|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$23,478.97
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$17,844.02 |
| Max. Negotiated Rate |
$23,478.97 |
| Rate for Payer: Aetna Medicare |
$19,534.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,478.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,478.97
|
| Rate for Payer: BCBS MAPPO |
$18,783.18
|
| Rate for Payer: BCN Medicare Advantage |
$18,783.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,783.18
|
| Rate for Payer: Mclaren Medicare |
$18,783.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,722.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,600.66
|
| Rate for Payer: PACE Medicare |
$17,844.02
|
| Rate for Payer: PACE SWMI |
$18,783.18
|
| Rate for Payer: PHP Medicare Advantage |
$18,783.18
|
| Rate for Payer: Priority Health Medicare |
$18,783.18
|
| Rate for Payer: Railroad Medicare Medicare |
$18,783.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,783.18
|
| Rate for Payer: UHC Medicare Advantage |
$18,783.18
|
| Rate for Payer: VA VA |
$18,783.18
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$13,278.91
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$10,091.97 |
| Max. Negotiated Rate |
$13,278.91 |
| Rate for Payer: Aetna Medicare |
$11,048.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,278.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,278.91
|
| Rate for Payer: BCBS MAPPO |
$10,623.13
|
| Rate for Payer: BCN Medicare Advantage |
$10,623.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,623.13
|
| Rate for Payer: Mclaren Medicare |
$10,623.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,154.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,216.60
|
| Rate for Payer: PACE Medicare |
$10,091.97
|
| Rate for Payer: PACE SWMI |
$10,623.13
|
| Rate for Payer: PHP Medicare Advantage |
$10,623.13
|
| Rate for Payer: Priority Health Medicare |
$10,623.13
|
| Rate for Payer: Railroad Medicare Medicare |
$10,623.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,623.13
|
| Rate for Payer: UHC Medicare Advantage |
$10,623.13
|
| Rate for Payer: VA VA |
$10,623.13
|
|
|
MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$37,406.89
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$28,429.23 |
| Max. Negotiated Rate |
$37,406.89 |
| Rate for Payer: Aetna Medicare |
$31,122.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,406.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,406.89
|
| Rate for Payer: BCBS MAPPO |
$29,925.51
|
| Rate for Payer: BCN Medicare Advantage |
$29,925.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,925.51
|
| Rate for Payer: Mclaren Medicare |
$29,925.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,421.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,414.34
|
| Rate for Payer: PACE Medicare |
$28,429.23
|
| Rate for Payer: PACE SWMI |
$29,925.51
|
| Rate for Payer: PHP Medicare Advantage |
$29,925.51
|
| Rate for Payer: Priority Health Medicare |
$29,925.51
|
| Rate for Payer: Railroad Medicare Medicare |
$29,925.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,925.51
|
| Rate for Payer: UHC Medicare Advantage |
$29,925.51
|
| Rate for Payer: VA VA |
$29,925.51
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$103,169.39
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$78,408.73 |
| Max. Negotiated Rate |
$103,169.39 |
| Rate for Payer: Aetna Medicare |
$85,836.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$103,169.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$103,169.39
|
| Rate for Payer: BCBS MAPPO |
$82,535.51
|
| Rate for Payer: BCN Medicare Advantage |
$82,535.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82,535.51
|
| Rate for Payer: Mclaren Medicare |
$82,535.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86,662.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94,915.84
|
| Rate for Payer: PACE Medicare |
$78,408.73
|
| Rate for Payer: PACE SWMI |
$82,535.51
|
| Rate for Payer: PHP Medicare Advantage |
$82,535.51
|
| Rate for Payer: Priority Health Medicare |
$82,535.51
|
| Rate for Payer: Railroad Medicare Medicare |
$82,535.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$82,535.51
|
| Rate for Payer: UHC Medicare Advantage |
$82,535.51
|
| Rate for Payer: VA VA |
$82,535.51
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$47,297.75
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$35,946.29 |
| Max. Negotiated Rate |
$47,297.75 |
| Rate for Payer: Aetna Medicare |
$39,351.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,297.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,297.75
|
| Rate for Payer: BCBS MAPPO |
$37,838.20
|
| Rate for Payer: BCN Medicare Advantage |
$37,838.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,838.20
|
| Rate for Payer: Mclaren Medicare |
$37,838.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,730.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,513.93
|
| Rate for Payer: PACE Medicare |
$35,946.29
|
| Rate for Payer: PACE SWMI |
$37,838.20
|
| Rate for Payer: PHP Medicare Advantage |
$37,838.20
|
| Rate for Payer: Priority Health Medicare |
$37,838.20
|
| Rate for Payer: Railroad Medicare Medicare |
$37,838.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,838.20
|
| Rate for Payer: UHC Medicare Advantage |
$37,838.20
|
| Rate for Payer: VA VA |
$37,838.20
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
|
IP
|
$19,592.16
|
|
|
Service Code
|
MSDRG 496
|
| Min. Negotiated Rate |
$14,890.04 |
| Max. Negotiated Rate |
$19,592.16 |
| Rate for Payer: Aetna Medicare |
$16,300.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,592.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,592.16
|
| Rate for Payer: BCBS MAPPO |
$15,673.73
|
| Rate for Payer: BCN Medicare Advantage |
$15,673.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,673.73
|
| Rate for Payer: Mclaren Medicare |
$15,673.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,457.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,024.79
|
| Rate for Payer: PACE Medicare |
$14,890.04
|
| Rate for Payer: PACE SWMI |
$15,673.73
|
| Rate for Payer: PHP Medicare Advantage |
$15,673.73
|
| Rate for Payer: Priority Health Medicare |
$15,673.73
|
| Rate for Payer: Railroad Medicare Medicare |
$15,673.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,673.73
|
| Rate for Payer: UHC Medicare Advantage |
$15,673.73
|
| Rate for Payer: VA VA |
$15,673.73
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
|
IP
|
$34,499.74
|
|
|
Service Code
|
MSDRG 495
|
| Min. Negotiated Rate |
$26,219.80 |
| Max. Negotiated Rate |
$34,499.74 |
| Rate for Payer: Aetna Medicare |
$28,703.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,499.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,499.74
|
| Rate for Payer: BCBS MAPPO |
$27,599.79
|
| Rate for Payer: BCN Medicare Advantage |
$27,599.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,599.79
|
| Rate for Payer: Mclaren Medicare |
$27,599.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,979.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,739.76
|
| Rate for Payer: PACE Medicare |
$26,219.80
|
| Rate for Payer: PACE SWMI |
$27,599.79
|
| Rate for Payer: PHP Medicare Advantage |
$27,599.79
|
| Rate for Payer: Priority Health Medicare |
$27,599.79
|
| Rate for Payer: Railroad Medicare Medicare |
$27,599.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,599.79
|
| Rate for Payer: UHC Medicare Advantage |
$27,599.79
|
| Rate for Payer: VA VA |
$27,599.79
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$13,519.74
|
|
|
Service Code
|
MSDRG 497
|
| Min. Negotiated Rate |
$10,275.00 |
| Max. Negotiated Rate |
$13,519.74 |
| Rate for Payer: Aetna Medicare |
$11,248.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,519.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,519.74
|
| Rate for Payer: BCBS MAPPO |
$10,815.79
|
| Rate for Payer: BCN Medicare Advantage |
$10,815.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,815.79
|
| Rate for Payer: Mclaren Medicare |
$10,815.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,356.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,438.16
|
| Rate for Payer: PACE Medicare |
$10,275.00
|
| Rate for Payer: PACE SWMI |
$10,815.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,815.79
|
| Rate for Payer: Priority Health Medicare |
$10,815.79
|
| Rate for Payer: Railroad Medicare Medicare |
$10,815.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,815.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,815.79
|
| Rate for Payer: VA VA |
$10,815.79
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
|
IP
|
$24,908.46
|
|
|
Service Code
|
MSDRG 498
|
| Min. Negotiated Rate |
$18,930.43 |
| Max. Negotiated Rate |
$24,908.46 |
| Rate for Payer: Aetna Medicare |
$20,723.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,908.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,908.46
|
| Rate for Payer: BCBS MAPPO |
$19,926.77
|
| Rate for Payer: BCN Medicare Advantage |
$19,926.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,926.77
|
| Rate for Payer: Mclaren Medicare |
$19,926.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,923.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,915.79
|
| Rate for Payer: PACE Medicare |
$18,930.43
|
| Rate for Payer: PACE SWMI |
$19,926.77
|
| Rate for Payer: PHP Medicare Advantage |
$19,926.77
|
| Rate for Payer: Priority Health Medicare |
$19,926.77
|
| Rate for Payer: Railroad Medicare Medicare |
$19,926.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,926.77
|
| Rate for Payer: UHC Medicare Advantage |
$19,926.77
|
| Rate for Payer: VA VA |
$19,926.77
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$11,768.49
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$8,944.05 |
| Max. Negotiated Rate |
$11,768.49 |
| Rate for Payer: Aetna Medicare |
$9,791.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,768.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,768.49
|
| Rate for Payer: BCBS MAPPO |
$9,414.79
|
| Rate for Payer: BCN Medicare Advantage |
$9,414.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,414.79
|
| Rate for Payer: Mclaren Medicare |
$9,414.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,885.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,827.01
|
| Rate for Payer: PACE Medicare |
$8,944.05
|
| Rate for Payer: PACE SWMI |
$9,414.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,414.79
|
| Rate for Payer: Priority Health Medicare |
$9,414.79
|
| Rate for Payer: Railroad Medicare Medicare |
$9,414.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,414.79
|
| Rate for Payer: UHC Medicare Advantage |
$9,414.79
|
| Rate for Payer: VA VA |
$9,414.79
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$23,714.96
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$18,023.37 |
| Max. Negotiated Rate |
$23,714.96 |
| Rate for Payer: Aetna Medicare |
$19,730.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,714.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,714.96
|
| Rate for Payer: BCBS MAPPO |
$18,971.97
|
| Rate for Payer: BCN Medicare Advantage |
$18,971.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,971.97
|
| Rate for Payer: Mclaren Medicare |
$18,971.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,920.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,817.77
|
| Rate for Payer: PACE Medicare |
$18,023.37
|
| Rate for Payer: PACE SWMI |
$18,971.97
|
| Rate for Payer: PHP Medicare Advantage |
$18,971.97
|
| Rate for Payer: Priority Health Medicare |
$18,971.97
|
| Rate for Payer: Railroad Medicare Medicare |
$18,971.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,971.97
|
| Rate for Payer: UHC Medicare Advantage |
$18,971.97
|
| Rate for Payer: VA VA |
$18,971.97
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$34,794.51
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$26,443.83 |
| Max. Negotiated Rate |
$34,794.51 |
| Rate for Payer: Aetna Medicare |
$28,949.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,794.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,794.51
|
| Rate for Payer: BCBS MAPPO |
$27,835.61
|
| Rate for Payer: BCN Medicare Advantage |
$27,835.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,835.61
|
| Rate for Payer: Mclaren Medicare |
$27,835.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,227.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,010.95
|
| Rate for Payer: PACE Medicare |
$26,443.83
|
| Rate for Payer: PACE SWMI |
$27,835.61
|
| Rate for Payer: PHP Medicare Advantage |
$27,835.61
|
| Rate for Payer: Priority Health Medicare |
$27,835.61
|
| Rate for Payer: Railroad Medicare Medicare |
$27,835.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,835.61
|
| Rate for Payer: UHC Medicare Advantage |
$27,835.61
|
| Rate for Payer: VA VA |
$27,835.61
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$18,748.38
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$14,248.76 |
| Max. Negotiated Rate |
$18,748.38 |
| Rate for Payer: Aetna Medicare |
$15,598.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,748.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,748.38
|
| Rate for Payer: BCBS MAPPO |
$14,998.70
|
| Rate for Payer: BCN Medicare Advantage |
$14,998.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,998.70
|
| Rate for Payer: Mclaren Medicare |
$14,998.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,748.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,248.51
|
| Rate for Payer: PACE Medicare |
$14,248.76
|
| Rate for Payer: PACE SWMI |
$14,998.70
|
| Rate for Payer: PHP Medicare Advantage |
$14,998.70
|
| Rate for Payer: Priority Health Medicare |
$14,998.70
|
| Rate for Payer: Railroad Medicare Medicare |
$14,998.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,998.70
|
| Rate for Payer: UHC Medicare Advantage |
$14,998.70
|
| Rate for Payer: VA VA |
$14,998.70
|
|
|
MS-DRG 42.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$126,474.77
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$96,120.83 |
| Max. Negotiated Rate |
$126,474.77 |
| Rate for Payer: Aetna Medicare |
$105,227.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126,474.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126,474.77
|
| Rate for Payer: BCBS MAPPO |
$101,179.82
|
| Rate for Payer: BCN Medicare Advantage |
$101,179.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101,179.82
|
| Rate for Payer: Mclaren Medicare |
$101,179.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106,238.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116,356.79
|
| Rate for Payer: PACE Medicare |
$96,120.83
|
| Rate for Payer: PACE SWMI |
$101,179.82
|
| Rate for Payer: PHP Medicare Advantage |
$101,179.82
|
| Rate for Payer: Priority Health Medicare |
$101,179.82
|
| Rate for Payer: Railroad Medicare Medicare |
$101,179.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$101,179.82
|
| Rate for Payer: UHC Medicare Advantage |
$101,179.82
|
| Rate for Payer: VA VA |
$101,179.82
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,090.90
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$16,789.08 |
| Max. Negotiated Rate |
$22,090.90 |
| Rate for Payer: Aetna Medicare |
$18,379.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,090.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,090.90
|
| Rate for Payer: BCBS MAPPO |
$17,672.72
|
| Rate for Payer: BCN Medicare Advantage |
$17,672.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,672.72
|
| Rate for Payer: Mclaren Medicare |
$17,672.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,556.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,323.63
|
| Rate for Payer: PACE Medicare |
$16,789.08
|
| Rate for Payer: PACE SWMI |
$17,672.72
|
| Rate for Payer: PHP Medicare Advantage |
$17,672.72
|
| Rate for Payer: Priority Health Medicare |
$17,672.72
|
| Rate for Payer: Railroad Medicare Medicare |
$17,672.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,672.72
|
| Rate for Payer: UHC Medicare Advantage |
$17,672.72
|
| Rate for Payer: VA VA |
$17,672.72
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,671.35
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$43,070.23 |
| Max. Negotiated Rate |
$56,671.35 |
| Rate for Payer: Aetna Medicare |
$47,150.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,671.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,671.35
|
| Rate for Payer: BCBS MAPPO |
$45,337.08
|
| Rate for Payer: BCN Medicare Advantage |
$45,337.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,337.08
|
| Rate for Payer: Mclaren Medicare |
$45,337.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,603.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,137.64
|
| Rate for Payer: PACE Medicare |
$43,070.23
|
| Rate for Payer: PACE SWMI |
$45,337.08
|
| Rate for Payer: PHP Medicare Advantage |
$45,337.08
|
| Rate for Payer: Priority Health Medicare |
$45,337.08
|
| Rate for Payer: Railroad Medicare Medicare |
$45,337.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,337.08
|
| Rate for Payer: UHC Medicare Advantage |
$45,337.08
|
| Rate for Payer: VA VA |
$45,337.08
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,603.79
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$8,818.88 |
| Max. Negotiated Rate |
$11,603.79 |
| Rate for Payer: Aetna Medicare |
$9,654.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,603.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,603.79
|
| Rate for Payer: BCBS MAPPO |
$9,283.03
|
| Rate for Payer: BCN Medicare Advantage |
$9,283.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,283.03
|
| Rate for Payer: Mclaren Medicare |
$9,283.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,747.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,675.48
|
| Rate for Payer: PACE Medicare |
$8,818.88
|
| Rate for Payer: PACE SWMI |
$9,283.03
|
| Rate for Payer: PHP Medicare Advantage |
$9,283.03
|
| Rate for Payer: Priority Health Medicare |
$9,283.03
|
| Rate for Payer: Railroad Medicare Medicare |
$9,283.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,283.03
|
| Rate for Payer: UHC Medicare Advantage |
$9,283.03
|
| Rate for Payer: VA VA |
$9,283.03
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$15,690.92
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$11,925.10 |
| Max. Negotiated Rate |
$15,690.92 |
| Rate for Payer: Aetna Medicare |
$13,054.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,690.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,690.92
|
| Rate for Payer: BCBS MAPPO |
$12,552.74
|
| Rate for Payer: BCN Medicare Advantage |
$12,552.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,552.74
|
| Rate for Payer: Mclaren Medicare |
$12,552.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,180.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,435.65
|
| Rate for Payer: PACE Medicare |
$11,925.10
|
| Rate for Payer: PACE SWMI |
$12,552.74
|
| Rate for Payer: PHP Medicare Advantage |
$12,552.74
|
| Rate for Payer: Priority Health Medicare |
$12,552.74
|
| Rate for Payer: Railroad Medicare Medicare |
$12,552.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,552.74
|
| Rate for Payer: UHC Medicare Advantage |
$12,552.74
|
| Rate for Payer: VA VA |
$12,552.74
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$31,305.56
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$23,792.23 |
| Max. Negotiated Rate |
$31,305.56 |
| Rate for Payer: Aetna Medicare |
$26,046.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,305.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,305.56
|
| Rate for Payer: BCBS MAPPO |
$25,044.45
|
| Rate for Payer: BCN Medicare Advantage |
$25,044.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,044.45
|
| Rate for Payer: Mclaren Medicare |
$25,044.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,296.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,801.12
|
| Rate for Payer: PACE Medicare |
$23,792.23
|
| Rate for Payer: PACE SWMI |
$25,044.45
|
| Rate for Payer: PHP Medicare Advantage |
$25,044.45
|
| Rate for Payer: Priority Health Medicare |
$25,044.45
|
| Rate for Payer: Railroad Medicare Medicare |
$25,044.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,044.45
|
| Rate for Payer: UHC Medicare Advantage |
$25,044.45
|
| Rate for Payer: VA VA |
$25,044.45
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$21,773.03
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$16,547.50 |
| Max. Negotiated Rate |
$21,773.03 |
| Rate for Payer: Aetna Medicare |
$18,115.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,773.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,773.03
|
| Rate for Payer: BCBS MAPPO |
$17,418.42
|
| Rate for Payer: BCN Medicare Advantage |
$17,418.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,418.42
|
| Rate for Payer: Mclaren Medicare |
$17,418.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,289.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,031.18
|
| Rate for Payer: PACE Medicare |
$16,547.50
|
| Rate for Payer: PACE SWMI |
$17,418.42
|
| Rate for Payer: PHP Medicare Advantage |
$17,418.42
|
| Rate for Payer: Priority Health Medicare |
$17,418.42
|
| Rate for Payer: Railroad Medicare Medicare |
$17,418.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,418.42
|
| Rate for Payer: UHC Medicare Advantage |
$17,418.42
|
| Rate for Payer: VA VA |
$17,418.42
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$45,663.10
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$34,703.96 |
| Max. Negotiated Rate |
$45,663.10 |
| Rate for Payer: Aetna Medicare |
$37,991.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,663.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,663.10
|
| Rate for Payer: BCBS MAPPO |
$36,530.48
|
| Rate for Payer: BCN Medicare Advantage |
$36,530.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,530.48
|
| Rate for Payer: Mclaren Medicare |
$36,530.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,357.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,010.05
|
| Rate for Payer: PACE Medicare |
$34,703.96
|
| Rate for Payer: PACE SWMI |
$36,530.48
|
| Rate for Payer: PHP Medicare Advantage |
$36,530.48
|
| Rate for Payer: Priority Health Medicare |
$36,530.48
|
| Rate for Payer: Railroad Medicare Medicare |
$36,530.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,530.48
|
| Rate for Payer: UHC Medicare Advantage |
$36,530.48
|
| Rate for Payer: VA VA |
$36,530.48
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,442.77
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$9,456.51 |
| Max. Negotiated Rate |
$12,442.77 |
| Rate for Payer: Aetna Medicare |
$10,352.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,442.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,442.77
|
| Rate for Payer: BCBS MAPPO |
$9,954.22
|
| Rate for Payer: BCN Medicare Advantage |
$9,954.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,954.22
|
| Rate for Payer: Mclaren Medicare |
$9,954.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,451.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,447.35
|
| Rate for Payer: PACE Medicare |
$9,456.51
|
| Rate for Payer: PACE SWMI |
$9,954.22
|
| Rate for Payer: PHP Medicare Advantage |
$9,954.22
|
| Rate for Payer: Priority Health Medicare |
$9,954.22
|
| Rate for Payer: Railroad Medicare Medicare |
$9,954.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,954.22
|
| Rate for Payer: UHC Medicare Advantage |
$9,954.22
|
| Rate for Payer: VA VA |
$9,954.22
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$10,719.48
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$8,146.80 |
| Max. Negotiated Rate |
$10,719.48 |
| Rate for Payer: Aetna Medicare |
$8,918.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,719.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,719.48
|
| Rate for Payer: BCBS MAPPO |
$8,575.58
|
| Rate for Payer: BCN Medicare Advantage |
$8,575.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,575.58
|
| Rate for Payer: Mclaren Medicare |
$8,575.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,004.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,861.92
|
| Rate for Payer: PACE Medicare |
$8,146.80
|
| Rate for Payer: PACE SWMI |
$8,575.58
|
| Rate for Payer: PHP Medicare Advantage |
$8,575.58
|
| Rate for Payer: Priority Health Medicare |
$8,575.58
|
| Rate for Payer: Railroad Medicare Medicare |
$8,575.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,575.58
|
| Rate for Payer: UHC Medicare Advantage |
$8,575.58
|
| Rate for Payer: VA VA |
$8,575.58
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$27,771.31
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$21,106.20 |
| Max. Negotiated Rate |
$27,771.31 |
| Rate for Payer: Aetna Medicare |
$23,105.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,771.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,771.31
|
| Rate for Payer: BCBS MAPPO |
$22,217.05
|
| Rate for Payer: BCN Medicare Advantage |
$22,217.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,217.05
|
| Rate for Payer: Mclaren Medicare |
$22,217.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,327.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,549.61
|
| Rate for Payer: PACE Medicare |
$21,106.20
|
| Rate for Payer: PACE SWMI |
$22,217.05
|
| Rate for Payer: PHP Medicare Advantage |
$22,217.05
|
| Rate for Payer: Priority Health Medicare |
$22,217.05
|
| Rate for Payer: Railroad Medicare Medicare |
$22,217.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,217.05
|
| Rate for Payer: UHC Medicare Advantage |
$22,217.05
|
| Rate for Payer: VA VA |
$22,217.05
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,285.31
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$41,256.84 |
| Max. Negotiated Rate |
$54,285.31 |
| Rate for Payer: Aetna Medicare |
$45,165.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,285.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,285.31
|
| Rate for Payer: BCBS MAPPO |
$43,428.25
|
| Rate for Payer: BCN Medicare Advantage |
$43,428.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,428.25
|
| Rate for Payer: Mclaren Medicare |
$43,428.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,599.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,942.49
|
| Rate for Payer: PACE Medicare |
$41,256.84
|
| Rate for Payer: PACE SWMI |
$43,428.25
|
| Rate for Payer: PHP Medicare Advantage |
$43,428.25
|
| Rate for Payer: Priority Health Medicare |
$43,428.25
|
| Rate for Payer: Railroad Medicare Medicare |
$43,428.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,428.25
|
| Rate for Payer: UHC Medicare Advantage |
$43,428.25
|
| Rate for Payer: VA VA |
$43,428.25
|
|
