|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$6,212.02
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$4,721.14 |
| Max. Negotiated Rate |
$6,212.02 |
| Rate for Payer: Aetna Medicare |
$5,168.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,212.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,212.02
|
| Rate for Payer: BCBS MAPPO |
$4,969.62
|
| Rate for Payer: BCN Medicare Advantage |
$4,969.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,969.62
|
| Rate for Payer: Mclaren Medicare |
$4,969.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,218.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,715.06
|
| Rate for Payer: PACE Medicare |
$4,721.14
|
| Rate for Payer: PACE SWMI |
$4,969.62
|
| Rate for Payer: PHP Medicare Advantage |
$4,969.62
|
| Rate for Payer: Priority Health Medicare |
$4,969.62
|
| Rate for Payer: Railroad Medicare Medicare |
$4,969.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,969.62
|
| Rate for Payer: UHC Medicare Advantage |
$4,969.62
|
| Rate for Payer: VA VA |
$4,969.62
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$15,701.95
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$11,933.48 |
| Max. Negotiated Rate |
$15,701.95 |
| Rate for Payer: Aetna Medicare |
$13,064.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,701.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,701.95
|
| Rate for Payer: BCBS MAPPO |
$12,561.56
|
| Rate for Payer: BCN Medicare Advantage |
$12,561.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,561.56
|
| Rate for Payer: Mclaren Medicare |
$12,561.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,189.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,445.79
|
| Rate for Payer: PACE Medicare |
$11,933.48
|
| Rate for Payer: PACE SWMI |
$12,561.56
|
| Rate for Payer: PHP Medicare Advantage |
$12,561.56
|
| Rate for Payer: Priority Health Medicare |
$12,561.56
|
| Rate for Payer: Railroad Medicare Medicare |
$12,561.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,561.56
|
| Rate for Payer: UHC Medicare Advantage |
$12,561.56
|
| Rate for Payer: VA VA |
$12,561.56
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$9,924.41
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$7,542.55 |
| Max. Negotiated Rate |
$9,924.41 |
| Rate for Payer: Aetna Medicare |
$8,257.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,924.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,924.41
|
| Rate for Payer: BCBS MAPPO |
$7,939.53
|
| Rate for Payer: BCN Medicare Advantage |
$7,939.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,939.53
|
| Rate for Payer: Mclaren Medicare |
$7,939.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,336.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,130.46
|
| Rate for Payer: PACE Medicare |
$7,542.55
|
| Rate for Payer: PACE SWMI |
$7,939.53
|
| Rate for Payer: PHP Medicare Advantage |
$7,939.53
|
| Rate for Payer: Priority Health Medicare |
$7,939.53
|
| Rate for Payer: Railroad Medicare Medicare |
$7,939.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,939.53
|
| Rate for Payer: UHC Medicare Advantage |
$7,939.53
|
| Rate for Payer: VA VA |
$7,939.53
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$72,056.52
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$54,762.96 |
| Max. Negotiated Rate |
$72,056.52 |
| Rate for Payer: Aetna Medicare |
$59,951.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72,056.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72,056.52
|
| Rate for Payer: BCBS MAPPO |
$57,645.22
|
| Rate for Payer: BCN Medicare Advantage |
$57,645.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57,645.22
|
| Rate for Payer: Mclaren Medicare |
$57,645.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60,527.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66,292.00
|
| Rate for Payer: PACE Medicare |
$54,762.96
|
| Rate for Payer: PACE SWMI |
$57,645.22
|
| Rate for Payer: PHP Medicare Advantage |
$57,645.22
|
| Rate for Payer: Priority Health Medicare |
$57,645.22
|
| Rate for Payer: Railroad Medicare Medicare |
$57,645.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$57,645.22
|
| Rate for Payer: UHC Medicare Advantage |
$57,645.22
|
| Rate for Payer: VA VA |
$57,645.22
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$63,227.34
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$48,052.78 |
| Max. Negotiated Rate |
$63,227.34 |
| Rate for Payer: Aetna Medicare |
$52,605.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63,227.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63,227.34
|
| Rate for Payer: BCBS MAPPO |
$50,581.87
|
| Rate for Payer: BCN Medicare Advantage |
$50,581.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,581.87
|
| Rate for Payer: Mclaren Medicare |
$50,581.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,110.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58,169.15
|
| Rate for Payer: PACE Medicare |
$48,052.78
|
| Rate for Payer: PACE SWMI |
$50,581.87
|
| Rate for Payer: PHP Medicare Advantage |
$50,581.87
|
| Rate for Payer: Priority Health Medicare |
$50,581.87
|
| Rate for Payer: Railroad Medicare Medicare |
$50,581.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,581.87
|
| Rate for Payer: UHC Medicare Advantage |
$50,581.87
|
| Rate for Payer: VA VA |
$50,581.87
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$47,619.94
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$36,191.15 |
| Max. Negotiated Rate |
$47,619.94 |
| Rate for Payer: Aetna Medicare |
$39,619.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,619.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,619.94
|
| Rate for Payer: BCBS MAPPO |
$38,095.95
|
| Rate for Payer: BCN Medicare Advantage |
$38,095.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,095.95
|
| Rate for Payer: Mclaren Medicare |
$38,095.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,000.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,810.34
|
| Rate for Payer: PACE Medicare |
$36,191.15
|
| Rate for Payer: PACE SWMI |
$38,095.95
|
| Rate for Payer: PHP Medicare Advantage |
$38,095.95
|
| Rate for Payer: Priority Health Medicare |
$38,095.95
|
| Rate for Payer: Railroad Medicare Medicare |
$38,095.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,095.95
|
| Rate for Payer: UHC Medicare Advantage |
$38,095.95
|
| Rate for Payer: VA VA |
$38,095.95
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$28,937.62
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$21,992.60 |
| Max. Negotiated Rate |
$28,937.62 |
| Rate for Payer: Aetna Medicare |
$24,076.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,937.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,937.62
|
| Rate for Payer: BCBS MAPPO |
$23,150.10
|
| Rate for Payer: BCN Medicare Advantage |
$23,150.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,150.10
|
| Rate for Payer: Mclaren Medicare |
$23,150.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,307.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,622.62
|
| Rate for Payer: PACE Medicare |
$21,992.60
|
| Rate for Payer: PACE SWMI |
$23,150.10
|
| Rate for Payer: PHP Medicare Advantage |
$23,150.10
|
| Rate for Payer: Priority Health Medicare |
$23,150.10
|
| Rate for Payer: Railroad Medicare Medicare |
$23,150.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,150.10
|
| Rate for Payer: UHC Medicare Advantage |
$23,150.10
|
| Rate for Payer: VA VA |
$23,150.10
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$18,335.71
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$13,935.14 |
| Max. Negotiated Rate |
$18,335.71 |
| Rate for Payer: Aetna Medicare |
$15,255.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,335.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,335.71
|
| Rate for Payer: BCBS MAPPO |
$14,668.57
|
| Rate for Payer: BCN Medicare Advantage |
$14,668.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,668.57
|
| Rate for Payer: Mclaren Medicare |
$14,668.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,402.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,868.86
|
| Rate for Payer: PACE Medicare |
$13,935.14
|
| Rate for Payer: PACE SWMI |
$14,668.57
|
| Rate for Payer: PHP Medicare Advantage |
$14,668.57
|
| Rate for Payer: Priority Health Medicare |
$14,668.57
|
| Rate for Payer: Railroad Medicare Medicare |
$14,668.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,668.57
|
| Rate for Payer: UHC Medicare Advantage |
$14,668.57
|
| Rate for Payer: VA VA |
$14,668.57
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$19,751.24
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$15,010.94 |
| Max. Negotiated Rate |
$19,751.24 |
| Rate for Payer: Aetna Medicare |
$16,433.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,751.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,751.24
|
| Rate for Payer: BCBS MAPPO |
$15,800.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,800.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,800.99
|
| Rate for Payer: Mclaren Medicare |
$15,800.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,591.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,171.14
|
| Rate for Payer: PACE Medicare |
$15,010.94
|
| Rate for Payer: PACE SWMI |
$15,800.99
|
| Rate for Payer: PHP Medicare Advantage |
$15,800.99
|
| Rate for Payer: Priority Health Medicare |
$15,800.99
|
| Rate for Payer: Railroad Medicare Medicare |
$15,800.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,800.99
|
| Rate for Payer: UHC Medicare Advantage |
$15,800.99
|
| Rate for Payer: VA VA |
$15,800.99
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$35,015.66
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$26,611.90 |
| Max. Negotiated Rate |
$35,015.66 |
| Rate for Payer: Aetna Medicare |
$29,133.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,015.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,015.66
|
| Rate for Payer: BCBS MAPPO |
$28,012.53
|
| Rate for Payer: BCN Medicare Advantage |
$28,012.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,012.53
|
| Rate for Payer: Mclaren Medicare |
$28,012.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,413.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,214.41
|
| Rate for Payer: PACE Medicare |
$26,611.90
|
| Rate for Payer: PACE SWMI |
$28,012.53
|
| Rate for Payer: PHP Medicare Advantage |
$28,012.53
|
| Rate for Payer: Priority Health Medicare |
$28,012.53
|
| Rate for Payer: Railroad Medicare Medicare |
$28,012.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,012.53
|
| Rate for Payer: UHC Medicare Advantage |
$28,012.53
|
| Rate for Payer: VA VA |
$28,012.53
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$15,908.33
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$12,090.33 |
| Max. Negotiated Rate |
$15,908.33 |
| Rate for Payer: Aetna Medicare |
$13,235.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,908.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,908.33
|
| Rate for Payer: BCBS MAPPO |
$12,726.66
|
| Rate for Payer: BCN Medicare Advantage |
$12,726.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,726.66
|
| Rate for Payer: Mclaren Medicare |
$12,726.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,362.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,635.66
|
| Rate for Payer: PACE Medicare |
$12,090.33
|
| Rate for Payer: PACE SWMI |
$12,726.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,726.66
|
| Rate for Payer: Priority Health Medicare |
$12,726.66
|
| Rate for Payer: Railroad Medicare Medicare |
$12,726.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,726.66
|
| Rate for Payer: UHC Medicare Advantage |
$12,726.66
|
| Rate for Payer: VA VA |
$12,726.66
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$65,893.50
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$50,079.06 |
| Max. Negotiated Rate |
$65,893.50 |
| Rate for Payer: Aetna Medicare |
$54,823.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,893.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,893.50
|
| Rate for Payer: BCBS MAPPO |
$52,714.80
|
| Rate for Payer: BCN Medicare Advantage |
$52,714.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,714.80
|
| Rate for Payer: Mclaren Medicare |
$52,714.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,350.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,622.02
|
| Rate for Payer: PACE Medicare |
$50,079.06
|
| Rate for Payer: PACE SWMI |
$52,714.80
|
| Rate for Payer: PHP Medicare Advantage |
$52,714.80
|
| Rate for Payer: Priority Health Medicare |
$52,714.80
|
| Rate for Payer: Railroad Medicare Medicare |
$52,714.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,714.80
|
| Rate for Payer: UHC Medicare Advantage |
$52,714.80
|
| Rate for Payer: VA VA |
$52,714.80
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$98,203.09
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$74,634.35 |
| Max. Negotiated Rate |
$98,203.09 |
| Rate for Payer: Aetna Medicare |
$81,704.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$98,203.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$98,203.09
|
| Rate for Payer: BCBS MAPPO |
$78,562.47
|
| Rate for Payer: BCN Medicare Advantage |
$78,562.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78,562.47
|
| Rate for Payer: Mclaren Medicare |
$78,562.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82,490.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90,346.84
|
| Rate for Payer: PACE Medicare |
$74,634.35
|
| Rate for Payer: PACE SWMI |
$78,562.47
|
| Rate for Payer: PHP Medicare Advantage |
$78,562.47
|
| Rate for Payer: Priority Health Medicare |
$78,562.47
|
| Rate for Payer: Railroad Medicare Medicare |
$78,562.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$78,562.47
|
| Rate for Payer: UHC Medicare Advantage |
$78,562.47
|
| Rate for Payer: VA VA |
$78,562.47
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$60,747.36
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$46,168.00 |
| Max. Negotiated Rate |
$60,747.36 |
| Rate for Payer: Aetna Medicare |
$50,541.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60,747.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60,747.36
|
| Rate for Payer: BCBS MAPPO |
$48,597.89
|
| Rate for Payer: BCN Medicare Advantage |
$48,597.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,597.89
|
| Rate for Payer: Mclaren Medicare |
$48,597.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,027.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55,887.57
|
| Rate for Payer: PACE Medicare |
$46,168.00
|
| Rate for Payer: PACE SWMI |
$48,597.89
|
| Rate for Payer: PHP Medicare Advantage |
$48,597.89
|
| Rate for Payer: Priority Health Medicare |
$48,597.89
|
| Rate for Payer: Railroad Medicare Medicare |
$48,597.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,597.89
|
| Rate for Payer: UHC Medicare Advantage |
$48,597.89
|
| Rate for Payer: VA VA |
$48,597.89
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$54,144.20
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$41,149.59 |
| Max. Negotiated Rate |
$54,144.20 |
| Rate for Payer: Aetna Medicare |
$45,047.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,144.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,144.20
|
| Rate for Payer: BCBS MAPPO |
$43,315.36
|
| Rate for Payer: BCN Medicare Advantage |
$43,315.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,315.36
|
| Rate for Payer: Mclaren Medicare |
$43,315.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,481.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,812.66
|
| Rate for Payer: PACE Medicare |
$41,149.59
|
| Rate for Payer: PACE SWMI |
$43,315.36
|
| Rate for Payer: PHP Medicare Advantage |
$43,315.36
|
| Rate for Payer: Priority Health Medicare |
$43,315.36
|
| Rate for Payer: Railroad Medicare Medicare |
$43,315.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,315.36
|
| Rate for Payer: UHC Medicare Advantage |
$43,315.36
|
| Rate for Payer: VA VA |
$43,315.36
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$78,840.80
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$59,919.01 |
| Max. Negotiated Rate |
$78,840.80 |
| Rate for Payer: Aetna Medicare |
$65,595.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$78,840.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$78,840.80
|
| Rate for Payer: BCBS MAPPO |
$63,072.64
|
| Rate for Payer: BCN Medicare Advantage |
$63,072.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63,072.64
|
| Rate for Payer: Mclaren Medicare |
$63,072.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66,226.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$72,533.54
|
| Rate for Payer: PACE Medicare |
$59,919.01
|
| Rate for Payer: PACE SWMI |
$63,072.64
|
| Rate for Payer: PHP Medicare Advantage |
$63,072.64
|
| Rate for Payer: Priority Health Medicare |
$63,072.64
|
| Rate for Payer: Railroad Medicare Medicare |
$63,072.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$63,072.64
|
| Rate for Payer: UHC Medicare Advantage |
$63,072.64
|
| Rate for Payer: VA VA |
$63,072.64
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$47,019.93
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$35,735.14 |
| Max. Negotiated Rate |
$47,019.93 |
| Rate for Payer: Aetna Medicare |
$39,120.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,019.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,019.93
|
| Rate for Payer: BCBS MAPPO |
$37,615.94
|
| Rate for Payer: BCN Medicare Advantage |
$37,615.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,615.94
|
| Rate for Payer: Mclaren Medicare |
$37,615.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,496.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,258.33
|
| Rate for Payer: PACE Medicare |
$35,735.14
|
| Rate for Payer: PACE SWMI |
$37,615.94
|
| Rate for Payer: PHP Medicare Advantage |
$37,615.94
|
| Rate for Payer: Priority Health Medicare |
$37,615.94
|
| Rate for Payer: Railroad Medicare Medicare |
$37,615.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,615.94
|
| Rate for Payer: UHC Medicare Advantage |
$37,615.94
|
| Rate for Payer: VA VA |
$37,615.94
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$23,567.86
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$17,911.58 |
| Max. Negotiated Rate |
$23,567.86 |
| Rate for Payer: Aetna Medicare |
$19,608.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,567.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,567.86
|
| Rate for Payer: BCBS MAPPO |
$18,854.29
|
| Rate for Payer: BCN Medicare Advantage |
$18,854.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,854.29
|
| Rate for Payer: Mclaren Medicare |
$18,854.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,797.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,682.43
|
| Rate for Payer: PACE Medicare |
$17,911.58
|
| Rate for Payer: PACE SWMI |
$18,854.29
|
| Rate for Payer: PHP Medicare Advantage |
$18,854.29
|
| Rate for Payer: Priority Health Medicare |
$18,854.29
|
| Rate for Payer: Railroad Medicare Medicare |
$18,854.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,854.29
|
| Rate for Payer: UHC Medicare Advantage |
$18,854.29
|
| Rate for Payer: VA VA |
$18,854.29
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,897.69
|
|
|
Service Code
|
MSDRG 034
|
| Min. Negotiated Rate |
$30,322.24 |
| Max. Negotiated Rate |
$39,897.69 |
| Rate for Payer: Aetna Medicare |
$33,194.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,897.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,897.69
|
| Rate for Payer: BCBS MAPPO |
$31,918.15
|
| Rate for Payer: BCN Medicare Advantage |
$31,918.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,918.15
|
| Rate for Payer: Mclaren Medicare |
$31,918.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,514.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,705.87
|
| Rate for Payer: PACE Medicare |
$30,322.24
|
| Rate for Payer: PACE SWMI |
$31,918.15
|
| Rate for Payer: PHP Medicare Advantage |
$31,918.15
|
| Rate for Payer: Priority Health Medicare |
$31,918.15
|
| Rate for Payer: Railroad Medicare Medicare |
$31,918.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,918.15
|
| Rate for Payer: UHC Medicare Advantage |
$31,918.15
|
| Rate for Payer: VA VA |
$31,918.15
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,098.64
|
|
|
Service Code
|
MSDRG 036
|
| Min. Negotiated Rate |
$14,514.96 |
| Max. Negotiated Rate |
$19,098.64 |
| Rate for Payer: Aetna Medicare |
$15,890.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,098.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,098.64
|
| Rate for Payer: BCBS MAPPO |
$15,278.91
|
| Rate for Payer: BCN Medicare Advantage |
$15,278.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,278.91
|
| Rate for Payer: Mclaren Medicare |
$15,278.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,042.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,570.75
|
| Rate for Payer: PACE Medicare |
$14,514.96
|
| Rate for Payer: PACE SWMI |
$15,278.91
|
| Rate for Payer: PHP Medicare Advantage |
$15,278.91
|
| Rate for Payer: Priority Health Medicare |
$15,278.91
|
| Rate for Payer: Railroad Medicare Medicare |
$15,278.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,278.91
|
| Rate for Payer: UHC Medicare Advantage |
$15,278.91
|
| Rate for Payer: VA VA |
$15,278.91
|
|
|
MS-DRG 42.00: CELLULITIS WITH MCC
|
Facility
|
IP
|
$15,416.59
|
|
|
Service Code
|
MSDRG 602
|
| Min. Negotiated Rate |
$11,716.61 |
| Max. Negotiated Rate |
$15,416.59 |
| Rate for Payer: Aetna Medicare |
$12,826.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,416.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,416.59
|
| Rate for Payer: BCBS MAPPO |
$12,333.27
|
| Rate for Payer: BCN Medicare Advantage |
$12,333.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,333.27
|
| Rate for Payer: Mclaren Medicare |
$12,333.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,949.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,183.26
|
| Rate for Payer: PACE Medicare |
$11,716.61
|
| Rate for Payer: PACE SWMI |
$12,333.27
|
| Rate for Payer: PHP Medicare Advantage |
$12,333.27
|
| Rate for Payer: Priority Health Medicare |
$12,333.27
|
| Rate for Payer: Railroad Medicare Medicare |
$12,333.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,333.27
|
| Rate for Payer: UHC Medicare Advantage |
$12,333.27
|
| Rate for Payer: VA VA |
$12,333.27
|
|
|
MS-DRG 42.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$9,463.01
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$7,191.89 |
| Max. Negotiated Rate |
$9,463.01 |
| Rate for Payer: Aetna Medicare |
$7,873.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,463.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,463.01
|
| Rate for Payer: BCBS MAPPO |
$7,570.41
|
| Rate for Payer: BCN Medicare Advantage |
$7,570.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,570.41
|
| Rate for Payer: Mclaren Medicare |
$7,570.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,948.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,705.97
|
| Rate for Payer: PACE Medicare |
$7,191.89
|
| Rate for Payer: PACE SWMI |
$7,570.41
|
| Rate for Payer: PHP Medicare Advantage |
$7,570.41
|
| Rate for Payer: Priority Health Medicare |
$7,570.41
|
| Rate for Payer: Railroad Medicare Medicare |
$7,570.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,570.41
|
| Rate for Payer: UHC Medicare Advantage |
$7,570.41
|
| Rate for Payer: VA VA |
$7,570.41
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$29,865.45
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$22,697.74 |
| Max. Negotiated Rate |
$29,865.45 |
| Rate for Payer: Aetna Medicare |
$24,848.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,865.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,865.45
|
| Rate for Payer: BCBS MAPPO |
$23,892.36
|
| Rate for Payer: BCN Medicare Advantage |
$23,892.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,892.36
|
| Rate for Payer: Mclaren Medicare |
$23,892.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,086.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,476.21
|
| Rate for Payer: PACE Medicare |
$22,697.74
|
| Rate for Payer: PACE SWMI |
$23,892.36
|
| Rate for Payer: PHP Medicare Advantage |
$23,892.36
|
| Rate for Payer: Priority Health Medicare |
$23,892.36
|
| Rate for Payer: Railroad Medicare Medicare |
$23,892.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,892.36
|
| Rate for Payer: UHC Medicare Advantage |
$23,892.36
|
| Rate for Payer: VA VA |
$23,892.36
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$49,698.24
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$37,770.66 |
| Max. Negotiated Rate |
$49,698.24 |
| Rate for Payer: Aetna Medicare |
$41,348.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,698.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,698.24
|
| Rate for Payer: BCBS MAPPO |
$39,758.59
|
| Rate for Payer: BCN Medicare Advantage |
$39,758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,758.59
|
| Rate for Payer: Mclaren Medicare |
$39,758.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,746.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,722.38
|
| Rate for Payer: PACE Medicare |
$37,770.66
|
| Rate for Payer: PACE SWMI |
$39,758.59
|
| Rate for Payer: PHP Medicare Advantage |
$39,758.59
|
| Rate for Payer: Priority Health Medicare |
$39,758.59
|
| Rate for Payer: Railroad Medicare Medicare |
$39,758.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,758.59
|
| Rate for Payer: UHC Medicare Advantage |
$39,758.59
|
| Rate for Payer: VA VA |
$39,758.59
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$24,504.81
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$18,623.66 |
| Max. Negotiated Rate |
$24,504.81 |
| Rate for Payer: Aetna Medicare |
$20,388.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,504.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,504.81
|
| Rate for Payer: BCBS MAPPO |
$19,603.85
|
| Rate for Payer: BCN Medicare Advantage |
$19,603.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,603.85
|
| Rate for Payer: Mclaren Medicare |
$19,603.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,584.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,544.43
|
| Rate for Payer: PACE Medicare |
$18,623.66
|
| Rate for Payer: PACE SWMI |
$19,603.85
|
| Rate for Payer: PHP Medicare Advantage |
$19,603.85
|
| Rate for Payer: Priority Health Medicare |
$19,603.85
|
| Rate for Payer: Railroad Medicare Medicare |
$19,603.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,603.85
|
| Rate for Payer: UHC Medicare Advantage |
$19,603.85
|
| Rate for Payer: VA VA |
$19,603.85
|
|
