|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,470.92
|
|
|
Service Code
|
MSDRG 624
|
| Min. Negotiated Rate |
$10,095.08 |
| Max. Negotiated Rate |
$16,470.92 |
| Rate for Payer: Aetna Medicare |
$10,626.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,283.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,283.00
|
| Rate for Payer: BCBS MAPPO |
$10,626.40
|
| Rate for Payer: BCN Medicare Advantage |
$10,626.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,626.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,626.40
|
| Rate for Payer: Mclaren Medicare |
$10,626.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,157.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,220.36
|
| Rate for Payer: PACE Medicare |
$10,095.08
|
| Rate for Payer: PACE SWMI |
$10,626.40
|
| Rate for Payer: PHP Commercial |
$11,689.04
|
| Rate for Payer: PHP Medicare Advantage |
$10,626.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,781.39
|
| Rate for Payer: Priority Health Medicare |
$10,626.40
|
| Rate for Payer: Priority Health Narrow Network |
$11,025.11
|
| Rate for Payer: Railroad Medicare Medicare |
$10,626.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,626.40
|
| Rate for Payer: UHC Exchange |
$16,470.92
|
| Rate for Payer: UHC Medicare Advantage |
$10,626.40
|
| Rate for Payer: UHCCP DNSP |
$10,626.40
|
| Rate for Payer: VA VA |
$10,626.40
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC
|
Facility
|
IP
|
$55,999.45
|
|
|
Service Code
|
MSDRG 904
|
| Min. Negotiated Rate |
$34,322.25 |
| Max. Negotiated Rate |
$55,999.45 |
| Rate for Payer: Aetna Medicare |
$36,128.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,160.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,160.85
|
| Rate for Payer: BCBS MAPPO |
$36,128.68
|
| Rate for Payer: BCN Medicare Advantage |
$36,128.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,128.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,128.68
|
| Rate for Payer: Mclaren Medicare |
$36,128.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,935.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,547.98
|
| Rate for Payer: PACE Medicare |
$34,322.25
|
| Rate for Payer: PACE SWMI |
$36,128.68
|
| Rate for Payer: PHP Commercial |
$39,741.55
|
| Rate for Payer: PHP Medicare Advantage |
$36,128.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53,044.13
|
| Rate for Payer: Priority Health Medicare |
$36,128.68
|
| Rate for Payer: Priority Health Narrow Network |
$42,435.31
|
| Rate for Payer: Railroad Medicare Medicare |
$36,128.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,128.68
|
| Rate for Payer: UHC Exchange |
$55,999.45
|
| Rate for Payer: UHC Medicare Advantage |
$36,128.68
|
| Rate for Payer: UHCCP DNSP |
$36,128.68
|
| Rate for Payer: VA VA |
$36,128.68
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,393.18
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$15,563.56 |
| Max. Negotiated Rate |
$25,393.18 |
| Rate for Payer: Aetna Medicare |
$16,382.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,478.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,478.38
|
| Rate for Payer: BCBS MAPPO |
$16,382.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,382.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,382.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,382.70
|
| Rate for Payer: Mclaren Medicare |
$16,382.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,201.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,840.10
|
| Rate for Payer: PACE Medicare |
$15,563.56
|
| Rate for Payer: PACE SWMI |
$16,382.70
|
| Rate for Payer: PHP Commercial |
$18,020.97
|
| Rate for Payer: PHP Medicare Advantage |
$16,382.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,642.92
|
| Rate for Payer: Priority Health Medicare |
$16,382.70
|
| Rate for Payer: Priority Health Narrow Network |
$18,114.33
|
| Rate for Payer: Railroad Medicare Medicare |
$16,382.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,382.70
|
| Rate for Payer: UHC Exchange |
$25,393.18
|
| Rate for Payer: UHC Medicare Advantage |
$16,382.70
|
| Rate for Payer: UHCCP DNSP |
$16,382.70
|
| Rate for Payer: VA VA |
$16,382.70
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$19,508.19
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$11,956.63 |
| Max. Negotiated Rate |
$19,508.19 |
| Rate for Payer: Aetna Medicare |
$12,585.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,732.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,732.41
|
| Rate for Payer: BCBS MAPPO |
$12,585.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,585.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,585.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,585.93
|
| Rate for Payer: Mclaren Medicare |
$12,585.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,215.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,473.82
|
| Rate for Payer: PACE Medicare |
$11,956.63
|
| Rate for Payer: PACE SWMI |
$12,585.93
|
| Rate for Payer: PHP Commercial |
$13,844.52
|
| Rate for Payer: PHP Medicare Advantage |
$12,585.93
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,797.06
|
| Rate for Payer: Priority Health Medicare |
$12,585.93
|
| Rate for Payer: Priority Health Narrow Network |
$13,437.65
|
| Rate for Payer: Railroad Medicare Medicare |
$12,585.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,585.93
|
| Rate for Payer: UHC Exchange |
$19,508.19
|
| Rate for Payer: UHC Medicare Advantage |
$12,585.93
|
| Rate for Payer: UHCCP DNSP |
$12,585.93
|
| Rate for Payer: VA VA |
$12,585.93
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$31,037.56
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$19,023.02 |
| Max. Negotiated Rate |
$31,037.56 |
| Rate for Payer: Aetna Medicare |
$20,024.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,030.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,030.29
|
| Rate for Payer: BCBS MAPPO |
$20,024.23
|
| Rate for Payer: BCN Medicare Advantage |
$20,024.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,024.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,024.23
|
| Rate for Payer: Mclaren Medicare |
$20,024.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,025.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,027.86
|
| Rate for Payer: PACE Medicare |
$19,023.02
|
| Rate for Payer: PACE SWMI |
$20,024.23
|
| Rate for Payer: PHP Commercial |
$22,026.65
|
| Rate for Payer: PHP Medicare Advantage |
$20,024.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28,249.72
|
| Rate for Payer: Priority Health Medicare |
$20,024.23
|
| Rate for Payer: Priority Health Narrow Network |
$22,599.78
|
| Rate for Payer: Railroad Medicare Medicare |
$20,024.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,024.23
|
| Rate for Payer: UHC Exchange |
$31,037.56
|
| Rate for Payer: UHC Medicare Advantage |
$20,024.23
|
| Rate for Payer: UHCCP DNSP |
$20,024.23
|
| Rate for Payer: VA VA |
$20,024.23
|
|
|
MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,335.42
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$8,786.23 |
| Max. Negotiated Rate |
$14,335.42 |
| Rate for Payer: Aetna Medicare |
$9,248.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,560.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,560.82
|
| Rate for Payer: BCBS MAPPO |
$9,248.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,248.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,248.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,248.66
|
| Rate for Payer: Mclaren Medicare |
$9,248.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,711.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,635.96
|
| Rate for Payer: PACE Medicare |
$8,786.23
|
| Rate for Payer: PACE SWMI |
$9,248.66
|
| Rate for Payer: PHP Commercial |
$10,173.53
|
| Rate for Payer: PHP Medicare Advantage |
$9,248.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,658.75
|
| Rate for Payer: Priority Health Medicare |
$9,248.66
|
| Rate for Payer: Priority Health Narrow Network |
$9,327.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9,248.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,248.66
|
| Rate for Payer: UHC Exchange |
$14,335.42
|
| Rate for Payer: UHC Medicare Advantage |
$9,248.66
|
| Rate for Payer: UHCCP DNSP |
$9,248.66
|
| Rate for Payer: VA VA |
$9,248.66
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$27,281.10
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$16,720.67 |
| Max. Negotiated Rate |
$27,281.10 |
| Rate for Payer: Aetna Medicare |
$17,600.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,000.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,000.89
|
| Rate for Payer: BCBS MAPPO |
$17,600.71
|
| Rate for Payer: BCN Medicare Advantage |
$17,600.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,600.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,600.71
|
| Rate for Payer: Mclaren Medicare |
$17,600.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,480.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,240.82
|
| Rate for Payer: PACE Medicare |
$16,720.67
|
| Rate for Payer: PACE SWMI |
$17,600.71
|
| Rate for Payer: PHP Commercial |
$19,360.78
|
| Rate for Payer: PHP Medicare Advantage |
$17,600.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,522.38
|
| Rate for Payer: Priority Health Medicare |
$17,600.71
|
| Rate for Payer: Priority Health Narrow Network |
$19,617.91
|
| Rate for Payer: Railroad Medicare Medicare |
$17,600.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,600.71
|
| Rate for Payer: UHC Exchange |
$27,281.10
|
| Rate for Payer: UHC Medicare Advantage |
$17,600.71
|
| Rate for Payer: UHCCP DNSP |
$17,600.71
|
| Rate for Payer: VA VA |
$17,600.71
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,422.98
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$28,452.79 |
| Max. Negotiated Rate |
$46,422.98 |
| Rate for Payer: Aetna Medicare |
$29,950.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,437.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,437.89
|
| Rate for Payer: BCBS MAPPO |
$29,950.31
|
| Rate for Payer: BCN Medicare Advantage |
$29,950.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,950.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,950.31
|
| Rate for Payer: Mclaren Medicare |
$29,950.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,447.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,442.86
|
| Rate for Payer: PACE Medicare |
$28,452.79
|
| Rate for Payer: PACE SWMI |
$29,950.31
|
| Rate for Payer: PHP Commercial |
$32,945.34
|
| Rate for Payer: PHP Medicare Advantage |
$29,950.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43,531.39
|
| Rate for Payer: Priority Health Medicare |
$29,950.31
|
| Rate for Payer: Priority Health Narrow Network |
$34,825.11
|
| Rate for Payer: Railroad Medicare Medicare |
$29,950.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,950.31
|
| Rate for Payer: UHC Exchange |
$46,422.98
|
| Rate for Payer: UHC Medicare Advantage |
$29,950.31
|
| Rate for Payer: UHCCP DNSP |
$29,950.31
|
| Rate for Payer: VA VA |
$29,950.31
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,921.65
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$13,435.85 |
| Max. Negotiated Rate |
$21,921.65 |
| Rate for Payer: Aetna Medicare |
$14,143.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,678.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,678.75
|
| Rate for Payer: BCBS MAPPO |
$14,143.00
|
| Rate for Payer: BCN Medicare Advantage |
$14,143.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,143.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,143.00
|
| Rate for Payer: Mclaren Medicare |
$14,143.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,850.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,264.45
|
| Rate for Payer: PACE Medicare |
$13,435.85
|
| Rate for Payer: PACE SWMI |
$14,143.00
|
| Rate for Payer: PHP Commercial |
$15,557.30
|
| Rate for Payer: PHP Medicare Advantage |
$14,143.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,194.48
|
| Rate for Payer: Priority Health Medicare |
$14,143.00
|
| Rate for Payer: Priority Health Narrow Network |
$15,355.58
|
| Rate for Payer: Railroad Medicare Medicare |
$14,143.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,143.00
|
| Rate for Payer: UHC Exchange |
$21,921.65
|
| Rate for Payer: UHC Medicare Advantage |
$14,143.00
|
| Rate for Payer: UHCCP DNSP |
$14,143.00
|
| Rate for Payer: VA VA |
$14,143.00
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$30,431.75
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$18,651.72 |
| Max. Negotiated Rate |
$30,431.75 |
| Rate for Payer: Aetna Medicare |
$19,633.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,541.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,541.74
|
| Rate for Payer: BCBS MAPPO |
$19,633.39
|
| Rate for Payer: BCN Medicare Advantage |
$19,633.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,633.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,633.39
|
| Rate for Payer: Mclaren Medicare |
$19,633.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,615.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,578.40
|
| Rate for Payer: PACE Medicare |
$18,651.72
|
| Rate for Payer: PACE SWMI |
$19,633.39
|
| Rate for Payer: PHP Commercial |
$21,596.73
|
| Rate for Payer: PHP Medicare Advantage |
$19,633.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,647.96
|
| Rate for Payer: Priority Health Medicare |
$19,633.39
|
| Rate for Payer: Priority Health Narrow Network |
$22,118.37
|
| Rate for Payer: Railroad Medicare Medicare |
$19,633.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,633.39
|
| Rate for Payer: UHC Exchange |
$30,431.75
|
| Rate for Payer: UHC Medicare Advantage |
$19,633.39
|
| Rate for Payer: UHCCP DNSP |
$19,633.39
|
| Rate for Payer: VA VA |
$19,633.39
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,340.94
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$9,402.51 |
| Max. Negotiated Rate |
$15,340.94 |
| Rate for Payer: Aetna Medicare |
$9,897.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,371.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,371.72
|
| Rate for Payer: BCBS MAPPO |
$9,897.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,897.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,897.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,897.38
|
| Rate for Payer: Mclaren Medicare |
$9,897.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,392.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,381.99
|
| Rate for Payer: PACE Medicare |
$9,402.51
|
| Rate for Payer: PACE SWMI |
$9,897.38
|
| Rate for Payer: PHP Commercial |
$10,887.12
|
| Rate for Payer: PHP Medicare Advantage |
$9,897.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,657.56
|
| Rate for Payer: Priority Health Medicare |
$9,897.38
|
| Rate for Payer: Priority Health Narrow Network |
$10,126.05
|
| Rate for Payer: Railroad Medicare Medicare |
$9,897.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,897.38
|
| Rate for Payer: UHC Exchange |
$15,340.94
|
| Rate for Payer: UHC Medicare Advantage |
$9,897.38
|
| Rate for Payer: UHCCP DNSP |
$9,897.38
|
| Rate for Payer: VA VA |
$9,897.38
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$81,977.92
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$50,244.53 |
| Max. Negotiated Rate |
$81,977.92 |
| Rate for Payer: Aetna Medicare |
$52,888.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66,111.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66,111.22
|
| Rate for Payer: BCBS MAPPO |
$52,888.98
|
| Rate for Payer: BCN Medicare Advantage |
$52,888.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,888.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$52,888.98
|
| Rate for Payer: Mclaren Medicare |
$52,888.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,533.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,822.33
|
| Rate for Payer: PACE Medicare |
$50,244.53
|
| Rate for Payer: PACE SWMI |
$52,888.98
|
| Rate for Payer: PHP Commercial |
$58,177.88
|
| Rate for Payer: PHP Medicare Advantage |
$52,888.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78,846.97
|
| Rate for Payer: Priority Health Medicare |
$52,888.98
|
| Rate for Payer: Priority Health Narrow Network |
$63,077.58
|
| Rate for Payer: Railroad Medicare Medicare |
$52,888.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,888.98
|
| Rate for Payer: UHC Exchange |
$81,977.92
|
| Rate for Payer: UHC Medicare Advantage |
$52,888.98
|
| Rate for Payer: UHCCP DNSP |
$52,888.98
|
| Rate for Payer: VA VA |
$52,888.98
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$119,733.36
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$73,384.96 |
| Max. Negotiated Rate |
$119,733.36 |
| Rate for Payer: Aetna Medicare |
$77,247.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96,559.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96,559.16
|
| Rate for Payer: BCBS MAPPO |
$77,247.33
|
| Rate for Payer: BCN Medicare Advantage |
$77,247.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77,247.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$77,247.33
|
| Rate for Payer: Mclaren Medicare |
$77,247.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81,109.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88,834.43
|
| Rate for Payer: PACE Medicare |
$73,384.96
|
| Rate for Payer: PACE SWMI |
$77,247.33
|
| Rate for Payer: PHP Commercial |
$84,972.06
|
| Rate for Payer: PHP Medicare Advantage |
$77,247.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$116,348.40
|
| Rate for Payer: Priority Health Medicare |
$77,247.33
|
| Rate for Payer: Priority Health Narrow Network |
$93,078.72
|
| Rate for Payer: Railroad Medicare Medicare |
$77,247.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$77,247.33
|
| Rate for Payer: UHC Exchange |
$119,733.36
|
| Rate for Payer: UHC Medicare Advantage |
$77,247.33
|
| Rate for Payer: UHCCP DNSP |
$77,247.33
|
| Rate for Payer: VA VA |
$77,247.33
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$62,318.76
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$38,195.37 |
| Max. Negotiated Rate |
$62,318.76 |
| Rate for Payer: Aetna Medicare |
$40,205.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,257.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,257.06
|
| Rate for Payer: BCBS MAPPO |
$40,205.65
|
| Rate for Payer: BCN Medicare Advantage |
$40,205.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,205.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,205.65
|
| Rate for Payer: Mclaren Medicare |
$40,205.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,215.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,236.50
|
| Rate for Payer: PACE Medicare |
$38,195.37
|
| Rate for Payer: PACE SWMI |
$40,205.65
|
| Rate for Payer: PHP Commercial |
$44,226.22
|
| Rate for Payer: PHP Medicare Advantage |
$40,205.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59,320.02
|
| Rate for Payer: Priority Health Medicare |
$40,205.65
|
| Rate for Payer: Priority Health Narrow Network |
$47,456.01
|
| Rate for Payer: Railroad Medicare Medicare |
$40,205.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,205.65
|
| Rate for Payer: UHC Exchange |
$62,318.76
|
| Rate for Payer: UHC Medicare Advantage |
$40,205.65
|
| Rate for Payer: UHCCP DNSP |
$40,205.65
|
| Rate for Payer: VA VA |
$40,205.65
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$49,023.18
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$30,046.47 |
| Max. Negotiated Rate |
$49,023.18 |
| Rate for Payer: Aetna Medicare |
$31,627.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,534.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,534.82
|
| Rate for Payer: BCBS MAPPO |
$31,627.86
|
| Rate for Payer: BCN Medicare Advantage |
$31,627.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,627.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,627.86
|
| Rate for Payer: Mclaren Medicare |
$31,627.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,209.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,372.04
|
| Rate for Payer: PACE Medicare |
$30,046.47
|
| Rate for Payer: PACE SWMI |
$31,627.86
|
| Rate for Payer: PHP Commercial |
$34,790.65
|
| Rate for Payer: PHP Medicare Advantage |
$31,627.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46,114.28
|
| Rate for Payer: Priority Health Medicare |
$31,627.86
|
| Rate for Payer: Priority Health Narrow Network |
$36,891.43
|
| Rate for Payer: Railroad Medicare Medicare |
$31,627.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,627.86
|
| Rate for Payer: UHC Exchange |
$49,023.18
|
| Rate for Payer: UHC Medicare Advantage |
$31,627.86
|
| Rate for Payer: UHCCP DNSP |
$31,627.86
|
| Rate for Payer: VA VA |
$31,627.86
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,681.80
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$53,127.55 |
| Max. Negotiated Rate |
$86,681.80 |
| Rate for Payer: Aetna Medicare |
$55,923.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69,904.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69,904.68
|
| Rate for Payer: BCBS MAPPO |
$55,923.74
|
| Rate for Payer: BCN Medicare Advantage |
$55,923.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,923.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$55,923.74
|
| Rate for Payer: Mclaren Medicare |
$55,923.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,719.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64,312.30
|
| Rate for Payer: PACE Medicare |
$53,127.55
|
| Rate for Payer: PACE SWMI |
$55,923.74
|
| Rate for Payer: PHP Commercial |
$61,516.11
|
| Rate for Payer: PHP Medicare Advantage |
$55,923.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83,519.54
|
| Rate for Payer: Priority Health Medicare |
$55,923.74
|
| Rate for Payer: Priority Health Narrow Network |
$66,815.63
|
| Rate for Payer: Railroad Medicare Medicare |
$55,923.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,923.74
|
| Rate for Payer: UHC Exchange |
$86,681.80
|
| Rate for Payer: UHC Medicare Advantage |
$55,923.74
|
| Rate for Payer: UHCCP DNSP |
$55,923.74
|
| Rate for Payer: VA VA |
$55,923.74
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,376.37
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$20,456.48 |
| Max. Negotiated Rate |
$33,376.37 |
| Rate for Payer: Aetna Medicare |
$21,533.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,916.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,916.42
|
| Rate for Payer: BCBS MAPPO |
$21,533.14
|
| Rate for Payer: BCN Medicare Advantage |
$21,533.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,533.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,533.14
|
| Rate for Payer: Mclaren Medicare |
$21,533.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,609.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,763.11
|
| Rate for Payer: PACE Medicare |
$20,456.48
|
| Rate for Payer: PACE SWMI |
$21,533.14
|
| Rate for Payer: PHP Commercial |
$23,686.45
|
| Rate for Payer: PHP Medicare Advantage |
$21,533.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30,571.58
|
| Rate for Payer: Priority Health Medicare |
$21,533.14
|
| Rate for Payer: Priority Health Narrow Network |
$24,457.26
|
| Rate for Payer: Railroad Medicare Medicare |
$21,533.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,533.14
|
| Rate for Payer: UHC Exchange |
$33,376.37
|
| Rate for Payer: UHC Medicare Advantage |
$21,533.14
|
| Rate for Payer: UHCCP DNSP |
$21,533.14
|
| Rate for Payer: VA VA |
$21,533.14
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$42,897.51
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$26,292.02 |
| Max. Negotiated Rate |
$42,897.51 |
| Rate for Payer: Aetna Medicare |
$27,675.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,594.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,594.76
|
| Rate for Payer: BCBS MAPPO |
$27,675.81
|
| Rate for Payer: BCN Medicare Advantage |
$27,675.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,675.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,675.81
|
| Rate for Payer: Mclaren Medicare |
$27,675.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,059.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,827.18
|
| Rate for Payer: PACE Medicare |
$26,292.02
|
| Rate for Payer: PACE SWMI |
$27,675.81
|
| Rate for Payer: PHP Commercial |
$30,443.39
|
| Rate for Payer: PHP Medicare Advantage |
$27,675.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,029.37
|
| Rate for Payer: Priority Health Medicare |
$27,675.81
|
| Rate for Payer: Priority Health Narrow Network |
$32,023.49
|
| Rate for Payer: Railroad Medicare Medicare |
$27,675.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,675.81
|
| Rate for Payer: UHC Exchange |
$42,897.51
|
| Rate for Payer: UHC Medicare Advantage |
$27,675.81
|
| Rate for Payer: UHCCP DNSP |
$27,675.81
|
| Rate for Payer: VA VA |
$27,675.81
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$68,360.10
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$41,898.13 |
| Max. Negotiated Rate |
$68,360.10 |
| Rate for Payer: Aetna Medicare |
$44,103.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,129.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,129.11
|
| Rate for Payer: BCBS MAPPO |
$44,103.29
|
| Rate for Payer: BCN Medicare Advantage |
$44,103.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,103.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,103.29
|
| Rate for Payer: Mclaren Medicare |
$44,103.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,308.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,718.78
|
| Rate for Payer: PACE Medicare |
$41,898.13
|
| Rate for Payer: PACE SWMI |
$44,103.29
|
| Rate for Payer: PHP Commercial |
$48,513.62
|
| Rate for Payer: PHP Medicare Advantage |
$44,103.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65,321.12
|
| Rate for Payer: Priority Health Medicare |
$44,103.29
|
| Rate for Payer: Priority Health Narrow Network |
$52,256.90
|
| Rate for Payer: Railroad Medicare Medicare |
$44,103.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,103.29
|
| Rate for Payer: UHC Exchange |
$68,360.10
|
| Rate for Payer: UHC Medicare Advantage |
$44,103.29
|
| Rate for Payer: UHCCP DNSP |
$44,103.29
|
| Rate for Payer: VA VA |
$44,103.29
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,303.28
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$15,508.46 |
| Max. Negotiated Rate |
$25,303.28 |
| Rate for Payer: Aetna Medicare |
$16,324.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,405.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,405.88
|
| Rate for Payer: BCBS MAPPO |
$16,324.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,324.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,324.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,324.70
|
| Rate for Payer: Mclaren Medicare |
$16,324.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,140.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,773.40
|
| Rate for Payer: PACE Medicare |
$15,508.46
|
| Rate for Payer: PACE SWMI |
$16,324.70
|
| Rate for Payer: PHP Commercial |
$17,957.17
|
| Rate for Payer: PHP Medicare Advantage |
$16,324.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,554.99
|
| Rate for Payer: Priority Health Medicare |
$16,324.70
|
| Rate for Payer: Priority Health Narrow Network |
$18,043.99
|
| Rate for Payer: Railroad Medicare Medicare |
$16,324.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,324.70
|
| Rate for Payer: UHC Exchange |
$25,303.28
|
| Rate for Payer: UHC Medicare Advantage |
$16,324.70
|
| Rate for Payer: UHCCP DNSP |
$16,324.70
|
| Rate for Payer: VA VA |
$16,324.70
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$15,307.77
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$9,382.18 |
| Max. Negotiated Rate |
$15,307.77 |
| Rate for Payer: Aetna Medicare |
$9,875.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,344.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,344.98
|
| Rate for Payer: BCBS MAPPO |
$9,875.98
|
| Rate for Payer: BCN Medicare Advantage |
$9,875.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,875.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,875.98
|
| Rate for Payer: Mclaren Medicare |
$9,875.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,369.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,357.38
|
| Rate for Payer: PACE Medicare |
$9,382.18
|
| Rate for Payer: PACE SWMI |
$9,875.98
|
| Rate for Payer: PHP Commercial |
$10,863.58
|
| Rate for Payer: PHP Medicare Advantage |
$9,875.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,624.58
|
| Rate for Payer: Priority Health Medicare |
$9,875.98
|
| Rate for Payer: Priority Health Narrow Network |
$10,099.67
|
| Rate for Payer: Railroad Medicare Medicare |
$9,875.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,875.98
|
| Rate for Payer: UHC Exchange |
$15,307.77
|
| Rate for Payer: UHC Medicare Advantage |
$9,875.98
|
| Rate for Payer: UHCCP DNSP |
$9,875.98
|
| Rate for Payer: VA VA |
$9,875.98
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$11,884.61
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$7,284.12 |
| Max. Negotiated Rate |
$11,884.61 |
| Rate for Payer: Aetna Medicare |
$7,667.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,584.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,584.36
|
| Rate for Payer: BCBS MAPPO |
$7,667.49
|
| Rate for Payer: BCN Medicare Advantage |
$7,667.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,667.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,667.49
|
| Rate for Payer: Mclaren Medicare |
$7,667.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,050.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,817.61
|
| Rate for Payer: PACE Medicare |
$7,284.12
|
| Rate for Payer: PACE SWMI |
$7,667.49
|
| Rate for Payer: PHP Commercial |
$8,434.24
|
| Rate for Payer: PHP Medicare Advantage |
$7,667.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,225.60
|
| Rate for Payer: Priority Health Medicare |
$7,667.49
|
| Rate for Payer: Priority Health Narrow Network |
$7,380.48
|
| Rate for Payer: Railroad Medicare Medicare |
$7,667.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,667.49
|
| Rate for Payer: UHC Exchange |
$11,884.61
|
| Rate for Payer: UHC Medicare Advantage |
$7,667.49
|
| Rate for Payer: UHCCP DNSP |
$7,667.49
|
| Rate for Payer: VA VA |
$7,667.49
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$36,179.87
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$22,174.76 |
| Max. Negotiated Rate |
$36,179.87 |
| Rate for Payer: Aetna Medicare |
$23,341.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,177.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,177.31
|
| Rate for Payer: BCBS MAPPO |
$23,341.85
|
| Rate for Payer: BCN Medicare Advantage |
$23,341.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,341.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,341.85
|
| Rate for Payer: Mclaren Medicare |
$23,341.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,508.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,843.13
|
| Rate for Payer: PACE Medicare |
$22,174.76
|
| Rate for Payer: PACE SWMI |
$23,341.85
|
| Rate for Payer: PHP Commercial |
$25,676.04
|
| Rate for Payer: PHP Medicare Advantage |
$23,341.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33,359.18
|
| Rate for Payer: Priority Health Medicare |
$23,341.85
|
| Rate for Payer: Priority Health Narrow Network |
$26,687.34
|
| Rate for Payer: Railroad Medicare Medicare |
$23,341.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,341.85
|
| Rate for Payer: UHC Exchange |
$36,179.87
|
| Rate for Payer: UHC Medicare Advantage |
$23,341.85
|
| Rate for Payer: UHCCP DNSP |
$23,341.85
|
| Rate for Payer: VA VA |
$23,341.85
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$72,844.03
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$44,646.34 |
| Max. Negotiated Rate |
$72,844.03 |
| Rate for Payer: Aetna Medicare |
$46,996.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,745.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,745.19
|
| Rate for Payer: BCBS MAPPO |
$46,996.15
|
| Rate for Payer: BCN Medicare Advantage |
$46,996.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,996.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,996.15
|
| Rate for Payer: Mclaren Medicare |
$46,996.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,345.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,045.57
|
| Rate for Payer: PACE Medicare |
$44,646.34
|
| Rate for Payer: PACE SWMI |
$46,996.15
|
| Rate for Payer: PHP Commercial |
$51,695.76
|
| Rate for Payer: PHP Medicare Advantage |
$46,996.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69,775.24
|
| Rate for Payer: Priority Health Medicare |
$46,996.15
|
| Rate for Payer: Priority Health Narrow Network |
$55,820.19
|
| Rate for Payer: Railroad Medicare Medicare |
$46,996.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,996.15
|
| Rate for Payer: UHC Exchange |
$72,844.03
|
| Rate for Payer: UHC Medicare Advantage |
$46,996.15
|
| Rate for Payer: UHCCP DNSP |
$46,996.15
|
| Rate for Payer: VA VA |
$46,996.15
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,636.63
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$15,099.87 |
| Max. Negotiated Rate |
$24,636.63 |
| Rate for Payer: Aetna Medicare |
$15,894.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,868.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,868.25
|
| Rate for Payer: BCBS MAPPO |
$15,894.60
|
| Rate for Payer: BCN Medicare Advantage |
$15,894.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,894.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,894.60
|
| Rate for Payer: Mclaren Medicare |
$15,894.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,689.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,278.79
|
| Rate for Payer: PACE Medicare |
$15,099.87
|
| Rate for Payer: PACE SWMI |
$15,894.60
|
| Rate for Payer: PHP Commercial |
$17,484.06
|
| Rate for Payer: PHP Medicare Advantage |
$15,894.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,891.40
|
| Rate for Payer: Priority Health Medicare |
$15,894.60
|
| Rate for Payer: Priority Health Narrow Network |
$17,513.12
|
| Rate for Payer: Railroad Medicare Medicare |
$15,894.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,894.60
|
| Rate for Payer: UHC Exchange |
$24,636.63
|
| Rate for Payer: UHC Medicare Advantage |
$15,894.60
|
| Rate for Payer: UHCCP DNSP |
$15,894.60
|
| Rate for Payer: VA VA |
$15,894.60
|
|
