|
MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$16,675.39
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$12,673.29 |
| Max. Negotiated Rate |
$16,675.39 |
| Rate for Payer: Aetna Medicare |
$13,873.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,675.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,675.39
|
| Rate for Payer: BCBS MAPPO |
$13,340.31
|
| Rate for Payer: BCN Medicare Advantage |
$13,340.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,340.31
|
| Rate for Payer: Mclaren Medicare |
$13,340.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,007.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,341.36
|
| Rate for Payer: PACE Medicare |
$12,673.29
|
| Rate for Payer: PACE SWMI |
$13,340.31
|
| Rate for Payer: PHP Medicare Advantage |
$13,340.31
|
| Rate for Payer: Priority Health Medicare |
$13,340.31
|
| Rate for Payer: Railroad Medicare Medicare |
$13,340.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,340.31
|
| Rate for Payer: UHC Medicare Advantage |
$13,340.31
|
| Rate for Payer: VA VA |
$13,340.31
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$15,970.29
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$12,137.42 |
| Max. Negotiated Rate |
$15,970.29 |
| Rate for Payer: Aetna Medicare |
$13,287.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,970.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,970.29
|
| Rate for Payer: BCBS MAPPO |
$12,776.23
|
| Rate for Payer: BCN Medicare Advantage |
$12,776.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,776.23
|
| Rate for Payer: Mclaren Medicare |
$12,776.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,415.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,692.66
|
| Rate for Payer: PACE Medicare |
$12,137.42
|
| Rate for Payer: PACE SWMI |
$12,776.23
|
| Rate for Payer: PHP Medicare Advantage |
$12,776.23
|
| Rate for Payer: Priority Health Medicare |
$12,776.23
|
| Rate for Payer: Railroad Medicare Medicare |
$12,776.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,776.23
|
| Rate for Payer: UHC Medicare Advantage |
$12,776.23
|
| Rate for Payer: VA VA |
$12,776.23
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$26,850.42
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$20,406.32 |
| Max. Negotiated Rate |
$26,850.42 |
| Rate for Payer: Aetna Medicare |
$22,339.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,850.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,850.42
|
| Rate for Payer: BCBS MAPPO |
$21,480.34
|
| Rate for Payer: BCN Medicare Advantage |
$21,480.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,480.34
|
| Rate for Payer: Mclaren Medicare |
$21,480.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,554.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,702.39
|
| Rate for Payer: PACE Medicare |
$20,406.32
|
| Rate for Payer: PACE SWMI |
$21,480.34
|
| Rate for Payer: PHP Medicare Advantage |
$21,480.34
|
| Rate for Payer: Priority Health Medicare |
$21,480.34
|
| Rate for Payer: Railroad Medicare Medicare |
$21,480.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,480.34
|
| Rate for Payer: UHC Medicare Advantage |
$21,480.34
|
| Rate for Payer: VA VA |
$21,480.34
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$14,667.92
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$11,147.62 |
| Max. Negotiated Rate |
$14,667.92 |
| Rate for Payer: Aetna Medicare |
$12,203.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,667.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,667.92
|
| Rate for Payer: BCBS MAPPO |
$11,734.34
|
| Rate for Payer: BCN Medicare Advantage |
$11,734.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,734.34
|
| Rate for Payer: Mclaren Medicare |
$11,734.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,321.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,494.49
|
| Rate for Payer: PACE Medicare |
$11,147.62
|
| Rate for Payer: PACE SWMI |
$11,734.34
|
| Rate for Payer: PHP Medicare Advantage |
$11,734.34
|
| Rate for Payer: Priority Health Medicare |
$11,734.34
|
| Rate for Payer: Railroad Medicare Medicare |
$11,734.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,734.34
|
| Rate for Payer: UHC Medicare Advantage |
$11,734.34
|
| Rate for Payer: VA VA |
$11,734.34
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$20,925.35
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$15,903.27 |
| Max. Negotiated Rate |
$20,925.35 |
| Rate for Payer: Aetna Medicare |
$17,409.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,925.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,925.35
|
| Rate for Payer: BCBS MAPPO |
$16,740.28
|
| Rate for Payer: BCN Medicare Advantage |
$16,740.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,740.28
|
| Rate for Payer: Mclaren Medicare |
$16,740.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,577.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,251.32
|
| Rate for Payer: PACE Medicare |
$15,903.27
|
| Rate for Payer: PACE SWMI |
$16,740.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,740.28
|
| Rate for Payer: Priority Health Medicare |
$16,740.28
|
| Rate for Payer: Railroad Medicare Medicare |
$16,740.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,740.28
|
| Rate for Payer: UHC Medicare Advantage |
$16,740.28
|
| Rate for Payer: VA VA |
$16,740.28
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$31,161.06
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$23,682.41 |
| Max. Negotiated Rate |
$31,161.06 |
| Rate for Payer: Aetna Medicare |
$25,926.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,161.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,161.06
|
| Rate for Payer: BCBS MAPPO |
$24,928.85
|
| Rate for Payer: BCN Medicare Advantage |
$24,928.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,928.85
|
| Rate for Payer: Mclaren Medicare |
$24,928.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,175.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,668.18
|
| Rate for Payer: PACE Medicare |
$23,682.41
|
| Rate for Payer: PACE SWMI |
$24,928.85
|
| Rate for Payer: PHP Medicare Advantage |
$24,928.85
|
| Rate for Payer: Priority Health Medicare |
$24,928.85
|
| Rate for Payer: Railroad Medicare Medicare |
$24,928.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,928.85
|
| Rate for Payer: UHC Medicare Advantage |
$24,928.85
|
| Rate for Payer: VA VA |
$24,928.85
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,412.04
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$14,753.15 |
| Max. Negotiated Rate |
$19,412.04 |
| Rate for Payer: Aetna Medicare |
$16,150.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,412.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,412.04
|
| Rate for Payer: BCBS MAPPO |
$15,529.63
|
| Rate for Payer: BCN Medicare Advantage |
$15,529.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,529.63
|
| Rate for Payer: Mclaren Medicare |
$15,529.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,306.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,859.07
|
| Rate for Payer: PACE Medicare |
$14,753.15
|
| Rate for Payer: PACE SWMI |
$15,529.63
|
| Rate for Payer: PHP Medicare Advantage |
$15,529.63
|
| Rate for Payer: Priority Health Medicare |
$15,529.63
|
| Rate for Payer: Railroad Medicare Medicare |
$15,529.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,529.63
|
| Rate for Payer: UHC Medicare Advantage |
$15,529.63
|
| Rate for Payer: VA VA |
$15,529.63
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$38,439.53
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$29,214.04 |
| Max. Negotiated Rate |
$38,439.53 |
| Rate for Payer: Aetna Medicare |
$31,981.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,439.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,439.53
|
| Rate for Payer: BCBS MAPPO |
$30,751.62
|
| Rate for Payer: BCN Medicare Advantage |
$30,751.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,751.62
|
| Rate for Payer: Mclaren Medicare |
$30,751.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,289.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,364.36
|
| Rate for Payer: PACE Medicare |
$29,214.04
|
| Rate for Payer: PACE SWMI |
$30,751.62
|
| Rate for Payer: PHP Medicare Advantage |
$30,751.62
|
| Rate for Payer: Priority Health Medicare |
$30,751.62
|
| Rate for Payer: Railroad Medicare Medicare |
$30,751.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,751.62
|
| Rate for Payer: UHC Medicare Advantage |
$30,751.62
|
| Rate for Payer: VA VA |
$30,751.62
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$13,052.52
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$9,919.92 |
| Max. Negotiated Rate |
$13,052.52 |
| Rate for Payer: Aetna Medicare |
$10,859.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,052.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,052.52
|
| Rate for Payer: BCBS MAPPO |
$10,442.02
|
| Rate for Payer: BCN Medicare Advantage |
$10,442.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,442.02
|
| Rate for Payer: Mclaren Medicare |
$10,442.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,964.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,008.32
|
| Rate for Payer: PACE Medicare |
$9,919.92
|
| Rate for Payer: PACE SWMI |
$10,442.02
|
| Rate for Payer: PHP Medicare Advantage |
$10,442.02
|
| Rate for Payer: Priority Health Medicare |
$10,442.02
|
| Rate for Payer: Railroad Medicare Medicare |
$10,442.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,442.02
|
| Rate for Payer: UHC Medicare Advantage |
$10,442.02
|
| Rate for Payer: VA VA |
$10,442.02
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$20,068.04
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$15,251.71 |
| Max. Negotiated Rate |
$20,068.04 |
| Rate for Payer: Aetna Medicare |
$16,696.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,068.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,068.04
|
| Rate for Payer: BCBS MAPPO |
$16,054.43
|
| Rate for Payer: BCN Medicare Advantage |
$16,054.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,054.43
|
| Rate for Payer: Mclaren Medicare |
$16,054.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,857.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,462.59
|
| Rate for Payer: PACE Medicare |
$15,251.71
|
| Rate for Payer: PACE SWMI |
$16,054.43
|
| Rate for Payer: PHP Medicare Advantage |
$16,054.43
|
| Rate for Payer: Priority Health Medicare |
$16,054.43
|
| Rate for Payer: Railroad Medicare Medicare |
$16,054.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,054.43
|
| Rate for Payer: UHC Medicare Advantage |
$16,054.43
|
| Rate for Payer: VA VA |
$16,054.43
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,014.50
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$6,851.02 |
| Max. Negotiated Rate |
$9,014.50 |
| Rate for Payer: Aetna Medicare |
$7,500.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,014.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,014.50
|
| Rate for Payer: BCBS MAPPO |
$7,211.60
|
| Rate for Payer: BCN Medicare Advantage |
$7,211.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,211.60
|
| Rate for Payer: Mclaren Medicare |
$7,211.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,572.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,293.34
|
| Rate for Payer: PACE Medicare |
$6,851.02
|
| Rate for Payer: PACE SWMI |
$7,211.60
|
| Rate for Payer: PHP Medicare Advantage |
$7,211.60
|
| Rate for Payer: Priority Health Medicare |
$7,211.60
|
| Rate for Payer: Railroad Medicare Medicare |
$7,211.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,211.60
|
| Rate for Payer: UHC Medicare Advantage |
$7,211.60
|
| Rate for Payer: VA VA |
$7,211.60
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$12,993.76
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$9,875.26 |
| Max. Negotiated Rate |
$12,993.76 |
| Rate for Payer: Aetna Medicare |
$10,810.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,993.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,993.76
|
| Rate for Payer: BCBS MAPPO |
$10,395.01
|
| Rate for Payer: BCN Medicare Advantage |
$10,395.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,395.01
|
| Rate for Payer: Mclaren Medicare |
$10,395.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,914.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,954.26
|
| Rate for Payer: PACE Medicare |
$9,875.26
|
| Rate for Payer: PACE SWMI |
$10,395.01
|
| Rate for Payer: PHP Medicare Advantage |
$10,395.01
|
| Rate for Payer: Priority Health Medicare |
$10,395.01
|
| Rate for Payer: Railroad Medicare Medicare |
$10,395.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,395.01
|
| Rate for Payer: UHC Medicare Advantage |
$10,395.01
|
| Rate for Payer: VA VA |
$10,395.01
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$25,006.75
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$19,005.13 |
| Max. Negotiated Rate |
$25,006.75 |
| Rate for Payer: Aetna Medicare |
$20,805.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,006.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,006.75
|
| Rate for Payer: BCBS MAPPO |
$20,005.40
|
| Rate for Payer: BCN Medicare Advantage |
$20,005.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,005.40
|
| Rate for Payer: Mclaren Medicare |
$20,005.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,005.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,006.21
|
| Rate for Payer: PACE Medicare |
$19,005.13
|
| Rate for Payer: PACE SWMI |
$20,005.40
|
| Rate for Payer: PHP Medicare Advantage |
$20,005.40
|
| Rate for Payer: Priority Health Medicare |
$20,005.40
|
| Rate for Payer: Railroad Medicare Medicare |
$20,005.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,005.40
|
| Rate for Payer: UHC Medicare Advantage |
$20,005.40
|
| Rate for Payer: VA VA |
$20,005.40
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,451.96
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$6,423.49 |
| Max. Negotiated Rate |
$8,451.96 |
| Rate for Payer: Aetna Medicare |
$7,032.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,451.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,451.96
|
| Rate for Payer: BCBS MAPPO |
$6,761.57
|
| Rate for Payer: BCN Medicare Advantage |
$6,761.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,761.57
|
| Rate for Payer: Mclaren Medicare |
$6,761.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,099.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,775.81
|
| Rate for Payer: PACE Medicare |
$6,423.49
|
| Rate for Payer: PACE SWMI |
$6,761.57
|
| Rate for Payer: PHP Medicare Advantage |
$6,761.57
|
| Rate for Payer: Priority Health Medicare |
$6,761.57
|
| Rate for Payer: Railroad Medicare Medicare |
$6,761.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,761.57
|
| Rate for Payer: UHC Medicare Advantage |
$6,761.57
|
| Rate for Payer: VA VA |
$6,761.57
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$7,786.32
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$5,917.61 |
| Max. Negotiated Rate |
$7,786.32 |
| Rate for Payer: Aetna Medicare |
$6,478.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,786.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,786.32
|
| Rate for Payer: BCBS MAPPO |
$6,229.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,229.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,229.06
|
| Rate for Payer: Mclaren Medicare |
$6,229.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,540.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,163.42
|
| Rate for Payer: PACE Medicare |
$5,917.61
|
| Rate for Payer: PACE SWMI |
$6,229.06
|
| Rate for Payer: PHP Medicare Advantage |
$6,229.06
|
| Rate for Payer: Priority Health Medicare |
$6,229.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,229.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,229.06
|
| Rate for Payer: UHC Medicare Advantage |
$6,229.06
|
| Rate for Payer: VA VA |
$6,229.06
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$11,674.09
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$8,872.31 |
| Max. Negotiated Rate |
$11,674.09 |
| Rate for Payer: Aetna Medicare |
$9,712.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,674.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,674.09
|
| Rate for Payer: BCBS MAPPO |
$9,339.27
|
| Rate for Payer: BCN Medicare Advantage |
$9,339.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,339.27
|
| Rate for Payer: Mclaren Medicare |
$9,339.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,806.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,740.16
|
| Rate for Payer: PACE Medicare |
$8,872.31
|
| Rate for Payer: PACE SWMI |
$9,339.27
|
| Rate for Payer: PHP Medicare Advantage |
$9,339.27
|
| Rate for Payer: Priority Health Medicare |
$9,339.27
|
| Rate for Payer: Railroad Medicare Medicare |
$9,339.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,339.27
|
| Rate for Payer: UHC Medicare Advantage |
$9,339.27
|
| Rate for Payer: VA VA |
$9,339.27
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$5,593.91
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$4,251.37 |
| Max. Negotiated Rate |
$5,593.91 |
| Rate for Payer: Aetna Medicare |
$4,654.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,593.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,593.91
|
| Rate for Payer: BCBS MAPPO |
$4,475.13
|
| Rate for Payer: BCN Medicare Advantage |
$4,475.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,475.13
|
| Rate for Payer: Mclaren Medicare |
$4,475.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,698.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,146.40
|
| Rate for Payer: PACE Medicare |
$4,251.37
|
| Rate for Payer: PACE SWMI |
$4,475.13
|
| Rate for Payer: PHP Medicare Advantage |
$4,475.13
|
| Rate for Payer: Priority Health Medicare |
$4,475.13
|
| Rate for Payer: Railroad Medicare Medicare |
$4,475.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,475.13
|
| Rate for Payer: UHC Medicare Advantage |
$4,475.13
|
| Rate for Payer: VA VA |
$4,475.13
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,589.51
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$36,928.03 |
| Max. Negotiated Rate |
$48,589.51 |
| Rate for Payer: Aetna Medicare |
$40,426.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,589.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,589.51
|
| Rate for Payer: BCBS MAPPO |
$38,871.61
|
| Rate for Payer: BCN Medicare Advantage |
$38,871.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,871.61
|
| Rate for Payer: Mclaren Medicare |
$38,871.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,815.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,702.35
|
| Rate for Payer: PACE Medicare |
$36,928.03
|
| Rate for Payer: PACE SWMI |
$38,871.61
|
| Rate for Payer: PHP Medicare Advantage |
$38,871.61
|
| Rate for Payer: Priority Health Medicare |
$38,871.61
|
| Rate for Payer: Railroad Medicare Medicare |
$38,871.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,871.61
|
| Rate for Payer: UHC Medicare Advantage |
$38,871.61
|
| Rate for Payer: VA VA |
$38,871.61
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$30,508.92
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$23,186.78 |
| Max. Negotiated Rate |
$30,508.92 |
| Rate for Payer: Aetna Medicare |
$25,383.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,508.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,508.92
|
| Rate for Payer: BCBS MAPPO |
$24,407.14
|
| Rate for Payer: BCN Medicare Advantage |
$24,407.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,407.14
|
| Rate for Payer: Mclaren Medicare |
$24,407.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,627.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,068.21
|
| Rate for Payer: PACE Medicare |
$23,186.78
|
| Rate for Payer: PACE SWMI |
$24,407.14
|
| Rate for Payer: PHP Medicare Advantage |
$24,407.14
|
| Rate for Payer: Priority Health Medicare |
$24,407.14
|
| Rate for Payer: Railroad Medicare Medicare |
$24,407.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,407.14
|
| Rate for Payer: UHC Medicare Advantage |
$24,407.14
|
| Rate for Payer: VA VA |
$24,407.14
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,856.39
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$7,490.85 |
| Max. Negotiated Rate |
$9,856.39 |
| Rate for Payer: Aetna Medicare |
$8,200.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,856.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,856.39
|
| Rate for Payer: BCBS MAPPO |
$7,885.11
|
| Rate for Payer: BCN Medicare Advantage |
$7,885.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,885.11
|
| Rate for Payer: Mclaren Medicare |
$7,885.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,279.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,067.88
|
| Rate for Payer: PACE Medicare |
$7,490.85
|
| Rate for Payer: PACE SWMI |
$7,885.11
|
| Rate for Payer: PHP Medicare Advantage |
$7,885.11
|
| Rate for Payer: Priority Health Medicare |
$7,885.11
|
| Rate for Payer: Railroad Medicare Medicare |
$7,885.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,885.11
|
| Rate for Payer: UHC Medicare Advantage |
$7,885.11
|
| Rate for Payer: VA VA |
$7,885.11
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,330.89
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,211.47 |
| Max. Negotiated Rate |
$21,330.89 |
| Rate for Payer: Aetna Medicare |
$17,747.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,330.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,330.89
|
| Rate for Payer: BCBS MAPPO |
$17,064.71
|
| Rate for Payer: BCN Medicare Advantage |
$17,064.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,064.71
|
| Rate for Payer: Mclaren Medicare |
$17,064.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,917.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,624.42
|
| Rate for Payer: PACE Medicare |
$16,211.47
|
| Rate for Payer: PACE SWMI |
$17,064.71
|
| Rate for Payer: PHP Medicare Advantage |
$17,064.71
|
| Rate for Payer: Priority Health Medicare |
$17,064.71
|
| Rate for Payer: Railroad Medicare Medicare |
$17,064.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,064.71
|
| Rate for Payer: UHC Medicare Advantage |
$17,064.71
|
| Rate for Payer: VA VA |
$17,064.71
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,163.10
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,443.96 |
| Max. Negotiated Rate |
$7,163.10 |
| Rate for Payer: Aetna Medicare |
$5,959.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,163.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,163.10
|
| Rate for Payer: BCBS MAPPO |
$5,730.48
|
| Rate for Payer: BCN Medicare Advantage |
$5,730.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,730.48
|
| Rate for Payer: Mclaren Medicare |
$5,730.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,017.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,590.05
|
| Rate for Payer: PACE Medicare |
$5,443.96
|
| Rate for Payer: PACE SWMI |
$5,730.48
|
| Rate for Payer: PHP Medicare Advantage |
$5,730.48
|
| Rate for Payer: Priority Health Medicare |
$5,730.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,730.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,730.48
|
| Rate for Payer: UHC Medicare Advantage |
$5,730.48
|
| Rate for Payer: VA VA |
$5,730.48
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$34,254.12
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$26,033.13 |
| Max. Negotiated Rate |
$34,254.12 |
| Rate for Payer: Aetna Medicare |
$28,499.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,254.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,254.12
|
| Rate for Payer: BCBS MAPPO |
$27,403.30
|
| Rate for Payer: BCN Medicare Advantage |
$27,403.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,403.30
|
| Rate for Payer: Mclaren Medicare |
$27,403.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,773.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,513.79
|
| Rate for Payer: PACE Medicare |
$26,033.13
|
| Rate for Payer: PACE SWMI |
$27,403.30
|
| Rate for Payer: PHP Medicare Advantage |
$27,403.30
|
| Rate for Payer: Priority Health Medicare |
$27,403.30
|
| Rate for Payer: Railroad Medicare Medicare |
$27,403.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,403.30
|
| Rate for Payer: UHC Medicare Advantage |
$27,403.30
|
| Rate for Payer: VA VA |
$27,403.30
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,654.11
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$7,337.13 |
| Max. Negotiated Rate |
$9,654.11 |
| Rate for Payer: Aetna Medicare |
$8,032.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,654.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,654.11
|
| Rate for Payer: BCBS MAPPO |
$7,723.29
|
| Rate for Payer: BCN Medicare Advantage |
$7,723.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,723.29
|
| Rate for Payer: Mclaren Medicare |
$7,723.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,109.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,881.78
|
| Rate for Payer: PACE Medicare |
$7,337.13
|
| Rate for Payer: PACE SWMI |
$7,723.29
|
| Rate for Payer: PHP Medicare Advantage |
$7,723.29
|
| Rate for Payer: Priority Health Medicare |
$7,723.29
|
| Rate for Payer: Railroad Medicare Medicare |
$7,723.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,723.29
|
| Rate for Payer: UHC Medicare Advantage |
$7,723.29
|
| Rate for Payer: VA VA |
$7,723.29
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$16,538.60
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$12,569.34 |
| Max. Negotiated Rate |
$16,538.60 |
| Rate for Payer: Aetna Medicare |
$13,760.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,538.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,538.60
|
| Rate for Payer: BCBS MAPPO |
$13,230.88
|
| Rate for Payer: BCN Medicare Advantage |
$13,230.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,230.88
|
| Rate for Payer: Mclaren Medicare |
$13,230.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,892.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,215.51
|
| Rate for Payer: PACE Medicare |
$12,569.34
|
| Rate for Payer: PACE SWMI |
$13,230.88
|
| Rate for Payer: PHP Medicare Advantage |
$13,230.88
|
| Rate for Payer: Priority Health Medicare |
$13,230.88
|
| Rate for Payer: Railroad Medicare Medicare |
$13,230.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,230.88
|
| Rate for Payer: UHC Medicare Advantage |
$13,230.88
|
| Rate for Payer: VA VA |
$13,230.88
|
|
