|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,766.94
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$30,222.87 |
| Max. Negotiated Rate |
$39,766.94 |
| Rate for Payer: Aetna Medicare |
$33,086.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,766.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,766.94
|
| Rate for Payer: BCBS MAPPO |
$31,813.55
|
| Rate for Payer: BCN Medicare Advantage |
$31,813.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,813.55
|
| Rate for Payer: Mclaren Medicare |
$31,813.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,404.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,585.58
|
| Rate for Payer: PACE Medicare |
$30,222.87
|
| Rate for Payer: PACE SWMI |
$31,813.55
|
| Rate for Payer: PHP Medicare Advantage |
$31,813.55
|
| Rate for Payer: Priority Health Medicare |
$31,813.55
|
| Rate for Payer: Railroad Medicare Medicare |
$31,813.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,813.55
|
| Rate for Payer: UHC Medicare Advantage |
$31,813.55
|
| Rate for Payer: VA VA |
$31,813.55
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,477.08
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$11,762.58 |
| Max. Negotiated Rate |
$15,477.08 |
| Rate for Payer: Aetna Medicare |
$12,876.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,477.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,477.08
|
| Rate for Payer: BCBS MAPPO |
$12,381.66
|
| Rate for Payer: BCN Medicare Advantage |
$12,381.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,381.66
|
| Rate for Payer: Mclaren Medicare |
$12,381.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,000.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,238.91
|
| Rate for Payer: PACE Medicare |
$11,762.58
|
| Rate for Payer: PACE SWMI |
$12,381.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,381.66
|
| Rate for Payer: Priority Health Medicare |
$12,381.66
|
| Rate for Payer: Railroad Medicare Medicare |
$12,381.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,381.66
|
| Rate for Payer: UHC Medicare Advantage |
$12,381.66
|
| Rate for Payer: VA VA |
$12,381.66
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,702.15
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$8,133.63 |
| Max. Negotiated Rate |
$10,702.15 |
| Rate for Payer: Aetna Medicare |
$8,904.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,702.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,702.15
|
| Rate for Payer: BCBS MAPPO |
$8,561.72
|
| Rate for Payer: BCN Medicare Advantage |
$8,561.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,561.72
|
| Rate for Payer: Mclaren Medicare |
$8,561.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,989.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,845.98
|
| Rate for Payer: PACE Medicare |
$8,133.63
|
| Rate for Payer: PACE SWMI |
$8,561.72
|
| Rate for Payer: PHP Medicare Advantage |
$8,561.72
|
| Rate for Payer: Priority Health Medicare |
$8,561.72
|
| Rate for Payer: Railroad Medicare Medicare |
$8,561.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,561.72
|
| Rate for Payer: UHC Medicare Advantage |
$8,561.72
|
| Rate for Payer: VA VA |
$8,561.72
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,242.28
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$16,144.13 |
| Max. Negotiated Rate |
$21,242.28 |
| Rate for Payer: Aetna Medicare |
$17,673.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,242.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,242.28
|
| Rate for Payer: BCBS MAPPO |
$16,993.82
|
| Rate for Payer: BCN Medicare Advantage |
$16,993.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,993.82
|
| Rate for Payer: Mclaren Medicare |
$16,993.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,843.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,542.89
|
| Rate for Payer: PACE Medicare |
$16,144.13
|
| Rate for Payer: PACE SWMI |
$16,993.82
|
| Rate for Payer: PHP Medicare Advantage |
$16,993.82
|
| Rate for Payer: Priority Health Medicare |
$16,993.82
|
| Rate for Payer: Railroad Medicare Medicare |
$16,993.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,993.82
|
| Rate for Payer: UHC Medicare Advantage |
$16,993.82
|
| Rate for Payer: VA VA |
$16,993.82
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,518.55
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$5,714.10 |
| Max. Negotiated Rate |
$7,518.55 |
| Rate for Payer: Aetna Medicare |
$6,255.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,518.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,518.55
|
| Rate for Payer: BCBS MAPPO |
$6,014.84
|
| Rate for Payer: BCN Medicare Advantage |
$6,014.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,014.84
|
| Rate for Payer: Mclaren Medicare |
$6,014.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,315.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,917.07
|
| Rate for Payer: PACE Medicare |
$5,714.10
|
| Rate for Payer: PACE SWMI |
$6,014.84
|
| Rate for Payer: PHP Medicare Advantage |
$6,014.84
|
| Rate for Payer: Priority Health Medicare |
$6,014.84
|
| Rate for Payer: Railroad Medicare Medicare |
$6,014.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,014.84
|
| Rate for Payer: UHC Medicare Advantage |
$6,014.84
|
| Rate for Payer: VA VA |
$6,014.84
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$16,860.33
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$12,813.85 |
| Max. Negotiated Rate |
$16,860.33 |
| Rate for Payer: Aetna Medicare |
$14,027.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,860.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,860.33
|
| Rate for Payer: BCBS MAPPO |
$13,488.26
|
| Rate for Payer: BCN Medicare Advantage |
$13,488.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,488.26
|
| Rate for Payer: Mclaren Medicare |
$13,488.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,162.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,511.50
|
| Rate for Payer: PACE Medicare |
$12,813.85
|
| Rate for Payer: PACE SWMI |
$13,488.26
|
| Rate for Payer: PHP Medicare Advantage |
$13,488.26
|
| Rate for Payer: Priority Health Medicare |
$13,488.26
|
| Rate for Payer: Railroad Medicare Medicare |
$13,488.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,488.26
|
| Rate for Payer: UHC Medicare Advantage |
$13,488.26
|
| Rate for Payer: VA VA |
$13,488.26
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$10,411.26
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$7,912.56 |
| Max. Negotiated Rate |
$10,411.26 |
| Rate for Payer: Aetna Medicare |
$8,662.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,411.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,411.26
|
| Rate for Payer: BCBS MAPPO |
$8,329.01
|
| Rate for Payer: BCN Medicare Advantage |
$8,329.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,329.01
|
| Rate for Payer: Mclaren Medicare |
$8,329.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,745.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,578.36
|
| Rate for Payer: PACE Medicare |
$7,912.56
|
| Rate for Payer: PACE SWMI |
$8,329.01
|
| Rate for Payer: PHP Medicare Advantage |
$8,329.01
|
| Rate for Payer: Priority Health Medicare |
$8,329.01
|
| Rate for Payer: Railroad Medicare Medicare |
$8,329.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,329.01
|
| Rate for Payer: UHC Medicare Advantage |
$8,329.01
|
| Rate for Payer: VA VA |
$8,329.01
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,411.26
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$7,912.56 |
| Max. Negotiated Rate |
$10,411.26 |
| Rate for Payer: Aetna Medicare |
$8,662.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,411.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,411.26
|
| Rate for Payer: BCBS MAPPO |
$8,329.01
|
| Rate for Payer: BCN Medicare Advantage |
$8,329.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,329.01
|
| Rate for Payer: Mclaren Medicare |
$8,329.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,745.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,578.36
|
| Rate for Payer: PACE Medicare |
$7,912.56
|
| Rate for Payer: PACE SWMI |
$8,329.01
|
| Rate for Payer: PHP Medicare Advantage |
$8,329.01
|
| Rate for Payer: Priority Health Medicare |
$8,329.01
|
| Rate for Payer: Railroad Medicare Medicare |
$8,329.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,329.01
|
| Rate for Payer: UHC Medicare Advantage |
$8,329.01
|
| Rate for Payer: VA VA |
$8,329.01
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$16,778.47
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$12,751.64 |
| Max. Negotiated Rate |
$16,778.47 |
| Rate for Payer: Aetna Medicare |
$13,959.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,778.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,778.47
|
| Rate for Payer: BCBS MAPPO |
$13,422.78
|
| Rate for Payer: BCN Medicare Advantage |
$13,422.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,422.78
|
| Rate for Payer: Mclaren Medicare |
$13,422.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,093.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,436.20
|
| Rate for Payer: PACE Medicare |
$12,751.64
|
| Rate for Payer: PACE SWMI |
$13,422.78
|
| Rate for Payer: PHP Medicare Advantage |
$13,422.78
|
| Rate for Payer: Priority Health Medicare |
$13,422.78
|
| Rate for Payer: Railroad Medicare Medicare |
$13,422.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,422.78
|
| Rate for Payer: UHC Medicare Advantage |
$13,422.78
|
| Rate for Payer: VA VA |
$13,422.78
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,273.86
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$5,528.14 |
| Max. Negotiated Rate |
$7,273.86 |
| Rate for Payer: Aetna Medicare |
$6,051.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,273.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,273.86
|
| Rate for Payer: BCBS MAPPO |
$5,819.09
|
| Rate for Payer: BCN Medicare Advantage |
$5,819.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,819.09
|
| Rate for Payer: Mclaren Medicare |
$5,819.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,110.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,691.95
|
| Rate for Payer: PACE Medicare |
$5,528.14
|
| Rate for Payer: PACE SWMI |
$5,819.09
|
| Rate for Payer: PHP Medicare Advantage |
$5,819.09
|
| Rate for Payer: Priority Health Medicare |
$5,819.09
|
| Rate for Payer: Railroad Medicare Medicare |
$5,819.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,819.09
|
| Rate for Payer: UHC Medicare Advantage |
$5,819.09
|
| Rate for Payer: VA VA |
$5,819.09
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$22,822.99
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$17,345.47 |
| Max. Negotiated Rate |
$22,822.99 |
| Rate for Payer: Aetna Medicare |
$18,988.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,822.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,822.99
|
| Rate for Payer: BCBS MAPPO |
$18,258.39
|
| Rate for Payer: BCN Medicare Advantage |
$18,258.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,258.39
|
| Rate for Payer: Mclaren Medicare |
$18,258.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,171.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,997.15
|
| Rate for Payer: PACE Medicare |
$17,345.47
|
| Rate for Payer: PACE SWMI |
$18,258.39
|
| Rate for Payer: PHP Medicare Advantage |
$18,258.39
|
| Rate for Payer: Priority Health Medicare |
$18,258.39
|
| Rate for Payer: Railroad Medicare Medicare |
$18,258.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,258.39
|
| Rate for Payer: UHC Medicare Advantage |
$18,258.39
|
| Rate for Payer: VA VA |
$18,258.39
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$40,944.04
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$31,117.47 |
| Max. Negotiated Rate |
$40,944.04 |
| Rate for Payer: Aetna Medicare |
$34,065.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,944.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,944.04
|
| Rate for Payer: BCBS MAPPO |
$32,755.23
|
| Rate for Payer: BCN Medicare Advantage |
$32,755.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,755.23
|
| Rate for Payer: Mclaren Medicare |
$32,755.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,392.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,668.51
|
| Rate for Payer: PACE Medicare |
$31,117.47
|
| Rate for Payer: PACE SWMI |
$32,755.23
|
| Rate for Payer: PHP Medicare Advantage |
$32,755.23
|
| Rate for Payer: Priority Health Medicare |
$32,755.23
|
| Rate for Payer: Railroad Medicare Medicare |
$32,755.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,755.23
|
| Rate for Payer: UHC Medicare Advantage |
$32,755.23
|
| Rate for Payer: VA VA |
$32,755.23
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,664.92
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$11,905.34 |
| Max. Negotiated Rate |
$15,664.92 |
| Rate for Payer: Aetna Medicare |
$13,033.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,664.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,664.92
|
| Rate for Payer: BCBS MAPPO |
$12,531.94
|
| Rate for Payer: BCN Medicare Advantage |
$12,531.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,531.94
|
| Rate for Payer: Mclaren Medicare |
$12,531.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,158.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,411.73
|
| Rate for Payer: PACE Medicare |
$11,905.34
|
| Rate for Payer: PACE SWMI |
$12,531.94
|
| Rate for Payer: PHP Medicare Advantage |
$12,531.94
|
| Rate for Payer: Priority Health Medicare |
$12,531.94
|
| Rate for Payer: Railroad Medicare Medicare |
$12,531.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,531.94
|
| Rate for Payer: UHC Medicare Advantage |
$12,531.94
|
| Rate for Payer: VA VA |
$12,531.94
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$33,765.75
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$25,661.97 |
| Max. Negotiated Rate |
$33,765.75 |
| Rate for Payer: Aetna Medicare |
$28,093.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,765.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,765.75
|
| Rate for Payer: BCBS MAPPO |
$27,012.60
|
| Rate for Payer: BCN Medicare Advantage |
$27,012.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,012.60
|
| Rate for Payer: Mclaren Medicare |
$27,012.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,363.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,064.49
|
| Rate for Payer: PACE Medicare |
$25,661.97
|
| Rate for Payer: PACE SWMI |
$27,012.60
|
| Rate for Payer: PHP Medicare Advantage |
$27,012.60
|
| Rate for Payer: Priority Health Medicare |
$27,012.60
|
| Rate for Payer: Railroad Medicare Medicare |
$27,012.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,012.60
|
| Rate for Payer: UHC Medicare Advantage |
$27,012.60
|
| Rate for Payer: VA VA |
$27,012.60
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,031.50
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$38,023.94 |
| Max. Negotiated Rate |
$50,031.50 |
| Rate for Payer: Aetna Medicare |
$41,626.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,031.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,031.50
|
| Rate for Payer: BCBS MAPPO |
$40,025.20
|
| Rate for Payer: BCN Medicare Advantage |
$40,025.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,025.20
|
| Rate for Payer: Mclaren Medicare |
$40,025.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,026.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,028.98
|
| Rate for Payer: PACE Medicare |
$38,023.94
|
| Rate for Payer: PACE SWMI |
$40,025.20
|
| Rate for Payer: PHP Medicare Advantage |
$40,025.20
|
| Rate for Payer: Priority Health Medicare |
$40,025.20
|
| Rate for Payer: Railroad Medicare Medicare |
$40,025.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,025.20
|
| Rate for Payer: UHC Medicare Advantage |
$40,025.20
|
| Rate for Payer: VA VA |
$40,025.20
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,689.80
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$18,764.25 |
| Max. Negotiated Rate |
$24,689.80 |
| Rate for Payer: Aetna Medicare |
$20,541.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,689.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,689.80
|
| Rate for Payer: BCBS MAPPO |
$19,751.84
|
| Rate for Payer: BCN Medicare Advantage |
$19,751.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,751.84
|
| Rate for Payer: Mclaren Medicare |
$19,751.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,739.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,714.62
|
| Rate for Payer: PACE Medicare |
$18,764.25
|
| Rate for Payer: PACE SWMI |
$19,751.84
|
| Rate for Payer: PHP Medicare Advantage |
$19,751.84
|
| Rate for Payer: Priority Health Medicare |
$19,751.84
|
| Rate for Payer: Railroad Medicare Medicare |
$19,751.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,751.84
|
| Rate for Payer: UHC Medicare Advantage |
$19,751.84
|
| Rate for Payer: VA VA |
$19,751.84
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$11,191.49
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$8,505.53 |
| Max. Negotiated Rate |
$11,191.49 |
| Rate for Payer: Aetna Medicare |
$9,311.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,191.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,191.49
|
| Rate for Payer: BCBS MAPPO |
$8,953.19
|
| Rate for Payer: BCN Medicare Advantage |
$8,953.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,953.19
|
| Rate for Payer: Mclaren Medicare |
$8,953.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,400.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,296.17
|
| Rate for Payer: PACE Medicare |
$8,505.53
|
| Rate for Payer: PACE SWMI |
$8,953.19
|
| Rate for Payer: PHP Medicare Advantage |
$8,953.19
|
| Rate for Payer: Priority Health Medicare |
$8,953.19
|
| Rate for Payer: Railroad Medicare Medicare |
$8,953.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,953.19
|
| Rate for Payer: UHC Medicare Advantage |
$8,953.19
|
| Rate for Payer: VA VA |
$8,953.19
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,432.95
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$4,889.04 |
| Max. Negotiated Rate |
$6,432.95 |
| Rate for Payer: Aetna Medicare |
$5,352.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,432.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,432.95
|
| Rate for Payer: BCBS MAPPO |
$5,146.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,146.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,146.36
|
| Rate for Payer: Mclaren Medicare |
$5,146.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,403.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,918.31
|
| Rate for Payer: PACE Medicare |
$4,889.04
|
| Rate for Payer: PACE SWMI |
$5,146.36
|
| Rate for Payer: PHP Medicare Advantage |
$5,146.36
|
| Rate for Payer: Priority Health Medicare |
$5,146.36
|
| Rate for Payer: Railroad Medicare Medicare |
$5,146.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,146.36
|
| Rate for Payer: UHC Medicare Advantage |
$5,146.36
|
| Rate for Payer: VA VA |
$5,146.36
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$18,460.33
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$14,029.85 |
| Max. Negotiated Rate |
$18,460.33 |
| Rate for Payer: Aetna Medicare |
$15,358.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,460.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,460.33
|
| Rate for Payer: BCBS MAPPO |
$14,768.26
|
| Rate for Payer: BCN Medicare Advantage |
$14,768.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,768.26
|
| Rate for Payer: Mclaren Medicare |
$14,768.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,506.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,983.50
|
| Rate for Payer: PACE Medicare |
$14,029.85
|
| Rate for Payer: PACE SWMI |
$14,768.26
|
| Rate for Payer: PHP Medicare Advantage |
$14,768.26
|
| Rate for Payer: Priority Health Medicare |
$14,768.26
|
| Rate for Payer: Railroad Medicare Medicare |
$14,768.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,768.26
|
| Rate for Payer: UHC Medicare Advantage |
$14,768.26
|
| Rate for Payer: VA VA |
$14,768.26
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$12,453.38
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$9,464.57 |
| Max. Negotiated Rate |
$12,453.38 |
| Rate for Payer: Aetna Medicare |
$10,361.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,453.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,453.38
|
| Rate for Payer: BCBS MAPPO |
$9,962.70
|
| Rate for Payer: BCN Medicare Advantage |
$9,962.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,962.70
|
| Rate for Payer: Mclaren Medicare |
$9,962.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,460.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,457.10
|
| Rate for Payer: PACE Medicare |
$9,464.57
|
| Rate for Payer: PACE SWMI |
$9,962.70
|
| Rate for Payer: PHP Medicare Advantage |
$9,962.70
|
| Rate for Payer: Priority Health Medicare |
$9,962.70
|
| Rate for Payer: Railroad Medicare Medicare |
$9,962.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,962.70
|
| Rate for Payer: UHC Medicare Advantage |
$9,962.70
|
| Rate for Payer: VA VA |
$9,962.70
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$22,340.40
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$16,978.70 |
| Max. Negotiated Rate |
$22,340.40 |
| Rate for Payer: Aetna Medicare |
$18,587.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,340.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,340.40
|
| Rate for Payer: BCBS MAPPO |
$17,872.32
|
| Rate for Payer: BCN Medicare Advantage |
$17,872.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,872.32
|
| Rate for Payer: Mclaren Medicare |
$17,872.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,765.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,553.17
|
| Rate for Payer: PACE Medicare |
$16,978.70
|
| Rate for Payer: PACE SWMI |
$17,872.32
|
| Rate for Payer: PHP Medicare Advantage |
$17,872.32
|
| Rate for Payer: Priority Health Medicare |
$17,872.32
|
| Rate for Payer: Railroad Medicare Medicare |
$17,872.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,872.32
|
| Rate for Payer: UHC Medicare Advantage |
$17,872.32
|
| Rate for Payer: VA VA |
$17,872.32
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$14,258.54
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$10,836.49 |
| Max. Negotiated Rate |
$14,258.54 |
| Rate for Payer: Aetna Medicare |
$11,863.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,258.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,258.54
|
| Rate for Payer: BCBS MAPPO |
$11,406.83
|
| Rate for Payer: BCN Medicare Advantage |
$11,406.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,406.83
|
| Rate for Payer: Mclaren Medicare |
$11,406.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,977.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,117.85
|
| Rate for Payer: PACE Medicare |
$10,836.49
|
| Rate for Payer: PACE SWMI |
$11,406.83
|
| Rate for Payer: PHP Medicare Advantage |
$11,406.83
|
| Rate for Payer: Priority Health Medicare |
$11,406.83
|
| Rate for Payer: Railroad Medicare Medicare |
$11,406.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,406.83
|
| Rate for Payer: UHC Medicare Advantage |
$11,406.83
|
| Rate for Payer: VA VA |
$11,406.83
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$12,043.96
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$9,153.41 |
| Max. Negotiated Rate |
$12,043.96 |
| Rate for Payer: Aetna Medicare |
$10,020.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,043.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,043.96
|
| Rate for Payer: BCBS MAPPO |
$9,635.17
|
| Rate for Payer: BCN Medicare Advantage |
$9,635.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,635.17
|
| Rate for Payer: Mclaren Medicare |
$9,635.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,116.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,080.45
|
| Rate for Payer: PACE Medicare |
$9,153.41
|
| Rate for Payer: PACE SWMI |
$9,635.17
|
| Rate for Payer: PHP Medicare Advantage |
$9,635.17
|
| Rate for Payer: Priority Health Medicare |
$9,635.17
|
| Rate for Payer: Railroad Medicare Medicare |
$9,635.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,635.17
|
| Rate for Payer: UHC Medicare Advantage |
$9,635.17
|
| Rate for Payer: VA VA |
$9,635.17
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$15,036.88
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$11,428.02 |
| Max. Negotiated Rate |
$15,036.88 |
| Rate for Payer: Aetna Medicare |
$12,510.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,036.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,036.88
|
| Rate for Payer: BCBS MAPPO |
$12,029.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,029.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,029.50
|
| Rate for Payer: Mclaren Medicare |
$12,029.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,630.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,833.92
|
| Rate for Payer: PACE Medicare |
$11,428.02
|
| Rate for Payer: PACE SWMI |
$12,029.50
|
| Rate for Payer: PHP Medicare Advantage |
$12,029.50
|
| Rate for Payer: Priority Health Medicare |
$12,029.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12,029.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,029.50
|
| Rate for Payer: UHC Medicare Advantage |
$12,029.50
|
| Rate for Payer: VA VA |
$12,029.50
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$26,756.03
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$20,334.58 |
| Max. Negotiated Rate |
$26,756.03 |
| Rate for Payer: Aetna Medicare |
$22,261.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,756.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,756.03
|
| Rate for Payer: BCBS MAPPO |
$21,404.82
|
| Rate for Payer: BCN Medicare Advantage |
$21,404.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,404.82
|
| Rate for Payer: Mclaren Medicare |
$21,404.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,475.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,615.54
|
| Rate for Payer: PACE Medicare |
$20,334.58
|
| Rate for Payer: PACE SWMI |
$21,404.82
|
| Rate for Payer: PHP Medicare Advantage |
$21,404.82
|
| Rate for Payer: Priority Health Medicare |
$21,404.82
|
| Rate for Payer: Railroad Medicare Medicare |
$21,404.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,404.82
|
| Rate for Payer: UHC Medicare Advantage |
$21,404.82
|
| Rate for Payer: VA VA |
$21,404.82
|
|
