|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$24,806.31
|
|
|
Service Code
|
MSDRG 095
|
| Min. Negotiated Rate |
$18,852.80 |
| Max. Negotiated Rate |
$24,806.31 |
| Rate for Payer: Aetna Medicare |
$20,638.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,806.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,806.31
|
| Rate for Payer: BCBS MAPPO |
$19,845.05
|
| Rate for Payer: BCN Medicare Advantage |
$19,845.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,845.05
|
| Rate for Payer: Mclaren Medicare |
$19,845.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,837.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,821.81
|
| Rate for Payer: PACE Medicare |
$18,852.80
|
| Rate for Payer: PACE SWMI |
$19,845.05
|
| Rate for Payer: PHP Medicare Advantage |
$19,845.05
|
| Rate for Payer: Priority Health Medicare |
$19,845.05
|
| Rate for Payer: Railroad Medicare Medicare |
$19,845.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,845.05
|
| Rate for Payer: UHC Medicare Advantage |
$19,845.05
|
| Rate for Payer: VA VA |
$19,845.05
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$37,469.32
|
|
|
Service Code
|
MSDRG 094
|
| Min. Negotiated Rate |
$28,476.69 |
| Max. Negotiated Rate |
$37,469.32 |
| Rate for Payer: Aetna Medicare |
$31,174.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,469.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,469.32
|
| Rate for Payer: BCBS MAPPO |
$29,975.46
|
| Rate for Payer: BCN Medicare Advantage |
$29,975.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,975.46
|
| Rate for Payer: Mclaren Medicare |
$29,975.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,474.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,471.78
|
| Rate for Payer: PACE Medicare |
$28,476.69
|
| Rate for Payer: PACE SWMI |
$29,975.46
|
| Rate for Payer: PHP Medicare Advantage |
$29,975.46
|
| Rate for Payer: Priority Health Medicare |
$29,975.46
|
| Rate for Payer: Railroad Medicare Medicare |
$29,975.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,975.46
|
| Rate for Payer: UHC Medicare Advantage |
$29,975.46
|
| Rate for Payer: VA VA |
$29,975.46
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$24,806.31
|
|
|
Service Code
|
MSDRG 096
|
| Min. Negotiated Rate |
$18,852.80 |
| Max. Negotiated Rate |
$24,806.31 |
| Rate for Payer: Aetna Medicare |
$20,638.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,806.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,806.31
|
| Rate for Payer: BCBS MAPPO |
$19,845.05
|
| Rate for Payer: BCN Medicare Advantage |
$19,845.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,845.05
|
| Rate for Payer: Mclaren Medicare |
$19,845.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,837.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,821.81
|
| Rate for Payer: PACE Medicare |
$18,852.80
|
| Rate for Payer: PACE SWMI |
$19,845.05
|
| Rate for Payer: PHP Medicare Advantage |
$19,845.05
|
| Rate for Payer: Priority Health Medicare |
$19,845.05
|
| Rate for Payer: Railroad Medicare Medicare |
$19,845.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,845.05
|
| Rate for Payer: UHC Medicare Advantage |
$19,845.05
|
| Rate for Payer: VA VA |
$19,845.05
|
|
|
MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS
|
Facility
|
IP
|
$18,728.30
|
|
|
Service Code
|
MSDRG 886
|
| Min. Negotiated Rate |
$14,233.51 |
| Max. Negotiated Rate |
$18,728.30 |
| Rate for Payer: Aetna Medicare |
$15,581.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,728.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,728.30
|
| Rate for Payer: BCBS MAPPO |
$14,982.64
|
| Rate for Payer: BCN Medicare Advantage |
$14,982.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,982.64
|
| Rate for Payer: Mclaren Medicare |
$14,982.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,731.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,230.04
|
| Rate for Payer: PACE Medicare |
$14,233.51
|
| Rate for Payer: PACE SWMI |
$14,982.64
|
| Rate for Payer: PHP Medicare Advantage |
$14,982.64
|
| Rate for Payer: Priority Health Medicare |
$14,982.64
|
| Rate for Payer: Railroad Medicare Medicare |
$14,982.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,982.64
|
| Rate for Payer: UHC Medicare Advantage |
$14,982.64
|
| Rate for Payer: VA VA |
$14,982.64
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
|
IP
|
$13,326.15
|
|
|
Service Code
|
MSDRG 725
|
| Min. Negotiated Rate |
$10,127.87 |
| Max. Negotiated Rate |
$13,326.15 |
| Rate for Payer: Aetna Medicare |
$11,087.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,326.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,326.15
|
| Rate for Payer: BCBS MAPPO |
$10,660.92
|
| Rate for Payer: BCN Medicare Advantage |
$10,660.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,660.92
|
| Rate for Payer: Mclaren Medicare |
$10,660.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,193.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,260.06
|
| Rate for Payer: PACE Medicare |
$10,127.87
|
| Rate for Payer: PACE SWMI |
$10,660.92
|
| Rate for Payer: PHP Medicare Advantage |
$10,660.92
|
| Rate for Payer: Priority Health Medicare |
$10,660.92
|
| Rate for Payer: Railroad Medicare Medicare |
$10,660.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,660.92
|
| Rate for Payer: UHC Medicare Advantage |
$10,660.92
|
| Rate for Payer: VA VA |
$10,660.92
|
|
|
MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
|
IP
|
$8,082.88
|
|
|
Service Code
|
MSDRG 726
|
| Min. Negotiated Rate |
$6,142.98 |
| Max. Negotiated Rate |
$8,082.88 |
| Rate for Payer: Aetna Medicare |
$6,724.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,082.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,082.88
|
| Rate for Payer: BCBS MAPPO |
$6,466.30
|
| Rate for Payer: BCN Medicare Advantage |
$6,466.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,466.30
|
| Rate for Payer: Mclaren Medicare |
$6,466.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,789.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,436.24
|
| Rate for Payer: PACE Medicare |
$6,142.98
|
| Rate for Payer: PACE SWMI |
$6,466.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,466.30
|
| Rate for Payer: Priority Health Medicare |
$6,466.30
|
| Rate for Payer: Railroad Medicare Medicare |
$6,466.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,466.30
|
| Rate for Payer: UHC Medicare Advantage |
$6,466.30
|
| Rate for Payer: VA VA |
$6,466.30
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
|
IP
|
$62,643.53
|
|
|
Service Code
|
MSDRG 461
|
| Min. Negotiated Rate |
$47,609.08 |
| Max. Negotiated Rate |
$62,643.53 |
| Rate for Payer: Aetna Medicare |
$52,119.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,643.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,643.53
|
| Rate for Payer: BCBS MAPPO |
$50,114.82
|
| Rate for Payer: BCN Medicare Advantage |
$50,114.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,114.82
|
| Rate for Payer: Mclaren Medicare |
$50,114.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,620.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,632.04
|
| Rate for Payer: PACE Medicare |
$47,609.08
|
| Rate for Payer: PACE SWMI |
$50,114.82
|
| Rate for Payer: PHP Medicare Advantage |
$50,114.82
|
| Rate for Payer: Priority Health Medicare |
$50,114.82
|
| Rate for Payer: Railroad Medicare Medicare |
$50,114.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,114.82
|
| Rate for Payer: UHC Medicare Advantage |
$50,114.82
|
| Rate for Payer: VA VA |
$50,114.82
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$29,527.49
|
|
|
Service Code
|
MSDRG 462
|
| Min. Negotiated Rate |
$22,440.89 |
| Max. Negotiated Rate |
$29,527.49 |
| Rate for Payer: Aetna Medicare |
$24,566.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,527.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,527.49
|
| Rate for Payer: BCBS MAPPO |
$23,621.99
|
| Rate for Payer: BCN Medicare Advantage |
$23,621.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,621.99
|
| Rate for Payer: Mclaren Medicare |
$23,621.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,803.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,165.29
|
| Rate for Payer: PACE Medicare |
$22,440.89
|
| Rate for Payer: PACE SWMI |
$23,621.99
|
| Rate for Payer: PHP Medicare Advantage |
$23,621.99
|
| Rate for Payer: Priority Health Medicare |
$23,621.99
|
| Rate for Payer: Railroad Medicare Medicare |
$23,621.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,621.99
|
| Rate for Payer: UHC Medicare Advantage |
$23,621.99
|
| Rate for Payer: VA VA |
$23,621.99
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$21,763.78
|
|
|
Service Code
|
MSDRG 409
|
| Min. Negotiated Rate |
$16,540.47 |
| Max. Negotiated Rate |
$21,763.78 |
| Rate for Payer: Aetna Medicare |
$18,107.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,763.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,763.78
|
| Rate for Payer: BCBS MAPPO |
$17,411.02
|
| Rate for Payer: BCN Medicare Advantage |
$17,411.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,411.02
|
| Rate for Payer: Mclaren Medicare |
$17,411.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,281.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,022.67
|
| Rate for Payer: PACE Medicare |
$16,540.47
|
| Rate for Payer: PACE SWMI |
$17,411.02
|
| Rate for Payer: PHP Medicare Advantage |
$17,411.02
|
| Rate for Payer: Priority Health Medicare |
$17,411.02
|
| Rate for Payer: Railroad Medicare Medicare |
$17,411.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,411.02
|
| Rate for Payer: UHC Medicare Advantage |
$17,411.02
|
| Rate for Payer: VA VA |
$17,411.02
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$35,977.88
|
|
|
Service Code
|
MSDRG 408
|
| Min. Negotiated Rate |
$27,343.19 |
| Max. Negotiated Rate |
$35,977.88 |
| Rate for Payer: Aetna Medicare |
$29,933.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,977.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,977.88
|
| Rate for Payer: BCBS MAPPO |
$28,782.30
|
| Rate for Payer: BCN Medicare Advantage |
$28,782.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,782.30
|
| Rate for Payer: Mclaren Medicare |
$28,782.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,221.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,099.64
|
| Rate for Payer: PACE Medicare |
$27,343.19
|
| Rate for Payer: PACE SWMI |
$28,782.30
|
| Rate for Payer: PHP Medicare Advantage |
$28,782.30
|
| Rate for Payer: Priority Health Medicare |
$28,782.30
|
| Rate for Payer: Railroad Medicare Medicare |
$28,782.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,782.30
|
| Rate for Payer: UHC Medicare Advantage |
$28,782.30
|
| Rate for Payer: VA VA |
$28,782.30
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$16,245.27
|
|
|
Service Code
|
MSDRG 410
|
| Min. Negotiated Rate |
$12,346.41 |
| Max. Negotiated Rate |
$16,245.27 |
| Rate for Payer: Aetna Medicare |
$13,516.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,245.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,245.27
|
| Rate for Payer: BCBS MAPPO |
$12,996.22
|
| Rate for Payer: BCN Medicare Advantage |
$12,996.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,996.22
|
| Rate for Payer: Mclaren Medicare |
$12,996.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,646.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,945.65
|
| Rate for Payer: PACE Medicare |
$12,346.41
|
| Rate for Payer: PACE SWMI |
$12,996.22
|
| Rate for Payer: PHP Medicare Advantage |
$12,996.22
|
| Rate for Payer: Priority Health Medicare |
$12,996.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,996.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,996.22
|
| Rate for Payer: UHC Medicare Advantage |
$12,996.22
|
| Rate for Payer: VA VA |
$12,996.22
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$24,213.41
|
|
|
Service Code
|
MSDRG 478
|
| Min. Negotiated Rate |
$18,402.19 |
| Max. Negotiated Rate |
$24,213.41 |
| Rate for Payer: Aetna Medicare |
$20,145.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,213.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,213.41
|
| Rate for Payer: BCBS MAPPO |
$19,370.73
|
| Rate for Payer: BCN Medicare Advantage |
$19,370.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,370.73
|
| Rate for Payer: Mclaren Medicare |
$19,370.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,339.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,276.34
|
| Rate for Payer: PACE Medicare |
$18,402.19
|
| Rate for Payer: PACE SWMI |
$19,370.73
|
| Rate for Payer: PHP Medicare Advantage |
$19,370.73
|
| Rate for Payer: Priority Health Medicare |
$19,370.73
|
| Rate for Payer: Railroad Medicare Medicare |
$19,370.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,370.73
|
| Rate for Payer: UHC Medicare Advantage |
$19,370.73
|
| Rate for Payer: VA VA |
$19,370.73
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$35,347.53
|
|
|
Service Code
|
MSDRG 477
|
| Min. Negotiated Rate |
$26,864.12 |
| Max. Negotiated Rate |
$35,347.53 |
| Rate for Payer: Aetna Medicare |
$29,409.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,347.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,347.53
|
| Rate for Payer: BCBS MAPPO |
$28,278.02
|
| Rate for Payer: BCN Medicare Advantage |
$28,278.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,278.02
|
| Rate for Payer: Mclaren Medicare |
$28,278.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,691.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,519.72
|
| Rate for Payer: PACE Medicare |
$26,864.12
|
| Rate for Payer: PACE SWMI |
$28,278.02
|
| Rate for Payer: PHP Medicare Advantage |
$28,278.02
|
| Rate for Payer: Priority Health Medicare |
$28,278.02
|
| Rate for Payer: Railroad Medicare Medicare |
$28,278.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,278.02
|
| Rate for Payer: UHC Medicare Advantage |
$28,278.02
|
| Rate for Payer: VA VA |
$28,278.02
|
|
|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$18,518.84
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$14,074.32 |
| Max. Negotiated Rate |
$18,518.84 |
| Rate for Payer: Aetna Medicare |
$15,407.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,518.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,518.84
|
| Rate for Payer: BCBS MAPPO |
$14,815.07
|
| Rate for Payer: BCN Medicare Advantage |
$14,815.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,815.07
|
| Rate for Payer: Mclaren Medicare |
$14,815.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,555.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,037.33
|
| Rate for Payer: PACE Medicare |
$14,074.32
|
| Rate for Payer: PACE SWMI |
$14,815.07
|
| Rate for Payer: PHP Medicare Advantage |
$14,815.07
|
| Rate for Payer: Priority Health Medicare |
$14,815.07
|
| Rate for Payer: Railroad Medicare Medicare |
$14,815.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,815.07
|
| Rate for Payer: UHC Medicare Advantage |
$14,815.07
|
| Rate for Payer: VA VA |
$14,815.07
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$13,765.30
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$10,461.63 |
| Max. Negotiated Rate |
$13,765.30 |
| Rate for Payer: Aetna Medicare |
$11,452.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,765.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,765.30
|
| Rate for Payer: BCBS MAPPO |
$11,012.24
|
| Rate for Payer: BCN Medicare Advantage |
$11,012.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,012.24
|
| Rate for Payer: Mclaren Medicare |
$11,012.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,562.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,664.08
|
| Rate for Payer: PACE Medicare |
$10,461.63
|
| Rate for Payer: PACE SWMI |
$11,012.24
|
| Rate for Payer: PHP Medicare Advantage |
$11,012.24
|
| Rate for Payer: Priority Health Medicare |
$11,012.24
|
| Rate for Payer: Railroad Medicare Medicare |
$11,012.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,012.24
|
| Rate for Payer: UHC Medicare Advantage |
$11,012.24
|
| Rate for Payer: VA VA |
$11,012.24
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$8,995.56
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$6,836.63 |
| Max. Negotiated Rate |
$8,995.56 |
| Rate for Payer: Aetna Medicare |
$7,484.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,995.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,995.56
|
| Rate for Payer: BCBS MAPPO |
$7,196.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,196.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,196.45
|
| Rate for Payer: Mclaren Medicare |
$7,196.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,556.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,275.92
|
| Rate for Payer: PACE Medicare |
$6,836.63
|
| Rate for Payer: PACE SWMI |
$7,196.45
|
| Rate for Payer: PHP Medicare Advantage |
$7,196.45
|
| Rate for Payer: Priority Health Medicare |
$7,196.45
|
| Rate for Payer: Railroad Medicare Medicare |
$7,196.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,196.45
|
| Rate for Payer: UHC Medicare Advantage |
$7,196.45
|
| Rate for Payer: VA VA |
$7,196.45
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$21,266.96
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$16,162.89 |
| Max. Negotiated Rate |
$21,266.96 |
| Rate for Payer: Aetna Medicare |
$17,694.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,266.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,266.96
|
| Rate for Payer: BCBS MAPPO |
$17,013.57
|
| Rate for Payer: BCN Medicare Advantage |
$17,013.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,013.57
|
| Rate for Payer: Mclaren Medicare |
$17,013.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,864.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,565.61
|
| Rate for Payer: PACE Medicare |
$16,162.89
|
| Rate for Payer: PACE SWMI |
$17,013.57
|
| Rate for Payer: PHP Medicare Advantage |
$17,013.57
|
| Rate for Payer: Priority Health Medicare |
$17,013.57
|
| Rate for Payer: Railroad Medicare Medicare |
$17,013.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,013.57
|
| Rate for Payer: UHC Medicare Advantage |
$17,013.57
|
| Rate for Payer: VA VA |
$17,013.57
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,636.61
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$15,683.83 |
| Max. Negotiated Rate |
$20,636.61 |
| Rate for Payer: Aetna Medicare |
$17,169.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,636.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,636.61
|
| Rate for Payer: BCBS MAPPO |
$16,509.29
|
| Rate for Payer: BCN Medicare Advantage |
$16,509.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,509.29
|
| Rate for Payer: Mclaren Medicare |
$16,509.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,334.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,985.68
|
| Rate for Payer: PACE Medicare |
$15,683.83
|
| Rate for Payer: PACE SWMI |
$16,509.29
|
| Rate for Payer: PHP Medicare Advantage |
$16,509.29
|
| Rate for Payer: Priority Health Medicare |
$16,509.29
|
| Rate for Payer: Railroad Medicare Medicare |
$16,509.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,509.29
|
| Rate for Payer: UHC Medicare Advantage |
$16,509.29
|
| Rate for Payer: VA VA |
$16,509.29
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$10,332.19
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$7,852.46 |
| Max. Negotiated Rate |
$10,332.19 |
| Rate for Payer: Aetna Medicare |
$8,596.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,332.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,332.19
|
| Rate for Payer: BCBS MAPPO |
$8,265.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,265.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,265.75
|
| Rate for Payer: Mclaren Medicare |
$8,265.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,679.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,505.61
|
| Rate for Payer: PACE Medicare |
$7,852.46
|
| Rate for Payer: PACE SWMI |
$8,265.75
|
| Rate for Payer: PHP Medicare Advantage |
$8,265.75
|
| Rate for Payer: Priority Health Medicare |
$8,265.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,265.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,265.75
|
| Rate for Payer: UHC Medicare Advantage |
$8,265.75
|
| Rate for Payer: VA VA |
$8,265.75
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$7,599.21
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$5,775.40 |
| Max. Negotiated Rate |
$7,599.21 |
| Rate for Payer: Aetna Medicare |
$6,322.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,599.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,599.21
|
| Rate for Payer: BCBS MAPPO |
$6,079.37
|
| Rate for Payer: BCN Medicare Advantage |
$6,079.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,079.37
|
| Rate for Payer: Mclaren Medicare |
$6,079.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,383.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,991.28
|
| Rate for Payer: PACE Medicare |
$5,775.40
|
| Rate for Payer: PACE SWMI |
$6,079.37
|
| Rate for Payer: PHP Medicare Advantage |
$6,079.37
|
| Rate for Payer: Priority Health Medicare |
$6,079.37
|
| Rate for Payer: Railroad Medicare Medicare |
$6,079.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,079.37
|
| Rate for Payer: UHC Medicare Advantage |
$6,079.37
|
| Rate for Payer: VA VA |
$6,079.37
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$7,678.14
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$5,835.38 |
| Max. Negotiated Rate |
$7,678.14 |
| Rate for Payer: Aetna Medicare |
$6,388.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,678.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,678.14
|
| Rate for Payer: BCBS MAPPO |
$6,142.51
|
| Rate for Payer: BCN Medicare Advantage |
$6,142.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,142.51
|
| Rate for Payer: Mclaren Medicare |
$6,142.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,449.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,063.89
|
| Rate for Payer: PACE Medicare |
$5,835.38
|
| Rate for Payer: PACE SWMI |
$6,142.51
|
| Rate for Payer: PHP Medicare Advantage |
$6,142.51
|
| Rate for Payer: Priority Health Medicare |
$6,142.51
|
| Rate for Payer: Railroad Medicare Medicare |
$6,142.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,142.51
|
| Rate for Payer: UHC Medicare Advantage |
$6,142.51
|
| Rate for Payer: VA VA |
$6,142.51
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$17,128.62
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$13,017.75 |
| Max. Negotiated Rate |
$17,128.62 |
| Rate for Payer: Aetna Medicare |
$14,251.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,128.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,128.62
|
| Rate for Payer: BCBS MAPPO |
$13,702.90
|
| Rate for Payer: BCN Medicare Advantage |
$13,702.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,702.90
|
| Rate for Payer: Mclaren Medicare |
$13,702.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,388.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,758.33
|
| Rate for Payer: PACE Medicare |
$13,017.75
|
| Rate for Payer: PACE SWMI |
$13,702.90
|
| Rate for Payer: PHP Medicare Advantage |
$13,702.90
|
| Rate for Payer: Priority Health Medicare |
$13,702.90
|
| Rate for Payer: Railroad Medicare Medicare |
$13,702.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,702.90
|
| Rate for Payer: UHC Medicare Advantage |
$13,702.90
|
| Rate for Payer: VA VA |
$13,702.90
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$5,020.09
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$3,815.27 |
| Max. Negotiated Rate |
$5,020.09 |
| Rate for Payer: Aetna Medicare |
$4,176.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,020.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,020.09
|
| Rate for Payer: BCBS MAPPO |
$4,016.07
|
| Rate for Payer: BCN Medicare Advantage |
$4,016.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,016.07
|
| Rate for Payer: Mclaren Medicare |
$4,016.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,216.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,618.48
|
| Rate for Payer: PACE Medicare |
$3,815.27
|
| Rate for Payer: PACE SWMI |
$4,016.07
|
| Rate for Payer: PHP Medicare Advantage |
$4,016.07
|
| Rate for Payer: Priority Health Medicare |
$4,016.07
|
| Rate for Payer: Railroad Medicare Medicare |
$4,016.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,016.07
|
| Rate for Payer: UHC Medicare Advantage |
$4,016.07
|
| Rate for Payer: VA VA |
$4,016.07
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$8,031.27
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$6,103.77 |
| Max. Negotiated Rate |
$8,031.27 |
| Rate for Payer: Aetna Medicare |
$6,682.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,031.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,031.27
|
| Rate for Payer: BCBS MAPPO |
$6,425.02
|
| Rate for Payer: BCN Medicare Advantage |
$6,425.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,425.02
|
| Rate for Payer: Mclaren Medicare |
$6,425.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,746.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,388.77
|
| Rate for Payer: PACE Medicare |
$6,103.77
|
| Rate for Payer: PACE SWMI |
$6,425.02
|
| Rate for Payer: PHP Medicare Advantage |
$6,425.02
|
| Rate for Payer: Priority Health Medicare |
$6,425.02
|
| Rate for Payer: Railroad Medicare Medicare |
$6,425.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,425.02
|
| Rate for Payer: UHC Medicare Advantage |
$6,425.02
|
| Rate for Payer: VA VA |
$6,425.02
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$12,752.45
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$9,691.86 |
| Max. Negotiated Rate |
$12,752.45 |
| Rate for Payer: Aetna Medicare |
$10,610.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,752.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,752.45
|
| Rate for Payer: BCBS MAPPO |
$10,201.96
|
| Rate for Payer: BCN Medicare Advantage |
$10,201.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,201.96
|
| Rate for Payer: Mclaren Medicare |
$10,201.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,712.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,732.25
|
| Rate for Payer: PACE Medicare |
$9,691.86
|
| Rate for Payer: PACE SWMI |
$10,201.96
|
| Rate for Payer: PHP Medicare Advantage |
$10,201.96
|
| Rate for Payer: Priority Health Medicare |
$10,201.96
|
| Rate for Payer: Railroad Medicare Medicare |
$10,201.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,201.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,201.96
|
| Rate for Payer: VA VA |
$10,201.96
|
|
