|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$44,826.01
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$34,067.77 |
| Max. Negotiated Rate |
$44,826.01 |
| Rate for Payer: Aetna Medicare |
$37,295.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,826.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,826.01
|
| Rate for Payer: BCBS MAPPO |
$35,860.81
|
| Rate for Payer: BCN Medicare Advantage |
$35,860.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,860.81
|
| Rate for Payer: Mclaren Medicare |
$35,860.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,653.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,239.93
|
| Rate for Payer: PACE Medicare |
$34,067.77
|
| Rate for Payer: PACE SWMI |
$35,860.81
|
| Rate for Payer: PHP Medicare Advantage |
$35,860.81
|
| Rate for Payer: Priority Health Medicare |
$35,860.81
|
| Rate for Payer: Railroad Medicare Medicare |
$35,860.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,860.81
|
| Rate for Payer: UHC Medicare Advantage |
$35,860.81
|
| Rate for Payer: VA VA |
$35,860.81
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$22,499.34
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$17,099.50 |
| Max. Negotiated Rate |
$22,499.34 |
| Rate for Payer: Aetna Medicare |
$18,719.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,499.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,499.34
|
| Rate for Payer: BCBS MAPPO |
$17,999.47
|
| Rate for Payer: BCN Medicare Advantage |
$17,999.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,999.47
|
| Rate for Payer: Mclaren Medicare |
$17,999.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,899.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,699.39
|
| Rate for Payer: PACE Medicare |
$17,099.50
|
| Rate for Payer: PACE SWMI |
$17,999.47
|
| Rate for Payer: PHP Medicare Advantage |
$17,999.47
|
| Rate for Payer: Priority Health Medicare |
$17,999.47
|
| Rate for Payer: Railroad Medicare Medicare |
$17,999.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,999.47
|
| Rate for Payer: UHC Medicare Advantage |
$17,999.47
|
| Rate for Payer: VA VA |
$17,999.47
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$38,045.56
|
|
|
Service Code
|
MSDRG 034
|
| Min. Negotiated Rate |
$28,914.63 |
| Max. Negotiated Rate |
$38,045.56 |
| Rate for Payer: Aetna Medicare |
$31,653.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,045.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,045.56
|
| Rate for Payer: BCBS MAPPO |
$30,436.45
|
| Rate for Payer: BCN Medicare Advantage |
$30,436.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,436.45
|
| Rate for Payer: Mclaren Medicare |
$30,436.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,958.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,001.92
|
| Rate for Payer: PACE Medicare |
$28,914.63
|
| Rate for Payer: PACE SWMI |
$30,436.45
|
| Rate for Payer: PHP Medicare Advantage |
$30,436.45
|
| Rate for Payer: Priority Health Medicare |
$30,436.45
|
| Rate for Payer: Railroad Medicare Medicare |
$30,436.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,436.45
|
| Rate for Payer: UHC Medicare Advantage |
$30,436.45
|
| Rate for Payer: VA VA |
$30,436.45
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,244.58
|
|
|
Service Code
|
MSDRG 036
|
| Min. Negotiated Rate |
$13,865.88 |
| Max. Negotiated Rate |
$18,244.58 |
| Rate for Payer: Aetna Medicare |
$15,179.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,244.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,244.58
|
| Rate for Payer: BCBS MAPPO |
$14,595.66
|
| Rate for Payer: BCN Medicare Advantage |
$14,595.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,595.66
|
| Rate for Payer: Mclaren Medicare |
$14,595.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,325.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,785.01
|
| Rate for Payer: PACE Medicare |
$13,865.88
|
| Rate for Payer: PACE SWMI |
$14,595.66
|
| Rate for Payer: PHP Medicare Advantage |
$14,595.66
|
| Rate for Payer: Priority Health Medicare |
$14,595.66
|
| Rate for Payer: Railroad Medicare Medicare |
$14,595.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,595.66
|
| Rate for Payer: UHC Medicare Advantage |
$14,595.66
|
| Rate for Payer: VA VA |
$14,595.66
|
|
|
MS-DRG 42.00: CELLULITIS WITH MCC
|
Facility
|
IP
|
$14,739.23
|
|
|
Service Code
|
MSDRG 602
|
| Min. Negotiated Rate |
$11,201.81 |
| Max. Negotiated Rate |
$14,739.23 |
| Rate for Payer: Aetna Medicare |
$12,263.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,739.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,739.23
|
| Rate for Payer: BCBS MAPPO |
$11,791.38
|
| Rate for Payer: BCN Medicare Advantage |
$11,791.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,791.38
|
| Rate for Payer: Mclaren Medicare |
$11,791.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,380.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,560.09
|
| Rate for Payer: PACE Medicare |
$11,201.81
|
| Rate for Payer: PACE SWMI |
$11,791.38
|
| Rate for Payer: PHP Medicare Advantage |
$11,791.38
|
| Rate for Payer: Priority Health Medicare |
$11,791.38
|
| Rate for Payer: Railroad Medicare Medicare |
$11,791.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,791.38
|
| Rate for Payer: UHC Medicare Advantage |
$11,791.38
|
| Rate for Payer: VA VA |
$11,791.38
|
|
|
MS-DRG 42.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$9,071.33
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$6,894.21 |
| Max. Negotiated Rate |
$9,071.33 |
| Rate for Payer: Aetna Medicare |
$7,547.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,071.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,071.33
|
| Rate for Payer: BCBS MAPPO |
$7,257.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,257.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,257.06
|
| Rate for Payer: Mclaren Medicare |
$7,257.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,619.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,345.62
|
| Rate for Payer: PACE Medicare |
$6,894.21
|
| Rate for Payer: PACE SWMI |
$7,257.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,257.06
|
| Rate for Payer: Priority Health Medicare |
$7,257.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,257.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,257.06
|
| Rate for Payer: UHC Medicare Advantage |
$7,257.06
|
| Rate for Payer: VA VA |
$7,257.06
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$28,494.71
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$21,655.98 |
| Max. Negotiated Rate |
$28,494.71 |
| Rate for Payer: Aetna Medicare |
$23,707.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,494.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,494.71
|
| Rate for Payer: BCBS MAPPO |
$22,795.77
|
| Rate for Payer: BCN Medicare Advantage |
$22,795.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,795.77
|
| Rate for Payer: Mclaren Medicare |
$22,795.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,935.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,215.14
|
| Rate for Payer: PACE Medicare |
$21,655.98
|
| Rate for Payer: PACE SWMI |
$22,795.77
|
| Rate for Payer: PHP Medicare Advantage |
$22,795.77
|
| Rate for Payer: Priority Health Medicare |
$22,795.77
|
| Rate for Payer: Railroad Medicare Medicare |
$22,795.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,795.77
|
| Rate for Payer: UHC Medicare Advantage |
$22,795.77
|
| Rate for Payer: VA VA |
$22,795.77
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$47,375.79
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$36,005.60 |
| Max. Negotiated Rate |
$47,375.79 |
| Rate for Payer: Aetna Medicare |
$39,416.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,375.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,375.79
|
| Rate for Payer: BCBS MAPPO |
$37,900.63
|
| Rate for Payer: BCN Medicare Advantage |
$37,900.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,900.63
|
| Rate for Payer: Mclaren Medicare |
$37,900.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,795.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,585.72
|
| Rate for Payer: PACE Medicare |
$36,005.60
|
| Rate for Payer: PACE SWMI |
$37,900.63
|
| Rate for Payer: PHP Medicare Advantage |
$37,900.63
|
| Rate for Payer: Priority Health Medicare |
$37,900.63
|
| Rate for Payer: Railroad Medicare Medicare |
$37,900.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,900.63
|
| Rate for Payer: UHC Medicare Advantage |
$37,900.63
|
| Rate for Payer: VA VA |
$37,900.63
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$23,391.31
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$17,777.40 |
| Max. Negotiated Rate |
$23,391.31 |
| Rate for Payer: Aetna Medicare |
$19,461.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,391.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,391.31
|
| Rate for Payer: BCBS MAPPO |
$18,713.05
|
| Rate for Payer: BCN Medicare Advantage |
$18,713.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,713.05
|
| Rate for Payer: Mclaren Medicare |
$18,713.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,648.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,520.01
|
| Rate for Payer: PACE Medicare |
$17,777.40
|
| Rate for Payer: PACE SWMI |
$18,713.05
|
| Rate for Payer: PHP Medicare Advantage |
$18,713.05
|
| Rate for Payer: Priority Health Medicare |
$18,713.05
|
| Rate for Payer: Railroad Medicare Medicare |
$18,713.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,713.05
|
| Rate for Payer: UHC Medicare Advantage |
$18,713.05
|
| Rate for Payer: VA VA |
$18,713.05
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$10,814.86
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$8,219.30 |
| Max. Negotiated Rate |
$10,814.86 |
| Rate for Payer: Aetna Medicare |
$8,997.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,814.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,814.86
|
| Rate for Payer: BCBS MAPPO |
$8,651.89
|
| Rate for Payer: BCN Medicare Advantage |
$8,651.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,651.89
|
| Rate for Payer: Mclaren Medicare |
$8,651.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,084.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,949.67
|
| Rate for Payer: PACE Medicare |
$8,219.30
|
| Rate for Payer: PACE SWMI |
$8,651.89
|
| Rate for Payer: PHP Medicare Advantage |
$8,651.89
|
| Rate for Payer: Priority Health Medicare |
$8,651.89
|
| Rate for Payer: Railroad Medicare Medicare |
$8,651.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,651.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,651.89
|
| Rate for Payer: VA VA |
$8,651.89
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$16,152.36
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$12,275.80 |
| Max. Negotiated Rate |
$16,152.36 |
| Rate for Payer: Aetna Medicare |
$13,438.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,152.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,152.36
|
| Rate for Payer: BCBS MAPPO |
$12,921.89
|
| Rate for Payer: BCN Medicare Advantage |
$12,921.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,921.89
|
| Rate for Payer: Mclaren Medicare |
$12,921.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,567.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,860.17
|
| Rate for Payer: PACE Medicare |
$12,275.80
|
| Rate for Payer: PACE SWMI |
$12,921.89
|
| Rate for Payer: PHP Medicare Advantage |
$12,921.89
|
| Rate for Payer: Priority Health Medicare |
$12,921.89
|
| Rate for Payer: Railroad Medicare Medicare |
$12,921.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,921.89
|
| Rate for Payer: UHC Medicare Advantage |
$12,921.89
|
| Rate for Payer: VA VA |
$12,921.89
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,301.56
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$7,069.19 |
| Max. Negotiated Rate |
$9,301.56 |
| Rate for Payer: Aetna Medicare |
$7,738.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,301.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,301.56
|
| Rate for Payer: BCBS MAPPO |
$7,441.25
|
| Rate for Payer: BCN Medicare Advantage |
$7,441.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,441.25
|
| Rate for Payer: Mclaren Medicare |
$7,441.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,813.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,557.44
|
| Rate for Payer: PACE Medicare |
$7,069.19
|
| Rate for Payer: PACE SWMI |
$7,441.25
|
| Rate for Payer: PHP Medicare Advantage |
$7,441.25
|
| Rate for Payer: Priority Health Medicare |
$7,441.25
|
| Rate for Payer: Railroad Medicare Medicare |
$7,441.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,441.25
|
| Rate for Payer: UHC Medicare Advantage |
$7,441.25
|
| Rate for Payer: VA VA |
$7,441.25
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$11,019.08
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$8,374.50 |
| Max. Negotiated Rate |
$11,019.08 |
| Rate for Payer: Aetna Medicare |
$9,167.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,019.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,019.08
|
| Rate for Payer: BCBS MAPPO |
$8,815.26
|
| Rate for Payer: BCN Medicare Advantage |
$8,815.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,815.26
|
| Rate for Payer: Mclaren Medicare |
$8,815.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,256.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,137.55
|
| Rate for Payer: PACE Medicare |
$8,374.50
|
| Rate for Payer: PACE SWMI |
$8,815.26
|
| Rate for Payer: PHP Medicare Advantage |
$8,815.26
|
| Rate for Payer: Priority Health Medicare |
$8,815.26
|
| Rate for Payer: Railroad Medicare Medicare |
$8,815.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,815.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,815.26
|
| Rate for Payer: VA VA |
$8,815.26
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$18,331.26
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$13,931.76 |
| Max. Negotiated Rate |
$18,331.26 |
| Rate for Payer: Aetna Medicare |
$15,251.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,331.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,331.26
|
| Rate for Payer: BCBS MAPPO |
$14,665.01
|
| Rate for Payer: BCN Medicare Advantage |
$14,665.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,665.01
|
| Rate for Payer: Mclaren Medicare |
$14,665.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,398.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,864.76
|
| Rate for Payer: PACE Medicare |
$13,931.76
|
| Rate for Payer: PACE SWMI |
$14,665.01
|
| Rate for Payer: PHP Medicare Advantage |
$14,665.01
|
| Rate for Payer: Priority Health Medicare |
$14,665.01
|
| Rate for Payer: Railroad Medicare Medicare |
$14,665.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,665.01
|
| Rate for Payer: UHC Medicare Advantage |
$14,665.01
|
| Rate for Payer: VA VA |
$14,665.01
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,001.02
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$6,840.78 |
| Max. Negotiated Rate |
$9,001.02 |
| Rate for Payer: Aetna Medicare |
$7,488.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,001.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,001.02
|
| Rate for Payer: BCBS MAPPO |
$7,200.82
|
| Rate for Payer: BCN Medicare Advantage |
$7,200.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,200.82
|
| Rate for Payer: Mclaren Medicare |
$7,200.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,560.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,280.94
|
| Rate for Payer: PACE Medicare |
$6,840.78
|
| Rate for Payer: PACE SWMI |
$7,200.82
|
| Rate for Payer: PHP Medicare Advantage |
$7,200.82
|
| Rate for Payer: Priority Health Medicare |
$7,200.82
|
| Rate for Payer: Railroad Medicare Medicare |
$7,200.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,200.82
|
| Rate for Payer: UHC Medicare Advantage |
$7,200.82
|
| Rate for Payer: VA VA |
$7,200.82
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$48,819.72
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$37,102.99 |
| Max. Negotiated Rate |
$48,819.72 |
| Rate for Payer: Aetna Medicare |
$40,618.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,819.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,819.72
|
| Rate for Payer: BCBS MAPPO |
$39,055.78
|
| Rate for Payer: BCN Medicare Advantage |
$39,055.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,055.78
|
| Rate for Payer: Mclaren Medicare |
$39,055.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,008.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,914.15
|
| Rate for Payer: PACE Medicare |
$37,102.99
|
| Rate for Payer: PACE SWMI |
$39,055.78
|
| Rate for Payer: PHP Medicare Advantage |
$39,055.78
|
| Rate for Payer: Priority Health Medicare |
$39,055.78
|
| Rate for Payer: Railroad Medicare Medicare |
$39,055.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,055.78
|
| Rate for Payer: UHC Medicare Advantage |
$39,055.78
|
| Rate for Payer: VA VA |
$39,055.78
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$20,123.89
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$15,294.15 |
| Max. Negotiated Rate |
$20,123.89 |
| Rate for Payer: Aetna Medicare |
$16,743.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,123.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,123.89
|
| Rate for Payer: BCBS MAPPO |
$16,099.11
|
| Rate for Payer: BCN Medicare Advantage |
$16,099.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,099.11
|
| Rate for Payer: Mclaren Medicare |
$16,099.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,904.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,513.98
|
| Rate for Payer: PACE Medicare |
$15,294.15
|
| Rate for Payer: PACE SWMI |
$16,099.11
|
| Rate for Payer: PHP Medicare Advantage |
$16,099.11
|
| Rate for Payer: Priority Health Medicare |
$16,099.11
|
| Rate for Payer: Railroad Medicare Medicare |
$16,099.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,099.11
|
| Rate for Payer: UHC Medicare Advantage |
$16,099.11
|
| Rate for Payer: VA VA |
$16,099.11
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,787.52
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$10,478.52 |
| Max. Negotiated Rate |
$13,787.52 |
| Rate for Payer: Aetna Medicare |
$11,471.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,787.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,787.52
|
| Rate for Payer: BCBS MAPPO |
$11,030.02
|
| Rate for Payer: BCN Medicare Advantage |
$11,030.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,030.02
|
| Rate for Payer: Mclaren Medicare |
$11,030.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,581.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,684.52
|
| Rate for Payer: PACE Medicare |
$10,478.52
|
| Rate for Payer: PACE SWMI |
$11,030.02
|
| Rate for Payer: PHP Medicare Advantage |
$11,030.02
|
| Rate for Payer: Priority Health Medicare |
$11,030.02
|
| Rate for Payer: Railroad Medicare Medicare |
$11,030.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,030.02
|
| Rate for Payer: UHC Medicare Advantage |
$11,030.02
|
| Rate for Payer: VA VA |
$11,030.02
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$12,827.14
|
|
|
Service Code
|
MSDRG 847
|
| 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: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$25,186.85
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$19,142.01 |
| Max. Negotiated Rate |
$25,186.85 |
| Rate for Payer: Aetna Medicare |
$20,955.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,186.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,186.85
|
| Rate for Payer: BCBS MAPPO |
$20,149.48
|
| Rate for Payer: BCN Medicare Advantage |
$20,149.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,149.48
|
| Rate for Payer: Mclaren Medicare |
$20,149.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,156.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,171.90
|
| Rate for Payer: PACE Medicare |
$19,142.01
|
| Rate for Payer: PACE SWMI |
$20,149.48
|
| Rate for Payer: PHP Medicare Advantage |
$20,149.48
|
| Rate for Payer: Priority Health Medicare |
$20,149.48
|
| Rate for Payer: Railroad Medicare Medicare |
$20,149.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,149.48
|
| Rate for Payer: UHC Medicare Advantage |
$20,149.48
|
| Rate for Payer: VA VA |
$20,149.48
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,475.06
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$6,441.05 |
| Max. Negotiated Rate |
$8,475.06 |
| Rate for Payer: Aetna Medicare |
$7,051.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,475.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,475.06
|
| Rate for Payer: BCBS MAPPO |
$6,780.05
|
| Rate for Payer: BCN Medicare Advantage |
$6,780.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,780.05
|
| Rate for Payer: Mclaren Medicare |
$6,780.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,119.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,797.06
|
| Rate for Payer: PACE Medicare |
$6,441.05
|
| Rate for Payer: PACE SWMI |
$6,780.05
|
| Rate for Payer: PHP Medicare Advantage |
$6,780.05
|
| Rate for Payer: Priority Health Medicare |
$6,780.05
|
| Rate for Payer: Railroad Medicare Medicare |
$6,780.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,780.05
|
| Rate for Payer: UHC Medicare Advantage |
$6,780.05
|
| Rate for Payer: VA VA |
$6,780.05
|
|
|
MS-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,458.85
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$5,668.73 |
| Max. Negotiated Rate |
$7,458.85 |
| Rate for Payer: Aetna Medicare |
$6,205.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,458.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,458.85
|
| Rate for Payer: BCBS MAPPO |
$5,967.08
|
| Rate for Payer: BCN Medicare Advantage |
$5,967.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,967.08
|
| Rate for Payer: Mclaren Medicare |
$5,967.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,265.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,862.14
|
| Rate for Payer: PACE Medicare |
$5,668.73
|
| Rate for Payer: PACE SWMI |
$5,967.08
|
| Rate for Payer: PHP Medicare Advantage |
$5,967.08
|
| Rate for Payer: Priority Health Medicare |
$5,967.08
|
| Rate for Payer: Railroad Medicare Medicare |
$5,967.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,967.08
|
| Rate for Payer: UHC Medicare Advantage |
$5,967.08
|
| Rate for Payer: VA VA |
$5,967.08
|
|
|
MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$363,863.16
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$276,536.00 |
| Max. Negotiated Rate |
$363,863.16 |
| Rate for Payer: Aetna Medicare |
$302,734.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$363,863.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$363,863.16
|
| Rate for Payer: BCBS MAPPO |
$291,090.53
|
| Rate for Payer: BCN Medicare Advantage |
$291,090.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$291,090.53
|
| Rate for Payer: Mclaren Medicare |
$291,090.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$305,645.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$334,754.11
|
| Rate for Payer: PACE Medicare |
$276,536.00
|
| Rate for Payer: PACE SWMI |
$291,090.53
|
| Rate for Payer: PHP Medicare Advantage |
$291,090.53
|
| Rate for Payer: Priority Health Medicare |
$291,090.53
|
| Rate for Payer: Railroad Medicare Medicare |
$291,090.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$291,090.53
|
| Rate for Payer: UHC Medicare Advantage |
$291,090.53
|
| Rate for Payer: VA VA |
$291,090.53
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$19,641.30
|
|
|
Service Code
|
MSDRG 415
|
| Min. Negotiated Rate |
$14,927.39 |
| Max. Negotiated Rate |
$19,641.30 |
| Rate for Payer: Aetna Medicare |
$16,341.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,641.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,641.30
|
| Rate for Payer: BCBS MAPPO |
$15,713.04
|
| Rate for Payer: BCN Medicare Advantage |
$15,713.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,713.04
|
| Rate for Payer: Mclaren Medicare |
$15,713.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,498.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,070.00
|
| Rate for Payer: PACE Medicare |
$14,927.39
|
| Rate for Payer: PACE SWMI |
$15,713.04
|
| Rate for Payer: PHP Medicare Advantage |
$15,713.04
|
| Rate for Payer: Priority Health Medicare |
$15,713.04
|
| Rate for Payer: Railroad Medicare Medicare |
$15,713.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,713.04
|
| Rate for Payer: UHC Medicare Advantage |
$15,713.04
|
| Rate for Payer: VA VA |
$15,713.04
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$34,337.93
|
|
|
Service Code
|
MSDRG 414
|
| Min. Negotiated Rate |
$26,096.82 |
| Max. Negotiated Rate |
$34,337.93 |
| Rate for Payer: Aetna Medicare |
$28,569.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,337.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,337.93
|
| Rate for Payer: BCBS MAPPO |
$27,470.34
|
| Rate for Payer: BCN Medicare Advantage |
$27,470.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,470.34
|
| Rate for Payer: Mclaren Medicare |
$27,470.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,843.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,590.89
|
| Rate for Payer: PACE Medicare |
$26,096.82
|
| Rate for Payer: PACE SWMI |
$27,470.34
|
| Rate for Payer: PHP Medicare Advantage |
$27,470.34
|
| Rate for Payer: Priority Health Medicare |
$27,470.34
|
| Rate for Payer: Railroad Medicare Medicare |
$27,470.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,470.34
|
| Rate for Payer: UHC Medicare Advantage |
$27,470.34
|
| Rate for Payer: VA VA |
$27,470.34
|
|
