|
MS-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$14,648.01
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$8,977.81 |
| Max. Negotiated Rate |
$14,648.01 |
| Rate for Payer: Aetna Medicare |
$9,450.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,812.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,812.91
|
| Rate for Payer: BCBS MAPPO |
$9,450.33
|
| Rate for Payer: BCN Medicare Advantage |
$9,450.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,450.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,450.33
|
| Rate for Payer: Mclaren Medicare |
$9,450.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,922.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,867.88
|
| Rate for Payer: PACE Medicare |
$8,977.81
|
| Rate for Payer: PACE SWMI |
$9,450.33
|
| Rate for Payer: PHP Commercial |
$10,395.36
|
| Rate for Payer: PHP Medicare Advantage |
$9,450.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,970.62
|
| Rate for Payer: Priority Health Medicare |
$9,450.33
|
| Rate for Payer: Priority Health Narrow Network |
$9,576.49
|
| Rate for Payer: Railroad Medicare Medicare |
$9,450.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,450.33
|
| Rate for Payer: UHC Exchange |
$14,648.01
|
| Rate for Payer: UHC Medicare Advantage |
$9,450.33
|
| Rate for Payer: UHCCP DNSP |
$9,450.33
|
| Rate for Payer: VA VA |
$9,450.33
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$24,030.83
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$14,728.57 |
| Max. Negotiated Rate |
$24,030.83 |
| Rate for Payer: Aetna Medicare |
$15,503.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,379.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,379.70
|
| Rate for Payer: BCBS MAPPO |
$15,503.76
|
| Rate for Payer: BCN Medicare Advantage |
$15,503.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,503.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,503.76
|
| Rate for Payer: Mclaren Medicare |
$15,503.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,278.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,829.32
|
| Rate for Payer: PACE Medicare |
$14,728.57
|
| Rate for Payer: PACE SWMI |
$15,503.76
|
| Rate for Payer: PHP Commercial |
$17,054.14
|
| Rate for Payer: PHP Medicare Advantage |
$15,503.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,291.02
|
| Rate for Payer: Priority Health Medicare |
$15,503.76
|
| Rate for Payer: Priority Health Narrow Network |
$17,032.81
|
| Rate for Payer: Railroad Medicare Medicare |
$15,503.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,503.76
|
| Rate for Payer: UHC Exchange |
$24,030.83
|
| Rate for Payer: UHC Medicare Advantage |
$15,503.76
|
| Rate for Payer: UHCCP DNSP |
$15,503.76
|
| Rate for Payer: VA VA |
$15,503.76
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$14,544.27
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$8,914.23 |
| Max. Negotiated Rate |
$14,544.27 |
| Rate for Payer: Aetna Medicare |
$9,383.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,729.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,729.25
|
| Rate for Payer: BCBS MAPPO |
$9,383.40
|
| Rate for Payer: BCN Medicare Advantage |
$9,383.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,383.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,383.40
|
| Rate for Payer: Mclaren Medicare |
$9,383.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,852.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,790.91
|
| Rate for Payer: PACE Medicare |
$8,914.23
|
| Rate for Payer: PACE SWMI |
$9,383.40
|
| Rate for Payer: PHP Commercial |
$10,321.74
|
| Rate for Payer: PHP Medicare Advantage |
$9,383.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,867.58
|
| Rate for Payer: Priority Health Medicare |
$9,383.40
|
| Rate for Payer: Priority Health Narrow Network |
$9,494.06
|
| Rate for Payer: Railroad Medicare Medicare |
$9,383.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,383.40
|
| Rate for Payer: UHC Exchange |
$14,544.27
|
| Rate for Payer: UHC Medicare Advantage |
$9,383.40
|
| Rate for Payer: UHCCP DNSP |
$9,383.40
|
| Rate for Payer: VA VA |
$9,383.40
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$29,022.40
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$17,787.92 |
| Max. Negotiated Rate |
$29,022.40 |
| Rate for Payer: Aetna Medicare |
$18,724.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,405.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,405.16
|
| Rate for Payer: BCBS MAPPO |
$18,724.13
|
| Rate for Payer: BCN Medicare Advantage |
$18,724.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,724.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,724.13
|
| Rate for Payer: Mclaren Medicare |
$18,724.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,660.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,532.75
|
| Rate for Payer: PACE Medicare |
$17,787.92
|
| Rate for Payer: PACE SWMI |
$18,724.13
|
| Rate for Payer: PHP Commercial |
$20,596.54
|
| Rate for Payer: PHP Medicare Advantage |
$18,724.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26,249.35
|
| Rate for Payer: Priority Health Medicare |
$18,724.13
|
| Rate for Payer: Priority Health Narrow Network |
$20,999.48
|
| Rate for Payer: Railroad Medicare Medicare |
$18,724.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,724.13
|
| Rate for Payer: UHC Exchange |
$29,022.40
|
| Rate for Payer: UHC Medicare Advantage |
$18,724.13
|
| Rate for Payer: UHCCP DNSP |
$18,724.13
|
| Rate for Payer: VA VA |
$18,724.13
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,390.67
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$10,658.80 |
| Max. Negotiated Rate |
$17,390.67 |
| Rate for Payer: Aetna Medicare |
$11,219.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,024.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,024.74
|
| Rate for Payer: BCBS MAPPO |
$11,219.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,219.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,219.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,219.79
|
| Rate for Payer: Mclaren Medicare |
$11,219.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,780.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,902.76
|
| Rate for Payer: PACE Medicare |
$10,658.80
|
| Rate for Payer: PACE SWMI |
$11,219.79
|
| Rate for Payer: PHP Commercial |
$12,341.77
|
| Rate for Payer: PHP Medicare Advantage |
$11,219.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14,695.02
|
| Rate for Payer: Priority Health Medicare |
$11,219.79
|
| Rate for Payer: Priority Health Narrow Network |
$11,756.02
|
| Rate for Payer: Railroad Medicare Medicare |
$11,219.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,219.79
|
| Rate for Payer: UHC Exchange |
$17,390.67
|
| Rate for Payer: UHC Medicare Advantage |
$11,219.79
|
| Rate for Payer: UHCCP DNSP |
$11,219.79
|
| Rate for Payer: VA VA |
$11,219.79
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$23,472.08
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$14,386.12 |
| Max. Negotiated Rate |
$23,472.08 |
| Rate for Payer: Aetna Medicare |
$15,143.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,929.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,929.10
|
| Rate for Payer: BCBS MAPPO |
$15,143.28
|
| Rate for Payer: BCN Medicare Advantage |
$15,143.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,143.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,143.28
|
| Rate for Payer: Mclaren Medicare |
$15,143.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,900.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,414.77
|
| Rate for Payer: PACE Medicare |
$14,386.12
|
| Rate for Payer: PACE SWMI |
$15,143.28
|
| Rate for Payer: PHP Commercial |
$16,657.61
|
| Rate for Payer: PHP Medicare Advantage |
$15,143.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,734.60
|
| Rate for Payer: Priority Health Medicare |
$15,143.28
|
| Rate for Payer: Priority Health Narrow Network |
$16,587.68
|
| Rate for Payer: Railroad Medicare Medicare |
$15,143.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,143.28
|
| Rate for Payer: UHC Exchange |
$23,472.08
|
| Rate for Payer: UHC Medicare Advantage |
$15,143.28
|
| Rate for Payer: UHCCP DNSP |
$15,143.28
|
| Rate for Payer: VA VA |
$15,143.28
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,251.60
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$25,896.14 |
| Max. Negotiated Rate |
$42,251.60 |
| Rate for Payer: Aetna Medicare |
$27,259.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,073.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,073.88
|
| Rate for Payer: BCBS MAPPO |
$27,259.10
|
| Rate for Payer: BCN Medicare Advantage |
$27,259.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,259.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,259.10
|
| Rate for Payer: Mclaren Medicare |
$27,259.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,622.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,347.96
|
| Rate for Payer: PACE Medicare |
$25,896.14
|
| Rate for Payer: PACE SWMI |
$27,259.10
|
| Rate for Payer: PHP Commercial |
$29,985.01
|
| Rate for Payer: PHP Medicare Advantage |
$27,259.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,387.77
|
| Rate for Payer: Priority Health Medicare |
$27,259.10
|
| Rate for Payer: Priority Health Narrow Network |
$31,510.21
|
| Rate for Payer: Railroad Medicare Medicare |
$27,259.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,259.10
|
| Rate for Payer: UHC Exchange |
$42,251.60
|
| Rate for Payer: UHC Medicare Advantage |
$27,259.10
|
| Rate for Payer: UHCCP DNSP |
$27,259.10
|
| Rate for Payer: VA VA |
$27,259.10
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,119.51
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$12,331.31 |
| Max. Negotiated Rate |
$20,119.51 |
| Rate for Payer: Aetna Medicare |
$12,980.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,225.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,225.41
|
| Rate for Payer: BCBS MAPPO |
$12,980.33
|
| Rate for Payer: BCN Medicare Advantage |
$12,980.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,980.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,980.33
|
| Rate for Payer: Mclaren Medicare |
$12,980.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,629.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,927.38
|
| Rate for Payer: PACE Medicare |
$12,331.31
|
| Rate for Payer: PACE SWMI |
$12,980.33
|
| Rate for Payer: PHP Commercial |
$14,278.36
|
| Rate for Payer: PHP Medicare Advantage |
$12,980.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,404.31
|
| Rate for Payer: Priority Health Medicare |
$12,980.33
|
| Rate for Payer: Priority Health Narrow Network |
$13,923.45
|
| Rate for Payer: Railroad Medicare Medicare |
$12,980.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,980.33
|
| Rate for Payer: UHC Exchange |
$20,119.51
|
| Rate for Payer: UHC Medicare Advantage |
$12,980.33
|
| Rate for Payer: UHCCP DNSP |
$12,980.33
|
| Rate for Payer: VA VA |
$12,980.33
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$59,354.83
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$36,378.77 |
| Max. Negotiated Rate |
$59,354.83 |
| Rate for Payer: Aetna Medicare |
$38,293.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,866.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,866.80
|
| Rate for Payer: BCBS MAPPO |
$38,293.44
|
| Rate for Payer: BCN Medicare Advantage |
$38,293.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,293.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,293.44
|
| Rate for Payer: Mclaren Medicare |
$38,293.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,208.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,037.46
|
| Rate for Payer: PACE Medicare |
$36,378.77
|
| Rate for Payer: PACE SWMI |
$38,293.44
|
| Rate for Payer: PHP Commercial |
$42,122.78
|
| Rate for Payer: PHP Medicare Advantage |
$38,293.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56,375.79
|
| Rate for Payer: Priority Health Medicare |
$38,293.44
|
| Rate for Payer: Priority Health Narrow Network |
$45,100.63
|
| Rate for Payer: Railroad Medicare Medicare |
$38,293.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,293.44
|
| Rate for Payer: UHC Exchange |
$59,354.83
|
| Rate for Payer: UHC Medicare Advantage |
$38,293.44
|
| Rate for Payer: UHCCP DNSP |
$38,293.44
|
| Rate for Payer: VA VA |
$38,293.44
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$77,227.03
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$47,332.70 |
| Max. Negotiated Rate |
$77,227.03 |
| Rate for Payer: Aetna Medicare |
$49,823.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,279.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,279.86
|
| Rate for Payer: BCBS MAPPO |
$49,823.89
|
| Rate for Payer: BCN Medicare Advantage |
$49,823.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,823.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$49,823.89
|
| Rate for Payer: Mclaren Medicare |
$49,823.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,315.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,297.47
|
| Rate for Payer: PACE Medicare |
$47,332.70
|
| Rate for Payer: PACE SWMI |
$49,823.89
|
| Rate for Payer: PHP Commercial |
$54,806.28
|
| Rate for Payer: PHP Medicare Advantage |
$49,823.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74,129.07
|
| Rate for Payer: Priority Health Medicare |
$49,823.89
|
| Rate for Payer: Priority Health Narrow Network |
$59,303.26
|
| Rate for Payer: Railroad Medicare Medicare |
$49,823.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,823.89
|
| Rate for Payer: UHC Exchange |
$77,227.03
|
| Rate for Payer: UHC Medicare Advantage |
$49,823.89
|
| Rate for Payer: UHCCP DNSP |
$49,823.89
|
| Rate for Payer: VA VA |
$49,823.89
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$39,248.93
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$24,055.80 |
| Max. Negotiated Rate |
$39,248.93 |
| Rate for Payer: Aetna Medicare |
$25,321.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,652.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,652.36
|
| Rate for Payer: BCBS MAPPO |
$25,321.89
|
| Rate for Payer: BCN Medicare Advantage |
$25,321.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,321.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,321.89
|
| Rate for Payer: Mclaren Medicare |
$25,321.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,587.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,120.17
|
| Rate for Payer: PACE Medicare |
$24,055.80
|
| Rate for Payer: PACE SWMI |
$25,321.89
|
| Rate for Payer: PHP Commercial |
$27,854.08
|
| Rate for Payer: PHP Medicare Advantage |
$25,321.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36,405.07
|
| Rate for Payer: Priority Health Medicare |
$25,321.89
|
| Rate for Payer: Priority Health Narrow Network |
$29,124.06
|
| Rate for Payer: Railroad Medicare Medicare |
$25,321.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,321.89
|
| Rate for Payer: UHC Exchange |
$39,248.93
|
| Rate for Payer: UHC Medicare Advantage |
$25,321.89
|
| Rate for Payer: UHCCP DNSP |
$25,321.89
|
| Rate for Payer: VA VA |
$25,321.89
|
|
|
MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$198,026.98
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$121,371.37 |
| Max. Negotiated Rate |
$198,026.98 |
| Rate for Payer: Aetna Medicare |
$127,759.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159,699.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159,699.18
|
| Rate for Payer: BCBS MAPPO |
$127,759.34
|
| Rate for Payer: BCN Medicare Advantage |
$127,759.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127,759.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$127,759.34
|
| Rate for Payer: Mclaren Medicare |
$127,759.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134,147.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146,923.24
|
| Rate for Payer: PACE Medicare |
$121,371.37
|
| Rate for Payer: PACE SWMI |
$127,759.34
|
| Rate for Payer: PHP Commercial |
$140,535.27
|
| Rate for Payer: PHP Medicare Advantage |
$127,759.34
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194,116.88
|
| Rate for Payer: Priority Health Medicare |
$127,759.34
|
| Rate for Payer: Priority Health Narrow Network |
$155,293.50
|
| Rate for Payer: Railroad Medicare Medicare |
$127,759.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$127,759.34
|
| Rate for Payer: UHC Exchange |
$198,026.98
|
| Rate for Payer: UHC Medicare Advantage |
$127,759.34
|
| Rate for Payer: UHCCP DNSP |
$127,759.34
|
| Rate for Payer: VA VA |
$127,759.34
|
|
|
MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$13,663.25
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$8,374.25 |
| Max. Negotiated Rate |
$13,663.25 |
| Rate for Payer: Aetna Medicare |
$8,815.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,018.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,018.75
|
| Rate for Payer: BCBS MAPPO |
$8,815.00
|
| Rate for Payer: BCN Medicare Advantage |
$8,815.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,815.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,815.00
|
| Rate for Payer: Mclaren Medicare |
$8,815.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,255.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,137.25
|
| Rate for Payer: PACE Medicare |
$8,374.25
|
| Rate for Payer: PACE SWMI |
$8,815.00
|
| Rate for Payer: PHP Commercial |
$9,696.50
|
| Rate for Payer: PHP Medicare Advantage |
$8,815.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,993.79
|
| Rate for Payer: Priority Health Medicare |
$8,815.00
|
| Rate for Payer: Priority Health Narrow Network |
$8,795.03
|
| Rate for Payer: Railroad Medicare Medicare |
$8,815.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,815.00
|
| Rate for Payer: UHC Exchange |
$13,663.25
|
| Rate for Payer: UHC Medicare Advantage |
$8,815.00
|
| Rate for Payer: UHCCP DNSP |
$8,815.00
|
| Rate for Payer: VA VA |
$8,815.00
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$24,000.42
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$14,709.93 |
| Max. Negotiated Rate |
$24,000.42 |
| Rate for Payer: Aetna Medicare |
$15,484.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,355.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,355.18
|
| Rate for Payer: BCBS MAPPO |
$15,484.14
|
| Rate for Payer: BCN Medicare Advantage |
$15,484.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,484.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,484.14
|
| Rate for Payer: Mclaren Medicare |
$15,484.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,258.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,806.76
|
| Rate for Payer: PACE Medicare |
$14,709.93
|
| Rate for Payer: PACE SWMI |
$15,484.14
|
| Rate for Payer: PHP Commercial |
$17,032.55
|
| Rate for Payer: PHP Medicare Advantage |
$15,484.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,260.79
|
| Rate for Payer: Priority Health Medicare |
$15,484.14
|
| Rate for Payer: Priority Health Narrow Network |
$17,008.63
|
| Rate for Payer: Railroad Medicare Medicare |
$15,484.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,484.14
|
| Rate for Payer: UHC Exchange |
$24,000.42
|
| Rate for Payer: UHC Medicare Advantage |
$15,484.14
|
| Rate for Payer: UHCCP DNSP |
$15,484.14
|
| Rate for Payer: VA VA |
$15,484.14
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,932.07
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$26,313.20 |
| Max. Negotiated Rate |
$42,932.07 |
| Rate for Payer: Aetna Medicare |
$27,698.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,622.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,622.64
|
| Rate for Payer: BCBS MAPPO |
$27,698.11
|
| Rate for Payer: BCN Medicare Advantage |
$27,698.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,698.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,698.11
|
| Rate for Payer: Mclaren Medicare |
$27,698.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,083.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,852.83
|
| Rate for Payer: PACE Medicare |
$26,313.20
|
| Rate for Payer: PACE SWMI |
$27,698.11
|
| Rate for Payer: PHP Commercial |
$30,467.92
|
| Rate for Payer: PHP Medicare Advantage |
$27,698.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40,063.71
|
| Rate for Payer: Priority Health Medicare |
$27,698.11
|
| Rate for Payer: Priority Health Narrow Network |
$32,050.97
|
| Rate for Payer: Railroad Medicare Medicare |
$27,698.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,698.11
|
| Rate for Payer: UHC Exchange |
$42,932.07
|
| Rate for Payer: UHC Medicare Advantage |
$27,698.11
|
| Rate for Payer: UHCCP DNSP |
$27,698.11
|
| Rate for Payer: VA VA |
$27,698.11
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,815.33
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$9,693.27 |
| Max. Negotiated Rate |
$15,815.33 |
| Rate for Payer: Aetna Medicare |
$10,203.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,754.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,754.30
|
| Rate for Payer: BCBS MAPPO |
$10,203.44
|
| Rate for Payer: BCN Medicare Advantage |
$10,203.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,203.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,203.44
|
| Rate for Payer: Mclaren Medicare |
$10,203.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,713.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,733.96
|
| Rate for Payer: PACE Medicare |
$9,693.27
|
| Rate for Payer: PACE SWMI |
$10,203.44
|
| Rate for Payer: PHP Commercial |
$11,223.78
|
| Rate for Payer: PHP Medicare Advantage |
$10,203.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,128.80
|
| Rate for Payer: Priority Health Medicare |
$10,203.44
|
| Rate for Payer: Priority Health Narrow Network |
$10,503.04
|
| Rate for Payer: Railroad Medicare Medicare |
$10,203.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,203.44
|
| Rate for Payer: UHC Exchange |
$15,815.33
|
| Rate for Payer: UHC Medicare Advantage |
$10,203.44
|
| Rate for Payer: UHCCP DNSP |
$10,203.44
|
| Rate for Payer: VA VA |
$10,203.44
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$22,596.61
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$13,849.54 |
| Max. Negotiated Rate |
$22,596.61 |
| Rate for Payer: Aetna Medicare |
$14,578.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,223.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,223.08
|
| Rate for Payer: BCBS MAPPO |
$14,578.46
|
| Rate for Payer: BCN Medicare Advantage |
$14,578.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,578.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,578.46
|
| Rate for Payer: Mclaren Medicare |
$14,578.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,307.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,765.23
|
| Rate for Payer: PACE Medicare |
$13,849.54
|
| Rate for Payer: PACE SWMI |
$14,578.46
|
| Rate for Payer: PHP Commercial |
$16,036.31
|
| Rate for Payer: PHP Medicare Advantage |
$14,578.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,864.93
|
| Rate for Payer: Priority Health Medicare |
$14,578.46
|
| Rate for Payer: Priority Health Narrow Network |
$15,891.94
|
| Rate for Payer: Railroad Medicare Medicare |
$14,578.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,578.46
|
| Rate for Payer: UHC Exchange |
$22,596.61
|
| Rate for Payer: UHC Medicare Advantage |
$14,578.46
|
| Rate for Payer: UHCCP DNSP |
$14,578.46
|
| Rate for Payer: VA VA |
$14,578.46
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$15,594.05
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$9,557.65 |
| Max. Negotiated Rate |
$15,594.05 |
| Rate for Payer: Aetna Medicare |
$10,060.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,575.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,575.85
|
| Rate for Payer: BCBS MAPPO |
$10,060.68
|
| Rate for Payer: BCN Medicare Advantage |
$10,060.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,060.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,060.68
|
| Rate for Payer: Mclaren Medicare |
$10,060.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,563.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,569.78
|
| Rate for Payer: PACE Medicare |
$9,557.65
|
| Rate for Payer: PACE SWMI |
$10,060.68
|
| Rate for Payer: PHP Commercial |
$11,066.75
|
| Rate for Payer: PHP Medicare Advantage |
$10,060.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,908.98
|
| Rate for Payer: Priority Health Medicare |
$10,060.68
|
| Rate for Payer: Priority Health Narrow Network |
$10,327.18
|
| Rate for Payer: Railroad Medicare Medicare |
$10,060.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,060.68
|
| Rate for Payer: UHC Exchange |
$15,594.05
|
| Rate for Payer: UHC Medicare Advantage |
$10,060.68
|
| Rate for Payer: UHCCP DNSP |
$10,060.68
|
| Rate for Payer: VA VA |
$10,060.68
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$24,979.64
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$15,310.10 |
| Max. Negotiated Rate |
$24,979.64 |
| Rate for Payer: Aetna Medicare |
$16,115.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,144.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,144.88
|
| Rate for Payer: BCBS MAPPO |
$16,115.90
|
| Rate for Payer: BCN Medicare Advantage |
$16,115.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,115.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,115.90
|
| Rate for Payer: Mclaren Medicare |
$16,115.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,921.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,533.28
|
| Rate for Payer: PACE Medicare |
$15,310.10
|
| Rate for Payer: PACE SWMI |
$16,115.90
|
| Rate for Payer: PHP Commercial |
$17,727.49
|
| Rate for Payer: PHP Medicare Advantage |
$16,115.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22,232.13
|
| Rate for Payer: Priority Health Medicare |
$16,115.90
|
| Rate for Payer: Priority Health Narrow Network |
$17,785.70
|
| Rate for Payer: Railroad Medicare Medicare |
$16,115.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,115.90
|
| Rate for Payer: UHC Exchange |
$24,979.64
|
| Rate for Payer: UHC Medicare Advantage |
$16,115.90
|
| Rate for Payer: UHCCP DNSP |
$16,115.90
|
| Rate for Payer: VA VA |
$16,115.90
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$15,271.78
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$9,360.12 |
| Max. Negotiated Rate |
$15,271.78 |
| Rate for Payer: Aetna Medicare |
$9,852.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,315.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,315.95
|
| Rate for Payer: BCBS MAPPO |
$9,852.76
|
| Rate for Payer: BCN Medicare Advantage |
$9,852.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,852.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,852.76
|
| Rate for Payer: Mclaren Medicare |
$9,852.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,345.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,330.67
|
| Rate for Payer: PACE Medicare |
$9,360.12
|
| Rate for Payer: PACE SWMI |
$9,852.76
|
| Rate for Payer: PHP Commercial |
$10,838.04
|
| Rate for Payer: PHP Medicare Advantage |
$9,852.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,588.86
|
| Rate for Payer: Priority Health Medicare |
$9,852.76
|
| Rate for Payer: Priority Health Narrow Network |
$10,071.09
|
| Rate for Payer: Railroad Medicare Medicare |
$9,852.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,852.76
|
| Rate for Payer: UHC Exchange |
$15,271.78
|
| Rate for Payer: UHC Medicare Advantage |
$9,852.76
|
| Rate for Payer: UHCCP DNSP |
$9,852.76
|
| Rate for Payer: VA VA |
$9,852.76
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$20,737.73
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$12,710.22 |
| Max. Negotiated Rate |
$20,737.73 |
| Rate for Payer: Aetna Medicare |
$13,379.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,723.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,723.98
|
| Rate for Payer: BCBS MAPPO |
$13,379.18
|
| Rate for Payer: BCN Medicare Advantage |
$13,379.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,379.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,379.18
|
| Rate for Payer: Mclaren Medicare |
$13,379.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,048.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,386.06
|
| Rate for Payer: PACE Medicare |
$12,710.22
|
| Rate for Payer: PACE SWMI |
$13,379.18
|
| Rate for Payer: PHP Commercial |
$14,717.10
|
| Rate for Payer: PHP Medicare Advantage |
$13,379.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,019.81
|
| Rate for Payer: Priority Health Medicare |
$13,379.18
|
| Rate for Payer: Priority Health Narrow Network |
$14,415.85
|
| Rate for Payer: Railroad Medicare Medicare |
$13,379.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,379.18
|
| Rate for Payer: UHC Exchange |
$20,737.73
|
| Rate for Payer: UHC Medicare Advantage |
$13,379.18
|
| Rate for Payer: UHCCP DNSP |
$13,379.18
|
| Rate for Payer: VA VA |
$13,379.18
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$21,827.61
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$13,378.21 |
| Max. Negotiated Rate |
$21,827.61 |
| Rate for Payer: Aetna Medicare |
$14,082.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,602.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,602.91
|
| Rate for Payer: BCBS MAPPO |
$14,082.33
|
| Rate for Payer: BCN Medicare Advantage |
$14,082.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,082.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,082.33
|
| Rate for Payer: Mclaren Medicare |
$14,082.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,786.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,194.68
|
| Rate for Payer: PACE Medicare |
$13,378.21
|
| Rate for Payer: PACE SWMI |
$14,082.33
|
| Rate for Payer: PHP Commercial |
$15,490.56
|
| Rate for Payer: PHP Medicare Advantage |
$14,082.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,101.05
|
| Rate for Payer: Priority Health Medicare |
$14,082.33
|
| Rate for Payer: Priority Health Narrow Network |
$15,280.84
|
| Rate for Payer: Railroad Medicare Medicare |
$14,082.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,082.33
|
| Rate for Payer: UHC Exchange |
$21,827.61
|
| Rate for Payer: UHC Medicare Advantage |
$14,082.33
|
| Rate for Payer: UHCCP DNSP |
$14,082.33
|
| Rate for Payer: VA VA |
$14,082.33
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$33,937.89
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$20,800.64 |
| Max. Negotiated Rate |
$33,937.89 |
| Rate for Payer: Aetna Medicare |
$21,895.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,369.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,369.26
|
| Rate for Payer: BCBS MAPPO |
$21,895.41
|
| Rate for Payer: BCN Medicare Advantage |
$21,895.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,895.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,895.41
|
| Rate for Payer: Mclaren Medicare |
$21,895.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,990.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,179.72
|
| Rate for Payer: PACE Medicare |
$20,800.64
|
| Rate for Payer: PACE SWMI |
$21,895.41
|
| Rate for Payer: PHP Commercial |
$24,084.95
|
| Rate for Payer: PHP Medicare Advantage |
$21,895.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,130.75
|
| Rate for Payer: Priority Health Medicare |
$21,895.41
|
| Rate for Payer: Priority Health Narrow Network |
$24,904.60
|
| Rate for Payer: Railroad Medicare Medicare |
$21,895.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,895.41
|
| Rate for Payer: UHC Exchange |
$33,937.89
|
| Rate for Payer: UHC Medicare Advantage |
$21,895.41
|
| Rate for Payer: UHCCP DNSP |
$21,895.41
|
| Rate for Payer: VA VA |
$21,895.41
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$34,687.51
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$21,260.09 |
| Max. Negotiated Rate |
$34,687.51 |
| Rate for Payer: Aetna Medicare |
$22,379.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,973.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,973.80
|
| Rate for Payer: BCBS MAPPO |
$22,379.04
|
| Rate for Payer: BCN Medicare Advantage |
$22,379.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,379.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,379.04
|
| Rate for Payer: Mclaren Medicare |
$22,379.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,497.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,735.90
|
| Rate for Payer: PACE Medicare |
$21,260.09
|
| Rate for Payer: PACE SWMI |
$22,379.04
|
| Rate for Payer: PHP Commercial |
$24,616.94
|
| Rate for Payer: PHP Medicare Advantage |
$22,379.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31,875.39
|
| Rate for Payer: Priority Health Medicare |
$22,379.04
|
| Rate for Payer: Priority Health Narrow Network |
$25,500.31
|
| Rate for Payer: Railroad Medicare Medicare |
$22,379.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,379.04
|
| Rate for Payer: UHC Exchange |
$34,687.51
|
| Rate for Payer: UHC Medicare Advantage |
$22,379.04
|
| Rate for Payer: UHCCP DNSP |
$22,379.04
|
| Rate for Payer: VA VA |
$22,379.04
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$14,823.67
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$9,085.48 |
| Max. Negotiated Rate |
$14,823.67 |
| Rate for Payer: Aetna Medicare |
$9,563.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,954.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,954.58
|
| Rate for Payer: BCBS MAPPO |
$9,563.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,563.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,563.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,563.66
|
| Rate for Payer: Mclaren Medicare |
$9,563.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,041.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,998.21
|
| Rate for Payer: PACE Medicare |
$9,085.48
|
| Rate for Payer: PACE SWMI |
$9,563.66
|
| Rate for Payer: PHP Commercial |
$10,520.03
|
| Rate for Payer: PHP Medicare Advantage |
$9,563.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,145.10
|
| Rate for Payer: Priority Health Medicare |
$9,563.66
|
| Rate for Payer: Priority Health Narrow Network |
$9,716.08
|
| Rate for Payer: Railroad Medicare Medicare |
$9,563.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,563.66
|
| Rate for Payer: UHC Exchange |
$14,823.67
|
| Rate for Payer: UHC Medicare Advantage |
$9,563.66
|
| Rate for Payer: UHCCP DNSP |
$9,563.66
|
| Rate for Payer: VA VA |
$9,563.66
|
|
