|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$15,820.87
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$9,696.66 |
| Max. Negotiated Rate |
$15,820.87 |
| Rate for Payer: Aetna Medicare |
$10,207.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,758.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,758.76
|
| Rate for Payer: BCBS MAPPO |
$10,207.01
|
| Rate for Payer: BCN Medicare Advantage |
$10,207.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,207.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,207.01
|
| Rate for Payer: Mclaren Medicare |
$10,207.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,717.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,738.06
|
| Rate for Payer: PACE Medicare |
$9,696.66
|
| Rate for Payer: PACE SWMI |
$10,207.01
|
| Rate for Payer: PHP Commercial |
$11,227.71
|
| Rate for Payer: PHP Medicare Advantage |
$10,207.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,134.29
|
| Rate for Payer: Priority Health Medicare |
$10,207.01
|
| Rate for Payer: Priority Health Narrow Network |
$10,507.43
|
| Rate for Payer: Railroad Medicare Medicare |
$10,207.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,207.01
|
| Rate for Payer: UHC Exchange |
$15,820.87
|
| Rate for Payer: UHC Medicare Advantage |
$10,207.01
|
| Rate for Payer: UHCCP DNSP |
$10,207.01
|
| Rate for Payer: VA VA |
$10,207.01
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$23,145.68
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$14,186.06 |
| Max. Negotiated Rate |
$23,145.68 |
| Rate for Payer: Aetna Medicare |
$14,932.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,665.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,665.88
|
| Rate for Payer: BCBS MAPPO |
$14,932.70
|
| Rate for Payer: BCN Medicare Advantage |
$14,932.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,932.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,932.70
|
| Rate for Payer: Mclaren Medicare |
$14,932.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,679.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,172.60
|
| Rate for Payer: PACE Medicare |
$14,186.06
|
| Rate for Payer: PACE SWMI |
$14,932.70
|
| Rate for Payer: PHP Commercial |
$16,425.97
|
| Rate for Payer: PHP Medicare Advantage |
$14,932.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,411.74
|
| Rate for Payer: Priority Health Medicare |
$14,932.70
|
| Rate for Payer: Priority Health Narrow Network |
$16,329.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,932.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,932.70
|
| Rate for Payer: UHC Exchange |
$23,145.68
|
| Rate for Payer: UHC Medicare Advantage |
$14,932.70
|
| Rate for Payer: UHCCP DNSP |
$14,932.70
|
| Rate for Payer: VA VA |
$14,932.70
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$15,372.74
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$9,422.00 |
| Max. Negotiated Rate |
$15,372.74 |
| Rate for Payer: Aetna Medicare |
$9,917.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,397.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,397.38
|
| Rate for Payer: BCBS MAPPO |
$9,917.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,917.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,917.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,917.90
|
| Rate for Payer: Mclaren Medicare |
$9,917.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,413.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,405.58
|
| Rate for Payer: PACE Medicare |
$9,422.00
|
| Rate for Payer: PACE SWMI |
$9,917.90
|
| Rate for Payer: PHP Commercial |
$10,909.69
|
| Rate for Payer: PHP Medicare Advantage |
$9,917.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,690.53
|
| Rate for Payer: Priority Health Medicare |
$9,917.90
|
| Rate for Payer: Priority Health Narrow Network |
$10,152.42
|
| Rate for Payer: Railroad Medicare Medicare |
$9,917.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,917.90
|
| Rate for Payer: UHC Exchange |
$15,372.74
|
| Rate for Payer: UHC Medicare Advantage |
$9,917.90
|
| Rate for Payer: UHCCP DNSP |
$9,917.90
|
| Rate for Payer: VA VA |
$9,917.90
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
|
Facility
|
IP
|
$71,797.02
|
|
|
Service Code
|
MSDRG 278
|
| Min. Negotiated Rate |
$44,004.63 |
| Max. Negotiated Rate |
$71,797.02 |
| Rate for Payer: Aetna Medicare |
$46,320.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,900.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,900.82
|
| Rate for Payer: BCBS MAPPO |
$46,320.66
|
| Rate for Payer: BCN Medicare Advantage |
$46,320.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,320.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,320.66
|
| Rate for Payer: Mclaren Medicare |
$46,320.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,636.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,268.76
|
| Rate for Payer: PACE Medicare |
$44,004.63
|
| Rate for Payer: PACE SWMI |
$46,320.66
|
| Rate for Payer: PHP Commercial |
$50,952.73
|
| Rate for Payer: PHP Medicare Advantage |
$46,320.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68,733.84
|
| Rate for Payer: Priority Health Medicare |
$46,320.66
|
| Rate for Payer: Priority Health Narrow Network |
$54,987.07
|
| Rate for Payer: Railroad Medicare Medicare |
$46,320.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,320.66
|
| Rate for Payer: UHC Exchange |
$71,797.02
|
| Rate for Payer: UHC Medicare Advantage |
$46,320.66
|
| Rate for Payer: UHCCP DNSP |
$46,320.66
|
| Rate for Payer: VA VA |
$46,320.66
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$46,916.73
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$28,755.42 |
| Max. Negotiated Rate |
$46,916.73 |
| Rate for Payer: Aetna Medicare |
$30,268.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,836.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,836.08
|
| Rate for Payer: BCBS MAPPO |
$30,268.86
|
| Rate for Payer: BCN Medicare Advantage |
$30,268.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,268.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,268.86
|
| Rate for Payer: Mclaren Medicare |
$30,268.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,782.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,809.19
|
| Rate for Payer: PACE Medicare |
$28,755.42
|
| Rate for Payer: PACE SWMI |
$30,268.86
|
| Rate for Payer: PHP Commercial |
$33,295.75
|
| Rate for Payer: PHP Medicare Advantage |
$30,268.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44,021.86
|
| Rate for Payer: Priority Health Medicare |
$30,268.86
|
| Rate for Payer: Priority Health Narrow Network |
$35,217.49
|
| Rate for Payer: Railroad Medicare Medicare |
$30,268.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,268.86
|
| Rate for Payer: UHC Exchange |
$46,916.73
|
| Rate for Payer: UHC Medicare Advantage |
$30,268.86
|
| Rate for Payer: UHCCP DNSP |
$30,268.86
|
| Rate for Payer: VA VA |
$30,268.86
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$45,038.52
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$27,604.25 |
| Max. Negotiated Rate |
$45,038.52 |
| Rate for Payer: Aetna Medicare |
$29,057.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,321.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,321.39
|
| Rate for Payer: BCBS MAPPO |
$29,057.11
|
| Rate for Payer: BCN Medicare Advantage |
$29,057.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,057.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,057.11
|
| Rate for Payer: Mclaren Medicare |
$29,057.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,509.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,415.68
|
| Rate for Payer: PACE Medicare |
$27,604.25
|
| Rate for Payer: PACE SWMI |
$29,057.11
|
| Rate for Payer: PHP Commercial |
$31,962.82
|
| Rate for Payer: PHP Medicare Advantage |
$29,057.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42,156.13
|
| Rate for Payer: Priority Health Medicare |
$29,057.11
|
| Rate for Payer: Priority Health Narrow Network |
$33,724.91
|
| Rate for Payer: Railroad Medicare Medicare |
$29,057.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,057.11
|
| Rate for Payer: UHC Exchange |
$45,038.52
|
| Rate for Payer: UHC Medicare Advantage |
$29,057.11
|
| Rate for Payer: UHCCP DNSP |
$29,057.11
|
| Rate for Payer: VA VA |
$29,057.11
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$20,082.17
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$12,308.43 |
| Max. Negotiated Rate |
$20,082.17 |
| Rate for Payer: Aetna Medicare |
$12,956.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,195.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,195.30
|
| Rate for Payer: BCBS MAPPO |
$12,956.24
|
| Rate for Payer: BCN Medicare Advantage |
$12,956.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,956.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,956.24
|
| Rate for Payer: Mclaren Medicare |
$12,956.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,604.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,899.68
|
| Rate for Payer: PACE Medicare |
$12,308.43
|
| Rate for Payer: PACE SWMI |
$12,956.24
|
| Rate for Payer: PHP Commercial |
$14,251.86
|
| Rate for Payer: PHP Medicare Advantage |
$12,956.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,368.59
|
| Rate for Payer: Priority Health Medicare |
$12,956.24
|
| Rate for Payer: Priority Health Narrow Network |
$13,894.87
|
| Rate for Payer: Railroad Medicare Medicare |
$12,956.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,956.24
|
| Rate for Payer: UHC Exchange |
$20,082.17
|
| Rate for Payer: UHC Medicare Advantage |
$12,956.24
|
| Rate for Payer: UHCCP DNSP |
$12,956.24
|
| Rate for Payer: VA VA |
$12,956.24
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$14,624.50
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$8,963.40 |
| Max. Negotiated Rate |
$14,624.50 |
| Rate for Payer: Aetna Medicare |
$9,435.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,793.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,793.95
|
| Rate for Payer: BCBS MAPPO |
$9,435.16
|
| Rate for Payer: BCN Medicare Advantage |
$9,435.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,435.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,435.16
|
| Rate for Payer: Mclaren Medicare |
$9,435.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,906.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,850.43
|
| Rate for Payer: PACE Medicare |
$8,963.40
|
| Rate for Payer: PACE SWMI |
$9,435.16
|
| Rate for Payer: PHP Commercial |
$10,378.68
|
| Rate for Payer: PHP Medicare Advantage |
$9,435.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,947.26
|
| Rate for Payer: Priority Health Medicare |
$9,435.16
|
| Rate for Payer: Priority Health Narrow Network |
$9,557.81
|
| Rate for Payer: Railroad Medicare Medicare |
$9,435.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,435.16
|
| Rate for Payer: UHC Exchange |
$14,624.50
|
| Rate for Payer: UHC Medicare Advantage |
$9,435.16
|
| Rate for Payer: UHCCP DNSP |
$9,435.16
|
| Rate for Payer: VA VA |
$9,435.16
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$26,022.48
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$15,949.26 |
| Max. Negotiated Rate |
$26,022.48 |
| Rate for Payer: Aetna Medicare |
$16,788.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,985.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,985.88
|
| Rate for Payer: BCBS MAPPO |
$16,788.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,788.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,788.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,788.70
|
| Rate for Payer: Mclaren Medicare |
$16,788.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,628.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,307.00
|
| Rate for Payer: PACE Medicare |
$15,949.26
|
| Rate for Payer: PACE SWMI |
$16,788.70
|
| Rate for Payer: PHP Commercial |
$18,467.57
|
| Rate for Payer: PHP Medicare Advantage |
$16,788.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,268.03
|
| Rate for Payer: Priority Health Medicare |
$16,788.70
|
| Rate for Payer: Priority Health Narrow Network |
$18,614.43
|
| Rate for Payer: Railroad Medicare Medicare |
$16,788.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,788.70
|
| Rate for Payer: UHC Exchange |
$26,022.48
|
| Rate for Payer: UHC Medicare Advantage |
$16,788.70
|
| Rate for Payer: UHCCP DNSP |
$16,788.70
|
| Rate for Payer: VA VA |
$16,788.70
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$38,785.59
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$23,771.81 |
| Max. Negotiated Rate |
$38,785.59 |
| Rate for Payer: Aetna Medicare |
$25,022.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,278.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,278.70
|
| Rate for Payer: BCBS MAPPO |
$25,022.96
|
| Rate for Payer: BCN Medicare Advantage |
$25,022.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,022.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,022.96
|
| Rate for Payer: Mclaren Medicare |
$25,022.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,274.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,776.40
|
| Rate for Payer: PACE Medicare |
$23,771.81
|
| Rate for Payer: PACE SWMI |
$25,022.96
|
| Rate for Payer: PHP Commercial |
$27,525.26
|
| Rate for Payer: PHP Medicare Advantage |
$25,022.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35,944.82
|
| Rate for Payer: Priority Health Medicare |
$25,022.96
|
| Rate for Payer: Priority Health Narrow Network |
$28,755.86
|
| Rate for Payer: Railroad Medicare Medicare |
$25,022.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,022.96
|
| Rate for Payer: UHC Exchange |
$38,785.59
|
| Rate for Payer: UHC Medicare Advantage |
$25,022.96
|
| Rate for Payer: UHCCP DNSP |
$25,022.96
|
| Rate for Payer: VA VA |
$25,022.96
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,932.93
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$9,152.44 |
| Max. Negotiated Rate |
$14,932.93 |
| Rate for Payer: Aetna Medicare |
$9,634.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,042.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,042.69
|
| Rate for Payer: BCBS MAPPO |
$9,634.15
|
| Rate for Payer: BCN Medicare Advantage |
$9,634.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,634.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,634.15
|
| Rate for Payer: Mclaren Medicare |
$9,634.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,115.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,079.27
|
| Rate for Payer: PACE Medicare |
$9,152.44
|
| Rate for Payer: PACE SWMI |
$9,634.15
|
| Rate for Payer: PHP Commercial |
$10,597.56
|
| Rate for Payer: PHP Medicare Advantage |
$9,634.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12,253.64
|
| Rate for Payer: Priority Health Medicare |
$9,634.15
|
| Rate for Payer: Priority Health Narrow Network |
$9,802.91
|
| Rate for Payer: Railroad Medicare Medicare |
$9,634.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,634.15
|
| Rate for Payer: UHC Exchange |
$14,932.93
|
| Rate for Payer: UHC Medicare Advantage |
$9,634.15
|
| Rate for Payer: UHCCP DNSP |
$9,634.15
|
| Rate for Payer: VA VA |
$9,634.15
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$26,437.42
|
|
|
Service Code
|
MSDRG 671
|
| Min. Negotiated Rate |
$16,203.58 |
| Max. Negotiated Rate |
$26,437.42 |
| Rate for Payer: Aetna Medicare |
$17,056.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,320.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,320.50
|
| Rate for Payer: BCBS MAPPO |
$17,056.40
|
| Rate for Payer: BCN Medicare Advantage |
$17,056.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,056.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,056.40
|
| Rate for Payer: Mclaren Medicare |
$17,056.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,909.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,614.86
|
| Rate for Payer: PACE Medicare |
$16,203.58
|
| Rate for Payer: PACE SWMI |
$17,056.40
|
| Rate for Payer: PHP Commercial |
$18,762.04
|
| Rate for Payer: PHP Medicare Advantage |
$17,056.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,680.20
|
| Rate for Payer: Priority Health Medicare |
$17,056.40
|
| Rate for Payer: Priority Health Narrow Network |
$18,944.16
|
| Rate for Payer: Railroad Medicare Medicare |
$17,056.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,056.40
|
| Rate for Payer: UHC Exchange |
$26,437.42
|
| Rate for Payer: UHC Medicare Advantage |
$17,056.40
|
| Rate for Payer: UHCCP DNSP |
$17,056.40
|
| Rate for Payer: VA VA |
$17,056.40
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,733.67
|
|
|
Service Code
|
MSDRG 672
|
| Min. Negotiated Rate |
$10,869.03 |
| Max. Negotiated Rate |
$17,733.67 |
| Rate for Payer: Aetna Medicare |
$11,441.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,301.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,301.35
|
| Rate for Payer: BCBS MAPPO |
$11,441.08
|
| Rate for Payer: BCN Medicare Advantage |
$11,441.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,441.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,441.08
|
| Rate for Payer: Mclaren Medicare |
$11,441.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,013.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,157.24
|
| Rate for Payer: PACE Medicare |
$10,869.03
|
| Rate for Payer: PACE SWMI |
$11,441.08
|
| Rate for Payer: PHP Commercial |
$12,585.19
|
| Rate for Payer: PHP Medicare Advantage |
$11,441.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15,034.37
|
| Rate for Payer: Priority Health Medicare |
$11,441.08
|
| Rate for Payer: Priority Health Narrow Network |
$12,027.50
|
| Rate for Payer: Railroad Medicare Medicare |
$11,441.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,441.08
|
| Rate for Payer: UHC Exchange |
$17,733.67
|
| Rate for Payer: UHC Medicare Advantage |
$11,441.08
|
| Rate for Payer: UHCCP DNSP |
$11,441.08
|
| Rate for Payer: VA VA |
$11,441.08
|
|
|
MS-DRG 42.00: URETHRAL STRICTURE
|
Facility
|
IP
|
$16,452.92
|
|
|
Service Code
|
MSDRG 697
|
| Min. Negotiated Rate |
$10,084.05 |
| Max. Negotiated Rate |
$16,452.92 |
| Rate for Payer: Aetna Medicare |
$10,614.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,268.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,268.49
|
| Rate for Payer: BCBS MAPPO |
$10,614.79
|
| Rate for Payer: BCN Medicare Advantage |
$10,614.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,614.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,614.79
|
| Rate for Payer: Mclaren Medicare |
$10,614.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,145.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,207.01
|
| Rate for Payer: PACE Medicare |
$10,084.05
|
| Rate for Payer: PACE SWMI |
$10,614.79
|
| Rate for Payer: PHP Commercial |
$11,676.27
|
| Rate for Payer: PHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13,763.53
|
| Rate for Payer: Priority Health Medicare |
$10,614.79
|
| Rate for Payer: Priority Health Narrow Network |
$11,010.82
|
| Rate for Payer: Railroad Medicare Medicare |
$10,614.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,614.79
|
| Rate for Payer: UHC Exchange |
$16,452.92
|
| Rate for Payer: UHC Medicare Advantage |
$10,614.79
|
| Rate for Payer: UHCCP DNSP |
$10,614.79
|
| Rate for Payer: VA VA |
$10,614.79
|
|
|
MS-DRG 42.00: URINARY STONES WITH MCC
|
Facility
|
IP
|
$22,934.08
|
|
|
Service Code
|
MSDRG 693
|
| Min. Negotiated Rate |
$14,056.37 |
| Max. Negotiated Rate |
$22,934.08 |
| Rate for Payer: Aetna Medicare |
$14,796.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,495.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,495.22
|
| Rate for Payer: BCBS MAPPO |
$14,796.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,796.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,796.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,796.18
|
| Rate for Payer: Mclaren Medicare |
$14,796.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,535.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,015.61
|
| Rate for Payer: PACE Medicare |
$14,056.37
|
| Rate for Payer: PACE SWMI |
$14,796.18
|
| Rate for Payer: PHP Commercial |
$16,275.80
|
| Rate for Payer: PHP Medicare Advantage |
$14,796.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,200.16
|
| Rate for Payer: Priority Health Medicare |
$14,796.18
|
| Rate for Payer: Priority Health Narrow Network |
$16,160.13
|
| Rate for Payer: Railroad Medicare Medicare |
$14,796.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,796.18
|
| Rate for Payer: UHC Exchange |
$22,934.08
|
| Rate for Payer: UHC Medicare Advantage |
$14,796.18
|
| Rate for Payer: UHCCP DNSP |
$14,796.18
|
| Rate for Payer: VA VA |
$14,796.18
|
|
|
MS-DRG 42.00: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$13,404.60
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$8,215.72 |
| Max. Negotiated Rate |
$13,404.60 |
| Rate for Payer: Aetna Medicare |
$8,648.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,810.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,810.16
|
| Rate for Payer: BCBS MAPPO |
$8,648.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,648.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,648.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,648.13
|
| Rate for Payer: Mclaren Medicare |
$8,648.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,080.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,945.35
|
| Rate for Payer: PACE Medicare |
$8,215.72
|
| Rate for Payer: PACE SWMI |
$8,648.13
|
| Rate for Payer: PHP Commercial |
$9,512.94
|
| Rate for Payer: PHP Medicare Advantage |
$8,648.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10,735.50
|
| Rate for Payer: Priority Health Medicare |
$8,648.13
|
| Rate for Payer: Priority Health Narrow Network |
$8,588.40
|
| Rate for Payer: Railroad Medicare Medicare |
$8,648.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,648.13
|
| Rate for Payer: UHC Exchange |
$13,404.60
|
| Rate for Payer: UHC Medicare Advantage |
$8,648.13
|
| Rate for Payer: UHCCP DNSP |
$8,648.13
|
| Rate for Payer: VA VA |
$8,648.13
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$27,861.99
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$17,076.71 |
| Max. Negotiated Rate |
$27,861.99 |
| Rate for Payer: Aetna Medicare |
$17,975.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,469.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,469.35
|
| Rate for Payer: BCBS MAPPO |
$17,975.48
|
| Rate for Payer: BCN Medicare Advantage |
$17,975.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,975.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,975.48
|
| Rate for Payer: Mclaren Medicare |
$17,975.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,874.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,671.80
|
| Rate for Payer: PACE Medicare |
$17,076.71
|
| Rate for Payer: PACE SWMI |
$17,975.48
|
| Rate for Payer: PHP Commercial |
$19,773.03
|
| Rate for Payer: PHP Medicare Advantage |
$17,975.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25,095.29
|
| Rate for Payer: Priority Health Medicare |
$17,975.48
|
| Rate for Payer: Priority Health Narrow Network |
$20,076.23
|
| Rate for Payer: Railroad Medicare Medicare |
$17,975.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,975.48
|
| Rate for Payer: UHC Exchange |
$27,861.99
|
| Rate for Payer: UHC Medicare Advantage |
$17,975.48
|
| Rate for Payer: UHCCP DNSP |
$17,975.48
|
| Rate for Payer: VA VA |
$17,975.48
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,176.21
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$11,753.16 |
| Max. Negotiated Rate |
$19,176.21 |
| Rate for Payer: Aetna Medicare |
$12,371.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,464.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,464.69
|
| Rate for Payer: BCBS MAPPO |
$12,371.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,371.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,371.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,371.75
|
| Rate for Payer: Mclaren Medicare |
$12,371.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,990.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,227.51
|
| Rate for Payer: PACE Medicare |
$11,753.16
|
| Rate for Payer: PACE SWMI |
$12,371.75
|
| Rate for Payer: PHP Commercial |
$13,608.92
|
| Rate for Payer: PHP Medicare Advantage |
$12,371.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16,467.33
|
| Rate for Payer: Priority Health Medicare |
$12,371.75
|
| Rate for Payer: Priority Health Narrow Network |
$13,173.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,371.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,371.75
|
| Rate for Payer: UHC Exchange |
$19,176.21
|
| Rate for Payer: UHC Medicare Advantage |
$12,371.75
|
| Rate for Payer: UHCCP DNSP |
$12,371.75
|
| Rate for Payer: VA VA |
$12,371.75
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$27,745.82
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$17,005.50 |
| Max. Negotiated Rate |
$27,745.82 |
| Rate for Payer: Aetna Medicare |
$17,900.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,375.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,375.66
|
| Rate for Payer: BCBS MAPPO |
$17,900.53
|
| Rate for Payer: BCN Medicare Advantage |
$17,900.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,900.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,900.53
|
| Rate for Payer: Mclaren Medicare |
$17,900.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,795.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,585.61
|
| Rate for Payer: PACE Medicare |
$17,005.50
|
| Rate for Payer: PACE SWMI |
$17,900.53
|
| Rate for Payer: PHP Commercial |
$19,690.58
|
| Rate for Payer: PHP Medicare Advantage |
$17,900.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24,979.89
|
| Rate for Payer: Priority Health Medicare |
$17,900.53
|
| Rate for Payer: Priority Health Narrow Network |
$19,983.91
|
| Rate for Payer: Railroad Medicare Medicare |
$17,900.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,900.53
|
| Rate for Payer: UHC Exchange |
$27,745.82
|
| Rate for Payer: UHC Medicare Advantage |
$17,900.53
|
| Rate for Payer: UHCCP DNSP |
$17,900.53
|
| Rate for Payer: VA VA |
$17,900.53
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,656.42
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$35,337.81 |
| Max. Negotiated Rate |
$57,656.42 |
| Rate for Payer: Aetna Medicare |
$37,197.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,497.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,497.11
|
| Rate for Payer: BCBS MAPPO |
$37,197.69
|
| Rate for Payer: BCN Medicare Advantage |
$37,197.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,197.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,197.69
|
| Rate for Payer: Mclaren Medicare |
$37,197.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,057.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,777.34
|
| Rate for Payer: PACE Medicare |
$35,337.81
|
| Rate for Payer: PACE SWMI |
$37,197.69
|
| Rate for Payer: PHP Commercial |
$40,917.46
|
| Rate for Payer: PHP Medicare Advantage |
$37,197.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,690.04
|
| Rate for Payer: Priority Health Medicare |
$37,197.69
|
| Rate for Payer: Priority Health Narrow Network |
$43,752.03
|
| Rate for Payer: Railroad Medicare Medicare |
$37,197.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,197.69
|
| Rate for Payer: UHC Exchange |
$57,656.42
|
| Rate for Payer: UHC Medicare Advantage |
$37,197.69
|
| Rate for Payer: UHCCP DNSP |
$37,197.69
|
| Rate for Payer: VA VA |
$37,197.69
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,595.24
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$13,235.79 |
| Max. Negotiated Rate |
$21,595.24 |
| Rate for Payer: Aetna Medicare |
$13,932.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,415.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,415.51
|
| Rate for Payer: BCBS MAPPO |
$13,932.41
|
| Rate for Payer: BCN Medicare Advantage |
$13,932.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,932.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,932.41
|
| Rate for Payer: Mclaren Medicare |
$13,932.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,629.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,022.27
|
| Rate for Payer: PACE Medicare |
$13,235.79
|
| Rate for Payer: PACE SWMI |
$13,932.41
|
| Rate for Payer: PHP Commercial |
$15,325.65
|
| Rate for Payer: PHP Medicare Advantage |
$13,932.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18,870.24
|
| Rate for Payer: Priority Health Medicare |
$13,932.41
|
| Rate for Payer: Priority Health Narrow Network |
$15,096.19
|
| Rate for Payer: Railroad Medicare Medicare |
$13,932.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,932.41
|
| Rate for Payer: UHC Exchange |
$21,595.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,932.41
|
| Rate for Payer: UHCCP DNSP |
$13,932.41
|
| Rate for Payer: VA VA |
$13,932.41
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$30,236.75
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$18,532.20 |
| Max. Negotiated Rate |
$30,236.75 |
| Rate for Payer: Aetna Medicare |
$19,507.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,384.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,384.48
|
| Rate for Payer: BCBS MAPPO |
$19,507.58
|
| Rate for Payer: BCN Medicare Advantage |
$19,507.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,507.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,507.58
|
| Rate for Payer: Mclaren Medicare |
$19,507.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,482.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,433.72
|
| Rate for Payer: PACE Medicare |
$18,532.20
|
| Rate for Payer: PACE SWMI |
$19,507.58
|
| Rate for Payer: PHP Commercial |
$21,458.34
|
| Rate for Payer: PHP Medicare Advantage |
$19,507.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27,454.24
|
| Rate for Payer: Priority Health Medicare |
$19,507.58
|
| Rate for Payer: Priority Health Narrow Network |
$21,963.40
|
| Rate for Payer: Railroad Medicare Medicare |
$19,507.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,507.58
|
| Rate for Payer: UHC Exchange |
$30,236.75
|
| Rate for Payer: UHC Medicare Advantage |
$19,507.58
|
| Rate for Payer: UHCCP DNSP |
$19,507.58
|
| Rate for Payer: VA VA |
$19,507.58
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,057.52
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$34,970.74 |
| Max. Negotiated Rate |
$57,057.52 |
| Rate for Payer: Aetna Medicare |
$36,811.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,014.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,014.12
|
| Rate for Payer: BCBS MAPPO |
$36,811.30
|
| Rate for Payer: BCN Medicare Advantage |
$36,811.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,811.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,811.30
|
| Rate for Payer: Mclaren Medicare |
$36,811.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,651.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,333.00
|
| Rate for Payer: PACE Medicare |
$34,970.74
|
| Rate for Payer: PACE SWMI |
$36,811.30
|
| Rate for Payer: PHP Commercial |
$40,492.43
|
| Rate for Payer: PHP Medicare Advantage |
$36,811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54,093.78
|
| Rate for Payer: Priority Health Medicare |
$36,811.30
|
| Rate for Payer: Priority Health Narrow Network |
$43,275.02
|
| Rate for Payer: Railroad Medicare Medicare |
$36,811.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,811.30
|
| Rate for Payer: UHC Exchange |
$57,057.52
|
| Rate for Payer: UHC Medicare Advantage |
$36,811.30
|
| Rate for Payer: UHCCP DNSP |
$36,811.30
|
| Rate for Payer: VA VA |
$36,811.30
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$23,577.19
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$14,450.54 |
| Max. Negotiated Rate |
$23,577.19 |
| Rate for Payer: Aetna Medicare |
$15,211.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,013.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,013.86
|
| Rate for Payer: BCBS MAPPO |
$15,211.09
|
| Rate for Payer: BCN Medicare Advantage |
$15,211.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,211.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,211.09
|
| Rate for Payer: Mclaren Medicare |
$15,211.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,971.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,492.75
|
| Rate for Payer: PACE Medicare |
$14,450.54
|
| Rate for Payer: PACE SWMI |
$15,211.09
|
| Rate for Payer: PHP Commercial |
$16,732.20
|
| Rate for Payer: PHP Medicare Advantage |
$15,211.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,839.01
|
| Rate for Payer: Priority Health Medicare |
$15,211.09
|
| Rate for Payer: Priority Health Narrow Network |
$16,671.21
|
| Rate for Payer: Railroad Medicare Medicare |
$15,211.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,211.09
|
| Rate for Payer: UHC Exchange |
$23,577.19
|
| Rate for Payer: UHC Medicare Advantage |
$15,211.09
|
| Rate for Payer: UHCCP DNSP |
$15,211.09
|
| Rate for Payer: VA VA |
$15,211.09
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$25,758.33
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$15,787.37 |
| Max. Negotiated Rate |
$25,758.33 |
| Rate for Payer: Aetna Medicare |
$16,618.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,772.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,772.85
|
| Rate for Payer: BCBS MAPPO |
$16,618.28
|
| Rate for Payer: BCN Medicare Advantage |
$16,618.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,618.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,618.28
|
| Rate for Payer: Mclaren Medicare |
$16,618.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,449.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,111.02
|
| Rate for Payer: PACE Medicare |
$15,787.37
|
| Rate for Payer: PACE SWMI |
$16,618.28
|
| Rate for Payer: PHP Commercial |
$18,280.11
|
| Rate for Payer: PHP Medicare Advantage |
$16,618.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23,005.62
|
| Rate for Payer: Priority Health Medicare |
$16,618.28
|
| Rate for Payer: Priority Health Narrow Network |
$18,404.50
|
| Rate for Payer: Railroad Medicare Medicare |
$16,618.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,618.28
|
| Rate for Payer: UHC Exchange |
$25,758.33
|
| Rate for Payer: UHC Medicare Advantage |
$16,618.28
|
| Rate for Payer: UHCCP DNSP |
$16,618.28
|
| Rate for Payer: VA VA |
$16,618.28
|
|
