHCCP DNSP |
$24,296.63
|
| Rate for Payer: VA VA |
$24,296.63
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,890.08
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$6,045.07 |
| Max. Negotiated Rate |
$13,890.08 |
| Rate for Payer: Aetna Medicare |
$8,961.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,201.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,201.68
|
| Rate for Payer: BCBS MAPPO |
$8,961.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,961.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,961.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,961.34
|
| Rate for Payer: Mclaren Medicare |
$8,961.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,409.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,305.54
|
| Rate for Payer: PACE Medicare |
$8,513.27
|
| Rate for Payer: PACE SWMI |
$8,961.34
|
| Rate for Payer: PHP Commercial |
$9,857.47
|
| Rate for Payer: PHP Medicare Advantage |
$8,961.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,556.34
|
| Rate for Payer: Priority Health Medicare |
$8,961.34
|
| Rate for Payer: Priority Health Narrow Network |
$6,045.07
|
| Rate for Payer: Railroad Medicare Medicare |
$8,961.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,961.34
|
| Rate for Payer: UHC Exchange |
$13,890.08
|
| Rate for Payer: UHC Medicare Advantage |
$8,961.34
|
| Rate for Payer: UHCCP DNSP |
$8,961.34
|
| Rate for Payer: VA VA |
$8,961.34
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$12,934.36
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$5,178.98 |
| Max. Negotiated Rate |
$12,934.36 |
| Rate for Payer: Aetna Medicare |
$8,344.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,430.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,430.94
|
| Rate for Payer: BCBS MAPPO |
$8,344.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,344.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,344.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,344.75
|
| Rate for Payer: Mclaren Medicare |
$8,344.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,761.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,596.46
|
| Rate for Payer: PACE Medicare |
$7,927.51
|
| Rate for Payer: PACE SWMI |
$8,344.75
|
| Rate for Payer: PHP Commercial |
$9,179.22
|
| Rate for Payer: PHP Medicare Advantage |
$8,344.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,473.72
|
| Rate for Payer: Priority Health Medicare |
$8,344.75
|
| Rate for Payer: Priority Health Narrow Network |
$5,178.98
|
| Rate for Payer: Railroad Medicare Medicare |
$8,344.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,344.75
|
| Rate for Payer: UHC Exchange |
$12,934.36
|
| Rate for Payer: UHC Medicare Advantage |
$8,344.75
|
| Rate for Payer: UHCCP DNSP |
$8,344.75
|
| Rate for Payer: VA VA |
$8,344.75
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$18,516.50
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$7,407.96 |
| Max. Negotiated Rate |
$18,516.50 |
| Rate for Payer: Aetna Medicare |
$11,946.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,932.66
|
| Rate for Payer: BCBS MAPPO |
$11,946.13
|
| Rate for Payer: BCN Medicare Advantage |
$11,946.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,946.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,946.13
|
| Rate for Payer: Mclaren Medicare |
$11,946.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,543.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,738.05
|
| Rate for Payer: PACE Medicare |
$11,348.82
|
| Rate for Payer: PACE SWMI |
$11,946.13
|
| Rate for Payer: PHP Commercial |
$13,140.74
|
| Rate for Payer: PHP Medicare Advantage |
$11,946.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,259.95
|
| Rate for Payer: Priority Health Medicare |
$11,946.13
|
| Rate for Payer: Priority Health Narrow Network |
$7,407.96
|
| Rate for Payer: Railroad Medicare Medicare |
$11,946.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,946.13
|
| Rate for Payer: UHC Exchange |
$18,516.50
|
| Rate for Payer: UHC Medicare Advantage |
$11,946.13
|
| Rate for Payer: UHCCP DNSP |
$11,946.13
|
| Rate for Payer: VA VA |
$11,946.13
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,786.47
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$3,461.08 |
| Max. Negotiated Rate |
$9,786.47 |
| Rate for Payer: Aetna Medicare |
$6,313.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,892.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,892.31
|
| Rate for Payer: BCBS MAPPO |
$6,313.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,313.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,313.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,313.85
|
| Rate for Payer: Mclaren Medicare |
$6,313.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,629.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,260.93
|
| Rate for Payer: PACE Medicare |
$5,998.16
|
| Rate for Payer: PACE SWMI |
$6,313.85
|
| Rate for Payer: PHP Commercial |
$6,945.24
|
| Rate for Payer: PHP Medicare Advantage |
$6,313.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,326.35
|
| Rate for Payer: Priority Health Medicare |
$6,313.85
|
| Rate for Payer: Priority Health Narrow Network |
$3,461.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6,313.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,313.85
|
| Rate for Payer: UHC Exchange |
$9,786.47
|
| Rate for Payer: UHC Medicare Advantage |
$6,313.85
|
| Rate for Payer: UHCCP DNSP |
$6,313.85
|
| Rate for Payer: VA VA |
$6,313.85
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,520.43
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$43,835.10 |
| Max. Negotiated Rate |
$71,520.43 |
| Rate for Payer: Aetna Medicare |
$46,142.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,677.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,677.76
|
| Rate for Payer: BCBS MAPPO |
$46,142.21
|
| Rate for Payer: BCN Medicare Advantage |
$46,142.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,142.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,142.21
|
| Rate for Payer: Mclaren Medicare |
$46,142.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,449.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,063.54
|
| Rate for Payer: PACE Medicare |
$43,835.10
|
| Rate for Payer: PACE SWMI |
$46,142.21
|
| Rate for Payer: PHP Commercial |
$50,756.43
|
| Rate for Payer: PHP Medicare Advantage |
$46,142.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68,459.07
|
| Rate for Payer: Priority Health Medicare |
$46,142.21
|
| Rate for Payer: Priority Health Narrow Network |
$54,767.25
|
| Rate for Payer: Railroad Medicare Medicare |
$46,142.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,142.21
|
| Rate for Payer: UHC Exchange |
$71,520.43
|
| Rate for Payer: UHC Medicare Advantage |
$46,142.21
|
| Rate for Payer: UHCCP DNSP |
$46,142.21
|
| Rate for Payer: VA VA |
$46,142.21
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$45,559.94
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$27,923.83 |
| Max. Negotiated Rate |
$45,559.94 |
| Rate for Payer: Aetna Medicare |
$29,393.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,741.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,741.89
|
| Rate for Payer: BCBS MAPPO |
$29,393.51
|
| Rate for Payer: BCN Medicare Advantage |
$29,393.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,393.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,393.51
|
| Rate for Payer: Mclaren Medicare |
$29,393.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,863.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,802.54
|
| Rate for Payer: PACE Medicare |
$27,923.83
|
| Rate for Payer: PACE SWMI |
$29,393.51
|
| Rate for Payer: PHP Commercial |
$32,332.86
|
| Rate for Payer: PHP Medicare Advantage |
$29,393.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,674.09
|
| Rate for Payer: Priority Health Medicare |
$29,393.51
|
| Rate for Payer: Priority Health Narrow Network |
$34,139.27
|
| Rate for Payer: Railroad Medicare Medicare |
$29,393.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,393.51
|
| Rate for Payer: UHC Exchange |
$45,559.94
|
| Rate for Payer: UHC Medicare Advantage |
$29,393.51
|
| Rate for Payer: UHCCP DNSP |
$29,393.51
|
| Rate for Payer: VA VA |
$29,393.51
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,906.63
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$9,749.22 |
| Max. Negotiated Rate |
$15,906.63 |
| Rate for Payer: Aetna Medicare |
$10,262.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,827.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,827.92
|
| Rate for Payer: BCBS MAPPO |
$10,262.34
|
| Rate for Payer: BCN Medicare Advantage |
$10,262.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,262.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,262.34
|
| Rate for Payer: Mclaren Medicare |
$10,262.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,775.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,801.69
|
| Rate for Payer: PACE Medicare |
$9,749.22
|
| Rate for Payer: PACE SWMI |
$10,262.34
|
| Rate for Payer: PHP Commercial |
$11,288.57
|
| Rate for Payer: PHP Medicare Advantage |
$10,262.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,220.85
|
| Rate for Payer: Priority Health Medicare |
$10,262.34
|
| Rate for Payer: Priority Health Narrow Network |
$10,576.68
|
| Rate for Payer: Railroad Medicare Medicare |
$10,262.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,262.34
|
| Rate for Payer: UHC Exchange |
$15,906.63
|
| Rate for Payer: UHC Medicare Advantage |
$10,262.34
|
| Rate for Payer: UHCCP DNSP |
$10,262.34
|
| Rate for Payer: VA VA |
$10,262.34
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$32,381.92
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$19,846.98 |
| Max. Negotiated Rate |
$32,381.92 |
| Rate for Payer: Aetna Medicare |
$20,891.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,114.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,114.45
|
| Rate for Payer: BCBS MAPPO |
$20,891.56
|
| Rate for Payer: BCN Medicare Advantage |
$20,891.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,891.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,891.56
|
| Rate for Payer: Mclaren Medicare |
$20,891.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,936.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,025.29
|
| Rate for Payer: PACE Medicare |
$19,846.98
|
| Rate for Payer: PACE SWMI |
$20,891.56
|
| Rate for Payer: PHP Commercial |
$22,980.72
|
| Rate for Payer: PHP Medicare Advantage |
$20,891.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,585.13
|
| Rate for Payer: Priority Health Medicare |
$20,891.56
|
| Rate for Payer: Priority Health Narrow Network |
$23,668.11
|
| Rate for Payer: Railroad Medicare Medicare |
$20,891.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,891.56
|
| Rate for Payer: UHC Exchange |
$32,381.92
|
| Rate for Payer: UHC Medicare Advantage |
$20,891.56
|
| Rate for Payer: UHCCP DNSP |
$20,891.56
|
| Rate for Payer: VA VA |
$20,891.56
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,039.53
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$7,379.07 |
| Max. Negotiated Rate |
$12,039.53 |
| Rate for Payer: Aetna Medicare |
$7,767.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,709.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,709.30
|
| Rate for Payer: BCBS MAPPO |
$7,767.44
|
| Rate for Payer: BCN Medicare Advantage |
$7,767.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,767.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,767.44
|
| Rate for Payer: Mclaren Medicare |
$7,767.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,155.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,932.56
|
| Rate for Payer: PACE Medicare |
$7,379.07
|
| Rate for Payer: PACE SWMI |
$7,767.44
|
| Rate for Payer: PHP Commercial |
$8,544.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,767.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,378.10
|
| Rate for Payer: Priority Health Medicare |
$7,767.44
|
| Rate for Payer: Priority Health Narrow Network |
$7,502.48
|
| Rate for Payer: Railroad Medicare Medicare |
$7,767.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,767.44
|
| Rate for Payer: UHC Exchange |
$12,039.53
|
| Rate for Payer: UHC Medicare Advantage |
$7,767.44
|
| Rate for Payer: UHCCP DNSP |
$7,767.44
|
| Rate for Payer: VA VA |
$7,767.44
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$50,937.39
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$31,219.69 |
| Max. Negotiated Rate |
$50,937.39 |
| Rate for Payer: Aetna Medicare |
$32,862.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,078.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,078.54
|
| Rate for Payer: BCBS MAPPO |
$32,862.83
|
| Rate for Payer: BCN Medicare Advantage |
$32,862.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,862.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,862.83
|
| Rate for Payer: Mclaren Medicare |
$32,862.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,505.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,792.25
|
| Rate for Payer: PACE Medicare |
$31,219.69
|
| Rate for Payer: PACE SWMI |
$32,862.83
|
| Rate for Payer: PHP Commercial |
$36,149.11
|
| Rate for Payer: PHP Medicare Advantage |
$32,862.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48,015.73
|
| Rate for Payer: Priority Health Medicare |
$32,862.83
|
| Rate for Payer: Priority Health Narrow Network |
$38,412.59
|
| Rate for Payer: Railroad Medicare Medicare |
$32,862.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,862.83
|
| Rate for Payer: UHC Exchange |
$50,937.39
|
| Rate for Payer: UHC Medicare Advantage |
$32,862.83
|
| Rate for Payer: UHCCP DNSP |
$32,862.83
|
| Rate for Payer: VA VA |
$32,862.83
|
|
