|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$15,299.85
|
|
|
Service Code
|
MSDRG 663
|
| Min. Negotiated Rate |
$11,627.89 |
| Max. Negotiated Rate |
$15,299.85 |
| Rate for Payer: Aetna Medicare |
$12,729.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,299.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,299.85
|
| Rate for Payer: BCBS MAPPO |
$12,239.88
|
| Rate for Payer: BCN Medicare Advantage |
$12,239.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,239.88
|
| Rate for Payer: Mclaren Medicare |
$12,239.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,851.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,075.86
|
| Rate for Payer: PACE Medicare |
$11,627.89
|
| Rate for Payer: PACE SWMI |
$12,239.88
|
| Rate for Payer: PHP Medicare Advantage |
$12,239.88
|
| Rate for Payer: Priority Health Medicare |
$12,239.88
|
| Rate for Payer: Railroad Medicare Medicare |
$12,239.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,239.88
|
| Rate for Payer: UHC Medicare Advantage |
$12,239.88
|
| Rate for Payer: VA VA |
$12,239.88
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$30,637.03
|
|
|
Service Code
|
MSDRG 662
|
| Min. Negotiated Rate |
$23,284.14 |
| Max. Negotiated Rate |
$30,637.03 |
| Rate for Payer: Aetna Medicare |
$25,490.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,637.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,637.03
|
| Rate for Payer: BCBS MAPPO |
$24,509.62
|
| Rate for Payer: BCN Medicare Advantage |
$24,509.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,509.62
|
| Rate for Payer: Mclaren Medicare |
$24,509.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,735.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,186.06
|
| Rate for Payer: PACE Medicare |
$23,284.14
|
| Rate for Payer: PACE SWMI |
$24,509.62
|
| Rate for Payer: PHP Medicare Advantage |
$24,509.62
|
| Rate for Payer: Priority Health Medicare |
$24,509.62
|
| Rate for Payer: Railroad Medicare Medicare |
$24,509.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,509.62
|
| Rate for Payer: UHC Medicare Advantage |
$24,509.62
|
| Rate for Payer: VA VA |
$24,509.62
|
|
|
MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,988.25
|
|
|
Service Code
|
MSDRG 664
|
| Min. Negotiated Rate |
$8,351.07 |
| Max. Negotiated Rate |
$10,988.25 |
| Rate for Payer: Aetna Medicare |
$9,142.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,988.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,988.25
|
| Rate for Payer: BCBS MAPPO |
$8,790.60
|
| Rate for Payer: BCN Medicare Advantage |
$8,790.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,790.60
|
| Rate for Payer: Mclaren Medicare |
$8,790.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,230.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,109.19
|
| Rate for Payer: PACE Medicare |
$8,351.07
|
| Rate for Payer: PACE SWMI |
$8,790.60
|
| Rate for Payer: PHP Medicare Advantage |
$8,790.60
|
| Rate for Payer: Priority Health Medicare |
$8,790.60
|
| Rate for Payer: Railroad Medicare Medicare |
$8,790.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,790.60
|
| Rate for Payer: UHC Medicare Advantage |
$8,790.60
|
| Rate for Payer: VA VA |
$8,790.60
|
|
|
MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$16,098.39
|
|
|
Service Code
|
MSDRG 606
|
| Min. Negotiated Rate |
$12,234.77 |
| Max. Negotiated Rate |
$16,098.39 |
| Rate for Payer: Aetna Medicare |
$13,393.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,098.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,098.39
|
| Rate for Payer: BCBS MAPPO |
$12,878.71
|
| Rate for Payer: BCN Medicare Advantage |
$12,878.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,878.71
|
| Rate for Payer: Mclaren Medicare |
$12,878.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,522.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,810.52
|
| Rate for Payer: PACE Medicare |
$12,234.77
|
| Rate for Payer: PACE SWMI |
$12,878.71
|
| Rate for Payer: PHP Medicare Advantage |
$12,878.71
|
| Rate for Payer: Priority Health Medicare |
$12,878.71
|
| Rate for Payer: Railroad Medicare Medicare |
$12,878.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,878.71
|
| Rate for Payer: UHC Medicare Advantage |
$12,878.71
|
| Rate for Payer: VA VA |
$12,878.71
|
|
|
MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$8,911.41
|
|
|
Service Code
|
MSDRG 607
|
| Min. Negotiated Rate |
$6,772.67 |
| Max. Negotiated Rate |
$8,911.41 |
| Rate for Payer: Aetna Medicare |
$7,414.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,911.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,911.41
|
| Rate for Payer: BCBS MAPPO |
$7,129.13
|
| Rate for Payer: BCN Medicare Advantage |
$7,129.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,129.13
|
| Rate for Payer: Mclaren Medicare |
$7,129.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,485.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,198.50
|
| Rate for Payer: PACE Medicare |
$6,772.67
|
| Rate for Payer: PACE SWMI |
$7,129.13
|
| Rate for Payer: PHP Medicare Advantage |
$7,129.13
|
| Rate for Payer: Priority Health Medicare |
$7,129.13
|
| Rate for Payer: Railroad Medicare Medicare |
$7,129.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,129.13
|
| Rate for Payer: UHC Medicare Advantage |
$7,129.13
|
| Rate for Payer: VA VA |
$7,129.13
|
|
|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$14,927.08
|
|
|
Service Code
|
MSDRG 345
|
| Min. Negotiated Rate |
$11,344.58 |
| Max. Negotiated Rate |
$14,927.08 |
| Rate for Payer: Aetna Medicare |
$12,419.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,927.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,927.08
|
| Rate for Payer: BCBS MAPPO |
$11,941.66
|
| Rate for Payer: BCN Medicare Advantage |
$11,941.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,941.66
|
| Rate for Payer: Mclaren Medicare |
$11,941.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,538.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,732.91
|
| Rate for Payer: PACE Medicare |
$11,344.58
|
| Rate for Payer: PACE SWMI |
$11,941.66
|
| Rate for Payer: PHP Medicare Advantage |
$11,941.66
|
| Rate for Payer: Priority Health Medicare |
$11,941.66
|
| Rate for Payer: Railroad Medicare Medicare |
$11,941.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,941.66
|
| Rate for Payer: UHC Medicare Advantage |
$11,941.66
|
| Rate for Payer: VA VA |
$11,941.66
|
|
|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$26,542.17
|
|
|
Service Code
|
MSDRG 344
|
| Min. Negotiated Rate |
$20,172.05 |
| Max. Negotiated Rate |
$26,542.17 |
| Rate for Payer: Aetna Medicare |
$22,083.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,542.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,542.17
|
| Rate for Payer: BCBS MAPPO |
$21,233.74
|
| Rate for Payer: BCN Medicare Advantage |
$21,233.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,233.74
|
| Rate for Payer: Mclaren Medicare |
$21,233.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,295.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,418.80
|
| Rate for Payer: PACE Medicare |
$20,172.05
|
| Rate for Payer: PACE SWMI |
$21,233.74
|
| Rate for Payer: PHP Medicare Advantage |
$21,233.74
|
| Rate for Payer: Priority Health Medicare |
$21,233.74
|
| Rate for Payer: Railroad Medicare Medicare |
$21,233.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,233.74
|
| Rate for Payer: UHC Medicare Advantage |
$21,233.74
|
| Rate for Payer: VA VA |
$21,233.74
|
|
|
MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,582.45
|
|
|
Service Code
|
MSDRG 346
|
| Min. Negotiated Rate |
$9,562.66 |
| Max. Negotiated Rate |
$12,582.45 |
| Rate for Payer: Aetna Medicare |
$10,468.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,582.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,582.45
|
| Rate for Payer: BCBS MAPPO |
$10,065.96
|
| Rate for Payer: BCN Medicare Advantage |
$10,065.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,065.96
|
| Rate for Payer: Mclaren Medicare |
$10,065.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,569.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,575.85
|
| Rate for Payer: PACE Medicare |
$9,562.66
|
| Rate for Payer: PACE SWMI |
$10,065.96
|
| Rate for Payer: PHP Medicare Advantage |
$10,065.96
|
| Rate for Payer: Priority Health Medicare |
$10,065.96
|
| Rate for Payer: Railroad Medicare Medicare |
$10,065.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,065.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,065.96
|
| Rate for Payer: VA VA |
$10,065.96
|
|
|
MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
|
Facility
|
IP
|
$13,379.09
|
|
|
Service Code
|
MSDRG 640
|
| Min. Negotiated Rate |
$10,168.11 |
| Max. Negotiated Rate |
$13,379.09 |
| Rate for Payer: Aetna Medicare |
$11,131.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,379.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,379.09
|
| Rate for Payer: BCBS MAPPO |
$10,703.27
|
| Rate for Payer: BCN Medicare Advantage |
$10,703.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,703.27
|
| Rate for Payer: Mclaren Medicare |
$10,703.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,238.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,308.76
|
| Rate for Payer: PACE Medicare |
$10,168.11
|
| Rate for Payer: PACE SWMI |
$10,703.27
|
| Rate for Payer: PHP Medicare Advantage |
$10,703.27
|
| Rate for Payer: Priority Health Medicare |
$10,703.27
|
| Rate for Payer: Railroad Medicare Medicare |
$10,703.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,703.27
|
| Rate for Payer: UHC Medicare Advantage |
$10,703.27
|
| Rate for Payer: VA VA |
$10,703.27
|
|
|
MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
|
Facility
|
IP
|
$8,113.82
|
|
|
Service Code
|
MSDRG 641
|
| Min. Negotiated Rate |
$6,166.51 |
| Max. Negotiated Rate |
$8,113.82 |
| Rate for Payer: Aetna Medicare |
$6,750.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,113.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,113.82
|
| Rate for Payer: BCBS MAPPO |
$6,491.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,491.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,491.06
|
| Rate for Payer: Mclaren Medicare |
$6,491.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,815.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,464.72
|
| Rate for Payer: PACE Medicare |
$6,166.51
|
| Rate for Payer: PACE SWMI |
$6,491.06
|
| Rate for Payer: PHP Medicare Advantage |
$6,491.06
|
| Rate for Payer: Priority Health Medicare |
$6,491.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,491.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,491.06
|
| Rate for Payer: UHC Medicare Advantage |
$6,491.06
|
| Rate for Payer: VA VA |
$6,491.06
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$14,059.14
|
|
|
Service Code
|
MSDRG 137
|
| Min. Negotiated Rate |
$10,684.94 |
| Max. Negotiated Rate |
$14,059.14 |
| Rate for Payer: Aetna Medicare |
$11,697.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,059.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,059.14
|
| Rate for Payer: BCBS MAPPO |
$11,247.31
|
| Rate for Payer: BCN Medicare Advantage |
$11,247.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,247.31
|
| Rate for Payer: Mclaren Medicare |
$11,247.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,809.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,934.41
|
| Rate for Payer: PACE Medicare |
$10,684.94
|
| Rate for Payer: PACE SWMI |
$11,247.31
|
| Rate for Payer: PHP Medicare Advantage |
$11,247.31
|
| Rate for Payer: Priority Health Medicare |
$11,247.31
|
| Rate for Payer: Railroad Medicare Medicare |
$11,247.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,247.31
|
| Rate for Payer: UHC Medicare Advantage |
$11,247.31
|
| Rate for Payer: VA VA |
$11,247.31
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,423.04
|
|
|
Service Code
|
MSDRG 138
|
| Min. Negotiated Rate |
$6,401.51 |
| Max. Negotiated Rate |
$8,423.04 |
| Rate for Payer: Aetna Medicare |
$7,007.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,423.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,423.04
|
| Rate for Payer: BCBS MAPPO |
$6,738.43
|
| Rate for Payer: BCN Medicare Advantage |
$6,738.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,738.43
|
| Rate for Payer: Mclaren Medicare |
$6,738.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,075.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,749.19
|
| Rate for Payer: PACE Medicare |
$6,401.51
|
| Rate for Payer: PACE SWMI |
$6,738.43
|
| Rate for Payer: PHP Medicare Advantage |
$6,738.43
|
| Rate for Payer: Priority Health Medicare |
$6,738.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6,738.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,738.43
|
| Rate for Payer: UHC Medicare Advantage |
$6,738.43
|
| Rate for Payer: VA VA |
$6,738.43
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
|
Facility
|
IP
|
$69,005.06
|
|
|
Service Code
|
MSDRG 427
|
| Min. Negotiated Rate |
$52,443.85 |
| Max. Negotiated Rate |
$69,005.06 |
| Rate for Payer: Aetna Medicare |
$57,412.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69,005.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69,005.06
|
| Rate for Payer: BCBS MAPPO |
$55,204.05
|
| Rate for Payer: BCN Medicare Advantage |
$55,204.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,204.05
|
| Rate for Payer: Mclaren Medicare |
$55,204.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,964.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,484.66
|
| Rate for Payer: PACE Medicare |
$52,443.85
|
| Rate for Payer: PACE SWMI |
$55,204.05
|
| Rate for Payer: PHP Medicare Advantage |
$55,204.05
|
| Rate for Payer: Priority Health Medicare |
$55,204.05
|
| Rate for Payer: Railroad Medicare Medicare |
$55,204.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,204.05
|
| Rate for Payer: UHC Medicare Advantage |
$55,204.05
|
| Rate for Payer: VA VA |
$55,204.05
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$101,493.30
|
|
|
Service Code
|
MSDRG 426
|
| Min. Negotiated Rate |
$77,134.91 |
| Max. Negotiated Rate |
$101,493.30 |
| Rate for Payer: Aetna Medicare |
$84,442.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$101,493.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$101,493.30
|
| Rate for Payer: BCBS MAPPO |
$81,194.64
|
| Rate for Payer: BCN Medicare Advantage |
$81,194.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81,194.64
|
| Rate for Payer: Mclaren Medicare |
$81,194.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85,254.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93,373.84
|
| Rate for Payer: PACE Medicare |
$77,134.91
|
| Rate for Payer: PACE SWMI |
$81,194.64
|
| Rate for Payer: PHP Medicare Advantage |
$81,194.64
|
| Rate for Payer: Priority Health Medicare |
$81,194.64
|
| Rate for Payer: Railroad Medicare Medicare |
$81,194.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$81,194.64
|
| Rate for Payer: UHC Medicare Advantage |
$81,194.64
|
| Rate for Payer: VA VA |
$81,194.64
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
|
Facility
|
IP
|
$53,606.22
|
|
|
Service Code
|
MSDRG 428
|
| Min. Negotiated Rate |
$40,740.73 |
| Max. Negotiated Rate |
$53,606.22 |
| Rate for Payer: Aetna Medicare |
$44,600.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,606.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,606.22
|
| Rate for Payer: BCBS MAPPO |
$42,884.98
|
| Rate for Payer: BCN Medicare Advantage |
$42,884.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,884.98
|
| Rate for Payer: Mclaren Medicare |
$42,884.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,029.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,317.73
|
| Rate for Payer: PACE Medicare |
$40,740.73
|
| Rate for Payer: PACE SWMI |
$42,884.98
|
| Rate for Payer: PHP Medicare Advantage |
$42,884.98
|
| Rate for Payer: Priority Health Medicare |
$42,884.98
|
| Rate for Payer: Railroad Medicare Medicare |
$42,884.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,884.98
|
| Rate for Payer: UHC Medicare Advantage |
$42,884.98
|
| Rate for Payer: VA VA |
$42,884.98
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$65,171.24
|
|
|
Service Code
|
MSDRG 447
|
| Min. Negotiated Rate |
$49,530.14 |
| Max. Negotiated Rate |
$65,171.24 |
| Rate for Payer: Aetna Medicare |
$54,222.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,171.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,171.24
|
| Rate for Payer: BCBS MAPPO |
$52,136.99
|
| Rate for Payer: BCN Medicare Advantage |
$52,136.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,136.99
|
| Rate for Payer: Mclaren Medicare |
$52,136.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54,743.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,957.54
|
| Rate for Payer: PACE Medicare |
$49,530.14
|
| Rate for Payer: PACE SWMI |
$52,136.99
|
| Rate for Payer: PHP Medicare Advantage |
$52,136.99
|
| Rate for Payer: Priority Health Medicare |
$52,136.99
|
| Rate for Payer: Railroad Medicare Medicare |
$52,136.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,136.99
|
| Rate for Payer: UHC Medicare Advantage |
$52,136.99
|
| Rate for Payer: VA VA |
$52,136.99
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$39,922.00
|
|
|
Service Code
|
MSDRG 448
|
| Min. Negotiated Rate |
$30,340.72 |
| Max. Negotiated Rate |
$39,922.00 |
| Rate for Payer: Aetna Medicare |
$33,215.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,922.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,922.00
|
| Rate for Payer: BCBS MAPPO |
$31,937.60
|
| Rate for Payer: BCN Medicare Advantage |
$31,937.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,937.60
|
| Rate for Payer: Mclaren Medicare |
$31,937.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,534.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,728.24
|
| Rate for Payer: PACE Medicare |
$30,340.72
|
| Rate for Payer: PACE SWMI |
$31,937.60
|
| Rate for Payer: PHP Medicare Advantage |
$31,937.60
|
| Rate for Payer: Priority Health Medicare |
$31,937.60
|
| Rate for Payer: Railroad Medicare Medicare |
$31,937.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,937.60
|
| Rate for Payer: UHC Medicare Advantage |
$31,937.60
|
| Rate for Payer: VA VA |
$31,937.60
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
|
IP
|
$12,373.42
|
|
|
Service Code
|
MSDRG 059
|
| Min. Negotiated Rate |
$9,403.80 |
| Max. Negotiated Rate |
$12,373.42 |
| Rate for Payer: Aetna Medicare |
$10,294.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,373.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,373.42
|
| Rate for Payer: BCBS MAPPO |
$9,898.74
|
| Rate for Payer: BCN Medicare Advantage |
$9,898.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,898.74
|
| Rate for Payer: Mclaren Medicare |
$9,898.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,393.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,383.55
|
| Rate for Payer: PACE Medicare |
$9,403.80
|
| Rate for Payer: PACE SWMI |
$9,898.74
|
| Rate for Payer: PHP Medicare Advantage |
$9,898.74
|
| Rate for Payer: Priority Health Medicare |
$9,898.74
|
| Rate for Payer: Railroad Medicare Medicare |
$9,898.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,898.74
|
| Rate for Payer: UHC Medicare Advantage |
$9,898.74
|
| Rate for Payer: VA VA |
$9,898.74
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
|
IP
|
$18,367.85
|
|
|
Service Code
|
MSDRG 058
|
| Min. Negotiated Rate |
$13,959.57 |
| Max. Negotiated Rate |
$18,367.85 |
| Rate for Payer: Aetna Medicare |
$15,282.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,367.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,367.85
|
| Rate for Payer: BCBS MAPPO |
$14,694.28
|
| Rate for Payer: BCN Medicare Advantage |
$14,694.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,694.28
|
| Rate for Payer: Mclaren Medicare |
$14,694.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,428.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,898.42
|
| Rate for Payer: PACE Medicare |
$13,959.57
|
| Rate for Payer: PACE SWMI |
$14,694.28
|
| Rate for Payer: PHP Medicare Advantage |
$14,694.28
|
| Rate for Payer: Priority Health Medicare |
$14,694.28
|
| Rate for Payer: Railroad Medicare Medicare |
$14,694.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,694.28
|
| Rate for Payer: UHC Medicare Advantage |
$14,694.28
|
| Rate for Payer: VA VA |
$14,694.28
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
|
IP
|
$9,183.06
|
|
|
Service Code
|
MSDRG 060
|
| Min. Negotiated Rate |
$6,979.13 |
| Max. Negotiated Rate |
$9,183.06 |
| Rate for Payer: Aetna Medicare |
$7,640.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,183.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,183.06
|
| Rate for Payer: BCBS MAPPO |
$7,346.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,346.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,346.45
|
| Rate for Payer: Mclaren Medicare |
$7,346.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,713.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,448.42
|
| Rate for Payer: PACE Medicare |
$6,979.13
|
| Rate for Payer: PACE SWMI |
$7,346.45
|
| Rate for Payer: PHP Medicare Advantage |
$7,346.45
|
| Rate for Payer: Priority Health Medicare |
$7,346.45
|
| Rate for Payer: Railroad Medicare Medicare |
$7,346.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,346.45
|
| Rate for Payer: UHC Medicare Advantage |
$7,346.45
|
| Rate for Payer: VA VA |
$7,346.45
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,319.05
|
|
|
Service Code
|
MSDRG 827
|
| Min. Negotiated Rate |
$17,722.48 |
| Max. Negotiated Rate |
$23,319.05 |
| Rate for Payer: Aetna Medicare |
$19,401.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,319.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,319.05
|
| Rate for Payer: BCBS MAPPO |
$18,655.24
|
| Rate for Payer: BCN Medicare Advantage |
$18,655.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,655.24
|
| Rate for Payer: Mclaren Medicare |
$18,655.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,588.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,453.53
|
| Rate for Payer: PACE Medicare |
$17,722.48
|
| Rate for Payer: PACE SWMI |
$18,655.24
|
| Rate for Payer: PHP Medicare Advantage |
$18,655.24
|
| Rate for Payer: Priority Health Medicare |
$18,655.24
|
| Rate for Payer: Railroad Medicare Medicare |
$18,655.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,655.24
|
| Rate for Payer: UHC Medicare Advantage |
$18,655.24
|
| Rate for Payer: VA VA |
$18,655.24
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,587.82
|
|
|
Service Code
|
MSDRG 826
|
| Min. Negotiated Rate |
$35,406.75 |
| Max. Negotiated Rate |
$46,587.82 |
| Rate for Payer: Aetna Medicare |
$38,761.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,587.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,587.82
|
| Rate for Payer: BCBS MAPPO |
$37,270.26
|
| Rate for Payer: BCN Medicare Advantage |
$37,270.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,270.26
|
| Rate for Payer: Mclaren Medicare |
$37,270.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,133.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,860.80
|
| Rate for Payer: PACE Medicare |
$35,406.75
|
| Rate for Payer: PACE SWMI |
$37,270.26
|
| Rate for Payer: PHP Medicare Advantage |
$37,270.26
|
| Rate for Payer: Priority Health Medicare |
$37,270.26
|
| Rate for Payer: Railroad Medicare Medicare |
$37,270.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,270.26
|
| Rate for Payer: UHC Medicare Advantage |
$37,270.26
|
| Rate for Payer: VA VA |
$37,270.26
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,027.12
|
|
|
Service Code
|
MSDRG 828
|
| Min. Negotiated Rate |
$12,180.61 |
| Max. Negotiated Rate |
$16,027.12 |
| Rate for Payer: Aetna Medicare |
$13,334.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,027.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,027.12
|
| Rate for Payer: BCBS MAPPO |
$12,821.70
|
| Rate for Payer: BCN Medicare Advantage |
$12,821.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,821.70
|
| Rate for Payer: Mclaren Medicare |
$12,821.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,462.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,744.95
|
| Rate for Payer: PACE Medicare |
$12,180.61
|
| Rate for Payer: PACE SWMI |
$12,821.70
|
| Rate for Payer: PHP Medicare Advantage |
$12,821.70
|
| Rate for Payer: Priority Health Medicare |
$12,821.70
|
| Rate for Payer: Railroad Medicare Medicare |
$12,821.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,821.70
|
| Rate for Payer: UHC Medicare Advantage |
$12,821.70
|
| Rate for Payer: VA VA |
$12,821.70
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$30,292.17
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$23,022.05 |
| Max. Negotiated Rate |
$30,292.17 |
| Rate for Payer: Aetna Medicare |
$25,203.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,292.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,292.17
|
| Rate for Payer: BCBS MAPPO |
$24,233.74
|
| Rate for Payer: BCN Medicare Advantage |
$24,233.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,233.74
|
| Rate for Payer: Mclaren Medicare |
$24,233.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,445.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,868.80
|
| Rate for Payer: PACE Medicare |
$23,022.05
|
| Rate for Payer: PACE SWMI |
$24,233.74
|
| Rate for Payer: PHP Medicare Advantage |
$24,233.74
|
| Rate for Payer: Priority Health Medicare |
$24,233.74
|
| Rate for Payer: Railroad Medicare Medicare |
$24,233.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,233.74
|
| Rate for Payer: UHC Medicare Advantage |
$24,233.74
|
| Rate for Payer: VA VA |
$24,233.74
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,674.69
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$11,152.76 |
| Max. Negotiated Rate |
$14,674.69 |
| Rate for Payer: Aetna Medicare |
$12,209.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,674.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,674.69
|
| Rate for Payer: BCBS MAPPO |
$11,739.75
|
| Rate for Payer: BCN Medicare Advantage |
$11,739.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,739.75
|
| Rate for Payer: Mclaren Medicare |
$11,739.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,326.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,500.71
|
| Rate for Payer: PACE Medicare |
$11,152.76
|
| Rate for Payer: PACE SWMI |
$11,739.75
|
| Rate for Payer: PHP Medicare Advantage |
$11,739.75
|
| Rate for Payer: Priority Health Medicare |
$11,739.75
|
| Rate for Payer: Railroad Medicare Medicare |
$11,739.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,739.75
|
| Rate for Payer: UHC Medicare Advantage |
$11,739.75
|
| Rate for Payer: VA VA |
$11,739.75
|
|
