|
MS-DRG 42.00: ABORTION WITHOUT D&C
|
Facility
|
IP
|
$9,591.49
|
|
|
Service Code
|
MSDRG 779
|
| Min. Negotiated Rate |
$7,289.53 |
| Max. Negotiated Rate |
$9,591.49 |
| Rate for Payer: Aetna Medicare |
$7,980.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,591.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,591.49
|
| Rate for Payer: BCBS MAPPO |
$7,673.19
|
| Rate for Payer: BCN Medicare Advantage |
$7,673.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,673.19
|
| Rate for Payer: Mclaren Medicare |
$7,673.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,056.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,824.17
|
| Rate for Payer: PACE Medicare |
$7,289.53
|
| Rate for Payer: PACE SWMI |
$7,673.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,673.19
|
| Rate for Payer: Priority Health Medicare |
$7,673.19
|
| Rate for Payer: Railroad Medicare Medicare |
$7,673.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,673.19
|
| Rate for Payer: UHC Medicare Advantage |
$7,673.19
|
| Rate for Payer: VA VA |
$7,673.19
|
|
|
MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
|
Facility
|
IP
|
$9,820.75
|
|
|
Service Code
|
MSDRG 880
|
| Min. Negotiated Rate |
$7,463.77 |
| Max. Negotiated Rate |
$9,820.75 |
| Rate for Payer: Aetna Medicare |
$8,170.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,820.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,820.75
|
| Rate for Payer: BCBS MAPPO |
$7,856.60
|
| Rate for Payer: BCN Medicare Advantage |
$7,856.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,856.60
|
| Rate for Payer: Mclaren Medicare |
$7,856.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,249.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,035.09
|
| Rate for Payer: PACE Medicare |
$7,463.77
|
| Rate for Payer: PACE SWMI |
$7,856.60
|
| Rate for Payer: PHP Medicare Advantage |
$7,856.60
|
| Rate for Payer: Priority Health Medicare |
$7,856.60
|
| Rate for Payer: Railroad Medicare Medicare |
$7,856.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,856.60
|
| Rate for Payer: UHC Medicare Advantage |
$7,856.60
|
| Rate for Payer: VA VA |
$7,856.60
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
|
Facility
|
IP
|
$15,774.73
|
|
|
Service Code
|
MSDRG 289
|
| Min. Negotiated Rate |
$11,988.79 |
| Max. Negotiated Rate |
$15,774.73 |
| Rate for Payer: Aetna Medicare |
$13,124.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,774.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,774.73
|
| Rate for Payer: BCBS MAPPO |
$12,619.78
|
| Rate for Payer: BCN Medicare Advantage |
$12,619.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,619.78
|
| Rate for Payer: Mclaren Medicare |
$12,619.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,250.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,512.75
|
| Rate for Payer: PACE Medicare |
$11,988.79
|
| Rate for Payer: PACE SWMI |
$12,619.78
|
| Rate for Payer: PHP Medicare Advantage |
$12,619.78
|
| Rate for Payer: Priority Health Medicare |
$12,619.78
|
| Rate for Payer: Railroad Medicare Medicare |
$12,619.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,619.78
|
| Rate for Payer: UHC Medicare Advantage |
$12,619.78
|
| Rate for Payer: VA VA |
$12,619.78
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
|
Facility
|
IP
|
$26,898.58
|
|
|
Service Code
|
MSDRG 288
|
| Min. Negotiated Rate |
$20,442.92 |
| Max. Negotiated Rate |
$26,898.58 |
| Rate for Payer: Aetna Medicare |
$22,379.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,898.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,898.58
|
| Rate for Payer: BCBS MAPPO |
$21,518.86
|
| Rate for Payer: BCN Medicare Advantage |
$21,518.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,518.86
|
| Rate for Payer: Mclaren Medicare |
$21,518.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,594.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,746.69
|
| Rate for Payer: PACE Medicare |
$20,442.92
|
| Rate for Payer: PACE SWMI |
$21,518.86
|
| Rate for Payer: PHP Medicare Advantage |
$21,518.86
|
| Rate for Payer: Priority Health Medicare |
$21,518.86
|
| Rate for Payer: Railroad Medicare Medicare |
$21,518.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,518.86
|
| Rate for Payer: UHC Medicare Advantage |
$21,518.86
|
| Rate for Payer: VA VA |
$21,518.86
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,017.26
|
|
|
Service Code
|
MSDRG 290
|
| Min. Negotiated Rate |
$7,613.12 |
| Max. Negotiated Rate |
$10,017.26 |
| Rate for Payer: Aetna Medicare |
$8,334.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,017.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,017.26
|
| Rate for Payer: BCBS MAPPO |
$8,013.81
|
| Rate for Payer: BCN Medicare Advantage |
$8,013.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,013.81
|
| Rate for Payer: Mclaren Medicare |
$8,013.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,414.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,215.88
|
| Rate for Payer: PACE Medicare |
$7,613.12
|
| Rate for Payer: PACE SWMI |
$8,013.81
|
| Rate for Payer: PHP Medicare Advantage |
$8,013.81
|
| Rate for Payer: Priority Health Medicare |
$8,013.81
|
| Rate for Payer: Railroad Medicare Medicare |
$8,013.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,013.81
|
| Rate for Payer: UHC Medicare Advantage |
$8,013.81
|
| Rate for Payer: VA VA |
$8,013.81
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$21,161.35
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$16,082.63 |
| Max. Negotiated Rate |
$21,161.35 |
| Rate for Payer: Aetna Medicare |
$17,606.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,161.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,161.35
|
| Rate for Payer: BCBS MAPPO |
$16,929.08
|
| Rate for Payer: BCN Medicare Advantage |
$16,929.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,929.08
|
| Rate for Payer: Mclaren Medicare |
$16,929.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,775.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,468.44
|
| Rate for Payer: PACE Medicare |
$16,082.63
|
| Rate for Payer: PACE SWMI |
$16,929.08
|
| Rate for Payer: PHP Medicare Advantage |
$16,929.08
|
| Rate for Payer: Priority Health Medicare |
$16,929.08
|
| Rate for Payer: Railroad Medicare Medicare |
$16,929.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,929.08
|
| Rate for Payer: UHC Medicare Advantage |
$16,929.08
|
| Rate for Payer: VA VA |
$16,929.08
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$53,829.70
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$40,910.57 |
| Max. Negotiated Rate |
$53,829.70 |
| Rate for Payer: Aetna Medicare |
$44,786.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,829.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,829.70
|
| Rate for Payer: BCBS MAPPO |
$43,063.76
|
| Rate for Payer: BCN Medicare Advantage |
$43,063.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,063.76
|
| Rate for Payer: Mclaren Medicare |
$43,063.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,216.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,523.32
|
| Rate for Payer: PACE Medicare |
$40,910.57
|
| Rate for Payer: PACE SWMI |
$43,063.76
|
| Rate for Payer: PHP Medicare Advantage |
$43,063.76
|
| Rate for Payer: Priority Health Medicare |
$43,063.76
|
| Rate for Payer: Railroad Medicare Medicare |
$43,063.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,063.76
|
| Rate for Payer: UHC Medicare Advantage |
$43,063.76
|
| Rate for Payer: VA VA |
$43,063.76
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$89,322.38
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$67,885.01 |
| Max. Negotiated Rate |
$89,322.38 |
| Rate for Payer: Aetna Medicare |
$74,316.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89,322.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89,322.38
|
| Rate for Payer: BCBS MAPPO |
$71,457.90
|
| Rate for Payer: BCN Medicare Advantage |
$71,457.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71,457.90
|
| Rate for Payer: Mclaren Medicare |
$71,457.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75,030.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82,176.59
|
| Rate for Payer: PACE Medicare |
$67,885.01
|
| Rate for Payer: PACE SWMI |
$71,457.90
|
| Rate for Payer: PHP Medicare Advantage |
$71,457.90
|
| Rate for Payer: Priority Health Medicare |
$71,457.90
|
| Rate for Payer: Railroad Medicare Medicare |
$71,457.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$71,457.90
|
| Rate for Payer: UHC Medicare Advantage |
$71,457.90
|
| Rate for Payer: VA VA |
$71,457.90
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$12,827.14
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$9,748.62 |
| Max. Negotiated Rate |
$12,827.14 |
| Rate for Payer: Aetna Medicare |
$10,672.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,827.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,827.14
|
| Rate for Payer: BCBS MAPPO |
$10,261.71
|
| Rate for Payer: BCN Medicare Advantage |
$10,261.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,261.71
|
| Rate for Payer: Mclaren Medicare |
$10,261.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,774.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,800.97
|
| Rate for Payer: PACE Medicare |
$9,748.62
|
| Rate for Payer: PACE SWMI |
$10,261.71
|
| Rate for Payer: PHP Medicare Advantage |
$10,261.71
|
| Rate for Payer: Priority Health Medicare |
$10,261.71
|
| Rate for Payer: Railroad Medicare Medicare |
$10,261.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,261.71
|
| Rate for Payer: UHC Medicare Advantage |
$10,261.71
|
| Rate for Payer: VA VA |
$10,261.71
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$11,791.60
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$8,961.62 |
| Max. Negotiated Rate |
$11,791.60 |
| Rate for Payer: Aetna Medicare |
$9,810.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,791.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,791.60
|
| Rate for Payer: BCBS MAPPO |
$9,433.28
|
| Rate for Payer: BCN Medicare Advantage |
$9,433.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,433.28
|
| Rate for Payer: Mclaren Medicare |
$9,433.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,904.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,848.27
|
| Rate for Payer: PACE Medicare |
$8,961.62
|
| Rate for Payer: PACE SWMI |
$9,433.28
|
| Rate for Payer: PHP Medicare Advantage |
$9,433.28
|
| Rate for Payer: Priority Health Medicare |
$9,433.28
|
| Rate for Payer: Railroad Medicare Medicare |
$9,433.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,433.28
|
| Rate for Payer: UHC Medicare Advantage |
$9,433.28
|
| Rate for Payer: VA VA |
$9,433.28
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,120.71
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$5,411.74 |
| Max. Negotiated Rate |
$7,120.71 |
| Rate for Payer: Aetna Medicare |
$5,924.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,120.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,120.71
|
| Rate for Payer: BCBS MAPPO |
$5,696.57
|
| Rate for Payer: BCN Medicare Advantage |
$5,696.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,696.57
|
| Rate for Payer: Mclaren Medicare |
$5,696.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,981.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,551.06
|
| Rate for Payer: PACE Medicare |
$5,411.74
|
| Rate for Payer: PACE SWMI |
$5,696.57
|
| Rate for Payer: PHP Medicare Advantage |
$5,696.57
|
| Rate for Payer: Priority Health Medicare |
$5,696.57
|
| Rate for Payer: Railroad Medicare Medicare |
$5,696.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,696.57
|
| Rate for Payer: UHC Medicare Advantage |
$5,696.57
|
| Rate for Payer: VA VA |
$5,696.57
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$9,466.29
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$7,194.38 |
| Max. Negotiated Rate |
$9,466.29 |
| Rate for Payer: Aetna Medicare |
$7,875.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,466.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,466.29
|
| Rate for Payer: BCBS MAPPO |
$7,573.03
|
| Rate for Payer: BCN Medicare Advantage |
$7,573.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,573.03
|
| Rate for Payer: Mclaren Medicare |
$7,573.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,951.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,708.98
|
| Rate for Payer: PACE Medicare |
$7,194.38
|
| Rate for Payer: PACE SWMI |
$7,573.03
|
| Rate for Payer: PHP Medicare Advantage |
$7,573.03
|
| Rate for Payer: Priority Health Medicare |
$7,573.03
|
| Rate for Payer: Railroad Medicare Medicare |
$7,573.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,573.03
|
| Rate for Payer: UHC Medicare Advantage |
$7,573.03
|
| Rate for Payer: VA VA |
$7,573.03
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$16,397.99
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$12,462.47 |
| Max. Negotiated Rate |
$16,397.99 |
| Rate for Payer: Aetna Medicare |
$13,643.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,397.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,397.99
|
| Rate for Payer: BCBS MAPPO |
$13,118.39
|
| Rate for Payer: BCN Medicare Advantage |
$13,118.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,118.39
|
| Rate for Payer: Mclaren Medicare |
$13,118.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,774.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,086.15
|
| Rate for Payer: PACE Medicare |
$12,462.47
|
| Rate for Payer: PACE SWMI |
$13,118.39
|
| Rate for Payer: PHP Medicare Advantage |
$13,118.39
|
| Rate for Payer: Priority Health Medicare |
$13,118.39
|
| Rate for Payer: Railroad Medicare Medicare |
$13,118.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,118.39
|
| Rate for Payer: UHC Medicare Advantage |
$13,118.39
|
| Rate for Payer: VA VA |
$13,118.39
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$7,571.52
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$5,754.36 |
| Max. Negotiated Rate |
$7,571.52 |
| Rate for Payer: Aetna Medicare |
$6,299.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,571.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,571.52
|
| Rate for Payer: BCBS MAPPO |
$6,057.22
|
| Rate for Payer: BCN Medicare Advantage |
$6,057.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,057.22
|
| Rate for Payer: Mclaren Medicare |
$6,057.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,360.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,965.80
|
| Rate for Payer: PACE Medicare |
$5,754.36
|
| Rate for Payer: PACE SWMI |
$6,057.22
|
| Rate for Payer: PHP Medicare Advantage |
$6,057.22
|
| Rate for Payer: Priority Health Medicare |
$6,057.22
|
| Rate for Payer: Railroad Medicare Medicare |
$6,057.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,057.22
|
| Rate for Payer: UHC Medicare Advantage |
$6,057.22
|
| Rate for Payer: VA VA |
$6,057.22
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$7,724.68
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$5,870.75 |
| Max. Negotiated Rate |
$7,724.68 |
| Rate for Payer: Aetna Medicare |
$6,426.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,724.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,724.68
|
| Rate for Payer: BCBS MAPPO |
$6,179.74
|
| Rate for Payer: BCN Medicare Advantage |
$6,179.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,179.74
|
| Rate for Payer: Mclaren Medicare |
$6,179.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,488.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,106.70
|
| Rate for Payer: PACE Medicare |
$5,870.75
|
| Rate for Payer: PACE SWMI |
$6,179.74
|
| Rate for Payer: PHP Medicare Advantage |
$6,179.74
|
| Rate for Payer: Priority Health Medicare |
$6,179.74
|
| Rate for Payer: Railroad Medicare Medicare |
$6,179.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,179.74
|
| Rate for Payer: UHC Medicare Advantage |
$6,179.74
|
| Rate for Payer: VA VA |
$6,179.74
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$19,422.64
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$14,761.20 |
| Max. Negotiated Rate |
$19,422.64 |
| Rate for Payer: Aetna Medicare |
$16,159.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,422.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,422.64
|
| Rate for Payer: BCBS MAPPO |
$15,538.11
|
| Rate for Payer: BCN Medicare Advantage |
$15,538.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,538.11
|
| Rate for Payer: Mclaren Medicare |
$15,538.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,315.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,868.83
|
| Rate for Payer: PACE Medicare |
$14,761.20
|
| Rate for Payer: PACE SWMI |
$15,538.11
|
| Rate for Payer: PHP Medicare Advantage |
$15,538.11
|
| Rate for Payer: Priority Health Medicare |
$15,538.11
|
| Rate for Payer: Railroad Medicare Medicare |
$15,538.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,538.11
|
| Rate for Payer: UHC Medicare Advantage |
$15,538.11
|
| Rate for Payer: VA VA |
$15,538.11
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$5,994.65
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$4,555.93 |
| Max. Negotiated Rate |
$5,994.65 |
| Rate for Payer: Aetna Medicare |
$4,987.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,994.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,994.65
|
| Rate for Payer: BCBS MAPPO |
$4,795.72
|
| Rate for Payer: BCN Medicare Advantage |
$4,795.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,795.72
|
| Rate for Payer: Mclaren Medicare |
$4,795.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,035.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,515.08
|
| Rate for Payer: PACE Medicare |
$4,555.93
|
| Rate for Payer: PACE SWMI |
$4,795.72
|
| Rate for Payer: PHP Medicare Advantage |
$4,795.72
|
| Rate for Payer: Priority Health Medicare |
$4,795.72
|
| Rate for Payer: Railroad Medicare Medicare |
$4,795.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,795.72
|
| Rate for Payer: UHC Medicare Advantage |
$4,795.72
|
| Rate for Payer: VA VA |
$4,795.72
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$22,539.79
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$17,130.24 |
| Max. Negotiated Rate |
$22,539.79 |
| Rate for Payer: Aetna Medicare |
$18,753.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,539.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,539.79
|
| Rate for Payer: BCBS MAPPO |
$18,031.83
|
| Rate for Payer: BCN Medicare Advantage |
$18,031.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,031.83
|
| Rate for Payer: Mclaren Medicare |
$18,031.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,933.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,736.60
|
| Rate for Payer: PACE Medicare |
$17,130.24
|
| Rate for Payer: PACE SWMI |
$18,031.83
|
| Rate for Payer: PHP Medicare Advantage |
$18,031.83
|
| Rate for Payer: Priority Health Medicare |
$18,031.83
|
| Rate for Payer: Railroad Medicare Medicare |
$18,031.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,031.83
|
| Rate for Payer: UHC Medicare Advantage |
$18,031.83
|
| Rate for Payer: VA VA |
$18,031.83
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,390.50
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$10,936.78 |
| Max. Negotiated Rate |
$14,390.50 |
| Rate for Payer: Aetna Medicare |
$11,972.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,390.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,390.50
|
| Rate for Payer: BCBS MAPPO |
$11,512.40
|
| Rate for Payer: BCN Medicare Advantage |
$11,512.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,512.40
|
| Rate for Payer: Mclaren Medicare |
$11,512.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,088.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,239.26
|
| Rate for Payer: PACE Medicare |
$10,936.78
|
| Rate for Payer: PACE SWMI |
$11,512.40
|
| Rate for Payer: PHP Medicare Advantage |
$11,512.40
|
| Rate for Payer: Priority Health Medicare |
$11,512.40
|
| Rate for Payer: Railroad Medicare Medicare |
$11,512.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,512.40
|
| Rate for Payer: UHC Medicare Advantage |
$11,512.40
|
| Rate for Payer: VA VA |
$11,512.40
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$11,555.62
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$8,782.27 |
| Max. Negotiated Rate |
$11,555.62 |
| Rate for Payer: Aetna Medicare |
$9,614.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,555.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,555.62
|
| Rate for Payer: BCBS MAPPO |
$9,244.50
|
| Rate for Payer: BCN Medicare Advantage |
$9,244.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,244.50
|
| Rate for Payer: Mclaren Medicare |
$9,244.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,706.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,631.17
|
| Rate for Payer: PACE Medicare |
$8,782.27
|
| Rate for Payer: PACE SWMI |
$9,244.50
|
| Rate for Payer: PHP Medicare Advantage |
$9,244.50
|
| Rate for Payer: Priority Health Medicare |
$9,244.50
|
| Rate for Payer: Railroad Medicare Medicare |
$9,244.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,244.50
|
| Rate for Payer: UHC Medicare Advantage |
$9,244.50
|
| Rate for Payer: VA VA |
$9,244.50
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$18,468.03
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$14,035.70 |
| Max. Negotiated Rate |
$18,468.03 |
| Rate for Payer: Aetna Medicare |
$15,365.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,468.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,468.03
|
| Rate for Payer: BCBS MAPPO |
$14,774.42
|
| Rate for Payer: BCN Medicare Advantage |
$14,774.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,774.42
|
| Rate for Payer: Mclaren Medicare |
$14,774.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,513.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,990.58
|
| Rate for Payer: PACE Medicare |
$14,035.70
|
| Rate for Payer: PACE SWMI |
$14,774.42
|
| Rate for Payer: PHP Medicare Advantage |
$14,774.42
|
| Rate for Payer: Priority Health Medicare |
$14,774.42
|
| Rate for Payer: Railroad Medicare Medicare |
$14,774.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,774.42
|
| Rate for Payer: UHC Medicare Advantage |
$14,774.42
|
| Rate for Payer: VA VA |
$14,774.42
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$8,462.55
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$6,431.54 |
| Max. Negotiated Rate |
$8,462.55 |
| Rate for Payer: Aetna Medicare |
$7,040.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,462.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,462.55
|
| Rate for Payer: BCBS MAPPO |
$6,770.04
|
| Rate for Payer: BCN Medicare Advantage |
$6,770.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,770.04
|
| Rate for Payer: Mclaren Medicare |
$6,770.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,108.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,785.55
|
| Rate for Payer: PACE Medicare |
$6,431.54
|
| Rate for Payer: PACE SWMI |
$6,770.04
|
| Rate for Payer: PHP Medicare Advantage |
$6,770.04
|
| Rate for Payer: Priority Health Medicare |
$6,770.04
|
| Rate for Payer: Railroad Medicare Medicare |
$6,770.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,770.04
|
| Rate for Payer: UHC Medicare Advantage |
$6,770.04
|
| Rate for Payer: VA VA |
$6,770.04
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$10,980.54
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$8,345.21 |
| Max. Negotiated Rate |
$10,980.54 |
| Rate for Payer: Aetna Medicare |
$9,135.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,980.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,980.54
|
| Rate for Payer: BCBS MAPPO |
$8,784.43
|
| Rate for Payer: BCN Medicare Advantage |
$8,784.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,784.43
|
| Rate for Payer: Mclaren Medicare |
$8,784.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,223.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,102.09
|
| Rate for Payer: PACE Medicare |
$8,345.21
|
| Rate for Payer: PACE SWMI |
$8,784.43
|
| Rate for Payer: PHP Medicare Advantage |
$8,784.43
|
| Rate for Payer: Priority Health Medicare |
$8,784.43
|
| Rate for Payer: Railroad Medicare Medicare |
$8,784.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,784.43
|
| Rate for Payer: UHC Medicare Advantage |
$8,784.43
|
| Rate for Payer: VA VA |
$8,784.43
|
|
|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$6,232.57
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$4,736.76 |
| Max. Negotiated Rate |
$6,232.57 |
| Rate for Payer: Aetna Medicare |
$5,185.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,232.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,232.57
|
| Rate for Payer: BCBS MAPPO |
$4,986.06
|
| Rate for Payer: BCN Medicare Advantage |
$4,986.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,986.06
|
| Rate for Payer: Mclaren Medicare |
$4,986.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,235.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,733.97
|
| Rate for Payer: PACE Medicare |
$4,736.76
|
| Rate for Payer: PACE SWMI |
$4,986.06
|
| Rate for Payer: PHP Medicare Advantage |
$4,986.06
|
| Rate for Payer: Priority Health Medicare |
$4,986.06
|
| Rate for Payer: Railroad Medicare Medicare |
$4,986.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,986.06
|
| Rate for Payer: UHC Medicare Advantage |
$4,986.06
|
| Rate for Payer: VA VA |
$4,986.06
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$47,659.94
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$36,221.55 |
| Max. Negotiated Rate |
$47,659.94 |
| Rate for Payer: Aetna Medicare |
$39,653.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,659.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,659.94
|
| Rate for Payer: BCBS MAPPO |
$38,127.95
|
| Rate for Payer: BCN Medicare Advantage |
$38,127.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,127.95
|
| Rate for Payer: Mclaren Medicare |
$38,127.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,034.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,847.14
|
| Rate for Payer: PACE Medicare |
$36,221.55
|
| Rate for Payer: PACE SWMI |
$38,127.95
|
| Rate for Payer: PHP Medicare Advantage |
$38,127.95
|
| Rate for Payer: Priority Health Medicare |
$38,127.95
|
| Rate for Payer: Railroad Medicare Medicare |
$38,127.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,127.95
|
| Rate for Payer: UHC Medicare Advantage |
$38,127.95
|
| Rate for Payer: VA VA |
$38,127.95
|
|
