|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,616.16
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$9,571.19 |
| Max. Negotiated Rate |
$15,616.16 |
| Rate for Payer: Aetna Medicare |
$10,074.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,593.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,593.68
|
| Rate for Payer: BCBS MAPPO |
$10,074.94
|
| Rate for Payer: BCN Medicare Advantage |
$10,074.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,074.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,074.94
|
| Rate for Payer: Mclaren Medicare |
$10,074.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,578.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,586.18
|
| Rate for Payer: PACE Medicare |
$9,571.19
|
| Rate for Payer: PACE SWMI |
$10,074.94
|
| Rate for Payer: PHP Commercial |
$11,082.43
|
| Rate for Payer: PHP Medicare Advantage |
$10,074.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,932.33
|
| Rate for Payer: Priority Health Medicare |
$10,074.94
|
| Rate for Payer: Priority Health Narrow Network |
$10,345.87
|
| Rate for Payer: Railroad Medicare Medicare |
$10,074.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,074.94
|
| Rate for Payer: UHC Exchange |
$15,616.16
|
| Rate for Payer: UHC Medicare Advantage |
$10,074.94
|
| Rate for Payer: UHCCP DNSP |
$10,074.94
|
| Rate for Payer: VA VA |
$10,074.94
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,501.06
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$15,629.68 |
| Max. Negotiated Rate |
$25,501.06 |
| Rate for Payer: Aetna Medicare |
$16,452.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,565.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,565.38
|
| Rate for Payer: BCBS MAPPO |
$16,452.30
|
| Rate for Payer: BCN Medicare Advantage |
$16,452.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,452.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,452.30
|
| Rate for Payer: Mclaren Medicare |
$16,452.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,274.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,920.14
|
| Rate for Payer: PACE Medicare |
$15,629.68
|
| Rate for Payer: PACE SWMI |
$16,452.30
|
| Rate for Payer: PHP Commercial |
$18,097.53
|
| Rate for Payer: PHP Medicare Advantage |
$16,452.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,750.08
|
| Rate for Payer: Priority Health Medicare |
$16,452.30
|
| Rate for Payer: Priority Health Narrow Network |
$18,200.06
|
| Rate for Payer: Railroad Medicare Medicare |
$16,452.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,452.30
|
| Rate for Payer: UHC Exchange |
$25,501.06
|
| Rate for Payer: UHC Medicare Advantage |
$16,452.30
|
| Rate for Payer: UHCCP DNSP |
$16,452.30
|
| Rate for Payer: VA VA |
$16,452.30
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,399.16
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$6,986.58 |
| Max. Negotiated Rate |
$11,399.16 |
| Rate for Payer: Aetna Medicare |
$7,354.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,192.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,192.88
|
| Rate for Payer: BCBS MAPPO |
$7,354.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,354.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,354.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,354.30
|
| Rate for Payer: Mclaren Medicare |
$7,354.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,722.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,457.44
|
| Rate for Payer: PACE Medicare |
$6,986.58
|
| Rate for Payer: PACE SWMI |
$7,354.30
|
| Rate for Payer: PHP Commercial |
$8,089.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,354.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,743.37
|
| Rate for Payer: Priority Health Medicare |
$7,354.30
|
| Rate for Payer: Priority Health Narrow Network |
$6,994.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7,354.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,354.30
|
| Rate for Payer: UHC Exchange |
$11,399.16
|
| Rate for Payer: UHC Medicare Advantage |
$7,354.30
|
| Rate for Payer: UHCCP DNSP |
$7,354.30
|
| Rate for Payer: VA VA |
$7,354.30
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,744.28
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$20,681.98 |
| Max. Negotiated Rate |
$33,744.28 |
| Rate for Payer: Aetna Medicare |
$21,770.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,213.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,213.12
|
| Rate for Payer: BCBS MAPPO |
$21,770.50
|
| Rate for Payer: BCN Medicare Advantage |
$21,770.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,770.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,770.50
|
| Rate for Payer: Mclaren Medicare |
$21,770.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,859.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,036.08
|
| Rate for Payer: PACE Medicare |
$20,681.98
|
| Rate for Payer: PACE SWMI |
$21,770.50
|
| Rate for Payer: PHP Commercial |
$23,947.55
|
| Rate for Payer: PHP Medicare Advantage |
$21,770.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,938.40
|
| Rate for Payer: Priority Health Medicare |
$21,770.50
|
| Rate for Payer: Priority Health Narrow Network |
$24,750.72
|
| Rate for Payer: Railroad Medicare Medicare |
$21,770.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,770.50
|
| Rate for Payer: UHC Exchange |
$33,744.28
|
| Rate for Payer: UHC Medicare Advantage |
$21,770.50
|
| Rate for Payer: UHCCP DNSP |
$21,770.50
|
| Rate for Payer: VA VA |
$21,770.50
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,595.43
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$37,752.04 |
| Max. Negotiated Rate |
$61,595.43 |
| Rate for Payer: Aetna Medicare |
$39,738.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,673.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,673.74
|
| Rate for Payer: BCBS MAPPO |
$39,738.99
|
| Rate for Payer: BCN Medicare Advantage |
$39,738.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,738.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,738.99
|
| Rate for Payer: Mclaren Medicare |
$39,738.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,725.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,699.84
|
| Rate for Payer: PACE Medicare |
$37,752.04
|
| Rate for Payer: PACE SWMI |
$39,738.99
|
| Rate for Payer: PHP Commercial |
$43,712.89
|
| Rate for Payer: PHP Medicare Advantage |
$39,738.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58,601.48
|
| Rate for Payer: Priority Health Medicare |
$39,738.99
|
| Rate for Payer: Priority Health Narrow Network |
$46,881.18
|
| Rate for Payer: Railroad Medicare Medicare |
$39,738.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,738.99
|
| Rate for Payer: UHC Exchange |
$61,595.43
|
| Rate for Payer: UHC Medicare Advantage |
$39,738.99
|
| Rate for Payer: UHCCP DNSP |
$39,738.99
|
| Rate for Payer: VA VA |
$39,738.99
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,339.38
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$13,078.97 |
| Max. Negotiated Rate |
$21,339.38 |
| Rate for Payer: Aetna Medicare |
$13,767.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,209.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,209.18
|
| Rate for Payer: BCBS MAPPO |
$13,767.34
|
| Rate for Payer: BCN Medicare Advantage |
$13,767.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,767.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,767.34
|
| Rate for Payer: Mclaren Medicare |
$13,767.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,455.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,832.44
|
| Rate for Payer: PACE Medicare |
$13,078.97
|
| Rate for Payer: PACE SWMI |
$13,767.34
|
| Rate for Payer: PHP Commercial |
$15,144.07
|
| Rate for Payer: PHP Medicare Advantage |
$13,767.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,616.07
|
| Rate for Payer: Priority Health Medicare |
$13,767.34
|
| Rate for Payer: Priority Health Narrow Network |
$14,892.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,767.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,767.34
|
| Rate for Payer: UHC Exchange |
$21,339.38
|
| Rate for Payer: UHC Medicare Advantage |
$13,767.34
|
| Rate for Payer: UHCCP DNSP |
$13,767.34
|
| Rate for Payer: VA VA |
$13,767.34
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$17,239.94
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$10,566.41 |
| Max. Negotiated Rate |
$17,239.94 |
| Rate for Payer: Aetna Medicare |
$11,122.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,903.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,903.18
|
| Rate for Payer: BCBS MAPPO |
$11,122.54
|
| Rate for Payer: BCN Medicare Advantage |
$11,122.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,122.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,122.54
|
| Rate for Payer: Mclaren Medicare |
$11,122.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,678.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,790.92
|
| Rate for Payer: PACE Medicare |
$10,566.41
|
| Rate for Payer: PACE SWMI |
$11,122.54
|
| Rate for Payer: PHP Commercial |
$12,234.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,122.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,546.64
|
| Rate for Payer: Priority Health Medicare |
$11,122.54
|
| Rate for Payer: Priority Health Narrow Network |
$11,637.31
|
| Rate for Payer: Railroad Medicare Medicare |
$11,122.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,122.54
|
| Rate for Payer: UHC Exchange |
$17,239.94
|
| Rate for Payer: UHC Medicare Advantage |
$11,122.54
|
| Rate for Payer: UHCCP DNSP |
$11,122.54
|
| Rate for Payer: VA VA |
$11,122.54
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$27,809.42
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$17,044.48 |
| Max. Negotiated Rate |
$27,809.42 |
| Rate for Payer: Aetna Medicare |
$17,941.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,426.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,426.95
|
| Rate for Payer: BCBS MAPPO |
$17,941.56
|
| Rate for Payer: BCN Medicare Advantage |
$17,941.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,941.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,941.56
|
| Rate for Payer: Mclaren Medicare |
$17,941.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,838.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,632.79
|
| Rate for Payer: PACE Medicare |
$17,044.48
|
| Rate for Payer: PACE SWMI |
$17,941.56
|
| Rate for Payer: PHP Commercial |
$19,735.72
|
| Rate for Payer: PHP Medicare Advantage |
$17,941.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,043.08
|
| Rate for Payer: Priority Health Medicare |
$17,941.56
|
| Rate for Payer: Priority Health Narrow Network |
$20,034.47
|
| Rate for Payer: Railroad Medicare Medicare |
$17,941.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,941.56
|
| Rate for Payer: UHC Exchange |
$27,809.42
|
| Rate for Payer: UHC Medicare Advantage |
$17,941.56
|
| Rate for Payer: UHCCP DNSP |
$17,941.56
|
| Rate for Payer: VA VA |
$17,941.56
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$13,513.89
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$8,282.71 |
| Max. Negotiated Rate |
$13,513.89 |
| Rate for Payer: Aetna Medicare |
$8,718.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,898.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,898.30
|
| Rate for Payer: BCBS MAPPO |
$8,718.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,718.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,718.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,718.64
|
| Rate for Payer: Mclaren Medicare |
$8,718.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,154.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,026.44
|
| Rate for Payer: PACE Medicare |
$8,282.71
|
| Rate for Payer: PACE SWMI |
$8,718.64
|
| Rate for Payer: PHP Commercial |
$9,590.50
|
| Rate for Payer: PHP Medicare Advantage |
$8,718.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,844.03
|
| Rate for Payer: Priority Health Medicare |
$8,718.64
|
| Rate for Payer: Priority Health Narrow Network |
$8,675.23
|
| Rate for Payer: Railroad Medicare Medicare |
$8,718.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,718.64
|
| Rate for Payer: UHC Exchange |
$13,513.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,718.64
|
| Rate for Payer: UHCCP DNSP |
$8,718.64
|
| Rate for Payer: VA VA |
$8,718.64
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$20,631.24
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$12,644.96 |
| Max. Negotiated Rate |
$20,631.24 |
| Rate for Payer: Aetna Medicare |
$13,310.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,638.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,638.10
|
| Rate for Payer: BCBS MAPPO |
$13,310.48
|
| Rate for Payer: BCN Medicare Advantage |
$13,310.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,310.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,310.48
|
| Rate for Payer: Mclaren Medicare |
$13,310.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,976.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,307.05
|
| Rate for Payer: PACE Medicare |
$12,644.96
|
| Rate for Payer: PACE SWMI |
$13,310.48
|
| Rate for Payer: PHP Commercial |
$14,641.53
|
| Rate for Payer: PHP Medicare Advantage |
$13,310.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,912.65
|
| Rate for Payer: Priority Health Medicare |
$13,310.48
|
| Rate for Payer: Priority Health Narrow Network |
$14,330.12
|
| Rate for Payer: Railroad Medicare Medicare |
$13,310.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,310.48
|
| Rate for Payer: UHC Exchange |
$20,631.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,310.48
|
| Rate for Payer: UHCCP DNSP |
$13,310.48
|
| Rate for Payer: VA VA |
$13,310.48
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$14,017.32
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$8,591.26 |
| Max. Negotiated Rate |
$14,017.32 |
| Rate for Payer: Aetna Medicare |
$9,043.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,304.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,304.29
|
| Rate for Payer: BCBS MAPPO |
$9,043.43
|
| Rate for Payer: BCN Medicare Advantage |
$9,043.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,043.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,043.43
|
| Rate for Payer: Mclaren Medicare |
$9,043.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,495.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,399.94
|
| Rate for Payer: PACE Medicare |
$8,591.26
|
| Rate for Payer: PACE SWMI |
$9,043.43
|
| Rate for Payer: PHP Commercial |
$9,947.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,043.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,344.13
|
| Rate for Payer: Priority Health Medicare |
$9,043.43
|
| Rate for Payer: Priority Health Narrow Network |
$9,075.30
|
| Rate for Payer: Railroad Medicare Medicare |
$9,043.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,043.43
|
| Rate for Payer: UHC Exchange |
$14,017.32
|
| Rate for Payer: UHC Medicare Advantage |
$9,043.43
|
| Rate for Payer: UHCCP DNSP |
$9,043.43
|
| Rate for Payer: VA VA |
$9,043.43
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,509.67
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$9,505.93 |
| Max. Negotiated Rate |
$15,509.67 |
| Rate for Payer: Aetna Medicare |
$10,006.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,507.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,507.80
|
| Rate for Payer: BCBS MAPPO |
$10,006.24
|
| Rate for Payer: BCN Medicare Advantage |
$10,006.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,006.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,006.24
|
| Rate for Payer: Mclaren Medicare |
$10,006.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,506.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,507.18
|
| Rate for Payer: PACE Medicare |
$9,505.93
|
| Rate for Payer: PACE SWMI |
$10,006.24
|
| Rate for Payer: PHP Commercial |
$11,006.86
|
| Rate for Payer: PHP Medicare Advantage |
$10,006.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,826.54
|
| Rate for Payer: Priority Health Medicare |
$10,006.24
|
| Rate for Payer: Priority Health Narrow Network |
$10,261.23
|
| Rate for Payer: Railroad Medicare Medicare |
$10,006.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,006.24
|
| Rate for Payer: UHC Exchange |
$15,509.67
|
| Rate for Payer: UHC Medicare Advantage |
$10,006.24
|
| Rate for Payer: UHCCP DNSP |
$10,006.24
|
| Rate for Payer: VA VA |
$10,006.24
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,090.30
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$15,377.93 |
| Max. Negotiated Rate |
$25,090.30 |
| Rate for Payer: Aetna Medicare |
$16,187.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,234.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,234.11
|
| Rate for Payer: BCBS MAPPO |
$16,187.29
|
| Rate for Payer: BCN Medicare Advantage |
$16,187.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,187.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,187.29
|
| Rate for Payer: Mclaren Medicare |
$16,187.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,996.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,615.38
|
| Rate for Payer: PACE Medicare |
$15,377.93
|
| Rate for Payer: PACE SWMI |
$16,187.29
|
| Rate for Payer: PHP Commercial |
$17,806.02
|
| Rate for Payer: PHP Medicare Advantage |
$16,187.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,342.04
|
| Rate for Payer: Priority Health Medicare |
$16,187.29
|
| Rate for Payer: Priority Health Narrow Network |
$17,873.63
|
| Rate for Payer: Railroad Medicare Medicare |
$16,187.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,187.29
|
| Rate for Payer: UHC Exchange |
$25,090.30
|
| Rate for Payer: UHC Medicare Advantage |
$16,187.29
|
| Rate for Payer: UHCCP DNSP |
$16,187.29
|
| Rate for Payer: VA VA |
$16,187.29
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,897.04
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$7,291.73 |
| Max. Negotiated Rate |
$11,897.04 |
| Rate for Payer: Aetna Medicare |
$7,675.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,594.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,594.39
|
| Rate for Payer: BCBS MAPPO |
$7,675.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,675.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,675.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,675.51
|
| Rate for Payer: Mclaren Medicare |
$7,675.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,059.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,826.84
|
| Rate for Payer: PACE Medicare |
$7,291.73
|
| Rate for Payer: PACE SWMI |
$7,675.51
|
| Rate for Payer: PHP Commercial |
$8,443.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,675.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,237.97
|
| Rate for Payer: Priority Health Medicare |
$7,675.51
|
| Rate for Payer: Priority Health Narrow Network |
$7,390.38
|
| Rate for Payer: Railroad Medicare Medicare |
$7,675.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,675.51
|
| Rate for Payer: UHC Exchange |
$11,897.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,675.51
|
| Rate for Payer: UHCCP DNSP |
$7,675.51
|
| Rate for Payer: VA VA |
$7,675.51
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$26,893.83
|
|
|
Service Code
|
MSDRG 144
|
| 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 |
$24,133.58
|
| Rate for Payer: Priority Health Medicare |
$17,350.86
|
| Rate for Payer: Priority Health Narrow Network |
$19,306.86
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,265.26
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$29,581.94 |
| Max. Negotiated Rate |
$48,265.26 |
| Rate for Payer: Aetna Medicare |
$31,138.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,923.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,923.60
|
| Rate for Payer: BCBS MAPPO |
$31,138.88
|
| Rate for Payer: BCN Medicare Advantage |
$31,138.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,138.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,138.88
|
| Rate for Payer: Mclaren Medicare |
$31,138.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,695.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,809.71
|
| Rate for Payer: PACE Medicare |
$29,581.94
|
| Rate for Payer: PACE SWMI |
$31,138.88
|
| Rate for Payer: PHP Commercial |
$34,252.77
|
| Rate for Payer: PHP Medicare Advantage |
$31,138.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45,361.40
|
| Rate for Payer: Priority Health Medicare |
$31,138.88
|
| Rate for Payer: Priority Health Narrow Network |
$36,289.12
|
| Rate for Payer: Railroad Medicare Medicare |
$31,138.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,138.88
|
| Rate for Payer: UHC Exchange |
$48,265.26
|
| Rate for Payer: UHC Medicare Advantage |
$31,138.88
|
| Rate for Payer: UHCCP DNSP |
$31,138.88
|
| Rate for Payer: VA VA |
$31,138.88
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,984.00
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$11,635.35 |
| Max. Negotiated Rate |
$18,984.00 |
| Rate for Payer: Aetna Medicare |
$12,247.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,309.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,309.68
|
| Rate for Payer: BCBS MAPPO |
$12,247.74
|
| Rate for Payer: BCN Medicare Advantage |
$12,247.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,247.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,247.74
|
| Rate for Payer: Mclaren Medicare |
$12,247.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,860.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,084.90
|
| Rate for Payer: PACE Medicare |
$11,635.35
|
| Rate for Payer: PACE SWMI |
$12,247.74
|
| Rate for Payer: PHP Commercial |
$13,472.51
|
| Rate for Payer: PHP Medicare Advantage |
$12,247.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,276.36
|
| Rate for Payer: Priority Health Medicare |
$12,247.74
|
| Rate for Payer: Priority Health Narrow Network |
$13,021.09
|
| Rate for Payer: Railroad Medicare Medicare |
$12,247.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,247.74
|
| Rate for Payer: UHC Exchange |
$18,984.00
|
| Rate for Payer: UHC Medicare Advantage |
$12,247.74
|
| Rate for Payer: UHCCP DNSP |
$12,247.74
|
| Rate for Payer: VA VA |
$12,247.74
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,704.13
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$20,657.37 |
| Max. Negotiated Rate |
$33,704.13 |
| Rate for Payer: Aetna Medicare |
$21,744.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,180.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,180.75
|
| Rate for Payer: BCBS MAPPO |
$21,744.60
|
| Rate for Payer: BCN Medicare Advantage |
$21,744.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,744.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,744.60
|
| Rate for Payer: Mclaren Medicare |
$21,744.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,831.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,006.29
|
| Rate for Payer: PACE Medicare |
$20,657.37
|
| Rate for Payer: PACE SWMI |
$21,744.60
|
| Rate for Payer: PHP Commercial |
$23,919.06
|
| Rate for Payer: PHP Medicare Advantage |
$21,744.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,913.67
|
| Rate for Payer: Priority Health Medicare |
$21,744.60
|
| Rate for Payer: Priority Health Narrow Network |
$24,730.94
|
| Rate for Payer: Railroad Medicare Medicare |
$21,744.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,744.60
|
| Rate for Payer: UHC Exchange |
$33,704.13
|
| Rate for Payer: UHC Medicare Advantage |
$21,744.60
|
| Rate for Payer: UHCCP DNSP |
$21,744.60
|
| Rate for Payer: VA VA |
$21,744.60
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,169.56
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$35,039.41 |
| Max. Negotiated Rate |
$57,169.56 |
| Rate for Payer: Aetna Medicare |
$36,883.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,104.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,104.49
|
| Rate for Payer: BCBS MAPPO |
$36,883.59
|
| Rate for Payer: BCN Medicare Advantage |
$36,883.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,883.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,883.59
|
| Rate for Payer: Mclaren Medicare |
$36,883.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,727.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,416.13
|
| Rate for Payer: PACE Medicare |
$35,039.41
|
| Rate for Payer: PACE SWMI |
$36,883.59
|
| Rate for Payer: PHP Commercial |
$40,571.95
|
| Rate for Payer: PHP Medicare Advantage |
$36,883.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,217.43
|
| Rate for Payer: Priority Health Medicare |
$36,883.59
|
| Rate for Payer: Priority Health Narrow Network |
$43,373.94
|
| Rate for Payer: Railroad Medicare Medicare |
$36,883.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,883.59
|
| Rate for Payer: UHC Exchange |
$57,169.56
|
| Rate for Payer: UHC Medicare Advantage |
$36,883.59
|
| Rate for Payer: UHCCP DNSP |
$36,883.59
|
| Rate for Payer: VA VA |
$36,883.59
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,978.35
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$13,470.60 |
| Max. Negotiated Rate |
$21,978.35 |
| Rate for Payer: Aetna Medicare |
$14,179.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,724.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,724.48
|
| Rate for Payer: BCBS MAPPO |
$14,179.58
|
| Rate for Payer: BCN Medicare Advantage |
$14,179.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,179.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,179.58
|
| Rate for Payer: Mclaren Medicare |
$14,179.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,888.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,306.52
|
| Rate for Payer: PACE Medicare |
$13,470.60
|
| Rate for Payer: PACE SWMI |
$14,179.58
|
| Rate for Payer: PHP Commercial |
$15,597.54
|
| Rate for Payer: PHP Medicare Advantage |
$14,179.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,250.81
|
| Rate for Payer: Priority Health Medicare |
$14,179.58
|
| Rate for Payer: Priority Health Narrow Network |
$15,400.65
|
| Rate for Payer: Railroad Medicare Medicare |
$14,179.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,179.58
|
| Rate for Payer: UHC Exchange |
$21,978.35
|
| Rate for Payer: UHC Medicare Advantage |
$14,179.58
|
| Rate for Payer: UHCCP DNSP |
$14,179.58
|
| Rate for Payer: VA VA |
$14,179.58
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,353.30
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$38,829.44 |
| Max. Negotiated Rate |
$63,353.30 |
| Rate for Payer: Aetna Medicare |
$40,873.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,091.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,091.38
|
| Rate for Payer: BCBS MAPPO |
$40,873.10
|
| Rate for Payer: BCN Medicare Advantage |
$40,873.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,873.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,873.10
|
| Rate for Payer: Mclaren Medicare |
$40,873.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,916.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,004.06
|
| Rate for Payer: PACE Medicare |
$38,829.44
|
| Rate for Payer: PACE SWMI |
$40,873.10
|
| Rate for Payer: PHP Commercial |
$44,960.41
|
| Rate for Payer: PHP Medicare Advantage |
$40,873.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60,347.68
|
| Rate for Payer: Priority Health Medicare |
$40,873.10
|
| Rate for Payer: Priority Health Narrow Network |
$48,278.14
|
| Rate for Payer: Railroad Medicare Medicare |
$40,873.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,873.10
|
| Rate for Payer: UHC Exchange |
$63,353.30
|
| Rate for Payer: UHC Medicare Advantage |
$40,873.10
|
| Rate for Payer: UHCCP DNSP |
$40,873.10
|
| Rate for Payer: VA VA |
$40,873.10
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$34,612.83
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$21,214.32 |
| Max. Negotiated Rate |
$34,612.83 |
| Rate for Payer: Aetna Medicare |
$22,330.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,913.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,913.58
|
| Rate for Payer: BCBS MAPPO |
$22,330.86
|
| Rate for Payer: BCN Medicare Advantage |
$22,330.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,330.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,330.86
|
| Rate for Payer: Mclaren Medicare |
$22,330.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,447.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,680.49
|
| Rate for Payer: PACE Medicare |
$21,214.32
|
| Rate for Payer: PACE SWMI |
$22,330.86
|
| Rate for Payer: PHP Commercial |
$24,563.95
|
| Rate for Payer: PHP Medicare Advantage |
$22,330.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,799.83
|
| Rate for Payer: Priority Health Medicare |
$22,330.86
|
| Rate for Payer: Priority Health Narrow Network |
$25,439.86
|
| Rate for Payer: Railroad Medicare Medicare |
$22,330.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,330.86
|
| Rate for Payer: UHC Exchange |
$34,612.83
|
| Rate for Payer: UHC Medicare Advantage |
$22,330.86
|
| Rate for Payer: UHCCP DNSP |
$22,330.86
|
| Rate for Payer: VA VA |
$22,330.86
|
|
|
MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$10,439.30
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$6,230.82 |
| Max. Negotiated Rate |
$10,439.30 |
| Rate for Payer: Aetna Medicare |
$6,735.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,418.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,418.79
|
| Rate for Payer: BCBS MAPPO |
$6,735.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,735.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,735.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,735.03
|
| Rate for Payer: Mclaren Medicare |
$6,735.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,071.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,745.28
|
| Rate for Payer: PACE Medicare |
$6,398.28
|
| Rate for Payer: PACE SWMI |
$6,735.03
|
| Rate for Payer: PHP Commercial |
$7,408.53
|
| Rate for Payer: PHP Medicare Advantage |
$6,735.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,788.53
|
| Rate for Payer: Priority Health Medicare |
$6,735.03
|
| Rate for Payer: Priority Health Narrow Network |
$6,230.82
|
| Rate for Payer: Railroad Medicare Medicare |
$6,735.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,735.03
|
| Rate for Payer: UHC Exchange |
$10,439.30
|
| Rate for Payer: UHC Medicare Advantage |
$6,735.03
|
| Rate for Payer: UHCCP DNSP |
$6,735.03
|
| Rate for Payer: VA VA |
$6,735.03
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$38,399.72
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$23,535.31 |
| Max. Negotiated Rate |
$38,399.72 |
| Rate for Payer: Aetna Medicare |
$24,774.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,967.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,967.51
|
| Rate for Payer: BCBS MAPPO |
$24,774.01
|
| Rate for Payer: BCN Medicare Advantage |
$24,774.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,774.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,774.01
|
| Rate for Payer: Mclaren Medicare |
$24,774.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,012.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,490.11
|
| Rate for Payer: PACE Medicare |
$23,535.31
|
| Rate for Payer: PACE SWMI |
$24,774.01
|
| Rate for Payer: PHP Commercial |
$27,251.41
|
| Rate for Payer: PHP Medicare Advantage |
$24,774.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,561.51
|
| Rate for Payer: Priority Health Medicare |
$24,774.01
|
| Rate for Payer: Priority Health Narrow Network |
$28,449.21
|
| Rate for Payer: Railroad Medicare Medicare |
$24,774.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,774.01
|
| Rate for Payer: UHC Exchange |
$38,399.72
|
| Rate for Payer: UHC Medicare Advantage |
$24,774.01
|
| Rate for Payer: UHCCP DNSP |
$24,774.01
|
| Rate for Payer: VA VA |
$24,774.01
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,432.08
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$12,522.89 |
| Max. Negotiated Rate |
$20,432.08 |
| Rate for Payer: Aetna Medicare |
$13,181.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,477.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,477.49
|
| Rate for Payer: BCBS MAPPO |
$13,181.99
|
| Rate for Payer: BCN Medicare Advantage |
$13,181.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,181.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,181.99
|
| Rate for Payer: Mclaren Medicare |
$13,181.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,841.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,159.29
|
| Rate for Payer: PACE Medicare |
$12,522.89
|
| Rate for Payer: PACE SWMI |
$13,181.99
|
| Rate for Payer: PHP Commercial |
$14,500.19
|
| Rate for Payer: PHP Medicare Advantage |
$13,181.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,716.18
|
| Rate for Payer: Priority Health Medicare |
$13,181.99
|
| Rate for Payer: Priority Health Narrow Network |
$14,172.95
|
| Rate for Payer: Railroad Medicare Medicare |
$13,181.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,181.99
|
| Rate for Payer: UHC Exchange |
$20,432.08
|
| Rate for Payer: UHC Medicare Advantage |
$13,181.99
|
| Rate for Payer: UHCCP DNSP |
$13,181.99
|
| Rate for Payer: VA VA |
$13,181.99
|
|
