|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,242.80
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$8,116.55 |
| Max. Negotiated Rate |
$13,242.80 |
| Rate for Payer: Aetna Medicare |
$8,543.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,679.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,679.68
|
| Rate for Payer: BCBS MAPPO |
$8,543.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,543.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,543.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,543.74
|
| Rate for Payer: Mclaren Medicare |
$8,543.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,970.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,825.30
|
| Rate for Payer: PACE Medicare |
$8,116.55
|
| Rate for Payer: PACE SWMI |
$8,543.74
|
| Rate for Payer: PHP Commercial |
$9,398.11
|
| Rate for Payer: PHP Medicare Advantage |
$8,543.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,574.75
|
| Rate for Payer: Priority Health Medicare |
$8,543.74
|
| Rate for Payer: Priority Health Narrow Network |
$8,459.80
|
| Rate for Payer: Railroad Medicare Medicare |
$8,543.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,543.74
|
| Rate for Payer: UHC Exchange |
$13,242.80
|
| Rate for Payer: UHC Medicare Advantage |
$8,543.74
|
| Rate for Payer: UHCCP DNSP |
$8,543.74
|
| Rate for Payer: VA VA |
$8,543.74
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$17,953.57
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$11,003.80 |
| Max. Negotiated Rate |
$17,953.57 |
| Rate for Payer: Aetna Medicare |
$11,582.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,478.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,478.69
|
| Rate for Payer: BCBS MAPPO |
$11,582.95
|
| Rate for Payer: BCN Medicare Advantage |
$11,582.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,582.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,582.95
|
| Rate for Payer: Mclaren Medicare |
$11,582.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,162.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,320.39
|
| Rate for Payer: PACE Medicare |
$11,003.80
|
| Rate for Payer: PACE SWMI |
$11,582.95
|
| Rate for Payer: PHP Commercial |
$12,741.24
|
| Rate for Payer: PHP Medicare Advantage |
$11,582.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,252.82
|
| Rate for Payer: Priority Health Medicare |
$11,582.95
|
| Rate for Payer: Priority Health Narrow Network |
$12,202.25
|
| Rate for Payer: Railroad Medicare Medicare |
$11,582.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,582.95
|
| Rate for Payer: UHC Exchange |
$17,953.57
|
| Rate for Payer: UHC Medicare Advantage |
$11,582.95
|
| Rate for Payer: UHCCP DNSP |
$11,582.95
|
| Rate for Payer: VA VA |
$11,582.95
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$26,770.75
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$16,407.88 |
| Max. Negotiated Rate |
$26,770.75 |
| Rate for Payer: Aetna Medicare |
$17,271.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,589.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,589.31
|
| Rate for Payer: BCBS MAPPO |
$17,271.45
|
| Rate for Payer: BCN Medicare Advantage |
$17,271.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,271.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,271.45
|
| Rate for Payer: Mclaren Medicare |
$17,271.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,135.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,862.17
|
| Rate for Payer: PACE Medicare |
$16,407.88
|
| Rate for Payer: PACE SWMI |
$17,271.45
|
| Rate for Payer: PHP Commercial |
$18,998.60
|
| Rate for Payer: PHP Medicare Advantage |
$17,271.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,011.30
|
| Rate for Payer: Priority Health Medicare |
$17,271.45
|
| Rate for Payer: Priority Health Narrow Network |
$19,209.04
|
| Rate for Payer: Railroad Medicare Medicare |
$17,271.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,271.45
|
| Rate for Payer: UHC Exchange |
$26,770.75
|
| Rate for Payer: UHC Medicare Advantage |
$17,271.45
|
| Rate for Payer: UHCCP DNSP |
$17,271.45
|
| Rate for Payer: VA VA |
$17,271.45
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,180.55
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$8,691.30 |
| Max. Negotiated Rate |
$14,180.55 |
| Rate for Payer: Aetna Medicare |
$9,148.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,435.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,435.92
|
| Rate for Payer: BCBS MAPPO |
$9,148.74
|
| Rate for Payer: BCN Medicare Advantage |
$9,148.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,148.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,148.74
|
| Rate for Payer: Mclaren Medicare |
$9,148.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,606.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,521.05
|
| Rate for Payer: PACE Medicare |
$8,691.30
|
| Rate for Payer: PACE SWMI |
$9,148.74
|
| Rate for Payer: PHP Commercial |
$10,063.61
|
| Rate for Payer: PHP Medicare Advantage |
$9,148.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,506.24
|
| Rate for Payer: Priority Health Medicare |
$9,148.74
|
| Rate for Payer: Priority Health Narrow Network |
$9,205.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9,148.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,148.74
|
| Rate for Payer: UHC Exchange |
$14,180.55
|
| Rate for Payer: UHC Medicare Advantage |
$9,148.74
|
| Rate for Payer: UHCCP DNSP |
$9,148.74
|
| Rate for Payer: VA VA |
$9,148.74
|
|
|
MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$13,814.00
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$8,466.65 |
| Max. Negotiated Rate |
$13,814.00 |
| Rate for Payer: Aetna Medicare |
$8,912.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,140.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,140.32
|
| Rate for Payer: BCBS MAPPO |
$8,912.26
|
| Rate for Payer: BCN Medicare Advantage |
$8,912.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,912.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,912.26
|
| Rate for Payer: Mclaren Medicare |
$8,912.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,357.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,249.10
|
| Rate for Payer: PACE Medicare |
$8,466.65
|
| Rate for Payer: PACE SWMI |
$8,912.26
|
| Rate for Payer: PHP Commercial |
$9,803.49
|
| Rate for Payer: PHP Medicare Advantage |
$8,912.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,140.79
|
| Rate for Payer: Priority Health Medicare |
$8,912.26
|
| Rate for Payer: Priority Health Narrow Network |
$8,912.63
|
| Rate for Payer: Railroad Medicare Medicare |
$8,912.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,912.26
|
| Rate for Payer: UHC Exchange |
$13,814.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,912.26
|
| Rate for Payer: UHCCP DNSP |
$8,912.26
|
| Rate for Payer: VA VA |
$8,912.26
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$39,716.41
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$24,342.32 |
| Max. Negotiated Rate |
$39,716.41 |
| Rate for Payer: Aetna Medicare |
$25,623.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,029.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,029.36
|
| Rate for Payer: BCBS MAPPO |
$25,623.49
|
| Rate for Payer: BCN Medicare Advantage |
$25,623.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,623.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,623.49
|
| Rate for Payer: Mclaren Medicare |
$25,623.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,904.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,467.01
|
| Rate for Payer: PACE Medicare |
$24,342.32
|
| Rate for Payer: PACE SWMI |
$25,623.49
|
| Rate for Payer: PHP Commercial |
$28,185.84
|
| Rate for Payer: PHP Medicare Advantage |
$25,623.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,876.31
|
| Rate for Payer: Priority Health Medicare |
$25,623.49
|
| Rate for Payer: Priority Health Narrow Network |
$29,501.05
|
| Rate for Payer: Railroad Medicare Medicare |
$25,623.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,623.49
|
| Rate for Payer: UHC Exchange |
$39,716.41
|
| Rate for Payer: UHC Medicare Advantage |
$25,623.49
|
| Rate for Payer: UHCCP DNSP |
$25,623.49
|
| Rate for Payer: VA VA |
$25,623.49
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$92,044.02
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$56,414.08 |
| Max. Negotiated Rate |
$92,044.02 |
| Rate for Payer: Aetna Medicare |
$59,383.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74,229.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74,229.05
|
| Rate for Payer: BCBS MAPPO |
$59,383.24
|
| Rate for Payer: BCN Medicare Advantage |
$59,383.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59,383.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$59,383.24
|
| Rate for Payer: Mclaren Medicare |
$59,383.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62,352.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68,290.73
|
| Rate for Payer: PACE Medicare |
$56,414.08
|
| Rate for Payer: PACE SWMI |
$59,383.24
|
| Rate for Payer: PHP Commercial |
$65,321.56
|
| Rate for Payer: PHP Medicare Advantage |
$59,383.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88,858.44
|
| Rate for Payer: Priority Health Medicare |
$59,383.24
|
| Rate for Payer: Priority Health Narrow Network |
$71,086.75
|
| Rate for Payer: Railroad Medicare Medicare |
$59,383.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$59,383.24
|
| Rate for Payer: UHC Exchange |
$92,044.02
|
| Rate for Payer: UHC Medicare Advantage |
$59,383.24
|
| Rate for Payer: UHCCP DNSP |
$59,383.24
|
| Rate for Payer: VA VA |
$59,383.24
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$16,650.70
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$10,205.27 |
| Max. Negotiated Rate |
$16,650.70 |
| Rate for Payer: Aetna Medicare |
$10,742.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,427.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,427.99
|
| Rate for Payer: BCBS MAPPO |
$10,742.39
|
| Rate for Payer: BCN Medicare Advantage |
$10,742.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,742.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,742.39
|
| Rate for Payer: Mclaren Medicare |
$10,742.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,279.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,353.75
|
| Rate for Payer: PACE Medicare |
$10,205.27
|
| Rate for Payer: PACE SWMI |
$10,742.39
|
| Rate for Payer: PHP Commercial |
$11,816.63
|
| Rate for Payer: PHP Medicare Advantage |
$10,742.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,959.99
|
| Rate for Payer: Priority Health Medicare |
$10,742.39
|
| Rate for Payer: Priority Health Narrow Network |
$11,168.00
|
| Rate for Payer: Railroad Medicare Medicare |
$10,742.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,742.39
|
| Rate for Payer: UHC Exchange |
$16,650.70
|
| Rate for Payer: UHC Medicare Advantage |
$10,742.39
|
| Rate for Payer: UHCCP DNSP |
$10,742.39
|
| Rate for Payer: VA VA |
$10,742.39
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$31,510.57
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$19,312.93 |
| Max. Negotiated Rate |
$31,510.57 |
| Rate for Payer: Aetna Medicare |
$20,329.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,411.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,411.75
|
| Rate for Payer: BCBS MAPPO |
$20,329.40
|
| Rate for Payer: BCN Medicare Advantage |
$20,329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,329.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,329.40
|
| Rate for Payer: Mclaren Medicare |
$20,329.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,345.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,378.81
|
| Rate for Payer: PACE Medicare |
$19,312.93
|
| Rate for Payer: PACE SWMI |
$20,329.40
|
| Rate for Payer: PHP Commercial |
$22,362.34
|
| Rate for Payer: PHP Medicare Advantage |
$20,329.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,718.21
|
| Rate for Payer: Priority Health Medicare |
$20,329.40
|
| Rate for Payer: Priority Health Narrow Network |
$22,974.57
|
| Rate for Payer: Railroad Medicare Medicare |
$20,329.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,329.40
|
| Rate for Payer: UHC Exchange |
$31,510.57
|
| Rate for Payer: UHC Medicare Advantage |
$20,329.40
|
| Rate for Payer: UHCCP DNSP |
$20,329.40
|
| Rate for Payer: VA VA |
$20,329.40
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,717.27
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$7,181.55 |
| Max. Negotiated Rate |
$11,717.27 |
| Rate for Payer: Aetna Medicare |
$7,559.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,449.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,449.41
|
| Rate for Payer: BCBS MAPPO |
$7,559.53
|
| Rate for Payer: BCN Medicare Advantage |
$7,559.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,559.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,559.53
|
| Rate for Payer: Mclaren Medicare |
$7,559.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,937.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,693.46
|
| Rate for Payer: PACE Medicare |
$7,181.55
|
| Rate for Payer: PACE SWMI |
$7,559.53
|
| Rate for Payer: PHP Commercial |
$8,315.48
|
| Rate for Payer: PHP Medicare Advantage |
$7,559.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,059.36
|
| Rate for Payer: Priority Health Medicare |
$7,559.53
|
| Rate for Payer: Priority Health Narrow Network |
$7,247.49
|
| Rate for Payer: Railroad Medicare Medicare |
$7,559.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,559.53
|
| Rate for Payer: UHC Exchange |
$11,717.27
|
| Rate for Payer: UHC Medicare Advantage |
$7,559.53
|
| Rate for Payer: UHCCP DNSP |
$7,559.53
|
| Rate for Payer: VA VA |
$7,559.53
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$49,970.60
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$30,627.14 |
| Max. Negotiated Rate |
$49,970.60 |
| Rate for Payer: Aetna Medicare |
$32,239.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,298.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,298.88
|
| Rate for Payer: BCBS MAPPO |
$32,239.10
|
| Rate for Payer: BCN Medicare Advantage |
$32,239.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,239.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,239.10
|
| Rate for Payer: Mclaren Medicare |
$32,239.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,851.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,074.96
|
| Rate for Payer: PACE Medicare |
$30,627.14
|
| Rate for Payer: PACE SWMI |
$32,239.10
|
| Rate for Payer: PHP Commercial |
$35,463.01
|
| Rate for Payer: PHP Medicare Advantage |
$32,239.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47,054.02
|
| Rate for Payer: Priority Health Medicare |
$32,239.10
|
| Rate for Payer: Priority Health Narrow Network |
$37,643.21
|
| Rate for Payer: Railroad Medicare Medicare |
$32,239.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,239.10
|
| Rate for Payer: UHC Exchange |
$49,970.60
|
| Rate for Payer: UHC Medicare Advantage |
$32,239.10
|
| Rate for Payer: UHCCP DNSP |
$32,239.10
|
| Rate for Payer: VA VA |
$32,239.10
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$73,059.79
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$44,778.58 |
| Max. Negotiated Rate |
$73,059.79 |
| Rate for Payer: Aetna Medicare |
$47,135.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,919.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,919.19
|
| Rate for Payer: BCBS MAPPO |
$47,135.35
|
| Rate for Payer: BCN Medicare Advantage |
$47,135.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,135.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$47,135.35
|
| Rate for Payer: Mclaren Medicare |
$47,135.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,492.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,205.65
|
| Rate for Payer: PACE Medicare |
$44,778.58
|
| Rate for Payer: PACE SWMI |
$47,135.35
|
| Rate for Payer: PHP Commercial |
$51,848.88
|
| Rate for Payer: PHP Medicare Advantage |
$47,135.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69,989.57
|
| Rate for Payer: Priority Health Medicare |
$47,135.35
|
| Rate for Payer: Priority Health Narrow Network |
$55,991.66
|
| Rate for Payer: Railroad Medicare Medicare |
$47,135.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,135.35
|
| Rate for Payer: UHC Exchange |
$73,059.79
|
| Rate for Payer: UHC Medicare Advantage |
$47,135.35
|
| Rate for Payer: UHCCP DNSP |
$47,135.35
|
| Rate for Payer: VA VA |
$47,135.35
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$38,879.64
|
|
|
Service Code
|
MSDRG 468
|
| Min. Negotiated Rate |
$23,829.46 |
| Max. Negotiated Rate |
$38,879.64 |
| Rate for Payer: Aetna Medicare |
$25,083.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,354.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,354.55
|
| Rate for Payer: BCBS MAPPO |
$25,083.64
|
| Rate for Payer: BCN Medicare Advantage |
$25,083.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,083.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,083.64
|
| Rate for Payer: Mclaren Medicare |
$25,083.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,337.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,846.19
|
| Rate for Payer: PACE Medicare |
$23,829.46
|
| Rate for Payer: PACE SWMI |
$25,083.64
|
| Rate for Payer: PHP Commercial |
$27,592.00
|
| Rate for Payer: PHP Medicare Advantage |
$25,083.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,039.62
|
| Rate for Payer: Priority Health Medicare |
$25,083.64
|
| Rate for Payer: Priority Health Narrow Network |
$28,831.70
|
| Rate for Payer: Railroad Medicare Medicare |
$25,083.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,083.64
|
| Rate for Payer: UHC Exchange |
$38,879.64
|
| Rate for Payer: UHC Medicare Advantage |
$25,083.64
|
| Rate for Payer: UHCCP DNSP |
$25,083.64
|
| Rate for Payer: VA VA |
$25,083.64
|
|
|
MS-DRG 42.00: SALIVARY GLAND PROCEDURES
|
Facility
|
IP
|
$21,586.94
|
|
|
Service Code
|
MSDRG 139
|
| Min. Negotiated Rate |
$13,230.71 |
| Max. Negotiated Rate |
$21,586.94 |
| Rate for Payer: Aetna Medicare |
$13,927.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,408.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,408.82
|
| Rate for Payer: BCBS MAPPO |
$13,927.06
|
| Rate for Payer: BCN Medicare Advantage |
$13,927.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,927.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,927.06
|
| Rate for Payer: Mclaren Medicare |
$13,927.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,623.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,016.12
|
| Rate for Payer: PACE Medicare |
$13,230.71
|
| Rate for Payer: PACE SWMI |
$13,927.06
|
| Rate for Payer: PHP Commercial |
$15,319.77
|
| Rate for Payer: PHP Medicare Advantage |
$13,927.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,862.00
|
| Rate for Payer: Priority Health Medicare |
$13,927.06
|
| Rate for Payer: Priority Health Narrow Network |
$15,089.60
|
| Rate for Payer: Railroad Medicare Medicare |
$13,927.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,927.06
|
| Rate for Payer: UHC Exchange |
$21,586.94
|
| Rate for Payer: UHC Medicare Advantage |
$13,927.06
|
| Rate for Payer: UHCCP DNSP |
$13,927.06
|
| Rate for Payer: VA VA |
$13,927.06
|
|
|
MS-DRG 42.00: SEIZURES WITH MCC
|
Facility
|
IP
|
$30,055.58
|
|
|
Service Code
|
MSDRG 100
|
| Min. Negotiated Rate |
$18,421.16 |
| Max. Negotiated Rate |
$30,055.58 |
| Rate for Payer: Aetna Medicare |
$19,390.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,238.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,238.38
|
| Rate for Payer: BCBS MAPPO |
$19,390.70
|
| Rate for Payer: BCN Medicare Advantage |
$19,390.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,390.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,390.70
|
| Rate for Payer: Mclaren Medicare |
$19,390.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,360.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,299.30
|
| Rate for Payer: PACE Medicare |
$18,421.16
|
| Rate for Payer: PACE SWMI |
$19,390.70
|
| Rate for Payer: PHP Commercial |
$21,329.77
|
| Rate for Payer: PHP Medicare Advantage |
$19,390.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,274.27
|
| Rate for Payer: Priority Health Medicare |
$19,390.70
|
| Rate for Payer: Priority Health Narrow Network |
$21,819.41
|
| Rate for Payer: Railroad Medicare Medicare |
$19,390.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,390.70
|
| Rate for Payer: UHC Exchange |
$30,055.58
|
| Rate for Payer: UHC Medicare Advantage |
$19,390.70
|
| Rate for Payer: UHCCP DNSP |
$19,390.70
|
| Rate for Payer: VA VA |
$19,390.70
|
|
|
MS-DRG 42.00: SEIZURES WITHOUT MCC
|
Facility
|
IP
|
$15,345.09
|
|
|
Service Code
|
MSDRG 101
|
| Min. Negotiated Rate |
$9,405.06 |
| Max. Negotiated Rate |
$15,345.09 |
| Rate for Payer: Aetna Medicare |
$9,900.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,375.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,375.08
|
| Rate for Payer: BCBS MAPPO |
$9,900.06
|
| Rate for Payer: BCN Medicare Advantage |
$9,900.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,900.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,900.06
|
| Rate for Payer: Mclaren Medicare |
$9,900.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,395.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,385.07
|
| Rate for Payer: PACE Medicare |
$9,405.06
|
| Rate for Payer: PACE SWMI |
$9,900.06
|
| Rate for Payer: PHP Commercial |
$10,890.07
|
| Rate for Payer: PHP Medicare Advantage |
$9,900.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,661.68
|
| Rate for Payer: Priority Health Medicare |
$9,900.06
|
| Rate for Payer: Priority Health Narrow Network |
$10,129.34
|
| Rate for Payer: Railroad Medicare Medicare |
$9,900.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,900.06
|
| Rate for Payer: UHC Exchange |
$15,345.09
|
| Rate for Payer: UHC Medicare Advantage |
$9,900.06
|
| Rate for Payer: UHCCP DNSP |
$9,900.06
|
| Rate for Payer: VA VA |
$9,900.06
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC
|
Facility
|
IP
|
$19,264.73
|
|
|
Service Code
|
MSDRG 549
|
| Min. Negotiated Rate |
$11,807.42 |
| Max. Negotiated Rate |
$19,264.73 |
| Rate for Payer: Aetna Medicare |
$12,428.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,536.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,536.08
|
| Rate for Payer: BCBS MAPPO |
$12,428.86
|
| Rate for Payer: BCN Medicare Advantage |
$12,428.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,428.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,428.86
|
| Rate for Payer: Mclaren Medicare |
$12,428.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,050.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,293.19
|
| Rate for Payer: PACE Medicare |
$11,807.42
|
| Rate for Payer: PACE SWMI |
$12,428.86
|
| Rate for Payer: PHP Commercial |
$13,671.75
|
| Rate for Payer: PHP Medicare Advantage |
$12,428.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,555.25
|
| Rate for Payer: Priority Health Medicare |
$12,428.86
|
| Rate for Payer: Priority Health Narrow Network |
$13,244.20
|
| Rate for Payer: Railroad Medicare Medicare |
$12,428.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,428.86
|
| Rate for Payer: UHC Exchange |
$19,264.73
|
| Rate for Payer: UHC Medicare Advantage |
$12,428.86
|
| Rate for Payer: UHCCP DNSP |
$12,428.86
|
| Rate for Payer: VA VA |
$12,428.86
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC
|
Facility
|
IP
|
$30,460.82
|
|
|
Service Code
|
MSDRG 548
|
| Min. Negotiated Rate |
$18,669.53 |
| Max. Negotiated Rate |
$30,460.82 |
| Rate for Payer: Aetna Medicare |
$19,652.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,565.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,565.18
|
| Rate for Payer: BCBS MAPPO |
$19,652.14
|
| Rate for Payer: BCN Medicare Advantage |
$19,652.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,652.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,652.14
|
| Rate for Payer: Mclaren Medicare |
$19,652.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,634.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,599.96
|
| Rate for Payer: PACE Medicare |
$18,669.53
|
| Rate for Payer: PACE SWMI |
$19,652.14
|
| Rate for Payer: PHP Commercial |
$21,617.35
|
| Rate for Payer: PHP Medicare Advantage |
$19,652.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,676.81
|
| Rate for Payer: Priority Health Medicare |
$19,652.14
|
| Rate for Payer: Priority Health Narrow Network |
$22,141.45
|
| Rate for Payer: Railroad Medicare Medicare |
$19,652.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,652.14
|
| Rate for Payer: UHC Exchange |
$30,460.82
|
| Rate for Payer: UHC Medicare Advantage |
$19,652.14
|
| Rate for Payer: UHCCP DNSP |
$19,652.14
|
| Rate for Payer: VA VA |
$19,652.14
|
|
|
MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,520.76
|
|
|
Service Code
|
MSDRG 550
|
| Min. Negotiated Rate |
$8,899.82 |
| Max. Negotiated Rate |
$14,520.76 |
| Rate for Payer: Aetna Medicare |
$9,368.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,710.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,710.29
|
| Rate for Payer: BCBS MAPPO |
$9,368.23
|
| Rate for Payer: BCN Medicare Advantage |
$9,368.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,368.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,368.23
|
| Rate for Payer: Mclaren Medicare |
$9,368.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,836.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,773.46
|
| Rate for Payer: PACE Medicare |
$8,899.82
|
| Rate for Payer: PACE SWMI |
$9,368.23
|
| Rate for Payer: PHP Commercial |
$10,305.05
|
| Rate for Payer: PHP Medicare Advantage |
$9,368.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,844.22
|
| Rate for Payer: Priority Health Medicare |
$9,368.23
|
| Rate for Payer: Priority Health Narrow Network |
$9,475.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,368.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,368.23
|
| Rate for Payer: UHC Exchange |
$14,520.76
|
| Rate for Payer: UHC Medicare Advantage |
$9,368.23
|
| Rate for Payer: UHCCP DNSP |
$9,368.23
|
| Rate for Payer: VA VA |
$9,368.23
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
|
Facility
|
IP
|
$98,811.46
|
|
|
Service Code
|
MSDRG 870
|
| Min. Negotiated Rate |
$60,561.86 |
| Max. Negotiated Rate |
$98,811.46 |
| Rate for Payer: Aetna Medicare |
$63,749.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$79,686.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$79,686.66
|
| Rate for Payer: BCBS MAPPO |
$63,749.33
|
| Rate for Payer: BCN Medicare Advantage |
$63,749.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63,749.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$63,749.33
|
| Rate for Payer: Mclaren Medicare |
$63,749.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66,936.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73,311.73
|
| Rate for Payer: PACE Medicare |
$60,561.86
|
| Rate for Payer: PACE SWMI |
$63,749.33
|
| Rate for Payer: PHP Commercial |
$70,124.26
|
| Rate for Payer: PHP Medicare Advantage |
$63,749.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95,573.96
|
| Rate for Payer: Priority Health Medicare |
$63,749.33
|
| Rate for Payer: Priority Health Narrow Network |
$76,459.17
|
| Rate for Payer: Railroad Medicare Medicare |
$63,749.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$63,749.33
|
| Rate for Payer: UHC Exchange |
$98,811.46
|
| Rate for Payer: UHC Medicare Advantage |
$63,749.33
|
| Rate for Payer: UHCCP DNSP |
$63,749.33
|
| Rate for Payer: VA VA |
$63,749.33
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
|
Facility
|
IP
|
$29,734.70
|
|
|
Service Code
|
MSDRG 871
|
| Min. Negotiated Rate |
$18,224.50 |
| Max. Negotiated Rate |
$29,734.70 |
| Rate for Payer: Aetna Medicare |
$19,183.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,979.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,979.60
|
| Rate for Payer: BCBS MAPPO |
$19,183.68
|
| Rate for Payer: BCN Medicare Advantage |
$19,183.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,183.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,183.68
|
| Rate for Payer: Mclaren Medicare |
$19,183.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,142.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,061.23
|
| Rate for Payer: PACE Medicare |
$18,224.50
|
| Rate for Payer: PACE SWMI |
$19,183.68
|
| Rate for Payer: PHP Commercial |
$21,102.05
|
| Rate for Payer: PHP Medicare Advantage |
$19,183.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,959.65
|
| Rate for Payer: Priority Health Medicare |
$19,183.68
|
| Rate for Payer: Priority Health Narrow Network |
$21,567.72
|
| Rate for Payer: Railroad Medicare Medicare |
$19,183.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,183.68
|
| Rate for Payer: UHC Exchange |
$29,734.70
|
| Rate for Payer: UHC Medicare Advantage |
$19,183.68
|
| Rate for Payer: UHCCP DNSP |
$19,183.68
|
| Rate for Payer: VA VA |
$19,183.68
|
|
|
MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
|
Facility
|
IP
|
$16,856.81
|
|
|
Service Code
|
MSDRG 872
|
| Min. Negotiated Rate |
$10,331.59 |
| Max. Negotiated Rate |
$16,856.81 |
| Rate for Payer: Aetna Medicare |
$10,875.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,594.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,594.20
|
| Rate for Payer: BCBS MAPPO |
$10,875.36
|
| Rate for Payer: BCN Medicare Advantage |
$10,875.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,875.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,875.36
|
| Rate for Payer: Mclaren Medicare |
$10,875.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,419.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,506.66
|
| Rate for Payer: PACE Medicare |
$10,331.59
|
| Rate for Payer: PACE SWMI |
$10,875.36
|
| Rate for Payer: PHP Commercial |
$11,962.90
|
| Rate for Payer: PHP Medicare Advantage |
$10,875.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,164.70
|
| Rate for Payer: Priority Health Medicare |
$10,875.36
|
| Rate for Payer: Priority Health Narrow Network |
$11,331.76
|
| Rate for Payer: Railroad Medicare Medicare |
$10,875.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,875.36
|
| Rate for Payer: UHC Exchange |
$16,856.81
|
| Rate for Payer: UHC Medicare Advantage |
$10,875.36
|
| Rate for Payer: UHCCP DNSP |
$10,875.36
|
| Rate for Payer: VA VA |
$10,875.36
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
|
Facility
|
IP
|
$29,722.24
|
|
|
Service Code
|
MSDRG 511
|
| Min. Negotiated Rate |
$18,216.86 |
| Max. Negotiated Rate |
$29,722.24 |
| Rate for Payer: Aetna Medicare |
$19,175.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,969.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,969.55
|
| Rate for Payer: BCBS MAPPO |
$19,175.64
|
| Rate for Payer: BCN Medicare Advantage |
$19,175.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,175.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,175.64
|
| Rate for Payer: Mclaren Medicare |
$19,175.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,134.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,051.99
|
| Rate for Payer: PACE Medicare |
$18,216.86
|
| Rate for Payer: PACE SWMI |
$19,175.64
|
| Rate for Payer: PHP Commercial |
$21,093.20
|
| Rate for Payer: PHP Medicare Advantage |
$19,175.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,947.28
|
| Rate for Payer: Priority Health Medicare |
$19,175.64
|
| Rate for Payer: Priority Health Narrow Network |
$21,557.83
|
| Rate for Payer: Railroad Medicare Medicare |
$19,175.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,175.64
|
| Rate for Payer: UHC Exchange |
$29,722.24
|
| Rate for Payer: UHC Medicare Advantage |
$19,175.64
|
| Rate for Payer: UHCCP DNSP |
$19,175.64
|
| Rate for Payer: VA VA |
$19,175.64
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,127.12
|
|
|
Service Code
|
MSDRG 510
|
| Min. Negotiated Rate |
$25,819.85 |
| Max. Negotiated Rate |
$42,127.12 |
| Rate for Payer: Aetna Medicare |
$27,178.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,973.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,973.49
|
| Rate for Payer: BCBS MAPPO |
$27,178.79
|
| Rate for Payer: BCN Medicare Advantage |
$27,178.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,178.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,178.79
|
| Rate for Payer: Mclaren Medicare |
$27,178.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,537.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,255.61
|
| Rate for Payer: PACE Medicare |
$25,819.85
|
| Rate for Payer: PACE SWMI |
$27,178.79
|
| Rate for Payer: PHP Commercial |
$29,896.67
|
| Rate for Payer: PHP Medicare Advantage |
$27,178.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,265.49
|
| Rate for Payer: Priority Health Medicare |
$27,178.79
|
| Rate for Payer: Priority Health Narrow Network |
$31,412.39
|
| Rate for Payer: Railroad Medicare Medicare |
$27,178.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,178.79
|
| Rate for Payer: UHC Exchange |
$42,127.12
|
| Rate for Payer: UHC Medicare Advantage |
$27,178.79
|
| Rate for Payer: UHCCP DNSP |
$27,178.79
|
| Rate for Payer: VA VA |
$27,178.79
|
|
|
MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,834.43
|
|
|
Service Code
|
MSDRG 512
|
| Min. Negotiated Rate |
$15,221.10 |
| Max. Negotiated Rate |
$24,834.43 |
| Rate for Payer: Aetna Medicare |
$16,022.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,027.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,027.76
|
| Rate for Payer: BCBS MAPPO |
$16,022.21
|
| Rate for Payer: BCN Medicare Advantage |
$16,022.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,022.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,022.21
|
| Rate for Payer: Mclaren Medicare |
$16,022.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,823.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,425.54
|
| Rate for Payer: PACE Medicare |
$15,221.10
|
| Rate for Payer: PACE SWMI |
$16,022.21
|
| Rate for Payer: PHP Commercial |
$17,624.43
|
| Rate for Payer: PHP Medicare Advantage |
$16,022.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,087.87
|
| Rate for Payer: Priority Health Medicare |
$16,022.21
|
| Rate for Payer: Priority Health Narrow Network |
$17,670.30
|
| Rate for Payer: Railroad Medicare Medicare |
$16,022.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,022.21
|
| Rate for Payer: UHC Exchange |
$24,834.43
|
| Rate for Payer: UHC Medicare Advantage |
$16,022.21
|
| Rate for Payer: UHCCP DNSP |
$16,022.21
|
| Rate for Payer: VA VA |
$16,022.21
|
|
