|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,322.78
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$13,068.80 |
| Max. Negotiated Rate |
$21,322.78 |
| Rate for Payer: Aetna Medicare |
$13,756.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,195.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,195.79
|
| Rate for Payer: BCBS MAPPO |
$13,756.63
|
| Rate for Payer: BCN Medicare Advantage |
$13,756.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,756.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,756.63
|
| Rate for Payer: Mclaren Medicare |
$13,756.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,444.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,820.12
|
| Rate for Payer: PACE Medicare |
$13,068.80
|
| Rate for Payer: PACE SWMI |
$13,756.63
|
| Rate for Payer: PHP Commercial |
$15,132.29
|
| Rate for Payer: PHP Medicare Advantage |
$13,756.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,599.59
|
| Rate for Payer: Priority Health Medicare |
$13,756.63
|
| Rate for Payer: Priority Health Narrow Network |
$14,879.67
|
| Rate for Payer: Railroad Medicare Medicare |
$13,756.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,756.63
|
| Rate for Payer: UHC Exchange |
$21,322.78
|
| Rate for Payer: UHC Medicare Advantage |
$13,756.63
|
| Rate for Payer: UHCCP DNSP |
$13,756.63
|
| Rate for Payer: VA VA |
$13,756.63
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$27,119.26
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$16,621.48 |
| Max. Negotiated Rate |
$27,119.26 |
| Rate for Payer: Aetna Medicare |
$17,496.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,870.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,870.38
|
| Rate for Payer: BCBS MAPPO |
$17,496.30
|
| Rate for Payer: BCN Medicare Advantage |
$17,496.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,496.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,496.30
|
| Rate for Payer: Mclaren Medicare |
$17,496.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,371.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,120.74
|
| Rate for Payer: PACE Medicare |
$16,621.48
|
| Rate for Payer: PACE SWMI |
$17,496.30
|
| Rate for Payer: PHP Commercial |
$19,245.93
|
| Rate for Payer: PHP Medicare Advantage |
$17,496.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,357.52
|
| Rate for Payer: Priority Health Medicare |
$17,496.30
|
| Rate for Payer: Priority Health Narrow Network |
$19,486.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17,496.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,496.30
|
| Rate for Payer: UHC Exchange |
$27,119.26
|
| Rate for Payer: UHC Medicare Advantage |
$17,496.30
|
| Rate for Payer: UHCCP DNSP |
$17,496.30
|
| Rate for Payer: VA VA |
$17,496.30
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,677.44
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$29,221.66 |
| Max. Negotiated Rate |
$47,677.44 |
| Rate for Payer: Aetna Medicare |
$30,759.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,449.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,449.55
|
| Rate for Payer: BCBS MAPPO |
$30,759.64
|
| Rate for Payer: BCN Medicare Advantage |
$30,759.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,759.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,759.64
|
| Rate for Payer: Mclaren Medicare |
$30,759.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,297.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,373.59
|
| Rate for Payer: PACE Medicare |
$29,221.66
|
| Rate for Payer: PACE SWMI |
$30,759.64
|
| Rate for Payer: PHP Commercial |
$33,835.60
|
| Rate for Payer: PHP Medicare Advantage |
$30,759.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,776.12
|
| Rate for Payer: Priority Health Medicare |
$30,759.64
|
| Rate for Payer: Priority Health Narrow Network |
$35,820.90
|
| Rate for Payer: Railroad Medicare Medicare |
$30,759.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,759.64
|
| Rate for Payer: UHC Exchange |
$47,677.44
|
| Rate for Payer: UHC Medicare Advantage |
$30,759.64
|
| Rate for Payer: UHCCP DNSP |
$30,759.64
|
| Rate for Payer: VA VA |
$30,759.64
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,502.53
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$13,791.87 |
| Max. Negotiated Rate |
$22,502.53 |
| Rate for Payer: Aetna Medicare |
$14,517.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,147.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,147.20
|
| Rate for Payer: BCBS MAPPO |
$14,517.76
|
| Rate for Payer: BCN Medicare Advantage |
$14,517.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,517.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,517.76
|
| Rate for Payer: Mclaren Medicare |
$14,517.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,243.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,695.42
|
| Rate for Payer: PACE Medicare |
$13,791.87
|
| Rate for Payer: PACE SWMI |
$14,517.76
|
| Rate for Payer: PHP Commercial |
$15,969.54
|
| Rate for Payer: PHP Medicare Advantage |
$14,517.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,771.51
|
| Rate for Payer: Priority Health Medicare |
$14,517.76
|
| Rate for Payer: Priority Health Narrow Network |
$15,817.21
|
| Rate for Payer: Railroad Medicare Medicare |
$14,517.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,517.76
|
| Rate for Payer: UHC Exchange |
$22,502.53
|
| Rate for Payer: UHC Medicare Advantage |
$14,517.76
|
| Rate for Payer: UHCCP DNSP |
$14,517.76
|
| Rate for Payer: VA VA |
$14,517.76
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$37,907.34
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$23,233.53 |
| Max. Negotiated Rate |
$37,907.34 |
| Rate for Payer: Aetna Medicare |
$24,456.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,570.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,570.44
|
| Rate for Payer: BCBS MAPPO |
$24,456.35
|
| Rate for Payer: BCN Medicare Advantage |
$24,456.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,456.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,456.35
|
| Rate for Payer: Mclaren Medicare |
$24,456.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,679.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,124.80
|
| Rate for Payer: PACE Medicare |
$23,233.53
|
| Rate for Payer: PACE SWMI |
$24,456.35
|
| Rate for Payer: PHP Commercial |
$26,901.98
|
| Rate for Payer: PHP Medicare Advantage |
$24,456.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,073.78
|
| Rate for Payer: Priority Health Medicare |
$24,456.35
|
| Rate for Payer: Priority Health Narrow Network |
$28,059.03
|
| Rate for Payer: Railroad Medicare Medicare |
$24,456.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,456.35
|
| Rate for Payer: UHC Exchange |
$37,907.34
|
| Rate for Payer: UHC Medicare Advantage |
$24,456.35
|
| Rate for Payer: UHCCP DNSP |
$24,456.35
|
| Rate for Payer: VA VA |
$24,456.35
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,042.52
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$30,671.22 |
| Max. Negotiated Rate |
$50,042.52 |
| Rate for Payer: Aetna Medicare |
$32,285.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,356.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,356.88
|
| Rate for Payer: BCBS MAPPO |
$32,285.50
|
| Rate for Payer: BCN Medicare Advantage |
$32,285.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,285.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,285.50
|
| Rate for Payer: Mclaren Medicare |
$32,285.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,899.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,128.32
|
| Rate for Payer: PACE Medicare |
$30,671.22
|
| Rate for Payer: PACE SWMI |
$32,285.50
|
| Rate for Payer: PHP Commercial |
$35,514.05
|
| Rate for Payer: PHP Medicare Advantage |
$32,285.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,126.83
|
| Rate for Payer: Priority Health Medicare |
$32,285.50
|
| Rate for Payer: Priority Health Narrow Network |
$37,701.47
|
| Rate for Payer: Railroad Medicare Medicare |
$32,285.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,285.50
|
| Rate for Payer: UHC Exchange |
$50,042.52
|
| Rate for Payer: UHC Medicare Advantage |
$32,285.50
|
| Rate for Payer: UHCCP DNSP |
$32,285.50
|
| Rate for Payer: VA VA |
$32,285.50
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,792.85
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$16,421.42 |
| Max. Negotiated Rate |
$26,792.85 |
| Rate for Payer: Aetna Medicare |
$17,285.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,607.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,607.14
|
| Rate for Payer: BCBS MAPPO |
$17,285.71
|
| Rate for Payer: BCN Medicare Advantage |
$17,285.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,285.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,285.71
|
| Rate for Payer: Mclaren Medicare |
$17,285.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,150.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,878.57
|
| Rate for Payer: PACE Medicare |
$16,421.42
|
| Rate for Payer: PACE SWMI |
$17,285.71
|
| Rate for Payer: PHP Commercial |
$19,014.28
|
| Rate for Payer: PHP Medicare Advantage |
$17,285.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,033.28
|
| Rate for Payer: Priority Health Medicare |
$17,285.71
|
| Rate for Payer: Priority Health Narrow Network |
$19,226.63
|
| Rate for Payer: Railroad Medicare Medicare |
$17,285.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,285.71
|
| Rate for Payer: UHC Exchange |
$26,792.85
|
| Rate for Payer: UHC Medicare Advantage |
$17,285.71
|
| Rate for Payer: UHCCP DNSP |
$17,285.71
|
| Rate for Payer: VA VA |
$17,285.71
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$18,292.45
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$11,211.50 |
| Max. Negotiated Rate |
$18,292.45 |
| Rate for Payer: Aetna Medicare |
$11,801.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,751.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,751.98
|
| Rate for Payer: BCBS MAPPO |
$11,801.58
|
| Rate for Payer: BCN Medicare Advantage |
$11,801.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,801.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,801.58
|
| Rate for Payer: Mclaren Medicare |
$11,801.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,391.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,571.82
|
| Rate for Payer: PACE Medicare |
$11,211.50
|
| Rate for Payer: PACE SWMI |
$11,801.58
|
| Rate for Payer: PHP Commercial |
$12,981.74
|
| Rate for Payer: PHP Medicare Advantage |
$11,801.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,589.42
|
| Rate for Payer: Priority Health Medicare |
$11,801.58
|
| Rate for Payer: Priority Health Narrow Network |
$12,471.53
|
| Rate for Payer: Railroad Medicare Medicare |
$11,801.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,801.58
|
| Rate for Payer: UHC Exchange |
$18,292.45
|
| Rate for Payer: UHC Medicare Advantage |
$11,801.58
|
| Rate for Payer: UHCCP DNSP |
$11,801.58
|
| Rate for Payer: VA VA |
$11,801.58
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$12,440.61
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$7,624.89 |
| Max. Negotiated Rate |
$12,440.61 |
| Rate for Payer: Aetna Medicare |
$8,026.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,032.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,032.75
|
| Rate for Payer: BCBS MAPPO |
$8,026.20
|
| Rate for Payer: BCN Medicare Advantage |
$8,026.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,026.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,026.20
|
| Rate for Payer: Mclaren Medicare |
$8,026.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,427.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,230.13
|
| Rate for Payer: PACE Medicare |
$7,624.89
|
| Rate for Payer: PACE SWMI |
$8,026.20
|
| Rate for Payer: PHP Commercial |
$8,828.82
|
| Rate for Payer: PHP Medicare Advantage |
$8,026.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,777.90
|
| Rate for Payer: Priority Health Medicare |
$8,026.20
|
| Rate for Payer: Priority Health Narrow Network |
$7,822.32
|
| Rate for Payer: Railroad Medicare Medicare |
$8,026.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,026.20
|
| Rate for Payer: UHC Exchange |
$12,440.61
|
| Rate for Payer: UHC Medicare Advantage |
$8,026.20
|
| Rate for Payer: UHCCP DNSP |
$8,026.20
|
| Rate for Payer: VA VA |
$8,026.20
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$41,439.73
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$25,398.54 |
| Max. Negotiated Rate |
$41,439.73 |
| Rate for Payer: Aetna Medicare |
$26,735.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,419.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,419.14
|
| Rate for Payer: BCBS MAPPO |
$26,735.31
|
| Rate for Payer: BCN Medicare Advantage |
$26,735.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,735.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,735.31
|
| Rate for Payer: Mclaren Medicare |
$26,735.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,072.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,745.61
|
| Rate for Payer: PACE Medicare |
$25,398.54
|
| Rate for Payer: PACE SWMI |
$26,735.31
|
| Rate for Payer: PHP Commercial |
$29,408.84
|
| Rate for Payer: PHP Medicare Advantage |
$26,735.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,581.30
|
| Rate for Payer: Priority Health Medicare |
$26,735.31
|
| Rate for Payer: Priority Health Narrow Network |
$30,865.04
|
| Rate for Payer: Railroad Medicare Medicare |
$26,735.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,735.31
|
| Rate for Payer: UHC Exchange |
$41,439.73
|
| Rate for Payer: UHC Medicare Advantage |
$26,735.31
|
| Rate for Payer: UHCCP DNSP |
$26,735.31
|
| Rate for Payer: VA VA |
$26,735.31
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$77,680.70
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$47,610.75 |
| Max. Negotiated Rate |
$77,680.70 |
| Rate for Payer: Aetna Medicare |
$50,116.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,645.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,645.72
|
| Rate for Payer: BCBS MAPPO |
$50,116.58
|
| Rate for Payer: BCN Medicare Advantage |
$50,116.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,116.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$50,116.58
|
| Rate for Payer: Mclaren Medicare |
$50,116.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,622.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,634.07
|
| Rate for Payer: PACE Medicare |
$47,610.75
|
| Rate for Payer: PACE SWMI |
$50,116.58
|
| Rate for Payer: PHP Commercial |
$55,128.24
|
| Rate for Payer: PHP Medicare Advantage |
$50,116.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74,579.70
|
| Rate for Payer: Priority Health Medicare |
$50,116.58
|
| Rate for Payer: Priority Health Narrow Network |
$59,663.76
|
| Rate for Payer: Railroad Medicare Medicare |
$50,116.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,116.58
|
| Rate for Payer: UHC Exchange |
$77,680.70
|
| Rate for Payer: UHC Medicare Advantage |
$50,116.58
|
| Rate for Payer: UHCCP DNSP |
$50,116.58
|
| Rate for Payer: VA VA |
$50,116.58
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,137.13
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$19,696.95 |
| Max. Negotiated Rate |
$32,137.13 |
| Rate for Payer: Aetna Medicare |
$20,733.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,917.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,917.04
|
| Rate for Payer: BCBS MAPPO |
$20,733.63
|
| Rate for Payer: BCN Medicare Advantage |
$20,733.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,733.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,733.63
|
| Rate for Payer: Mclaren Medicare |
$20,733.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,770.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,843.67
|
| Rate for Payer: PACE Medicare |
$19,696.95
|
| Rate for Payer: PACE SWMI |
$20,733.63
|
| Rate for Payer: PHP Commercial |
$22,806.99
|
| Rate for Payer: PHP Medicare Advantage |
$20,733.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,340.58
|
| Rate for Payer: Priority Health Medicare |
$20,733.63
|
| Rate for Payer: Priority Health Narrow Network |
$23,472.47
|
| Rate for Payer: Railroad Medicare Medicare |
$20,733.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,733.63
|
| Rate for Payer: UHC Exchange |
$32,137.13
|
| Rate for Payer: UHC Medicare Advantage |
$20,733.63
|
| Rate for Payer: UHCCP DNSP |
$20,733.63
|
| Rate for Payer: VA VA |
$20,733.63
|
|
|
MS-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$112,870.50
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$69,178.70 |
| Max. Negotiated Rate |
$112,870.50 |
| Rate for Payer: Aetna Medicare |
$72,819.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91,024.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91,024.60
|
| Rate for Payer: BCBS MAPPO |
$72,819.68
|
| Rate for Payer: BCN Medicare Advantage |
$72,819.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72,819.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$72,819.68
|
| Rate for Payer: Mclaren Medicare |
$72,819.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76,460.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$83,742.63
|
| Rate for Payer: PACE Medicare |
$69,178.70
|
| Rate for Payer: PACE SWMI |
$72,819.68
|
| Rate for Payer: PHP Commercial |
$80,101.65
|
| Rate for Payer: PHP Medicare Advantage |
$72,819.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$109,533.96
|
| Rate for Payer: Priority Health Medicare |
$72,819.68
|
| Rate for Payer: Priority Health Narrow Network |
$87,627.17
|
| Rate for Payer: Railroad Medicare Medicare |
$72,819.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$72,819.68
|
| Rate for Payer: UHC Exchange |
$112,870.50
|
| Rate for Payer: UHC Medicare Advantage |
$72,819.68
|
| Rate for Payer: UHCCP DNSP |
$72,819.68
|
| Rate for Payer: VA VA |
$72,819.68
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$17,270.35
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$10,585.05 |
| Max. Negotiated Rate |
$17,270.35 |
| Rate for Payer: Aetna Medicare |
$11,142.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,927.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,927.70
|
| Rate for Payer: BCBS MAPPO |
$11,142.16
|
| Rate for Payer: BCN Medicare Advantage |
$11,142.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,142.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,142.16
|
| Rate for Payer: Mclaren Medicare |
$11,142.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,699.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,813.48
|
| Rate for Payer: PACE Medicare |
$10,585.05
|
| Rate for Payer: PACE SWMI |
$11,142.16
|
| Rate for Payer: PHP Commercial |
$12,256.38
|
| Rate for Payer: PHP Medicare Advantage |
$11,142.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,574.12
|
| Rate for Payer: Priority Health Medicare |
$11,142.16
|
| Rate for Payer: Priority Health Narrow Network |
$11,659.30
|
| Rate for Payer: Railroad Medicare Medicare |
$11,142.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,142.16
|
| Rate for Payer: UHC Exchange |
$17,270.35
|
| Rate for Payer: UHC Medicare Advantage |
$11,142.16
|
| Rate for Payer: UHCCP DNSP |
$11,142.16
|
| Rate for Payer: VA VA |
$11,142.16
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$28,393.10
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$17,402.22 |
| Max. Negotiated Rate |
$28,393.10 |
| Rate for Payer: Aetna Medicare |
$18,318.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,897.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,897.66
|
| Rate for Payer: BCBS MAPPO |
$18,318.13
|
| Rate for Payer: BCN Medicare Advantage |
$18,318.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,318.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,318.13
|
| Rate for Payer: Mclaren Medicare |
$18,318.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,234.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,065.85
|
| Rate for Payer: PACE Medicare |
$17,402.22
|
| Rate for Payer: PACE SWMI |
$18,318.13
|
| Rate for Payer: PHP Commercial |
$20,149.94
|
| Rate for Payer: PHP Medicare Advantage |
$18,318.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,621.49
|
| Rate for Payer: Priority Health Medicare |
$18,318.13
|
| Rate for Payer: Priority Health Narrow Network |
$20,497.19
|
| Rate for Payer: Railroad Medicare Medicare |
$18,318.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,318.13
|
| Rate for Payer: UHC Exchange |
$28,393.10
|
| Rate for Payer: UHC Medicare Advantage |
$18,318.13
|
| Rate for Payer: UHCCP DNSP |
$18,318.13
|
| Rate for Payer: VA VA |
$18,318.13
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,049.19
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$7,997.89 |
| Max. Negotiated Rate |
$13,049.19 |
| Rate for Payer: Aetna Medicare |
$8,418.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,523.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,523.54
|
| Rate for Payer: BCBS MAPPO |
$8,418.83
|
| Rate for Payer: BCN Medicare Advantage |
$8,418.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,418.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,418.83
|
| Rate for Payer: Mclaren Medicare |
$8,418.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,839.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,681.65
|
| Rate for Payer: PACE Medicare |
$7,997.89
|
| Rate for Payer: PACE SWMI |
$8,418.83
|
| Rate for Payer: PHP Commercial |
$9,260.71
|
| Rate for Payer: PHP Medicare Advantage |
$8,418.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,382.41
|
| Rate for Payer: Priority Health Medicare |
$8,418.83
|
| Rate for Payer: Priority Health Narrow Network |
$8,305.93
|
| Rate for Payer: Railroad Medicare Medicare |
$8,418.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,418.83
|
| Rate for Payer: UHC Exchange |
$13,049.19
|
| Rate for Payer: UHC Medicare Advantage |
$8,418.83
|
| Rate for Payer: UHCCP DNSP |
$8,418.83
|
| Rate for Payer: VA VA |
$8,418.83
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$31,680.70
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$19,417.20 |
| Max. Negotiated Rate |
$31,680.70 |
| Rate for Payer: Aetna Medicare |
$20,439.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,548.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,548.95
|
| Rate for Payer: BCBS MAPPO |
$20,439.16
|
| Rate for Payer: BCN Medicare Advantage |
$20,439.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,439.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,439.16
|
| Rate for Payer: Mclaren Medicare |
$20,439.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,461.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,505.03
|
| Rate for Payer: PACE Medicare |
$19,417.20
|
| Rate for Payer: PACE SWMI |
$20,439.16
|
| Rate for Payer: PHP Commercial |
$22,483.08
|
| Rate for Payer: PHP Medicare Advantage |
$20,439.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,888.57
|
| Rate for Payer: Priority Health Medicare |
$20,439.16
|
| Rate for Payer: Priority Health Narrow Network |
$23,110.86
|
| Rate for Payer: Railroad Medicare Medicare |
$20,439.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,439.16
|
| Rate for Payer: UHC Exchange |
$31,680.70
|
| Rate for Payer: UHC Medicare Advantage |
$20,439.16
|
| Rate for Payer: UHCCP DNSP |
$20,439.16
|
| Rate for Payer: VA VA |
$20,439.16
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,386.47
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$11,882.03 |
| Max. Negotiated Rate |
$19,386.47 |
| Rate for Payer: Aetna Medicare |
$12,507.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,634.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,634.25
|
| Rate for Payer: BCBS MAPPO |
$12,507.40
|
| Rate for Payer: BCN Medicare Advantage |
$12,507.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,507.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,507.40
|
| Rate for Payer: Mclaren Medicare |
$12,507.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,132.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,383.51
|
| Rate for Payer: PACE Medicare |
$11,882.03
|
| Rate for Payer: PACE SWMI |
$12,507.40
|
| Rate for Payer: PHP Commercial |
$13,758.14
|
| Rate for Payer: PHP Medicare Advantage |
$12,507.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,676.16
|
| Rate for Payer: Priority Health Medicare |
$12,507.40
|
| Rate for Payer: Priority Health Narrow Network |
$13,340.92
|
| Rate for Payer: Railroad Medicare Medicare |
$12,507.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,507.40
|
| Rate for Payer: UHC Exchange |
$19,386.47
|
| Rate for Payer: UHC Medicare Advantage |
$12,507.40
|
| Rate for Payer: UHCCP DNSP |
$12,507.40
|
| Rate for Payer: VA VA |
$12,507.40
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$33,676.48
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$20,640.42 |
| Max. Negotiated Rate |
$33,676.48 |
| Rate for Payer: Aetna Medicare |
$21,726.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,158.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,158.45
|
| Rate for Payer: BCBS MAPPO |
$21,726.76
|
| Rate for Payer: BCN Medicare Advantage |
$21,726.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,726.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,726.76
|
| Rate for Payer: Mclaren Medicare |
$21,726.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,813.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,985.77
|
| Rate for Payer: PACE Medicare |
$20,640.42
|
| Rate for Payer: PACE SWMI |
$21,726.76
|
| Rate for Payer: PHP Commercial |
$23,899.44
|
| Rate for Payer: PHP Medicare Advantage |
$21,726.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,871.08
|
| Rate for Payer: Priority Health Medicare |
$21,726.76
|
| Rate for Payer: Priority Health Narrow Network |
$24,696.87
|
| Rate for Payer: Railroad Medicare Medicare |
$21,726.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,726.76
|
| Rate for Payer: UHC Exchange |
$33,676.48
|
| Rate for Payer: UHC Medicare Advantage |
$21,726.76
|
| Rate for Payer: UHCCP DNSP |
$21,726.76
|
| Rate for Payer: VA VA |
$21,726.76
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,362.82
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$14,319.15 |
| Max. Negotiated Rate |
$23,362.82 |
| Rate for Payer: Aetna Medicare |
$15,072.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,840.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,840.99
|
| Rate for Payer: BCBS MAPPO |
$15,072.79
|
| Rate for Payer: BCN Medicare Advantage |
$15,072.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,072.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,072.79
|
| Rate for Payer: Mclaren Medicare |
$15,072.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,826.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,333.71
|
| Rate for Payer: PACE Medicare |
$14,319.15
|
| Rate for Payer: PACE SWMI |
$15,072.79
|
| Rate for Payer: PHP Commercial |
$16,580.07
|
| Rate for Payer: PHP Medicare Advantage |
$15,072.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,626.06
|
| Rate for Payer: Priority Health Medicare |
$15,072.79
|
| Rate for Payer: Priority Health Narrow Network |
$16,500.85
|
| Rate for Payer: Railroad Medicare Medicare |
$15,072.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,072.79
|
| Rate for Payer: UHC Exchange |
$23,362.82
|
| Rate for Payer: UHC Medicare Advantage |
$15,072.79
|
| Rate for Payer: UHCCP DNSP |
$15,072.79
|
| Rate for Payer: VA VA |
$15,072.79
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,679.95
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$34,739.32 |
| Max. Negotiated Rate |
$56,679.95 |
| Rate for Payer: Aetna Medicare |
$36,567.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,709.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,709.64
|
| Rate for Payer: BCBS MAPPO |
$36,567.71
|
| Rate for Payer: BCN Medicare Advantage |
$36,567.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,567.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,567.71
|
| Rate for Payer: Mclaren Medicare |
$36,567.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,396.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,052.87
|
| Rate for Payer: PACE Medicare |
$34,739.32
|
| Rate for Payer: PACE SWMI |
$36,567.71
|
| Rate for Payer: PHP Commercial |
$40,224.48
|
| Rate for Payer: PHP Medicare Advantage |
$36,567.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,718.71
|
| Rate for Payer: Priority Health Medicare |
$36,567.71
|
| Rate for Payer: Priority Health Narrow Network |
$42,974.97
|
| Rate for Payer: Railroad Medicare Medicare |
$36,567.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,567.71
|
| Rate for Payer: UHC Exchange |
$56,679.95
|
| Rate for Payer: UHC Medicare Advantage |
$36,567.71
|
| Rate for Payer: UHCCP DNSP |
$36,567.71
|
| Rate for Payer: VA VA |
$36,567.71
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$45,763.25
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$28,048.45 |
| Max. Negotiated Rate |
$45,763.25 |
| Rate for Payer: Aetna Medicare |
$29,524.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,905.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,905.85
|
| Rate for Payer: BCBS MAPPO |
$29,524.68
|
| Rate for Payer: BCN Medicare Advantage |
$29,524.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,524.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,524.68
|
| Rate for Payer: Mclaren Medicare |
$29,524.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,000.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,953.38
|
| Rate for Payer: PACE Medicare |
$28,048.45
|
| Rate for Payer: PACE SWMI |
$29,524.68
|
| Rate for Payer: PHP Commercial |
$32,477.15
|
| Rate for Payer: PHP Medicare Advantage |
$29,524.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,876.05
|
| Rate for Payer: Priority Health Medicare |
$29,524.68
|
| Rate for Payer: Priority Health Narrow Network |
$34,300.84
|
| Rate for Payer: Railroad Medicare Medicare |
$29,524.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,524.68
|
| Rate for Payer: UHC Exchange |
$45,763.25
|
| Rate for Payer: UHC Medicare Advantage |
$29,524.68
|
| Rate for Payer: UHCCP DNSP |
$29,524.68
|
| Rate for Payer: VA VA |
$29,524.68
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$41,970.84
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$25,724.06 |
| Max. Negotiated Rate |
$41,970.84 |
| Rate for Payer: Aetna Medicare |
$27,077.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,847.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,847.45
|
| Rate for Payer: BCBS MAPPO |
$27,077.96
|
| Rate for Payer: BCN Medicare Advantage |
$27,077.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,077.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,077.96
|
| Rate for Payer: Mclaren Medicare |
$27,077.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,431.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,139.65
|
| Rate for Payer: PACE Medicare |
$25,724.06
|
| Rate for Payer: PACE SWMI |
$27,077.96
|
| Rate for Payer: PHP Commercial |
$29,785.76
|
| Rate for Payer: PHP Medicare Advantage |
$27,077.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,110.24
|
| Rate for Payer: Priority Health Medicare |
$27,077.96
|
| Rate for Payer: Priority Health Narrow Network |
$31,288.19
|
| Rate for Payer: Railroad Medicare Medicare |
$27,077.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,077.96
|
| Rate for Payer: UHC Exchange |
$41,970.84
|
| Rate for Payer: UHC Medicare Advantage |
$27,077.96
|
| Rate for Payer: UHCCP DNSP |
$27,077.96
|
| Rate for Payer: VA VA |
$27,077.96
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$27,619.98
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$16,928.37 |
| Max. Negotiated Rate |
$27,619.98 |
| Rate for Payer: Aetna Medicare |
$17,819.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,274.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,274.18
|
| Rate for Payer: BCBS MAPPO |
$17,819.34
|
| Rate for Payer: BCN Medicare Advantage |
$17,819.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,819.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,819.34
|
| Rate for Payer: Mclaren Medicare |
$17,819.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,710.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,492.24
|
| Rate for Payer: PACE Medicare |
$16,928.37
|
| Rate for Payer: PACE SWMI |
$17,819.34
|
| Rate for Payer: PHP Commercial |
$19,601.27
|
| Rate for Payer: PHP Medicare Advantage |
$17,819.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,854.86
|
| Rate for Payer: Priority Health Medicare |
$17,819.34
|
| Rate for Payer: Priority Health Narrow Network |
$19,883.89
|
| Rate for Payer: Railroad Medicare Medicare |
$17,819.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,819.34
|
| Rate for Payer: UHC Exchange |
$27,619.98
|
| Rate for Payer: UHC Medicare Advantage |
$17,819.34
|
| Rate for Payer: UHCCP DNSP |
$17,819.34
|
| Rate for Payer: VA VA |
$17,819.34
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$34,582.41
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$21,195.67 |
| Max. Negotiated Rate |
$34,582.41 |
| Rate for Payer: Aetna Medicare |
$22,311.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,889.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,889.04
|
| Rate for Payer: BCBS MAPPO |
$22,311.23
|
| Rate for Payer: BCN Medicare Advantage |
$22,311.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,311.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,311.23
|
| Rate for Payer: Mclaren Medicare |
$22,311.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,426.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,657.91
|
| Rate for Payer: PACE Medicare |
$21,195.67
|
| Rate for Payer: PACE SWMI |
$22,311.23
|
| Rate for Payer: PHP Commercial |
$24,542.35
|
| Rate for Payer: PHP Medicare Advantage |
$22,311.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,773.72
|
| Rate for Payer: Priority Health Medicare |
$22,311.23
|
| Rate for Payer: Priority Health Narrow Network |
$25,418.98
|
| Rate for Payer: Railroad Medicare Medicare |
$22,311.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,311.23
|
| Rate for Payer: UHC Exchange |
$34,582.41
|
| Rate for Payer: UHC Medicare Advantage |
$22,311.23
|
| Rate for Payer: UHCCP DNSP |
$22,311.23
|
| Rate for Payer: VA VA |
$22,311.23
|
|
