|
MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,492.24
|
|
|
Service Code
|
MSDRG 505
|
| Min. Negotiated Rate |
$13,294.10 |
| Max. Negotiated Rate |
$17,492.24 |
| Rate for Payer: Aetna Medicare |
$14,553.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,492.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,492.24
|
| Rate for Payer: BCBS MAPPO |
$13,993.79
|
| Rate for Payer: BCN Medicare Advantage |
$13,993.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,993.79
|
| Rate for Payer: Mclaren Medicare |
$13,993.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,693.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,092.86
|
| Rate for Payer: PACE Medicare |
$13,294.10
|
| Rate for Payer: PACE SWMI |
$13,993.79
|
| Rate for Payer: PHP Medicare Advantage |
$13,993.79
|
| Rate for Payer: Priority Health Medicare |
$13,993.79
|
| Rate for Payer: Railroad Medicare Medicare |
$13,993.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,993.79
|
| Rate for Payer: UHC Medicare Advantage |
$13,993.79
|
| Rate for Payer: VA VA |
$13,993.79
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC
|
Facility
|
IP
|
$15,275.74
|
|
|
Service Code
|
MSDRG 533
|
| Min. Negotiated Rate |
$11,609.56 |
| Max. Negotiated Rate |
$15,275.74 |
| Rate for Payer: Aetna Medicare |
$12,709.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,275.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,275.74
|
| Rate for Payer: BCBS MAPPO |
$12,220.59
|
| Rate for Payer: BCN Medicare Advantage |
$12,220.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,220.59
|
| Rate for Payer: Mclaren Medicare |
$12,220.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,831.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,053.68
|
| Rate for Payer: PACE Medicare |
$11,609.56
|
| Rate for Payer: PACE SWMI |
$12,220.59
|
| Rate for Payer: PHP Medicare Advantage |
$12,220.59
|
| Rate for Payer: Priority Health Medicare |
$12,220.59
|
| Rate for Payer: Railroad Medicare Medicare |
$12,220.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,220.59
|
| Rate for Payer: UHC Medicare Advantage |
$12,220.59
|
| Rate for Payer: VA VA |
$12,220.59
|
|
|
MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC
|
Facility
|
IP
|
$8,427.88
|
|
|
Service Code
|
MSDRG 534
|
| Min. Negotiated Rate |
$6,405.19 |
| Max. Negotiated Rate |
$8,427.88 |
| Rate for Payer: Aetna Medicare |
$7,011.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,427.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,427.88
|
| Rate for Payer: BCBS MAPPO |
$6,742.30
|
| Rate for Payer: BCN Medicare Advantage |
$6,742.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,742.30
|
| Rate for Payer: Mclaren Medicare |
$6,742.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,079.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,753.65
|
| Rate for Payer: PACE Medicare |
$6,405.19
|
| Rate for Payer: PACE SWMI |
$6,742.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,742.30
|
| Rate for Payer: Priority Health Medicare |
$6,742.30
|
| Rate for Payer: Railroad Medicare Medicare |
$6,742.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,742.30
|
| Rate for Payer: UHC Medicare Advantage |
$6,742.30
|
| Rate for Payer: VA VA |
$6,742.30
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC
|
Facility
|
IP
|
$13,397.38
|
|
|
Service Code
|
MSDRG 535
|
| Min. Negotiated Rate |
$10,182.00 |
| Max. Negotiated Rate |
$13,397.38 |
| Rate for Payer: Aetna Medicare |
$11,146.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,397.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,397.38
|
| Rate for Payer: BCBS MAPPO |
$10,717.90
|
| Rate for Payer: BCN Medicare Advantage |
$10,717.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,717.90
|
| Rate for Payer: Mclaren Medicare |
$10,717.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,253.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,325.58
|
| Rate for Payer: PACE Medicare |
$10,182.00
|
| Rate for Payer: PACE SWMI |
$10,717.90
|
| Rate for Payer: PHP Medicare Advantage |
$10,717.90
|
| Rate for Payer: Priority Health Medicare |
$10,717.90
|
| Rate for Payer: Railroad Medicare Medicare |
$10,717.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,717.90
|
| Rate for Payer: UHC Medicare Advantage |
$10,717.90
|
| Rate for Payer: VA VA |
$10,717.90
|
|
|
MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC
|
Facility
|
IP
|
$8,398.00
|
|
|
Service Code
|
MSDRG 536
|
| Min. Negotiated Rate |
$6,382.48 |
| Max. Negotiated Rate |
$8,398.00 |
| Rate for Payer: Aetna Medicare |
$6,987.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,398.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,398.00
|
| Rate for Payer: BCBS MAPPO |
$6,718.40
|
| Rate for Payer: BCN Medicare Advantage |
$6,718.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,718.40
|
| Rate for Payer: Mclaren Medicare |
$6,718.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,054.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,726.16
|
| Rate for Payer: PACE Medicare |
$6,382.48
|
| Rate for Payer: PACE SWMI |
$6,718.40
|
| Rate for Payer: PHP Medicare Advantage |
$6,718.40
|
| Rate for Payer: Priority Health Medicare |
$6,718.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6,718.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,718.40
|
| Rate for Payer: UHC Medicare Advantage |
$6,718.40
|
| Rate for Payer: VA VA |
$6,718.40
|
|
|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
|
Facility
|
IP
|
$14,684.31
|
|
|
Service Code
|
MSDRG 562
|
| Min. Negotiated Rate |
$11,160.08 |
| Max. Negotiated Rate |
$14,684.31 |
| Rate for Payer: Aetna Medicare |
$12,217.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,684.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,684.31
|
| Rate for Payer: BCBS MAPPO |
$11,747.45
|
| Rate for Payer: BCN Medicare Advantage |
$11,747.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,747.45
|
| Rate for Payer: Mclaren Medicare |
$11,747.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,334.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,509.57
|
| Rate for Payer: PACE Medicare |
$11,160.08
|
| Rate for Payer: PACE SWMI |
$11,747.45
|
| Rate for Payer: PHP Medicare Advantage |
$11,747.45
|
| Rate for Payer: Priority Health Medicare |
$11,747.45
|
| Rate for Payer: Railroad Medicare Medicare |
$11,747.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,747.45
|
| Rate for Payer: UHC Medicare Advantage |
$11,747.45
|
| Rate for Payer: VA VA |
$11,747.45
|
|
|
MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
|
Facility
|
IP
|
$9,196.55
|
|
|
Service Code
|
MSDRG 563
|
| Min. Negotiated Rate |
$6,989.38 |
| Max. Negotiated Rate |
$9,196.55 |
| Rate for Payer: Aetna Medicare |
$7,651.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,196.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,196.55
|
| Rate for Payer: BCBS MAPPO |
$7,357.24
|
| Rate for Payer: BCN Medicare Advantage |
$7,357.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,357.24
|
| Rate for Payer: Mclaren Medicare |
$7,357.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,725.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,460.83
|
| Rate for Payer: PACE Medicare |
$6,989.38
|
| Rate for Payer: PACE SWMI |
$7,357.24
|
| Rate for Payer: PHP Medicare Advantage |
$7,357.24
|
| Rate for Payer: Priority Health Medicare |
$7,357.24
|
| Rate for Payer: Railroad Medicare Medicare |
$7,357.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,357.24
|
| Rate for Payer: UHC Medicare Advantage |
$7,357.24
|
| Rate for Payer: VA VA |
$7,357.24
|
|
|
MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$40,760.06
|
|
|
Service Code
|
MSDRG 793
|
| Min. Negotiated Rate |
$30,977.65 |
| Max. Negotiated Rate |
$40,760.06 |
| Rate for Payer: Aetna Medicare |
$33,912.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,760.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,760.06
|
| Rate for Payer: BCBS MAPPO |
$32,608.05
|
| Rate for Payer: BCN Medicare Advantage |
$32,608.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,608.05
|
| Rate for Payer: Mclaren Medicare |
$32,608.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,238.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,499.26
|
| Rate for Payer: PACE Medicare |
$30,977.65
|
| Rate for Payer: PACE SWMI |
$32,608.05
|
| Rate for Payer: PHP Medicare Advantage |
$32,608.05
|
| Rate for Payer: Priority Health Medicare |
$32,608.05
|
| Rate for Payer: Railroad Medicare Medicare |
$32,608.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,608.05
|
| Rate for Payer: UHC Medicare Advantage |
$32,608.05
|
| Rate for Payer: VA VA |
$32,608.05
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
|
Facility
|
IP
|
$21,256.70
|
|
|
Service Code
|
MSDRG 934
|
| Min. Negotiated Rate |
$16,155.09 |
| Max. Negotiated Rate |
$21,256.70 |
| Rate for Payer: Aetna Medicare |
$17,685.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,256.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,256.70
|
| Rate for Payer: BCBS MAPPO |
$17,005.36
|
| Rate for Payer: BCN Medicare Advantage |
$17,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,005.36
|
| Rate for Payer: Mclaren Medicare |
$17,005.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,855.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,556.16
|
| Rate for Payer: PACE Medicare |
$16,155.09
|
| Rate for Payer: PACE SWMI |
$17,005.36
|
| Rate for Payer: PHP Medicare Advantage |
$17,005.36
|
| Rate for Payer: Priority Health Medicare |
$17,005.36
|
| Rate for Payer: Railroad Medicare Medicare |
$17,005.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,005.36
|
| Rate for Payer: UHC Medicare Advantage |
$17,005.36
|
| Rate for Payer: VA VA |
$17,005.36
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
|
Facility
|
IP
|
$64,922.72
|
|
|
Service Code
|
MSDRG 928
|
| Min. Negotiated Rate |
$49,341.27 |
| Max. Negotiated Rate |
$64,922.72 |
| Rate for Payer: Aetna Medicare |
$54,015.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64,922.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64,922.72
|
| Rate for Payer: BCBS MAPPO |
$51,938.18
|
| Rate for Payer: BCN Medicare Advantage |
$51,938.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51,938.18
|
| Rate for Payer: Mclaren Medicare |
$51,938.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54,535.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,728.91
|
| Rate for Payer: PACE Medicare |
$49,341.27
|
| Rate for Payer: PACE SWMI |
$51,938.18
|
| Rate for Payer: PHP Medicare Advantage |
$51,938.18
|
| Rate for Payer: Priority Health Medicare |
$51,938.18
|
| Rate for Payer: Railroad Medicare Medicare |
$51,938.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$51,938.18
|
| Rate for Payer: UHC Medicare Advantage |
$51,938.18
|
| Rate for Payer: VA VA |
$51,938.18
|
|
|
MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,222.71
|
|
|
Service Code
|
MSDRG 929
|
| Min. Negotiated Rate |
$23,729.26 |
| Max. Negotiated Rate |
$31,222.71 |
| Rate for Payer: Aetna Medicare |
$25,977.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,222.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,222.71
|
| Rate for Payer: BCBS MAPPO |
$24,978.17
|
| Rate for Payer: BCN Medicare Advantage |
$24,978.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,978.17
|
| Rate for Payer: Mclaren Medicare |
$24,978.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,227.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,724.90
|
| Rate for Payer: PACE Medicare |
$23,729.26
|
| Rate for Payer: PACE SWMI |
$24,978.17
|
| Rate for Payer: PHP Medicare Advantage |
$24,978.17
|
| Rate for Payer: Priority Health Medicare |
$24,978.17
|
| Rate for Payer: Railroad Medicare Medicare |
$24,978.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,978.17
|
| Rate for Payer: UHC Medicare Advantage |
$24,978.17
|
| Rate for Payer: VA VA |
$24,978.17
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
|
IP
|
$10,083.74
|
|
|
Service Code
|
MSDRG 378
|
| Min. Negotiated Rate |
$7,663.64 |
| Max. Negotiated Rate |
$10,083.74 |
| Rate for Payer: Aetna Medicare |
$8,389.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,083.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,083.74
|
| Rate for Payer: BCBS MAPPO |
$8,066.99
|
| Rate for Payer: BCN Medicare Advantage |
$8,066.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,066.99
|
| Rate for Payer: Mclaren Medicare |
$8,066.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,470.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,277.04
|
| Rate for Payer: PACE Medicare |
$7,663.64
|
| Rate for Payer: PACE SWMI |
$8,066.99
|
| Rate for Payer: PHP Medicare Advantage |
$8,066.99
|
| Rate for Payer: Priority Health Medicare |
$8,066.99
|
| Rate for Payer: Railroad Medicare Medicare |
$8,066.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,066.99
|
| Rate for Payer: UHC Medicare Advantage |
$8,066.99
|
| Rate for Payer: VA VA |
$8,066.99
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$18,101.03
|
|
|
Service Code
|
MSDRG 377
|
| Min. Negotiated Rate |
$13,756.78 |
| Max. Negotiated Rate |
$18,101.03 |
| Rate for Payer: Aetna Medicare |
$15,060.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,101.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,101.03
|
| Rate for Payer: BCBS MAPPO |
$14,480.82
|
| Rate for Payer: BCN Medicare Advantage |
$14,480.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,480.82
|
| Rate for Payer: Mclaren Medicare |
$14,480.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,204.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,652.94
|
| Rate for Payer: PACE Medicare |
$13,756.78
|
| Rate for Payer: PACE SWMI |
$14,480.82
|
| Rate for Payer: PHP Medicare Advantage |
$14,480.82
|
| Rate for Payer: Priority Health Medicare |
$14,480.82
|
| Rate for Payer: Railroad Medicare Medicare |
$14,480.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,480.82
|
| Rate for Payer: UHC Medicare Advantage |
$14,480.82
|
| Rate for Payer: VA VA |
$14,480.82
|
|
|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$6,719.99
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$5,107.19 |
| Max. Negotiated Rate |
$6,719.99 |
| Rate for Payer: Aetna Medicare |
$5,591.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,719.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,719.99
|
| Rate for Payer: BCBS MAPPO |
$5,375.99
|
| Rate for Payer: BCN Medicare Advantage |
$5,375.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,375.99
|
| Rate for Payer: Mclaren Medicare |
$5,375.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,644.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,182.39
|
| Rate for Payer: PACE Medicare |
$5,107.19
|
| Rate for Payer: PACE SWMI |
$5,375.99
|
| Rate for Payer: PHP Medicare Advantage |
$5,375.99
|
| Rate for Payer: Priority Health Medicare |
$5,375.99
|
| Rate for Payer: Railroad Medicare Medicare |
$5,375.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,375.99
|
| Rate for Payer: UHC Medicare Advantage |
$5,375.99
|
| Rate for Payer: VA VA |
$5,375.99
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$8,308.42
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$6,314.40 |
| Max. Negotiated Rate |
$8,308.42 |
| Rate for Payer: Aetna Medicare |
$6,912.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,308.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,308.42
|
| Rate for Payer: BCBS MAPPO |
$6,646.74
|
| Rate for Payer: BCN Medicare Advantage |
$6,646.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,646.74
|
| Rate for Payer: Mclaren Medicare |
$6,646.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,979.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,643.75
|
| Rate for Payer: PACE Medicare |
$6,314.40
|
| Rate for Payer: PACE SWMI |
$6,646.74
|
| Rate for Payer: PHP Medicare Advantage |
$6,646.74
|
| Rate for Payer: Priority Health Medicare |
$6,646.74
|
| Rate for Payer: Railroad Medicare Medicare |
$6,646.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,646.74
|
| Rate for Payer: UHC Medicare Advantage |
$6,646.74
|
| Rate for Payer: VA VA |
$6,646.74
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$14,745.95
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$11,206.92 |
| Max. Negotiated Rate |
$14,745.95 |
| Rate for Payer: Aetna Medicare |
$12,268.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,745.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,745.95
|
| Rate for Payer: BCBS MAPPO |
$11,796.76
|
| Rate for Payer: BCN Medicare Advantage |
$11,796.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,796.76
|
| Rate for Payer: Mclaren Medicare |
$11,796.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,386.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,566.27
|
| Rate for Payer: PACE Medicare |
$11,206.92
|
| Rate for Payer: PACE SWMI |
$11,796.76
|
| Rate for Payer: PHP Medicare Advantage |
$11,796.76
|
| Rate for Payer: Priority Health Medicare |
$11,796.76
|
| Rate for Payer: Railroad Medicare Medicare |
$11,796.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,796.76
|
| Rate for Payer: UHC Medicare Advantage |
$11,796.76
|
| Rate for Payer: VA VA |
$11,796.76
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$5,857.85
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$4,451.97 |
| Max. Negotiated Rate |
$5,857.85 |
| Rate for Payer: Aetna Medicare |
$4,873.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,857.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,857.85
|
| Rate for Payer: BCBS MAPPO |
$4,686.28
|
| Rate for Payer: BCN Medicare Advantage |
$4,686.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,686.28
|
| Rate for Payer: Mclaren Medicare |
$4,686.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,920.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,389.22
|
| Rate for Payer: PACE Medicare |
$4,451.97
|
| Rate for Payer: PACE SWMI |
$4,686.28
|
| Rate for Payer: PHP Medicare Advantage |
$4,686.28
|
| Rate for Payer: Priority Health Medicare |
$4,686.28
|
| Rate for Payer: Railroad Medicare Medicare |
$4,686.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,686.28
|
| Rate for Payer: UHC Medicare Advantage |
$4,686.28
|
| Rate for Payer: VA VA |
$4,686.28
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$15,089.85
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$11,468.29 |
| Max. Negotiated Rate |
$15,089.85 |
| Rate for Payer: Aetna Medicare |
$12,554.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,089.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,089.85
|
| Rate for Payer: BCBS MAPPO |
$12,071.88
|
| Rate for Payer: BCN Medicare Advantage |
$12,071.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,071.88
|
| Rate for Payer: Mclaren Medicare |
$12,071.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,675.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,882.66
|
| Rate for Payer: PACE Medicare |
$11,468.29
|
| Rate for Payer: PACE SWMI |
$12,071.88
|
| Rate for Payer: PHP Medicare Advantage |
$12,071.88
|
| Rate for Payer: Priority Health Medicare |
$12,071.88
|
| Rate for Payer: Railroad Medicare Medicare |
$12,071.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,071.88
|
| Rate for Payer: UHC Medicare Advantage |
$12,071.88
|
| Rate for Payer: VA VA |
$12,071.88
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,408.38
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$7,910.36 |
| Max. Negotiated Rate |
$10,408.38 |
| Rate for Payer: Aetna Medicare |
$8,659.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,408.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,408.38
|
| Rate for Payer: BCBS MAPPO |
$8,326.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,326.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,326.70
|
| Rate for Payer: Mclaren Medicare |
$8,326.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,743.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,575.70
|
| Rate for Payer: PACE Medicare |
$7,910.36
|
| Rate for Payer: PACE SWMI |
$8,326.70
|
| Rate for Payer: PHP Medicare Advantage |
$8,326.70
|
| Rate for Payer: Priority Health Medicare |
$8,326.70
|
| Rate for Payer: Railroad Medicare Medicare |
$8,326.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,326.70
|
| Rate for Payer: UHC Medicare Advantage |
$8,326.70
|
| Rate for Payer: VA VA |
$8,326.70
|
|
|
MS-DRG 42.00: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$21,610.22
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$16,423.77 |
| Max. Negotiated Rate |
$21,610.22 |
| Rate for Payer: Aetna Medicare |
$17,979.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,610.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,610.22
|
| Rate for Payer: BCBS MAPPO |
$17,288.18
|
| Rate for Payer: BCN Medicare Advantage |
$17,288.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,288.18
|
| Rate for Payer: Mclaren Medicare |
$17,288.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,152.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,881.41
|
| Rate for Payer: PACE Medicare |
$16,423.77
|
| Rate for Payer: PACE SWMI |
$17,288.18
|
| Rate for Payer: PHP Medicare Advantage |
$17,288.18
|
| Rate for Payer: Priority Health Medicare |
$17,288.18
|
| Rate for Payer: Railroad Medicare Medicare |
$17,288.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,288.18
|
| Rate for Payer: UHC Medicare Advantage |
$17,288.18
|
| Rate for Payer: VA VA |
$17,288.18
|
|
|
MS-DRG 42.00: HEADACHES WITH MCC
|
Facility
|
IP
|
$11,755.95
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$8,934.52 |
| Max. Negotiated Rate |
$11,755.95 |
| Rate for Payer: Aetna Medicare |
$9,780.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,755.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,755.95
|
| Rate for Payer: BCBS MAPPO |
$9,404.76
|
| Rate for Payer: BCN Medicare Advantage |
$9,404.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,404.76
|
| Rate for Payer: Mclaren Medicare |
$9,404.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,875.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,815.47
|
| Rate for Payer: PACE Medicare |
$8,934.52
|
| Rate for Payer: PACE SWMI |
$9,404.76
|
| Rate for Payer: PHP Medicare Advantage |
$9,404.76
|
| Rate for Payer: Priority Health Medicare |
$9,404.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,404.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,404.76
|
| Rate for Payer: UHC Medicare Advantage |
$9,404.76
|
| Rate for Payer: VA VA |
$9,404.76
|
|
|
MS-DRG 42.00: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$8,776.58
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$6,670.20 |
| Max. Negotiated Rate |
$8,776.58 |
| Rate for Payer: Aetna Medicare |
$7,302.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,776.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,776.58
|
| Rate for Payer: BCBS MAPPO |
$7,021.26
|
| Rate for Payer: BCN Medicare Advantage |
$7,021.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,021.26
|
| Rate for Payer: Mclaren Medicare |
$7,021.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,372.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,074.45
|
| Rate for Payer: PACE Medicare |
$6,670.20
|
| Rate for Payer: PACE SWMI |
$7,021.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,021.26
|
| Rate for Payer: Priority Health Medicare |
$7,021.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,021.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,021.26
|
| Rate for Payer: UHC Medicare Advantage |
$7,021.26
|
| Rate for Payer: VA VA |
$7,021.26
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$8,882.52
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$6,750.72 |
| Max. Negotiated Rate |
$8,882.52 |
| Rate for Payer: Aetna Medicare |
$7,390.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,882.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,882.52
|
| Rate for Payer: BCBS MAPPO |
$7,106.02
|
| Rate for Payer: BCN Medicare Advantage |
$7,106.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,106.02
|
| Rate for Payer: Mclaren Medicare |
$7,106.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,461.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,171.92
|
| Rate for Payer: PACE Medicare |
$6,750.72
|
| Rate for Payer: PACE SWMI |
$7,106.02
|
| Rate for Payer: PHP Medicare Advantage |
$7,106.02
|
| Rate for Payer: Priority Health Medicare |
$7,106.02
|
| Rate for Payer: Railroad Medicare Medicare |
$7,106.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,106.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,106.02
|
| Rate for Payer: VA VA |
$7,106.02
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$13,155.60
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$9,998.26 |
| Max. Negotiated Rate |
$13,155.60 |
| Rate for Payer: Aetna Medicare |
$10,945.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,155.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,155.60
|
| Rate for Payer: BCBS MAPPO |
$10,524.48
|
| Rate for Payer: BCN Medicare Advantage |
$10,524.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,524.48
|
| Rate for Payer: Mclaren Medicare |
$10,524.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,050.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,103.15
|
| Rate for Payer: PACE Medicare |
$9,998.26
|
| Rate for Payer: PACE SWMI |
$10,524.48
|
| Rate for Payer: PHP Medicare Advantage |
$10,524.48
|
| Rate for Payer: Priority Health Medicare |
$10,524.48
|
| Rate for Payer: Railroad Medicare Medicare |
$10,524.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,524.48
|
| Rate for Payer: UHC Medicare Advantage |
$10,524.48
|
| Rate for Payer: VA VA |
$10,524.48
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$5,872.31
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$4,462.96 |
| Max. Negotiated Rate |
$5,872.31 |
| Rate for Payer: Aetna Medicare |
$4,885.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,872.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,872.31
|
| Rate for Payer: BCBS MAPPO |
$4,697.85
|
| Rate for Payer: BCN Medicare Advantage |
$4,697.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,697.85
|
| Rate for Payer: Mclaren Medicare |
$4,697.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,932.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,402.53
|
| Rate for Payer: PACE Medicare |
$4,462.96
|
| Rate for Payer: PACE SWMI |
$4,697.85
|
| Rate for Payer: PHP Medicare Advantage |
$4,697.85
|
| Rate for Payer: Priority Health Medicare |
$4,697.85
|
| Rate for Payer: Railroad Medicare Medicare |
$4,697.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,697.85
|
| Rate for Payer: UHC Medicare Advantage |
$4,697.85
|
| Rate for Payer: VA VA |
$4,697.85
|
|
