|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,416.85
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$12,513.55 |
| Max. Negotiated Rate |
$20,416.85 |
| Rate for Payer: Aetna Medicare |
$13,172.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,465.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,465.20
|
| Rate for Payer: BCBS MAPPO |
$13,172.16
|
| Rate for Payer: BCN Medicare Advantage |
$13,172.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,172.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,172.16
|
| Rate for Payer: Mclaren Medicare |
$13,172.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,830.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,147.98
|
| Rate for Payer: PACE Medicare |
$12,513.55
|
| Rate for Payer: PACE SWMI |
$13,172.16
|
| Rate for Payer: PHP Commercial |
$14,489.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,172.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,701.07
|
| Rate for Payer: Priority Health Medicare |
$13,172.16
|
| Rate for Payer: Priority Health Narrow Network |
$14,160.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,172.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,172.16
|
| Rate for Payer: UHC Exchange |
$20,416.85
|
| Rate for Payer: UHC Medicare Advantage |
$13,172.16
|
| Rate for Payer: UHCCP DNSP |
$13,172.16
|
| Rate for Payer: VA VA |
$13,172.16
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$21,815.15
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$13,370.58 |
| Max. Negotiated Rate |
$21,815.15 |
| Rate for Payer: Aetna Medicare |
$14,074.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,592.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,592.86
|
| Rate for Payer: BCBS MAPPO |
$14,074.29
|
| Rate for Payer: BCN Medicare Advantage |
$14,074.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,074.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,074.29
|
| Rate for Payer: Mclaren Medicare |
$14,074.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,778.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,185.43
|
| Rate for Payer: PACE Medicare |
$13,370.58
|
| Rate for Payer: PACE SWMI |
$14,074.29
|
| Rate for Payer: PHP Commercial |
$15,481.72
|
| Rate for Payer: PHP Medicare Advantage |
$14,074.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,754.65
|
| Rate for Payer: Priority Health Medicare |
$14,074.29
|
| Rate for Payer: Priority Health Narrow Network |
$14,203.72
|
| Rate for Payer: Railroad Medicare Medicare |
$14,074.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,074.29
|
| Rate for Payer: UHC Exchange |
$21,815.15
|
| Rate for Payer: UHC Medicare Advantage |
$14,074.29
|
| Rate for Payer: UHCCP DNSP |
$14,074.29
|
| Rate for Payer: VA VA |
$14,074.29
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$12,465.53
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$6,805.65 |
| Max. Negotiated Rate |
$12,465.53 |
| Rate for Payer: Aetna Medicare |
$8,042.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,052.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,052.85
|
| Rate for Payer: BCBS MAPPO |
$8,042.28
|
| Rate for Payer: BCN Medicare Advantage |
$8,042.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,042.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,042.28
|
| Rate for Payer: Mclaren Medicare |
$8,042.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,444.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,248.62
|
| Rate for Payer: PACE Medicare |
$7,640.17
|
| Rate for Payer: PACE SWMI |
$8,042.28
|
| Rate for Payer: PHP Commercial |
$8,846.51
|
| Rate for Payer: PHP Medicare Advantage |
$8,042.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,507.06
|
| Rate for Payer: Priority Health Medicare |
$8,042.28
|
| Rate for Payer: Priority Health Narrow Network |
$6,805.65
|
| Rate for Payer: Railroad Medicare Medicare |
$8,042.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,042.28
|
| Rate for Payer: UHC Exchange |
$12,465.53
|
| Rate for Payer: UHC Medicare Advantage |
$8,042.28
|
| Rate for Payer: UHCCP DNSP |
$8,042.28
|
| Rate for Payer: VA VA |
$8,042.28
|
|
|
MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$58,749.03
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$30,425.40 |
| Max. Negotiated Rate |
$58,749.03 |
| Rate for Payer: Aetna Medicare |
$37,902.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,378.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,378.25
|
| Rate for Payer: BCBS MAPPO |
$37,902.60
|
| Rate for Payer: BCN Medicare Advantage |
$37,902.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,902.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,902.60
|
| Rate for Payer: Mclaren Medicare |
$37,902.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,797.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,587.99
|
| Rate for Payer: PACE Medicare |
$36,007.47
|
| Rate for Payer: PACE SWMI |
$37,902.60
|
| Rate for Payer: PHP Commercial |
$41,692.86
|
| Rate for Payer: PHP Medicare Advantage |
$37,902.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38,031.75
|
| Rate for Payer: Priority Health Medicare |
$37,902.60
|
| Rate for Payer: Priority Health Narrow Network |
$30,425.40
|
| Rate for Payer: Railroad Medicare Medicare |
$37,902.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,902.60
|
| Rate for Payer: UHC Exchange |
$58,749.03
|
| Rate for Payer: UHC Medicare Advantage |
$37,902.60
|
| Rate for Payer: UHCCP DNSP |
$37,902.60
|
| Rate for Payer: VA VA |
$37,902.60
|
|
|
MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$36,478.63
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$6,045.07 |
| Max. Negotiated Rate |
$36,478.63 |
| Rate for Payer: Aetna Medicare |
$23,534.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,418.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,418.25
|
| Rate for Payer: BCBS MAPPO |
$23,534.60
|
| Rate for Payer: BCN Medicare Advantage |
$23,534.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,534.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,534.60
|
| Rate for Payer: Mclaren Medicare |
$23,534.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,711.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,064.79
|
| Rate for Payer: PACE Medicare |
$22,357.87
|
| Rate for Payer: PACE SWMI |
$23,534.60
|
| Rate for Payer: PHP Commercial |
$25,888.06
|
| Rate for Payer: PHP Medicare Advantage |
$23,534.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,556.34
|
| Rate for Payer: Priority Health Medicare |
$23,534.60
|
| Rate for Payer: Priority Health Narrow Network |
$6,045.07
|
| Rate for Payer: Railroad Medicare Medicare |
$23,534.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,534.60
|
| Rate for Payer: UHC Exchange |
$36,478.63
|
| Rate for Payer: UHC Medicare Advantage |
$23,534.60
|
| Rate for Payer: UHCCP DNSP |
$23,534.60
|
| Rate for Payer: VA VA |
$23,534.60
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$25,380.75
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$15,555.95 |
| Max. Negotiated Rate |
$25,380.75 |
| Rate for Payer: Aetna Medicare |
$16,374.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,468.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,468.35
|
| Rate for Payer: BCBS MAPPO |
$16,374.68
|
| Rate for Payer: BCN Medicare Advantage |
$16,374.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,374.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,374.68
|
| Rate for Payer: Mclaren Medicare |
$16,374.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,193.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,830.88
|
| Rate for Payer: PACE Medicare |
$15,555.95
|
| Rate for Payer: PACE SWMI |
$16,374.68
|
| Rate for Payer: PHP Commercial |
$18,012.15
|
| Rate for Payer: PHP Medicare Advantage |
$16,374.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,630.55
|
| Rate for Payer: Priority Health Medicare |
$16,374.68
|
| Rate for Payer: Priority Health Narrow Network |
$18,104.44
|
| Rate for Payer: Railroad Medicare Medicare |
$16,374.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,374.68
|
| Rate for Payer: UHC Exchange |
$25,380.75
|
| Rate for Payer: UHC Medicare Advantage |
$16,374.68
|
| Rate for Payer: UHCCP DNSP |
$16,374.68
|
| Rate for Payer: VA VA |
$16,374.68
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$50,086.76
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$30,698.34 |
| Max. Negotiated Rate |
$50,086.76 |
| Rate for Payer: Aetna Medicare |
$32,314.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,392.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,392.55
|
| Rate for Payer: BCBS MAPPO |
$32,314.04
|
| Rate for Payer: BCN Medicare Advantage |
$32,314.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,314.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,314.04
|
| Rate for Payer: Mclaren Medicare |
$32,314.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,929.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,161.15
|
| Rate for Payer: PACE Medicare |
$30,698.34
|
| Rate for Payer: PACE SWMI |
$32,314.04
|
| Rate for Payer: PHP Commercial |
$35,545.44
|
| Rate for Payer: PHP Medicare Advantage |
$32,314.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,170.80
|
| Rate for Payer: Priority Health Medicare |
$32,314.04
|
| Rate for Payer: Priority Health Narrow Network |
$37,736.64
|
| Rate for Payer: Railroad Medicare Medicare |
$32,314.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,314.04
|
| Rate for Payer: UHC Exchange |
$50,086.76
|
| Rate for Payer: UHC Medicare Advantage |
$32,314.04
|
| Rate for Payer: UHCCP DNSP |
$32,314.04
|
| Rate for Payer: VA VA |
$32,314.04
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$16,812.54
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$10,304.46 |
| Max. Negotiated Rate |
$16,812.54 |
| Rate for Payer: Aetna Medicare |
$10,846.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,558.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,558.50
|
| Rate for Payer: BCBS MAPPO |
$10,846.80
|
| Rate for Payer: BCN Medicare Advantage |
$10,846.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,846.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,846.80
|
| Rate for Payer: Mclaren Medicare |
$10,846.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,389.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,473.82
|
| Rate for Payer: PACE Medicare |
$10,304.46
|
| Rate for Payer: PACE SWMI |
$10,846.80
|
| Rate for Payer: PHP Commercial |
$11,931.48
|
| Rate for Payer: PHP Medicare Advantage |
$10,846.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,119.36
|
| Rate for Payer: Priority Health Medicare |
$10,846.80
|
| Rate for Payer: Priority Health Narrow Network |
$11,295.49
|
| Rate for Payer: Railroad Medicare Medicare |
$10,846.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,846.80
|
| Rate for Payer: UHC Exchange |
$16,812.54
|
| Rate for Payer: UHC Medicare Advantage |
$10,846.80
|
| Rate for Payer: UHCCP DNSP |
$10,846.80
|
| Rate for Payer: VA VA |
$10,846.80
|
|
|
MS-DRG 42.00: PSYCHOSES
|
Facility
|
IP
|
$22,093.16
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$13,540.97 |
| Max. Negotiated Rate |
$22,093.16 |
| Rate for Payer: Aetna Medicare |
$14,253.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,817.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,817.06
|
| Rate for Payer: BCBS MAPPO |
$14,253.65
|
| Rate for Payer: BCN Medicare Advantage |
$14,253.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,253.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,253.65
|
| Rate for Payer: Mclaren Medicare |
$14,253.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,966.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,391.70
|
| Rate for Payer: PACE Medicare |
$13,540.97
|
| Rate for Payer: PACE SWMI |
$14,253.65
|
| Rate for Payer: PHP Commercial |
$15,679.02
|
| Rate for Payer: PHP Medicare Advantage |
$14,253.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,364.84
|
| Rate for Payer: Priority Health Medicare |
$14,253.65
|
| Rate for Payer: Priority Health Narrow Network |
$15,491.87
|
| Rate for Payer: Railroad Medicare Medicare |
$14,253.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,253.65
|
| Rate for Payer: UHC Exchange |
$22,093.16
|
| Rate for Payer: UHC Medicare Advantage |
$14,253.65
|
| Rate for Payer: UHCCP DNSP |
$14,253.65
|
| Rate for Payer: VA VA |
$14,253.65
|
|
|
MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$19,711.47
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$12,081.23 |
| Max. Negotiated Rate |
$19,711.47 |
| Rate for Payer: Aetna Medicare |
$12,717.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,896.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,896.35
|
| Rate for Payer: BCBS MAPPO |
$12,717.08
|
| Rate for Payer: BCN Medicare Advantage |
$12,717.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,717.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,717.08
|
| Rate for Payer: Mclaren Medicare |
$12,717.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,352.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,624.64
|
| Rate for Payer: PACE Medicare |
$12,081.23
|
| Rate for Payer: PACE SWMI |
$12,717.08
|
| Rate for Payer: PHP Commercial |
$13,988.79
|
| Rate for Payer: PHP Medicare Advantage |
$12,717.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,001.76
|
| Rate for Payer: Priority Health Medicare |
$12,717.08
|
| Rate for Payer: Priority Health Narrow Network |
$13,601.41
|
| Rate for Payer: Railroad Medicare Medicare |
$12,717.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,717.08
|
| Rate for Payer: UHC Exchange |
$19,711.47
|
| Rate for Payer: UHC Medicare Advantage |
$12,717.08
|
| Rate for Payer: UHCCP DNSP |
$12,717.08
|
| Rate for Payer: VA VA |
$12,717.08
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$22,086.24
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$13,536.73 |
| Max. Negotiated Rate |
$22,086.24 |
| Rate for Payer: Aetna Medicare |
$14,249.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,811.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,811.49
|
| Rate for Payer: BCBS MAPPO |
$14,249.19
|
| Rate for Payer: BCN Medicare Advantage |
$14,249.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,249.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,249.19
|
| Rate for Payer: Mclaren Medicare |
$14,249.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,961.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,386.57
|
| Rate for Payer: PACE Medicare |
$13,536.73
|
| Rate for Payer: PACE SWMI |
$14,249.19
|
| Rate for Payer: PHP Commercial |
$15,674.11
|
| Rate for Payer: PHP Medicare Advantage |
$14,249.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,359.34
|
| Rate for Payer: Priority Health Medicare |
$14,249.19
|
| Rate for Payer: Priority Health Narrow Network |
$15,487.47
|
| Rate for Payer: Railroad Medicare Medicare |
$14,249.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,249.19
|
| Rate for Payer: UHC Exchange |
$22,086.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,249.19
|
| Rate for Payer: UHCCP DNSP |
$14,249.19
|
| Rate for Payer: VA VA |
$14,249.19
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$13,862.41
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$8,496.32 |
| Max. Negotiated Rate |
$13,862.41 |
| Rate for Payer: Aetna Medicare |
$8,943.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,179.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,179.36
|
| Rate for Payer: BCBS MAPPO |
$8,943.49
|
| Rate for Payer: BCN Medicare Advantage |
$8,943.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,943.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,943.49
|
| Rate for Payer: Mclaren Medicare |
$8,943.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,390.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,285.01
|
| Rate for Payer: PACE Medicare |
$8,496.32
|
| Rate for Payer: PACE SWMI |
$8,943.49
|
| Rate for Payer: PHP Commercial |
$9,837.84
|
| Rate for Payer: PHP Medicare Advantage |
$8,943.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,190.25
|
| Rate for Payer: Priority Health Medicare |
$8,943.49
|
| Rate for Payer: Priority Health Narrow Network |
$8,952.20
|
| Rate for Payer: Railroad Medicare Medicare |
$8,943.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,943.49
|
| Rate for Payer: UHC Exchange |
$13,862.41
|
| Rate for Payer: UHC Medicare Advantage |
$8,943.49
|
| Rate for Payer: UHCCP DNSP |
$8,943.49
|
| Rate for Payer: VA VA |
$8,943.49
|
|
|
MS-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$39,540.75
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$24,234.65 |
| Max. Negotiated Rate |
$39,540.75 |
| Rate for Payer: Aetna Medicare |
$25,510.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,887.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,887.70
|
| Rate for Payer: BCBS MAPPO |
$25,510.16
|
| Rate for Payer: BCN Medicare Advantage |
$25,510.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,510.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,510.16
|
| Rate for Payer: Mclaren Medicare |
$25,510.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,785.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,336.68
|
| Rate for Payer: PACE Medicare |
$24,234.65
|
| Rate for Payer: PACE SWMI |
$25,510.16
|
| Rate for Payer: PHP Commercial |
$28,061.18
|
| Rate for Payer: PHP Medicare Advantage |
$25,510.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,694.96
|
| Rate for Payer: Priority Health Medicare |
$25,510.16
|
| Rate for Payer: Priority Health Narrow Network |
$29,355.97
|
| Rate for Payer: Railroad Medicare Medicare |
$25,510.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,510.16
|
| Rate for Payer: UHC Exchange |
$39,540.75
|
| Rate for Payer: UHC Medicare Advantage |
$25,510.16
|
| Rate for Payer: UHCCP DNSP |
$25,510.16
|
| Rate for Payer: VA VA |
$25,510.16
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$31,991.86
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$19,607.91 |
| Max. Negotiated Rate |
$31,991.86 |
| Rate for Payer: Aetna Medicare |
$20,639.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,799.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,799.89
|
| Rate for Payer: BCBS MAPPO |
$20,639.91
|
| Rate for Payer: BCN Medicare Advantage |
$20,639.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,639.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,639.91
|
| Rate for Payer: Mclaren Medicare |
$20,639.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,671.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,735.90
|
| Rate for Payer: PACE Medicare |
$19,607.91
|
| Rate for Payer: PACE SWMI |
$20,639.91
|
| Rate for Payer: PHP Commercial |
$22,703.90
|
| Rate for Payer: PHP Medicare Advantage |
$20,639.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29,196.32
|
| Rate for Payer: Priority Health Medicare |
$20,639.91
|
| Rate for Payer: Priority Health Narrow Network |
$23,357.06
|
| Rate for Payer: Railroad Medicare Medicare |
$20,639.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,639.91
|
| Rate for Payer: UHC Exchange |
$31,991.86
|
| Rate for Payer: UHC Medicare Advantage |
$20,639.91
|
| Rate for Payer: UHCCP DNSP |
$20,639.91
|
| Rate for Payer: VA VA |
$20,639.91
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$50,572.24
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$30,995.89 |
| Max. Negotiated Rate |
$50,572.24 |
| Rate for Payer: Aetna Medicare |
$32,627.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,784.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,784.06
|
| Rate for Payer: BCBS MAPPO |
$32,627.25
|
| Rate for Payer: BCN Medicare Advantage |
$32,627.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,627.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,627.25
|
| Rate for Payer: Mclaren Medicare |
$32,627.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,258.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,521.34
|
| Rate for Payer: PACE Medicare |
$30,995.89
|
| Rate for Payer: PACE SWMI |
$32,627.25
|
| Rate for Payer: PHP Commercial |
$35,889.98
|
| Rate for Payer: PHP Medicare Advantage |
$32,627.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,653.03
|
| Rate for Payer: Priority Health Medicare |
$32,627.25
|
| Rate for Payer: Priority Health Narrow Network |
$38,122.42
|
| Rate for Payer: Railroad Medicare Medicare |
$32,627.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,627.25
|
| Rate for Payer: UHC Exchange |
$50,572.24
|
| Rate for Payer: UHC Medicare Advantage |
$32,627.25
|
| Rate for Payer: UHCCP DNSP |
$32,627.25
|
| Rate for Payer: VA VA |
$32,627.25
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$25,537.04
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$15,651.73 |
| Max. Negotiated Rate |
$25,537.04 |
| Rate for Payer: Aetna Medicare |
$16,475.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,594.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,594.39
|
| Rate for Payer: BCBS MAPPO |
$16,475.51
|
| Rate for Payer: BCN Medicare Advantage |
$16,475.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,475.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,475.51
|
| Rate for Payer: Mclaren Medicare |
$16,475.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,299.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,946.84
|
| Rate for Payer: PACE Medicare |
$15,651.73
|
| Rate for Payer: PACE SWMI |
$16,475.51
|
| Rate for Payer: PHP Commercial |
$18,123.06
|
| Rate for Payer: PHP Medicare Advantage |
$16,475.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,784.43
|
| Rate for Payer: Priority Health Medicare |
$16,475.51
|
| Rate for Payer: Priority Health Narrow Network |
$18,227.54
|
| Rate for Payer: Railroad Medicare Medicare |
$16,475.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,475.51
|
| Rate for Payer: UHC Exchange |
$25,537.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,475.51
|
| Rate for Payer: UHCCP DNSP |
$16,475.51
|
| Rate for Payer: VA VA |
$16,475.51
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$22,055.82
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$13,518.08 |
| Max. Negotiated Rate |
$22,055.82 |
| Rate for Payer: Aetna Medicare |
$14,229.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,786.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,786.95
|
| Rate for Payer: BCBS MAPPO |
$14,229.56
|
| Rate for Payer: BCN Medicare Advantage |
$14,229.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,229.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,229.56
|
| Rate for Payer: Mclaren Medicare |
$14,229.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,941.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,363.99
|
| Rate for Payer: PACE Medicare |
$13,518.08
|
| Rate for Payer: PACE SWMI |
$14,229.56
|
| Rate for Payer: PHP Commercial |
$15,652.52
|
| Rate for Payer: PHP Medicare Advantage |
$14,229.56
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,327.74
|
| Rate for Payer: Priority Health Medicare |
$14,229.56
|
| Rate for Payer: Priority Health Narrow Network |
$15,462.20
|
| Rate for Payer: Railroad Medicare Medicare |
$14,229.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,229.56
|
| Rate for Payer: UHC Exchange |
$22,055.82
|
| Rate for Payer: UHC Medicare Advantage |
$14,229.56
|
| Rate for Payer: UHCCP DNSP |
$14,229.56
|
| Rate for Payer: VA VA |
$14,229.56
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$15,361.68
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$9,415.22 |
| Max. Negotiated Rate |
$15,361.68 |
| Rate for Payer: Aetna Medicare |
$9,910.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,388.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,388.45
|
| Rate for Payer: BCBS MAPPO |
$9,910.76
|
| Rate for Payer: BCN Medicare Advantage |
$9,910.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,910.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,910.76
|
| Rate for Payer: Mclaren Medicare |
$9,910.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,406.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,397.37
|
| Rate for Payer: PACE Medicare |
$9,415.22
|
| Rate for Payer: PACE SWMI |
$9,910.76
|
| Rate for Payer: PHP Commercial |
$10,901.84
|
| Rate for Payer: PHP Medicare Advantage |
$9,910.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,679.54
|
| Rate for Payer: Priority Health Medicare |
$9,910.76
|
| Rate for Payer: Priority Health Narrow Network |
$10,143.63
|
| Rate for Payer: Railroad Medicare Medicare |
$9,910.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,910.76
|
| Rate for Payer: UHC Exchange |
$15,361.68
|
| Rate for Payer: UHC Medicare Advantage |
$9,910.76
|
| Rate for Payer: UHCCP DNSP |
$9,910.76
|
| Rate for Payer: VA VA |
$9,910.76
|
|
|
MS-DRG 42.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$23,709.98
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$14,531.92 |
| Max. Negotiated Rate |
$23,709.98 |
| Rate for Payer: Aetna Medicare |
$15,296.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,120.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,120.95
|
| Rate for Payer: BCBS MAPPO |
$15,296.76
|
| Rate for Payer: BCN Medicare Advantage |
$15,296.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,296.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,296.76
|
| Rate for Payer: Mclaren Medicare |
$15,296.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,061.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,591.27
|
| Rate for Payer: PACE Medicare |
$14,531.92
|
| Rate for Payer: PACE SWMI |
$15,296.76
|
| Rate for Payer: PHP Commercial |
$16,826.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,296.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,970.90
|
| Rate for Payer: Priority Health Medicare |
$15,296.76
|
| Rate for Payer: Priority Health Narrow Network |
$16,776.72
|
| Rate for Payer: Railroad Medicare Medicare |
$15,296.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,296.76
|
| Rate for Payer: UHC Exchange |
$23,709.98
|
| Rate for Payer: UHC Medicare Advantage |
$15,296.76
|
| Rate for Payer: UHCCP DNSP |
$15,296.76
|
| Rate for Payer: VA VA |
$15,296.76
|
|
|
MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$18,039.35
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$11,056.38 |
| Max. Negotiated Rate |
$18,039.35 |
| Rate for Payer: Aetna Medicare |
$11,638.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,547.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,547.86
|
| Rate for Payer: BCBS MAPPO |
$11,638.29
|
| Rate for Payer: BCN Medicare Advantage |
$11,638.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,638.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,638.29
|
| Rate for Payer: Mclaren Medicare |
$11,638.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,220.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,384.03
|
| Rate for Payer: PACE Medicare |
$11,056.38
|
| Rate for Payer: PACE SWMI |
$11,638.29
|
| Rate for Payer: PHP Commercial |
$12,802.12
|
| Rate for Payer: PHP Medicare Advantage |
$11,638.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,338.00
|
| Rate for Payer: Priority Health Medicare |
$11,638.29
|
| Rate for Payer: Priority Health Narrow Network |
$12,270.40
|
| Rate for Payer: Railroad Medicare Medicare |
$11,638.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,638.29
|
| Rate for Payer: UHC Exchange |
$18,039.35
|
| Rate for Payer: UHC Medicare Advantage |
$11,638.29
|
| Rate for Payer: UHCCP DNSP |
$11,638.29
|
| Rate for Payer: VA VA |
$11,638.29
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$14,891.44
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$9,127.01 |
| Max. Negotiated Rate |
$14,891.44 |
| Rate for Payer: Aetna Medicare |
$9,607.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,009.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,009.22
|
| Rate for Payer: BCBS MAPPO |
$9,607.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,607.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,607.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,607.38
|
| Rate for Payer: Mclaren Medicare |
$9,607.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,087.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,048.49
|
| Rate for Payer: PACE Medicare |
$9,127.01
|
| Rate for Payer: PACE SWMI |
$9,607.38
|
| Rate for Payer: PHP Commercial |
$10,568.12
|
| Rate for Payer: PHP Medicare Advantage |
$9,607.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,212.42
|
| Rate for Payer: Priority Health Medicare |
$9,607.38
|
| Rate for Payer: Priority Health Narrow Network |
$9,769.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,607.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,607.38
|
| Rate for Payer: UHC Exchange |
$14,891.44
|
| Rate for Payer: UHC Medicare Advantage |
$9,607.38
|
| Rate for Payer: UHCCP DNSP |
$9,607.38
|
| Rate for Payer: VA VA |
$9,607.38
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$23,369.74
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$14,323.39 |
| Max. Negotiated Rate |
$23,369.74 |
| Rate for Payer: Aetna Medicare |
$15,077.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,846.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,846.56
|
| Rate for Payer: BCBS MAPPO |
$15,077.25
|
| Rate for Payer: BCN Medicare Advantage |
$15,077.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,077.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,077.25
|
| Rate for Payer: Mclaren Medicare |
$15,077.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,831.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,338.84
|
| Rate for Payer: PACE Medicare |
$14,323.39
|
| Rate for Payer: PACE SWMI |
$15,077.25
|
| Rate for Payer: PHP Commercial |
$16,584.98
|
| Rate for Payer: PHP Medicare Advantage |
$15,077.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,635.68
|
| Rate for Payer: Priority Health Medicare |
$15,077.25
|
| Rate for Payer: Priority Health Narrow Network |
$16,508.54
|
| Rate for Payer: Railroad Medicare Medicare |
$15,077.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,077.25
|
| Rate for Payer: UHC Exchange |
$23,369.74
|
| Rate for Payer: UHC Medicare Advantage |
$15,077.25
|
| Rate for Payer: UHCCP DNSP |
$15,077.25
|
| Rate for Payer: VA VA |
$15,077.25
|
|
|
MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$10,998.04
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$6,677.06 |
| Max. Negotiated Rate |
$10,998.04 |
| Rate for Payer: Aetna Medicare |
$7,095.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,869.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,869.39
|
| Rate for Payer: BCBS MAPPO |
$7,095.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,095.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,095.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,095.51
|
| Rate for Payer: Mclaren Medicare |
$7,095.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,450.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,159.84
|
| Rate for Payer: PACE Medicare |
$6,740.73
|
| Rate for Payer: PACE SWMI |
$7,095.51
|
| Rate for Payer: PHP Commercial |
$7,805.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,095.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,346.32
|
| Rate for Payer: Priority Health Medicare |
$7,095.51
|
| Rate for Payer: Priority Health Narrow Network |
$6,677.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,095.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,095.51
|
| Rate for Payer: UHC Exchange |
$10,998.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,095.51
|
| Rate for Payer: UHCCP DNSP |
$7,095.51
|
| Rate for Payer: VA VA |
$7,095.51
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$16,318.79
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$10,001.84 |
| Max. Negotiated Rate |
$16,318.79 |
| Rate for Payer: Aetna Medicare |
$10,528.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,160.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,160.31
|
| Rate for Payer: BCBS MAPPO |
$10,528.25
|
| Rate for Payer: BCN Medicare Advantage |
$10,528.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,528.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,528.25
|
| Rate for Payer: Mclaren Medicare |
$10,528.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,054.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,107.49
|
| Rate for Payer: PACE Medicare |
$10,001.84
|
| Rate for Payer: PACE SWMI |
$10,528.25
|
| Rate for Payer: PHP Commercial |
$11,581.08
|
| Rate for Payer: PHP Medicare Advantage |
$10,528.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,630.26
|
| Rate for Payer: Priority Health Medicare |
$10,528.25
|
| Rate for Payer: Priority Health Narrow Network |
$10,904.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10,528.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,528.25
|
| Rate for Payer: UHC Exchange |
$16,318.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,528.25
|
| Rate for Payer: UHCCP DNSP |
$10,528.25
|
| Rate for Payer: VA VA |
$10,528.25
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$24,954.77
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$15,294.86 |
| Max. Negotiated Rate |
$24,954.77 |
| Rate for Payer: Aetna Medicare |
$16,099.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,124.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,124.81
|
| Rate for Payer: BCBS MAPPO |
$16,099.85
|
| Rate for Payer: BCN Medicare Advantage |
$16,099.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,099.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,099.85
|
| Rate for Payer: Mclaren Medicare |
$16,099.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,904.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,514.83
|
| Rate for Payer: PACE Medicare |
$15,294.86
|
| Rate for Payer: PACE SWMI |
$16,099.85
|
| Rate for Payer: PHP Commercial |
$17,709.84
|
| Rate for Payer: PHP Medicare Advantage |
$16,099.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,208.77
|
| Rate for Payer: Priority Health Medicare |
$16,099.85
|
| Rate for Payer: Priority Health Narrow Network |
$17,767.02
|
| Rate for Payer: Railroad Medicare Medicare |
$16,099.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,099.85
|
| Rate for Payer: UHC Exchange |
$24,954.77
|
| Rate for Payer: UHC Medicare Advantage |
$16,099.85
|
| Rate for Payer: UHCCP DNSP |
$16,099.85
|
| Rate for Payer: VA VA |
$16,099.85
|
|
