|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$9,377.66
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$7,127.02 |
| Max. Negotiated Rate |
$9,377.66 |
| Rate for Payer: Aetna Medicare |
$7,802.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,377.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,377.66
|
| Rate for Payer: BCBS MAPPO |
$7,502.13
|
| Rate for Payer: BCN Medicare Advantage |
$7,502.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,502.13
|
| Rate for Payer: Mclaren Medicare |
$7,502.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,877.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,627.45
|
| Rate for Payer: PACE Medicare |
$7,127.02
|
| Rate for Payer: PACE SWMI |
$7,502.13
|
| Rate for Payer: PHP Medicare Advantage |
$7,502.13
|
| Rate for Payer: Priority Health Medicare |
$7,502.13
|
| Rate for Payer: Railroad Medicare Medicare |
$7,502.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,502.13
|
| Rate for Payer: UHC Medicare Advantage |
$7,502.13
|
| Rate for Payer: VA VA |
$7,502.13
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,409.31
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$7,911.08 |
| Max. Negotiated Rate |
$10,409.31 |
| Rate for Payer: Aetna Medicare |
$8,660.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,409.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,409.31
|
| Rate for Payer: BCBS MAPPO |
$8,327.45
|
| Rate for Payer: BCN Medicare Advantage |
$8,327.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,327.45
|
| Rate for Payer: Mclaren Medicare |
$8,327.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,743.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,576.57
|
| Rate for Payer: PACE Medicare |
$7,911.08
|
| Rate for Payer: PACE SWMI |
$8,327.45
|
| Rate for Payer: PHP Medicare Advantage |
$8,327.45
|
| Rate for Payer: Priority Health Medicare |
$8,327.45
|
| Rate for Payer: Railroad Medicare Medicare |
$8,327.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,327.45
|
| Rate for Payer: UHC Medicare Advantage |
$8,327.45
|
| Rate for Payer: VA VA |
$8,327.45
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$15,702.48
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$11,933.88 |
| Max. Negotiated Rate |
$15,702.48 |
| Rate for Payer: Aetna Medicare |
$13,064.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,702.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,702.48
|
| Rate for Payer: BCBS MAPPO |
$12,561.98
|
| Rate for Payer: BCN Medicare Advantage |
$12,561.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,561.98
|
| Rate for Payer: Mclaren Medicare |
$12,561.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,190.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,446.28
|
| Rate for Payer: PACE Medicare |
$11,933.88
|
| Rate for Payer: PACE SWMI |
$12,561.98
|
| Rate for Payer: PHP Medicare Advantage |
$12,561.98
|
| Rate for Payer: Priority Health Medicare |
$12,561.98
|
| Rate for Payer: Railroad Medicare Medicare |
$12,561.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,561.98
|
| Rate for Payer: UHC Medicare Advantage |
$12,561.98
|
| Rate for Payer: VA VA |
$12,561.98
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,793.07
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$5,922.74 |
| Max. Negotiated Rate |
$7,793.07 |
| Rate for Payer: Aetna Medicare |
$6,483.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,793.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,793.07
|
| Rate for Payer: BCBS MAPPO |
$6,234.46
|
| Rate for Payer: BCN Medicare Advantage |
$6,234.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,234.46
|
| Rate for Payer: Mclaren Medicare |
$6,234.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,546.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,169.63
|
| Rate for Payer: PACE Medicare |
$5,922.74
|
| Rate for Payer: PACE SWMI |
$6,234.46
|
| Rate for Payer: PHP Medicare Advantage |
$6,234.46
|
| Rate for Payer: Priority Health Medicare |
$6,234.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6,234.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,234.46
|
| Rate for Payer: UHC Medicare Advantage |
$6,234.46
|
| Rate for Payer: VA VA |
$6,234.46
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$19,964.96
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$15,173.37 |
| Max. Negotiated Rate |
$19,964.96 |
| Rate for Payer: Aetna Medicare |
$16,610.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,964.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,964.96
|
| Rate for Payer: BCBS MAPPO |
$15,971.97
|
| Rate for Payer: BCN Medicare Advantage |
$15,971.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,971.97
|
| Rate for Payer: Mclaren Medicare |
$15,971.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,770.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,367.77
|
| Rate for Payer: PACE Medicare |
$15,173.37
|
| Rate for Payer: PACE SWMI |
$15,971.97
|
| Rate for Payer: PHP Medicare Advantage |
$15,971.97
|
| Rate for Payer: Priority Health Medicare |
$15,971.97
|
| Rate for Payer: Railroad Medicare Medicare |
$15,971.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,971.97
|
| Rate for Payer: UHC Medicare Advantage |
$15,971.97
|
| Rate for Payer: VA VA |
$15,971.97
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$30,375.01
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$23,085.01 |
| Max. Negotiated Rate |
$30,375.01 |
| Rate for Payer: Aetna Medicare |
$25,272.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,375.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,375.01
|
| Rate for Payer: BCBS MAPPO |
$24,300.01
|
| Rate for Payer: BCN Medicare Advantage |
$24,300.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,300.01
|
| Rate for Payer: Mclaren Medicare |
$24,300.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,515.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,945.01
|
| Rate for Payer: PACE Medicare |
$23,085.01
|
| Rate for Payer: PACE SWMI |
$24,300.01
|
| Rate for Payer: PHP Medicare Advantage |
$24,300.01
|
| Rate for Payer: Priority Health Medicare |
$24,300.01
|
| Rate for Payer: Railroad Medicare Medicare |
$24,300.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,300.01
|
| Rate for Payer: UHC Medicare Advantage |
$24,300.01
|
| Rate for Payer: VA VA |
$24,300.01
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,965.58
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$11,373.84 |
| Max. Negotiated Rate |
$14,965.58 |
| Rate for Payer: Aetna Medicare |
$12,451.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,965.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,965.58
|
| Rate for Payer: BCBS MAPPO |
$11,972.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,972.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,972.46
|
| Rate for Payer: Mclaren Medicare |
$11,972.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,571.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,768.33
|
| Rate for Payer: PACE Medicare |
$11,373.84
|
| Rate for Payer: PACE SWMI |
$11,972.46
|
| Rate for Payer: PHP Medicare Advantage |
$11,972.46
|
| Rate for Payer: Priority Health Medicare |
$11,972.46
|
| Rate for Payer: Railroad Medicare Medicare |
$11,972.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,972.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,972.46
|
| Rate for Payer: VA VA |
$11,972.46
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,099.86
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$9,195.90 |
| Max. Negotiated Rate |
$12,099.86 |
| Rate for Payer: Aetna Medicare |
$10,067.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,099.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,099.86
|
| Rate for Payer: BCBS MAPPO |
$9,679.89
|
| Rate for Payer: BCN Medicare Advantage |
$9,679.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,679.89
|
| Rate for Payer: Mclaren Medicare |
$9,679.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,163.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,131.87
|
| Rate for Payer: PACE Medicare |
$9,195.90
|
| Rate for Payer: PACE SWMI |
$9,679.89
|
| Rate for Payer: PHP Medicare Advantage |
$9,679.89
|
| Rate for Payer: Priority Health Medicare |
$9,679.89
|
| Rate for Payer: Railroad Medicare Medicare |
$9,679.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,679.89
|
| Rate for Payer: UHC Medicare Advantage |
$9,679.89
|
| Rate for Payer: VA VA |
$9,679.89
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$18,824.45
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$14,306.58 |
| Max. Negotiated Rate |
$18,824.45 |
| Rate for Payer: Aetna Medicare |
$15,661.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,824.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,824.45
|
| Rate for Payer: BCBS MAPPO |
$15,059.56
|
| Rate for Payer: BCN Medicare Advantage |
$15,059.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,059.56
|
| Rate for Payer: Mclaren Medicare |
$15,059.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,812.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,318.49
|
| Rate for Payer: PACE Medicare |
$14,306.58
|
| Rate for Payer: PACE SWMI |
$15,059.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,059.56
|
| Rate for Payer: Priority Health Medicare |
$15,059.56
|
| Rate for Payer: Railroad Medicare Medicare |
$15,059.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,059.56
|
| Rate for Payer: UHC Medicare Advantage |
$15,059.56
|
| Rate for Payer: VA VA |
$15,059.56
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,647.51
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$6,572.11 |
| Max. Negotiated Rate |
$8,647.51 |
| Rate for Payer: Aetna Medicare |
$7,194.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,647.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,647.51
|
| Rate for Payer: BCBS MAPPO |
$6,918.01
|
| Rate for Payer: BCN Medicare Advantage |
$6,918.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,918.01
|
| Rate for Payer: Mclaren Medicare |
$6,918.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,263.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,955.71
|
| Rate for Payer: PACE Medicare |
$6,572.11
|
| Rate for Payer: PACE SWMI |
$6,918.01
|
| Rate for Payer: PHP Medicare Advantage |
$6,918.01
|
| Rate for Payer: Priority Health Medicare |
$6,918.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6,918.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,918.01
|
| Rate for Payer: UHC Medicare Advantage |
$6,918.01
|
| Rate for Payer: VA VA |
$6,918.01
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$20,016.97
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$15,212.90 |
| Max. Negotiated Rate |
$20,016.97 |
| Rate for Payer: Aetna Medicare |
$16,654.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,016.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,016.97
|
| Rate for Payer: BCBS MAPPO |
$16,013.58
|
| Rate for Payer: BCN Medicare Advantage |
$16,013.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,013.58
|
| Rate for Payer: Mclaren Medicare |
$16,013.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,814.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,415.62
|
| Rate for Payer: PACE Medicare |
$15,212.90
|
| Rate for Payer: PACE SWMI |
$16,013.58
|
| Rate for Payer: PHP Medicare Advantage |
$16,013.58
|
| Rate for Payer: Priority Health Medicare |
$16,013.58
|
| Rate for Payer: Railroad Medicare Medicare |
$16,013.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,013.58
|
| Rate for Payer: UHC Medicare Advantage |
$16,013.58
|
| Rate for Payer: VA VA |
$16,013.58
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$38,960.66
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$29,610.10 |
| Max. Negotiated Rate |
$38,960.66 |
| Rate for Payer: Aetna Medicare |
$32,415.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,960.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,960.66
|
| Rate for Payer: BCBS MAPPO |
$31,168.53
|
| Rate for Payer: BCN Medicare Advantage |
$31,168.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,168.53
|
| Rate for Payer: Mclaren Medicare |
$31,168.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,726.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,843.81
|
| Rate for Payer: PACE Medicare |
$29,610.10
|
| Rate for Payer: PACE SWMI |
$31,168.53
|
| Rate for Payer: PHP Medicare Advantage |
$31,168.53
|
| Rate for Payer: Priority Health Medicare |
$31,168.53
|
| Rate for Payer: Railroad Medicare Medicare |
$31,168.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,168.53
|
| Rate for Payer: UHC Medicare Advantage |
$31,168.53
|
| Rate for Payer: VA VA |
$31,168.53
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,804.01
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$9,731.05 |
| Max. Negotiated Rate |
$12,804.01 |
| Rate for Payer: Aetna Medicare |
$10,652.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,804.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,804.01
|
| Rate for Payer: BCBS MAPPO |
$10,243.21
|
| Rate for Payer: BCN Medicare Advantage |
$10,243.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,243.21
|
| Rate for Payer: Mclaren Medicare |
$10,243.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,755.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,779.69
|
| Rate for Payer: PACE Medicare |
$9,731.05
|
| Rate for Payer: PACE SWMI |
$10,243.21
|
| Rate for Payer: PHP Medicare Advantage |
$10,243.21
|
| Rate for Payer: Priority Health Medicare |
$10,243.21
|
| Rate for Payer: Railroad Medicare Medicare |
$10,243.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,243.21
|
| Rate for Payer: UHC Medicare Advantage |
$10,243.21
|
| Rate for Payer: VA VA |
$10,243.21
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$40,175.34
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$30,533.26 |
| Max. Negotiated Rate |
$40,175.34 |
| Rate for Payer: Aetna Medicare |
$33,425.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,175.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,175.34
|
| Rate for Payer: BCBS MAPPO |
$32,140.27
|
| Rate for Payer: BCN Medicare Advantage |
$32,140.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,140.27
|
| Rate for Payer: Mclaren Medicare |
$32,140.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,747.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,961.31
|
| Rate for Payer: PACE Medicare |
$30,533.26
|
| Rate for Payer: PACE SWMI |
$32,140.27
|
| Rate for Payer: PHP Medicare Advantage |
$32,140.27
|
| Rate for Payer: Priority Health Medicare |
$32,140.27
|
| Rate for Payer: Railroad Medicare Medicare |
$32,140.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,140.27
|
| Rate for Payer: UHC Medicare Advantage |
$32,140.27
|
| Rate for Payer: VA VA |
$32,140.27
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$72,487.27
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$55,090.33 |
| Max. Negotiated Rate |
$72,487.27 |
| Rate for Payer: Aetna Medicare |
$60,309.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72,487.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72,487.27
|
| Rate for Payer: BCBS MAPPO |
$57,989.82
|
| Rate for Payer: BCN Medicare Advantage |
$57,989.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57,989.82
|
| Rate for Payer: Mclaren Medicare |
$57,989.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60,889.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66,688.29
|
| Rate for Payer: PACE Medicare |
$55,090.33
|
| Rate for Payer: PACE SWMI |
$57,989.82
|
| Rate for Payer: PHP Medicare Advantage |
$57,989.82
|
| Rate for Payer: Priority Health Medicare |
$57,989.82
|
| Rate for Payer: Railroad Medicare Medicare |
$57,989.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$57,989.82
|
| Rate for Payer: UHC Medicare Advantage |
$57,989.82
|
| Rate for Payer: VA VA |
$57,989.82
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$26,054.79
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$19,801.64 |
| Max. Negotiated Rate |
$26,054.79 |
| Rate for Payer: Aetna Medicare |
$21,677.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,054.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,054.79
|
| Rate for Payer: BCBS MAPPO |
$20,843.83
|
| Rate for Payer: BCN Medicare Advantage |
$20,843.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,843.83
|
| Rate for Payer: Mclaren Medicare |
$20,843.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,886.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,970.40
|
| Rate for Payer: PACE Medicare |
$19,801.64
|
| Rate for Payer: PACE SWMI |
$20,843.83
|
| Rate for Payer: PHP Medicare Advantage |
$20,843.83
|
| Rate for Payer: Priority Health Medicare |
$20,843.83
|
| Rate for Payer: Railroad Medicare Medicare |
$20,843.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,843.83
|
| Rate for Payer: UHC Medicare Advantage |
$20,843.83
|
| Rate for Payer: VA VA |
$20,843.83
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$17,733.05
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$13,477.12 |
| Max. Negotiated Rate |
$17,733.05 |
| Rate for Payer: Aetna Medicare |
$14,753.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,733.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,733.05
|
| Rate for Payer: BCBS MAPPO |
$14,186.44
|
| Rate for Payer: BCN Medicare Advantage |
$14,186.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,186.44
|
| Rate for Payer: Mclaren Medicare |
$14,186.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,895.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,314.41
|
| Rate for Payer: PACE Medicare |
$13,477.12
|
| Rate for Payer: PACE SWMI |
$14,186.44
|
| Rate for Payer: PHP Medicare Advantage |
$14,186.44
|
| Rate for Payer: Priority Health Medicare |
$14,186.44
|
| Rate for Payer: Railroad Medicare Medicare |
$14,186.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,186.44
|
| Rate for Payer: UHC Medicare Advantage |
$14,186.44
|
| Rate for Payer: VA VA |
$14,186.44
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$35,118.16
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$26,689.80 |
| Max. Negotiated Rate |
$35,118.16 |
| Rate for Payer: Aetna Medicare |
$29,218.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,118.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,118.16
|
| Rate for Payer: BCBS MAPPO |
$28,094.53
|
| Rate for Payer: BCN Medicare Advantage |
$28,094.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,094.53
|
| Rate for Payer: Mclaren Medicare |
$28,094.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,499.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,308.71
|
| Rate for Payer: PACE Medicare |
$26,689.80
|
| Rate for Payer: PACE SWMI |
$28,094.53
|
| Rate for Payer: PHP Medicare Advantage |
$28,094.53
|
| Rate for Payer: Priority Health Medicare |
$28,094.53
|
| Rate for Payer: Railroad Medicare Medicare |
$28,094.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,094.53
|
| Rate for Payer: UHC Medicare Advantage |
$28,094.53
|
| Rate for Payer: VA VA |
$28,094.53
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,236.76
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$8,539.94 |
| Max. Negotiated Rate |
$11,236.76 |
| Rate for Payer: Aetna Medicare |
$9,348.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,236.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,236.76
|
| Rate for Payer: BCBS MAPPO |
$8,989.41
|
| Rate for Payer: BCN Medicare Advantage |
$8,989.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,989.41
|
| Rate for Payer: Mclaren Medicare |
$8,989.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,438.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,337.82
|
| Rate for Payer: PACE Medicare |
$8,539.94
|
| Rate for Payer: PACE SWMI |
$8,989.41
|
| Rate for Payer: PHP Medicare Advantage |
$8,989.41
|
| Rate for Payer: Priority Health Medicare |
$8,989.41
|
| Rate for Payer: Railroad Medicare Medicare |
$8,989.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,989.41
|
| Rate for Payer: UHC Medicare Advantage |
$8,989.41
|
| Rate for Payer: VA VA |
$8,989.41
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$18,771.46
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$14,266.31 |
| Max. Negotiated Rate |
$18,771.46 |
| Rate for Payer: Aetna Medicare |
$15,617.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,771.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,771.46
|
| Rate for Payer: BCBS MAPPO |
$15,017.17
|
| Rate for Payer: BCN Medicare Advantage |
$15,017.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,017.17
|
| Rate for Payer: Mclaren Medicare |
$15,017.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,768.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,269.75
|
| Rate for Payer: PACE Medicare |
$14,266.31
|
| Rate for Payer: PACE SWMI |
$15,017.17
|
| Rate for Payer: PHP Medicare Advantage |
$15,017.17
|
| Rate for Payer: Priority Health Medicare |
$15,017.17
|
| Rate for Payer: Railroad Medicare Medicare |
$15,017.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,017.17
|
| Rate for Payer: UHC Medicare Advantage |
$15,017.17
|
| Rate for Payer: VA VA |
$15,017.17
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$9,312.16
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$7,077.24 |
| Max. Negotiated Rate |
$9,312.16 |
| Rate for Payer: Aetna Medicare |
$7,747.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,312.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,312.16
|
| Rate for Payer: BCBS MAPPO |
$7,449.73
|
| Rate for Payer: BCN Medicare Advantage |
$7,449.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,449.73
|
| Rate for Payer: Mclaren Medicare |
$7,449.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,822.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,567.19
|
| Rate for Payer: PACE Medicare |
$7,077.24
|
| Rate for Payer: PACE SWMI |
$7,449.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,449.73
|
| Rate for Payer: Priority Health Medicare |
$7,449.73
|
| Rate for Payer: Railroad Medicare Medicare |
$7,449.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,449.73
|
| Rate for Payer: UHC Medicare Advantage |
$7,449.73
|
| Rate for Payer: VA VA |
$7,449.73
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$18,187.71
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$13,822.66 |
| Max. Negotiated Rate |
$18,187.71 |
| Rate for Payer: Aetna Medicare |
$15,132.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,187.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,187.71
|
| Rate for Payer: BCBS MAPPO |
$14,550.17
|
| Rate for Payer: BCN Medicare Advantage |
$14,550.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,550.17
|
| Rate for Payer: Mclaren Medicare |
$14,550.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,277.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,732.70
|
| Rate for Payer: PACE Medicare |
$13,822.66
|
| Rate for Payer: PACE SWMI |
$14,550.17
|
| Rate for Payer: PHP Medicare Advantage |
$14,550.17
|
| Rate for Payer: Priority Health Medicare |
$14,550.17
|
| Rate for Payer: Railroad Medicare Medicare |
$14,550.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,550.17
|
| Rate for Payer: UHC Medicare Advantage |
$14,550.17
|
| Rate for Payer: VA VA |
$14,550.17
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$37,675.65
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$28,633.49 |
| Max. Negotiated Rate |
$37,675.65 |
| Rate for Payer: Aetna Medicare |
$31,346.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,675.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,675.65
|
| Rate for Payer: BCBS MAPPO |
$30,140.52
|
| Rate for Payer: BCN Medicare Advantage |
$30,140.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,140.52
|
| Rate for Payer: Mclaren Medicare |
$30,140.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,647.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,661.60
|
| Rate for Payer: PACE Medicare |
$28,633.49
|
| Rate for Payer: PACE SWMI |
$30,140.52
|
| Rate for Payer: PHP Medicare Advantage |
$30,140.52
|
| Rate for Payer: Priority Health Medicare |
$30,140.52
|
| Rate for Payer: Railroad Medicare Medicare |
$30,140.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,140.52
|
| Rate for Payer: UHC Medicare Advantage |
$30,140.52
|
| Rate for Payer: VA VA |
$30,140.52
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,628.56
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$10,357.71 |
| Max. Negotiated Rate |
$13,628.56 |
| Rate for Payer: Aetna Medicare |
$11,338.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,628.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,628.56
|
| Rate for Payer: BCBS MAPPO |
$10,902.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,902.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,902.85
|
| Rate for Payer: Mclaren Medicare |
$10,902.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,447.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,538.28
|
| Rate for Payer: PACE Medicare |
$10,357.71
|
| Rate for Payer: PACE SWMI |
$10,902.85
|
| Rate for Payer: PHP Medicare Advantage |
$10,902.85
|
| Rate for Payer: Priority Health Medicare |
$10,902.85
|
| Rate for Payer: Railroad Medicare Medicare |
$10,902.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,902.85
|
| Rate for Payer: UHC Medicare Advantage |
$10,902.85
|
| Rate for Payer: VA VA |
$10,902.85
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$17,665.64
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$13,425.88 |
| Max. Negotiated Rate |
$17,665.64 |
| Rate for Payer: Aetna Medicare |
$14,697.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,665.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,665.64
|
| Rate for Payer: BCBS MAPPO |
$14,132.51
|
| Rate for Payer: BCN Medicare Advantage |
$14,132.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,132.51
|
| Rate for Payer: Mclaren Medicare |
$14,132.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,839.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,252.39
|
| Rate for Payer: PACE Medicare |
$13,425.88
|
| Rate for Payer: PACE SWMI |
$14,132.51
|
| Rate for Payer: PHP Medicare Advantage |
$14,132.51
|
| Rate for Payer: Priority Health Medicare |
$14,132.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,132.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,132.51
|
| Rate for Payer: UHC Medicare Advantage |
$14,132.51
|
| Rate for Payer: VA VA |
$14,132.51
|
|
