|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$9,484.58
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$7,208.28 |
| Max. Negotiated Rate |
$9,484.58 |
| Rate for Payer: Aetna Medicare |
$7,891.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,484.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,484.58
|
| Rate for Payer: BCBS MAPPO |
$7,587.66
|
| Rate for Payer: BCN Medicare Advantage |
$7,587.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,587.66
|
| Rate for Payer: Mclaren Medicare |
$7,587.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,967.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,725.81
|
| Rate for Payer: PACE Medicare |
$7,208.28
|
| Rate for Payer: PACE SWMI |
$7,587.66
|
| Rate for Payer: PHP Medicare Advantage |
$7,587.66
|
| Rate for Payer: Priority Health Medicare |
$7,587.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,587.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,587.66
|
| Rate for Payer: UHC Medicare Advantage |
$7,587.66
|
| Rate for Payer: VA VA |
$7,587.66
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
|
Facility
|
IP
|
$48,782.15
|
|
|
Service Code
|
MSDRG 278
|
| Min. Negotiated Rate |
$37,074.43 |
| Max. Negotiated Rate |
$48,782.15 |
| Rate for Payer: Aetna Medicare |
$40,586.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,782.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,782.15
|
| Rate for Payer: BCBS MAPPO |
$39,025.72
|
| Rate for Payer: BCN Medicare Advantage |
$39,025.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,025.72
|
| Rate for Payer: Mclaren Medicare |
$39,025.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,977.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,879.58
|
| Rate for Payer: PACE Medicare |
$37,074.43
|
| Rate for Payer: PACE SWMI |
$39,025.72
|
| Rate for Payer: PHP Medicare Advantage |
$39,025.72
|
| Rate for Payer: Priority Health Medicare |
$39,025.72
|
| Rate for Payer: Railroad Medicare Medicare |
$39,025.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,025.72
|
| Rate for Payer: UHC Medicare Advantage |
$39,025.72
|
| Rate for Payer: VA VA |
$39,025.72
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$31,453.89
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$23,904.95 |
| Max. Negotiated Rate |
$31,453.89 |
| Rate for Payer: Aetna Medicare |
$26,169.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,453.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,453.89
|
| Rate for Payer: BCBS MAPPO |
$25,163.11
|
| Rate for Payer: BCN Medicare Advantage |
$25,163.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,163.11
|
| Rate for Payer: Mclaren Medicare |
$25,163.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,421.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,937.58
|
| Rate for Payer: PACE Medicare |
$23,904.95
|
| Rate for Payer: PACE SWMI |
$25,163.11
|
| Rate for Payer: PHP Medicare Advantage |
$25,163.11
|
| Rate for Payer: Priority Health Medicare |
$25,163.11
|
| Rate for Payer: Railroad Medicare Medicare |
$25,163.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,163.11
|
| Rate for Payer: UHC Medicare Advantage |
$25,163.11
|
| Rate for Payer: VA VA |
$25,163.11
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$30,145.79
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$22,910.80 |
| Max. Negotiated Rate |
$30,145.79 |
| Rate for Payer: Aetna Medicare |
$25,081.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,145.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,145.79
|
| Rate for Payer: BCBS MAPPO |
$24,116.63
|
| Rate for Payer: BCN Medicare Advantage |
$24,116.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,116.63
|
| Rate for Payer: Mclaren Medicare |
$24,116.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,322.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,734.12
|
| Rate for Payer: PACE Medicare |
$22,910.80
|
| Rate for Payer: PACE SWMI |
$24,116.63
|
| Rate for Payer: PHP Medicare Advantage |
$24,116.63
|
| Rate for Payer: Priority Health Medicare |
$24,116.63
|
| Rate for Payer: Railroad Medicare Medicare |
$24,116.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,116.63
|
| Rate for Payer: UHC Medicare Advantage |
$24,116.63
|
| Rate for Payer: VA VA |
$24,116.63
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$12,764.51
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$9,701.03 |
| Max. Negotiated Rate |
$12,764.51 |
| Rate for Payer: Aetna Medicare |
$10,620.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,764.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,764.51
|
| Rate for Payer: BCBS MAPPO |
$10,211.61
|
| Rate for Payer: BCN Medicare Advantage |
$10,211.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,211.61
|
| Rate for Payer: Mclaren Medicare |
$10,211.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,722.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,743.35
|
| Rate for Payer: PACE Medicare |
$9,701.03
|
| Rate for Payer: PACE SWMI |
$10,211.61
|
| Rate for Payer: PHP Medicare Advantage |
$10,211.61
|
| Rate for Payer: Priority Health Medicare |
$10,211.61
|
| Rate for Payer: Railroad Medicare Medicare |
$10,211.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,211.61
|
| Rate for Payer: UHC Medicare Advantage |
$10,211.61
|
| Rate for Payer: VA VA |
$10,211.61
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$8,963.46
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$6,812.23 |
| Max. Negotiated Rate |
$8,963.46 |
| Rate for Payer: Aetna Medicare |
$7,457.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,963.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,963.46
|
| Rate for Payer: BCBS MAPPO |
$7,170.77
|
| Rate for Payer: BCN Medicare Advantage |
$7,170.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,170.77
|
| Rate for Payer: Mclaren Medicare |
$7,170.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,529.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,246.39
|
| Rate for Payer: PACE Medicare |
$6,812.23
|
| Rate for Payer: PACE SWMI |
$7,170.77
|
| Rate for Payer: PHP Medicare Advantage |
$7,170.77
|
| Rate for Payer: Priority Health Medicare |
$7,170.77
|
| Rate for Payer: Railroad Medicare Medicare |
$7,170.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,170.77
|
| Rate for Payer: UHC Medicare Advantage |
$7,170.77
|
| Rate for Payer: VA VA |
$7,170.77
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$16,901.76
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$12,845.34 |
| Max. Negotiated Rate |
$16,901.76 |
| Rate for Payer: Aetna Medicare |
$14,062.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,901.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,901.76
|
| Rate for Payer: BCBS MAPPO |
$13,521.41
|
| Rate for Payer: BCN Medicare Advantage |
$13,521.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,521.41
|
| Rate for Payer: Mclaren Medicare |
$13,521.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,197.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,549.62
|
| Rate for Payer: PACE Medicare |
$12,845.34
|
| Rate for Payer: PACE SWMI |
$13,521.41
|
| Rate for Payer: PHP Medicare Advantage |
$13,521.41
|
| Rate for Payer: Priority Health Medicare |
$13,521.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13,521.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,521.41
|
| Rate for Payer: UHC Medicare Advantage |
$13,521.41
|
| Rate for Payer: VA VA |
$13,521.41
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$25,790.84
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$19,601.04 |
| Max. Negotiated Rate |
$25,790.84 |
| Rate for Payer: Aetna Medicare |
$21,457.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,790.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,790.84
|
| Rate for Payer: BCBS MAPPO |
$20,632.67
|
| Rate for Payer: BCN Medicare Advantage |
$20,632.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,632.67
|
| Rate for Payer: Mclaren Medicare |
$20,632.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,664.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,727.57
|
| Rate for Payer: PACE Medicare |
$19,601.04
|
| Rate for Payer: PACE SWMI |
$20,632.67
|
| Rate for Payer: PHP Medicare Advantage |
$20,632.67
|
| Rate for Payer: Priority Health Medicare |
$20,632.67
|
| Rate for Payer: Railroad Medicare Medicare |
$20,632.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,632.67
|
| Rate for Payer: UHC Medicare Advantage |
$20,632.67
|
| Rate for Payer: VA VA |
$20,632.67
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,178.26
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$6,975.48 |
| Max. Negotiated Rate |
$9,178.26 |
| Rate for Payer: Aetna Medicare |
$7,636.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,178.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,178.26
|
| Rate for Payer: BCBS MAPPO |
$7,342.61
|
| Rate for Payer: BCN Medicare Advantage |
$7,342.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,342.61
|
| Rate for Payer: Mclaren Medicare |
$7,342.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,709.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,444.00
|
| Rate for Payer: PACE Medicare |
$6,975.48
|
| Rate for Payer: PACE SWMI |
$7,342.61
|
| Rate for Payer: PHP Medicare Advantage |
$7,342.61
|
| Rate for Payer: Priority Health Medicare |
$7,342.61
|
| Rate for Payer: Railroad Medicare Medicare |
$7,342.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,342.61
|
| Rate for Payer: UHC Medicare Advantage |
$7,342.61
|
| Rate for Payer: VA VA |
$7,342.61
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$17,190.72
|
|
|
Service Code
|
MSDRG 671
|
| Min. Negotiated Rate |
$13,064.95 |
| Max. Negotiated Rate |
$17,190.72 |
| Rate for Payer: Aetna Medicare |
$14,302.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,190.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,190.72
|
| Rate for Payer: BCBS MAPPO |
$13,752.58
|
| Rate for Payer: BCN Medicare Advantage |
$13,752.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,752.58
|
| Rate for Payer: Mclaren Medicare |
$13,752.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,440.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,815.47
|
| Rate for Payer: PACE Medicare |
$13,064.95
|
| Rate for Payer: PACE SWMI |
$13,752.58
|
| Rate for Payer: PHP Medicare Advantage |
$13,752.58
|
| Rate for Payer: Priority Health Medicare |
$13,752.58
|
| Rate for Payer: Railroad Medicare Medicare |
$13,752.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,752.58
|
| Rate for Payer: UHC Medicare Advantage |
$13,752.58
|
| Rate for Payer: VA VA |
$13,752.58
|
|
|
MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,128.90
|
|
|
Service Code
|
MSDRG 672
|
| Min. Negotiated Rate |
$8,457.96 |
| Max. Negotiated Rate |
$11,128.90 |
| Rate for Payer: Aetna Medicare |
$9,259.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,128.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,128.90
|
| Rate for Payer: BCBS MAPPO |
$8,903.12
|
| Rate for Payer: BCN Medicare Advantage |
$8,903.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,903.12
|
| Rate for Payer: Mclaren Medicare |
$8,903.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,348.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,238.59
|
| Rate for Payer: PACE Medicare |
$8,457.96
|
| Rate for Payer: PACE SWMI |
$8,903.12
|
| Rate for Payer: PHP Medicare Advantage |
$8,903.12
|
| Rate for Payer: Priority Health Medicare |
$8,903.12
|
| Rate for Payer: Railroad Medicare Medicare |
$8,903.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,903.12
|
| Rate for Payer: UHC Medicare Advantage |
$8,903.12
|
| Rate for Payer: VA VA |
$8,903.12
|
|
|
MS-DRG 42.00: URETHRAL STRICTURE
|
Facility
|
IP
|
$10,236.89
|
|
|
Service Code
|
MSDRG 697
|
| Min. Negotiated Rate |
$7,780.03 |
| Max. Negotiated Rate |
$10,236.89 |
| Rate for Payer: Aetna Medicare |
$8,517.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,236.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,236.89
|
| Rate for Payer: BCBS MAPPO |
$8,189.51
|
| Rate for Payer: BCN Medicare Advantage |
$8,189.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,189.51
|
| Rate for Payer: Mclaren Medicare |
$8,189.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,598.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,417.94
|
| Rate for Payer: PACE Medicare |
$7,780.03
|
| Rate for Payer: PACE SWMI |
$8,189.51
|
| Rate for Payer: PHP Medicare Advantage |
$8,189.51
|
| Rate for Payer: Priority Health Medicare |
$8,189.51
|
| Rate for Payer: Railroad Medicare Medicare |
$8,189.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,189.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,189.51
|
| Rate for Payer: VA VA |
$8,189.51
|
|
|
MS-DRG 42.00: URINARY STONES WITH MCC
|
Facility
|
IP
|
$14,750.77
|
|
|
Service Code
|
MSDRG 693
|
| Min. Negotiated Rate |
$11,210.59 |
| Max. Negotiated Rate |
$14,750.77 |
| Rate for Payer: Aetna Medicare |
$12,272.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,750.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,750.77
|
| Rate for Payer: BCBS MAPPO |
$11,800.62
|
| Rate for Payer: BCN Medicare Advantage |
$11,800.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,800.62
|
| Rate for Payer: Mclaren Medicare |
$11,800.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,390.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,570.71
|
| Rate for Payer: PACE Medicare |
$11,210.59
|
| Rate for Payer: PACE SWMI |
$11,800.62
|
| Rate for Payer: PHP Medicare Advantage |
$11,800.62
|
| Rate for Payer: Priority Health Medicare |
$11,800.62
|
| Rate for Payer: Railroad Medicare Medicare |
$11,800.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,800.62
|
| Rate for Payer: UHC Medicare Advantage |
$11,800.62
|
| Rate for Payer: VA VA |
$11,800.62
|
|
|
MS-DRG 42.00: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$8,113.82
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$6,166.51 |
| Max. Negotiated Rate |
$8,113.82 |
| Rate for Payer: Aetna Medicare |
$6,750.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,113.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,113.82
|
| Rate for Payer: BCBS MAPPO |
$6,491.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,491.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,491.06
|
| Rate for Payer: Mclaren Medicare |
$6,491.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,815.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,464.72
|
| Rate for Payer: PACE Medicare |
$6,166.51
|
| Rate for Payer: PACE SWMI |
$6,491.06
|
| Rate for Payer: PHP Medicare Advantage |
$6,491.06
|
| Rate for Payer: Priority Health Medicare |
$6,491.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,491.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,491.06
|
| Rate for Payer: UHC Medicare Advantage |
$6,491.06
|
| Rate for Payer: VA VA |
$6,491.06
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$18,182.92
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$13,819.02 |
| Max. Negotiated Rate |
$18,182.92 |
| Rate for Payer: Aetna Medicare |
$15,128.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,182.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,182.92
|
| Rate for Payer: BCBS MAPPO |
$14,546.34
|
| Rate for Payer: BCN Medicare Advantage |
$14,546.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,546.34
|
| Rate for Payer: Mclaren Medicare |
$14,546.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,273.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,728.29
|
| Rate for Payer: PACE Medicare |
$13,819.02
|
| Rate for Payer: PACE SWMI |
$14,546.34
|
| Rate for Payer: PHP Medicare Advantage |
$14,546.34
|
| Rate for Payer: Priority Health Medicare |
$14,546.34
|
| Rate for Payer: Railroad Medicare Medicare |
$14,546.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,546.34
|
| Rate for Payer: UHC Medicare Advantage |
$14,546.34
|
| Rate for Payer: VA VA |
$14,546.34
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$12,133.55
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$9,221.50 |
| Max. Negotiated Rate |
$12,133.55 |
| Rate for Payer: Aetna Medicare |
$10,095.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,133.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,133.55
|
| Rate for Payer: BCBS MAPPO |
$9,706.84
|
| Rate for Payer: BCN Medicare Advantage |
$9,706.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,706.84
|
| Rate for Payer: Mclaren Medicare |
$9,706.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,192.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,162.87
|
| Rate for Payer: PACE Medicare |
$9,221.50
|
| Rate for Payer: PACE SWMI |
$9,706.84
|
| Rate for Payer: PHP Medicare Advantage |
$9,706.84
|
| Rate for Payer: Priority Health Medicare |
$9,706.84
|
| Rate for Payer: Railroad Medicare Medicare |
$9,706.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,706.84
|
| Rate for Payer: UHC Medicare Advantage |
$9,706.84
|
| Rate for Payer: VA VA |
$9,706.84
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$18,102.01
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$13,757.53 |
| Max. Negotiated Rate |
$18,102.01 |
| Rate for Payer: Aetna Medicare |
$15,060.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,102.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,102.01
|
| Rate for Payer: BCBS MAPPO |
$14,481.61
|
| Rate for Payer: BCN Medicare Advantage |
$14,481.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,481.61
|
| Rate for Payer: Mclaren Medicare |
$14,481.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,205.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,653.85
|
| Rate for Payer: PACE Medicare |
$13,757.53
|
| Rate for Payer: PACE SWMI |
$14,481.61
|
| Rate for Payer: PHP Medicare Advantage |
$14,481.61
|
| Rate for Payer: Priority Health Medicare |
$14,481.61
|
| Rate for Payer: Railroad Medicare Medicare |
$14,481.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,481.61
|
| Rate for Payer: UHC Medicare Advantage |
$14,481.61
|
| Rate for Payer: VA VA |
$14,481.61
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$38,933.70
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$29,589.61 |
| Max. Negotiated Rate |
$38,933.70 |
| Rate for Payer: Aetna Medicare |
$32,392.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,933.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,933.70
|
| Rate for Payer: BCBS MAPPO |
$31,146.96
|
| Rate for Payer: BCN Medicare Advantage |
$31,146.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,146.96
|
| Rate for Payer: Mclaren Medicare |
$31,146.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,704.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,819.00
|
| Rate for Payer: PACE Medicare |
$29,589.61
|
| Rate for Payer: PACE SWMI |
$31,146.96
|
| Rate for Payer: PHP Medicare Advantage |
$31,146.96
|
| Rate for Payer: Priority Health Medicare |
$31,146.96
|
| Rate for Payer: Railroad Medicare Medicare |
$31,146.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,146.96
|
| Rate for Payer: UHC Medicare Advantage |
$31,146.96
|
| Rate for Payer: VA VA |
$31,146.96
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,818.35
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$10,501.95 |
| Max. Negotiated Rate |
$13,818.35 |
| Rate for Payer: Aetna Medicare |
$11,496.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,818.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,818.35
|
| Rate for Payer: BCBS MAPPO |
$11,054.68
|
| Rate for Payer: BCN Medicare Advantage |
$11,054.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,054.68
|
| Rate for Payer: Mclaren Medicare |
$11,054.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,607.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,712.88
|
| Rate for Payer: PACE Medicare |
$10,501.95
|
| Rate for Payer: PACE SWMI |
$11,054.68
|
| Rate for Payer: PHP Medicare Advantage |
$11,054.68
|
| Rate for Payer: Priority Health Medicare |
$11,054.68
|
| Rate for Payer: Railroad Medicare Medicare |
$11,054.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,054.68
|
| Rate for Payer: UHC Medicare Advantage |
$11,054.68
|
| Rate for Payer: VA VA |
$11,054.68
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$19,836.84
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$15,076.00 |
| Max. Negotiated Rate |
$19,836.84 |
| Rate for Payer: Aetna Medicare |
$16,504.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,836.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,836.84
|
| Rate for Payer: BCBS MAPPO |
$15,869.47
|
| Rate for Payer: BCN Medicare Advantage |
$15,869.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,869.47
|
| Rate for Payer: Mclaren Medicare |
$15,869.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,662.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,249.89
|
| Rate for Payer: PACE Medicare |
$15,076.00
|
| Rate for Payer: PACE SWMI |
$15,869.47
|
| Rate for Payer: PHP Medicare Advantage |
$15,869.47
|
| Rate for Payer: Priority Health Medicare |
$15,869.47
|
| Rate for Payer: Railroad Medicare Medicare |
$15,869.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,869.47
|
| Rate for Payer: UHC Medicare Advantage |
$15,869.47
|
| Rate for Payer: VA VA |
$15,869.47
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$38,516.57
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$29,272.60 |
| Max. Negotiated Rate |
$38,516.57 |
| Rate for Payer: Aetna Medicare |
$32,045.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,516.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,516.57
|
| Rate for Payer: BCBS MAPPO |
$30,813.26
|
| Rate for Payer: BCN Medicare Advantage |
$30,813.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,813.26
|
| Rate for Payer: Mclaren Medicare |
$30,813.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,353.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,435.25
|
| Rate for Payer: PACE Medicare |
$29,272.60
|
| Rate for Payer: PACE SWMI |
$30,813.26
|
| Rate for Payer: PHP Medicare Advantage |
$30,813.26
|
| Rate for Payer: Priority Health Medicare |
$30,813.26
|
| Rate for Payer: Railroad Medicare Medicare |
$30,813.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,813.26
|
| Rate for Payer: UHC Medicare Advantage |
$30,813.26
|
| Rate for Payer: VA VA |
$30,813.26
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$15,198.69
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$11,551.00 |
| Max. Negotiated Rate |
$15,198.69 |
| Rate for Payer: Aetna Medicare |
$12,645.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,198.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,198.69
|
| Rate for Payer: BCBS MAPPO |
$12,158.95
|
| Rate for Payer: BCN Medicare Advantage |
$12,158.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,158.95
|
| Rate for Payer: Mclaren Medicare |
$12,158.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,766.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,982.79
|
| Rate for Payer: PACE Medicare |
$11,551.00
|
| Rate for Payer: PACE SWMI |
$12,158.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,158.95
|
| Rate for Payer: Priority Health Medicare |
$12,158.95
|
| Rate for Payer: Railroad Medicare Medicare |
$12,158.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,158.95
|
| Rate for Payer: UHC Medicare Advantage |
$12,158.95
|
| Rate for Payer: VA VA |
$12,158.95
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$16,717.79
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$12,705.52 |
| Max. Negotiated Rate |
$16,717.79 |
| Rate for Payer: Aetna Medicare |
$13,909.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,717.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,717.79
|
| Rate for Payer: BCBS MAPPO |
$13,374.23
|
| Rate for Payer: BCN Medicare Advantage |
$13,374.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,374.23
|
| Rate for Payer: Mclaren Medicare |
$13,374.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,042.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,380.36
|
| Rate for Payer: PACE Medicare |
$12,705.52
|
| Rate for Payer: PACE SWMI |
$13,374.23
|
| Rate for Payer: PHP Medicare Advantage |
$13,374.23
|
| Rate for Payer: Priority Health Medicare |
$13,374.23
|
| Rate for Payer: Railroad Medicare Medicare |
$13,374.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,374.23
|
| Rate for Payer: UHC Medicare Advantage |
$13,374.23
|
| Rate for Payer: VA VA |
$13,374.23
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,788.02
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$7,438.90 |
| Max. Negotiated Rate |
$9,788.02 |
| Rate for Payer: Aetna Medicare |
$8,143.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,788.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,788.02
|
| Rate for Payer: BCBS MAPPO |
$7,830.42
|
| Rate for Payer: BCN Medicare Advantage |
$7,830.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,830.42
|
| Rate for Payer: Mclaren Medicare |
$7,830.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,221.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,004.98
|
| Rate for Payer: PACE Medicare |
$7,438.90
|
| Rate for Payer: PACE SWMI |
$7,830.42
|
| Rate for Payer: PHP Medicare Advantage |
$7,830.42
|
| Rate for Payer: Priority Health Medicare |
$7,830.42
|
| Rate for Payer: Railroad Medicare Medicare |
$7,830.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,830.42
|
| Rate for Payer: UHC Medicare Advantage |
$7,830.42
|
| Rate for Payer: VA VA |
$7,830.42
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$11,147.17
|
|
|
Service Code
|
MSDRG 768
|
| Min. Negotiated Rate |
$8,471.85 |
| Max. Negotiated Rate |
$11,147.17 |
| Rate for Payer: Aetna Medicare |
$9,274.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,147.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,147.17
|
| Rate for Payer: BCBS MAPPO |
$8,917.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,917.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,917.74
|
| Rate for Payer: Mclaren Medicare |
$8,917.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,363.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,255.40
|
| Rate for Payer: PACE Medicare |
$8,471.85
|
| Rate for Payer: PACE SWMI |
$8,917.74
|
| Rate for Payer: PHP Medicare Advantage |
$8,917.74
|
| Rate for Payer: Priority Health Medicare |
$8,917.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,917.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,917.74
|
| Rate for Payer: UHC Medicare Advantage |
$8,917.74
|
| Rate for Payer: VA VA |
$8,917.74
|
|
