|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$23,344.84
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$14,308.13 |
| Max. Negotiated Rate |
$23,344.84 |
| Rate for Payer: Aetna Medicare |
$15,061.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,826.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,826.49
|
| Rate for Payer: BCBS MAPPO |
$15,061.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,061.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,061.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,061.19
|
| Rate for Payer: Mclaren Medicare |
$15,061.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,814.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,320.37
|
| Rate for Payer: PACE Medicare |
$14,308.13
|
| Rate for Payer: PACE SWMI |
$15,061.19
|
| Rate for Payer: PHP Commercial |
$16,567.31
|
| Rate for Payer: PHP Medicare Advantage |
$15,061.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,610.95
|
| Rate for Payer: Priority Health Medicare |
$15,061.19
|
| Rate for Payer: Priority Health Narrow Network |
$16,488.76
|
| Rate for Payer: Railroad Medicare Medicare |
$15,061.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,061.19
|
| Rate for Payer: UHC Exchange |
$23,344.84
|
| Rate for Payer: UHC Medicare Advantage |
$15,061.19
|
| Rate for Payer: UHCCP DNSP |
$15,061.19
|
| Rate for Payer: VA VA |
$15,061.19
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$40,171.44
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$24,621.21 |
| Max. Negotiated Rate |
$40,171.44 |
| Rate for Payer: Aetna Medicare |
$25,917.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,396.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,396.32
|
| Rate for Payer: BCBS MAPPO |
$25,917.06
|
| Rate for Payer: BCN Medicare Advantage |
$25,917.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,917.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,917.06
|
| Rate for Payer: Mclaren Medicare |
$25,917.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,212.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,804.62
|
| Rate for Payer: PACE Medicare |
$24,621.21
|
| Rate for Payer: PACE SWMI |
$25,917.06
|
| Rate for Payer: PHP Commercial |
$28,508.77
|
| Rate for Payer: PHP Medicare Advantage |
$25,917.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37,322.82
|
| Rate for Payer: Priority Health Medicare |
$25,917.06
|
| Rate for Payer: Priority Health Narrow Network |
$29,858.26
|
| Rate for Payer: Railroad Medicare Medicare |
$25,917.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,917.06
|
| Rate for Payer: UHC Exchange |
$40,171.44
|
| Rate for Payer: UHC Medicare Advantage |
$25,917.06
|
| Rate for Payer: UHCCP DNSP |
$25,917.06
|
| Rate for Payer: VA VA |
$25,917.06
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$15,219.23
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$9,327.92 |
| Max. Negotiated Rate |
$15,219.23 |
| Rate for Payer: Aetna Medicare |
$9,818.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,273.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,273.58
|
| Rate for Payer: BCBS MAPPO |
$9,818.86
|
| Rate for Payer: BCN Medicare Advantage |
$9,818.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,818.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,818.86
|
| Rate for Payer: Mclaren Medicare |
$9,818.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,309.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,291.69
|
| Rate for Payer: PACE Medicare |
$9,327.92
|
| Rate for Payer: PACE SWMI |
$9,818.86
|
| Rate for Payer: PHP Commercial |
$10,800.75
|
| Rate for Payer: PHP Medicare Advantage |
$9,818.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,536.66
|
| Rate for Payer: Priority Health Medicare |
$9,818.86
|
| Rate for Payer: Priority Health Narrow Network |
$10,029.32
|
| Rate for Payer: Railroad Medicare Medicare |
$9,818.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,818.86
|
| Rate for Payer: UHC Exchange |
$15,219.23
|
| Rate for Payer: UHC Medicare Advantage |
$9,818.86
|
| Rate for Payer: UHCCP DNSP |
$9,818.86
|
| Rate for Payer: VA VA |
$9,818.86
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,700.52
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$10,235.80 |
| Max. Negotiated Rate |
$16,700.52 |
| Rate for Payer: Aetna Medicare |
$10,774.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,468.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,468.16
|
| Rate for Payer: BCBS MAPPO |
$10,774.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,774.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,774.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,774.53
|
| Rate for Payer: Mclaren Medicare |
$10,774.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,313.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,390.71
|
| Rate for Payer: PACE Medicare |
$10,235.80
|
| Rate for Payer: PACE SWMI |
$10,774.53
|
| Rate for Payer: PHP Commercial |
$11,851.98
|
| Rate for Payer: PHP Medicare Advantage |
$10,774.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,008.08
|
| Rate for Payer: Priority Health Medicare |
$10,774.53
|
| Rate for Payer: Priority Health Narrow Network |
$11,206.46
|
| Rate for Payer: Railroad Medicare Medicare |
$10,774.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,774.53
|
| Rate for Payer: UHC Exchange |
$16,700.52
|
| Rate for Payer: UHC Medicare Advantage |
$10,774.53
|
| Rate for Payer: UHCCP DNSP |
$10,774.53
|
| Rate for Payer: VA VA |
$10,774.53
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$24,300.56
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$14,893.89 |
| Max. Negotiated Rate |
$24,300.56 |
| Rate for Payer: Aetna Medicare |
$15,677.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,597.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,597.22
|
| Rate for Payer: BCBS MAPPO |
$15,677.78
|
| Rate for Payer: BCN Medicare Advantage |
$15,677.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,677.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,677.78
|
| Rate for Payer: Mclaren Medicare |
$15,677.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,461.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,029.45
|
| Rate for Payer: PACE Medicare |
$14,893.89
|
| Rate for Payer: PACE SWMI |
$15,677.78
|
| Rate for Payer: PHP Commercial |
$17,245.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,677.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,558.92
|
| Rate for Payer: Priority Health Medicare |
$15,677.78
|
| Rate for Payer: Priority Health Narrow Network |
$17,247.14
|
| Rate for Payer: Railroad Medicare Medicare |
$15,677.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,677.78
|
| Rate for Payer: UHC Exchange |
$24,300.56
|
| Rate for Payer: UHC Medicare Advantage |
$15,677.78
|
| Rate for Payer: UHCCP DNSP |
$15,677.78
|
| Rate for Payer: VA VA |
$15,677.78
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,944.03
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$7,933.44 |
| Max. Negotiated Rate |
$12,944.03 |
| Rate for Payer: Aetna Medicare |
$8,350.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,438.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,438.74
|
| Rate for Payer: BCBS MAPPO |
$8,350.99
|
| Rate for Payer: BCN Medicare Advantage |
$8,350.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,350.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,350.99
|
| Rate for Payer: Mclaren Medicare |
$8,350.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,768.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,603.64
|
| Rate for Payer: PACE Medicare |
$7,933.44
|
| Rate for Payer: PACE SWMI |
$8,350.99
|
| Rate for Payer: PHP Commercial |
$9,186.09
|
| Rate for Payer: PHP Medicare Advantage |
$8,350.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,276.62
|
| Rate for Payer: Priority Health Medicare |
$8,350.99
|
| Rate for Payer: Priority Health Narrow Network |
$8,221.30
|
| Rate for Payer: Railroad Medicare Medicare |
$8,350.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,350.99
|
| Rate for Payer: UHC Exchange |
$12,944.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,350.99
|
| Rate for Payer: UHCCP DNSP |
$8,350.99
|
| Rate for Payer: VA VA |
$8,350.99
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$30,420.70
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$18,644.95 |
| Max. Negotiated Rate |
$30,420.70 |
| Rate for Payer: Aetna Medicare |
$19,626.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,532.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,532.82
|
| Rate for Payer: BCBS MAPPO |
$19,626.26
|
| Rate for Payer: BCN Medicare Advantage |
$19,626.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,626.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,626.26
|
| Rate for Payer: Mclaren Medicare |
$19,626.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,607.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,570.20
|
| Rate for Payer: PACE Medicare |
$18,644.95
|
| Rate for Payer: PACE SWMI |
$19,626.26
|
| Rate for Payer: PHP Commercial |
$21,588.89
|
| Rate for Payer: PHP Medicare Advantage |
$19,626.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,636.97
|
| Rate for Payer: Priority Health Medicare |
$19,626.26
|
| Rate for Payer: Priority Health Narrow Network |
$22,109.58
|
| Rate for Payer: Railroad Medicare Medicare |
$19,626.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,626.26
|
| Rate for Payer: UHC Exchange |
$30,420.70
|
| Rate for Payer: UHC Medicare Advantage |
$19,626.26
|
| Rate for Payer: UHCCP DNSP |
$19,626.26
|
| Rate for Payer: VA VA |
$19,626.26
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$45,367.66
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$27,805.99 |
| Max. Negotiated Rate |
$45,367.66 |
| Rate for Payer: Aetna Medicare |
$29,269.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,586.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,586.82
|
| Rate for Payer: BCBS MAPPO |
$29,269.46
|
| Rate for Payer: BCN Medicare Advantage |
$29,269.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,269.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,269.46
|
| Rate for Payer: Mclaren Medicare |
$29,269.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,732.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,659.88
|
| Rate for Payer: PACE Medicare |
$27,805.99
|
| Rate for Payer: PACE SWMI |
$29,269.46
|
| Rate for Payer: PHP Commercial |
$32,196.41
|
| Rate for Payer: PHP Medicare Advantage |
$29,269.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,483.12
|
| Rate for Payer: Priority Health Medicare |
$29,269.46
|
| Rate for Payer: Priority Health Narrow Network |
$33,986.49
|
| Rate for Payer: Railroad Medicare Medicare |
$29,269.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,269.46
|
| Rate for Payer: UHC Exchange |
$45,367.66
|
| Rate for Payer: UHC Medicare Advantage |
$29,269.46
|
| Rate for Payer: UHCCP DNSP |
$29,269.46
|
| Rate for Payer: VA VA |
$29,269.46
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,242.50
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$14,245.40 |
| Max. Negotiated Rate |
$23,242.50 |
| Rate for Payer: Aetna Medicare |
$14,995.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,743.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,743.95
|
| Rate for Payer: BCBS MAPPO |
$14,995.16
|
| Rate for Payer: BCN Medicare Advantage |
$14,995.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,995.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,995.16
|
| Rate for Payer: Mclaren Medicare |
$14,995.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,744.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,244.43
|
| Rate for Payer: PACE Medicare |
$14,245.40
|
| Rate for Payer: PACE SWMI |
$14,995.16
|
| Rate for Payer: PHP Commercial |
$16,494.68
|
| Rate for Payer: PHP Medicare Advantage |
$14,995.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,506.53
|
| Rate for Payer: Priority Health Medicare |
$14,995.16
|
| Rate for Payer: Priority Health Narrow Network |
$16,405.23
|
| Rate for Payer: Railroad Medicare Medicare |
$14,995.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,995.16
|
| Rate for Payer: UHC Exchange |
$23,242.50
|
| Rate for Payer: UHC Medicare Advantage |
$14,995.16
|
| Rate for Payer: UHCCP DNSP |
$14,995.16
|
| Rate for Payer: VA VA |
$14,995.16
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,127.82
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$11,723.50 |
| Max. Negotiated Rate |
$19,127.82 |
| Rate for Payer: Aetna Medicare |
$12,340.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,425.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,425.66
|
| Rate for Payer: BCBS MAPPO |
$12,340.53
|
| Rate for Payer: BCN Medicare Advantage |
$12,340.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,340.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,340.53
|
| Rate for Payer: Mclaren Medicare |
$12,340.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,957.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,191.61
|
| Rate for Payer: PACE Medicare |
$11,723.50
|
| Rate for Payer: PACE SWMI |
$12,340.53
|
| Rate for Payer: PHP Commercial |
$13,574.58
|
| Rate for Payer: PHP Medicare Advantage |
$12,340.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,419.24
|
| Rate for Payer: Priority Health Medicare |
$12,340.53
|
| Rate for Payer: Priority Health Narrow Network |
$13,135.39
|
| Rate for Payer: Railroad Medicare Medicare |
$12,340.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,340.53
|
| Rate for Payer: UHC Exchange |
$19,127.82
|
| Rate for Payer: UHC Medicare Advantage |
$12,340.53
|
| Rate for Payer: UHCCP DNSP |
$12,340.53
|
| Rate for Payer: VA VA |
$12,340.53
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$28,783.13
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$17,641.27 |
| Max. Negotiated Rate |
$28,783.13 |
| Rate for Payer: Aetna Medicare |
$18,569.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,212.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,212.20
|
| Rate for Payer: BCBS MAPPO |
$18,569.76
|
| Rate for Payer: BCN Medicare Advantage |
$18,569.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,569.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,569.76
|
| Rate for Payer: Mclaren Medicare |
$18,569.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,498.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,355.22
|
| Rate for Payer: PACE Medicare |
$17,641.27
|
| Rate for Payer: PACE SWMI |
$18,569.76
|
| Rate for Payer: PHP Commercial |
$20,426.74
|
| Rate for Payer: PHP Medicare Advantage |
$18,569.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,008.92
|
| Rate for Payer: Priority Health Medicare |
$18,569.76
|
| Rate for Payer: Priority Health Narrow Network |
$20,807.14
|
| Rate for Payer: Railroad Medicare Medicare |
$18,569.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,569.76
|
| Rate for Payer: UHC Exchange |
$28,783.13
|
| Rate for Payer: UHC Medicare Advantage |
$18,569.76
|
| Rate for Payer: UHCCP DNSP |
$18,569.76
|
| Rate for Payer: VA VA |
$18,569.76
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,170.86
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$8,685.37 |
| Max. Negotiated Rate |
$14,170.86 |
| Rate for Payer: Aetna Medicare |
$9,142.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,428.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,428.11
|
| Rate for Payer: BCBS MAPPO |
$9,142.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,142.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,142.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,142.49
|
| Rate for Payer: Mclaren Medicare |
$9,142.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,599.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,513.86
|
| Rate for Payer: PACE Medicare |
$8,685.37
|
| Rate for Payer: PACE SWMI |
$9,142.49
|
| Rate for Payer: PHP Commercial |
$10,056.74
|
| Rate for Payer: PHP Medicare Advantage |
$9,142.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,495.25
|
| Rate for Payer: Priority Health Medicare |
$9,142.49
|
| Rate for Payer: Priority Health Narrow Network |
$9,196.20
|
| Rate for Payer: Railroad Medicare Medicare |
$9,142.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,142.49
|
| Rate for Payer: UHC Exchange |
$14,170.86
|
| Rate for Payer: UHC Medicare Advantage |
$9,142.49
|
| Rate for Payer: UHCCP DNSP |
$9,142.49
|
| Rate for Payer: VA VA |
$9,142.49
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$30,495.38
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$18,690.72 |
| Max. Negotiated Rate |
$30,495.38 |
| Rate for Payer: Aetna Medicare |
$19,674.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,593.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,593.05
|
| Rate for Payer: BCBS MAPPO |
$19,674.44
|
| Rate for Payer: BCN Medicare Advantage |
$19,674.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,674.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,674.44
|
| Rate for Payer: Mclaren Medicare |
$19,674.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,658.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,625.61
|
| Rate for Payer: PACE Medicare |
$18,690.72
|
| Rate for Payer: PACE SWMI |
$19,674.44
|
| Rate for Payer: PHP Commercial |
$21,641.88
|
| Rate for Payer: PHP Medicare Advantage |
$19,674.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,711.16
|
| Rate for Payer: Priority Health Medicare |
$19,674.44
|
| Rate for Payer: Priority Health Narrow Network |
$22,168.93
|
| Rate for Payer: Railroad Medicare Medicare |
$19,674.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,674.44
|
| Rate for Payer: UHC Exchange |
$30,495.38
|
| Rate for Payer: UHC Medicare Advantage |
$19,674.44
|
| Rate for Payer: UHCCP DNSP |
$19,674.44
|
| Rate for Payer: VA VA |
$19,674.44
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$57,695.12
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$35,361.53 |
| Max. Negotiated Rate |
$57,695.12 |
| Rate for Payer: Aetna Medicare |
$37,222.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,528.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,528.32
|
| Rate for Payer: BCBS MAPPO |
$37,222.66
|
| Rate for Payer: BCN Medicare Advantage |
$37,222.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,222.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,222.66
|
| Rate for Payer: Mclaren Medicare |
$37,222.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,083.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,806.06
|
| Rate for Payer: PACE Medicare |
$35,361.53
|
| Rate for Payer: PACE SWMI |
$37,222.66
|
| Rate for Payer: PHP Commercial |
$40,944.93
|
| Rate for Payer: PHP Medicare Advantage |
$37,222.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,728.51
|
| Rate for Payer: Priority Health Medicare |
$37,222.66
|
| Rate for Payer: Priority Health Narrow Network |
$43,782.81
|
| Rate for Payer: Railroad Medicare Medicare |
$37,222.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,222.66
|
| Rate for Payer: UHC Exchange |
$57,695.12
|
| Rate for Payer: UHC Medicare Advantage |
$37,222.66
|
| Rate for Payer: UHCCP DNSP |
$37,222.66
|
| Rate for Payer: VA VA |
$37,222.66
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,138.86
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$12,343.17 |
| Max. Negotiated Rate |
$20,138.86 |
| Rate for Payer: Aetna Medicare |
$12,992.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,241.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,241.01
|
| Rate for Payer: BCBS MAPPO |
$12,992.81
|
| Rate for Payer: BCN Medicare Advantage |
$12,992.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,992.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,992.81
|
| Rate for Payer: Mclaren Medicare |
$12,992.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,642.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,941.73
|
| Rate for Payer: PACE Medicare |
$12,343.17
|
| Rate for Payer: PACE SWMI |
$12,992.81
|
| Rate for Payer: PHP Commercial |
$14,292.09
|
| Rate for Payer: PHP Medicare Advantage |
$12,992.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,423.55
|
| Rate for Payer: Priority Health Medicare |
$12,992.81
|
| Rate for Payer: Priority Health Narrow Network |
$13,938.84
|
| Rate for Payer: Railroad Medicare Medicare |
$12,992.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,992.81
|
| Rate for Payer: UHC Exchange |
$20,138.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,992.81
|
| Rate for Payer: UHCCP DNSP |
$12,992.81
|
| Rate for Payer: VA VA |
$12,992.81
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$59,439.18
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$36,430.47 |
| Max. Negotiated Rate |
$59,439.18 |
| Rate for Payer: Aetna Medicare |
$38,347.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,934.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,934.82
|
| Rate for Payer: BCBS MAPPO |
$38,347.86
|
| Rate for Payer: BCN Medicare Advantage |
$38,347.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,347.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,347.86
|
| Rate for Payer: Mclaren Medicare |
$38,347.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,265.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,100.04
|
| Rate for Payer: PACE Medicare |
$36,430.47
|
| Rate for Payer: PACE SWMI |
$38,347.86
|
| Rate for Payer: PHP Commercial |
$42,182.65
|
| Rate for Payer: PHP Medicare Advantage |
$38,347.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,459.60
|
| Rate for Payer: Priority Health Medicare |
$38,347.86
|
| Rate for Payer: Priority Health Narrow Network |
$45,167.68
|
| Rate for Payer: Railroad Medicare Medicare |
$38,347.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,347.86
|
| Rate for Payer: UHC Exchange |
$59,439.18
|
| Rate for Payer: UHC Medicare Advantage |
$38,347.86
|
| Rate for Payer: UHCCP DNSP |
$38,347.86
|
| Rate for Payer: VA VA |
$38,347.86
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$105,833.36
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$64,865.61 |
| Max. Negotiated Rate |
$105,833.36 |
| Rate for Payer: Aetna Medicare |
$68,279.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$85,349.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$85,349.49
|
| Rate for Payer: BCBS MAPPO |
$68,279.59
|
| Rate for Payer: BCN Medicare Advantage |
$68,279.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68,279.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$68,279.59
|
| Rate for Payer: Mclaren Medicare |
$68,279.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$71,693.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$78,521.53
|
| Rate for Payer: PACE Medicare |
$64,865.61
|
| Rate for Payer: PACE SWMI |
$68,279.59
|
| Rate for Payer: PHP Commercial |
$75,107.55
|
| Rate for Payer: PHP Medicare Advantage |
$68,279.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102,542.28
|
| Rate for Payer: Priority Health Medicare |
$68,279.59
|
| Rate for Payer: Priority Health Narrow Network |
$82,033.83
|
| Rate for Payer: Railroad Medicare Medicare |
$68,279.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$68,279.59
|
| Rate for Payer: UHC Exchange |
$105,833.36
|
| Rate for Payer: UHC Medicare Advantage |
$68,279.59
|
| Rate for Payer: UHCCP DNSP |
$68,279.59
|
| Rate for Payer: VA VA |
$68,279.59
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$39,164.56
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$24,004.09 |
| Max. Negotiated Rate |
$39,164.56 |
| Rate for Payer: Aetna Medicare |
$25,267.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,584.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,584.32
|
| Rate for Payer: BCBS MAPPO |
$25,267.46
|
| Rate for Payer: BCN Medicare Advantage |
$25,267.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,267.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,267.46
|
| Rate for Payer: Mclaren Medicare |
$25,267.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,530.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,057.58
|
| Rate for Payer: PACE Medicare |
$24,004.09
|
| Rate for Payer: PACE SWMI |
$25,267.46
|
| Rate for Payer: PHP Commercial |
$27,794.21
|
| Rate for Payer: PHP Medicare Advantage |
$25,267.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,321.27
|
| Rate for Payer: Priority Health Medicare |
$25,267.46
|
| Rate for Payer: Priority Health Narrow Network |
$29,057.01
|
| Rate for Payer: Railroad Medicare Medicare |
$25,267.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,267.46
|
| Rate for Payer: UHC Exchange |
$39,164.56
|
| Rate for Payer: UHC Medicare Advantage |
$25,267.46
|
| Rate for Payer: UHCCP DNSP |
$25,267.46
|
| Rate for Payer: VA VA |
$25,267.46
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$27,216.08
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$16,680.82 |
| Max. Negotiated Rate |
$27,216.08 |
| Rate for Payer: Aetna Medicare |
$17,558.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,948.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,948.45
|
| Rate for Payer: BCBS MAPPO |
$17,558.76
|
| Rate for Payer: BCN Medicare Advantage |
$17,558.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,558.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,558.76
|
| Rate for Payer: Mclaren Medicare |
$17,558.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,436.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,192.57
|
| Rate for Payer: PACE Medicare |
$16,680.82
|
| Rate for Payer: PACE SWMI |
$17,558.76
|
| Rate for Payer: PHP Commercial |
$19,314.64
|
| Rate for Payer: PHP Medicare Advantage |
$17,558.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,453.69
|
| Rate for Payer: Priority Health Medicare |
$17,558.76
|
| Rate for Payer: Priority Health Narrow Network |
$19,562.95
|
| Rate for Payer: Railroad Medicare Medicare |
$17,558.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,558.76
|
| Rate for Payer: UHC Exchange |
$27,216.08
|
| Rate for Payer: UHC Medicare Advantage |
$17,558.76
|
| Rate for Payer: UHCCP DNSP |
$17,558.76
|
| Rate for Payer: VA VA |
$17,558.76
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$52,178.01
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$31,980.07 |
| Max. Negotiated Rate |
$52,178.01 |
| Rate for Payer: Aetna Medicare |
$33,663.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,079.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,079.04
|
| Rate for Payer: BCBS MAPPO |
$33,663.23
|
| Rate for Payer: BCN Medicare Advantage |
$33,663.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,663.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,663.23
|
| Rate for Payer: Mclaren Medicare |
$33,663.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,346.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,712.71
|
| Rate for Payer: PACE Medicare |
$31,980.07
|
| Rate for Payer: PACE SWMI |
$33,663.23
|
| Rate for Payer: PHP Commercial |
$37,029.55
|
| Rate for Payer: PHP Medicare Advantage |
$33,663.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,248.10
|
| Rate for Payer: Priority Health Medicare |
$33,663.23
|
| Rate for Payer: Priority Health Narrow Network |
$39,398.48
|
| Rate for Payer: Railroad Medicare Medicare |
$33,663.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,663.23
|
| Rate for Payer: UHC Exchange |
$52,178.01
|
| Rate for Payer: UHC Medicare Advantage |
$33,663.23
|
| Rate for Payer: UHCCP DNSP |
$33,663.23
|
| Rate for Payer: VA VA |
$33,663.23
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$17,888.60
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$10,963.98 |
| Max. Negotiated Rate |
$17,888.60 |
| Rate for Payer: Aetna Medicare |
$11,541.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,426.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,426.29
|
| Rate for Payer: BCBS MAPPO |
$11,541.03
|
| Rate for Payer: BCN Medicare Advantage |
$11,541.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,541.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,541.03
|
| Rate for Payer: Mclaren Medicare |
$11,541.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,118.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,272.18
|
| Rate for Payer: PACE Medicare |
$10,963.98
|
| Rate for Payer: PACE SWMI |
$11,541.03
|
| Rate for Payer: PHP Commercial |
$12,695.13
|
| Rate for Payer: PHP Medicare Advantage |
$11,541.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,188.24
|
| Rate for Payer: Priority Health Medicare |
$11,541.03
|
| Rate for Payer: Priority Health Narrow Network |
$12,150.59
|
| Rate for Payer: Railroad Medicare Medicare |
$11,541.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,541.03
|
| Rate for Payer: UHC Exchange |
$17,888.60
|
| Rate for Payer: UHC Medicare Advantage |
$11,541.03
|
| Rate for Payer: UHCCP DNSP |
$11,541.03
|
| Rate for Payer: VA VA |
$11,541.03
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$28,707.05
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$17,594.65 |
| Max. Negotiated Rate |
$28,707.05 |
| Rate for Payer: Aetna Medicare |
$18,520.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,150.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,150.85
|
| Rate for Payer: BCBS MAPPO |
$18,520.68
|
| Rate for Payer: BCN Medicare Advantage |
$18,520.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,520.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,520.68
|
| Rate for Payer: Mclaren Medicare |
$18,520.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,446.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,298.78
|
| Rate for Payer: PACE Medicare |
$17,594.65
|
| Rate for Payer: PACE SWMI |
$18,520.68
|
| Rate for Payer: PHP Commercial |
$20,372.75
|
| Rate for Payer: PHP Medicare Advantage |
$18,520.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,934.73
|
| Rate for Payer: Priority Health Medicare |
$18,520.68
|
| Rate for Payer: Priority Health Narrow Network |
$20,747.79
|
| Rate for Payer: Railroad Medicare Medicare |
$18,520.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,520.68
|
| Rate for Payer: UHC Exchange |
$28,707.05
|
| Rate for Payer: UHC Medicare Advantage |
$18,520.68
|
| Rate for Payer: UHCCP DNSP |
$18,520.68
|
| Rate for Payer: VA VA |
$18,520.68
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$15,125.19
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$9,270.28 |
| Max. Negotiated Rate |
$15,125.19 |
| Rate for Payer: Aetna Medicare |
$9,758.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,197.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,197.74
|
| Rate for Payer: BCBS MAPPO |
$9,758.19
|
| Rate for Payer: BCN Medicare Advantage |
$9,758.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,758.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,758.19
|
| Rate for Payer: Mclaren Medicare |
$9,758.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,246.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,221.92
|
| Rate for Payer: PACE Medicare |
$9,270.28
|
| Rate for Payer: PACE SWMI |
$9,758.19
|
| Rate for Payer: PHP Commercial |
$10,734.01
|
| Rate for Payer: PHP Medicare Advantage |
$9,758.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,444.61
|
| Rate for Payer: Priority Health Medicare |
$9,758.19
|
| Rate for Payer: Priority Health Narrow Network |
$9,955.68
|
| Rate for Payer: Railroad Medicare Medicare |
$9,758.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,758.19
|
| Rate for Payer: UHC Exchange |
$15,125.19
|
| Rate for Payer: UHC Medicare Advantage |
$9,758.19
|
| Rate for Payer: UHCCP DNSP |
$9,758.19
|
| Rate for Payer: VA VA |
$9,758.19
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$27,868.92
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$17,080.95 |
| Max. Negotiated Rate |
$27,868.92 |
| Rate for Payer: Aetna Medicare |
$17,979.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,474.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,474.94
|
| Rate for Payer: BCBS MAPPO |
$17,979.95
|
| Rate for Payer: BCN Medicare Advantage |
$17,979.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,979.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,979.95
|
| Rate for Payer: Mclaren Medicare |
$17,979.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,878.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,676.94
|
| Rate for Payer: PACE Medicare |
$17,080.95
|
| Rate for Payer: PACE SWMI |
$17,979.95
|
| Rate for Payer: PHP Commercial |
$19,777.94
|
| Rate for Payer: PHP Medicare Advantage |
$17,979.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,102.16
|
| Rate for Payer: Priority Health Medicare |
$17,979.95
|
| Rate for Payer: Priority Health Narrow Network |
$20,081.73
|
| Rate for Payer: Railroad Medicare Medicare |
$17,979.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,979.95
|
| Rate for Payer: UHC Exchange |
$27,868.92
|
| Rate for Payer: UHC Medicare Advantage |
$17,979.95
|
| Rate for Payer: UHCCP DNSP |
$17,979.95
|
| Rate for Payer: VA VA |
$17,979.95
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$55,850.08
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$34,230.69 |
| Max. Negotiated Rate |
$55,850.08 |
| Rate for Payer: Aetna Medicare |
$36,032.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,040.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,040.39
|
| Rate for Payer: BCBS MAPPO |
$36,032.31
|
| Rate for Payer: BCN Medicare Advantage |
$36,032.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,032.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,032.31
|
| Rate for Payer: Mclaren Medicare |
$36,032.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,833.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,437.16
|
| Rate for Payer: PACE Medicare |
$34,230.69
|
| Rate for Payer: PACE SWMI |
$36,032.31
|
| Rate for Payer: PHP Commercial |
$39,635.54
|
| Rate for Payer: PHP Medicare Advantage |
$36,032.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52,908.12
|
| Rate for Payer: Priority Health Medicare |
$36,032.31
|
| Rate for Payer: Priority Health Narrow Network |
$42,326.50
|
| Rate for Payer: Railroad Medicare Medicare |
$36,032.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,032.31
|
| Rate for Payer: UHC Exchange |
$55,850.08
|
| Rate for Payer: UHC Medicare Advantage |
$36,032.31
|
| Rate for Payer: UHCCP DNSP |
$36,032.31
|
| Rate for Payer: VA VA |
$36,032.31
|
|
