|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,922.38
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$28,061.01 |
| Max. Negotiated Rate |
$36,922.38 |
| Rate for Payer: Aetna Medicare |
$30,719.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,922.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,922.38
|
| Rate for Payer: BCBS MAPPO |
$29,537.90
|
| Rate for Payer: BCN Medicare Advantage |
$29,537.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,537.90
|
| Rate for Payer: Mclaren Medicare |
$29,537.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,014.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,968.58
|
| Rate for Payer: PACE Medicare |
$28,061.01
|
| Rate for Payer: PACE SWMI |
$29,537.90
|
| Rate for Payer: PHP Medicare Advantage |
$29,537.90
|
| Rate for Payer: Priority Health Medicare |
$29,537.90
|
| Rate for Payer: Railroad Medicare Medicare |
$29,537.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,537.90
|
| Rate for Payer: UHC Medicare Advantage |
$29,537.90
|
| Rate for Payer: VA VA |
$29,537.90
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,517.30
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$13,313.15 |
| Max. Negotiated Rate |
$17,517.30 |
| Rate for Payer: Aetna Medicare |
$14,574.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,517.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,517.30
|
| Rate for Payer: BCBS MAPPO |
$14,013.84
|
| Rate for Payer: BCN Medicare Advantage |
$14,013.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,013.84
|
| Rate for Payer: Mclaren Medicare |
$14,013.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,714.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,115.92
|
| Rate for Payer: PACE Medicare |
$13,313.15
|
| Rate for Payer: PACE SWMI |
$14,013.84
|
| Rate for Payer: PHP Medicare Advantage |
$14,013.84
|
| Rate for Payer: Priority Health Medicare |
$14,013.84
|
| Rate for Payer: Railroad Medicare Medicare |
$14,013.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,013.84
|
| Rate for Payer: UHC Medicare Advantage |
$14,013.84
|
| Rate for Payer: VA VA |
$14,013.84
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$10,899.62
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$8,283.72 |
| Max. Negotiated Rate |
$10,899.62 |
| Rate for Payer: Aetna Medicare |
$9,068.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,899.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,899.62
|
| Rate for Payer: BCBS MAPPO |
$8,719.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,719.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,719.70
|
| Rate for Payer: Mclaren Medicare |
$8,719.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,155.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,027.66
|
| Rate for Payer: PACE Medicare |
$8,283.72
|
| Rate for Payer: PACE SWMI |
$8,719.70
|
| Rate for Payer: PHP Medicare Advantage |
$8,719.70
|
| Rate for Payer: Priority Health Medicare |
$8,719.70
|
| Rate for Payer: Railroad Medicare Medicare |
$8,719.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,719.70
|
| Rate for Payer: UHC Medicare Advantage |
$8,719.70
|
| Rate for Payer: VA VA |
$8,719.70
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$16,168.70
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$12,288.21 |
| Max. Negotiated Rate |
$16,168.70 |
| Rate for Payer: Aetna Medicare |
$13,452.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,168.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,168.70
|
| Rate for Payer: BCBS MAPPO |
$12,934.96
|
| Rate for Payer: BCN Medicare Advantage |
$12,934.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,934.96
|
| Rate for Payer: Mclaren Medicare |
$12,934.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,581.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,875.20
|
| Rate for Payer: PACE Medicare |
$12,288.21
|
| Rate for Payer: PACE SWMI |
$12,934.96
|
| Rate for Payer: PHP Medicare Advantage |
$12,934.96
|
| Rate for Payer: Priority Health Medicare |
$12,934.96
|
| Rate for Payer: Railroad Medicare Medicare |
$12,934.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,934.96
|
| Rate for Payer: UHC Medicare Advantage |
$12,934.96
|
| Rate for Payer: VA VA |
$12,934.96
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,458.85
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$5,668.73 |
| Max. Negotiated Rate |
$7,458.85 |
| Rate for Payer: Aetna Medicare |
$6,205.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,458.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,458.85
|
| Rate for Payer: BCBS MAPPO |
$5,967.08
|
| Rate for Payer: BCN Medicare Advantage |
$5,967.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,967.08
|
| Rate for Payer: Mclaren Medicare |
$5,967.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,265.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,862.14
|
| Rate for Payer: PACE Medicare |
$5,668.73
|
| Rate for Payer: PACE SWMI |
$5,967.08
|
| Rate for Payer: PHP Medicare Advantage |
$5,967.08
|
| Rate for Payer: Priority Health Medicare |
$5,967.08
|
| Rate for Payer: Railroad Medicare Medicare |
$5,967.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,967.08
|
| Rate for Payer: UHC Medicare Advantage |
$5,967.08
|
| Rate for Payer: VA VA |
$5,967.08
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$20,934.03
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$15,909.86 |
| Max. Negotiated Rate |
$20,934.03 |
| Rate for Payer: Aetna Medicare |
$17,417.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,934.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,934.03
|
| Rate for Payer: BCBS MAPPO |
$16,747.22
|
| Rate for Payer: BCN Medicare Advantage |
$16,747.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,747.22
|
| Rate for Payer: Mclaren Medicare |
$16,747.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,584.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,259.30
|
| Rate for Payer: PACE Medicare |
$15,909.86
|
| Rate for Payer: PACE SWMI |
$16,747.22
|
| Rate for Payer: PHP Medicare Advantage |
$16,747.22
|
| Rate for Payer: Priority Health Medicare |
$16,747.22
|
| Rate for Payer: Railroad Medicare Medicare |
$16,747.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,747.22
|
| Rate for Payer: UHC Medicare Advantage |
$16,747.22
|
| Rate for Payer: VA VA |
$16,747.22
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$35,489.99
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$26,972.39 |
| Max. Negotiated Rate |
$35,489.99 |
| Rate for Payer: Aetna Medicare |
$29,527.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,489.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,489.99
|
| Rate for Payer: BCBS MAPPO |
$28,391.99
|
| Rate for Payer: BCN Medicare Advantage |
$28,391.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,391.99
|
| Rate for Payer: Mclaren Medicare |
$28,391.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,811.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,650.79
|
| Rate for Payer: PACE Medicare |
$26,972.39
|
| Rate for Payer: PACE SWMI |
$28,391.99
|
| Rate for Payer: PHP Medicare Advantage |
$28,391.99
|
| Rate for Payer: Priority Health Medicare |
$28,391.99
|
| Rate for Payer: Railroad Medicare Medicare |
$28,391.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,391.99
|
| Rate for Payer: UHC Medicare Advantage |
$28,391.99
|
| Rate for Payer: VA VA |
$28,391.99
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,374.02
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$11,684.26 |
| Max. Negotiated Rate |
$15,374.02 |
| Rate for Payer: Aetna Medicare |
$12,791.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,374.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,374.02
|
| Rate for Payer: BCBS MAPPO |
$12,299.22
|
| Rate for Payer: BCN Medicare Advantage |
$12,299.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,299.22
|
| Rate for Payer: Mclaren Medicare |
$12,299.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,914.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,144.10
|
| Rate for Payer: PACE Medicare |
$11,684.26
|
| Rate for Payer: PACE SWMI |
$12,299.22
|
| Rate for Payer: PHP Medicare Advantage |
$12,299.22
|
| Rate for Payer: Priority Health Medicare |
$12,299.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,299.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,299.22
|
| Rate for Payer: UHC Medicare Advantage |
$12,299.22
|
| Rate for Payer: VA VA |
$12,299.22
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$22,287.41
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$16,938.43 |
| Max. Negotiated Rate |
$22,287.41 |
| Rate for Payer: Aetna Medicare |
$18,543.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,287.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,287.41
|
| Rate for Payer: BCBS MAPPO |
$17,829.93
|
| Rate for Payer: BCN Medicare Advantage |
$17,829.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,829.93
|
| Rate for Payer: Mclaren Medicare |
$17,829.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,721.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,504.42
|
| Rate for Payer: PACE Medicare |
$16,938.43
|
| Rate for Payer: PACE SWMI |
$17,829.93
|
| Rate for Payer: PHP Medicare Advantage |
$17,829.93
|
| Rate for Payer: Priority Health Medicare |
$17,829.93
|
| Rate for Payer: Railroad Medicare Medicare |
$17,829.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,829.93
|
| Rate for Payer: UHC Medicare Advantage |
$17,829.93
|
| Rate for Payer: VA VA |
$17,829.93
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$33,260.96
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$25,278.33 |
| Max. Negotiated Rate |
$33,260.96 |
| Rate for Payer: Aetna Medicare |
$27,673.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,260.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,260.96
|
| Rate for Payer: BCBS MAPPO |
$26,608.77
|
| Rate for Payer: BCN Medicare Advantage |
$26,608.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,608.77
|
| Rate for Payer: Mclaren Medicare |
$26,608.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,939.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,600.09
|
| Rate for Payer: PACE Medicare |
$25,278.33
|
| Rate for Payer: PACE SWMI |
$26,608.77
|
| Rate for Payer: PHP Medicare Advantage |
$26,608.77
|
| Rate for Payer: Priority Health Medicare |
$26,608.77
|
| Rate for Payer: Railroad Medicare Medicare |
$26,608.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,608.77
|
| Rate for Payer: UHC Medicare Advantage |
$26,608.77
|
| Rate for Payer: VA VA |
$26,608.77
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$17,971.01
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$13,657.97 |
| Max. Negotiated Rate |
$17,971.01 |
| Rate for Payer: Aetna Medicare |
$14,951.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,971.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,971.01
|
| Rate for Payer: BCBS MAPPO |
$14,376.81
|
| Rate for Payer: BCN Medicare Advantage |
$14,376.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,376.81
|
| Rate for Payer: Mclaren Medicare |
$14,376.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,095.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,533.33
|
| Rate for Payer: PACE Medicare |
$13,657.97
|
| Rate for Payer: PACE SWMI |
$14,376.81
|
| Rate for Payer: PHP Medicare Advantage |
$14,376.81
|
| Rate for Payer: Priority Health Medicare |
$14,376.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14,376.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,376.81
|
| Rate for Payer: UHC Medicare Advantage |
$14,376.81
|
| Rate for Payer: VA VA |
$14,376.81
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$10,258.08
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$7,796.14 |
| Max. Negotiated Rate |
$10,258.08 |
| Rate for Payer: Aetna Medicare |
$8,534.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,258.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,258.08
|
| Rate for Payer: BCBS MAPPO |
$8,206.46
|
| Rate for Payer: BCN Medicare Advantage |
$8,206.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,206.46
|
| Rate for Payer: Mclaren Medicare |
$8,206.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,616.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,437.43
|
| Rate for Payer: PACE Medicare |
$7,796.14
|
| Rate for Payer: PACE SWMI |
$8,206.46
|
| Rate for Payer: PHP Medicare Advantage |
$8,206.46
|
| Rate for Payer: Priority Health Medicare |
$8,206.46
|
| Rate for Payer: Railroad Medicare Medicare |
$8,206.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,206.46
|
| Rate for Payer: UHC Medicare Advantage |
$8,206.46
|
| Rate for Payer: VA VA |
$8,206.46
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$15,806.52
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$12,012.96 |
| Max. Negotiated Rate |
$15,806.52 |
| Rate for Payer: Aetna Medicare |
$13,151.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,806.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,806.52
|
| Rate for Payer: BCBS MAPPO |
$12,645.22
|
| Rate for Payer: BCN Medicare Advantage |
$12,645.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,645.22
|
| Rate for Payer: Mclaren Medicare |
$12,645.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,277.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,542.00
|
| Rate for Payer: PACE Medicare |
$12,012.96
|
| Rate for Payer: PACE SWMI |
$12,645.22
|
| Rate for Payer: PHP Medicare Advantage |
$12,645.22
|
| Rate for Payer: Priority Health Medicare |
$12,645.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,645.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,645.22
|
| Rate for Payer: UHC Medicare Advantage |
$12,645.22
|
| Rate for Payer: VA VA |
$12,645.22
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$7,659.18
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$5,820.97 |
| Max. Negotiated Rate |
$7,659.18 |
| Rate for Payer: Aetna Medicare |
$6,372.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,659.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,659.18
|
| Rate for Payer: BCBS MAPPO |
$6,127.34
|
| Rate for Payer: BCN Medicare Advantage |
$6,127.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,127.34
|
| Rate for Payer: Mclaren Medicare |
$6,127.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,433.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,046.44
|
| Rate for Payer: PACE Medicare |
$5,820.97
|
| Rate for Payer: PACE SWMI |
$6,127.34
|
| Rate for Payer: PHP Medicare Advantage |
$6,127.34
|
| Rate for Payer: Priority Health Medicare |
$6,127.34
|
| Rate for Payer: Railroad Medicare Medicare |
$6,127.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,127.34
|
| Rate for Payer: UHC Medicare Advantage |
$6,127.34
|
| Rate for Payer: VA VA |
$6,127.34
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$11,255.08
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$8,553.86 |
| Max. Negotiated Rate |
$11,255.08 |
| Rate for Payer: Aetna Medicare |
$9,364.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,255.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,255.08
|
| Rate for Payer: BCBS MAPPO |
$9,004.06
|
| Rate for Payer: BCN Medicare Advantage |
$9,004.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,004.06
|
| Rate for Payer: Mclaren Medicare |
$9,004.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,454.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,354.67
|
| Rate for Payer: PACE Medicare |
$8,553.86
|
| Rate for Payer: PACE SWMI |
$9,004.06
|
| Rate for Payer: PHP Medicare Advantage |
$9,004.06
|
| Rate for Payer: Priority Health Medicare |
$9,004.06
|
| Rate for Payer: Railroad Medicare Medicare |
$9,004.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,004.06
|
| Rate for Payer: UHC Medicare Advantage |
$9,004.06
|
| Rate for Payer: VA VA |
$9,004.06
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$17,591.47
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$13,369.52 |
| Max. Negotiated Rate |
$17,591.47 |
| Rate for Payer: Aetna Medicare |
$14,636.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,591.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,591.47
|
| Rate for Payer: BCBS MAPPO |
$14,073.18
|
| Rate for Payer: BCN Medicare Advantage |
$14,073.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,073.18
|
| Rate for Payer: Mclaren Medicare |
$14,073.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,776.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,184.16
|
| Rate for Payer: PACE Medicare |
$13,369.52
|
| Rate for Payer: PACE SWMI |
$14,073.18
|
| Rate for Payer: PHP Medicare Advantage |
$14,073.18
|
| Rate for Payer: Priority Health Medicare |
$14,073.18
|
| Rate for Payer: Railroad Medicare Medicare |
$14,073.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,073.18
|
| Rate for Payer: UHC Medicare Advantage |
$14,073.18
|
| Rate for Payer: VA VA |
$14,073.18
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$7,109.16
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$5,402.96 |
| Max. Negotiated Rate |
$7,109.16 |
| Rate for Payer: Aetna Medicare |
$5,914.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,109.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,109.16
|
| Rate for Payer: BCBS MAPPO |
$5,687.33
|
| Rate for Payer: BCN Medicare Advantage |
$5,687.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,687.33
|
| Rate for Payer: Mclaren Medicare |
$5,687.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,971.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,540.43
|
| Rate for Payer: PACE Medicare |
$5,402.96
|
| Rate for Payer: PACE SWMI |
$5,687.33
|
| Rate for Payer: PHP Medicare Advantage |
$5,687.33
|
| Rate for Payer: Priority Health Medicare |
$5,687.33
|
| Rate for Payer: Railroad Medicare Medicare |
$5,687.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,687.33
|
| Rate for Payer: UHC Medicare Advantage |
$5,687.33
|
| Rate for Payer: VA VA |
$5,687.33
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$16,381.58
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$12,450.00 |
| Max. Negotiated Rate |
$16,381.58 |
| Rate for Payer: Aetna Medicare |
$13,629.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,381.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,381.58
|
| Rate for Payer: BCBS MAPPO |
$13,105.26
|
| Rate for Payer: BCN Medicare Advantage |
$13,105.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,105.26
|
| Rate for Payer: Mclaren Medicare |
$13,105.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,760.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,071.05
|
| Rate for Payer: PACE Medicare |
$12,450.00
|
| Rate for Payer: PACE SWMI |
$13,105.26
|
| Rate for Payer: PHP Medicare Advantage |
$13,105.26
|
| Rate for Payer: Priority Health Medicare |
$13,105.26
|
| Rate for Payer: Railroad Medicare Medicare |
$13,105.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,105.26
|
| Rate for Payer: UHC Medicare Advantage |
$13,105.26
|
| Rate for Payer: VA VA |
$13,105.26
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$9,107.94
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$6,922.03 |
| Max. Negotiated Rate |
$9,107.94 |
| Rate for Payer: Aetna Medicare |
$7,577.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,107.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,107.94
|
| Rate for Payer: BCBS MAPPO |
$7,286.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,286.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,286.35
|
| Rate for Payer: Mclaren Medicare |
$7,286.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,650.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,379.30
|
| Rate for Payer: PACE Medicare |
$6,922.03
|
| Rate for Payer: PACE SWMI |
$7,286.35
|
| Rate for Payer: PHP Medicare Advantage |
$7,286.35
|
| Rate for Payer: Priority Health Medicare |
$7,286.35
|
| Rate for Payer: Railroad Medicare Medicare |
$7,286.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,286.35
|
| Rate for Payer: UHC Medicare Advantage |
$7,286.35
|
| Rate for Payer: VA VA |
$7,286.35
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$18,298.50
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$13,906.86 |
| Max. Negotiated Rate |
$18,298.50 |
| Rate for Payer: Aetna Medicare |
$15,224.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,298.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,298.50
|
| Rate for Payer: BCBS MAPPO |
$14,638.80
|
| Rate for Payer: BCN Medicare Advantage |
$14,638.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,638.80
|
| Rate for Payer: Mclaren Medicare |
$14,638.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,370.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,834.62
|
| Rate for Payer: PACE Medicare |
$13,906.86
|
| Rate for Payer: PACE SWMI |
$14,638.80
|
| Rate for Payer: PHP Medicare Advantage |
$14,638.80
|
| Rate for Payer: Priority Health Medicare |
$14,638.80
|
| Rate for Payer: Railroad Medicare Medicare |
$14,638.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,638.80
|
| Rate for Payer: UHC Medicare Advantage |
$14,638.80
|
| Rate for Payer: VA VA |
$14,638.80
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$10,218.60
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$7,766.14 |
| Max. Negotiated Rate |
$10,218.60 |
| Rate for Payer: Aetna Medicare |
$8,501.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,218.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,218.60
|
| Rate for Payer: BCBS MAPPO |
$8,174.88
|
| Rate for Payer: BCN Medicare Advantage |
$8,174.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,174.88
|
| Rate for Payer: Mclaren Medicare |
$8,174.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,583.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,401.11
|
| Rate for Payer: PACE Medicare |
$7,766.14
|
| Rate for Payer: PACE SWMI |
$8,174.88
|
| Rate for Payer: PHP Medicare Advantage |
$8,174.88
|
| Rate for Payer: Priority Health Medicare |
$8,174.88
|
| Rate for Payer: Railroad Medicare Medicare |
$8,174.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,174.88
|
| Rate for Payer: UHC Medicare Advantage |
$8,174.88
|
| Rate for Payer: VA VA |
$8,174.88
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$21,575.54
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$16,397.41 |
| Max. Negotiated Rate |
$21,575.54 |
| Rate for Payer: Aetna Medicare |
$17,950.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,575.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,575.54
|
| Rate for Payer: BCBS MAPPO |
$17,260.43
|
| Rate for Payer: BCN Medicare Advantage |
$17,260.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,260.43
|
| Rate for Payer: Mclaren Medicare |
$17,260.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,123.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,849.49
|
| Rate for Payer: PACE Medicare |
$16,397.41
|
| Rate for Payer: PACE SWMI |
$17,260.43
|
| Rate for Payer: PHP Medicare Advantage |
$17,260.43
|
| Rate for Payer: Priority Health Medicare |
$17,260.43
|
| Rate for Payer: Railroad Medicare Medicare |
$17,260.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,260.43
|
| Rate for Payer: UHC Medicare Advantage |
$17,260.43
|
| Rate for Payer: VA VA |
$17,260.43
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$44,045.75
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$33,474.77 |
| Max. Negotiated Rate |
$44,045.75 |
| Rate for Payer: Aetna Medicare |
$36,646.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,045.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,045.75
|
| Rate for Payer: BCBS MAPPO |
$35,236.60
|
| Rate for Payer: BCN Medicare Advantage |
$35,236.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,236.60
|
| Rate for Payer: Mclaren Medicare |
$35,236.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,998.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,522.09
|
| Rate for Payer: PACE Medicare |
$33,474.77
|
| Rate for Payer: PACE SWMI |
$35,236.60
|
| Rate for Payer: PHP Medicare Advantage |
$35,236.60
|
| Rate for Payer: Priority Health Medicare |
$35,236.60
|
| Rate for Payer: Railroad Medicare Medicare |
$35,236.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,236.60
|
| Rate for Payer: UHC Medicare Advantage |
$35,236.60
|
| Rate for Payer: VA VA |
$35,236.60
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,997.61
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$9,878.19 |
| Max. Negotiated Rate |
$12,997.61 |
| Rate for Payer: Aetna Medicare |
$10,814.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,997.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,997.61
|
| Rate for Payer: BCBS MAPPO |
$10,398.09
|
| Rate for Payer: BCN Medicare Advantage |
$10,398.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,398.09
|
| Rate for Payer: Mclaren Medicare |
$10,398.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,917.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,957.80
|
| Rate for Payer: PACE Medicare |
$9,878.19
|
| Rate for Payer: PACE SWMI |
$10,398.09
|
| Rate for Payer: PHP Medicare Advantage |
$10,398.09
|
| Rate for Payer: Priority Health Medicare |
$10,398.09
|
| Rate for Payer: Railroad Medicare Medicare |
$10,398.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,398.09
|
| Rate for Payer: UHC Medicare Advantage |
$10,398.09
|
| Rate for Payer: VA VA |
$10,398.09
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$13,971.49
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$10,618.33 |
| Max. Negotiated Rate |
$13,971.49 |
| Rate for Payer: Aetna Medicare |
$11,624.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,971.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,971.49
|
| Rate for Payer: BCBS MAPPO |
$11,177.19
|
| Rate for Payer: BCN Medicare Advantage |
$11,177.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,177.19
|
| Rate for Payer: Mclaren Medicare |
$11,177.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,736.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,853.77
|
| Rate for Payer: PACE Medicare |
$10,618.33
|
| Rate for Payer: PACE SWMI |
$11,177.19
|
| Rate for Payer: PHP Medicare Advantage |
$11,177.19
|
| Rate for Payer: Priority Health Medicare |
$11,177.19
|
| Rate for Payer: Railroad Medicare Medicare |
$11,177.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,177.19
|
| Rate for Payer: UHC Medicare Advantage |
$11,177.19
|
| Rate for Payer: VA VA |
$11,177.19
|
|
