|
MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$17,950.76
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$13,642.58 |
| Max. Negotiated Rate |
$17,950.76 |
| Rate for Payer: Aetna Medicare |
$14,935.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,950.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,950.76
|
| Rate for Payer: BCBS MAPPO |
$14,360.61
|
| Rate for Payer: BCN Medicare Advantage |
$14,360.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,360.61
|
| Rate for Payer: Mclaren Medicare |
$14,360.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,078.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,514.70
|
| Rate for Payer: PACE Medicare |
$13,642.58
|
| Rate for Payer: PACE SWMI |
$14,360.61
|
| Rate for Payer: PHP Medicare Advantage |
$14,360.61
|
| Rate for Payer: Priority Health Medicare |
$14,360.61
|
| Rate for Payer: Railroad Medicare Medicare |
$14,360.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,360.61
|
| Rate for Payer: UHC Medicare Advantage |
$14,360.61
|
| Rate for Payer: VA VA |
$14,360.61
|
|
|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$14,806.62
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$11,253.03 |
| Max. Negotiated Rate |
$14,806.62 |
| Rate for Payer: Aetna Medicare |
$12,319.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,806.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,806.62
|
| Rate for Payer: BCBS MAPPO |
$11,845.30
|
| Rate for Payer: BCN Medicare Advantage |
$11,845.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,845.30
|
| Rate for Payer: Mclaren Medicare |
$11,845.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,437.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,622.09
|
| Rate for Payer: PACE Medicare |
$11,253.03
|
| Rate for Payer: PACE SWMI |
$11,845.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,845.30
|
| Rate for Payer: Priority Health Medicare |
$11,845.30
|
| Rate for Payer: Railroad Medicare Medicare |
$11,845.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,845.30
|
| Rate for Payer: UHC Medicare Advantage |
$11,845.30
|
| Rate for Payer: VA VA |
$11,845.30
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$15,027.25
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$11,420.71 |
| Max. Negotiated Rate |
$15,027.25 |
| Rate for Payer: Aetna Medicare |
$12,502.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,027.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,027.25
|
| Rate for Payer: BCBS MAPPO |
$12,021.80
|
| Rate for Payer: BCN Medicare Advantage |
$12,021.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,021.80
|
| Rate for Payer: Mclaren Medicare |
$12,021.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,622.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,825.07
|
| Rate for Payer: PACE Medicare |
$11,420.71
|
| Rate for Payer: PACE SWMI |
$12,021.80
|
| Rate for Payer: PHP Medicare Advantage |
$12,021.80
|
| Rate for Payer: Priority Health Medicare |
$12,021.80
|
| Rate for Payer: Railroad Medicare Medicare |
$12,021.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,021.80
|
| Rate for Payer: UHC Medicare Advantage |
$12,021.80
|
| Rate for Payer: VA VA |
$12,021.80
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$11,096.11
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$8,433.05 |
| Max. Negotiated Rate |
$11,096.11 |
| Rate for Payer: Aetna Medicare |
$9,231.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,096.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,096.11
|
| Rate for Payer: BCBS MAPPO |
$8,876.89
|
| Rate for Payer: BCN Medicare Advantage |
$8,876.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,876.89
|
| Rate for Payer: Mclaren Medicare |
$8,876.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,320.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,208.42
|
| Rate for Payer: PACE Medicare |
$8,433.05
|
| Rate for Payer: PACE SWMI |
$8,876.89
|
| Rate for Payer: PHP Medicare Advantage |
$8,876.89
|
| Rate for Payer: Priority Health Medicare |
$8,876.89
|
| Rate for Payer: Railroad Medicare Medicare |
$8,876.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,876.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,876.89
|
| Rate for Payer: VA VA |
$8,876.89
|
|
|
MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$8,323.85
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$6,326.13 |
| Max. Negotiated Rate |
$8,323.85 |
| Rate for Payer: Aetna Medicare |
$6,925.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,323.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,323.85
|
| Rate for Payer: BCBS MAPPO |
$6,659.08
|
| Rate for Payer: BCN Medicare Advantage |
$6,659.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,659.08
|
| Rate for Payer: Mclaren Medicare |
$6,659.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,992.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,657.94
|
| Rate for Payer: PACE Medicare |
$6,326.13
|
| Rate for Payer: PACE SWMI |
$6,659.08
|
| Rate for Payer: PHP Medicare Advantage |
$6,659.08
|
| Rate for Payer: Priority Health Medicare |
$6,659.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6,659.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,659.08
|
| Rate for Payer: UHC Medicare Advantage |
$6,659.08
|
| Rate for Payer: VA VA |
$6,659.08
|
|
|
MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$9,853.50
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$7,488.66 |
| Max. Negotiated Rate |
$9,853.50 |
| Rate for Payer: Aetna Medicare |
$8,198.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,853.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,853.50
|
| Rate for Payer: BCBS MAPPO |
$7,882.80
|
| Rate for Payer: BCN Medicare Advantage |
$7,882.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,882.80
|
| Rate for Payer: Mclaren Medicare |
$7,882.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,276.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,065.22
|
| Rate for Payer: PACE Medicare |
$7,488.66
|
| Rate for Payer: PACE SWMI |
$7,882.80
|
| Rate for Payer: PHP Medicare Advantage |
$7,882.80
|
| Rate for Payer: Priority Health Medicare |
$7,882.80
|
| Rate for Payer: Railroad Medicare Medicare |
$7,882.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,882.80
|
| Rate for Payer: UHC Medicare Advantage |
$7,882.80
|
| Rate for Payer: VA VA |
$7,882.80
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$21,483.09
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$16,327.15 |
| Max. Negotiated Rate |
$21,483.09 |
| Rate for Payer: Aetna Medicare |
$17,873.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,483.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,483.09
|
| Rate for Payer: BCBS MAPPO |
$17,186.47
|
| Rate for Payer: BCN Medicare Advantage |
$17,186.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,186.47
|
| Rate for Payer: Mclaren Medicare |
$17,186.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,045.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,764.44
|
| Rate for Payer: PACE Medicare |
$16,327.15
|
| Rate for Payer: PACE SWMI |
$17,186.47
|
| Rate for Payer: PHP Medicare Advantage |
$17,186.47
|
| Rate for Payer: Priority Health Medicare |
$17,186.47
|
| Rate for Payer: Railroad Medicare Medicare |
$17,186.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,186.47
|
| Rate for Payer: UHC Medicare Advantage |
$17,186.47
|
| Rate for Payer: VA VA |
$17,186.47
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$35,116.25
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$26,688.35 |
| Max. Negotiated Rate |
$35,116.25 |
| Rate for Payer: Aetna Medicare |
$29,216.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,116.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,116.25
|
| Rate for Payer: BCBS MAPPO |
$28,093.00
|
| Rate for Payer: BCN Medicare Advantage |
$28,093.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,093.00
|
| Rate for Payer: Mclaren Medicare |
$28,093.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,497.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,306.95
|
| Rate for Payer: PACE Medicare |
$26,688.35
|
| Rate for Payer: PACE SWMI |
$28,093.00
|
| Rate for Payer: PHP Medicare Advantage |
$28,093.00
|
| Rate for Payer: Priority Health Medicare |
$28,093.00
|
| Rate for Payer: Railroad Medicare Medicare |
$28,093.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,093.00
|
| Rate for Payer: UHC Medicare Advantage |
$28,093.00
|
| Rate for Payer: VA VA |
$28,093.00
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,008.09
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$10,646.15 |
| Max. Negotiated Rate |
$14,008.09 |
| Rate for Payer: Aetna Medicare |
$11,654.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,008.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,008.09
|
| Rate for Payer: BCBS MAPPO |
$11,206.47
|
| Rate for Payer: BCN Medicare Advantage |
$11,206.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,206.47
|
| Rate for Payer: Mclaren Medicare |
$11,206.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,766.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,887.44
|
| Rate for Payer: PACE Medicare |
$10,646.15
|
| Rate for Payer: PACE SWMI |
$11,206.47
|
| Rate for Payer: PHP Medicare Advantage |
$11,206.47
|
| Rate for Payer: Priority Health Medicare |
$11,206.47
|
| Rate for Payer: Railroad Medicare Medicare |
$11,206.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,206.47
|
| Rate for Payer: UHC Medicare Advantage |
$11,206.47
|
| Rate for Payer: VA VA |
$11,206.47
|
|
|
MS-DRG 42.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$21,744.12
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$16,525.53 |
| Max. Negotiated Rate |
$21,744.12 |
| Rate for Payer: Aetna Medicare |
$18,091.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,744.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,744.12
|
| Rate for Payer: BCBS MAPPO |
$17,395.30
|
| Rate for Payer: BCN Medicare Advantage |
$17,395.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,395.30
|
| Rate for Payer: Mclaren Medicare |
$17,395.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,265.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,004.60
|
| Rate for Payer: PACE Medicare |
$16,525.53
|
| Rate for Payer: PACE SWMI |
$17,395.30
|
| Rate for Payer: PHP Medicare Advantage |
$17,395.30
|
| Rate for Payer: Priority Health Medicare |
$17,395.30
|
| Rate for Payer: Railroad Medicare Medicare |
$17,395.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,395.30
|
| Rate for Payer: UHC Medicare Advantage |
$17,395.30
|
| Rate for Payer: VA VA |
$17,395.30
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$17,116.56
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$13,008.59 |
| Max. Negotiated Rate |
$17,116.56 |
| Rate for Payer: Aetna Medicare |
$14,240.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,116.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,116.56
|
| Rate for Payer: BCBS MAPPO |
$13,693.25
|
| Rate for Payer: BCN Medicare Advantage |
$13,693.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,693.25
|
| Rate for Payer: Mclaren Medicare |
$13,693.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,377.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,747.24
|
| Rate for Payer: PACE Medicare |
$13,008.59
|
| Rate for Payer: PACE SWMI |
$13,693.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,693.25
|
| Rate for Payer: Priority Health Medicare |
$13,693.25
|
| Rate for Payer: Railroad Medicare Medicare |
$13,693.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,693.25
|
| Rate for Payer: UHC Medicare Advantage |
$13,693.25
|
| Rate for Payer: VA VA |
$13,693.25
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$34,327.34
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$26,088.78 |
| Max. Negotiated Rate |
$34,327.34 |
| Rate for Payer: Aetna Medicare |
$28,560.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,327.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,327.34
|
| Rate for Payer: BCBS MAPPO |
$27,461.87
|
| Rate for Payer: BCN Medicare Advantage |
$27,461.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,461.87
|
| Rate for Payer: Mclaren Medicare |
$27,461.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,834.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,581.15
|
| Rate for Payer: PACE Medicare |
$26,088.78
|
| Rate for Payer: PACE SWMI |
$27,461.87
|
| Rate for Payer: PHP Medicare Advantage |
$27,461.87
|
| Rate for Payer: Priority Health Medicare |
$27,461.87
|
| Rate for Payer: Railroad Medicare Medicare |
$27,461.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,461.87
|
| Rate for Payer: UHC Medicare Advantage |
$27,461.87
|
| Rate for Payer: VA VA |
$27,461.87
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,717.42
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$8,905.24 |
| Max. Negotiated Rate |
$11,717.42 |
| Rate for Payer: Aetna Medicare |
$9,748.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,717.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,717.42
|
| Rate for Payer: BCBS MAPPO |
$9,373.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,373.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,373.94
|
| Rate for Payer: Mclaren Medicare |
$9,373.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,842.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,780.03
|
| Rate for Payer: PACE Medicare |
$8,905.24
|
| Rate for Payer: PACE SWMI |
$9,373.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,373.94
|
| Rate for Payer: Priority Health Medicare |
$9,373.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,373.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,373.94
|
| Rate for Payer: UHC Medicare Advantage |
$9,373.94
|
| Rate for Payer: VA VA |
$9,373.94
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$9,801.50
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$7,449.14 |
| Max. Negotiated Rate |
$9,801.50 |
| Rate for Payer: Aetna Medicare |
$8,154.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,801.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,801.50
|
| Rate for Payer: BCBS MAPPO |
$7,841.20
|
| Rate for Payer: BCN Medicare Advantage |
$7,841.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,841.20
|
| Rate for Payer: Mclaren Medicare |
$7,841.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,233.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,017.38
|
| Rate for Payer: PACE Medicare |
$7,449.14
|
| Rate for Payer: PACE SWMI |
$7,841.20
|
| Rate for Payer: PHP Medicare Advantage |
$7,841.20
|
| Rate for Payer: Priority Health Medicare |
$7,841.20
|
| Rate for Payer: Railroad Medicare Medicare |
$7,841.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,841.20
|
| Rate for Payer: UHC Medicare Advantage |
$7,841.20
|
| Rate for Payer: VA VA |
$7,841.20
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$6,361.68
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$4,834.87 |
| Max. Negotiated Rate |
$6,361.68 |
| Rate for Payer: Aetna Medicare |
$5,292.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,361.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,361.68
|
| Rate for Payer: BCBS MAPPO |
$5,089.34
|
| Rate for Payer: BCN Medicare Advantage |
$5,089.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,089.34
|
| Rate for Payer: Mclaren Medicare |
$5,089.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,343.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,852.74
|
| Rate for Payer: PACE Medicare |
$4,834.87
|
| Rate for Payer: PACE SWMI |
$5,089.34
|
| Rate for Payer: PHP Medicare Advantage |
$5,089.34
|
| Rate for Payer: Priority Health Medicare |
$5,089.34
|
| Rate for Payer: Railroad Medicare Medicare |
$5,089.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,089.34
|
| Rate for Payer: UHC Medicare Advantage |
$5,089.34
|
| Rate for Payer: VA VA |
$5,089.34
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$10,738.74
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$8,161.44 |
| Max. Negotiated Rate |
$10,738.74 |
| Rate for Payer: Aetna Medicare |
$8,934.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,738.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,738.74
|
| Rate for Payer: BCBS MAPPO |
$8,590.99
|
| Rate for Payer: BCN Medicare Advantage |
$8,590.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,590.99
|
| Rate for Payer: Mclaren Medicare |
$8,590.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,020.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,879.64
|
| Rate for Payer: PACE Medicare |
$8,161.44
|
| Rate for Payer: PACE SWMI |
$8,590.99
|
| Rate for Payer: PHP Medicare Advantage |
$8,590.99
|
| Rate for Payer: Priority Health Medicare |
$8,590.99
|
| Rate for Payer: Railroad Medicare Medicare |
$8,590.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,590.99
|
| Rate for Payer: UHC Medicare Advantage |
$8,590.99
|
| Rate for Payer: VA VA |
$8,590.99
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$17,336.19
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$13,175.50 |
| Max. Negotiated Rate |
$17,336.19 |
| Rate for Payer: Aetna Medicare |
$14,423.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,336.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,336.19
|
| Rate for Payer: BCBS MAPPO |
$13,868.95
|
| Rate for Payer: BCN Medicare Advantage |
$13,868.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,868.95
|
| Rate for Payer: Mclaren Medicare |
$13,868.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,562.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,949.29
|
| Rate for Payer: PACE Medicare |
$13,175.50
|
| Rate for Payer: PACE SWMI |
$13,868.95
|
| Rate for Payer: PHP Medicare Advantage |
$13,868.95
|
| Rate for Payer: Priority Health Medicare |
$13,868.95
|
| Rate for Payer: Railroad Medicare Medicare |
$13,868.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,868.95
|
| Rate for Payer: UHC Medicare Advantage |
$13,868.95
|
| Rate for Payer: VA VA |
$13,868.95
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,813.30
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$5,938.11 |
| Max. Negotiated Rate |
$7,813.30 |
| Rate for Payer: Aetna Medicare |
$6,500.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,813.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,813.30
|
| Rate for Payer: BCBS MAPPO |
$6,250.64
|
| Rate for Payer: BCN Medicare Advantage |
$6,250.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,250.64
|
| Rate for Payer: Mclaren Medicare |
$6,250.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,563.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,188.24
|
| Rate for Payer: PACE Medicare |
$5,938.11
|
| Rate for Payer: PACE SWMI |
$6,250.64
|
| Rate for Payer: PHP Medicare Advantage |
$6,250.64
|
| Rate for Payer: Priority Health Medicare |
$6,250.64
|
| Rate for Payer: Railroad Medicare Medicare |
$6,250.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,250.64
|
| Rate for Payer: UHC Medicare Advantage |
$6,250.64
|
| Rate for Payer: VA VA |
$6,250.64
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$14,601.48
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$11,097.12 |
| Max. Negotiated Rate |
$14,601.48 |
| Rate for Payer: Aetna Medicare |
$12,148.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,601.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,601.48
|
| Rate for Payer: BCBS MAPPO |
$11,681.18
|
| Rate for Payer: BCN Medicare Advantage |
$11,681.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,681.18
|
| Rate for Payer: Mclaren Medicare |
$11,681.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,265.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,433.36
|
| Rate for Payer: PACE Medicare |
$11,097.12
|
| Rate for Payer: PACE SWMI |
$11,681.18
|
| Rate for Payer: PHP Medicare Advantage |
$11,681.18
|
| Rate for Payer: Priority Health Medicare |
$11,681.18
|
| Rate for Payer: Railroad Medicare Medicare |
$11,681.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,681.18
|
| Rate for Payer: UHC Medicare Advantage |
$11,681.18
|
| Rate for Payer: VA VA |
$11,681.18
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$9,078.09
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$6,899.35 |
| Max. Negotiated Rate |
$9,078.09 |
| Rate for Payer: Aetna Medicare |
$7,552.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,078.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,078.09
|
| Rate for Payer: BCBS MAPPO |
$7,262.47
|
| Rate for Payer: BCN Medicare Advantage |
$7,262.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,262.47
|
| Rate for Payer: Mclaren Medicare |
$7,262.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,625.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,351.84
|
| Rate for Payer: PACE Medicare |
$6,899.35
|
| Rate for Payer: PACE SWMI |
$7,262.47
|
| Rate for Payer: PHP Medicare Advantage |
$7,262.47
|
| Rate for Payer: Priority Health Medicare |
$7,262.47
|
| Rate for Payer: Railroad Medicare Medicare |
$7,262.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,262.47
|
| Rate for Payer: UHC Medicare Advantage |
$7,262.47
|
| Rate for Payer: VA VA |
$7,262.47
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$19,734.74
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$14,998.40 |
| Max. Negotiated Rate |
$19,734.74 |
| Rate for Payer: Aetna Medicare |
$16,419.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,734.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,734.74
|
| Rate for Payer: BCBS MAPPO |
$15,787.79
|
| Rate for Payer: BCN Medicare Advantage |
$15,787.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,787.79
|
| Rate for Payer: Mclaren Medicare |
$15,787.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,577.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,155.96
|
| Rate for Payer: PACE Medicare |
$14,998.40
|
| Rate for Payer: PACE SWMI |
$15,787.79
|
| Rate for Payer: PHP Medicare Advantage |
$15,787.79
|
| Rate for Payer: Priority Health Medicare |
$15,787.79
|
| Rate for Payer: Railroad Medicare Medicare |
$15,787.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,787.79
|
| Rate for Payer: UHC Medicare Advantage |
$15,787.79
|
| Rate for Payer: VA VA |
$15,787.79
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$9,302.54
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$7,069.93 |
| Max. Negotiated Rate |
$9,302.54 |
| Rate for Payer: Aetna Medicare |
$7,739.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,302.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,302.54
|
| Rate for Payer: BCBS MAPPO |
$7,442.03
|
| Rate for Payer: BCN Medicare Advantage |
$7,442.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,442.03
|
| Rate for Payer: Mclaren Medicare |
$7,442.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,814.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,558.33
|
| Rate for Payer: PACE Medicare |
$7,069.93
|
| Rate for Payer: PACE SWMI |
$7,442.03
|
| Rate for Payer: PHP Medicare Advantage |
$7,442.03
|
| Rate for Payer: Priority Health Medicare |
$7,442.03
|
| Rate for Payer: Railroad Medicare Medicare |
$7,442.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,442.03
|
| Rate for Payer: UHC Medicare Advantage |
$7,442.03
|
| Rate for Payer: VA VA |
$7,442.03
|
|
|
MS-DRG 42.00: NORMAL NEWBORN
|
Facility
|
IP
|
$2,511.46
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$1,908.71 |
| Max. Negotiated Rate |
$2,511.46 |
| Rate for Payer: Aetna Medicare |
$2,089.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,511.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,511.46
|
| Rate for Payer: BCBS MAPPO |
$2,009.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,009.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,009.17
|
| Rate for Payer: Mclaren Medicare |
$2,009.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,109.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,310.55
|
| Rate for Payer: PACE Medicare |
$1,908.71
|
| Rate for Payer: PACE SWMI |
$2,009.17
|
| Rate for Payer: PHP Medicare Advantage |
$2,009.17
|
| Rate for Payer: Priority Health Medicare |
$2,009.17
|
| Rate for Payer: Railroad Medicare Medicare |
$2,009.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,009.17
|
| Rate for Payer: UHC Medicare Advantage |
$2,009.17
|
| Rate for Payer: VA VA |
$2,009.17
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$22,324.01
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$16,966.25 |
| Max. Negotiated Rate |
$22,324.01 |
| Rate for Payer: Aetna Medicare |
$18,573.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,324.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,324.01
|
| Rate for Payer: BCBS MAPPO |
$17,859.21
|
| Rate for Payer: BCN Medicare Advantage |
$17,859.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,859.21
|
| Rate for Payer: Mclaren Medicare |
$17,859.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,752.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,538.09
|
| Rate for Payer: PACE Medicare |
$16,966.25
|
| Rate for Payer: PACE SWMI |
$17,859.21
|
| Rate for Payer: PHP Medicare Advantage |
$17,859.21
|
| Rate for Payer: Priority Health Medicare |
$17,859.21
|
| Rate for Payer: Railroad Medicare Medicare |
$17,859.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,859.21
|
| Rate for Payer: UHC Medicare Advantage |
$17,859.21
|
| Rate for Payer: VA VA |
$17,859.21
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,973.67
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$9,099.99 |
| Max. Negotiated Rate |
$11,973.67 |
| Rate for Payer: Aetna Medicare |
$9,962.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,973.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,973.67
|
| Rate for Payer: BCBS MAPPO |
$9,578.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,578.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,578.94
|
| Rate for Payer: Mclaren Medicare |
$9,578.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,057.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,015.78
|
| Rate for Payer: PACE Medicare |
$9,099.99
|
| Rate for Payer: PACE SWMI |
$9,578.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,578.94
|
| Rate for Payer: Priority Health Medicare |
$9,578.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,578.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,578.94
|
| Rate for Payer: UHC Medicare Advantage |
$9,578.94
|
| Rate for Payer: VA VA |
$9,578.94
|
|
