|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$20,308.85
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$15,434.73 |
| Max. Negotiated Rate |
$20,308.85 |
| Rate for Payer: Aetna Medicare |
$16,896.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,308.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,308.85
|
| Rate for Payer: BCBS MAPPO |
$16,247.08
|
| Rate for Payer: BCN Medicare Advantage |
$16,247.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,247.08
|
| Rate for Payer: Mclaren Medicare |
$16,247.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,059.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,684.14
|
| Rate for Payer: PACE Medicare |
$15,434.73
|
| Rate for Payer: PACE SWMI |
$16,247.08
|
| Rate for Payer: PHP Medicare Advantage |
$16,247.08
|
| Rate for Payer: Priority Health Medicare |
$16,247.08
|
| Rate for Payer: Railroad Medicare Medicare |
$16,247.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,247.08
|
| Rate for Payer: UHC Medicare Advantage |
$16,247.08
|
| Rate for Payer: VA VA |
$16,247.08
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,708.74
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$14,978.64 |
| Max. Negotiated Rate |
$19,708.74 |
| Rate for Payer: Aetna Medicare |
$16,397.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,708.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,708.74
|
| Rate for Payer: BCBS MAPPO |
$15,766.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,766.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,766.99
|
| Rate for Payer: Mclaren Medicare |
$15,766.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,555.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,132.04
|
| Rate for Payer: PACE Medicare |
$14,978.64
|
| Rate for Payer: PACE SWMI |
$15,766.99
|
| Rate for Payer: PHP Medicare Advantage |
$15,766.99
|
| Rate for Payer: Priority Health Medicare |
$15,766.99
|
| Rate for Payer: Railroad Medicare Medicare |
$15,766.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,766.99
|
| Rate for Payer: UHC Medicare Advantage |
$15,766.99
|
| Rate for Payer: VA VA |
$15,766.99
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$9,898.77
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$7,523.07 |
| Max. Negotiated Rate |
$9,898.77 |
| Rate for Payer: Aetna Medicare |
$8,235.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,898.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,898.77
|
| Rate for Payer: BCBS MAPPO |
$7,919.02
|
| Rate for Payer: BCN Medicare Advantage |
$7,919.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,919.02
|
| Rate for Payer: Mclaren Medicare |
$7,919.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,314.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,106.87
|
| Rate for Payer: PACE Medicare |
$7,523.07
|
| Rate for Payer: PACE SWMI |
$7,919.02
|
| Rate for Payer: PHP Medicare Advantage |
$7,919.02
|
| Rate for Payer: Priority Health Medicare |
$7,919.02
|
| Rate for Payer: Railroad Medicare Medicare |
$7,919.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,919.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,919.02
|
| Rate for Payer: VA VA |
$7,919.02
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$7,296.96
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$5,545.69 |
| Max. Negotiated Rate |
$7,296.96 |
| Rate for Payer: Aetna Medicare |
$6,071.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,296.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,296.96
|
| Rate for Payer: BCBS MAPPO |
$5,837.57
|
| Rate for Payer: BCN Medicare Advantage |
$5,837.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,837.57
|
| Rate for Payer: Mclaren Medicare |
$5,837.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,129.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,713.21
|
| Rate for Payer: PACE Medicare |
$5,545.69
|
| Rate for Payer: PACE SWMI |
$5,837.57
|
| Rate for Payer: PHP Medicare Advantage |
$5,837.57
|
| Rate for Payer: Priority Health Medicare |
$5,837.57
|
| Rate for Payer: Railroad Medicare Medicare |
$5,837.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,837.57
|
| Rate for Payer: UHC Medicare Advantage |
$5,837.57
|
| Rate for Payer: VA VA |
$5,837.57
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$7,372.14
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$5,602.82 |
| Max. Negotiated Rate |
$7,372.14 |
| Rate for Payer: Aetna Medicare |
$6,133.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,372.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,372.14
|
| Rate for Payer: BCBS MAPPO |
$5,897.71
|
| Rate for Payer: BCN Medicare Advantage |
$5,897.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,897.71
|
| Rate for Payer: Mclaren Medicare |
$5,897.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,192.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,782.37
|
| Rate for Payer: PACE Medicare |
$5,602.82
|
| Rate for Payer: PACE SWMI |
$5,897.71
|
| Rate for Payer: PHP Medicare Advantage |
$5,897.71
|
| Rate for Payer: Priority Health Medicare |
$5,897.71
|
| Rate for Payer: Railroad Medicare Medicare |
$5,897.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,897.71
|
| Rate for Payer: UHC Medicare Advantage |
$5,897.71
|
| Rate for Payer: VA VA |
$5,897.71
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$16,369.06
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$12,440.49 |
| Max. Negotiated Rate |
$16,369.06 |
| Rate for Payer: Aetna Medicare |
$13,619.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,369.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,369.06
|
| Rate for Payer: BCBS MAPPO |
$13,095.25
|
| Rate for Payer: BCN Medicare Advantage |
$13,095.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,095.25
|
| Rate for Payer: Mclaren Medicare |
$13,095.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,750.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,059.54
|
| Rate for Payer: PACE Medicare |
$12,440.49
|
| Rate for Payer: PACE SWMI |
$13,095.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,095.25
|
| Rate for Payer: Priority Health Medicare |
$13,095.25
|
| Rate for Payer: Railroad Medicare Medicare |
$13,095.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,095.25
|
| Rate for Payer: UHC Medicare Advantage |
$13,095.25
|
| Rate for Payer: VA VA |
$13,095.25
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$4,841.61
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$3,679.63 |
| Max. Negotiated Rate |
$4,841.61 |
| Rate for Payer: Aetna Medicare |
$4,028.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,841.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,841.61
|
| Rate for Payer: BCBS MAPPO |
$3,873.29
|
| Rate for Payer: BCN Medicare Advantage |
$3,873.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,873.29
|
| Rate for Payer: Mclaren Medicare |
$3,873.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,066.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,454.28
|
| Rate for Payer: PACE Medicare |
$3,679.63
|
| Rate for Payer: PACE SWMI |
$3,873.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,873.29
|
| Rate for Payer: Priority Health Medicare |
$3,873.29
|
| Rate for Payer: Railroad Medicare Medicare |
$3,873.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,873.29
|
| Rate for Payer: UHC Medicare Advantage |
$3,873.29
|
| Rate for Payer: VA VA |
$3,873.29
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$7,708.30
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$5,858.31 |
| Max. Negotiated Rate |
$7,708.30 |
| Rate for Payer: Aetna Medicare |
$6,413.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,708.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,708.30
|
| Rate for Payer: BCBS MAPPO |
$6,166.64
|
| Rate for Payer: BCN Medicare Advantage |
$6,166.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,166.64
|
| Rate for Payer: Mclaren Medicare |
$6,166.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,474.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,091.64
|
| Rate for Payer: PACE Medicare |
$5,858.31
|
| Rate for Payer: PACE SWMI |
$6,166.64
|
| Rate for Payer: PHP Medicare Advantage |
$6,166.64
|
| Rate for Payer: Priority Health Medicare |
$6,166.64
|
| Rate for Payer: Railroad Medicare Medicare |
$6,166.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,166.64
|
| Rate for Payer: UHC Medicare Advantage |
$6,166.64
|
| Rate for Payer: VA VA |
$6,166.64
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$12,202.92
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$9,274.22 |
| Max. Negotiated Rate |
$12,202.92 |
| Rate for Payer: Aetna Medicare |
$10,152.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,202.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,202.92
|
| Rate for Payer: BCBS MAPPO |
$9,762.34
|
| Rate for Payer: BCN Medicare Advantage |
$9,762.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,762.34
|
| Rate for Payer: Mclaren Medicare |
$9,762.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,250.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,226.69
|
| Rate for Payer: PACE Medicare |
$9,274.22
|
| Rate for Payer: PACE SWMI |
$9,762.34
|
| Rate for Payer: PHP Medicare Advantage |
$9,762.34
|
| Rate for Payer: Priority Health Medicare |
$9,762.34
|
| Rate for Payer: Railroad Medicare Medicare |
$9,762.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,762.34
|
| Rate for Payer: UHC Medicare Advantage |
$9,762.34
|
| Rate for Payer: VA VA |
$9,762.34
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$5,976.38
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$4,542.05 |
| Max. Negotiated Rate |
$5,976.38 |
| Rate for Payer: Aetna Medicare |
$4,972.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,976.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,976.38
|
| Rate for Payer: BCBS MAPPO |
$4,781.10
|
| Rate for Payer: BCN Medicare Advantage |
$4,781.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,781.10
|
| Rate for Payer: Mclaren Medicare |
$4,781.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,020.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,498.27
|
| Rate for Payer: PACE Medicare |
$4,542.05
|
| Rate for Payer: PACE SWMI |
$4,781.10
|
| Rate for Payer: PHP Medicare Advantage |
$4,781.10
|
| Rate for Payer: Priority Health Medicare |
$4,781.10
|
| Rate for Payer: Railroad Medicare Medicare |
$4,781.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,781.10
|
| Rate for Payer: UHC Medicare Advantage |
$4,781.10
|
| Rate for Payer: VA VA |
$4,781.10
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$15,010.86
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$11,408.26 |
| Max. Negotiated Rate |
$15,010.86 |
| Rate for Payer: Aetna Medicare |
$12,489.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,010.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,010.86
|
| Rate for Payer: BCBS MAPPO |
$12,008.69
|
| Rate for Payer: BCN Medicare Advantage |
$12,008.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,008.69
|
| Rate for Payer: Mclaren Medicare |
$12,008.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,609.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,809.99
|
| Rate for Payer: PACE Medicare |
$11,408.26
|
| Rate for Payer: PACE SWMI |
$12,008.69
|
| Rate for Payer: PHP Medicare Advantage |
$12,008.69
|
| Rate for Payer: Priority Health Medicare |
$12,008.69
|
| Rate for Payer: Railroad Medicare Medicare |
$12,008.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,008.69
|
| Rate for Payer: UHC Medicare Advantage |
$12,008.69
|
| Rate for Payer: VA VA |
$12,008.69
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$9,510.59
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$7,228.05 |
| Max. Negotiated Rate |
$9,510.59 |
| Rate for Payer: Aetna Medicare |
$7,912.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,510.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,510.59
|
| Rate for Payer: BCBS MAPPO |
$7,608.47
|
| Rate for Payer: BCN Medicare Advantage |
$7,608.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,608.47
|
| Rate for Payer: Mclaren Medicare |
$7,608.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,988.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,749.74
|
| Rate for Payer: PACE Medicare |
$7,228.05
|
| Rate for Payer: PACE SWMI |
$7,608.47
|
| Rate for Payer: PHP Medicare Advantage |
$7,608.47
|
| Rate for Payer: Priority Health Medicare |
$7,608.47
|
| Rate for Payer: Railroad Medicare Medicare |
$7,608.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,608.47
|
| Rate for Payer: UHC Medicare Advantage |
$7,608.47
|
| Rate for Payer: VA VA |
$7,608.47
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$68,661.18
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$52,182.49 |
| Max. Negotiated Rate |
$68,661.18 |
| Rate for Payer: Aetna Medicare |
$57,126.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,661.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,661.18
|
| Rate for Payer: BCBS MAPPO |
$54,928.94
|
| Rate for Payer: BCN Medicare Advantage |
$54,928.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,928.94
|
| Rate for Payer: Mclaren Medicare |
$54,928.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,675.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,168.28
|
| Rate for Payer: PACE Medicare |
$52,182.49
|
| Rate for Payer: PACE SWMI |
$54,928.94
|
| Rate for Payer: PHP Medicare Advantage |
$54,928.94
|
| Rate for Payer: Priority Health Medicare |
$54,928.94
|
| Rate for Payer: Railroad Medicare Medicare |
$54,928.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,928.94
|
| Rate for Payer: UHC Medicare Advantage |
$54,928.94
|
| Rate for Payer: VA VA |
$54,928.94
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$60,255.69
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$45,794.32 |
| Max. Negotiated Rate |
$60,255.69 |
| Rate for Payer: Aetna Medicare |
$50,132.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60,255.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60,255.69
|
| Rate for Payer: BCBS MAPPO |
$48,204.55
|
| Rate for Payer: BCN Medicare Advantage |
$48,204.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,204.55
|
| Rate for Payer: Mclaren Medicare |
$48,204.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50,614.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55,435.23
|
| Rate for Payer: PACE Medicare |
$45,794.32
|
| Rate for Payer: PACE SWMI |
$48,204.55
|
| Rate for Payer: PHP Medicare Advantage |
$48,204.55
|
| Rate for Payer: Priority Health Medicare |
$48,204.55
|
| Rate for Payer: Railroad Medicare Medicare |
$48,204.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,204.55
|
| Rate for Payer: UHC Medicare Advantage |
$48,204.55
|
| Rate for Payer: VA VA |
$48,204.55
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$45,397.22
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$34,501.89 |
| Max. Negotiated Rate |
$45,397.22 |
| Rate for Payer: Aetna Medicare |
$37,770.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,397.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,397.22
|
| Rate for Payer: BCBS MAPPO |
$36,317.78
|
| Rate for Payer: BCN Medicare Advantage |
$36,317.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,317.78
|
| Rate for Payer: Mclaren Medicare |
$36,317.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,133.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,765.45
|
| Rate for Payer: PACE Medicare |
$34,501.89
|
| Rate for Payer: PACE SWMI |
$36,317.78
|
| Rate for Payer: PHP Medicare Advantage |
$36,317.78
|
| Rate for Payer: Priority Health Medicare |
$36,317.78
|
| Rate for Payer: Railroad Medicare Medicare |
$36,317.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,317.78
|
| Rate for Payer: UHC Medicare Advantage |
$36,317.78
|
| Rate for Payer: VA VA |
$36,317.78
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$27,611.41
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$20,984.67 |
| Max. Negotiated Rate |
$27,611.41 |
| Rate for Payer: Aetna Medicare |
$22,972.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,611.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,611.41
|
| Rate for Payer: BCBS MAPPO |
$22,089.13
|
| Rate for Payer: BCN Medicare Advantage |
$22,089.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,089.13
|
| Rate for Payer: Mclaren Medicare |
$22,089.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,193.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,402.50
|
| Rate for Payer: PACE Medicare |
$20,984.67
|
| Rate for Payer: PACE SWMI |
$22,089.13
|
| Rate for Payer: PHP Medicare Advantage |
$22,089.13
|
| Rate for Payer: Priority Health Medicare |
$22,089.13
|
| Rate for Payer: Railroad Medicare Medicare |
$22,089.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,089.13
|
| Rate for Payer: UHC Medicare Advantage |
$22,089.13
|
| Rate for Payer: VA VA |
$22,089.13
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$17,518.25
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$13,313.87 |
| Max. Negotiated Rate |
$17,518.25 |
| Rate for Payer: Aetna Medicare |
$14,575.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,518.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,518.25
|
| Rate for Payer: BCBS MAPPO |
$14,014.60
|
| Rate for Payer: BCN Medicare Advantage |
$14,014.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,014.60
|
| Rate for Payer: Mclaren Medicare |
$14,014.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,715.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,116.79
|
| Rate for Payer: PACE Medicare |
$13,313.87
|
| Rate for Payer: PACE SWMI |
$14,014.60
|
| Rate for Payer: PHP Medicare Advantage |
$14,014.60
|
| Rate for Payer: Priority Health Medicare |
$14,014.60
|
| Rate for Payer: Railroad Medicare Medicare |
$14,014.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,014.60
|
| Rate for Payer: UHC Medicare Advantage |
$14,014.60
|
| Rate for Payer: VA VA |
$14,014.60
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$18,865.88
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$14,338.07 |
| Max. Negotiated Rate |
$18,865.88 |
| Rate for Payer: Aetna Medicare |
$15,696.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,865.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,865.88
|
| Rate for Payer: BCBS MAPPO |
$15,092.70
|
| Rate for Payer: BCN Medicare Advantage |
$15,092.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,092.70
|
| Rate for Payer: Mclaren Medicare |
$15,092.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,847.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,356.60
|
| Rate for Payer: PACE Medicare |
$14,338.07
|
| Rate for Payer: PACE SWMI |
$15,092.70
|
| Rate for Payer: PHP Medicare Advantage |
$15,092.70
|
| Rate for Payer: Priority Health Medicare |
$15,092.70
|
| Rate for Payer: Railroad Medicare Medicare |
$15,092.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,092.70
|
| Rate for Payer: UHC Medicare Advantage |
$15,092.70
|
| Rate for Payer: VA VA |
$15,092.70
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$33,397.79
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$25,382.32 |
| Max. Negotiated Rate |
$33,397.79 |
| Rate for Payer: Aetna Medicare |
$27,786.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,397.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,397.79
|
| Rate for Payer: BCBS MAPPO |
$26,718.23
|
| Rate for Payer: BCN Medicare Advantage |
$26,718.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,718.23
|
| Rate for Payer: Mclaren Medicare |
$26,718.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,054.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,725.96
|
| Rate for Payer: PACE Medicare |
$25,382.32
|
| Rate for Payer: PACE SWMI |
$26,718.23
|
| Rate for Payer: PHP Medicare Advantage |
$26,718.23
|
| Rate for Payer: Priority Health Medicare |
$26,718.23
|
| Rate for Payer: Railroad Medicare Medicare |
$26,718.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,718.23
|
| Rate for Payer: UHC Medicare Advantage |
$26,718.23
|
| Rate for Payer: VA VA |
$26,718.23
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$15,207.38
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$11,557.60 |
| Max. Negotiated Rate |
$15,207.38 |
| Rate for Payer: Aetna Medicare |
$12,652.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,207.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,207.38
|
| Rate for Payer: BCBS MAPPO |
$12,165.90
|
| Rate for Payer: BCN Medicare Advantage |
$12,165.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,165.90
|
| Rate for Payer: Mclaren Medicare |
$12,165.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,774.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,990.78
|
| Rate for Payer: PACE Medicare |
$11,557.60
|
| Rate for Payer: PACE SWMI |
$12,165.90
|
| Rate for Payer: PHP Medicare Advantage |
$12,165.90
|
| Rate for Payer: Priority Health Medicare |
$12,165.90
|
| Rate for Payer: Railroad Medicare Medicare |
$12,165.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,165.90
|
| Rate for Payer: UHC Medicare Advantage |
$12,165.90
|
| Rate for Payer: VA VA |
$12,165.90
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$62,793.90
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$47,723.36 |
| Max. Negotiated Rate |
$62,793.90 |
| Rate for Payer: Aetna Medicare |
$52,244.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,793.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,793.90
|
| Rate for Payer: BCBS MAPPO |
$50,235.12
|
| Rate for Payer: BCN Medicare Advantage |
$50,235.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,235.12
|
| Rate for Payer: Mclaren Medicare |
$50,235.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,746.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,770.39
|
| Rate for Payer: PACE Medicare |
$47,723.36
|
| Rate for Payer: PACE SWMI |
$50,235.12
|
| Rate for Payer: PHP Medicare Advantage |
$50,235.12
|
| Rate for Payer: Priority Health Medicare |
$50,235.12
|
| Rate for Payer: Railroad Medicare Medicare |
$50,235.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,235.12
|
| Rate for Payer: UHC Medicare Advantage |
$50,235.12
|
| Rate for Payer: VA VA |
$50,235.12
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$93,553.05
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$71,100.32 |
| Max. Negotiated Rate |
$93,553.05 |
| Rate for Payer: Aetna Medicare |
$77,836.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$93,553.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$93,553.05
|
| Rate for Payer: BCBS MAPPO |
$74,842.44
|
| Rate for Payer: BCN Medicare Advantage |
$74,842.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74,842.44
|
| Rate for Payer: Mclaren Medicare |
$74,842.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78,584.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86,068.81
|
| Rate for Payer: PACE Medicare |
$71,100.32
|
| Rate for Payer: PACE SWMI |
$74,842.44
|
| Rate for Payer: PHP Medicare Advantage |
$74,842.44
|
| Rate for Payer: Priority Health Medicare |
$74,842.44
|
| Rate for Payer: Railroad Medicare Medicare |
$74,842.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$74,842.44
|
| Rate for Payer: UHC Medicare Advantage |
$74,842.44
|
| Rate for Payer: VA VA |
$74,842.44
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$57,894.71
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$43,999.98 |
| Max. Negotiated Rate |
$57,894.71 |
| Rate for Payer: Aetna Medicare |
$48,168.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,894.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,894.71
|
| Rate for Payer: BCBS MAPPO |
$46,315.77
|
| Rate for Payer: BCN Medicare Advantage |
$46,315.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,315.77
|
| Rate for Payer: Mclaren Medicare |
$46,315.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,631.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,263.14
|
| Rate for Payer: PACE Medicare |
$43,999.98
|
| Rate for Payer: PACE SWMI |
$46,315.77
|
| Rate for Payer: PHP Medicare Advantage |
$46,315.77
|
| Rate for Payer: Priority Health Medicare |
$46,315.77
|
| Rate for Payer: Railroad Medicare Medicare |
$46,315.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,315.77
|
| Rate for Payer: UHC Medicare Advantage |
$46,315.77
|
| Rate for Payer: VA VA |
$46,315.77
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$51,608.40
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$39,222.38 |
| Max. Negotiated Rate |
$51,608.40 |
| Rate for Payer: Aetna Medicare |
$42,938.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,608.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,608.40
|
| Rate for Payer: BCBS MAPPO |
$41,286.72
|
| Rate for Payer: BCN Medicare Advantage |
$41,286.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,286.72
|
| Rate for Payer: Mclaren Medicare |
$41,286.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,351.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,479.73
|
| Rate for Payer: PACE Medicare |
$39,222.38
|
| Rate for Payer: PACE SWMI |
$41,286.72
|
| Rate for Payer: PHP Medicare Advantage |
$41,286.72
|
| Rate for Payer: Priority Health Medicare |
$41,286.72
|
| Rate for Payer: Railroad Medicare Medicare |
$41,286.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,286.72
|
| Rate for Payer: UHC Medicare Advantage |
$41,286.72
|
| Rate for Payer: VA VA |
$41,286.72
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$75,119.91
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$57,091.13 |
| Max. Negotiated Rate |
$75,119.91 |
| Rate for Payer: Aetna Medicare |
$62,499.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$75,119.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$75,119.91
|
| Rate for Payer: BCBS MAPPO |
$60,095.93
|
| Rate for Payer: BCN Medicare Advantage |
$60,095.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60,095.93
|
| Rate for Payer: Mclaren Medicare |
$60,095.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63,100.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69,110.32
|
| Rate for Payer: PACE Medicare |
$57,091.13
|
| Rate for Payer: PACE SWMI |
$60,095.93
|
| Rate for Payer: PHP Medicare Advantage |
$60,095.93
|
| Rate for Payer: Priority Health Medicare |
$60,095.93
|
| Rate for Payer: Railroad Medicare Medicare |
$60,095.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$60,095.93
|
| Rate for Payer: UHC Medicare Advantage |
$60,095.93
|
| Rate for Payer: VA VA |
$60,095.93
|
|
