|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$12,320.40
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$9,363.50 |
| Max. Negotiated Rate |
$12,320.40 |
| Rate for Payer: Aetna Medicare |
$10,250.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,320.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,320.40
|
| Rate for Payer: BCBS MAPPO |
$9,856.32
|
| Rate for Payer: BCN Medicare Advantage |
$9,856.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,856.32
|
| Rate for Payer: Mclaren Medicare |
$9,856.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,349.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,334.77
|
| Rate for Payer: PACE Medicare |
$9,363.50
|
| Rate for Payer: PACE SWMI |
$9,856.32
|
| Rate for Payer: PHP Medicare Advantage |
$9,856.32
|
| Rate for Payer: Priority Health Medicare |
$9,856.32
|
| Rate for Payer: Railroad Medicare Medicare |
$9,856.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,856.32
|
| Rate for Payer: UHC Medicare Advantage |
$9,856.32
|
| Rate for Payer: VA VA |
$9,856.32
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,414.09
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$5,634.71 |
| Max. Negotiated Rate |
$7,414.09 |
| Rate for Payer: Aetna Medicare |
$6,168.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,414.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,414.09
|
| Rate for Payer: BCBS MAPPO |
$5,931.27
|
| Rate for Payer: BCN Medicare Advantage |
$5,931.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,931.27
|
| Rate for Payer: Mclaren Medicare |
$5,931.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,227.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,820.96
|
| Rate for Payer: PACE Medicare |
$5,634.71
|
| Rate for Payer: PACE SWMI |
$5,931.27
|
| Rate for Payer: PHP Medicare Advantage |
$5,931.27
|
| Rate for Payer: Priority Health Medicare |
$5,931.27
|
| Rate for Payer: Railroad Medicare Medicare |
$5,931.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,931.27
|
| Rate for Payer: UHC Medicare Advantage |
$5,931.27
|
| Rate for Payer: VA VA |
$5,931.27
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$9,877.85
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$7,507.17 |
| Max. Negotiated Rate |
$9,877.85 |
| Rate for Payer: Aetna Medicare |
$8,218.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,877.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,877.85
|
| Rate for Payer: BCBS MAPPO |
$7,902.28
|
| Rate for Payer: BCN Medicare Advantage |
$7,902.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,902.28
|
| Rate for Payer: Mclaren Medicare |
$7,902.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,297.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,087.62
|
| Rate for Payer: PACE Medicare |
$7,507.17
|
| Rate for Payer: PACE SWMI |
$7,902.28
|
| Rate for Payer: PHP Medicare Advantage |
$7,902.28
|
| Rate for Payer: Priority Health Medicare |
$7,902.28
|
| Rate for Payer: Railroad Medicare Medicare |
$7,902.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,902.28
|
| Rate for Payer: UHC Medicare Advantage |
$7,902.28
|
| Rate for Payer: VA VA |
$7,902.28
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$17,158.96
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$13,040.81 |
| Max. Negotiated Rate |
$17,158.96 |
| Rate for Payer: Aetna Medicare |
$14,276.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,158.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,158.96
|
| Rate for Payer: BCBS MAPPO |
$13,727.17
|
| Rate for Payer: BCN Medicare Advantage |
$13,727.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,727.17
|
| Rate for Payer: Mclaren Medicare |
$13,727.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,413.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,786.25
|
| Rate for Payer: PACE Medicare |
$13,040.81
|
| Rate for Payer: PACE SWMI |
$13,727.17
|
| Rate for Payer: PHP Medicare Advantage |
$13,727.17
|
| Rate for Payer: Priority Health Medicare |
$13,727.17
|
| Rate for Payer: Railroad Medicare Medicare |
$13,727.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,727.17
|
| Rate for Payer: UHC Medicare Advantage |
$13,727.17
|
| Rate for Payer: VA VA |
$13,727.17
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$7,887.60
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$5,994.58 |
| Max. Negotiated Rate |
$7,887.60 |
| Rate for Payer: Aetna Medicare |
$6,562.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,887.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,887.60
|
| Rate for Payer: BCBS MAPPO |
$6,310.08
|
| Rate for Payer: BCN Medicare Advantage |
$6,310.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,310.08
|
| Rate for Payer: Mclaren Medicare |
$6,310.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,625.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,256.59
|
| Rate for Payer: PACE Medicare |
$5,994.58
|
| Rate for Payer: PACE SWMI |
$6,310.08
|
| Rate for Payer: PHP Medicare Advantage |
$6,310.08
|
| Rate for Payer: Priority Health Medicare |
$6,310.08
|
| Rate for Payer: Railroad Medicare Medicare |
$6,310.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,310.08
|
| Rate for Payer: UHC Medicare Advantage |
$6,310.08
|
| Rate for Payer: VA VA |
$6,310.08
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$8,048.48
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$6,116.84 |
| Max. Negotiated Rate |
$8,048.48 |
| Rate for Payer: Aetna Medicare |
$6,696.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,048.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,048.48
|
| Rate for Payer: BCBS MAPPO |
$6,438.78
|
| Rate for Payer: BCN Medicare Advantage |
$6,438.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,438.78
|
| Rate for Payer: Mclaren Medicare |
$6,438.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,760.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,404.60
|
| Rate for Payer: PACE Medicare |
$6,116.84
|
| Rate for Payer: PACE SWMI |
$6,438.78
|
| Rate for Payer: PHP Medicare Advantage |
$6,438.78
|
| Rate for Payer: Priority Health Medicare |
$6,438.78
|
| Rate for Payer: Railroad Medicare Medicare |
$6,438.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,438.78
|
| Rate for Payer: UHC Medicare Advantage |
$6,438.78
|
| Rate for Payer: VA VA |
$6,438.78
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$20,336.09
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$15,455.43 |
| Max. Negotiated Rate |
$20,336.09 |
| Rate for Payer: Aetna Medicare |
$16,919.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,336.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,336.09
|
| Rate for Payer: BCBS MAPPO |
$16,268.87
|
| Rate for Payer: BCN Medicare Advantage |
$16,268.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,268.87
|
| Rate for Payer: Mclaren Medicare |
$16,268.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,082.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,709.20
|
| Rate for Payer: PACE Medicare |
$15,455.43
|
| Rate for Payer: PACE SWMI |
$16,268.87
|
| Rate for Payer: PHP Medicare Advantage |
$16,268.87
|
| Rate for Payer: Priority Health Medicare |
$16,268.87
|
| Rate for Payer: Railroad Medicare Medicare |
$16,268.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,268.87
|
| Rate for Payer: UHC Medicare Advantage |
$16,268.87
|
| Rate for Payer: VA VA |
$16,268.87
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$6,231.26
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$4,735.76 |
| Max. Negotiated Rate |
$6,231.26 |
| Rate for Payer: Aetna Medicare |
$5,184.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,231.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,231.26
|
| Rate for Payer: BCBS MAPPO |
$4,985.01
|
| Rate for Payer: BCN Medicare Advantage |
$4,985.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,985.01
|
| Rate for Payer: Mclaren Medicare |
$4,985.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,234.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,732.76
|
| Rate for Payer: PACE Medicare |
$4,735.76
|
| Rate for Payer: PACE SWMI |
$4,985.01
|
| Rate for Payer: PHP Medicare Advantage |
$4,985.01
|
| Rate for Payer: Priority Health Medicare |
$4,985.01
|
| Rate for Payer: Railroad Medicare Medicare |
$4,985.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,985.01
|
| Rate for Payer: UHC Medicare Advantage |
$4,985.01
|
| Rate for Payer: VA VA |
$4,985.01
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,610.34
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$17,943.86 |
| Max. Negotiated Rate |
$23,610.34 |
| Rate for Payer: Aetna Medicare |
$19,643.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,610.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,610.34
|
| Rate for Payer: BCBS MAPPO |
$18,888.27
|
| Rate for Payer: BCN Medicare Advantage |
$18,888.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,888.27
|
| Rate for Payer: Mclaren Medicare |
$18,888.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,832.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,721.51
|
| Rate for Payer: PACE Medicare |
$17,943.86
|
| Rate for Payer: PACE SWMI |
$18,888.27
|
| Rate for Payer: PHP Medicare Advantage |
$18,888.27
|
| Rate for Payer: Priority Health Medicare |
$18,888.27
|
| Rate for Payer: Railroad Medicare Medicare |
$18,888.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,888.27
|
| Rate for Payer: UHC Medicare Advantage |
$18,888.27
|
| Rate for Payer: VA VA |
$18,888.27
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,050.30
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$11,438.23 |
| Max. Negotiated Rate |
$15,050.30 |
| Rate for Payer: Aetna Medicare |
$12,521.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,050.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,050.30
|
| Rate for Payer: BCBS MAPPO |
$12,040.24
|
| Rate for Payer: BCN Medicare Advantage |
$12,040.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,040.24
|
| Rate for Payer: Mclaren Medicare |
$12,040.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,642.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,846.28
|
| Rate for Payer: PACE Medicare |
$11,438.23
|
| Rate for Payer: PACE SWMI |
$12,040.24
|
| Rate for Payer: PHP Medicare Advantage |
$12,040.24
|
| Rate for Payer: Priority Health Medicare |
$12,040.24
|
| Rate for Payer: Railroad Medicare Medicare |
$12,040.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,040.24
|
| Rate for Payer: UHC Medicare Advantage |
$12,040.24
|
| Rate for Payer: VA VA |
$12,040.24
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$12,072.52
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$9,175.12 |
| Max. Negotiated Rate |
$12,072.52 |
| Rate for Payer: Aetna Medicare |
$10,044.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,072.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,072.52
|
| Rate for Payer: BCBS MAPPO |
$9,658.02
|
| Rate for Payer: BCN Medicare Advantage |
$9,658.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,658.02
|
| Rate for Payer: Mclaren Medicare |
$9,658.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,140.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,106.72
|
| Rate for Payer: PACE Medicare |
$9,175.12
|
| Rate for Payer: PACE SWMI |
$9,658.02
|
| Rate for Payer: PHP Medicare Advantage |
$9,658.02
|
| Rate for Payer: Priority Health Medicare |
$9,658.02
|
| Rate for Payer: Railroad Medicare Medicare |
$9,658.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,658.02
|
| Rate for Payer: UHC Medicare Advantage |
$9,658.02
|
| Rate for Payer: VA VA |
$9,658.02
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$19,333.35
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$14,693.35 |
| Max. Negotiated Rate |
$19,333.35 |
| Rate for Payer: Aetna Medicare |
$16,085.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,333.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,333.35
|
| Rate for Payer: BCBS MAPPO |
$15,466.68
|
| Rate for Payer: BCN Medicare Advantage |
$15,466.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,466.68
|
| Rate for Payer: Mclaren Medicare |
$15,466.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,240.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,786.68
|
| Rate for Payer: PACE Medicare |
$14,693.35
|
| Rate for Payer: PACE SWMI |
$15,466.68
|
| Rate for Payer: PHP Medicare Advantage |
$15,466.68
|
| Rate for Payer: Priority Health Medicare |
$15,466.68
|
| Rate for Payer: Railroad Medicare Medicare |
$15,466.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,466.68
|
| Rate for Payer: UHC Medicare Advantage |
$15,466.68
|
| Rate for Payer: VA VA |
$15,466.68
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$8,823.54
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$6,705.89 |
| Max. Negotiated Rate |
$8,823.54 |
| Rate for Payer: Aetna Medicare |
$7,341.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,823.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,823.54
|
| Rate for Payer: BCBS MAPPO |
$7,058.83
|
| Rate for Payer: BCN Medicare Advantage |
$7,058.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,058.83
|
| Rate for Payer: Mclaren Medicare |
$7,058.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,411.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,117.65
|
| Rate for Payer: PACE Medicare |
$6,705.89
|
| Rate for Payer: PACE SWMI |
$7,058.83
|
| Rate for Payer: PHP Medicare Advantage |
$7,058.83
|
| Rate for Payer: Priority Health Medicare |
$7,058.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7,058.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,058.83
|
| Rate for Payer: UHC Medicare Advantage |
$7,058.83
|
| Rate for Payer: VA VA |
$7,058.83
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$11,468.45
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$8,716.02 |
| Max. Negotiated Rate |
$11,468.45 |
| Rate for Payer: Aetna Medicare |
$9,541.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,468.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,468.45
|
| Rate for Payer: BCBS MAPPO |
$9,174.76
|
| Rate for Payer: BCN Medicare Advantage |
$9,174.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,174.76
|
| Rate for Payer: Mclaren Medicare |
$9,174.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,633.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,550.97
|
| Rate for Payer: PACE Medicare |
$8,716.02
|
| Rate for Payer: PACE SWMI |
$9,174.76
|
| Rate for Payer: PHP Medicare Advantage |
$9,174.76
|
| Rate for Payer: Priority Health Medicare |
$9,174.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,174.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,174.76
|
| Rate for Payer: UHC Medicare Advantage |
$9,174.76
|
| Rate for Payer: VA VA |
$9,174.76
|
|
|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$6,481.15
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$4,925.67 |
| Max. Negotiated Rate |
$6,481.15 |
| Rate for Payer: Aetna Medicare |
$5,392.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,481.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,481.15
|
| Rate for Payer: BCBS MAPPO |
$5,184.92
|
| Rate for Payer: BCN Medicare Advantage |
$5,184.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,184.92
|
| Rate for Payer: Mclaren Medicare |
$5,184.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,444.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,962.66
|
| Rate for Payer: PACE Medicare |
$4,925.67
|
| Rate for Payer: PACE SWMI |
$5,184.92
|
| Rate for Payer: PHP Medicare Advantage |
$5,184.92
|
| Rate for Payer: Priority Health Medicare |
$5,184.92
|
| Rate for Payer: Railroad Medicare Medicare |
$5,184.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,184.92
|
| Rate for Payer: UHC Medicare Advantage |
$5,184.92
|
| Rate for Payer: VA VA |
$5,184.92
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$49,996.74
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$37,997.52 |
| Max. Negotiated Rate |
$49,996.74 |
| Rate for Payer: Aetna Medicare |
$41,597.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,996.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,996.74
|
| Rate for Payer: BCBS MAPPO |
$39,997.39
|
| Rate for Payer: BCN Medicare Advantage |
$39,997.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,997.39
|
| Rate for Payer: Mclaren Medicare |
$39,997.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,997.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,997.00
|
| Rate for Payer: PACE Medicare |
$37,997.52
|
| Rate for Payer: PACE SWMI |
$39,997.39
|
| Rate for Payer: PHP Medicare Advantage |
$39,997.39
|
| Rate for Payer: Priority Health Medicare |
$39,997.39
|
| Rate for Payer: Railroad Medicare Medicare |
$39,997.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,997.39
|
| Rate for Payer: UHC Medicare Advantage |
$39,997.39
|
| Rate for Payer: VA VA |
$39,997.39
|
|
|
MS-DRG 42.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$36,644.70
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$27,849.97 |
| Max. Negotiated Rate |
$36,644.70 |
| Rate for Payer: Aetna Medicare |
$30,488.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,644.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,644.70
|
| Rate for Payer: BCBS MAPPO |
$29,315.76
|
| Rate for Payer: BCN Medicare Advantage |
$29,315.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,315.76
|
| Rate for Payer: Mclaren Medicare |
$29,315.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,781.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,713.12
|
| Rate for Payer: PACE Medicare |
$27,849.97
|
| Rate for Payer: PACE SWMI |
$29,315.76
|
| Rate for Payer: PHP Medicare Advantage |
$29,315.76
|
| Rate for Payer: Priority Health Medicare |
$29,315.76
|
| Rate for Payer: Railroad Medicare Medicare |
$29,315.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,315.76
|
| Rate for Payer: UHC Medicare Advantage |
$29,315.76
|
| Rate for Payer: VA VA |
$29,315.76
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$6,865.65
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$5,217.89 |
| Max. Negotiated Rate |
$6,865.65 |
| Rate for Payer: Aetna Medicare |
$5,712.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,865.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,865.65
|
| Rate for Payer: BCBS MAPPO |
$5,492.52
|
| Rate for Payer: BCN Medicare Advantage |
$5,492.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,492.52
|
| Rate for Payer: Mclaren Medicare |
$5,492.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,767.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,316.40
|
| Rate for Payer: PACE Medicare |
$5,217.89
|
| Rate for Payer: PACE SWMI |
$5,492.52
|
| Rate for Payer: PHP Medicare Advantage |
$5,492.52
|
| Rate for Payer: Priority Health Medicare |
$5,492.52
|
| Rate for Payer: Railroad Medicare Medicare |
$5,492.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,492.52
|
| Rate for Payer: UHC Medicare Advantage |
$5,492.52
|
| Rate for Payer: VA VA |
$5,492.52
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$18,569.42
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$14,112.76 |
| Max. Negotiated Rate |
$18,569.42 |
| Rate for Payer: Aetna Medicare |
$15,449.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,569.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,569.42
|
| Rate for Payer: BCBS MAPPO |
$14,855.54
|
| Rate for Payer: BCN Medicare Advantage |
$14,855.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,855.54
|
| Rate for Payer: Mclaren Medicare |
$14,855.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,598.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,083.87
|
| Rate for Payer: PACE Medicare |
$14,112.76
|
| Rate for Payer: PACE SWMI |
$14,855.54
|
| Rate for Payer: PHP Medicare Advantage |
$14,855.54
|
| Rate for Payer: Priority Health Medicare |
$14,855.54
|
| Rate for Payer: Railroad Medicare Medicare |
$14,855.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,855.54
|
| Rate for Payer: UHC Medicare Advantage |
$14,855.54
|
| Rate for Payer: VA VA |
$14,855.54
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$9,477.17
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$7,202.65 |
| Max. Negotiated Rate |
$9,477.17 |
| Rate for Payer: Aetna Medicare |
$7,885.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,477.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,477.17
|
| Rate for Payer: BCBS MAPPO |
$7,581.74
|
| Rate for Payer: BCN Medicare Advantage |
$7,581.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,581.74
|
| Rate for Payer: Mclaren Medicare |
$7,581.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,960.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,719.00
|
| Rate for Payer: PACE Medicare |
$7,202.65
|
| Rate for Payer: PACE SWMI |
$7,581.74
|
| Rate for Payer: PHP Medicare Advantage |
$7,581.74
|
| Rate for Payer: Priority Health Medicare |
$7,581.74
|
| Rate for Payer: Railroad Medicare Medicare |
$7,581.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,581.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,581.74
|
| Rate for Payer: VA VA |
$7,581.74
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$15,201.08
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$11,552.82 |
| Max. Negotiated Rate |
$15,201.08 |
| Rate for Payer: Aetna Medicare |
$12,647.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,201.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,201.08
|
| Rate for Payer: BCBS MAPPO |
$12,160.86
|
| Rate for Payer: BCN Medicare Advantage |
$12,160.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,160.86
|
| Rate for Payer: Mclaren Medicare |
$12,160.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,768.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,984.99
|
| Rate for Payer: PACE Medicare |
$11,552.82
|
| Rate for Payer: PACE SWMI |
$12,160.86
|
| Rate for Payer: PHP Medicare Advantage |
$12,160.86
|
| Rate for Payer: Priority Health Medicare |
$12,160.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,160.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,160.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,160.86
|
| Rate for Payer: VA VA |
$12,160.86
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$18,135.35
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$13,782.87 |
| Max. Negotiated Rate |
$18,135.35 |
| Rate for Payer: Aetna Medicare |
$15,088.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,135.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,135.35
|
| Rate for Payer: BCBS MAPPO |
$14,508.28
|
| Rate for Payer: BCN Medicare Advantage |
$14,508.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,508.28
|
| Rate for Payer: Mclaren Medicare |
$14,508.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,233.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,684.52
|
| Rate for Payer: PACE Medicare |
$13,782.87
|
| Rate for Payer: PACE SWMI |
$14,508.28
|
| Rate for Payer: PHP Medicare Advantage |
$14,508.28
|
| Rate for Payer: Priority Health Medicare |
$14,508.28
|
| Rate for Payer: Railroad Medicare Medicare |
$14,508.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,508.28
|
| Rate for Payer: UHC Medicare Advantage |
$14,508.28
|
| Rate for Payer: VA VA |
$14,508.28
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$7,270.38
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$5,525.48 |
| Max. Negotiated Rate |
$7,270.38 |
| Rate for Payer: Aetna Medicare |
$6,048.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,270.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,270.38
|
| Rate for Payer: BCBS MAPPO |
$5,816.30
|
| Rate for Payer: BCN Medicare Advantage |
$5,816.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,816.30
|
| Rate for Payer: Mclaren Medicare |
$5,816.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,107.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,688.74
|
| Rate for Payer: PACE Medicare |
$5,525.48
|
| Rate for Payer: PACE SWMI |
$5,816.30
|
| Rate for Payer: PHP Medicare Advantage |
$5,816.30
|
| Rate for Payer: Priority Health Medicare |
$5,816.30
|
| Rate for Payer: Railroad Medicare Medicare |
$5,816.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,816.30
|
| Rate for Payer: UHC Medicare Advantage |
$5,816.30
|
| Rate for Payer: VA VA |
$5,816.30
|
|
|
MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$133,118.14
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$101,169.78 |
| Max. Negotiated Rate |
$133,118.14 |
| Rate for Payer: Aetna Medicare |
$110,754.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133,118.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133,118.14
|
| Rate for Payer: BCBS MAPPO |
$106,494.51
|
| Rate for Payer: BCN Medicare Advantage |
$106,494.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106,494.51
|
| Rate for Payer: Mclaren Medicare |
$106,494.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111,819.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122,468.69
|
| Rate for Payer: PACE Medicare |
$101,169.78
|
| Rate for Payer: PACE SWMI |
$106,494.51
|
| Rate for Payer: PHP Medicare Advantage |
$106,494.51
|
| Rate for Payer: Priority Health Medicare |
$106,494.51
|
| Rate for Payer: Railroad Medicare Medicare |
$106,494.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$106,494.51
|
| Rate for Payer: UHC Medicare Advantage |
$106,494.51
|
| Rate for Payer: VA VA |
$106,494.51
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$30,017.25
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$22,813.11 |
| Max. Negotiated Rate |
$30,017.25 |
| Rate for Payer: Aetna Medicare |
$24,974.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,017.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,017.25
|
| Rate for Payer: BCBS MAPPO |
$24,013.80
|
| Rate for Payer: BCN Medicare Advantage |
$24,013.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,013.80
|
| Rate for Payer: Mclaren Medicare |
$24,013.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,214.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,615.87
|
| Rate for Payer: PACE Medicare |
$22,813.11
|
| Rate for Payer: PACE SWMI |
$24,013.80
|
| Rate for Payer: PHP Medicare Advantage |
$24,013.80
|
| Rate for Payer: Priority Health Medicare |
$24,013.80
|
| Rate for Payer: Railroad Medicare Medicare |
$24,013.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,013.80
|
| Rate for Payer: UHC Medicare Advantage |
$24,013.80
|
| Rate for Payer: VA VA |
$24,013.80
|
|
