|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$8,907.58
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$6,769.76 |
| Max. Negotiated Rate |
$8,907.58 |
| Rate for Payer: Aetna Medicare |
$7,411.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,907.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,907.58
|
| Rate for Payer: BCBS MAPPO |
$7,126.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,126.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,126.06
|
| Rate for Payer: Mclaren Medicare |
$7,126.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,482.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,194.97
|
| Rate for Payer: PACE Medicare |
$6,769.76
|
| Rate for Payer: PACE SWMI |
$7,126.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,126.06
|
| Rate for Payer: Priority Health Medicare |
$7,126.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,126.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,126.06
|
| Rate for Payer: UHC Medicare Advantage |
$7,126.06
|
| Rate for Payer: VA VA |
$7,126.06
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$18,991.09
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$14,433.23 |
| Max. Negotiated Rate |
$18,991.09 |
| Rate for Payer: Aetna Medicare |
$15,800.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,991.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,991.09
|
| Rate for Payer: BCBS MAPPO |
$15,192.87
|
| Rate for Payer: BCN Medicare Advantage |
$15,192.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,192.87
|
| Rate for Payer: Mclaren Medicare |
$15,192.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,952.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,471.80
|
| Rate for Payer: PACE Medicare |
$14,433.23
|
| Rate for Payer: PACE SWMI |
$15,192.87
|
| Rate for Payer: PHP Medicare Advantage |
$15,192.87
|
| Rate for Payer: Priority Health Medicare |
$15,192.87
|
| Rate for Payer: Railroad Medicare Medicare |
$15,192.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,192.87
|
| Rate for Payer: UHC Medicare Advantage |
$15,192.87
|
| Rate for Payer: VA VA |
$15,192.87
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,889.98
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$8,276.38 |
| Max. Negotiated Rate |
$10,889.98 |
| Rate for Payer: Aetna Medicare |
$9,060.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,889.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,889.98
|
| Rate for Payer: BCBS MAPPO |
$8,711.98
|
| Rate for Payer: BCN Medicare Advantage |
$8,711.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,711.98
|
| Rate for Payer: Mclaren Medicare |
$8,711.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,147.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,018.78
|
| Rate for Payer: PACE Medicare |
$8,276.38
|
| Rate for Payer: PACE SWMI |
$8,711.98
|
| Rate for Payer: PHP Medicare Advantage |
$8,711.98
|
| Rate for Payer: Priority Health Medicare |
$8,711.98
|
| Rate for Payer: Railroad Medicare Medicare |
$8,711.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,711.98
|
| Rate for Payer: UHC Medicare Advantage |
$8,711.98
|
| Rate for Payer: VA VA |
$8,711.98
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$15,125.49
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$11,495.37 |
| Max. Negotiated Rate |
$15,125.49 |
| Rate for Payer: Aetna Medicare |
$12,584.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,125.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,125.49
|
| Rate for Payer: BCBS MAPPO |
$12,100.39
|
| Rate for Payer: BCN Medicare Advantage |
$12,100.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,100.39
|
| Rate for Payer: Mclaren Medicare |
$12,100.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,705.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,915.45
|
| Rate for Payer: PACE Medicare |
$11,495.37
|
| Rate for Payer: PACE SWMI |
$12,100.39
|
| Rate for Payer: PHP Medicare Advantage |
$12,100.39
|
| Rate for Payer: Priority Health Medicare |
$12,100.39
|
| Rate for Payer: Railroad Medicare Medicare |
$12,100.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,100.39
|
| Rate for Payer: UHC Medicare Advantage |
$12,100.39
|
| Rate for Payer: VA VA |
$12,100.39
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$28,204.78
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$21,435.63 |
| Max. Negotiated Rate |
$28,204.78 |
| Rate for Payer: Aetna Medicare |
$23,466.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,204.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,204.78
|
| Rate for Payer: BCBS MAPPO |
$22,563.82
|
| Rate for Payer: BCN Medicare Advantage |
$22,563.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,563.82
|
| Rate for Payer: Mclaren Medicare |
$22,563.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,692.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,948.39
|
| Rate for Payer: PACE Medicare |
$21,435.63
|
| Rate for Payer: PACE SWMI |
$22,563.82
|
| Rate for Payer: PHP Medicare Advantage |
$22,563.82
|
| Rate for Payer: Priority Health Medicare |
$22,563.82
|
| Rate for Payer: Railroad Medicare Medicare |
$22,563.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,563.82
|
| Rate for Payer: UHC Medicare Advantage |
$22,563.82
|
| Rate for Payer: VA VA |
$22,563.82
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,790.52
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$9,720.80 |
| Max. Negotiated Rate |
$12,790.52 |
| Rate for Payer: Aetna Medicare |
$10,641.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,790.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,790.52
|
| Rate for Payer: BCBS MAPPO |
$10,232.42
|
| Rate for Payer: BCN Medicare Advantage |
$10,232.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,232.42
|
| Rate for Payer: Mclaren Medicare |
$10,232.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,744.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,767.28
|
| Rate for Payer: PACE Medicare |
$9,720.80
|
| Rate for Payer: PACE SWMI |
$10,232.42
|
| Rate for Payer: PHP Medicare Advantage |
$10,232.42
|
| Rate for Payer: Priority Health Medicare |
$10,232.42
|
| Rate for Payer: Railroad Medicare Medicare |
$10,232.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,232.42
|
| Rate for Payer: UHC Medicare Advantage |
$10,232.42
|
| Rate for Payer: VA VA |
$10,232.42
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$40,116.60
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$30,488.62 |
| Max. Negotiated Rate |
$40,116.60 |
| Rate for Payer: Aetna Medicare |
$33,377.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,116.60
|
| Rate for Payer: BCBS MAPPO |
$32,093.28
|
| Rate for Payer: BCN Medicare Advantage |
$32,093.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,093.28
|
| Rate for Payer: Mclaren Medicare |
$32,093.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,697.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,907.27
|
| Rate for Payer: PACE Medicare |
$30,488.62
|
| Rate for Payer: PACE SWMI |
$32,093.28
|
| Rate for Payer: PHP Medicare Advantage |
$32,093.28
|
| Rate for Payer: Priority Health Medicare |
$32,093.28
|
| Rate for Payer: Railroad Medicare Medicare |
$32,093.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,093.28
|
| Rate for Payer: UHC Medicare Advantage |
$32,093.28
|
| Rate for Payer: VA VA |
$32,093.28
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$52,563.96
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$39,948.61 |
| Max. Negotiated Rate |
$52,563.96 |
| Rate for Payer: Aetna Medicare |
$43,733.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,563.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,563.96
|
| Rate for Payer: BCBS MAPPO |
$42,051.17
|
| Rate for Payer: BCN Medicare Advantage |
$42,051.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,051.17
|
| Rate for Payer: Mclaren Medicare |
$42,051.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,153.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48,358.85
|
| Rate for Payer: PACE Medicare |
$39,948.61
|
| Rate for Payer: PACE SWMI |
$42,051.17
|
| Rate for Payer: PHP Medicare Advantage |
$42,051.17
|
| Rate for Payer: Priority Health Medicare |
$42,051.17
|
| Rate for Payer: Railroad Medicare Medicare |
$42,051.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,051.17
|
| Rate for Payer: UHC Medicare Advantage |
$42,051.17
|
| Rate for Payer: VA VA |
$42,051.17
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$26,113.53
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$19,846.28 |
| Max. Negotiated Rate |
$26,113.53 |
| Rate for Payer: Aetna Medicare |
$21,726.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,113.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,113.53
|
| Rate for Payer: BCBS MAPPO |
$20,890.82
|
| Rate for Payer: BCN Medicare Advantage |
$20,890.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,890.82
|
| Rate for Payer: Mclaren Medicare |
$20,890.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,935.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,024.44
|
| Rate for Payer: PACE Medicare |
$19,846.28
|
| Rate for Payer: PACE SWMI |
$20,890.82
|
| Rate for Payer: PHP Medicare Advantage |
$20,890.82
|
| Rate for Payer: Priority Health Medicare |
$20,890.82
|
| Rate for Payer: Railroad Medicare Medicare |
$20,890.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,890.82
|
| Rate for Payer: UHC Medicare Advantage |
$20,890.82
|
| Rate for Payer: VA VA |
$20,890.82
|
|
|
MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$136,696.98
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$103,889.70 |
| Max. Negotiated Rate |
$136,696.98 |
| Rate for Payer: Aetna Medicare |
$113,731.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136,696.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136,696.98
|
| Rate for Payer: BCBS MAPPO |
$109,357.58
|
| Rate for Payer: BCN Medicare Advantage |
$109,357.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109,357.58
|
| Rate for Payer: Mclaren Medicare |
$109,357.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114,825.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125,761.22
|
| Rate for Payer: PACE Medicare |
$103,889.70
|
| Rate for Payer: PACE SWMI |
$109,357.58
|
| Rate for Payer: PHP Medicare Advantage |
$109,357.58
|
| Rate for Payer: Priority Health Medicare |
$109,357.58
|
| Rate for Payer: Railroad Medicare Medicare |
$109,357.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$109,357.58
|
| Rate for Payer: UHC Medicare Advantage |
$109,357.58
|
| Rate for Payer: VA VA |
$109,357.58
|
|
|
MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$8,293.99
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,303.43 |
| Max. Negotiated Rate |
$8,293.99 |
| Rate for Payer: Aetna Medicare |
$6,900.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,293.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,293.99
|
| Rate for Payer: BCBS MAPPO |
$6,635.19
|
| Rate for Payer: BCN Medicare Advantage |
$6,635.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,635.19
|
| Rate for Payer: Mclaren Medicare |
$6,635.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,966.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,630.47
|
| Rate for Payer: PACE Medicare |
$6,303.43
|
| Rate for Payer: PACE SWMI |
$6,635.19
|
| Rate for Payer: PHP Medicare Advantage |
$6,635.19
|
| Rate for Payer: Priority Health Medicare |
$6,635.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,635.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,635.19
|
| Rate for Payer: UHC Medicare Advantage |
$6,635.19
|
| Rate for Payer: VA VA |
$6,635.19
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$15,493.45
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$11,775.02 |
| Max. Negotiated Rate |
$15,493.45 |
| Rate for Payer: Aetna Medicare |
$12,890.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,493.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,493.45
|
| Rate for Payer: BCBS MAPPO |
$12,394.76
|
| Rate for Payer: BCN Medicare Advantage |
$12,394.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,394.76
|
| Rate for Payer: Mclaren Medicare |
$12,394.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,014.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,253.97
|
| Rate for Payer: PACE Medicare |
$11,775.02
|
| Rate for Payer: PACE SWMI |
$12,394.76
|
| Rate for Payer: PHP Medicare Advantage |
$12,394.76
|
| Rate for Payer: Priority Health Medicare |
$12,394.76
|
| Rate for Payer: Railroad Medicare Medicare |
$12,394.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,394.76
|
| Rate for Payer: UHC Medicare Advantage |
$12,394.76
|
| Rate for Payer: VA VA |
$12,394.76
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$28,678.69
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$21,795.80 |
| Max. Negotiated Rate |
$28,678.69 |
| Rate for Payer: Aetna Medicare |
$23,860.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,678.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,678.69
|
| Rate for Payer: BCBS MAPPO |
$22,942.95
|
| Rate for Payer: BCN Medicare Advantage |
$22,942.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,942.95
|
| Rate for Payer: Mclaren Medicare |
$22,942.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,090.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,384.39
|
| Rate for Payer: PACE Medicare |
$21,795.80
|
| Rate for Payer: PACE SWMI |
$22,942.95
|
| Rate for Payer: PHP Medicare Advantage |
$22,942.95
|
| Rate for Payer: Priority Health Medicare |
$22,942.95
|
| Rate for Payer: Railroad Medicare Medicare |
$22,942.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,942.95
|
| Rate for Payer: UHC Medicare Advantage |
$22,942.95
|
| Rate for Payer: VA VA |
$22,942.95
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,792.83
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,442.55 |
| Max. Negotiated Rate |
$9,792.83 |
| Rate for Payer: Aetna Medicare |
$8,147.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,792.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,792.83
|
| Rate for Payer: BCBS MAPPO |
$7,834.26
|
| Rate for Payer: BCN Medicare Advantage |
$7,834.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,834.26
|
| Rate for Payer: Mclaren Medicare |
$7,834.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,225.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,009.40
|
| Rate for Payer: PACE Medicare |
$7,442.55
|
| Rate for Payer: PACE SWMI |
$7,834.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,834.26
|
| Rate for Payer: Priority Health Medicare |
$7,834.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,834.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,834.26
|
| Rate for Payer: UHC Medicare Advantage |
$7,834.26
|
| Rate for Payer: VA VA |
$7,834.26
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$14,515.76
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$11,031.98 |
| Max. Negotiated Rate |
$14,515.76 |
| Rate for Payer: Aetna Medicare |
$12,077.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,515.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,515.76
|
| Rate for Payer: BCBS MAPPO |
$11,612.61
|
| Rate for Payer: BCN Medicare Advantage |
$11,612.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,612.61
|
| Rate for Payer: Mclaren Medicare |
$11,612.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,193.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,354.50
|
| Rate for Payer: PACE Medicare |
$11,031.98
|
| Rate for Payer: PACE SWMI |
$11,612.61
|
| Rate for Payer: PHP Medicare Advantage |
$11,612.61
|
| Rate for Payer: Priority Health Medicare |
$11,612.61
|
| Rate for Payer: Railroad Medicare Medicare |
$11,612.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,612.61
|
| Rate for Payer: UHC Medicare Advantage |
$11,612.61
|
| Rate for Payer: VA VA |
$11,612.61
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$9,638.70
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,325.41 |
| Max. Negotiated Rate |
$9,638.70 |
| Rate for Payer: Aetna Medicare |
$8,019.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,638.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,638.70
|
| Rate for Payer: BCBS MAPPO |
$7,710.96
|
| Rate for Payer: BCN Medicare Advantage |
$7,710.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,710.96
|
| Rate for Payer: Mclaren Medicare |
$7,710.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,096.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,867.60
|
| Rate for Payer: PACE Medicare |
$7,325.41
|
| Rate for Payer: PACE SWMI |
$7,710.96
|
| Rate for Payer: PHP Medicare Advantage |
$7,710.96
|
| Rate for Payer: Priority Health Medicare |
$7,710.96
|
| Rate for Payer: Railroad Medicare Medicare |
$7,710.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,710.96
|
| Rate for Payer: UHC Medicare Advantage |
$7,710.96
|
| Rate for Payer: VA VA |
$7,710.96
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$16,175.46
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$12,293.35 |
| Max. Negotiated Rate |
$16,175.46 |
| Rate for Payer: Aetna Medicare |
$13,457.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,175.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,175.46
|
| Rate for Payer: BCBS MAPPO |
$12,940.37
|
| Rate for Payer: BCN Medicare Advantage |
$12,940.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,940.37
|
| Rate for Payer: Mclaren Medicare |
$12,940.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,587.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,881.43
|
| Rate for Payer: PACE Medicare |
$12,293.35
|
| Rate for Payer: PACE SWMI |
$12,940.37
|
| Rate for Payer: PHP Medicare Advantage |
$12,940.37
|
| Rate for Payer: Priority Health Medicare |
$12,940.37
|
| Rate for Payer: Railroad Medicare Medicare |
$12,940.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,940.37
|
| Rate for Payer: UHC Medicare Advantage |
$12,940.37
|
| Rate for Payer: VA VA |
$12,940.37
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$9,414.26
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$7,154.84 |
| Max. Negotiated Rate |
$9,414.26 |
| Rate for Payer: Aetna Medicare |
$7,832.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,414.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,414.26
|
| Rate for Payer: BCBS MAPPO |
$7,531.41
|
| Rate for Payer: BCN Medicare Advantage |
$7,531.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,531.41
|
| Rate for Payer: Mclaren Medicare |
$7,531.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,907.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,661.12
|
| Rate for Payer: PACE Medicare |
$7,154.84
|
| Rate for Payer: PACE SWMI |
$7,531.41
|
| Rate for Payer: PHP Medicare Advantage |
$7,531.41
|
| Rate for Payer: Priority Health Medicare |
$7,531.41
|
| Rate for Payer: Railroad Medicare Medicare |
$7,531.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,531.41
|
| Rate for Payer: UHC Medicare Advantage |
$7,531.41
|
| Rate for Payer: VA VA |
$7,531.41
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$13,221.10
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$10,048.04 |
| Max. Negotiated Rate |
$13,221.10 |
| Rate for Payer: Aetna Medicare |
$10,999.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,221.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,221.10
|
| Rate for Payer: BCBS MAPPO |
$10,576.88
|
| Rate for Payer: BCN Medicare Advantage |
$10,576.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,576.88
|
| Rate for Payer: Mclaren Medicare |
$10,576.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,105.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,163.41
|
| Rate for Payer: PACE Medicare |
$10,048.04
|
| Rate for Payer: PACE SWMI |
$10,576.88
|
| Rate for Payer: PHP Medicare Advantage |
$10,576.88
|
| Rate for Payer: Priority Health Medicare |
$10,576.88
|
| Rate for Payer: Railroad Medicare Medicare |
$10,576.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,576.88
|
| Rate for Payer: UHC Medicare Advantage |
$10,576.88
|
| Rate for Payer: VA VA |
$10,576.88
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$13,980.15
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$10,624.91 |
| Max. Negotiated Rate |
$13,980.15 |
| Rate for Payer: Aetna Medicare |
$11,631.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,980.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,980.15
|
| Rate for Payer: BCBS MAPPO |
$11,184.12
|
| Rate for Payer: BCN Medicare Advantage |
$11,184.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,184.12
|
| Rate for Payer: Mclaren Medicare |
$11,184.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,743.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,861.74
|
| Rate for Payer: PACE Medicare |
$10,624.91
|
| Rate for Payer: PACE SWMI |
$11,184.12
|
| Rate for Payer: PHP Medicare Advantage |
$11,184.12
|
| Rate for Payer: Priority Health Medicare |
$11,184.12
|
| Rate for Payer: Railroad Medicare Medicare |
$11,184.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,184.12
|
| Rate for Payer: UHC Medicare Advantage |
$11,184.12
|
| Rate for Payer: VA VA |
$11,184.12
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$22,414.55
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$17,035.06 |
| Max. Negotiated Rate |
$22,414.55 |
| Rate for Payer: Aetna Medicare |
$18,648.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,414.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,414.55
|
| Rate for Payer: BCBS MAPPO |
$17,931.64
|
| Rate for Payer: BCN Medicare Advantage |
$17,931.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,931.64
|
| Rate for Payer: Mclaren Medicare |
$17,931.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,828.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,621.39
|
| Rate for Payer: PACE Medicare |
$17,035.06
|
| Rate for Payer: PACE SWMI |
$17,931.64
|
| Rate for Payer: PHP Medicare Advantage |
$17,931.64
|
| Rate for Payer: Priority Health Medicare |
$17,931.64
|
| Rate for Payer: Railroad Medicare Medicare |
$17,931.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,931.64
|
| Rate for Payer: UHC Medicare Advantage |
$17,931.64
|
| Rate for Payer: VA VA |
$17,931.64
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$22,936.65
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$17,431.85 |
| Max. Negotiated Rate |
$22,936.65 |
| Rate for Payer: Aetna Medicare |
$19,083.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,936.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,936.65
|
| Rate for Payer: BCBS MAPPO |
$18,349.32
|
| Rate for Payer: BCN Medicare Advantage |
$18,349.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,349.32
|
| Rate for Payer: Mclaren Medicare |
$18,349.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,266.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,101.72
|
| Rate for Payer: PACE Medicare |
$17,431.85
|
| Rate for Payer: PACE SWMI |
$18,349.32
|
| Rate for Payer: PHP Medicare Advantage |
$18,349.32
|
| Rate for Payer: Priority Health Medicare |
$18,349.32
|
| Rate for Payer: Railroad Medicare Medicare |
$18,349.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,349.32
|
| Rate for Payer: UHC Medicare Advantage |
$18,349.32
|
| Rate for Payer: VA VA |
$18,349.32
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$9,102.16
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$6,917.64 |
| Max. Negotiated Rate |
$9,102.16 |
| Rate for Payer: Aetna Medicare |
$7,573.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,102.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,102.16
|
| Rate for Payer: BCBS MAPPO |
$7,281.73
|
| Rate for Payer: BCN Medicare Advantage |
$7,281.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,281.73
|
| Rate for Payer: Mclaren Medicare |
$7,281.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,645.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,373.99
|
| Rate for Payer: PACE Medicare |
$6,917.64
|
| Rate for Payer: PACE SWMI |
$7,281.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,281.73
|
| Rate for Payer: Priority Health Medicare |
$7,281.73
|
| Rate for Payer: Railroad Medicare Medicare |
$7,281.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,281.73
|
| Rate for Payer: UHC Medicare Advantage |
$7,281.73
|
| Rate for Payer: VA VA |
$7,281.73
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$9,796.69
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$7,445.48 |
| Max. Negotiated Rate |
$9,796.69 |
| Rate for Payer: Aetna Medicare |
$8,150.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,796.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,796.69
|
| Rate for Payer: BCBS MAPPO |
$7,837.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,837.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,837.35
|
| Rate for Payer: Mclaren Medicare |
$7,837.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,229.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,012.95
|
| Rate for Payer: PACE Medicare |
$7,445.48
|
| Rate for Payer: PACE SWMI |
$7,837.35
|
| Rate for Payer: PHP Medicare Advantage |
$7,837.35
|
| Rate for Payer: Priority Health Medicare |
$7,837.35
|
| Rate for Payer: Railroad Medicare Medicare |
$7,837.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,837.35
|
| Rate for Payer: UHC Medicare Advantage |
$7,837.35
|
| Rate for Payer: VA VA |
$7,837.35
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$14,898.16
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$11,322.60 |
| Max. Negotiated Rate |
$14,898.16 |
| Rate for Payer: Aetna Medicare |
$12,395.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,898.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,898.16
|
| Rate for Payer: BCBS MAPPO |
$11,918.53
|
| Rate for Payer: BCN Medicare Advantage |
$11,918.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,918.53
|
| Rate for Payer: Mclaren Medicare |
$11,918.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,514.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,706.31
|
| Rate for Payer: PACE Medicare |
$11,322.60
|
| Rate for Payer: PACE SWMI |
$11,918.53
|
| Rate for Payer: PHP Medicare Advantage |
$11,918.53
|
| Rate for Payer: Priority Health Medicare |
$11,918.53
|
| Rate for Payer: Railroad Medicare Medicare |
$11,918.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,918.53
|
| Rate for Payer: UHC Medicare Advantage |
$11,918.53
|
| Rate for Payer: VA VA |
$11,918.53
|
|
