|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$31,983.67
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$24,307.59 |
| Max. Negotiated Rate |
$31,983.67 |
| Rate for Payer: Aetna Medicare |
$26,610.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,983.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,983.67
|
| Rate for Payer: BCBS MAPPO |
$25,586.94
|
| Rate for Payer: BCN Medicare Advantage |
$25,586.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,586.94
|
| Rate for Payer: Mclaren Medicare |
$25,586.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,866.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,424.98
|
| Rate for Payer: PACE Medicare |
$24,307.59
|
| Rate for Payer: PACE SWMI |
$25,586.94
|
| Rate for Payer: PHP Medicare Advantage |
$25,586.94
|
| Rate for Payer: Priority Health Medicare |
$25,586.94
|
| Rate for Payer: Railroad Medicare Medicare |
$25,586.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,586.94
|
| Rate for Payer: UHC Medicare Advantage |
$25,586.94
|
| Rate for Payer: VA VA |
$25,586.94
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,450.23
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$10,982.17 |
| Max. Negotiated Rate |
$14,450.23 |
| Rate for Payer: Aetna Medicare |
$12,022.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,450.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,450.23
|
| Rate for Payer: BCBS MAPPO |
$11,560.18
|
| Rate for Payer: BCN Medicare Advantage |
$11,560.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,560.18
|
| Rate for Payer: Mclaren Medicare |
$11,560.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,138.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,294.21
|
| Rate for Payer: PACE Medicare |
$10,982.17
|
| Rate for Payer: PACE SWMI |
$11,560.18
|
| Rate for Payer: PHP Medicare Advantage |
$11,560.18
|
| Rate for Payer: Priority Health Medicare |
$11,560.18
|
| Rate for Payer: Railroad Medicare Medicare |
$11,560.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,560.18
|
| Rate for Payer: UHC Medicare Advantage |
$11,560.18
|
| Rate for Payer: VA VA |
$11,560.18
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$25,179.14
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$19,136.14 |
| Max. Negotiated Rate |
$25,179.14 |
| Rate for Payer: Aetna Medicare |
$20,949.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,179.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,179.14
|
| Rate for Payer: BCBS MAPPO |
$20,143.31
|
| Rate for Payer: BCN Medicare Advantage |
$20,143.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,143.31
|
| Rate for Payer: Mclaren Medicare |
$20,143.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,150.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,164.81
|
| Rate for Payer: PACE Medicare |
$19,136.14
|
| Rate for Payer: PACE SWMI |
$20,143.31
|
| Rate for Payer: PHP Medicare Advantage |
$20,143.31
|
| Rate for Payer: Priority Health Medicare |
$20,143.31
|
| Rate for Payer: Railroad Medicare Medicare |
$20,143.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,143.31
|
| Rate for Payer: UHC Medicare Advantage |
$20,143.31
|
| Rate for Payer: VA VA |
$20,143.31
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$33,630.89
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$25,559.47 |
| Max. Negotiated Rate |
$33,630.89 |
| Rate for Payer: Aetna Medicare |
$27,980.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,630.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,630.89
|
| Rate for Payer: BCBS MAPPO |
$26,904.71
|
| Rate for Payer: BCN Medicare Advantage |
$26,904.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,904.71
|
| Rate for Payer: Mclaren Medicare |
$26,904.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,249.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,940.42
|
| Rate for Payer: PACE Medicare |
$25,559.47
|
| Rate for Payer: PACE SWMI |
$26,904.71
|
| Rate for Payer: PHP Medicare Advantage |
$26,904.71
|
| Rate for Payer: Priority Health Medicare |
$26,904.71
|
| Rate for Payer: Railroad Medicare Medicare |
$26,904.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,904.71
|
| Rate for Payer: UHC Medicare Advantage |
$26,904.71
|
| Rate for Payer: VA VA |
$26,904.71
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,438.28
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$13,253.09 |
| Max. Negotiated Rate |
$17,438.28 |
| Rate for Payer: Aetna Medicare |
$14,508.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,438.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,438.28
|
| Rate for Payer: BCBS MAPPO |
$13,950.62
|
| Rate for Payer: BCN Medicare Advantage |
$13,950.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,950.62
|
| Rate for Payer: Mclaren Medicare |
$13,950.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,648.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,043.21
|
| Rate for Payer: PACE Medicare |
$13,253.09
|
| Rate for Payer: PACE SWMI |
$13,950.62
|
| Rate for Payer: PHP Medicare Advantage |
$13,950.62
|
| Rate for Payer: Priority Health Medicare |
$13,950.62
|
| Rate for Payer: Railroad Medicare Medicare |
$13,950.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,950.62
|
| Rate for Payer: UHC Medicare Advantage |
$13,950.62
|
| Rate for Payer: VA VA |
$13,950.62
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$11,518.04
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$8,753.71 |
| Max. Negotiated Rate |
$11,518.04 |
| Rate for Payer: Aetna Medicare |
$9,583.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,518.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,518.04
|
| Rate for Payer: BCBS MAPPO |
$9,214.43
|
| Rate for Payer: BCN Medicare Advantage |
$9,214.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,214.43
|
| Rate for Payer: Mclaren Medicare |
$9,214.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,675.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,596.59
|
| Rate for Payer: PACE Medicare |
$8,753.71
|
| Rate for Payer: PACE SWMI |
$9,214.43
|
| Rate for Payer: PHP Medicare Advantage |
$9,214.43
|
| Rate for Payer: Priority Health Medicare |
$9,214.43
|
| Rate for Payer: Railroad Medicare Medicare |
$9,214.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,214.43
|
| Rate for Payer: UHC Medicare Advantage |
$9,214.43
|
| Rate for Payer: VA VA |
$9,214.43
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$7,442.45
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$5,656.26 |
| Max. Negotiated Rate |
$7,442.45 |
| Rate for Payer: Aetna Medicare |
$6,192.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,442.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,442.45
|
| Rate for Payer: BCBS MAPPO |
$5,953.96
|
| Rate for Payer: BCN Medicare Advantage |
$5,953.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,953.96
|
| Rate for Payer: Mclaren Medicare |
$5,953.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,251.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,847.05
|
| Rate for Payer: PACE Medicare |
$5,656.26
|
| Rate for Payer: PACE SWMI |
$5,953.96
|
| Rate for Payer: PHP Medicare Advantage |
$5,953.96
|
| Rate for Payer: Priority Health Medicare |
$5,953.96
|
| Rate for Payer: Railroad Medicare Medicare |
$5,953.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,953.96
|
| Rate for Payer: UHC Medicare Advantage |
$5,953.96
|
| Rate for Payer: VA VA |
$5,953.96
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$27,639.33
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$21,005.89 |
| Max. Negotiated Rate |
$27,639.33 |
| Rate for Payer: Aetna Medicare |
$22,995.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,639.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,639.33
|
| Rate for Payer: BCBS MAPPO |
$22,111.46
|
| Rate for Payer: BCN Medicare Advantage |
$22,111.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,111.46
|
| Rate for Payer: Mclaren Medicare |
$22,111.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,217.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,428.18
|
| Rate for Payer: PACE Medicare |
$21,005.89
|
| Rate for Payer: PACE SWMI |
$22,111.46
|
| Rate for Payer: PHP Medicare Advantage |
$22,111.46
|
| Rate for Payer: Priority Health Medicare |
$22,111.46
|
| Rate for Payer: Railroad Medicare Medicare |
$22,111.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,111.46
|
| Rate for Payer: UHC Medicare Advantage |
$22,111.46
|
| Rate for Payer: VA VA |
$22,111.46
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$52,879.91
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$40,188.73 |
| Max. Negotiated Rate |
$52,879.91 |
| Rate for Payer: Aetna Medicare |
$43,996.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,879.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,879.91
|
| Rate for Payer: BCBS MAPPO |
$42,303.93
|
| Rate for Payer: BCN Medicare Advantage |
$42,303.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,303.93
|
| Rate for Payer: Mclaren Medicare |
$42,303.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,419.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48,649.52
|
| Rate for Payer: PACE Medicare |
$40,188.73
|
| Rate for Payer: PACE SWMI |
$42,303.93
|
| Rate for Payer: PHP Medicare Advantage |
$42,303.93
|
| Rate for Payer: Priority Health Medicare |
$42,303.93
|
| Rate for Payer: Railroad Medicare Medicare |
$42,303.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,303.93
|
| Rate for Payer: UHC Medicare Advantage |
$42,303.93
|
| Rate for Payer: VA VA |
$42,303.93
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,160.40
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$16,081.90 |
| Max. Negotiated Rate |
$21,160.40 |
| Rate for Payer: Aetna Medicare |
$17,605.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,160.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,160.40
|
| Rate for Payer: BCBS MAPPO |
$16,928.32
|
| Rate for Payer: BCN Medicare Advantage |
$16,928.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,928.32
|
| Rate for Payer: Mclaren Medicare |
$16,928.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,774.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,467.57
|
| Rate for Payer: PACE Medicare |
$16,081.90
|
| Rate for Payer: PACE SWMI |
$16,928.32
|
| Rate for Payer: PHP Medicare Advantage |
$16,928.32
|
| Rate for Payer: Priority Health Medicare |
$16,928.32
|
| Rate for Payer: Railroad Medicare Medicare |
$16,928.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,928.32
|
| Rate for Payer: UHC Medicare Advantage |
$16,928.32
|
| Rate for Payer: VA VA |
$16,928.32
|
|
|
MS-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$77,388.40
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$58,815.18 |
| Max. Negotiated Rate |
$77,388.40 |
| Rate for Payer: Aetna Medicare |
$64,387.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77,388.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77,388.40
|
| Rate for Payer: BCBS MAPPO |
$61,910.72
|
| Rate for Payer: BCN Medicare Advantage |
$61,910.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61,910.72
|
| Rate for Payer: Mclaren Medicare |
$61,910.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65,006.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71,197.33
|
| Rate for Payer: PACE Medicare |
$58,815.18
|
| Rate for Payer: PACE SWMI |
$61,910.72
|
| Rate for Payer: PHP Medicare Advantage |
$61,910.72
|
| Rate for Payer: Priority Health Medicare |
$61,910.72
|
| Rate for Payer: Railroad Medicare Medicare |
$61,910.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$61,910.72
|
| Rate for Payer: UHC Medicare Advantage |
$61,910.72
|
| Rate for Payer: VA VA |
$61,910.72
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$10,806.20
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$8,212.71 |
| Max. Negotiated Rate |
$10,806.20 |
| Rate for Payer: Aetna Medicare |
$8,990.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,806.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,806.20
|
| Rate for Payer: BCBS MAPPO |
$8,644.96
|
| Rate for Payer: BCN Medicare Advantage |
$8,644.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,644.96
|
| Rate for Payer: Mclaren Medicare |
$8,644.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,077.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,941.70
|
| Rate for Payer: PACE Medicare |
$8,212.71
|
| Rate for Payer: PACE SWMI |
$8,644.96
|
| Rate for Payer: PHP Medicare Advantage |
$8,644.96
|
| Rate for Payer: Priority Health Medicare |
$8,644.96
|
| Rate for Payer: Railroad Medicare Medicare |
$8,644.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,644.96
|
| Rate for Payer: UHC Medicare Advantage |
$8,644.96
|
| Rate for Payer: VA VA |
$8,644.96
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$18,552.80
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$14,100.13 |
| Max. Negotiated Rate |
$18,552.80 |
| Rate for Payer: Aetna Medicare |
$15,435.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,552.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,552.80
|
| Rate for Payer: BCBS MAPPO |
$14,842.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,842.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,842.24
|
| Rate for Payer: Mclaren Medicare |
$14,842.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,584.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,068.58
|
| Rate for Payer: PACE Medicare |
$14,100.13
|
| Rate for Payer: PACE SWMI |
$14,842.24
|
| Rate for Payer: PHP Medicare Advantage |
$14,842.24
|
| Rate for Payer: Priority Health Medicare |
$14,842.24
|
| Rate for Payer: Railroad Medicare Medicare |
$14,842.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,842.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,842.24
|
| Rate for Payer: VA VA |
$14,842.24
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$7,866.29
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$5,978.38 |
| Max. Negotiated Rate |
$7,866.29 |
| Rate for Payer: Aetna Medicare |
$6,544.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,866.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,866.29
|
| Rate for Payer: BCBS MAPPO |
$6,293.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,293.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,293.03
|
| Rate for Payer: Mclaren Medicare |
$6,293.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,607.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,236.98
|
| Rate for Payer: PACE Medicare |
$5,978.38
|
| Rate for Payer: PACE SWMI |
$6,293.03
|
| Rate for Payer: PHP Medicare Advantage |
$6,293.03
|
| Rate for Payer: Priority Health Medicare |
$6,293.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6,293.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,293.03
|
| Rate for Payer: UHC Medicare Advantage |
$6,293.03
|
| Rate for Payer: VA VA |
$6,293.03
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$20,842.51
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$15,840.31 |
| Max. Negotiated Rate |
$20,842.51 |
| Rate for Payer: Aetna Medicare |
$17,340.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,842.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,842.51
|
| Rate for Payer: BCBS MAPPO |
$16,674.01
|
| Rate for Payer: BCN Medicare Advantage |
$16,674.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,674.01
|
| Rate for Payer: Mclaren Medicare |
$16,674.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,507.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,175.11
|
| Rate for Payer: PACE Medicare |
$15,840.31
|
| Rate for Payer: PACE SWMI |
$16,674.01
|
| Rate for Payer: PHP Medicare Advantage |
$16,674.01
|
| Rate for Payer: Priority Health Medicare |
$16,674.01
|
| Rate for Payer: Railroad Medicare Medicare |
$16,674.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,674.01
|
| Rate for Payer: UHC Medicare Advantage |
$16,674.01
|
| Rate for Payer: VA VA |
$16,674.01
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$12,279.98
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$9,332.78 |
| Max. Negotiated Rate |
$12,279.98 |
| Rate for Payer: Aetna Medicare |
$10,216.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,279.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,279.98
|
| Rate for Payer: BCBS MAPPO |
$9,823.98
|
| Rate for Payer: BCN Medicare Advantage |
$9,823.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,823.98
|
| Rate for Payer: Mclaren Medicare |
$9,823.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,315.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,297.58
|
| Rate for Payer: PACE Medicare |
$9,332.78
|
| Rate for Payer: PACE SWMI |
$9,823.98
|
| Rate for Payer: PHP Medicare Advantage |
$9,823.98
|
| Rate for Payer: Priority Health Medicare |
$9,823.98
|
| Rate for Payer: Railroad Medicare Medicare |
$9,823.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,823.98
|
| Rate for Payer: UHC Medicare Advantage |
$9,823.98
|
| Rate for Payer: VA VA |
$9,823.98
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$22,232.49
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$16,896.69 |
| Max. Negotiated Rate |
$22,232.49 |
| Rate for Payer: Aetna Medicare |
$18,497.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,232.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,232.49
|
| Rate for Payer: BCBS MAPPO |
$17,785.99
|
| Rate for Payer: BCN Medicare Advantage |
$17,785.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,785.99
|
| Rate for Payer: Mclaren Medicare |
$17,785.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,675.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,453.89
|
| Rate for Payer: PACE Medicare |
$16,896.69
|
| Rate for Payer: PACE SWMI |
$17,785.99
|
| Rate for Payer: PHP Medicare Advantage |
$17,785.99
|
| Rate for Payer: Priority Health Medicare |
$17,785.99
|
| Rate for Payer: Railroad Medicare Medicare |
$17,785.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,785.99
|
| Rate for Payer: UHC Medicare Advantage |
$17,785.99
|
| Rate for Payer: VA VA |
$17,785.99
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,049.40
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$11,437.54 |
| Max. Negotiated Rate |
$15,049.40 |
| Rate for Payer: Aetna Medicare |
$12,521.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,049.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,049.40
|
| Rate for Payer: BCBS MAPPO |
$12,039.52
|
| Rate for Payer: BCN Medicare Advantage |
$12,039.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,039.52
|
| Rate for Payer: Mclaren Medicare |
$12,039.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,641.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,845.45
|
| Rate for Payer: PACE Medicare |
$11,437.54
|
| Rate for Payer: PACE SWMI |
$12,039.52
|
| Rate for Payer: PHP Medicare Advantage |
$12,039.52
|
| Rate for Payer: Priority Health Medicare |
$12,039.52
|
| Rate for Payer: Railroad Medicare Medicare |
$12,039.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,039.52
|
| Rate for Payer: UHC Medicare Advantage |
$12,039.52
|
| Rate for Payer: VA VA |
$12,039.52
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$38,253.62
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$29,072.76 |
| Max. Negotiated Rate |
$38,253.62 |
| Rate for Payer: Aetna Medicare |
$31,827.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,253.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,253.62
|
| Rate for Payer: BCBS MAPPO |
$30,602.90
|
| Rate for Payer: BCN Medicare Advantage |
$30,602.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,602.90
|
| Rate for Payer: Mclaren Medicare |
$30,602.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,133.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,193.33
|
| Rate for Payer: PACE Medicare |
$29,072.76
|
| Rate for Payer: PACE SWMI |
$30,602.90
|
| Rate for Payer: PHP Medicare Advantage |
$30,602.90
|
| Rate for Payer: Priority Health Medicare |
$30,602.90
|
| Rate for Payer: Railroad Medicare Medicare |
$30,602.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,602.90
|
| Rate for Payer: UHC Medicare Advantage |
$30,602.90
|
| Rate for Payer: VA VA |
$30,602.90
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$30,650.51
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$23,294.39 |
| Max. Negotiated Rate |
$30,650.51 |
| Rate for Payer: Aetna Medicare |
$25,501.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,650.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,650.51
|
| Rate for Payer: BCBS MAPPO |
$24,520.41
|
| Rate for Payer: BCN Medicare Advantage |
$24,520.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,520.41
|
| Rate for Payer: Mclaren Medicare |
$24,520.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,746.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,198.47
|
| Rate for Payer: PACE Medicare |
$23,294.39
|
| Rate for Payer: PACE SWMI |
$24,520.41
|
| Rate for Payer: PHP Medicare Advantage |
$24,520.41
|
| Rate for Payer: Priority Health Medicare |
$24,520.41
|
| Rate for Payer: Railroad Medicare Medicare |
$24,520.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,520.41
|
| Rate for Payer: UHC Medicare Advantage |
$24,520.41
|
| Rate for Payer: VA VA |
$24,520.41
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$28,009.24
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$21,287.02 |
| Max. Negotiated Rate |
$28,009.24 |
| Rate for Payer: Aetna Medicare |
$23,303.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,009.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,009.24
|
| Rate for Payer: BCBS MAPPO |
$22,407.39
|
| Rate for Payer: BCN Medicare Advantage |
$22,407.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,407.39
|
| Rate for Payer: Mclaren Medicare |
$22,407.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,527.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,768.50
|
| Rate for Payer: PACE Medicare |
$21,287.02
|
| Rate for Payer: PACE SWMI |
$22,407.39
|
| Rate for Payer: PHP Medicare Advantage |
$22,407.39
|
| Rate for Payer: Priority Health Medicare |
$22,407.39
|
| Rate for Payer: Railroad Medicare Medicare |
$22,407.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,407.39
|
| Rate for Payer: UHC Medicare Advantage |
$22,407.39
|
| Rate for Payer: VA VA |
$22,407.39
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$18,014.34
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$13,690.90 |
| Max. Negotiated Rate |
$18,014.34 |
| Rate for Payer: Aetna Medicare |
$14,987.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,014.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,014.34
|
| Rate for Payer: BCBS MAPPO |
$14,411.47
|
| Rate for Payer: BCN Medicare Advantage |
$14,411.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,411.47
|
| Rate for Payer: Mclaren Medicare |
$14,411.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,132.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,573.19
|
| Rate for Payer: PACE Medicare |
$13,690.90
|
| Rate for Payer: PACE SWMI |
$14,411.47
|
| Rate for Payer: PHP Medicare Advantage |
$14,411.47
|
| Rate for Payer: Priority Health Medicare |
$14,411.47
|
| Rate for Payer: Railroad Medicare Medicare |
$14,411.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,411.47
|
| Rate for Payer: UHC Medicare Advantage |
$14,411.47
|
| Rate for Payer: VA VA |
$14,411.47
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$22,863.42
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$17,376.20 |
| Max. Negotiated Rate |
$22,863.42 |
| Rate for Payer: Aetna Medicare |
$19,022.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,863.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,863.42
|
| Rate for Payer: BCBS MAPPO |
$18,290.74
|
| Rate for Payer: BCN Medicare Advantage |
$18,290.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,290.74
|
| Rate for Payer: Mclaren Medicare |
$18,290.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,205.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,034.35
|
| Rate for Payer: PACE Medicare |
$17,376.20
|
| Rate for Payer: PACE SWMI |
$18,290.74
|
| Rate for Payer: PHP Medicare Advantage |
$18,290.74
|
| Rate for Payer: Priority Health Medicare |
$18,290.74
|
| Rate for Payer: Railroad Medicare Medicare |
$18,290.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,290.74
|
| Rate for Payer: UHC Medicare Advantage |
$18,290.74
|
| Rate for Payer: VA VA |
$18,290.74
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$15,638.90
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$11,885.56 |
| Max. Negotiated Rate |
$15,638.90 |
| Rate for Payer: Aetna Medicare |
$13,011.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,638.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,638.90
|
| Rate for Payer: BCBS MAPPO |
$12,511.12
|
| Rate for Payer: BCN Medicare Advantage |
$12,511.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,511.12
|
| Rate for Payer: Mclaren Medicare |
$12,511.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,136.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,387.79
|
| Rate for Payer: PACE Medicare |
$11,885.56
|
| Rate for Payer: PACE SWMI |
$12,511.12
|
| Rate for Payer: PHP Medicare Advantage |
$12,511.12
|
| Rate for Payer: Priority Health Medicare |
$12,511.12
|
| Rate for Payer: Railroad Medicare Medicare |
$12,511.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,511.12
|
| Rate for Payer: UHC Medicare Advantage |
$12,511.12
|
| Rate for Payer: VA VA |
$12,511.12
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$22,339.42
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$16,977.96 |
| Max. Negotiated Rate |
$22,339.42 |
| Rate for Payer: Aetna Medicare |
$18,586.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,339.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,339.42
|
| Rate for Payer: BCBS MAPPO |
$17,871.54
|
| Rate for Payer: BCN Medicare Advantage |
$17,871.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,871.54
|
| Rate for Payer: Mclaren Medicare |
$17,871.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,765.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,552.27
|
| Rate for Payer: PACE Medicare |
$16,977.96
|
| Rate for Payer: PACE SWMI |
$17,871.54
|
| Rate for Payer: PHP Medicare Advantage |
$17,871.54
|
| Rate for Payer: Priority Health Medicare |
$17,871.54
|
| Rate for Payer: Railroad Medicare Medicare |
$17,871.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,871.54
|
| Rate for Payer: UHC Medicare Advantage |
$17,871.54
|
| Rate for Payer: VA VA |
$17,871.54
|
|
