|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$24,209.28
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$14,837.95 |
| Max. Negotiated Rate |
$24,209.28 |
| Rate for Payer: Aetna Medicare |
$15,618.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,523.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,523.61
|
| Rate for Payer: BCBS MAPPO |
$15,618.89
|
| Rate for Payer: BCN Medicare Advantage |
$15,618.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,618.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,618.89
|
| Rate for Payer: Mclaren Medicare |
$15,618.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,399.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,961.72
|
| Rate for Payer: PACE Medicare |
$14,837.95
|
| Rate for Payer: PACE SWMI |
$15,618.89
|
| Rate for Payer: PHP Commercial |
$17,180.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,618.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,466.88
|
| Rate for Payer: Priority Health Medicare |
$15,618.89
|
| Rate for Payer: Priority Health Narrow Network |
$17,173.50
|
| Rate for Payer: Railroad Medicare Medicare |
$15,618.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,618.89
|
| Rate for Payer: UHC Exchange |
$24,209.28
|
| Rate for Payer: UHC Medicare Advantage |
$15,618.89
|
| Rate for Payer: UHCCP DNSP |
$15,618.89
|
| Rate for Payer: VA VA |
$15,618.89
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$33,830.01
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$20,734.52 |
| Max. Negotiated Rate |
$33,830.01 |
| Rate for Payer: Aetna Medicare |
$21,825.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,282.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,282.26
|
| Rate for Payer: BCBS MAPPO |
$21,825.81
|
| Rate for Payer: BCN Medicare Advantage |
$21,825.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,825.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,825.81
|
| Rate for Payer: Mclaren Medicare |
$21,825.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,917.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,099.68
|
| Rate for Payer: PACE Medicare |
$20,734.52
|
| Rate for Payer: PACE SWMI |
$21,825.81
|
| Rate for Payer: PHP Commercial |
$24,008.39
|
| Rate for Payer: PHP Medicare Advantage |
$21,825.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,030.45
|
| Rate for Payer: Priority Health Medicare |
$21,825.81
|
| Rate for Payer: Priority Health Narrow Network |
$24,824.36
|
| Rate for Payer: Railroad Medicare Medicare |
$21,825.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,825.81
|
| Rate for Payer: UHC Exchange |
$33,830.01
|
| Rate for Payer: UHC Medicare Advantage |
$21,825.81
|
| Rate for Payer: UHCCP DNSP |
$21,825.81
|
| Rate for Payer: VA VA |
$21,825.81
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,768.52
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$33,567.80 |
| Max. Negotiated Rate |
$54,768.52 |
| Rate for Payer: Aetna Medicare |
$35,334.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,168.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,168.16
|
| Rate for Payer: BCBS MAPPO |
$35,334.53
|
| Rate for Payer: BCN Medicare Advantage |
$35,334.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,334.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,334.53
|
| Rate for Payer: Mclaren Medicare |
$35,334.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,101.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,634.71
|
| Rate for Payer: PACE Medicare |
$33,567.80
|
| Rate for Payer: PACE SWMI |
$35,334.53
|
| Rate for Payer: PHP Commercial |
$38,867.98
|
| Rate for Payer: PHP Medicare Advantage |
$35,334.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51,820.01
|
| Rate for Payer: Priority Health Medicare |
$35,334.53
|
| Rate for Payer: Priority Health Narrow Network |
$41,456.00
|
| Rate for Payer: Railroad Medicare Medicare |
$35,334.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,334.53
|
| Rate for Payer: UHC Exchange |
$54,768.52
|
| Rate for Payer: UHC Medicare Advantage |
$35,334.53
|
| Rate for Payer: UHCCP DNSP |
$35,334.53
|
| Rate for Payer: VA VA |
$35,334.53
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,906.30
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$16,490.96 |
| Max. Negotiated Rate |
$26,906.30 |
| Rate for Payer: Aetna Medicare |
$17,358.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,698.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,698.62
|
| Rate for Payer: BCBS MAPPO |
$17,358.90
|
| Rate for Payer: BCN Medicare Advantage |
$17,358.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,358.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,358.90
|
| Rate for Payer: Mclaren Medicare |
$17,358.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,226.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,962.74
|
| Rate for Payer: PACE Medicare |
$16,490.96
|
| Rate for Payer: PACE SWMI |
$17,358.90
|
| Rate for Payer: PHP Commercial |
$19,094.79
|
| Rate for Payer: PHP Medicare Advantage |
$17,358.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,145.94
|
| Rate for Payer: Priority Health Medicare |
$17,358.90
|
| Rate for Payer: Priority Health Narrow Network |
$19,316.75
|
| Rate for Payer: Railroad Medicare Medicare |
$17,358.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,358.90
|
| Rate for Payer: UHC Exchange |
$26,906.30
|
| Rate for Payer: UHC Medicare Advantage |
$17,358.90
|
| Rate for Payer: UHCCP DNSP |
$17,358.90
|
| Rate for Payer: VA VA |
$17,358.90
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$17,404.50
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$10,667.27 |
| Max. Negotiated Rate |
$17,404.50 |
| Rate for Payer: Aetna Medicare |
$11,228.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,035.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,035.89
|
| Rate for Payer: BCBS MAPPO |
$11,228.71
|
| Rate for Payer: BCN Medicare Advantage |
$11,228.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,228.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,228.71
|
| Rate for Payer: Mclaren Medicare |
$11,228.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,790.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,913.02
|
| Rate for Payer: PACE Medicare |
$10,667.27
|
| Rate for Payer: PACE SWMI |
$11,228.71
|
| Rate for Payer: PHP Commercial |
$12,351.58
|
| Rate for Payer: PHP Medicare Advantage |
$11,228.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,707.39
|
| Rate for Payer: Priority Health Medicare |
$11,228.71
|
| Rate for Payer: Priority Health Narrow Network |
$11,765.91
|
| Rate for Payer: Railroad Medicare Medicare |
$11,228.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,228.71
|
| Rate for Payer: UHC Exchange |
$17,404.50
|
| Rate for Payer: UHC Medicare Advantage |
$11,228.71
|
| Rate for Payer: UHCCP DNSP |
$11,228.71
|
| Rate for Payer: VA VA |
$11,228.71
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$24,969.96
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$15,304.17 |
| Max. Negotiated Rate |
$24,969.96 |
| Rate for Payer: Aetna Medicare |
$16,109.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,137.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,137.06
|
| Rate for Payer: BCBS MAPPO |
$16,109.65
|
| Rate for Payer: BCN Medicare Advantage |
$16,109.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,109.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,109.65
|
| Rate for Payer: Mclaren Medicare |
$16,109.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,915.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,526.10
|
| Rate for Payer: PACE Medicare |
$15,304.17
|
| Rate for Payer: PACE SWMI |
$16,109.65
|
| Rate for Payer: PHP Commercial |
$17,720.62
|
| Rate for Payer: PHP Medicare Advantage |
$16,109.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,225.26
|
| Rate for Payer: Priority Health Medicare |
$16,109.65
|
| Rate for Payer: Priority Health Narrow Network |
$17,780.21
|
| Rate for Payer: Railroad Medicare Medicare |
$16,109.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,109.65
|
| Rate for Payer: UHC Exchange |
$24,969.96
|
| Rate for Payer: UHC Medicare Advantage |
$16,109.65
|
| Rate for Payer: UHCCP DNSP |
$16,109.65
|
| Rate for Payer: VA VA |
$16,109.65
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,464.14
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$7,639.31 |
| Max. Negotiated Rate |
$12,464.14 |
| Rate for Payer: Aetna Medicare |
$8,041.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,051.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,051.72
|
| Rate for Payer: BCBS MAPPO |
$8,041.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,041.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,041.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,041.38
|
| Rate for Payer: Mclaren Medicare |
$8,041.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,443.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,247.59
|
| Rate for Payer: PACE Medicare |
$7,639.31
|
| Rate for Payer: PACE SWMI |
$8,041.38
|
| Rate for Payer: PHP Commercial |
$8,845.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,041.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,799.89
|
| Rate for Payer: Priority Health Medicare |
$8,041.38
|
| Rate for Payer: Priority Health Narrow Network |
$7,839.91
|
| Rate for Payer: Railroad Medicare Medicare |
$8,041.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,041.38
|
| Rate for Payer: UHC Exchange |
$12,464.14
|
| Rate for Payer: UHC Medicare Advantage |
$8,041.38
|
| Rate for Payer: UHCCP DNSP |
$8,041.38
|
| Rate for Payer: VA VA |
$8,041.38
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$31,812.11
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$19,497.74 |
| Max. Negotiated Rate |
$31,812.11 |
| Rate for Payer: Aetna Medicare |
$20,523.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,654.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,654.92
|
| Rate for Payer: BCBS MAPPO |
$20,523.94
|
| Rate for Payer: BCN Medicare Advantage |
$20,523.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,523.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,523.94
|
| Rate for Payer: Mclaren Medicare |
$20,523.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,550.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,602.53
|
| Rate for Payer: PACE Medicare |
$19,497.74
|
| Rate for Payer: PACE SWMI |
$20,523.94
|
| Rate for Payer: PHP Commercial |
$22,576.33
|
| Rate for Payer: PHP Medicare Advantage |
$20,523.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,021.84
|
| Rate for Payer: Priority Health Medicare |
$20,523.94
|
| Rate for Payer: Priority Health Narrow Network |
$23,217.47
|
| Rate for Payer: Railroad Medicare Medicare |
$20,523.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,523.94
|
| Rate for Payer: UHC Exchange |
$31,812.11
|
| Rate for Payer: UHC Medicare Advantage |
$20,523.94
|
| Rate for Payer: UHCCP DNSP |
$20,523.94
|
| Rate for Payer: VA VA |
$20,523.94
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$52,711.86
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$32,307.27 |
| Max. Negotiated Rate |
$52,711.86 |
| Rate for Payer: Aetna Medicare |
$34,007.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,509.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,509.56
|
| Rate for Payer: BCBS MAPPO |
$34,007.65
|
| Rate for Payer: BCN Medicare Advantage |
$34,007.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,007.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$34,007.65
|
| Rate for Payer: Mclaren Medicare |
$34,007.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,708.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,108.80
|
| Rate for Payer: PACE Medicare |
$32,307.27
|
| Rate for Payer: PACE SWMI |
$34,007.65
|
| Rate for Payer: PHP Commercial |
$37,408.42
|
| Rate for Payer: PHP Medicare Advantage |
$34,007.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49,788.04
|
| Rate for Payer: Priority Health Medicare |
$34,007.65
|
| Rate for Payer: Priority Health Narrow Network |
$39,830.43
|
| Rate for Payer: Railroad Medicare Medicare |
$34,007.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,007.65
|
| Rate for Payer: UHC Exchange |
$52,711.86
|
| Rate for Payer: UHC Medicare Advantage |
$34,007.65
|
| Rate for Payer: UHCCP DNSP |
$34,007.65
|
| Rate for Payer: VA VA |
$34,007.65
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,828.92
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$14,604.82 |
| Max. Negotiated Rate |
$23,828.92 |
| Rate for Payer: Aetna Medicare |
$15,373.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,216.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,216.88
|
| Rate for Payer: BCBS MAPPO |
$15,373.50
|
| Rate for Payer: BCN Medicare Advantage |
$15,373.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,373.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,373.50
|
| Rate for Payer: Mclaren Medicare |
$15,373.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,142.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,679.52
|
| Rate for Payer: PACE Medicare |
$14,604.82
|
| Rate for Payer: PACE SWMI |
$15,373.50
|
| Rate for Payer: PHP Commercial |
$16,910.85
|
| Rate for Payer: PHP Medicare Advantage |
$15,373.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,089.06
|
| Rate for Payer: Priority Health Medicare |
$15,373.50
|
| Rate for Payer: Priority Health Narrow Network |
$16,871.25
|
| Rate for Payer: Railroad Medicare Medicare |
$15,373.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,373.50
|
| Rate for Payer: UHC Exchange |
$23,828.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,373.50
|
| Rate for Payer: UHCCP DNSP |
$15,373.50
|
| Rate for Payer: VA VA |
$15,373.50
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$33,755.34
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$20,688.76 |
| Max. Negotiated Rate |
$33,755.34 |
| Rate for Payer: Aetna Medicare |
$21,777.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,222.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,222.05
|
| Rate for Payer: BCBS MAPPO |
$21,777.64
|
| Rate for Payer: BCN Medicare Advantage |
$21,777.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,777.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,777.64
|
| Rate for Payer: Mclaren Medicare |
$21,777.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,866.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,044.29
|
| Rate for Payer: PACE Medicare |
$20,688.76
|
| Rate for Payer: PACE SWMI |
$21,777.64
|
| Rate for Payer: PHP Commercial |
$23,955.40
|
| Rate for Payer: PHP Medicare Advantage |
$21,777.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,949.39
|
| Rate for Payer: Priority Health Medicare |
$21,777.64
|
| Rate for Payer: Priority Health Narrow Network |
$24,759.52
|
| Rate for Payer: Railroad Medicare Medicare |
$21,777.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,777.64
|
| Rate for Payer: UHC Exchange |
$33,755.34
|
| Rate for Payer: UHC Medicare Advantage |
$21,777.64
|
| Rate for Payer: UHCCP DNSP |
$21,777.64
|
| Rate for Payer: VA VA |
$21,777.64
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$49,511.40
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$30,345.70 |
| Max. Negotiated Rate |
$49,511.40 |
| Rate for Payer: Aetna Medicare |
$31,942.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,928.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,928.55
|
| Rate for Payer: BCBS MAPPO |
$31,942.84
|
| Rate for Payer: BCN Medicare Advantage |
$31,942.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,942.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,942.84
|
| Rate for Payer: Mclaren Medicare |
$31,942.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,539.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,734.27
|
| Rate for Payer: PACE Medicare |
$30,345.70
|
| Rate for Payer: PACE SWMI |
$31,942.84
|
| Rate for Payer: PHP Commercial |
$35,137.12
|
| Rate for Payer: PHP Medicare Advantage |
$31,942.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,602.01
|
| Rate for Payer: Priority Health Medicare |
$31,942.84
|
| Rate for Payer: Priority Health Narrow Network |
$37,281.61
|
| Rate for Payer: Railroad Medicare Medicare |
$31,942.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,942.84
|
| Rate for Payer: UHC Exchange |
$49,511.40
|
| Rate for Payer: UHC Medicare Advantage |
$31,942.84
|
| Rate for Payer: UHCCP DNSP |
$31,942.84
|
| Rate for Payer: VA VA |
$31,942.84
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$27,557.73
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$16,890.22 |
| Max. Negotiated Rate |
$27,557.73 |
| Rate for Payer: Aetna Medicare |
$17,779.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,223.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,223.98
|
| Rate for Payer: BCBS MAPPO |
$17,779.18
|
| Rate for Payer: BCN Medicare Advantage |
$17,779.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,779.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,779.18
|
| Rate for Payer: Mclaren Medicare |
$17,779.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,668.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,446.06
|
| Rate for Payer: PACE Medicare |
$16,890.22
|
| Rate for Payer: PACE SWMI |
$17,779.18
|
| Rate for Payer: PHP Commercial |
$19,557.10
|
| Rate for Payer: PHP Medicare Advantage |
$17,779.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,794.41
|
| Rate for Payer: Priority Health Medicare |
$17,779.18
|
| Rate for Payer: Priority Health Narrow Network |
$19,835.53
|
| Rate for Payer: Railroad Medicare Medicare |
$17,779.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,779.18
|
| Rate for Payer: UHC Exchange |
$27,557.73
|
| Rate for Payer: UHC Medicare Advantage |
$17,779.18
|
| Rate for Payer: UHCCP DNSP |
$17,779.18
|
| Rate for Payer: VA VA |
$17,779.18
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$16,483.37
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$10,102.71 |
| Max. Negotiated Rate |
$16,483.37 |
| Rate for Payer: Aetna Medicare |
$10,634.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,293.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,293.04
|
| Rate for Payer: BCBS MAPPO |
$10,634.43
|
| Rate for Payer: BCN Medicare Advantage |
$10,634.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,634.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,634.43
|
| Rate for Payer: Mclaren Medicare |
$10,634.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,166.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,229.59
|
| Rate for Payer: PACE Medicare |
$10,102.71
|
| Rate for Payer: PACE SWMI |
$10,634.43
|
| Rate for Payer: PHP Commercial |
$11,697.87
|
| Rate for Payer: PHP Medicare Advantage |
$10,634.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,792.38
|
| Rate for Payer: Priority Health Medicare |
$10,634.43
|
| Rate for Payer: Priority Health Narrow Network |
$11,033.91
|
| Rate for Payer: Railroad Medicare Medicare |
$10,634.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,634.43
|
| Rate for Payer: UHC Exchange |
$16,483.37
|
| Rate for Payer: UHC Medicare Advantage |
$10,634.43
|
| Rate for Payer: UHCCP DNSP |
$10,634.43
|
| Rate for Payer: VA VA |
$10,634.43
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$24,449.93
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$14,985.44 |
| Max. Negotiated Rate |
$24,449.93 |
| Rate for Payer: Aetna Medicare |
$15,774.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,717.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,717.69
|
| Rate for Payer: BCBS MAPPO |
$15,774.15
|
| Rate for Payer: BCN Medicare Advantage |
$15,774.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,774.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,774.15
|
| Rate for Payer: Mclaren Medicare |
$15,774.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,562.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,140.27
|
| Rate for Payer: PACE Medicare |
$14,985.44
|
| Rate for Payer: PACE SWMI |
$15,774.15
|
| Rate for Payer: PHP Commercial |
$17,351.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,774.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,707.30
|
| Rate for Payer: Priority Health Medicare |
$15,774.15
|
| Rate for Payer: Priority Health Narrow Network |
$17,365.84
|
| Rate for Payer: Railroad Medicare Medicare |
$15,774.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,774.15
|
| Rate for Payer: UHC Exchange |
$24,449.93
|
| Rate for Payer: UHC Medicare Advantage |
$15,774.15
|
| Rate for Payer: UHCCP DNSP |
$15,774.15
|
| Rate for Payer: VA VA |
$15,774.15
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$12,751.82
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$7,815.63 |
| Max. Negotiated Rate |
$12,751.82 |
| Rate for Payer: Aetna Medicare |
$8,226.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,283.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,283.72
|
| Rate for Payer: BCBS MAPPO |
$8,226.98
|
| Rate for Payer: BCN Medicare Advantage |
$8,226.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,226.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,226.98
|
| Rate for Payer: Mclaren Medicare |
$8,226.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,638.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,461.03
|
| Rate for Payer: PACE Medicare |
$7,815.63
|
| Rate for Payer: PACE SWMI |
$8,226.98
|
| Rate for Payer: PHP Commercial |
$9,049.68
|
| Rate for Payer: PHP Medicare Advantage |
$8,226.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,085.65
|
| Rate for Payer: Priority Health Medicare |
$8,226.98
|
| Rate for Payer: Priority Health Narrow Network |
$8,068.52
|
| Rate for Payer: Railroad Medicare Medicare |
$8,226.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,226.98
|
| Rate for Payer: UHC Exchange |
$12,751.82
|
| Rate for Payer: UHC Medicare Advantage |
$8,226.98
|
| Rate for Payer: UHCCP DNSP |
$8,226.98
|
| Rate for Payer: VA VA |
$8,226.98
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$17,914.87
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$10,980.08 |
| Max. Negotiated Rate |
$17,914.87 |
| Rate for Payer: Aetna Medicare |
$11,557.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,447.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,447.48
|
| Rate for Payer: BCBS MAPPO |
$11,557.98
|
| Rate for Payer: BCN Medicare Advantage |
$11,557.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,557.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,557.98
|
| Rate for Payer: Mclaren Medicare |
$11,557.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,135.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,291.68
|
| Rate for Payer: PACE Medicare |
$10,980.08
|
| Rate for Payer: PACE SWMI |
$11,557.98
|
| Rate for Payer: PHP Commercial |
$12,713.78
|
| Rate for Payer: PHP Medicare Advantage |
$11,557.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,214.35
|
| Rate for Payer: Priority Health Medicare |
$11,557.98
|
| Rate for Payer: Priority Health Narrow Network |
$12,171.48
|
| Rate for Payer: Railroad Medicare Medicare |
$11,557.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,557.98
|
| Rate for Payer: UHC Exchange |
$17,914.87
|
| Rate for Payer: UHC Medicare Advantage |
$11,557.98
|
| Rate for Payer: UHCCP DNSP |
$11,557.98
|
| Rate for Payer: VA VA |
$11,557.98
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$27,012.78
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$16,556.22 |
| Max. Negotiated Rate |
$27,012.78 |
| Rate for Payer: Aetna Medicare |
$17,427.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,784.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,784.50
|
| Rate for Payer: BCBS MAPPO |
$17,427.60
|
| Rate for Payer: BCN Medicare Advantage |
$17,427.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,427.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,427.60
|
| Rate for Payer: Mclaren Medicare |
$17,427.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,298.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,041.74
|
| Rate for Payer: PACE Medicare |
$16,556.22
|
| Rate for Payer: PACE SWMI |
$17,427.60
|
| Rate for Payer: PHP Commercial |
$19,170.36
|
| Rate for Payer: PHP Medicare Advantage |
$17,427.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,251.73
|
| Rate for Payer: Priority Health Medicare |
$17,427.60
|
| Rate for Payer: Priority Health Narrow Network |
$19,401.38
|
| Rate for Payer: Railroad Medicare Medicare |
$17,427.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,427.60
|
| Rate for Payer: UHC Exchange |
$27,012.78
|
| Rate for Payer: UHC Medicare Advantage |
$17,427.60
|
| Rate for Payer: UHCCP DNSP |
$17,427.60
|
| Rate for Payer: VA VA |
$17,427.60
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$11,962.06
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$7,331.59 |
| Max. Negotiated Rate |
$11,962.06 |
| Rate for Payer: Aetna Medicare |
$7,717.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,646.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,646.82
|
| Rate for Payer: BCBS MAPPO |
$7,717.46
|
| Rate for Payer: BCN Medicare Advantage |
$7,717.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,717.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,717.46
|
| Rate for Payer: Mclaren Medicare |
$7,717.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,103.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,875.08
|
| Rate for Payer: PACE Medicare |
$7,331.59
|
| Rate for Payer: PACE SWMI |
$7,717.46
|
| Rate for Payer: PHP Commercial |
$8,489.21
|
| Rate for Payer: PHP Medicare Advantage |
$7,717.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,299.79
|
| Rate for Payer: Priority Health Medicare |
$7,717.46
|
| Rate for Payer: Priority Health Narrow Network |
$7,439.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7,717.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,717.46
|
| Rate for Payer: UHC Exchange |
$11,962.06
|
| Rate for Payer: UHC Medicare Advantage |
$7,717.46
|
| Rate for Payer: UHCCP DNSP |
$7,717.46
|
| Rate for Payer: VA VA |
$7,717.46
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$25,275.63
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$15,491.52 |
| Max. Negotiated Rate |
$25,275.63 |
| Rate for Payer: Aetna Medicare |
$16,306.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,383.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,383.58
|
| Rate for Payer: BCBS MAPPO |
$16,306.86
|
| Rate for Payer: BCN Medicare Advantage |
$16,306.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,306.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,306.86
|
| Rate for Payer: Mclaren Medicare |
$16,306.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,122.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,752.89
|
| Rate for Payer: PACE Medicare |
$15,491.52
|
| Rate for Payer: PACE SWMI |
$16,306.86
|
| Rate for Payer: PHP Commercial |
$17,937.55
|
| Rate for Payer: PHP Medicare Advantage |
$16,306.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,526.14
|
| Rate for Payer: Priority Health Medicare |
$16,306.86
|
| Rate for Payer: Priority Health Narrow Network |
$18,020.91
|
| Rate for Payer: Railroad Medicare Medicare |
$16,306.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,306.86
|
| Rate for Payer: UHC Exchange |
$25,275.63
|
| Rate for Payer: UHC Medicare Advantage |
$16,306.86
|
| Rate for Payer: UHCCP DNSP |
$16,306.86
|
| Rate for Payer: VA VA |
$16,306.86
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$14,831.97
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$9,090.56 |
| Max. Negotiated Rate |
$14,831.97 |
| Rate for Payer: Aetna Medicare |
$9,569.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,961.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,961.26
|
| Rate for Payer: BCBS MAPPO |
$9,569.01
|
| Rate for Payer: BCN Medicare Advantage |
$9,569.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,569.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,569.01
|
| Rate for Payer: Mclaren Medicare |
$9,569.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,047.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,004.36
|
| Rate for Payer: PACE Medicare |
$9,090.56
|
| Rate for Payer: PACE SWMI |
$9,569.01
|
| Rate for Payer: PHP Commercial |
$10,525.91
|
| Rate for Payer: PHP Medicare Advantage |
$9,569.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,150.59
|
| Rate for Payer: Priority Health Medicare |
$9,569.01
|
| Rate for Payer: Priority Health Narrow Network |
$9,720.48
|
| Rate for Payer: Railroad Medicare Medicare |
$9,569.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,569.01
|
| Rate for Payer: UHC Exchange |
$14,831.97
|
| Rate for Payer: UHC Medicare Advantage |
$9,569.01
|
| Rate for Payer: UHCCP DNSP |
$9,569.01
|
| Rate for Payer: VA VA |
$9,569.01
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$28,027.97
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$17,178.43 |
| Max. Negotiated Rate |
$28,027.97 |
| Rate for Payer: Aetna Medicare |
$18,082.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,603.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,603.20
|
| Rate for Payer: BCBS MAPPO |
$18,082.56
|
| Rate for Payer: BCN Medicare Advantage |
$18,082.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,082.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,082.56
|
| Rate for Payer: Mclaren Medicare |
$18,082.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,986.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,794.94
|
| Rate for Payer: PACE Medicare |
$17,178.43
|
| Rate for Payer: PACE SWMI |
$18,082.56
|
| Rate for Payer: PHP Commercial |
$19,890.82
|
| Rate for Payer: PHP Medicare Advantage |
$18,082.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,260.16
|
| Rate for Payer: Priority Health Medicare |
$18,082.56
|
| Rate for Payer: Priority Health Narrow Network |
$20,208.13
|
| Rate for Payer: Railroad Medicare Medicare |
$18,082.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,082.56
|
| Rate for Payer: UHC Exchange |
$28,027.97
|
| Rate for Payer: UHC Medicare Advantage |
$18,082.56
|
| Rate for Payer: UHCCP DNSP |
$18,082.56
|
| Rate for Payer: VA VA |
$18,082.56
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$16,426.65
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$10,067.95 |
| Max. Negotiated Rate |
$16,426.65 |
| Rate for Payer: Aetna Medicare |
$10,597.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,247.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,247.30
|
| Rate for Payer: BCBS MAPPO |
$10,597.84
|
| Rate for Payer: BCN Medicare Advantage |
$10,597.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,597.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,597.84
|
| Rate for Payer: Mclaren Medicare |
$10,597.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,127.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,187.52
|
| Rate for Payer: PACE Medicare |
$10,067.95
|
| Rate for Payer: PACE SWMI |
$10,597.84
|
| Rate for Payer: PHP Commercial |
$11,657.62
|
| Rate for Payer: PHP Medicare Advantage |
$10,597.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,737.43
|
| Rate for Payer: Priority Health Medicare |
$10,597.84
|
| Rate for Payer: Priority Health Narrow Network |
$10,989.94
|
| Rate for Payer: Railroad Medicare Medicare |
$10,597.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,597.84
|
| Rate for Payer: UHC Exchange |
$16,426.65
|
| Rate for Payer: UHC Medicare Advantage |
$10,597.84
|
| Rate for Payer: UHCCP DNSP |
$10,597.84
|
| Rate for Payer: VA VA |
$10,597.84
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$32,733.23
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$20,062.30 |
| Max. Negotiated Rate |
$32,733.23 |
| Rate for Payer: Aetna Medicare |
$21,118.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,397.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,397.76
|
| Rate for Payer: BCBS MAPPO |
$21,118.21
|
| Rate for Payer: BCN Medicare Advantage |
$21,118.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,118.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,118.21
|
| Rate for Payer: Mclaren Medicare |
$21,118.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,174.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,285.94
|
| Rate for Payer: PACE Medicare |
$20,062.30
|
| Rate for Payer: PACE SWMI |
$21,118.21
|
| Rate for Payer: PHP Commercial |
$23,230.03
|
| Rate for Payer: PHP Medicare Advantage |
$21,118.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,935.47
|
| Rate for Payer: Priority Health Medicare |
$21,118.21
|
| Rate for Payer: Priority Health Narrow Network |
$23,948.38
|
| Rate for Payer: Railroad Medicare Medicare |
$21,118.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,118.21
|
| Rate for Payer: UHC Exchange |
$32,733.23
|
| Rate for Payer: UHC Medicare Advantage |
$21,118.21
|
| Rate for Payer: UHCCP DNSP |
$21,118.21
|
| Rate for Payer: VA VA |
$21,118.21
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,996.43
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$39,836.52 |
| Max. Negotiated Rate |
$64,996.43 |
| Rate for Payer: Aetna Medicare |
$41,933.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,416.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,416.48
|
| Rate for Payer: BCBS MAPPO |
$41,933.18
|
| Rate for Payer: BCN Medicare Advantage |
$41,933.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,933.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$41,933.18
|
| Rate for Payer: Mclaren Medicare |
$41,933.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,029.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48,223.16
|
| Rate for Payer: PACE Medicare |
$39,836.52
|
| Rate for Payer: PACE SWMI |
$41,933.18
|
| Rate for Payer: PHP Commercial |
$46,126.50
|
| Rate for Payer: PHP Medicare Advantage |
$41,933.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61,979.85
|
| Rate for Payer: Priority Health Medicare |
$41,933.18
|
| Rate for Payer: Priority Health Narrow Network |
$49,583.88
|
| Rate for Payer: Railroad Medicare Medicare |
$41,933.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,933.18
|
| Rate for Payer: UHC Exchange |
$64,996.43
|
| Rate for Payer: UHC Medicare Advantage |
$41,933.18
|
| Rate for Payer: UHCCP DNSP |
$41,933.18
|
| Rate for Payer: VA VA |
$41,933.18
|
|
