|
MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$149,132.18
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$91,403.59 |
| Max. Negotiated Rate |
$149,132.18 |
| Rate for Payer: Aetna Medicare |
$96,214.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120,267.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120,267.89
|
| Rate for Payer: BCBS MAPPO |
$96,214.31
|
| Rate for Payer: BCN Medicare Advantage |
$96,214.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96,214.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$96,214.31
|
| Rate for Payer: Mclaren Medicare |
$96,214.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101,025.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110,646.46
|
| Rate for Payer: PACE Medicare |
$91,403.59
|
| Rate for Payer: PACE SWMI |
$96,214.31
|
| Rate for Payer: PHP Commercial |
$105,835.74
|
| Rate for Payer: PHP Medicare Advantage |
$96,214.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145,551.59
|
| Rate for Payer: Priority Health Medicare |
$96,214.31
|
| Rate for Payer: Priority Health Narrow Network |
$116,441.28
|
| Rate for Payer: Railroad Medicare Medicare |
$96,214.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$96,214.31
|
| Rate for Payer: UHC Exchange |
$149,132.18
|
| Rate for Payer: UHC Medicare Advantage |
$96,214.31
|
| Rate for Payer: UHCCP DNSP |
$96,214.31
|
| Rate for Payer: VA VA |
$96,214.31
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$34,177.16
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$20,947.29 |
| Max. Negotiated Rate |
$34,177.16 |
| Rate for Payer: Aetna Medicare |
$22,049.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,562.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,562.22
|
| Rate for Payer: BCBS MAPPO |
$22,049.78
|
| Rate for Payer: BCN Medicare Advantage |
$22,049.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,049.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,049.78
|
| Rate for Payer: Mclaren Medicare |
$22,049.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,152.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,357.25
|
| Rate for Payer: PACE Medicare |
$20,947.29
|
| Rate for Payer: PACE SWMI |
$22,049.78
|
| Rate for Payer: PHP Commercial |
$24,254.76
|
| Rate for Payer: PHP Medicare Advantage |
$22,049.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,367.05
|
| Rate for Payer: Priority Health Medicare |
$22,049.78
|
| Rate for Payer: Priority Health Narrow Network |
$25,093.64
|
| Rate for Payer: Railroad Medicare Medicare |
$22,049.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,049.78
|
| Rate for Payer: UHC Exchange |
$34,177.16
|
| Rate for Payer: UHC Medicare Advantage |
$22,049.78
|
| Rate for Payer: UHCCP DNSP |
$22,049.78
|
| Rate for Payer: VA VA |
$22,049.78
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$58,852.79
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$36,071.06 |
| Max. Negotiated Rate |
$58,852.79 |
| Rate for Payer: Aetna Medicare |
$37,969.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,461.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,461.92
|
| Rate for Payer: BCBS MAPPO |
$37,969.54
|
| Rate for Payer: BCN Medicare Advantage |
$37,969.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,969.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,969.54
|
| Rate for Payer: Mclaren Medicare |
$37,969.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,868.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,664.97
|
| Rate for Payer: PACE Medicare |
$36,071.06
|
| Rate for Payer: PACE SWMI |
$37,969.54
|
| Rate for Payer: PHP Commercial |
$41,766.49
|
| Rate for Payer: PHP Medicare Advantage |
$37,969.54
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55,877.07
|
| Rate for Payer: Priority Health Medicare |
$37,969.54
|
| Rate for Payer: Priority Health Narrow Network |
$44,701.66
|
| Rate for Payer: Railroad Medicare Medicare |
$37,969.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,969.54
|
| Rate for Payer: UHC Exchange |
$58,852.79
|
| Rate for Payer: UHC Medicare Advantage |
$37,969.54
|
| Rate for Payer: UHCCP DNSP |
$37,969.54
|
| Rate for Payer: VA VA |
$37,969.54
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,976.92
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$14,695.53 |
| Max. Negotiated Rate |
$23,976.92 |
| Rate for Payer: Aetna Medicare |
$15,468.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,336.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,336.22
|
| Rate for Payer: BCBS MAPPO |
$15,468.98
|
| Rate for Payer: BCN Medicare Advantage |
$15,468.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,468.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,468.98
|
| Rate for Payer: Mclaren Medicare |
$15,468.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,242.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,789.33
|
| Rate for Payer: PACE Medicare |
$14,695.53
|
| Rate for Payer: PACE SWMI |
$15,468.98
|
| Rate for Payer: PHP Commercial |
$17,015.88
|
| Rate for Payer: PHP Medicare Advantage |
$15,468.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,236.06
|
| Rate for Payer: Priority Health Medicare |
$15,468.98
|
| Rate for Payer: Priority Health Narrow Network |
$16,988.85
|
| Rate for Payer: Railroad Medicare Medicare |
$15,468.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,468.98
|
| Rate for Payer: UHC Exchange |
$23,976.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,468.98
|
| Rate for Payer: UHCCP DNSP |
$15,468.98
|
| Rate for Payer: VA VA |
$15,468.98
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,120.97
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$10,493.50 |
| Max. Negotiated Rate |
$17,120.97 |
| Rate for Payer: Aetna Medicare |
$11,045.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,807.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,807.24
|
| Rate for Payer: BCBS MAPPO |
$11,045.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,045.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,045.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,045.79
|
| Rate for Payer: Mclaren Medicare |
$11,045.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,598.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,702.66
|
| Rate for Payer: PACE Medicare |
$10,493.50
|
| Rate for Payer: PACE SWMI |
$11,045.79
|
| Rate for Payer: PHP Commercial |
$12,150.37
|
| Rate for Payer: PHP Medicare Advantage |
$11,045.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,425.74
|
| Rate for Payer: Priority Health Medicare |
$11,045.79
|
| Rate for Payer: Priority Health Narrow Network |
$11,540.59
|
| Rate for Payer: Railroad Medicare Medicare |
$11,045.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,045.79
|
| Rate for Payer: UHC Exchange |
$17,120.97
|
| Rate for Payer: UHC Medicare Advantage |
$11,045.79
|
| Rate for Payer: UHCCP DNSP |
$11,045.79
|
| Rate for Payer: VA VA |
$11,045.79
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$32,254.69
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$19,769.01 |
| Max. Negotiated Rate |
$32,254.69 |
| Rate for Payer: Aetna Medicare |
$20,809.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,011.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,011.85
|
| Rate for Payer: BCBS MAPPO |
$20,809.48
|
| Rate for Payer: BCN Medicare Advantage |
$20,809.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,809.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,809.48
|
| Rate for Payer: Mclaren Medicare |
$20,809.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,849.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,930.90
|
| Rate for Payer: PACE Medicare |
$19,769.01
|
| Rate for Payer: PACE SWMI |
$20,809.48
|
| Rate for Payer: PHP Commercial |
$22,890.43
|
| Rate for Payer: PHP Medicare Advantage |
$20,809.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,458.73
|
| Rate for Payer: Priority Health Medicare |
$20,809.48
|
| Rate for Payer: Priority Health Narrow Network |
$23,566.99
|
| Rate for Payer: Railroad Medicare Medicare |
$20,809.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,809.48
|
| Rate for Payer: UHC Exchange |
$32,254.69
|
| Rate for Payer: UHC Medicare Advantage |
$20,809.48
|
| Rate for Payer: UHCCP DNSP |
$20,809.48
|
| Rate for Payer: VA VA |
$20,809.48
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,549.88
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$7,691.86 |
| Max. Negotiated Rate |
$12,549.88 |
| Rate for Payer: Aetna Medicare |
$8,096.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,120.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,120.88
|
| Rate for Payer: BCBS MAPPO |
$8,096.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,096.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,096.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,096.70
|
| Rate for Payer: Mclaren Medicare |
$8,096.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,501.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,311.20
|
| Rate for Payer: PACE Medicare |
$7,691.86
|
| Rate for Payer: PACE SWMI |
$8,096.70
|
| Rate for Payer: PHP Commercial |
$8,906.37
|
| Rate for Payer: PHP Medicare Advantage |
$8,096.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,885.07
|
| Rate for Payer: Priority Health Medicare |
$8,096.70
|
| Rate for Payer: Priority Health Narrow Network |
$7,908.05
|
| Rate for Payer: Railroad Medicare Medicare |
$8,096.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,096.70
|
| Rate for Payer: UHC Exchange |
$12,549.88
|
| Rate for Payer: UHC Medicare Advantage |
$8,096.70
|
| Rate for Payer: UHCCP DNSP |
$8,096.70
|
| Rate for Payer: VA VA |
$8,096.70
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,963.03
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$15,912.82 |
| Max. Negotiated Rate |
$25,963.03 |
| Rate for Payer: Aetna Medicare |
$16,750.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,937.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,937.92
|
| Rate for Payer: BCBS MAPPO |
$16,750.34
|
| Rate for Payer: BCN Medicare Advantage |
$16,750.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,750.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,750.34
|
| Rate for Payer: Mclaren Medicare |
$16,750.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,587.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,262.89
|
| Rate for Payer: PACE Medicare |
$15,912.82
|
| Rate for Payer: PACE SWMI |
$16,750.34
|
| Rate for Payer: PHP Commercial |
$18,425.37
|
| Rate for Payer: PHP Medicare Advantage |
$16,750.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,207.58
|
| Rate for Payer: Priority Health Medicare |
$16,750.34
|
| Rate for Payer: Priority Health Narrow Network |
$18,566.06
|
| Rate for Payer: Railroad Medicare Medicare |
$16,750.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,750.34
|
| Rate for Payer: UHC Exchange |
$25,963.03
|
| Rate for Payer: UHC Medicare Advantage |
$16,750.34
|
| Rate for Payer: UHCCP DNSP |
$16,750.34
|
| Rate for Payer: VA VA |
$16,750.34
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$16,703.28
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$10,237.49 |
| Max. Negotiated Rate |
$16,703.28 |
| Rate for Payer: Aetna Medicare |
$10,776.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,470.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,470.39
|
| Rate for Payer: BCBS MAPPO |
$10,776.31
|
| Rate for Payer: BCN Medicare Advantage |
$10,776.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,776.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,776.31
|
| Rate for Payer: Mclaren Medicare |
$10,776.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,315.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,392.76
|
| Rate for Payer: PACE Medicare |
$10,237.49
|
| Rate for Payer: PACE SWMI |
$10,776.31
|
| Rate for Payer: PHP Commercial |
$11,853.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,776.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,010.83
|
| Rate for Payer: Priority Health Medicare |
$10,776.31
|
| Rate for Payer: Priority Health Narrow Network |
$11,208.66
|
| Rate for Payer: Railroad Medicare Medicare |
$10,776.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,776.31
|
| Rate for Payer: UHC Exchange |
$16,703.28
|
| Rate for Payer: UHC Medicare Advantage |
$10,776.31
|
| Rate for Payer: UHCCP DNSP |
$10,776.31
|
| Rate for Payer: VA VA |
$10,776.31
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,703.28
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$10,237.49 |
| Max. Negotiated Rate |
$16,703.28 |
| Rate for Payer: Aetna Medicare |
$10,776.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,470.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,470.39
|
| Rate for Payer: BCBS MAPPO |
$10,776.31
|
| Rate for Payer: BCN Medicare Advantage |
$10,776.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,776.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,776.31
|
| Rate for Payer: Mclaren Medicare |
$10,776.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,315.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,392.76
|
| Rate for Payer: PACE Medicare |
$10,237.49
|
| Rate for Payer: PACE SWMI |
$10,776.31
|
| Rate for Payer: PHP Commercial |
$11,853.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,776.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,010.83
|
| Rate for Payer: Priority Health Medicare |
$10,776.31
|
| Rate for Payer: Priority Health Narrow Network |
$11,208.66
|
| Rate for Payer: Railroad Medicare Medicare |
$10,776.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,776.31
|
| Rate for Payer: UHC Exchange |
$16,703.28
|
| Rate for Payer: UHC Medicare Advantage |
$10,776.31
|
| Rate for Payer: UHCCP DNSP |
$10,776.31
|
| Rate for Payer: VA VA |
$10,776.31
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,845.46
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$15,840.77 |
| Max. Negotiated Rate |
$25,845.46 |
| Rate for Payer: Aetna Medicare |
$16,674.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,843.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,843.11
|
| Rate for Payer: BCBS MAPPO |
$16,674.49
|
| Rate for Payer: BCN Medicare Advantage |
$16,674.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,674.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,674.49
|
| Rate for Payer: Mclaren Medicare |
$16,674.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,508.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,175.66
|
| Rate for Payer: PACE Medicare |
$15,840.77
|
| Rate for Payer: PACE SWMI |
$16,674.49
|
| Rate for Payer: PHP Commercial |
$18,341.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,674.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,093.55
|
| Rate for Payer: Priority Health Medicare |
$16,674.49
|
| Rate for Payer: Priority Health Narrow Network |
$18,474.84
|
| Rate for Payer: Railroad Medicare Medicare |
$16,674.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,674.49
|
| Rate for Payer: UHC Exchange |
$25,845.46
|
| Rate for Payer: UHC Medicare Advantage |
$16,674.49
|
| Rate for Payer: UHCCP DNSP |
$16,674.49
|
| Rate for Payer: VA VA |
$16,674.49
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,198.58
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$7,476.55 |
| Max. Negotiated Rate |
$12,198.58 |
| Rate for Payer: Aetna Medicare |
$7,870.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,837.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,837.56
|
| Rate for Payer: BCBS MAPPO |
$7,870.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,870.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,870.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,870.05
|
| Rate for Payer: Mclaren Medicare |
$7,870.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,263.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,050.56
|
| Rate for Payer: PACE Medicare |
$7,476.55
|
| Rate for Payer: PACE SWMI |
$7,870.05
|
| Rate for Payer: PHP Commercial |
$8,657.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,870.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,536.10
|
| Rate for Payer: Priority Health Medicare |
$7,870.05
|
| Rate for Payer: Priority Health Narrow Network |
$7,628.88
|
| Rate for Payer: Railroad Medicare Medicare |
$7,870.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,870.05
|
| Rate for Payer: UHC Exchange |
$12,198.58
|
| Rate for Payer: UHC Medicare Advantage |
$7,870.05
|
| Rate for Payer: UHCCP DNSP |
$7,870.05
|
| Rate for Payer: VA VA |
$7,870.05
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$34,524.31
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$21,160.06 |
| Max. Negotiated Rate |
$34,524.31 |
| Rate for Payer: Aetna Medicare |
$22,273.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,842.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,842.19
|
| Rate for Payer: BCBS MAPPO |
$22,273.75
|
| Rate for Payer: BCN Medicare Advantage |
$22,273.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,273.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,273.75
|
| Rate for Payer: Mclaren Medicare |
$22,273.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,387.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,614.81
|
| Rate for Payer: PACE Medicare |
$21,160.06
|
| Rate for Payer: PACE SWMI |
$22,273.75
|
| Rate for Payer: PHP Commercial |
$24,501.12
|
| Rate for Payer: PHP Medicare Advantage |
$22,273.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,713.27
|
| Rate for Payer: Priority Health Medicare |
$22,273.75
|
| Rate for Payer: Priority Health Narrow Network |
$25,370.62
|
| Rate for Payer: Railroad Medicare Medicare |
$22,273.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,273.75
|
| Rate for Payer: UHC Exchange |
$34,524.31
|
| Rate for Payer: UHC Medicare Advantage |
$22,273.75
|
| Rate for Payer: UHCCP DNSP |
$22,273.75
|
| Rate for Payer: VA VA |
$22,273.75
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$60,542.89
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$37,106.93 |
| Max. Negotiated Rate |
$60,542.89 |
| Rate for Payer: Aetna Medicare |
$39,059.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,824.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,824.91
|
| Rate for Payer: BCBS MAPPO |
$39,059.93
|
| Rate for Payer: BCN Medicare Advantage |
$39,059.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,059.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,059.93
|
| Rate for Payer: Mclaren Medicare |
$39,059.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,012.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,918.92
|
| Rate for Payer: PACE Medicare |
$37,106.93
|
| Rate for Payer: PACE SWMI |
$39,059.93
|
| Rate for Payer: PHP Commercial |
$42,965.92
|
| Rate for Payer: PHP Medicare Advantage |
$39,059.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57,565.57
|
| Rate for Payer: Priority Health Medicare |
$39,059.93
|
| Rate for Payer: Priority Health Narrow Network |
$46,052.46
|
| Rate for Payer: Railroad Medicare Medicare |
$39,059.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,059.93
|
| Rate for Payer: UHC Exchange |
$60,542.89
|
| Rate for Payer: UHC Medicare Advantage |
$39,059.93
|
| Rate for Payer: UHCCP DNSP |
$39,059.93
|
| Rate for Payer: VA VA |
$39,059.93
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,246.62
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$14,860.83 |
| Max. Negotiated Rate |
$24,246.62 |
| Rate for Payer: Aetna Medicare |
$15,642.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,553.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,553.72
|
| Rate for Payer: BCBS MAPPO |
$15,642.98
|
| Rate for Payer: BCN Medicare Advantage |
$15,642.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,642.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,642.98
|
| Rate for Payer: Mclaren Medicare |
$15,642.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,425.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,989.43
|
| Rate for Payer: PACE Medicare |
$14,860.83
|
| Rate for Payer: PACE SWMI |
$15,642.98
|
| Rate for Payer: PHP Commercial |
$17,207.28
|
| Rate for Payer: PHP Medicare Advantage |
$15,642.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,503.97
|
| Rate for Payer: Priority Health Medicare |
$15,642.98
|
| Rate for Payer: Priority Health Narrow Network |
$17,203.18
|
| Rate for Payer: Railroad Medicare Medicare |
$15,642.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,642.98
|
| Rate for Payer: UHC Exchange |
$24,246.62
|
| Rate for Payer: UHC Medicare Advantage |
$15,642.98
|
| Rate for Payer: UHCCP DNSP |
$15,642.98
|
| Rate for Payer: VA VA |
$15,642.98
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$50,236.17
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$30,789.91 |
| Max. Negotiated Rate |
$50,236.17 |
| Rate for Payer: Aetna Medicare |
$32,410.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,513.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,513.04
|
| Rate for Payer: BCBS MAPPO |
$32,410.43
|
| Rate for Payer: BCN Medicare Advantage |
$32,410.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,410.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,410.43
|
| Rate for Payer: Mclaren Medicare |
$32,410.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,030.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,271.99
|
| Rate for Payer: PACE Medicare |
$30,789.91
|
| Rate for Payer: PACE SWMI |
$32,410.43
|
| Rate for Payer: PHP Commercial |
$35,651.47
|
| Rate for Payer: PHP Medicare Advantage |
$32,410.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,321.92
|
| Rate for Payer: Priority Health Medicare |
$32,410.43
|
| Rate for Payer: Priority Health Narrow Network |
$37,857.54
|
| Rate for Payer: Railroad Medicare Medicare |
$32,410.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,410.43
|
| Rate for Payer: UHC Exchange |
$50,236.17
|
| Rate for Payer: UHC Medicare Advantage |
$32,410.43
|
| Rate for Payer: UHCCP DNSP |
$32,410.43
|
| Rate for Payer: VA VA |
$32,410.43
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$73,590.90
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$45,104.10 |
| Max. Negotiated Rate |
$73,590.90 |
| Rate for Payer: Aetna Medicare |
$47,478.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59,347.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59,347.50
|
| Rate for Payer: BCBS MAPPO |
$47,478.00
|
| Rate for Payer: BCN Medicare Advantage |
$47,478.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,478.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$47,478.00
|
| Rate for Payer: Mclaren Medicare |
$47,478.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,851.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,599.70
|
| Rate for Payer: PACE Medicare |
$45,104.10
|
| Rate for Payer: PACE SWMI |
$47,478.00
|
| Rate for Payer: PHP Commercial |
$52,225.80
|
| Rate for Payer: PHP Medicare Advantage |
$47,478.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$70,518.51
|
| Rate for Payer: Priority Health Medicare |
$47,478.00
|
| Rate for Payer: Priority Health Narrow Network |
$56,414.81
|
| Rate for Payer: Railroad Medicare Medicare |
$47,478.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,478.00
|
| Rate for Payer: UHC Exchange |
$73,590.90
|
| Rate for Payer: UHC Medicare Advantage |
$47,478.00
|
| Rate for Payer: UHCCP DNSP |
$47,478.00
|
| Rate for Payer: VA VA |
$47,478.00
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,204.73
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$22,802.90 |
| Max. Negotiated Rate |
$37,204.73 |
| Rate for Payer: Aetna Medicare |
$24,003.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,003.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,003.81
|
| Rate for Payer: BCBS MAPPO |
$24,003.05
|
| Rate for Payer: BCN Medicare Advantage |
$24,003.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,003.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,003.05
|
| Rate for Payer: Mclaren Medicare |
$24,003.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,203.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,603.51
|
| Rate for Payer: PACE Medicare |
$22,802.90
|
| Rate for Payer: PACE SWMI |
$24,003.05
|
| Rate for Payer: PHP Commercial |
$26,403.36
|
| Rate for Payer: PHP Medicare Advantage |
$24,003.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34,374.48
|
| Rate for Payer: Priority Health Medicare |
$24,003.05
|
| Rate for Payer: Priority Health Narrow Network |
$27,499.58
|
| Rate for Payer: Railroad Medicare Medicare |
$24,003.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,003.05
|
| Rate for Payer: UHC Exchange |
$37,204.73
|
| Rate for Payer: UHC Medicare Advantage |
$24,003.05
|
| Rate for Payer: UHCCP DNSP |
$24,003.05
|
| Rate for Payer: VA VA |
$24,003.05
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$17,823.59
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$10,924.14 |
| Max. Negotiated Rate |
$17,823.59 |
| Rate for Payer: Aetna Medicare |
$11,499.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,373.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,373.86
|
| Rate for Payer: BCBS MAPPO |
$11,499.09
|
| Rate for Payer: BCN Medicare Advantage |
$11,499.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,499.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,499.09
|
| Rate for Payer: Mclaren Medicare |
$11,499.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,074.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,223.95
|
| Rate for Payer: PACE Medicare |
$10,924.14
|
| Rate for Payer: PACE SWMI |
$11,499.09
|
| Rate for Payer: PHP Commercial |
$12,649.00
|
| Rate for Payer: PHP Medicare Advantage |
$11,499.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,123.67
|
| Rate for Payer: Priority Health Medicare |
$11,499.09
|
| Rate for Payer: Priority Health Narrow Network |
$12,098.94
|
| Rate for Payer: Railroad Medicare Medicare |
$11,499.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,499.09
|
| Rate for Payer: UHC Exchange |
$17,823.59
|
| Rate for Payer: UHC Medicare Advantage |
$11,499.09
|
| Rate for Payer: UHCCP DNSP |
$11,499.09
|
| Rate for Payer: VA VA |
$11,499.09
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,991.14
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$6,670.46 |
| Max. Negotiated Rate |
$10,991.14 |
| Rate for Payer: Aetna Medicare |
$7,091.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,863.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,863.82
|
| Rate for Payer: BCBS MAPPO |
$7,091.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,091.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,091.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,091.06
|
| Rate for Payer: Mclaren Medicare |
$7,091.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,445.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,154.72
|
| Rate for Payer: PACE Medicare |
$6,736.51
|
| Rate for Payer: PACE SWMI |
$7,091.06
|
| Rate for Payer: PHP Commercial |
$7,800.17
|
| Rate for Payer: PHP Medicare Advantage |
$7,091.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,338.08
|
| Rate for Payer: Priority Health Medicare |
$7,091.06
|
| Rate for Payer: Priority Health Narrow Network |
$6,670.46
|
| Rate for Payer: Railroad Medicare Medicare |
$7,091.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,091.06
|
| Rate for Payer: UHC Exchange |
$10,991.14
|
| Rate for Payer: UHC Medicare Advantage |
$7,091.06
|
| Rate for Payer: UHCCP DNSP |
$7,091.06
|
| Rate for Payer: VA VA |
$7,091.06
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$28,260.34
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$17,320.86 |
| Max. Negotiated Rate |
$28,260.34 |
| Rate for Payer: Aetna Medicare |
$18,232.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,790.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,790.60
|
| Rate for Payer: BCBS MAPPO |
$18,232.48
|
| Rate for Payer: BCN Medicare Advantage |
$18,232.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,232.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,232.48
|
| Rate for Payer: Mclaren Medicare |
$18,232.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,144.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,967.35
|
| Rate for Payer: PACE Medicare |
$17,320.86
|
| Rate for Payer: PACE SWMI |
$18,232.48
|
| Rate for Payer: PHP Commercial |
$20,055.73
|
| Rate for Payer: PHP Medicare Advantage |
$18,232.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,490.97
|
| Rate for Payer: Priority Health Medicare |
$18,232.48
|
| Rate for Payer: Priority Health Narrow Network |
$20,392.78
|
| Rate for Payer: Railroad Medicare Medicare |
$18,232.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,232.48
|
| Rate for Payer: UHC Exchange |
$28,260.34
|
| Rate for Payer: UHC Medicare Advantage |
$18,232.48
|
| Rate for Payer: UHCCP DNSP |
$18,232.48
|
| Rate for Payer: VA VA |
$18,232.48
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,635.42
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$12,034.61 |
| Max. Negotiated Rate |
$19,635.42 |
| Rate for Payer: Aetna Medicare |
$12,668.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,835.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,835.01
|
| Rate for Payer: BCBS MAPPO |
$12,668.01
|
| Rate for Payer: BCN Medicare Advantage |
$12,668.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,668.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,668.01
|
| Rate for Payer: Mclaren Medicare |
$12,668.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,301.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,568.21
|
| Rate for Payer: PACE Medicare |
$12,034.61
|
| Rate for Payer: PACE SWMI |
$12,668.01
|
| Rate for Payer: PHP Commercial |
$13,934.81
|
| Rate for Payer: PHP Medicare Advantage |
$12,668.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,923.45
|
| Rate for Payer: Priority Health Medicare |
$12,668.01
|
| Rate for Payer: Priority Health Narrow Network |
$13,538.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12,668.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,668.01
|
| Rate for Payer: UHC Exchange |
$19,635.42
|
| Rate for Payer: UHC Medicare Advantage |
$12,668.01
|
| Rate for Payer: UHCCP DNSP |
$12,668.01
|
| Rate for Payer: VA VA |
$12,668.01
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$33,831.40
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$20,735.37 |
| Max. Negotiated Rate |
$33,831.40 |
| Rate for Payer: Aetna Medicare |
$21,826.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,283.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,283.39
|
| Rate for Payer: BCBS MAPPO |
$21,826.71
|
| Rate for Payer: BCN Medicare Advantage |
$21,826.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,826.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,826.71
|
| Rate for Payer: Mclaren Medicare |
$21,826.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,918.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,100.72
|
| Rate for Payer: PACE Medicare |
$20,735.37
|
| Rate for Payer: PACE SWMI |
$21,826.71
|
| Rate for Payer: PHP Commercial |
$24,009.38
|
| Rate for Payer: PHP Medicare Advantage |
$21,826.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,024.96
|
| Rate for Payer: Priority Health Medicare |
$21,826.71
|
| Rate for Payer: Priority Health Narrow Network |
$24,819.97
|
| Rate for Payer: Railroad Medicare Medicare |
$21,826.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,826.71
|
| Rate for Payer: UHC Exchange |
$33,831.40
|
| Rate for Payer: UHC Medicare Advantage |
$21,826.71
|
| Rate for Payer: UHCCP DNSP |
$21,826.71
|
| Rate for Payer: VA VA |
$21,826.71
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$22,227.31
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$13,623.19 |
| Max. Negotiated Rate |
$22,227.31 |
| Rate for Payer: Aetna Medicare |
$14,340.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,925.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,925.25
|
| Rate for Payer: BCBS MAPPO |
$14,340.20
|
| Rate for Payer: BCN Medicare Advantage |
$14,340.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,340.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,340.20
|
| Rate for Payer: Mclaren Medicare |
$14,340.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,057.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,491.23
|
| Rate for Payer: PACE Medicare |
$13,623.19
|
| Rate for Payer: PACE SWMI |
$14,340.20
|
| Rate for Payer: PHP Commercial |
$15,774.22
|
| Rate for Payer: PHP Medicare Advantage |
$14,340.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,498.10
|
| Rate for Payer: Priority Health Medicare |
$14,340.20
|
| Rate for Payer: Priority Health Narrow Network |
$15,598.48
|
| Rate for Payer: Railroad Medicare Medicare |
$14,340.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,340.20
|
| Rate for Payer: UHC Exchange |
$22,227.31
|
| Rate for Payer: UHC Medicare Advantage |
$14,340.20
|
| Rate for Payer: UHCCP DNSP |
$14,340.20
|
| Rate for Payer: VA VA |
$14,340.20
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$19,047.61
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$11,674.34 |
| Max. Negotiated Rate |
$19,047.61 |
| Rate for Payer: Aetna Medicare |
$12,288.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,360.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,360.98
|
| Rate for Payer: BCBS MAPPO |
$12,288.78
|
| Rate for Payer: BCN Medicare Advantage |
$12,288.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,288.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,288.78
|
| Rate for Payer: Mclaren Medicare |
$12,288.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,903.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,132.10
|
| Rate for Payer: PACE Medicare |
$11,674.34
|
| Rate for Payer: PACE SWMI |
$12,288.78
|
| Rate for Payer: PHP Commercial |
$13,517.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,288.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,339.55
|
| Rate for Payer: Priority Health Medicare |
$12,288.78
|
| Rate for Payer: Priority Health Narrow Network |
$13,071.64
|
| Rate for Payer: Railroad Medicare Medicare |
$12,288.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,288.78
|
| Rate for Payer: UHC Exchange |
$19,047.61
|
| Rate for Payer: UHC Medicare Advantage |
$12,288.78
|
| Rate for Payer: UHCCP DNSP |
$12,288.78
|
| Rate for Payer: VA VA |
$12,288.78
|
|
