|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$24,708.12
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$18,778.17 |
| Max. Negotiated Rate |
$24,708.12 |
| Rate for Payer: Aetna Medicare |
$20,557.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,708.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,708.12
|
| Rate for Payer: BCBS MAPPO |
$19,766.50
|
| Rate for Payer: BCN Medicare Advantage |
$19,766.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,766.50
|
| Rate for Payer: Mclaren Medicare |
$19,766.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,754.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,731.47
|
| Rate for Payer: PACE Medicare |
$18,778.17
|
| Rate for Payer: PACE SWMI |
$19,766.50
|
| Rate for Payer: PHP Medicare Advantage |
$19,766.50
|
| Rate for Payer: Priority Health Medicare |
$19,766.50
|
| Rate for Payer: Railroad Medicare Medicare |
$19,766.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,766.50
|
| Rate for Payer: UHC Medicare Advantage |
$19,766.50
|
| Rate for Payer: VA VA |
$19,766.50
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$13,440.74
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$10,214.96 |
| Max. Negotiated Rate |
$13,440.74 |
| Rate for Payer: Aetna Medicare |
$11,182.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,440.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,440.74
|
| Rate for Payer: BCBS MAPPO |
$10,752.59
|
| Rate for Payer: BCN Medicare Advantage |
$10,752.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,752.59
|
| Rate for Payer: Mclaren Medicare |
$10,752.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,290.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,365.48
|
| Rate for Payer: PACE Medicare |
$10,214.96
|
| Rate for Payer: PACE SWMI |
$10,752.59
|
| Rate for Payer: PHP Medicare Advantage |
$10,752.59
|
| Rate for Payer: Priority Health Medicare |
$10,752.59
|
| Rate for Payer: Railroad Medicare Medicare |
$10,752.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,752.59
|
| Rate for Payer: UHC Medicare Advantage |
$10,752.59
|
| Rate for Payer: VA VA |
$10,752.59
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$9,647.36
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$7,332.00 |
| Max. Negotiated Rate |
$9,647.36 |
| Rate for Payer: Aetna Medicare |
$8,026.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,647.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,647.36
|
| Rate for Payer: BCBS MAPPO |
$7,717.89
|
| Rate for Payer: BCN Medicare Advantage |
$7,717.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,717.89
|
| Rate for Payer: Mclaren Medicare |
$7,717.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,103.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,875.57
|
| Rate for Payer: PACE Medicare |
$7,332.00
|
| Rate for Payer: PACE SWMI |
$7,717.89
|
| Rate for Payer: PHP Medicare Advantage |
$7,717.89
|
| Rate for Payer: Priority Health Medicare |
$7,717.89
|
| Rate for Payer: Railroad Medicare Medicare |
$7,717.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,717.89
|
| Rate for Payer: UHC Medicare Advantage |
$7,717.89
|
| Rate for Payer: VA VA |
$7,717.89
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$16,360.40
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$12,433.90 |
| Max. Negotiated Rate |
$16,360.40 |
| Rate for Payer: Aetna Medicare |
$13,611.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,360.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,360.40
|
| Rate for Payer: BCBS MAPPO |
$13,088.32
|
| Rate for Payer: BCN Medicare Advantage |
$13,088.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,088.32
|
| Rate for Payer: Mclaren Medicare |
$13,088.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,742.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,051.57
|
| Rate for Payer: PACE Medicare |
$12,433.90
|
| Rate for Payer: PACE SWMI |
$13,088.32
|
| Rate for Payer: PHP Medicare Advantage |
$13,088.32
|
| Rate for Payer: Priority Health Medicare |
$13,088.32
|
| Rate for Payer: Railroad Medicare Medicare |
$13,088.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,088.32
|
| Rate for Payer: UHC Medicare Advantage |
$13,088.32
|
| Rate for Payer: VA VA |
$13,088.32
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,940.56
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$5,274.83 |
| Max. Negotiated Rate |
$6,940.56 |
| Rate for Payer: Aetna Medicare |
$5,774.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,940.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,940.56
|
| Rate for Payer: BCBS MAPPO |
$5,552.45
|
| Rate for Payer: BCN Medicare Advantage |
$5,552.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,552.45
|
| Rate for Payer: Mclaren Medicare |
$5,552.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,830.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,385.32
|
| Rate for Payer: PACE Medicare |
$5,274.83
|
| Rate for Payer: PACE SWMI |
$5,552.45
|
| Rate for Payer: PHP Medicare Advantage |
$5,552.45
|
| Rate for Payer: Priority Health Medicare |
$5,552.45
|
| Rate for Payer: Railroad Medicare Medicare |
$5,552.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,552.45
|
| Rate for Payer: UHC Medicare Advantage |
$5,552.45
|
| Rate for Payer: VA VA |
$5,552.45
|
|
|
MS-DRG 42.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$9,392.11
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$7,138.01 |
| Max. Negotiated Rate |
$9,392.11 |
| Rate for Payer: Aetna Medicare |
$7,814.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,392.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,392.11
|
| Rate for Payer: BCBS MAPPO |
$7,513.69
|
| Rate for Payer: BCN Medicare Advantage |
$7,513.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,513.69
|
| Rate for Payer: Mclaren Medicare |
$7,513.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,889.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,640.74
|
| Rate for Payer: PACE Medicare |
$7,138.01
|
| Rate for Payer: PACE SWMI |
$7,513.69
|
| Rate for Payer: PHP Medicare Advantage |
$7,513.69
|
| Rate for Payer: Priority Health Medicare |
$7,513.69
|
| Rate for Payer: Railroad Medicare Medicare |
$7,513.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,513.69
|
| Rate for Payer: UHC Medicare Advantage |
$7,513.69
|
| Rate for Payer: VA VA |
$7,513.69
|
|
|
MS-DRG 42.00: DIABETES WITH CC
|
Facility
|
IP
|
$9,421.96
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$7,160.69 |
| Max. Negotiated Rate |
$9,421.96 |
| Rate for Payer: Aetna Medicare |
$7,839.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,421.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,421.96
|
| Rate for Payer: BCBS MAPPO |
$7,537.57
|
| Rate for Payer: BCN Medicare Advantage |
$7,537.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,537.57
|
| Rate for Payer: Mclaren Medicare |
$7,537.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,914.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,668.21
|
| Rate for Payer: PACE Medicare |
$7,160.69
|
| Rate for Payer: PACE SWMI |
$7,537.57
|
| Rate for Payer: PHP Medicare Advantage |
$7,537.57
|
| Rate for Payer: Priority Health Medicare |
$7,537.57
|
| Rate for Payer: Railroad Medicare Medicare |
$7,537.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,537.57
|
| Rate for Payer: UHC Medicare Advantage |
$7,537.57
|
| Rate for Payer: VA VA |
$7,537.57
|
|
|
MS-DRG 42.00: DIABETES WITH MCC
|
Facility
|
IP
|
$14,614.95
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$11,107.36 |
| Max. Negotiated Rate |
$14,614.95 |
| Rate for Payer: Aetna Medicare |
$12,159.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,614.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,614.95
|
| Rate for Payer: BCBS MAPPO |
$11,691.96
|
| Rate for Payer: BCN Medicare Advantage |
$11,691.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,691.96
|
| Rate for Payer: Mclaren Medicare |
$11,691.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,276.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,445.75
|
| Rate for Payer: PACE Medicare |
$11,107.36
|
| Rate for Payer: PACE SWMI |
$11,691.96
|
| Rate for Payer: PHP Medicare Advantage |
$11,691.96
|
| Rate for Payer: Priority Health Medicare |
$11,691.96
|
| Rate for Payer: Railroad Medicare Medicare |
$11,691.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,691.96
|
| Rate for Payer: UHC Medicare Advantage |
$11,691.96
|
| Rate for Payer: VA VA |
$11,691.96
|
|
|
MS-DRG 42.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,622.70
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$5,033.25 |
| Max. Negotiated Rate |
$6,622.70 |
| Rate for Payer: Aetna Medicare |
$5,510.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,622.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,622.70
|
| Rate for Payer: BCBS MAPPO |
$5,298.16
|
| Rate for Payer: BCN Medicare Advantage |
$5,298.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,298.16
|
| Rate for Payer: Mclaren Medicare |
$5,298.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,563.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,092.88
|
| Rate for Payer: PACE Medicare |
$5,033.25
|
| Rate for Payer: PACE SWMI |
$5,298.16
|
| Rate for Payer: PHP Medicare Advantage |
$5,298.16
|
| Rate for Payer: Priority Health Medicare |
$5,298.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5,298.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,298.16
|
| Rate for Payer: UHC Medicare Advantage |
$5,298.16
|
| Rate for Payer: VA VA |
$5,298.16
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$12,422.58
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$9,441.16 |
| Max. Negotiated Rate |
$12,422.58 |
| Rate for Payer: Aetna Medicare |
$10,335.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,422.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,422.58
|
| Rate for Payer: BCBS MAPPO |
$9,938.06
|
| Rate for Payer: BCN Medicare Advantage |
$9,938.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,938.06
|
| Rate for Payer: Mclaren Medicare |
$9,938.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,434.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,428.77
|
| Rate for Payer: PACE Medicare |
$9,441.16
|
| Rate for Payer: PACE SWMI |
$9,938.06
|
| Rate for Payer: PHP Medicare Advantage |
$9,938.06
|
| Rate for Payer: Priority Health Medicare |
$9,938.06
|
| Rate for Payer: Railroad Medicare Medicare |
$9,938.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,938.06
|
| Rate for Payer: UHC Medicare Advantage |
$9,938.06
|
| Rate for Payer: VA VA |
$9,938.06
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$20,925.35
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$15,903.27 |
| Max. Negotiated Rate |
$20,925.35 |
| Rate for Payer: Aetna Medicare |
$17,409.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,925.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,925.35
|
| Rate for Payer: BCBS MAPPO |
$16,740.28
|
| Rate for Payer: BCN Medicare Advantage |
$16,740.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,740.28
|
| Rate for Payer: Mclaren Medicare |
$16,740.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,577.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,251.32
|
| Rate for Payer: PACE Medicare |
$15,903.27
|
| Rate for Payer: PACE SWMI |
$16,740.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,740.28
|
| Rate for Payer: Priority Health Medicare |
$16,740.28
|
| Rate for Payer: Railroad Medicare Medicare |
$16,740.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,740.28
|
| Rate for Payer: UHC Medicare Advantage |
$16,740.28
|
| Rate for Payer: VA VA |
$16,740.28
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$9,092.52
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$6,910.32 |
| Max. Negotiated Rate |
$9,092.52 |
| Rate for Payer: Aetna Medicare |
$7,564.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,092.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,092.52
|
| Rate for Payer: BCBS MAPPO |
$7,274.02
|
| Rate for Payer: BCN Medicare Advantage |
$7,274.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,274.02
|
| Rate for Payer: Mclaren Medicare |
$7,274.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,637.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,365.12
|
| Rate for Payer: PACE Medicare |
$6,910.32
|
| Rate for Payer: PACE SWMI |
$7,274.02
|
| Rate for Payer: PHP Medicare Advantage |
$7,274.02
|
| Rate for Payer: Priority Health Medicare |
$7,274.02
|
| Rate for Payer: Railroad Medicare Medicare |
$7,274.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,274.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,274.02
|
| Rate for Payer: VA VA |
$7,274.02
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$9,893.98
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$7,519.42 |
| Max. Negotiated Rate |
$9,893.98 |
| Rate for Payer: Aetna Medicare |
$8,231.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,893.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,893.98
|
| Rate for Payer: BCBS MAPPO |
$7,915.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,915.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,915.18
|
| Rate for Payer: Mclaren Medicare |
$7,915.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,310.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,102.46
|
| Rate for Payer: PACE Medicare |
$7,519.42
|
| Rate for Payer: PACE SWMI |
$7,915.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,915.18
|
| Rate for Payer: Priority Health Medicare |
$7,915.18
|
| Rate for Payer: Railroad Medicare Medicare |
$7,915.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,915.18
|
| Rate for Payer: UHC Medicare Advantage |
$7,915.18
|
| Rate for Payer: VA VA |
$7,915.18
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$18,796.51
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$14,285.35 |
| Max. Negotiated Rate |
$18,796.51 |
| Rate for Payer: Aetna Medicare |
$15,638.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,796.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,796.51
|
| Rate for Payer: BCBS MAPPO |
$15,037.21
|
| Rate for Payer: BCN Medicare Advantage |
$15,037.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,037.21
|
| Rate for Payer: Mclaren Medicare |
$15,037.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,789.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,292.79
|
| Rate for Payer: PACE Medicare |
$14,285.35
|
| Rate for Payer: PACE SWMI |
$15,037.21
|
| Rate for Payer: PHP Medicare Advantage |
$15,037.21
|
| Rate for Payer: Priority Health Medicare |
$15,037.21
|
| Rate for Payer: Railroad Medicare Medicare |
$15,037.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,037.21
|
| Rate for Payer: UHC Medicare Advantage |
$15,037.21
|
| Rate for Payer: VA VA |
$15,037.21
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,355.75
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$5,590.37 |
| Max. Negotiated Rate |
$7,355.75 |
| Rate for Payer: Aetna Medicare |
$6,119.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,355.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,355.75
|
| Rate for Payer: BCBS MAPPO |
$5,884.60
|
| Rate for Payer: BCN Medicare Advantage |
$5,884.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,884.60
|
| Rate for Payer: Mclaren Medicare |
$5,884.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,178.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,767.29
|
| Rate for Payer: PACE Medicare |
$5,590.37
|
| Rate for Payer: PACE SWMI |
$5,884.60
|
| Rate for Payer: PHP Medicare Advantage |
$5,884.60
|
| Rate for Payer: Priority Health Medicare |
$5,884.60
|
| Rate for Payer: Railroad Medicare Medicare |
$5,884.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,884.60
|
| Rate for Payer: UHC Medicare Advantage |
$5,884.60
|
| Rate for Payer: VA VA |
$5,884.60
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$8,872.89
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$6,743.39 |
| Max. Negotiated Rate |
$8,872.89 |
| Rate for Payer: Aetna Medicare |
$7,382.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,872.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,872.89
|
| Rate for Payer: BCBS MAPPO |
$7,098.31
|
| Rate for Payer: BCN Medicare Advantage |
$7,098.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,098.31
|
| Rate for Payer: Mclaren Medicare |
$7,098.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,453.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,163.06
|
| Rate for Payer: PACE Medicare |
$6,743.39
|
| Rate for Payer: PACE SWMI |
$7,098.31
|
| Rate for Payer: PHP Medicare Advantage |
$7,098.31
|
| Rate for Payer: Priority Health Medicare |
$7,098.31
|
| Rate for Payer: Railroad Medicare Medicare |
$7,098.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,098.31
|
| Rate for Payer: UHC Medicare Advantage |
$7,098.31
|
| Rate for Payer: VA VA |
$7,098.31
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$16,612.79
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$12,625.72 |
| Max. Negotiated Rate |
$16,612.79 |
| Rate for Payer: Aetna Medicare |
$13,821.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,612.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,612.79
|
| Rate for Payer: BCBS MAPPO |
$13,290.23
|
| Rate for Payer: BCN Medicare Advantage |
$13,290.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,290.23
|
| Rate for Payer: Mclaren Medicare |
$13,290.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,954.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,283.76
|
| Rate for Payer: PACE Medicare |
$12,625.72
|
| Rate for Payer: PACE SWMI |
$13,290.23
|
| Rate for Payer: PHP Medicare Advantage |
$13,290.23
|
| Rate for Payer: Priority Health Medicare |
$13,290.23
|
| Rate for Payer: Railroad Medicare Medicare |
$13,290.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,290.23
|
| Rate for Payer: UHC Medicare Advantage |
$13,290.23
|
| Rate for Payer: VA VA |
$13,290.23
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$6,511.94
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$4,949.07 |
| Max. Negotiated Rate |
$6,511.94 |
| Rate for Payer: Aetna Medicare |
$5,417.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,511.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,511.94
|
| Rate for Payer: BCBS MAPPO |
$5,209.55
|
| Rate for Payer: BCN Medicare Advantage |
$5,209.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,209.55
|
| Rate for Payer: Mclaren Medicare |
$5,209.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,470.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,990.98
|
| Rate for Payer: PACE Medicare |
$4,949.07
|
| Rate for Payer: PACE SWMI |
$5,209.55
|
| Rate for Payer: PHP Medicare Advantage |
$5,209.55
|
| Rate for Payer: Priority Health Medicare |
$5,209.55
|
| Rate for Payer: Railroad Medicare Medicare |
$5,209.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,209.55
|
| Rate for Payer: UHC Medicare Advantage |
$5,209.55
|
| Rate for Payer: VA VA |
$5,209.55
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$18,444.91
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$14,018.13 |
| Max. Negotiated Rate |
$18,444.91 |
| Rate for Payer: Aetna Medicare |
$15,346.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,444.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,444.91
|
| Rate for Payer: BCBS MAPPO |
$14,755.93
|
| Rate for Payer: BCN Medicare Advantage |
$14,755.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,755.93
|
| Rate for Payer: Mclaren Medicare |
$14,755.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,493.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,969.32
|
| Rate for Payer: PACE Medicare |
$14,018.13
|
| Rate for Payer: PACE SWMI |
$14,755.93
|
| Rate for Payer: PHP Medicare Advantage |
$14,755.93
|
| Rate for Payer: Priority Health Medicare |
$14,755.93
|
| Rate for Payer: Railroad Medicare Medicare |
$14,755.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,755.93
|
| Rate for Payer: UHC Medicare Advantage |
$14,755.93
|
| Rate for Payer: VA VA |
$14,755.93
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$11,033.50
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$8,385.46 |
| Max. Negotiated Rate |
$11,033.50 |
| Rate for Payer: Aetna Medicare |
$9,179.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,033.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,033.50
|
| Rate for Payer: BCBS MAPPO |
$8,826.80
|
| Rate for Payer: BCN Medicare Advantage |
$8,826.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,826.80
|
| Rate for Payer: Mclaren Medicare |
$8,826.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,268.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,150.82
|
| Rate for Payer: PACE Medicare |
$8,385.46
|
| Rate for Payer: PACE SWMI |
$8,826.80
|
| Rate for Payer: PHP Medicare Advantage |
$8,826.80
|
| Rate for Payer: Priority Health Medicare |
$8,826.80
|
| Rate for Payer: Railroad Medicare Medicare |
$8,826.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,826.80
|
| Rate for Payer: UHC Medicare Advantage |
$8,826.80
|
| Rate for Payer: VA VA |
$8,826.80
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$16,812.16
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$12,777.24 |
| Max. Negotiated Rate |
$16,812.16 |
| Rate for Payer: Aetna Medicare |
$13,987.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,812.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,812.16
|
| Rate for Payer: BCBS MAPPO |
$13,449.73
|
| Rate for Payer: BCN Medicare Advantage |
$13,449.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,449.73
|
| Rate for Payer: Mclaren Medicare |
$13,449.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,122.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,467.19
|
| Rate for Payer: PACE Medicare |
$12,777.24
|
| Rate for Payer: PACE SWMI |
$13,449.73
|
| Rate for Payer: PHP Medicare Advantage |
$13,449.73
|
| Rate for Payer: Priority Health Medicare |
$13,449.73
|
| Rate for Payer: Railroad Medicare Medicare |
$13,449.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,449.73
|
| Rate for Payer: UHC Medicare Advantage |
$13,449.73
|
| Rate for Payer: VA VA |
$13,449.73
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$8,267.00
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$6,282.92 |
| Max. Negotiated Rate |
$8,267.00 |
| Rate for Payer: Aetna Medicare |
$6,878.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,267.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,267.00
|
| Rate for Payer: BCBS MAPPO |
$6,613.60
|
| Rate for Payer: BCN Medicare Advantage |
$6,613.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,613.60
|
| Rate for Payer: Mclaren Medicare |
$6,613.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,944.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,605.64
|
| Rate for Payer: PACE Medicare |
$6,282.92
|
| Rate for Payer: PACE SWMI |
$6,613.60
|
| Rate for Payer: PHP Medicare Advantage |
$6,613.60
|
| Rate for Payer: Priority Health Medicare |
$6,613.60
|
| Rate for Payer: Railroad Medicare Medicare |
$6,613.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,613.60
|
| Rate for Payer: UHC Medicare Advantage |
$6,613.60
|
| Rate for Payer: VA VA |
$6,613.60
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$7,787.29
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$5,918.34 |
| Max. Negotiated Rate |
$7,787.29 |
| Rate for Payer: Aetna Medicare |
$6,479.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,787.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,787.29
|
| Rate for Payer: BCBS MAPPO |
$6,229.83
|
| Rate for Payer: BCN Medicare Advantage |
$6,229.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,229.83
|
| Rate for Payer: Mclaren Medicare |
$6,229.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,541.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,164.30
|
| Rate for Payer: PACE Medicare |
$5,918.34
|
| Rate for Payer: PACE SWMI |
$6,229.83
|
| Rate for Payer: PHP Medicare Advantage |
$6,229.83
|
| Rate for Payer: Priority Health Medicare |
$6,229.83
|
| Rate for Payer: Railroad Medicare Medicare |
$6,229.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,229.83
|
| Rate for Payer: UHC Medicare Advantage |
$6,229.83
|
| Rate for Payer: VA VA |
$6,229.83
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$12,577.62
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$9,559.00 |
| Max. Negotiated Rate |
$12,577.62 |
| Rate for Payer: Aetna Medicare |
$10,464.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,577.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,577.62
|
| Rate for Payer: BCBS MAPPO |
$10,062.10
|
| Rate for Payer: BCN Medicare Advantage |
$10,062.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,062.10
|
| Rate for Payer: Mclaren Medicare |
$10,062.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,565.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,571.42
|
| Rate for Payer: PACE Medicare |
$9,559.00
|
| Rate for Payer: PACE SWMI |
$10,062.10
|
| Rate for Payer: PHP Medicare Advantage |
$10,062.10
|
| Rate for Payer: Priority Health Medicare |
$10,062.10
|
| Rate for Payer: Railroad Medicare Medicare |
$10,062.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,062.10
|
| Rate for Payer: UHC Medicare Advantage |
$10,062.10
|
| Rate for Payer: VA VA |
$10,062.10
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$22,685.25
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$17,240.79 |
| Max. Negotiated Rate |
$22,685.25 |
| Rate for Payer: Aetna Medicare |
$18,874.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,685.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,685.25
|
| Rate for Payer: BCBS MAPPO |
$18,148.20
|
| Rate for Payer: BCN Medicare Advantage |
$18,148.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,148.20
|
| Rate for Payer: Mclaren Medicare |
$18,148.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,055.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,870.43
|
| Rate for Payer: PACE Medicare |
$17,240.79
|
| Rate for Payer: PACE SWMI |
$18,148.20
|
| Rate for Payer: PHP Medicare Advantage |
$18,148.20
|
| Rate for Payer: Priority Health Medicare |
$18,148.20
|
| Rate for Payer: Railroad Medicare Medicare |
$18,148.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,148.20
|
| Rate for Payer: UHC Medicare Advantage |
$18,148.20
|
| Rate for Payer: VA VA |
$18,148.20
|
|
