|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$17,741.72
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$13,483.71 |
| Max. Negotiated Rate |
$17,741.72 |
| Rate for Payer: Aetna Medicare |
$14,761.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,741.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,741.72
|
| Rate for Payer: BCBS MAPPO |
$14,193.38
|
| Rate for Payer: BCN Medicare Advantage |
$14,193.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,193.38
|
| Rate for Payer: Mclaren Medicare |
$14,193.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,903.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,322.39
|
| Rate for Payer: PACE Medicare |
$13,483.71
|
| Rate for Payer: PACE SWMI |
$14,193.38
|
| Rate for Payer: PHP Medicare Advantage |
$14,193.38
|
| Rate for Payer: Priority Health Medicare |
$14,193.38
|
| Rate for Payer: Railroad Medicare Medicare |
$14,193.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,193.38
|
| Rate for Payer: UHC Medicare Advantage |
$14,193.38
|
| Rate for Payer: VA VA |
$14,193.38
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$26,627.90
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$20,237.20 |
| Max. Negotiated Rate |
$26,627.90 |
| Rate for Payer: Aetna Medicare |
$22,154.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,627.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,627.90
|
| Rate for Payer: BCBS MAPPO |
$21,302.32
|
| Rate for Payer: BCN Medicare Advantage |
$21,302.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,302.32
|
| Rate for Payer: Mclaren Medicare |
$21,302.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,367.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,497.67
|
| Rate for Payer: PACE Medicare |
$20,237.20
|
| Rate for Payer: PACE SWMI |
$21,302.32
|
| Rate for Payer: PHP Medicare Advantage |
$21,302.32
|
| Rate for Payer: Priority Health Medicare |
$21,302.32
|
| Rate for Payer: Railroad Medicare Medicare |
$21,302.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,302.32
|
| Rate for Payer: UHC Medicare Advantage |
$21,302.32
|
| Rate for Payer: VA VA |
$21,302.32
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$14,118.86
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$10,730.34 |
| Max. Negotiated Rate |
$14,118.86 |
| Rate for Payer: Aetna Medicare |
$11,746.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,118.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,118.86
|
| Rate for Payer: BCBS MAPPO |
$11,295.09
|
| Rate for Payer: BCN Medicare Advantage |
$11,295.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,295.09
|
| Rate for Payer: Mclaren Medicare |
$11,295.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,859.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,989.35
|
| Rate for Payer: PACE Medicare |
$10,730.34
|
| Rate for Payer: PACE SWMI |
$11,295.09
|
| Rate for Payer: PHP Medicare Advantage |
$11,295.09
|
| Rate for Payer: Priority Health Medicare |
$11,295.09
|
| Rate for Payer: Railroad Medicare Medicare |
$11,295.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,295.09
|
| Rate for Payer: UHC Medicare Advantage |
$11,295.09
|
| Rate for Payer: VA VA |
$11,295.09
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$18,196.41
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$13,829.27 |
| Max. Negotiated Rate |
$18,196.41 |
| Rate for Payer: Aetna Medicare |
$15,139.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,196.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,196.41
|
| Rate for Payer: BCBS MAPPO |
$14,557.13
|
| Rate for Payer: BCN Medicare Advantage |
$14,557.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,557.13
|
| Rate for Payer: Mclaren Medicare |
$14,557.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,284.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,740.70
|
| Rate for Payer: PACE Medicare |
$13,829.27
|
| Rate for Payer: PACE SWMI |
$14,557.13
|
| Rate for Payer: PHP Medicare Advantage |
$14,557.13
|
| Rate for Payer: Priority Health Medicare |
$14,557.13
|
| Rate for Payer: Railroad Medicare Medicare |
$14,557.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,557.13
|
| Rate for Payer: UHC Medicare Advantage |
$14,557.13
|
| Rate for Payer: VA VA |
$14,557.13
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$31,970.20
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$24,297.35 |
| Max. Negotiated Rate |
$31,970.20 |
| Rate for Payer: Aetna Medicare |
$26,599.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,970.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,970.20
|
| Rate for Payer: BCBS MAPPO |
$25,576.16
|
| Rate for Payer: BCN Medicare Advantage |
$25,576.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,576.16
|
| Rate for Payer: Mclaren Medicare |
$25,576.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,854.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,412.58
|
| Rate for Payer: PACE Medicare |
$24,297.35
|
| Rate for Payer: PACE SWMI |
$25,576.16
|
| Rate for Payer: PHP Medicare Advantage |
$25,576.16
|
| Rate for Payer: Priority Health Medicare |
$25,576.16
|
| Rate for Payer: Railroad Medicare Medicare |
$25,576.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,576.16
|
| Rate for Payer: UHC Medicare Advantage |
$25,576.16
|
| Rate for Payer: VA VA |
$25,576.16
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,074.44
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$11,456.57 |
| Max. Negotiated Rate |
$15,074.44 |
| Rate for Payer: Aetna Medicare |
$12,541.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,074.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,074.44
|
| Rate for Payer: BCBS MAPPO |
$12,059.55
|
| Rate for Payer: BCN Medicare Advantage |
$12,059.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,059.55
|
| Rate for Payer: Mclaren Medicare |
$12,059.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,662.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,868.48
|
| Rate for Payer: PACE Medicare |
$11,456.57
|
| Rate for Payer: PACE SWMI |
$12,059.55
|
| Rate for Payer: PHP Medicare Advantage |
$12,059.55
|
| Rate for Payer: Priority Health Medicare |
$12,059.55
|
| Rate for Payer: Railroad Medicare Medicare |
$12,059.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,059.55
|
| Rate for Payer: UHC Medicare Advantage |
$12,059.55
|
| Rate for Payer: VA VA |
$12,059.55
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$13,494.66
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$10,255.94 |
| Max. Negotiated Rate |
$13,494.66 |
| Rate for Payer: Aetna Medicare |
$11,227.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,494.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,494.66
|
| Rate for Payer: BCBS MAPPO |
$10,795.73
|
| Rate for Payer: BCN Medicare Advantage |
$10,795.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,795.73
|
| Rate for Payer: Mclaren Medicare |
$10,795.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,335.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,415.09
|
| Rate for Payer: PACE Medicare |
$10,255.94
|
| Rate for Payer: PACE SWMI |
$10,795.73
|
| Rate for Payer: PHP Medicare Advantage |
$10,795.73
|
| Rate for Payer: Priority Health Medicare |
$10,795.73
|
| Rate for Payer: Railroad Medicare Medicare |
$10,795.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,795.73
|
| Rate for Payer: UHC Medicare Advantage |
$10,795.73
|
| Rate for Payer: VA VA |
$10,795.73
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$25,480.65
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$19,365.29 |
| Max. Negotiated Rate |
$25,480.65 |
| Rate for Payer: Aetna Medicare |
$21,199.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,480.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,480.65
|
| Rate for Payer: BCBS MAPPO |
$20,384.52
|
| Rate for Payer: BCN Medicare Advantage |
$20,384.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,384.52
|
| Rate for Payer: Mclaren Medicare |
$20,384.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,403.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,442.20
|
| Rate for Payer: PACE Medicare |
$19,365.29
|
| Rate for Payer: PACE SWMI |
$20,384.52
|
| Rate for Payer: PHP Medicare Advantage |
$20,384.52
|
| Rate for Payer: Priority Health Medicare |
$20,384.52
|
| Rate for Payer: Railroad Medicare Medicare |
$20,384.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,384.52
|
| Rate for Payer: UHC Medicare Advantage |
$20,384.52
|
| Rate for Payer: VA VA |
$20,384.52
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$10,475.80
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$7,961.61 |
| Max. Negotiated Rate |
$10,475.80 |
| Rate for Payer: Aetna Medicare |
$8,715.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,475.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,475.80
|
| Rate for Payer: BCBS MAPPO |
$8,380.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,380.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,380.64
|
| Rate for Payer: Mclaren Medicare |
$8,380.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,799.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,637.74
|
| Rate for Payer: PACE Medicare |
$7,961.61
|
| Rate for Payer: PACE SWMI |
$8,380.64
|
| Rate for Payer: PHP Medicare Advantage |
$8,380.64
|
| Rate for Payer: Priority Health Medicare |
$8,380.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,380.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,380.64
|
| Rate for Payer: UHC Medicare Advantage |
$8,380.64
|
| Rate for Payer: VA VA |
$8,380.64
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$11,859.98
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$9,013.58 |
| Max. Negotiated Rate |
$11,859.98 |
| Rate for Payer: Aetna Medicare |
$9,867.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,859.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,859.98
|
| Rate for Payer: BCBS MAPPO |
$9,487.98
|
| Rate for Payer: BCN Medicare Advantage |
$9,487.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,487.98
|
| Rate for Payer: Mclaren Medicare |
$9,487.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,962.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,911.18
|
| Rate for Payer: PACE Medicare |
$9,013.58
|
| Rate for Payer: PACE SWMI |
$9,487.98
|
| Rate for Payer: PHP Medicare Advantage |
$9,487.98
|
| Rate for Payer: Priority Health Medicare |
$9,487.98
|
| Rate for Payer: Railroad Medicare Medicare |
$9,487.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,487.98
|
| Rate for Payer: UHC Medicare Advantage |
$9,487.98
|
| Rate for Payer: VA VA |
$9,487.98
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$8,318.05
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,321.72 |
| Max. Negotiated Rate |
$8,318.05 |
| Rate for Payer: Aetna Medicare |
$6,920.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,318.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,318.05
|
| Rate for Payer: BCBS MAPPO |
$6,654.44
|
| Rate for Payer: BCN Medicare Advantage |
$6,654.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,654.44
|
| Rate for Payer: Mclaren Medicare |
$6,654.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,987.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,652.61
|
| Rate for Payer: PACE Medicare |
$6,321.72
|
| Rate for Payer: PACE SWMI |
$6,654.44
|
| Rate for Payer: PHP Medicare Advantage |
$6,654.44
|
| Rate for Payer: Priority Health Medicare |
$6,654.44
|
| Rate for Payer: Railroad Medicare Medicare |
$6,654.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,654.44
|
| Rate for Payer: UHC Medicare Advantage |
$6,654.44
|
| Rate for Payer: VA VA |
$6,654.44
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$10,727.20
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$8,152.67 |
| Max. Negotiated Rate |
$10,727.20 |
| Rate for Payer: Aetna Medicare |
$8,925.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,727.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,727.20
|
| Rate for Payer: BCBS MAPPO |
$8,581.76
|
| Rate for Payer: BCN Medicare Advantage |
$8,581.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,581.76
|
| Rate for Payer: Mclaren Medicare |
$8,581.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,010.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,869.02
|
| Rate for Payer: PACE Medicare |
$8,152.67
|
| Rate for Payer: PACE SWMI |
$8,581.76
|
| Rate for Payer: PHP Medicare Advantage |
$8,581.76
|
| Rate for Payer: Priority Health Medicare |
$8,581.76
|
| Rate for Payer: Railroad Medicare Medicare |
$8,581.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,581.76
|
| Rate for Payer: UHC Medicare Advantage |
$8,581.76
|
| Rate for Payer: VA VA |
$8,581.76
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$18,751.24
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$14,250.94 |
| Max. Negotiated Rate |
$18,751.24 |
| Rate for Payer: Aetna Medicare |
$15,601.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,751.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,751.24
|
| Rate for Payer: BCBS MAPPO |
$15,000.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,000.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,000.99
|
| Rate for Payer: Mclaren Medicare |
$15,000.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,751.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,251.14
|
| Rate for Payer: PACE Medicare |
$14,250.94
|
| Rate for Payer: PACE SWMI |
$15,000.99
|
| Rate for Payer: PHP Medicare Advantage |
$15,000.99
|
| Rate for Payer: Priority Health Medicare |
$15,000.99
|
| Rate for Payer: Railroad Medicare Medicare |
$15,000.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,000.99
|
| Rate for Payer: UHC Medicare Advantage |
$15,000.99
|
| Rate for Payer: VA VA |
$15,000.99
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,562.86
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$5,747.78 |
| Max. Negotiated Rate |
$7,562.86 |
| Rate for Payer: Aetna Medicare |
$6,292.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,562.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,562.86
|
| Rate for Payer: BCBS MAPPO |
$6,050.29
|
| Rate for Payer: BCN Medicare Advantage |
$6,050.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,050.29
|
| Rate for Payer: Mclaren Medicare |
$6,050.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,352.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,957.83
|
| Rate for Payer: PACE Medicare |
$5,747.78
|
| Rate for Payer: PACE SWMI |
$6,050.29
|
| Rate for Payer: PHP Medicare Advantage |
$6,050.29
|
| Rate for Payer: Priority Health Medicare |
$6,050.29
|
| Rate for Payer: Railroad Medicare Medicare |
$6,050.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,050.29
|
| Rate for Payer: UHC Medicare Advantage |
$6,050.29
|
| Rate for Payer: VA VA |
$6,050.29
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$11,450.62
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$8,702.48 |
| Max. Negotiated Rate |
$11,450.62 |
| Rate for Payer: Aetna Medicare |
$9,526.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,450.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,450.62
|
| Rate for Payer: BCBS MAPPO |
$9,160.50
|
| Rate for Payer: BCN Medicare Advantage |
$9,160.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,160.50
|
| Rate for Payer: Mclaren Medicare |
$9,160.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,618.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,534.58
|
| Rate for Payer: PACE Medicare |
$8,702.48
|
| Rate for Payer: PACE SWMI |
$9,160.50
|
| Rate for Payer: PHP Medicare Advantage |
$9,160.50
|
| Rate for Payer: Priority Health Medicare |
$9,160.50
|
| Rate for Payer: Railroad Medicare Medicare |
$9,160.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,160.50
|
| Rate for Payer: UHC Medicare Advantage |
$9,160.50
|
| Rate for Payer: VA VA |
$9,160.50
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$7,250.76
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$5,510.58 |
| Max. Negotiated Rate |
$7,250.76 |
| Rate for Payer: Aetna Medicare |
$6,032.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,250.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,250.76
|
| Rate for Payer: BCBS MAPPO |
$5,800.61
|
| Rate for Payer: BCN Medicare Advantage |
$5,800.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,800.61
|
| Rate for Payer: Mclaren Medicare |
$5,800.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,090.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,670.70
|
| Rate for Payer: PACE Medicare |
$5,510.58
|
| Rate for Payer: PACE SWMI |
$5,800.61
|
| Rate for Payer: PHP Medicare Advantage |
$5,800.61
|
| Rate for Payer: Priority Health Medicare |
$5,800.61
|
| Rate for Payer: Railroad Medicare Medicare |
$5,800.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,800.61
|
| Rate for Payer: UHC Medicare Advantage |
$5,800.61
|
| Rate for Payer: VA VA |
$5,800.61
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$30,172.74
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$22,931.28 |
| Max. Negotiated Rate |
$30,172.74 |
| Rate for Payer: Aetna Medicare |
$25,103.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,172.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,172.74
|
| Rate for Payer: BCBS MAPPO |
$24,138.19
|
| Rate for Payer: BCN Medicare Advantage |
$24,138.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,138.19
|
| Rate for Payer: Mclaren Medicare |
$24,138.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,345.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,758.92
|
| Rate for Payer: PACE Medicare |
$22,931.28
|
| Rate for Payer: PACE SWMI |
$24,138.19
|
| Rate for Payer: PHP Medicare Advantage |
$24,138.19
|
| Rate for Payer: Priority Health Medicare |
$24,138.19
|
| Rate for Payer: Railroad Medicare Medicare |
$24,138.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,138.19
|
| Rate for Payer: UHC Medicare Advantage |
$24,138.19
|
| Rate for Payer: VA VA |
$24,138.19
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$44,967.64
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$34,175.40 |
| Max. Negotiated Rate |
$44,967.64 |
| Rate for Payer: Aetna Medicare |
$37,413.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,967.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,967.64
|
| Rate for Payer: BCBS MAPPO |
$35,974.11
|
| Rate for Payer: BCN Medicare Advantage |
$35,974.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,974.11
|
| Rate for Payer: Mclaren Medicare |
$35,974.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,772.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,370.23
|
| Rate for Payer: PACE Medicare |
$34,175.40
|
| Rate for Payer: PACE SWMI |
$35,974.11
|
| Rate for Payer: PHP Medicare Advantage |
$35,974.11
|
| Rate for Payer: Priority Health Medicare |
$35,974.11
|
| Rate for Payer: Railroad Medicare Medicare |
$35,974.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,974.11
|
| Rate for Payer: UHC Medicare Advantage |
$35,974.11
|
| Rate for Payer: VA VA |
$35,974.11
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$34,036.43
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$25,867.68 |
| Max. Negotiated Rate |
$34,036.43 |
| Rate for Payer: Aetna Medicare |
$28,318.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,036.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,036.43
|
| Rate for Payer: BCBS MAPPO |
$27,229.14
|
| Rate for Payer: BCN Medicare Advantage |
$27,229.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,229.14
|
| Rate for Payer: Mclaren Medicare |
$27,229.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,590.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,313.51
|
| Rate for Payer: PACE Medicare |
$25,867.68
|
| Rate for Payer: PACE SWMI |
$27,229.14
|
| Rate for Payer: PHP Medicare Advantage |
$27,229.14
|
| Rate for Payer: Priority Health Medicare |
$27,229.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27,229.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,229.14
|
| Rate for Payer: UHC Medicare Advantage |
$27,229.14
|
| Rate for Payer: VA VA |
$27,229.14
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$19,518.99
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$14,834.43 |
| Max. Negotiated Rate |
$19,518.99 |
| Rate for Payer: Aetna Medicare |
$16,239.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,518.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,518.99
|
| Rate for Payer: BCBS MAPPO |
$15,615.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,615.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,615.19
|
| Rate for Payer: Mclaren Medicare |
$15,615.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,395.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,957.47
|
| Rate for Payer: PACE Medicare |
$14,834.43
|
| Rate for Payer: PACE SWMI |
$15,615.19
|
| Rate for Payer: PHP Medicare Advantage |
$15,615.19
|
| Rate for Payer: Priority Health Medicare |
$15,615.19
|
| Rate for Payer: Railroad Medicare Medicare |
$15,615.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,615.19
|
| Rate for Payer: UHC Medicare Advantage |
$15,615.19
|
| Rate for Payer: VA VA |
$15,615.19
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$12,515.99
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$9,512.15 |
| Max. Negotiated Rate |
$12,515.99 |
| Rate for Payer: Aetna Medicare |
$10,413.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,515.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,515.99
|
| Rate for Payer: BCBS MAPPO |
$10,012.79
|
| Rate for Payer: BCN Medicare Advantage |
$10,012.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,012.79
|
| Rate for Payer: Mclaren Medicare |
$10,012.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,513.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,514.71
|
| Rate for Payer: PACE Medicare |
$9,512.15
|
| Rate for Payer: PACE SWMI |
$10,012.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,012.79
|
| Rate for Payer: Priority Health Medicare |
$10,012.79
|
| Rate for Payer: Railroad Medicare Medicare |
$10,012.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,012.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,012.79
|
| Rate for Payer: VA VA |
$10,012.79
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$21,016.85
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$15,972.81 |
| Max. Negotiated Rate |
$21,016.85 |
| Rate for Payer: Aetna Medicare |
$17,486.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,016.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,016.85
|
| Rate for Payer: BCBS MAPPO |
$16,813.48
|
| Rate for Payer: BCN Medicare Advantage |
$16,813.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,813.48
|
| Rate for Payer: Mclaren Medicare |
$16,813.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,654.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,335.50
|
| Rate for Payer: PACE Medicare |
$15,972.81
|
| Rate for Payer: PACE SWMI |
$16,813.48
|
| Rate for Payer: PHP Medicare Advantage |
$16,813.48
|
| Rate for Payer: Priority Health Medicare |
$16,813.48
|
| Rate for Payer: Railroad Medicare Medicare |
$16,813.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,813.48
|
| Rate for Payer: UHC Medicare Advantage |
$16,813.48
|
| Rate for Payer: VA VA |
$16,813.48
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$31,597.42
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$24,014.04 |
| Max. Negotiated Rate |
$31,597.42 |
| Rate for Payer: Aetna Medicare |
$26,289.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,597.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,597.42
|
| Rate for Payer: BCBS MAPPO |
$25,277.94
|
| Rate for Payer: BCN Medicare Advantage |
$25,277.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,277.94
|
| Rate for Payer: Mclaren Medicare |
$25,277.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,541.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,069.63
|
| Rate for Payer: PACE Medicare |
$24,014.04
|
| Rate for Payer: PACE SWMI |
$25,277.94
|
| Rate for Payer: PHP Medicare Advantage |
$25,277.94
|
| Rate for Payer: Priority Health Medicare |
$25,277.94
|
| Rate for Payer: Railroad Medicare Medicare |
$25,277.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,277.94
|
| Rate for Payer: UHC Medicare Advantage |
$25,277.94
|
| Rate for Payer: VA VA |
$25,277.94
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,808.45
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$12,014.42 |
| Max. Negotiated Rate |
$15,808.45 |
| Rate for Payer: Aetna Medicare |
$13,152.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,808.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,808.45
|
| Rate for Payer: BCBS MAPPO |
$12,646.76
|
| Rate for Payer: BCN Medicare Advantage |
$12,646.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,646.76
|
| Rate for Payer: Mclaren Medicare |
$12,646.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,279.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,543.77
|
| Rate for Payer: PACE Medicare |
$12,014.42
|
| Rate for Payer: PACE SWMI |
$12,646.76
|
| Rate for Payer: PHP Medicare Advantage |
$12,646.76
|
| Rate for Payer: Priority Health Medicare |
$12,646.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12,646.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,646.76
|
| Rate for Payer: UHC Medicare Advantage |
$12,646.76
|
| Rate for Payer: VA VA |
$12,646.76
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$16,561.72
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$12,586.91 |
| Max. Negotiated Rate |
$16,561.72 |
| Rate for Payer: Aetna Medicare |
$13,779.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,561.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,561.72
|
| Rate for Payer: BCBS MAPPO |
$13,249.38
|
| Rate for Payer: BCN Medicare Advantage |
$13,249.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,249.38
|
| Rate for Payer: Mclaren Medicare |
$13,249.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,911.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,236.79
|
| Rate for Payer: PACE Medicare |
$12,586.91
|
| Rate for Payer: PACE SWMI |
$13,249.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,249.38
|
| Rate for Payer: Priority Health Medicare |
$13,249.38
|
| Rate for Payer: Railroad Medicare Medicare |
$13,249.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,249.38
|
| Rate for Payer: UHC Medicare Advantage |
$13,249.38
|
| Rate for Payer: VA VA |
$13,249.38
|
|
