|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,463.46
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$12,512.23 |
| Max. Negotiated Rate |
$16,463.46 |
| Rate for Payer: Aetna Medicare |
$13,697.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,463.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,463.46
|
| Rate for Payer: BCBS MAPPO |
$13,170.77
|
| Rate for Payer: BCN Medicare Advantage |
$13,170.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,170.77
|
| Rate for Payer: Mclaren Medicare |
$13,170.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,829.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,146.39
|
| Rate for Payer: PACE Medicare |
$12,512.23
|
| Rate for Payer: PACE SWMI |
$13,170.77
|
| Rate for Payer: PHP Medicare Advantage |
$13,170.77
|
| Rate for Payer: Priority Health Medicare |
$13,170.77
|
| Rate for Payer: Railroad Medicare Medicare |
$13,170.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,170.77
|
| Rate for Payer: UHC Medicare Advantage |
$13,170.77
|
| Rate for Payer: VA VA |
$13,170.77
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$12,364.76
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$9,397.22 |
| Max. Negotiated Rate |
$12,364.76 |
| Rate for Payer: Aetna Medicare |
$10,287.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,364.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,364.76
|
| Rate for Payer: BCBS MAPPO |
$9,891.81
|
| Rate for Payer: BCN Medicare Advantage |
$9,891.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,891.81
|
| Rate for Payer: Mclaren Medicare |
$9,891.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,386.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,375.58
|
| Rate for Payer: PACE Medicare |
$9,397.22
|
| Rate for Payer: PACE SWMI |
$9,891.81
|
| Rate for Payer: PHP Medicare Advantage |
$9,891.81
|
| Rate for Payer: Priority Health Medicare |
$9,891.81
|
| Rate for Payer: Railroad Medicare Medicare |
$9,891.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,891.81
|
| Rate for Payer: UHC Medicare Advantage |
$9,891.81
|
| Rate for Payer: VA VA |
$9,891.81
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$20,394.58
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$15,499.88 |
| Max. Negotiated Rate |
$20,394.58 |
| Rate for Payer: Aetna Medicare |
$16,968.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,394.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,394.58
|
| Rate for Payer: BCBS MAPPO |
$16,315.66
|
| Rate for Payer: BCN Medicare Advantage |
$16,315.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,315.66
|
| Rate for Payer: Mclaren Medicare |
$16,315.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,131.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,763.01
|
| Rate for Payer: PACE Medicare |
$15,499.88
|
| Rate for Payer: PACE SWMI |
$16,315.66
|
| Rate for Payer: PHP Medicare Advantage |
$16,315.66
|
| Rate for Payer: Priority Health Medicare |
$16,315.66
|
| Rate for Payer: Railroad Medicare Medicare |
$16,315.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,315.66
|
| Rate for Payer: UHC Medicare Advantage |
$16,315.66
|
| Rate for Payer: VA VA |
$16,315.66
|
|
|
MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,762.12
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$6,659.22 |
| Max. Negotiated Rate |
$8,762.12 |
| Rate for Payer: Aetna Medicare |
$7,290.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,762.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,762.12
|
| Rate for Payer: BCBS MAPPO |
$7,009.70
|
| Rate for Payer: BCN Medicare Advantage |
$7,009.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,009.70
|
| Rate for Payer: Mclaren Medicare |
$7,009.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,360.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,061.15
|
| Rate for Payer: PACE Medicare |
$6,659.22
|
| Rate for Payer: PACE SWMI |
$7,009.70
|
| Rate for Payer: PHP Medicare Advantage |
$7,009.70
|
| Rate for Payer: Priority Health Medicare |
$7,009.70
|
| Rate for Payer: Railroad Medicare Medicare |
$7,009.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,009.70
|
| Rate for Payer: UHC Medicare Advantage |
$7,009.70
|
| Rate for Payer: VA VA |
$7,009.70
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$17,778.33
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$13,511.53 |
| Max. Negotiated Rate |
$17,778.33 |
| Rate for Payer: Aetna Medicare |
$14,791.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,778.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,778.33
|
| Rate for Payer: BCBS MAPPO |
$14,222.66
|
| Rate for Payer: BCN Medicare Advantage |
$14,222.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,222.66
|
| Rate for Payer: Mclaren Medicare |
$14,222.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,933.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,356.06
|
| Rate for Payer: PACE Medicare |
$13,511.53
|
| Rate for Payer: PACE SWMI |
$14,222.66
|
| Rate for Payer: PHP Medicare Advantage |
$14,222.66
|
| Rate for Payer: Priority Health Medicare |
$14,222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$14,222.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,222.66
|
| Rate for Payer: UHC Medicare Advantage |
$14,222.66
|
| Rate for Payer: VA VA |
$14,222.66
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$31,110.00
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$23,643.60 |
| Max. Negotiated Rate |
$31,110.00 |
| Rate for Payer: Aetna Medicare |
$25,883.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,110.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,110.00
|
| Rate for Payer: BCBS MAPPO |
$24,888.00
|
| Rate for Payer: BCN Medicare Advantage |
$24,888.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,888.00
|
| Rate for Payer: Mclaren Medicare |
$24,888.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,132.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,621.20
|
| Rate for Payer: PACE Medicare |
$23,643.60
|
| Rate for Payer: PACE SWMI |
$24,888.00
|
| Rate for Payer: PHP Medicare Advantage |
$24,888.00
|
| Rate for Payer: Priority Health Medicare |
$24,888.00
|
| Rate for Payer: Railroad Medicare Medicare |
$24,888.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,888.00
|
| Rate for Payer: UHC Medicare Advantage |
$24,888.00
|
| Rate for Payer: VA VA |
$24,888.00
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,045.66
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$10,674.70 |
| Max. Negotiated Rate |
$14,045.66 |
| Rate for Payer: Aetna Medicare |
$11,685.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,045.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,045.66
|
| Rate for Payer: BCBS MAPPO |
$11,236.53
|
| Rate for Payer: BCN Medicare Advantage |
$11,236.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,236.53
|
| Rate for Payer: Mclaren Medicare |
$11,236.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,798.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,922.01
|
| Rate for Payer: PACE Medicare |
$10,674.70
|
| Rate for Payer: PACE SWMI |
$11,236.53
|
| Rate for Payer: PHP Medicare Advantage |
$11,236.53
|
| Rate for Payer: Priority Health Medicare |
$11,236.53
|
| Rate for Payer: Railroad Medicare Medicare |
$11,236.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,236.53
|
| Rate for Payer: UHC Medicare Advantage |
$11,236.53
|
| Rate for Payer: VA VA |
$11,236.53
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$19,972.64
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$15,179.20 |
| Max. Negotiated Rate |
$19,972.64 |
| Rate for Payer: Aetna Medicare |
$16,617.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,972.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,972.64
|
| Rate for Payer: BCBS MAPPO |
$15,978.11
|
| Rate for Payer: BCN Medicare Advantage |
$15,978.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,978.11
|
| Rate for Payer: Mclaren Medicare |
$15,978.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,777.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,374.83
|
| Rate for Payer: PACE Medicare |
$15,179.20
|
| Rate for Payer: PACE SWMI |
$15,978.11
|
| Rate for Payer: PHP Medicare Advantage |
$15,978.11
|
| Rate for Payer: Priority Health Medicare |
$15,978.11
|
| Rate for Payer: Railroad Medicare Medicare |
$15,978.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,978.11
|
| Rate for Payer: UHC Medicare Advantage |
$15,978.11
|
| Rate for Payer: VA VA |
$15,978.11
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,462.42
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$7,191.44 |
| Max. Negotiated Rate |
$9,462.42 |
| Rate for Payer: Aetna Medicare |
$7,872.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,462.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,462.42
|
| Rate for Payer: BCBS MAPPO |
$7,569.94
|
| Rate for Payer: BCN Medicare Advantage |
$7,569.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,569.94
|
| Rate for Payer: Mclaren Medicare |
$7,569.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,948.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,705.43
|
| Rate for Payer: PACE Medicare |
$7,191.44
|
| Rate for Payer: PACE SWMI |
$7,569.94
|
| Rate for Payer: PHP Medicare Advantage |
$7,569.94
|
| Rate for Payer: Priority Health Medicare |
$7,569.94
|
| Rate for Payer: Railroad Medicare Medicare |
$7,569.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,569.94
|
| Rate for Payer: UHC Medicare Advantage |
$7,569.94
|
| Rate for Payer: VA VA |
$7,569.94
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$55,872.80
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$42,463.33 |
| Max. Negotiated Rate |
$55,872.80 |
| Rate for Payer: Aetna Medicare |
$46,486.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,872.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,872.80
|
| Rate for Payer: BCBS MAPPO |
$44,698.24
|
| Rate for Payer: BCN Medicare Advantage |
$44,698.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,698.24
|
| Rate for Payer: Mclaren Medicare |
$44,698.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,933.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,402.98
|
| Rate for Payer: PACE Medicare |
$42,463.33
|
| Rate for Payer: PACE SWMI |
$44,698.24
|
| Rate for Payer: PHP Medicare Advantage |
$44,698.24
|
| Rate for Payer: Priority Health Medicare |
$44,698.24
|
| Rate for Payer: Railroad Medicare Medicare |
$44,698.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,698.24
|
| Rate for Payer: UHC Medicare Advantage |
$44,698.24
|
| Rate for Payer: VA VA |
$44,698.24
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$82,168.14
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$62,447.78 |
| Max. Negotiated Rate |
$82,168.14 |
| Rate for Payer: Aetna Medicare |
$68,363.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82,168.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82,168.14
|
| Rate for Payer: BCBS MAPPO |
$65,734.51
|
| Rate for Payer: BCN Medicare Advantage |
$65,734.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65,734.51
|
| Rate for Payer: Mclaren Medicare |
$65,734.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69,021.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75,594.69
|
| Rate for Payer: PACE Medicare |
$62,447.78
|
| Rate for Payer: PACE SWMI |
$65,734.51
|
| Rate for Payer: PHP Medicare Advantage |
$65,734.51
|
| Rate for Payer: Priority Health Medicare |
$65,734.51
|
| Rate for Payer: Railroad Medicare Medicare |
$65,734.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$65,734.51
|
| Rate for Payer: UHC Medicare Advantage |
$65,734.51
|
| Rate for Payer: VA VA |
$65,734.51
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$42,180.86
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$32,057.46 |
| Max. Negotiated Rate |
$42,180.86 |
| Rate for Payer: Aetna Medicare |
$35,094.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,180.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,180.86
|
| Rate for Payer: BCBS MAPPO |
$33,744.69
|
| Rate for Payer: BCN Medicare Advantage |
$33,744.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,744.69
|
| Rate for Payer: Mclaren Medicare |
$33,744.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,431.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,806.39
|
| Rate for Payer: PACE Medicare |
$32,057.46
|
| Rate for Payer: PACE SWMI |
$33,744.69
|
| Rate for Payer: PHP Medicare Advantage |
$33,744.69
|
| Rate for Payer: Priority Health Medicare |
$33,744.69
|
| Rate for Payer: Railroad Medicare Medicare |
$33,744.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,744.69
|
| Rate for Payer: UHC Medicare Advantage |
$33,744.69
|
| Rate for Payer: VA VA |
$33,744.69
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$32,920.93
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$25,019.90 |
| Max. Negotiated Rate |
$32,920.93 |
| Rate for Payer: Aetna Medicare |
$27,390.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,920.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,920.93
|
| Rate for Payer: BCBS MAPPO |
$26,336.74
|
| Rate for Payer: BCN Medicare Advantage |
$26,336.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,336.74
|
| Rate for Payer: Mclaren Medicare |
$26,336.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,653.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,287.25
|
| Rate for Payer: PACE Medicare |
$25,019.90
|
| Rate for Payer: PACE SWMI |
$26,336.74
|
| Rate for Payer: PHP Medicare Advantage |
$26,336.74
|
| Rate for Payer: Priority Health Medicare |
$26,336.74
|
| Rate for Payer: Railroad Medicare Medicare |
$26,336.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,336.74
|
| Rate for Payer: UHC Medicare Advantage |
$26,336.74
|
| Rate for Payer: VA VA |
$26,336.74
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$59,148.88
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$44,953.14 |
| Max. Negotiated Rate |
$59,148.88 |
| Rate for Payer: Aetna Medicare |
$49,211.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59,148.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59,148.88
|
| Rate for Payer: BCBS MAPPO |
$47,319.10
|
| Rate for Payer: BCN Medicare Advantage |
$47,319.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,319.10
|
| Rate for Payer: Mclaren Medicare |
$47,319.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,685.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,416.96
|
| Rate for Payer: PACE Medicare |
$44,953.14
|
| Rate for Payer: PACE SWMI |
$47,319.10
|
| Rate for Payer: PHP Medicare Advantage |
$47,319.10
|
| Rate for Payer: Priority Health Medicare |
$47,319.10
|
| Rate for Payer: Railroad Medicare Medicare |
$47,319.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,319.10
|
| Rate for Payer: UHC Medicare Advantage |
$47,319.10
|
| Rate for Payer: VA VA |
$47,319.10
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,023.46
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$16,737.83 |
| Max. Negotiated Rate |
$22,023.46 |
| Rate for Payer: Aetna Medicare |
$18,323.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,023.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,023.46
|
| Rate for Payer: BCBS MAPPO |
$17,618.77
|
| Rate for Payer: BCN Medicare Advantage |
$17,618.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,618.77
|
| Rate for Payer: Mclaren Medicare |
$17,618.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,499.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,261.59
|
| Rate for Payer: PACE Medicare |
$16,737.83
|
| Rate for Payer: PACE SWMI |
$17,618.77
|
| Rate for Payer: PHP Medicare Advantage |
$17,618.77
|
| Rate for Payer: Priority Health Medicare |
$17,618.77
|
| Rate for Payer: Railroad Medicare Medicare |
$17,618.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,618.77
|
| Rate for Payer: UHC Medicare Advantage |
$17,618.77
|
| Rate for Payer: VA VA |
$17,618.77
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$28,654.64
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$21,777.52 |
| Max. Negotiated Rate |
$28,654.64 |
| Rate for Payer: Aetna Medicare |
$23,840.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,654.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,654.64
|
| Rate for Payer: BCBS MAPPO |
$22,923.71
|
| Rate for Payer: BCN Medicare Advantage |
$22,923.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,923.71
|
| Rate for Payer: Mclaren Medicare |
$22,923.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,069.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,362.27
|
| Rate for Payer: PACE Medicare |
$21,777.52
|
| Rate for Payer: PACE SWMI |
$22,923.71
|
| Rate for Payer: PHP Medicare Advantage |
$22,923.71
|
| Rate for Payer: Priority Health Medicare |
$22,923.71
|
| Rate for Payer: Railroad Medicare Medicare |
$22,923.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,923.71
|
| Rate for Payer: UHC Medicare Advantage |
$22,923.71
|
| Rate for Payer: VA VA |
$22,923.71
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,388.43
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$35,255.20 |
| Max. Negotiated Rate |
$46,388.43 |
| Rate for Payer: Aetna Medicare |
$38,595.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,388.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,388.43
|
| Rate for Payer: BCBS MAPPO |
$37,110.74
|
| Rate for Payer: BCN Medicare Advantage |
$37,110.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,110.74
|
| Rate for Payer: Mclaren Medicare |
$37,110.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,966.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,677.35
|
| Rate for Payer: PACE Medicare |
$35,255.20
|
| Rate for Payer: PACE SWMI |
$37,110.74
|
| Rate for Payer: PHP Medicare Advantage |
$37,110.74
|
| Rate for Payer: Priority Health Medicare |
$37,110.74
|
| Rate for Payer: Railroad Medicare Medicare |
$37,110.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,110.74
|
| Rate for Payer: UHC Medicare Advantage |
$37,110.74
|
| Rate for Payer: VA VA |
$37,110.74
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,400.88
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$12,464.67 |
| Max. Negotiated Rate |
$16,400.88 |
| Rate for Payer: Aetna Medicare |
$13,645.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,400.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,400.88
|
| Rate for Payer: BCBS MAPPO |
$13,120.70
|
| Rate for Payer: BCN Medicare Advantage |
$13,120.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,120.70
|
| Rate for Payer: Mclaren Medicare |
$13,120.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,776.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,088.81
|
| Rate for Payer: PACE Medicare |
$12,464.67
|
| Rate for Payer: PACE SWMI |
$13,120.70
|
| Rate for Payer: PHP Medicare Advantage |
$13,120.70
|
| Rate for Payer: Priority Health Medicare |
$13,120.70
|
| Rate for Payer: Railroad Medicare Medicare |
$13,120.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,120.70
|
| Rate for Payer: UHC Medicare Advantage |
$13,120.70
|
| Rate for Payer: VA VA |
$13,120.70
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$9,439.30
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$7,173.87 |
| Max. Negotiated Rate |
$9,439.30 |
| Rate for Payer: Aetna Medicare |
$7,853.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,439.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,439.30
|
| Rate for Payer: BCBS MAPPO |
$7,551.44
|
| Rate for Payer: BCN Medicare Advantage |
$7,551.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,551.44
|
| Rate for Payer: Mclaren Medicare |
$7,551.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,929.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,684.16
|
| Rate for Payer: PACE Medicare |
$7,173.87
|
| Rate for Payer: PACE SWMI |
$7,551.44
|
| Rate for Payer: PHP Medicare Advantage |
$7,551.44
|
| Rate for Payer: Priority Health Medicare |
$7,551.44
|
| Rate for Payer: Railroad Medicare Medicare |
$7,551.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,551.44
|
| Rate for Payer: UHC Medicare Advantage |
$7,551.44
|
| Rate for Payer: VA VA |
$7,551.44
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$7,055.21
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$5,361.96 |
| Max. Negotiated Rate |
$7,055.21 |
| Rate for Payer: Aetna Medicare |
$5,869.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,055.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,055.21
|
| Rate for Payer: BCBS MAPPO |
$5,644.17
|
| Rate for Payer: BCN Medicare Advantage |
$5,644.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,644.17
|
| Rate for Payer: Mclaren Medicare |
$5,644.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,926.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,490.80
|
| Rate for Payer: PACE Medicare |
$5,361.96
|
| Rate for Payer: PACE SWMI |
$5,644.17
|
| Rate for Payer: PHP Medicare Advantage |
$5,644.17
|
| Rate for Payer: Priority Health Medicare |
$5,644.17
|
| Rate for Payer: Railroad Medicare Medicare |
$5,644.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,644.17
|
| Rate for Payer: UHC Medicare Advantage |
$5,644.17
|
| Rate for Payer: VA VA |
$5,644.17
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$23,976.04
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$18,221.79 |
| Max. Negotiated Rate |
$23,976.04 |
| Rate for Payer: Aetna Medicare |
$19,948.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,976.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,976.04
|
| Rate for Payer: BCBS MAPPO |
$19,180.83
|
| Rate for Payer: BCN Medicare Advantage |
$19,180.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,180.83
|
| Rate for Payer: Mclaren Medicare |
$19,180.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,139.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,057.95
|
| Rate for Payer: PACE Medicare |
$18,221.79
|
| Rate for Payer: PACE SWMI |
$19,180.83
|
| Rate for Payer: PHP Medicare Advantage |
$19,180.83
|
| Rate for Payer: Priority Health Medicare |
$19,180.83
|
| Rate for Payer: Railroad Medicare Medicare |
$19,180.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,180.83
|
| Rate for Payer: UHC Medicare Advantage |
$19,180.83
|
| Rate for Payer: VA VA |
$19,180.83
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$49,511.36
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$37,628.64 |
| Max. Negotiated Rate |
$49,511.36 |
| Rate for Payer: Aetna Medicare |
$41,193.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,511.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,511.36
|
| Rate for Payer: BCBS MAPPO |
$39,609.09
|
| Rate for Payer: BCN Medicare Advantage |
$39,609.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,609.09
|
| Rate for Payer: Mclaren Medicare |
$39,609.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,589.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,550.45
|
| Rate for Payer: PACE Medicare |
$37,628.64
|
| Rate for Payer: PACE SWMI |
$39,609.09
|
| Rate for Payer: PHP Medicare Advantage |
$39,609.09
|
| Rate for Payer: Priority Health Medicare |
$39,609.09
|
| Rate for Payer: Railroad Medicare Medicare |
$39,609.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,609.09
|
| Rate for Payer: UHC Medicare Advantage |
$39,609.09
|
| Rate for Payer: VA VA |
$39,609.09
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,936.56
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$12,111.79 |
| Max. Negotiated Rate |
$15,936.56 |
| Rate for Payer: Aetna Medicare |
$13,259.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,936.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,936.56
|
| Rate for Payer: BCBS MAPPO |
$12,749.25
|
| Rate for Payer: BCN Medicare Advantage |
$12,749.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,749.25
|
| Rate for Payer: Mclaren Medicare |
$12,749.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,386.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,661.64
|
| Rate for Payer: PACE Medicare |
$12,111.79
|
| Rate for Payer: PACE SWMI |
$12,749.25
|
| Rate for Payer: PHP Medicare Advantage |
$12,749.25
|
| Rate for Payer: Priority Health Medicare |
$12,749.25
|
| Rate for Payer: Railroad Medicare Medicare |
$12,749.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,749.25
|
| Rate for Payer: UHC Medicare Advantage |
$12,749.25
|
| Rate for Payer: VA VA |
$12,749.25
|
|
|
MS-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,979.81
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$6,824.66 |
| Max. Negotiated Rate |
$8,979.81 |
| Rate for Payer: Aetna Medicare |
$7,471.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,979.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,979.81
|
| Rate for Payer: BCBS MAPPO |
$7,183.85
|
| Rate for Payer: BCN Medicare Advantage |
$7,183.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,183.85
|
| Rate for Payer: Mclaren Medicare |
$7,183.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,543.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,261.43
|
| Rate for Payer: PACE Medicare |
$6,824.66
|
| Rate for Payer: PACE SWMI |
$7,183.85
|
| Rate for Payer: PHP Medicare Advantage |
$7,183.85
|
| Rate for Payer: Priority Health Medicare |
$7,183.85
|
| Rate for Payer: Railroad Medicare Medicare |
$7,183.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,183.85
|
| Rate for Payer: UHC Medicare Advantage |
$7,183.85
|
| Rate for Payer: VA VA |
$7,183.85
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$15,514.65
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$11,791.13 |
| Max. Negotiated Rate |
$15,514.65 |
| Rate for Payer: Aetna Medicare |
$12,908.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,514.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,514.65
|
| Rate for Payer: BCBS MAPPO |
$12,411.72
|
| Rate for Payer: BCN Medicare Advantage |
$12,411.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,411.72
|
| Rate for Payer: Mclaren Medicare |
$12,411.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,032.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,273.48
|
| Rate for Payer: PACE Medicare |
$11,791.13
|
| Rate for Payer: PACE SWMI |
$12,411.72
|
| Rate for Payer: PHP Medicare Advantage |
$12,411.72
|
| Rate for Payer: Priority Health Medicare |
$12,411.72
|
| Rate for Payer: Railroad Medicare Medicare |
$12,411.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,411.72
|
| Rate for Payer: UHC Medicare Advantage |
$12,411.72
|
| Rate for Payer: VA VA |
$12,411.72
|
|
