|
MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC
|
Facility
|
IP
|
$8,844.96
|
|
|
Service Code
|
MSDRG 090
|
| Min. Negotiated Rate |
$6,722.17 |
| Max. Negotiated Rate |
$8,844.96 |
| Rate for Payer: Aetna Medicare |
$7,359.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,844.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,844.96
|
| Rate for Payer: BCBS MAPPO |
$7,075.97
|
| Rate for Payer: BCN Medicare Advantage |
$7,075.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,075.97
|
| Rate for Payer: Mclaren Medicare |
$7,075.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,429.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,137.37
|
| Rate for Payer: PACE Medicare |
$6,722.17
|
| Rate for Payer: PACE SWMI |
$7,075.97
|
| Rate for Payer: PHP Medicare Advantage |
$7,075.97
|
| Rate for Payer: Priority Health Medicare |
$7,075.97
|
| Rate for Payer: Railroad Medicare Medicare |
$7,075.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,075.97
|
| Rate for Payer: UHC Medicare Advantage |
$7,075.97
|
| Rate for Payer: VA VA |
$7,075.97
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$11,738.62
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$8,921.35 |
| Max. Negotiated Rate |
$11,738.62 |
| Rate for Payer: Aetna Medicare |
$9,766.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,738.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,738.62
|
| Rate for Payer: BCBS MAPPO |
$9,390.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,390.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,390.90
|
| Rate for Payer: Mclaren Medicare |
$9,390.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,860.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,799.53
|
| Rate for Payer: PACE Medicare |
$8,921.35
|
| Rate for Payer: PACE SWMI |
$9,390.90
|
| Rate for Payer: PHP Medicare Advantage |
$9,390.90
|
| Rate for Payer: Priority Health Medicare |
$9,390.90
|
| Rate for Payer: Railroad Medicare Medicare |
$9,390.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,390.90
|
| Rate for Payer: UHC Medicare Advantage |
$9,390.90
|
| Rate for Payer: VA VA |
$9,390.90
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$24,927.74
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$18,945.08 |
| Max. Negotiated Rate |
$24,927.74 |
| Rate for Payer: Aetna Medicare |
$20,739.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,927.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,927.74
|
| Rate for Payer: BCBS MAPPO |
$19,942.19
|
| Rate for Payer: BCN Medicare Advantage |
$19,942.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,942.19
|
| Rate for Payer: Mclaren Medicare |
$19,942.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,939.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,933.52
|
| Rate for Payer: PACE Medicare |
$18,945.08
|
| Rate for Payer: PACE SWMI |
$19,942.19
|
| Rate for Payer: PHP Medicare Advantage |
$19,942.19
|
| Rate for Payer: Priority Health Medicare |
$19,942.19
|
| Rate for Payer: Railroad Medicare Medicare |
$19,942.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,942.19
|
| Rate for Payer: UHC Medicare Advantage |
$19,942.19
|
| Rate for Payer: VA VA |
$19,942.19
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,774.76
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$5,908.82 |
| Max. Negotiated Rate |
$7,774.76 |
| Rate for Payer: Aetna Medicare |
$6,468.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,774.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,774.76
|
| Rate for Payer: BCBS MAPPO |
$6,219.81
|
| Rate for Payer: BCN Medicare Advantage |
$6,219.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,219.81
|
| Rate for Payer: Mclaren Medicare |
$6,219.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,530.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,152.78
|
| Rate for Payer: PACE Medicare |
$5,908.82
|
| Rate for Payer: PACE SWMI |
$6,219.81
|
| Rate for Payer: PHP Medicare Advantage |
$6,219.81
|
| Rate for Payer: Priority Health Medicare |
$6,219.81
|
| Rate for Payer: Railroad Medicare Medicare |
$6,219.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,219.81
|
| Rate for Payer: UHC Medicare Advantage |
$6,219.81
|
| Rate for Payer: VA VA |
$6,219.81
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$75,879.93
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$57,668.74 |
| Max. Negotiated Rate |
$75,879.93 |
| Rate for Payer: Aetna Medicare |
$63,132.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$75,879.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$75,879.93
|
| Rate for Payer: BCBS MAPPO |
$60,703.94
|
| Rate for Payer: BCN Medicare Advantage |
$60,703.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60,703.94
|
| Rate for Payer: Mclaren Medicare |
$60,703.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63,739.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69,809.53
|
| Rate for Payer: PACE Medicare |
$57,668.74
|
| Rate for Payer: PACE SWMI |
$60,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$60,703.94
|
| Rate for Payer: Priority Health Medicare |
$60,703.94
|
| Rate for Payer: Railroad Medicare Medicare |
$60,703.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$60,703.94
|
| Rate for Payer: UHC Medicare Advantage |
$60,703.94
|
| Rate for Payer: VA VA |
$60,703.94
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$51,834.76
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$39,394.42 |
| Max. Negotiated Rate |
$51,834.76 |
| Rate for Payer: Aetna Medicare |
$43,126.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,834.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,834.76
|
| Rate for Payer: BCBS MAPPO |
$41,467.81
|
| Rate for Payer: BCN Medicare Advantage |
$41,467.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,467.81
|
| Rate for Payer: Mclaren Medicare |
$41,467.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,541.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,687.98
|
| Rate for Payer: PACE Medicare |
$39,394.42
|
| Rate for Payer: PACE SWMI |
$41,467.81
|
| Rate for Payer: PHP Medicare Advantage |
$41,467.81
|
| Rate for Payer: Priority Health Medicare |
$41,467.81
|
| Rate for Payer: Railroad Medicare Medicare |
$41,467.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,467.81
|
| Rate for Payer: UHC Medicare Advantage |
$41,467.81
|
| Rate for Payer: VA VA |
$41,467.81
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$57,267.60
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$43,523.38 |
| Max. Negotiated Rate |
$57,267.60 |
| Rate for Payer: Aetna Medicare |
$47,646.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,267.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,267.60
|
| Rate for Payer: BCBS MAPPO |
$45,814.08
|
| Rate for Payer: BCN Medicare Advantage |
$45,814.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,814.08
|
| Rate for Payer: Mclaren Medicare |
$45,814.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,104.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,686.19
|
| Rate for Payer: PACE Medicare |
$43,523.38
|
| Rate for Payer: PACE SWMI |
$45,814.08
|
| Rate for Payer: PHP Medicare Advantage |
$45,814.08
|
| Rate for Payer: Priority Health Medicare |
$45,814.08
|
| Rate for Payer: Railroad Medicare Medicare |
$45,814.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,814.08
|
| Rate for Payer: UHC Medicare Advantage |
$45,814.08
|
| Rate for Payer: VA VA |
$45,814.08
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$40,197.49
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$30,550.09 |
| Max. Negotiated Rate |
$40,197.49 |
| Rate for Payer: Aetna Medicare |
$33,444.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,197.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,197.49
|
| Rate for Payer: BCBS MAPPO |
$32,157.99
|
| Rate for Payer: BCN Medicare Advantage |
$32,157.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,157.99
|
| Rate for Payer: Mclaren Medicare |
$32,157.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,765.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,981.69
|
| Rate for Payer: PACE Medicare |
$30,550.09
|
| Rate for Payer: PACE SWMI |
$32,157.99
|
| Rate for Payer: PHP Medicare Advantage |
$32,157.99
|
| Rate for Payer: Priority Health Medicare |
$32,157.99
|
| Rate for Payer: Railroad Medicare Medicare |
$32,157.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,157.99
|
| Rate for Payer: UHC Medicare Advantage |
$32,157.99
|
| Rate for Payer: VA VA |
$32,157.99
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$82,213.44
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$62,482.21 |
| Max. Negotiated Rate |
$82,213.44 |
| Rate for Payer: Aetna Medicare |
$68,401.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82,213.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82,213.44
|
| Rate for Payer: BCBS MAPPO |
$65,770.75
|
| Rate for Payer: BCN Medicare Advantage |
$65,770.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65,770.75
|
| Rate for Payer: Mclaren Medicare |
$65,770.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69,059.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75,636.36
|
| Rate for Payer: PACE Medicare |
$62,482.21
|
| Rate for Payer: PACE SWMI |
$65,770.75
|
| Rate for Payer: PHP Medicare Advantage |
$65,770.75
|
| Rate for Payer: Priority Health Medicare |
$65,770.75
|
| Rate for Payer: Railroad Medicare Medicare |
$65,770.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$65,770.75
|
| Rate for Payer: UHC Medicare Advantage |
$65,770.75
|
| Rate for Payer: VA VA |
$65,770.75
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$59,430.16
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$45,166.92 |
| Max. Negotiated Rate |
$59,430.16 |
| Rate for Payer: Aetna Medicare |
$49,445.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59,430.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59,430.16
|
| Rate for Payer: BCBS MAPPO |
$47,544.13
|
| Rate for Payer: BCN Medicare Advantage |
$47,544.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,544.13
|
| Rate for Payer: Mclaren Medicare |
$47,544.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,921.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,675.75
|
| Rate for Payer: PACE Medicare |
$45,166.92
|
| Rate for Payer: PACE SWMI |
$47,544.13
|
| Rate for Payer: PHP Medicare Advantage |
$47,544.13
|
| Rate for Payer: Priority Health Medicare |
$47,544.13
|
| Rate for Payer: Railroad Medicare Medicare |
$47,544.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,544.13
|
| Rate for Payer: UHC Medicare Advantage |
$47,544.13
|
| Rate for Payer: VA VA |
$47,544.13
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$41,616.40
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$31,628.46 |
| Max. Negotiated Rate |
$41,616.40 |
| Rate for Payer: Aetna Medicare |
$34,624.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,616.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,616.40
|
| Rate for Payer: BCBS MAPPO |
$33,293.12
|
| Rate for Payer: BCN Medicare Advantage |
$33,293.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,293.12
|
| Rate for Payer: Mclaren Medicare |
$33,293.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,957.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,287.09
|
| Rate for Payer: PACE Medicare |
$31,628.46
|
| Rate for Payer: PACE SWMI |
$33,293.12
|
| Rate for Payer: PHP Medicare Advantage |
$33,293.12
|
| Rate for Payer: Priority Health Medicare |
$33,293.12
|
| Rate for Payer: Railroad Medicare Medicare |
$33,293.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,293.12
|
| Rate for Payer: UHC Medicare Advantage |
$33,293.12
|
| Rate for Payer: VA VA |
$33,293.12
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$31,364.30
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$23,836.87 |
| Max. Negotiated Rate |
$31,364.30 |
| Rate for Payer: Aetna Medicare |
$26,095.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,364.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,364.30
|
| Rate for Payer: BCBS MAPPO |
$25,091.44
|
| Rate for Payer: BCN Medicare Advantage |
$25,091.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,091.44
|
| Rate for Payer: Mclaren Medicare |
$25,091.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,346.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,855.16
|
| Rate for Payer: PACE Medicare |
$23,836.87
|
| Rate for Payer: PACE SWMI |
$25,091.44
|
| Rate for Payer: PHP Medicare Advantage |
$25,091.44
|
| Rate for Payer: Priority Health Medicare |
$25,091.44
|
| Rate for Payer: Railroad Medicare Medicare |
$25,091.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,091.44
|
| Rate for Payer: UHC Medicare Advantage |
$25,091.44
|
| Rate for Payer: VA VA |
$25,091.44
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$28,156.60
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$21,399.02 |
| Max. Negotiated Rate |
$28,156.60 |
| Rate for Payer: Aetna Medicare |
$23,426.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,156.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,156.60
|
| Rate for Payer: BCBS MAPPO |
$22,525.28
|
| Rate for Payer: BCN Medicare Advantage |
$22,525.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,525.28
|
| Rate for Payer: Mclaren Medicare |
$22,525.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,651.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,904.07
|
| Rate for Payer: PACE Medicare |
$21,399.02
|
| Rate for Payer: PACE SWMI |
$22,525.28
|
| Rate for Payer: PHP Medicare Advantage |
$22,525.28
|
| Rate for Payer: Priority Health Medicare |
$22,525.28
|
| Rate for Payer: Railroad Medicare Medicare |
$22,525.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,525.28
|
| Rate for Payer: UHC Medicare Advantage |
$22,525.28
|
| Rate for Payer: VA VA |
$22,525.28
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$15,475.16
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$11,761.12 |
| Max. Negotiated Rate |
$15,475.16 |
| Rate for Payer: Aetna Medicare |
$12,875.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,475.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,475.16
|
| Rate for Payer: BCBS MAPPO |
$12,380.13
|
| Rate for Payer: BCN Medicare Advantage |
$12,380.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,380.13
|
| Rate for Payer: Mclaren Medicare |
$12,380.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,999.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,237.15
|
| Rate for Payer: PACE Medicare |
$11,761.12
|
| Rate for Payer: PACE SWMI |
$12,380.13
|
| Rate for Payer: PHP Medicare Advantage |
$12,380.13
|
| Rate for Payer: Priority Health Medicare |
$12,380.13
|
| Rate for Payer: Railroad Medicare Medicare |
$12,380.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,380.13
|
| Rate for Payer: UHC Medicare Advantage |
$12,380.13
|
| Rate for Payer: VA VA |
$12,380.13
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$10,628.00
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$8,077.28 |
| Max. Negotiated Rate |
$10,628.00 |
| Rate for Payer: Aetna Medicare |
$8,842.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,628.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,628.00
|
| Rate for Payer: BCBS MAPPO |
$8,502.40
|
| Rate for Payer: BCN Medicare Advantage |
$8,502.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,502.40
|
| Rate for Payer: Mclaren Medicare |
$8,502.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,927.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,777.76
|
| Rate for Payer: PACE Medicare |
$8,077.28
|
| Rate for Payer: PACE SWMI |
$8,502.40
|
| Rate for Payer: PHP Medicare Advantage |
$8,502.40
|
| Rate for Payer: Priority Health Medicare |
$8,502.40
|
| Rate for Payer: Railroad Medicare Medicare |
$8,502.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,502.40
|
| Rate for Payer: UHC Medicare Advantage |
$8,502.40
|
| Rate for Payer: VA VA |
$8,502.40
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$30,049.44
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$22,837.57 |
| Max. Negotiated Rate |
$30,049.44 |
| Rate for Payer: Aetna Medicare |
$25,001.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,049.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,049.44
|
| Rate for Payer: BCBS MAPPO |
$24,039.55
|
| Rate for Payer: BCN Medicare Advantage |
$24,039.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,039.55
|
| Rate for Payer: Mclaren Medicare |
$24,039.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,241.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,645.48
|
| Rate for Payer: PACE Medicare |
$22,837.57
|
| Rate for Payer: PACE SWMI |
$24,039.55
|
| Rate for Payer: PHP Medicare Advantage |
$24,039.55
|
| Rate for Payer: Priority Health Medicare |
$24,039.55
|
| Rate for Payer: Railroad Medicare Medicare |
$24,039.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,039.55
|
| Rate for Payer: UHC Medicare Advantage |
$24,039.55
|
| Rate for Payer: VA VA |
$24,039.55
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$43,667.19
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$33,187.06 |
| Max. Negotiated Rate |
$43,667.19 |
| Rate for Payer: Aetna Medicare |
$36,331.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,667.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,667.19
|
| Rate for Payer: BCBS MAPPO |
$34,933.75
|
| Rate for Payer: BCN Medicare Advantage |
$34,933.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,933.75
|
| Rate for Payer: Mclaren Medicare |
$34,933.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,680.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,173.81
|
| Rate for Payer: PACE Medicare |
$33,187.06
|
| Rate for Payer: PACE SWMI |
$34,933.75
|
| Rate for Payer: PHP Medicare Advantage |
$34,933.75
|
| Rate for Payer: Priority Health Medicare |
$34,933.75
|
| Rate for Payer: Railroad Medicare Medicare |
$34,933.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,933.75
|
| Rate for Payer: UHC Medicare Advantage |
$34,933.75
|
| Rate for Payer: VA VA |
$34,933.75
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,358.44
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$18,512.41 |
| Max. Negotiated Rate |
$24,358.44 |
| Rate for Payer: Aetna Medicare |
$20,266.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,358.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,358.44
|
| Rate for Payer: BCBS MAPPO |
$19,486.75
|
| Rate for Payer: BCN Medicare Advantage |
$19,486.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,486.75
|
| Rate for Payer: Mclaren Medicare |
$19,486.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,461.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,409.76
|
| Rate for Payer: PACE Medicare |
$18,512.41
|
| Rate for Payer: PACE SWMI |
$19,486.75
|
| Rate for Payer: PHP Medicare Advantage |
$19,486.75
|
| Rate for Payer: Priority Health Medicare |
$19,486.75
|
| Rate for Payer: Railroad Medicare Medicare |
$19,486.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,486.75
|
| Rate for Payer: UHC Medicare Advantage |
$19,486.75
|
| Rate for Payer: VA VA |
$19,486.75
|
|
|
MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$66,361.86
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$50,435.02 |
| Max. Negotiated Rate |
$66,361.86 |
| Rate for Payer: Aetna Medicare |
$55,213.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66,361.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66,361.86
|
| Rate for Payer: BCBS MAPPO |
$53,089.49
|
| Rate for Payer: BCN Medicare Advantage |
$53,089.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53,089.49
|
| Rate for Payer: Mclaren Medicare |
$53,089.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,743.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61,052.91
|
| Rate for Payer: PACE Medicare |
$50,435.02
|
| Rate for Payer: PACE SWMI |
$53,089.49
|
| Rate for Payer: PHP Medicare Advantage |
$53,089.49
|
| Rate for Payer: Priority Health Medicare |
$53,089.49
|
| Rate for Payer: Railroad Medicare Medicare |
$53,089.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$53,089.49
|
| Rate for Payer: UHC Medicare Advantage |
$53,089.49
|
| Rate for Payer: VA VA |
$53,089.49
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$55,542.40
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$42,212.22 |
| Max. Negotiated Rate |
$55,542.40 |
| Rate for Payer: Aetna Medicare |
$46,211.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,542.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,542.40
|
| Rate for Payer: BCBS MAPPO |
$44,433.92
|
| Rate for Payer: BCN Medicare Advantage |
$44,433.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,433.92
|
| Rate for Payer: Mclaren Medicare |
$44,433.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,655.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,099.01
|
| Rate for Payer: PACE Medicare |
$42,212.22
|
| Rate for Payer: PACE SWMI |
$44,433.92
|
| Rate for Payer: PHP Medicare Advantage |
$44,433.92
|
| Rate for Payer: Priority Health Medicare |
$44,433.92
|
| Rate for Payer: Railroad Medicare Medicare |
$44,433.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,433.92
|
| Rate for Payer: UHC Medicare Advantage |
$44,433.92
|
| Rate for Payer: VA VA |
$44,433.92
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$37,207.51
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$28,277.71 |
| Max. Negotiated Rate |
$37,207.51 |
| Rate for Payer: Aetna Medicare |
$30,956.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,207.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,207.51
|
| Rate for Payer: BCBS MAPPO |
$29,766.01
|
| Rate for Payer: BCN Medicare Advantage |
$29,766.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,766.01
|
| Rate for Payer: Mclaren Medicare |
$29,766.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,254.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,230.91
|
| Rate for Payer: PACE Medicare |
$28,277.71
|
| Rate for Payer: PACE SWMI |
$29,766.01
|
| Rate for Payer: PHP Medicare Advantage |
$29,766.01
|
| Rate for Payer: Priority Health Medicare |
$29,766.01
|
| Rate for Payer: Railroad Medicare Medicare |
$29,766.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,766.01
|
| Rate for Payer: UHC Medicare Advantage |
$29,766.01
|
| Rate for Payer: VA VA |
$29,766.01
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$19,409.16
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$14,750.96 |
| Max. Negotiated Rate |
$19,409.16 |
| Rate for Payer: Aetna Medicare |
$16,148.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,409.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,409.16
|
| Rate for Payer: BCBS MAPPO |
$15,527.33
|
| Rate for Payer: BCN Medicare Advantage |
$15,527.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,527.33
|
| Rate for Payer: Mclaren Medicare |
$15,527.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,303.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,856.43
|
| Rate for Payer: PACE Medicare |
$14,750.96
|
| Rate for Payer: PACE SWMI |
$15,527.33
|
| Rate for Payer: PHP Medicare Advantage |
$15,527.33
|
| Rate for Payer: Priority Health Medicare |
$15,527.33
|
| Rate for Payer: Railroad Medicare Medicare |
$15,527.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,527.33
|
| Rate for Payer: UHC Medicare Advantage |
$15,527.33
|
| Rate for Payer: VA VA |
$15,527.33
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$10,458.46
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$7,948.43 |
| Max. Negotiated Rate |
$10,458.46 |
| Rate for Payer: Aetna Medicare |
$8,701.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,458.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,458.46
|
| Rate for Payer: BCBS MAPPO |
$8,366.77
|
| Rate for Payer: BCN Medicare Advantage |
$8,366.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,366.77
|
| Rate for Payer: Mclaren Medicare |
$8,366.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,785.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,621.79
|
| Rate for Payer: PACE Medicare |
$7,948.43
|
| Rate for Payer: PACE SWMI |
$8,366.77
|
| Rate for Payer: PHP Medicare Advantage |
$8,366.77
|
| Rate for Payer: Priority Health Medicare |
$8,366.77
|
| Rate for Payer: Railroad Medicare Medicare |
$8,366.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,366.77
|
| Rate for Payer: UHC Medicare Advantage |
$8,366.77
|
| Rate for Payer: VA VA |
$8,366.77
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
|
Facility
|
IP
|
$12,415.83
|
|
|
Service Code
|
MSDRG 294
|
| Min. Negotiated Rate |
$9,436.03 |
| Max. Negotiated Rate |
$12,415.83 |
| Rate for Payer: Aetna Medicare |
$10,329.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,415.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,415.83
|
| Rate for Payer: BCBS MAPPO |
$9,932.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,932.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,932.66
|
| Rate for Payer: Mclaren Medicare |
$9,932.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,429.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,422.56
|
| Rate for Payer: PACE Medicare |
$9,436.03
|
| Rate for Payer: PACE SWMI |
$9,932.66
|
| Rate for Payer: PHP Medicare Advantage |
$9,932.66
|
| Rate for Payer: Priority Health Medicare |
$9,932.66
|
| Rate for Payer: Railroad Medicare Medicare |
$9,932.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,932.66
|
| Rate for Payer: UHC Medicare Advantage |
$9,932.66
|
| Rate for Payer: VA VA |
$9,932.66
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,194.77
|
|
|
Service Code
|
MSDRG 295
|
| Min. Negotiated Rate |
$6,228.03 |
| Max. Negotiated Rate |
$8,194.77 |
| Rate for Payer: Aetna Medicare |
$6,818.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,194.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,194.77
|
| Rate for Payer: BCBS MAPPO |
$6,555.82
|
| Rate for Payer: BCN Medicare Advantage |
$6,555.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,555.82
|
| Rate for Payer: Mclaren Medicare |
$6,555.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,883.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,539.19
|
| Rate for Payer: PACE Medicare |
$6,228.03
|
| Rate for Payer: PACE SWMI |
$6,555.82
|
| Rate for Payer: PHP Medicare Advantage |
$6,555.82
|
| Rate for Payer: Priority Health Medicare |
$6,555.82
|
| Rate for Payer: Railroad Medicare Medicare |
$6,555.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,555.82
|
| Rate for Payer: UHC Medicare Advantage |
$6,555.82
|
| Rate for Payer: VA VA |
$6,555.82
|
|
