|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$11,294.41
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$8,583.75 |
| Max. Negotiated Rate |
$11,294.41 |
| Rate for Payer: Aetna Medicare |
$9,396.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,294.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,294.41
|
| Rate for Payer: BCBS MAPPO |
$9,035.53
|
| Rate for Payer: BCN Medicare Advantage |
$9,035.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,035.53
|
| Rate for Payer: Mclaren Medicare |
$9,035.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,487.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,390.86
|
| Rate for Payer: PACE Medicare |
$8,583.75
|
| Rate for Payer: PACE SWMI |
$9,035.53
|
| Rate for Payer: PHP Medicare Advantage |
$9,035.53
|
| Rate for Payer: Priority Health Medicare |
$9,035.53
|
| Rate for Payer: Railroad Medicare Medicare |
$9,035.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,035.53
|
| Rate for Payer: UHC Medicare Advantage |
$9,035.53
|
| Rate for Payer: VA VA |
$9,035.53
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$16,900.95
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$12,844.72 |
| Max. Negotiated Rate |
$16,900.95 |
| Rate for Payer: Aetna Medicare |
$14,061.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,900.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,900.95
|
| Rate for Payer: BCBS MAPPO |
$13,520.76
|
| Rate for Payer: BCN Medicare Advantage |
$13,520.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,520.76
|
| Rate for Payer: Mclaren Medicare |
$13,520.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,196.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,548.87
|
| Rate for Payer: PACE Medicare |
$12,844.72
|
| Rate for Payer: PACE SWMI |
$13,520.76
|
| Rate for Payer: PHP Medicare Advantage |
$13,520.76
|
| Rate for Payer: Priority Health Medicare |
$13,520.76
|
| Rate for Payer: Railroad Medicare Medicare |
$13,520.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,520.76
|
| Rate for Payer: UHC Medicare Advantage |
$13,520.76
|
| Rate for Payer: VA VA |
$13,520.76
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,704.85
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$7,375.69 |
| Max. Negotiated Rate |
$9,704.85 |
| Rate for Payer: Aetna Medicare |
$8,074.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,704.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,704.85
|
| Rate for Payer: BCBS MAPPO |
$7,763.88
|
| Rate for Payer: BCN Medicare Advantage |
$7,763.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,763.88
|
| Rate for Payer: Mclaren Medicare |
$7,763.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,152.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,928.46
|
| Rate for Payer: PACE Medicare |
$7,375.69
|
| Rate for Payer: PACE SWMI |
$7,763.88
|
| Rate for Payer: PHP Medicare Advantage |
$7,763.88
|
| Rate for Payer: Priority Health Medicare |
$7,763.88
|
| Rate for Payer: Railroad Medicare Medicare |
$7,763.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,763.88
|
| Rate for Payer: UHC Medicare Advantage |
$7,763.88
|
| Rate for Payer: VA VA |
$7,763.88
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$11,508.92
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$8,746.78 |
| Max. Negotiated Rate |
$11,508.92 |
| Rate for Payer: Aetna Medicare |
$9,575.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,508.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,508.92
|
| Rate for Payer: BCBS MAPPO |
$9,207.14
|
| Rate for Payer: BCN Medicare Advantage |
$9,207.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,207.14
|
| Rate for Payer: Mclaren Medicare |
$9,207.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,667.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,588.21
|
| Rate for Payer: PACE Medicare |
$8,746.78
|
| Rate for Payer: PACE SWMI |
$9,207.14
|
| Rate for Payer: PHP Medicare Advantage |
$9,207.14
|
| Rate for Payer: Priority Health Medicare |
$9,207.14
|
| Rate for Payer: Railroad Medicare Medicare |
$9,207.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,207.14
|
| Rate for Payer: UHC Medicare Advantage |
$9,207.14
|
| Rate for Payer: VA VA |
$9,207.14
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$19,189.67
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$14,584.15 |
| Max. Negotiated Rate |
$19,189.67 |
| Rate for Payer: Aetna Medicare |
$15,965.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,189.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,189.67
|
| Rate for Payer: BCBS MAPPO |
$15,351.74
|
| Rate for Payer: BCN Medicare Advantage |
$15,351.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,351.74
|
| Rate for Payer: Mclaren Medicare |
$15,351.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,119.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,654.50
|
| Rate for Payer: PACE Medicare |
$14,584.15
|
| Rate for Payer: PACE SWMI |
$15,351.74
|
| Rate for Payer: PHP Medicare Advantage |
$15,351.74
|
| Rate for Payer: Priority Health Medicare |
$15,351.74
|
| Rate for Payer: Railroad Medicare Medicare |
$15,351.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,351.74
|
| Rate for Payer: UHC Medicare Advantage |
$15,351.74
|
| Rate for Payer: VA VA |
$15,351.74
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$9,389.14
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$7,135.74 |
| Max. Negotiated Rate |
$9,389.14 |
| Rate for Payer: Aetna Medicare |
$7,811.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,389.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,389.14
|
| Rate for Payer: BCBS MAPPO |
$7,511.31
|
| Rate for Payer: BCN Medicare Advantage |
$7,511.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,511.31
|
| Rate for Payer: Mclaren Medicare |
$7,511.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,886.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,638.01
|
| Rate for Payer: PACE Medicare |
$7,135.74
|
| Rate for Payer: PACE SWMI |
$7,511.31
|
| Rate for Payer: PHP Medicare Advantage |
$7,511.31
|
| Rate for Payer: Priority Health Medicare |
$7,511.31
|
| Rate for Payer: Railroad Medicare Medicare |
$7,511.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,511.31
|
| Rate for Payer: UHC Medicare Advantage |
$7,511.31
|
| Rate for Payer: VA VA |
$7,511.31
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$51,214.95
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$38,923.36 |
| Max. Negotiated Rate |
$51,214.95 |
| Rate for Payer: Aetna Medicare |
$42,610.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,214.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,214.95
|
| Rate for Payer: BCBS MAPPO |
$40,971.96
|
| Rate for Payer: BCN Medicare Advantage |
$40,971.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,971.96
|
| Rate for Payer: Mclaren Medicare |
$40,971.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,020.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,117.75
|
| Rate for Payer: PACE Medicare |
$38,923.36
|
| Rate for Payer: PACE SWMI |
$40,971.96
|
| Rate for Payer: PHP Medicare Advantage |
$40,971.96
|
| Rate for Payer: Priority Health Medicare |
$40,971.96
|
| Rate for Payer: Railroad Medicare Medicare |
$40,971.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,971.96
|
| Rate for Payer: UHC Medicare Advantage |
$40,971.96
|
| Rate for Payer: VA VA |
$40,971.96
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$21,072.69
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$16,015.24 |
| Max. Negotiated Rate |
$21,072.69 |
| Rate for Payer: Aetna Medicare |
$17,532.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,072.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,072.69
|
| Rate for Payer: BCBS MAPPO |
$16,858.15
|
| Rate for Payer: BCN Medicare Advantage |
$16,858.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,858.15
|
| Rate for Payer: Mclaren Medicare |
$16,858.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,701.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,386.87
|
| Rate for Payer: PACE Medicare |
$16,015.24
|
| Rate for Payer: PACE SWMI |
$16,858.15
|
| Rate for Payer: PHP Medicare Advantage |
$16,858.15
|
| Rate for Payer: Priority Health Medicare |
$16,858.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16,858.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,858.15
|
| Rate for Payer: UHC Medicare Advantage |
$16,858.15
|
| Rate for Payer: VA VA |
$16,858.15
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,416.92
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$10,956.86 |
| Max. Negotiated Rate |
$14,416.92 |
| Rate for Payer: Aetna Medicare |
$11,994.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,416.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,416.92
|
| Rate for Payer: BCBS MAPPO |
$11,533.54
|
| Rate for Payer: BCN Medicare Advantage |
$11,533.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,533.54
|
| Rate for Payer: Mclaren Medicare |
$11,533.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,110.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,263.57
|
| Rate for Payer: PACE Medicare |
$10,956.86
|
| Rate for Payer: PACE SWMI |
$11,533.54
|
| Rate for Payer: PHP Medicare Advantage |
$11,533.54
|
| Rate for Payer: Priority Health Medicare |
$11,533.54
|
| Rate for Payer: Railroad Medicare Medicare |
$11,533.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,533.54
|
| Rate for Payer: UHC Medicare Advantage |
$11,533.54
|
| Rate for Payer: VA VA |
$11,533.54
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$13,408.11
|
|
|
Service Code
|
MSDRG 847
|
| Min. Negotiated Rate |
$10,190.17 |
| Max. Negotiated Rate |
$13,408.11 |
| Rate for Payer: Aetna Medicare |
$11,155.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,408.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,408.11
|
| Rate for Payer: BCBS MAPPO |
$10,726.49
|
| Rate for Payer: BCN Medicare Advantage |
$10,726.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,726.49
|
| Rate for Payer: Mclaren Medicare |
$10,726.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,262.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,335.46
|
| Rate for Payer: PACE Medicare |
$10,190.17
|
| Rate for Payer: PACE SWMI |
$10,726.49
|
| Rate for Payer: PHP Medicare Advantage |
$10,726.49
|
| Rate for Payer: Priority Health Medicare |
$10,726.49
|
| Rate for Payer: Railroad Medicare Medicare |
$10,726.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,726.49
|
| Rate for Payer: UHC Medicare Advantage |
$10,726.49
|
| Rate for Payer: VA VA |
$10,726.49
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$26,390.85
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$20,057.05 |
| Max. Negotiated Rate |
$26,390.85 |
| Rate for Payer: Aetna Medicare |
$21,957.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,390.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,390.85
|
| Rate for Payer: BCBS MAPPO |
$21,112.68
|
| Rate for Payer: BCN Medicare Advantage |
$21,112.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,112.68
|
| Rate for Payer: Mclaren Medicare |
$21,112.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,168.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,279.58
|
| Rate for Payer: PACE Medicare |
$20,057.05
|
| Rate for Payer: PACE SWMI |
$21,112.68
|
| Rate for Payer: PHP Medicare Advantage |
$21,112.68
|
| Rate for Payer: Priority Health Medicare |
$21,112.68
|
| Rate for Payer: Railroad Medicare Medicare |
$21,112.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,112.68
|
| Rate for Payer: UHC Medicare Advantage |
$21,112.68
|
| Rate for Payer: VA VA |
$21,112.68
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,836.69
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$6,715.88 |
| Max. Negotiated Rate |
$8,836.69 |
| Rate for Payer: Aetna Medicare |
$7,352.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,836.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,836.69
|
| Rate for Payer: BCBS MAPPO |
$7,069.35
|
| Rate for Payer: BCN Medicare Advantage |
$7,069.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,069.35
|
| Rate for Payer: Mclaren Medicare |
$7,069.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,422.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,129.75
|
| Rate for Payer: PACE Medicare |
$6,715.88
|
| Rate for Payer: PACE SWMI |
$7,069.35
|
| Rate for Payer: PHP Medicare Advantage |
$7,069.35
|
| Rate for Payer: Priority Health Medicare |
$7,069.35
|
| Rate for Payer: Railroad Medicare Medicare |
$7,069.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,069.35
|
| Rate for Payer: UHC Medicare Advantage |
$7,069.35
|
| Rate for Payer: VA VA |
$7,069.35
|
|
|
MS-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,769.23
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$5,904.61 |
| Max. Negotiated Rate |
$7,769.23 |
| Rate for Payer: Aetna Medicare |
$6,464.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,769.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,769.23
|
| Rate for Payer: BCBS MAPPO |
$6,215.38
|
| Rate for Payer: BCN Medicare Advantage |
$6,215.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,215.38
|
| Rate for Payer: Mclaren Medicare |
$6,215.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,526.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,147.69
|
| Rate for Payer: PACE Medicare |
$5,904.61
|
| Rate for Payer: PACE SWMI |
$6,215.38
|
| Rate for Payer: PHP Medicare Advantage |
$6,215.38
|
| Rate for Payer: Priority Health Medicare |
$6,215.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6,215.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,215.38
|
| Rate for Payer: UHC Medicare Advantage |
$6,215.38
|
| Rate for Payer: VA VA |
$6,215.38
|
|
|
MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$382,138.39
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$290,425.17 |
| Max. Negotiated Rate |
$382,138.39 |
| Rate for Payer: Aetna Medicare |
$317,939.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$382,138.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$382,138.39
|
| Rate for Payer: BCBS MAPPO |
$305,710.71
|
| Rate for Payer: BCN Medicare Advantage |
$305,710.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305,710.71
|
| Rate for Payer: Mclaren Medicare |
$305,710.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320,996.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$351,567.32
|
| Rate for Payer: PACE Medicare |
$290,425.17
|
| Rate for Payer: PACE SWMI |
$305,710.71
|
| Rate for Payer: PHP Medicare Advantage |
$305,710.71
|
| Rate for Payer: Priority Health Medicare |
$305,710.71
|
| Rate for Payer: Railroad Medicare Medicare |
$305,710.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$305,710.71
|
| Rate for Payer: UHC Medicare Advantage |
$305,710.71
|
| Rate for Payer: VA VA |
$305,710.71
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$20,565.76
|
|
|
Service Code
|
MSDRG 415
|
| Min. Negotiated Rate |
$15,629.98 |
| Max. Negotiated Rate |
$20,565.76 |
| Rate for Payer: Aetna Medicare |
$17,110.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,565.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,565.76
|
| Rate for Payer: BCBS MAPPO |
$16,452.61
|
| Rate for Payer: BCN Medicare Advantage |
$16,452.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,452.61
|
| Rate for Payer: Mclaren Medicare |
$16,452.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,275.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,920.50
|
| Rate for Payer: PACE Medicare |
$15,629.98
|
| Rate for Payer: PACE SWMI |
$16,452.61
|
| Rate for Payer: PHP Medicare Advantage |
$16,452.61
|
| Rate for Payer: Priority Health Medicare |
$16,452.61
|
| Rate for Payer: Railroad Medicare Medicare |
$16,452.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,452.61
|
| Rate for Payer: UHC Medicare Advantage |
$16,452.61
|
| Rate for Payer: VA VA |
$16,452.61
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$36,003.19
|
|
|
Service Code
|
MSDRG 414
|
| Min. Negotiated Rate |
$27,362.42 |
| Max. Negotiated Rate |
$36,003.19 |
| Rate for Payer: Aetna Medicare |
$29,954.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,003.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,003.19
|
| Rate for Payer: BCBS MAPPO |
$28,802.55
|
| Rate for Payer: BCN Medicare Advantage |
$28,802.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,802.55
|
| Rate for Payer: Mclaren Medicare |
$28,802.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,242.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,122.93
|
| Rate for Payer: PACE Medicare |
$27,362.42
|
| Rate for Payer: PACE SWMI |
$28,802.55
|
| Rate for Payer: PHP Medicare Advantage |
$28,802.55
|
| Rate for Payer: Priority Health Medicare |
$28,802.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28,802.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,802.55
|
| Rate for Payer: UHC Medicare Advantage |
$28,802.55
|
| Rate for Payer: VA VA |
$28,802.55
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$14,414.90
|
|
|
Service Code
|
MSDRG 416
|
| Min. Negotiated Rate |
$10,955.32 |
| Max. Negotiated Rate |
$14,414.90 |
| Rate for Payer: Aetna Medicare |
$11,993.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,414.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,414.90
|
| Rate for Payer: BCBS MAPPO |
$11,531.92
|
| Rate for Payer: BCN Medicare Advantage |
$11,531.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,531.92
|
| Rate for Payer: Mclaren Medicare |
$11,531.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,108.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,261.71
|
| Rate for Payer: PACE Medicare |
$10,955.32
|
| Rate for Payer: PACE SWMI |
$11,531.92
|
| Rate for Payer: PHP Medicare Advantage |
$11,531.92
|
| Rate for Payer: Priority Health Medicare |
$11,531.92
|
| Rate for Payer: Railroad Medicare Medicare |
$11,531.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,531.92
|
| Rate for Payer: UHC Medicare Advantage |
$11,531.92
|
| Rate for Payer: VA VA |
$11,531.92
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC
|
Facility
|
IP
|
$22,118.91
|
|
|
Service Code
|
MSDRG 412
|
| Min. Negotiated Rate |
$16,810.37 |
| Max. Negotiated Rate |
$22,118.91 |
| Rate for Payer: Aetna Medicare |
$18,402.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,118.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,118.91
|
| Rate for Payer: BCBS MAPPO |
$17,695.13
|
| Rate for Payer: BCN Medicare Advantage |
$17,695.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,695.13
|
| Rate for Payer: Mclaren Medicare |
$17,695.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,579.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,349.40
|
| Rate for Payer: PACE Medicare |
$16,810.37
|
| Rate for Payer: PACE SWMI |
$17,695.13
|
| Rate for Payer: PHP Medicare Advantage |
$17,695.13
|
| Rate for Payer: Priority Health Medicare |
$17,695.13
|
| Rate for Payer: Railroad Medicare Medicare |
$17,695.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,695.13
|
| Rate for Payer: UHC Medicare Advantage |
$17,695.13
|
| Rate for Payer: VA VA |
$17,695.13
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC
|
Facility
|
IP
|
$28,238.45
|
|
|
Service Code
|
MSDRG 411
|
| Min. Negotiated Rate |
$21,461.22 |
| Max. Negotiated Rate |
$28,238.45 |
| Rate for Payer: Aetna Medicare |
$23,494.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,238.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,238.45
|
| Rate for Payer: BCBS MAPPO |
$22,590.76
|
| Rate for Payer: BCN Medicare Advantage |
$22,590.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,590.76
|
| Rate for Payer: Mclaren Medicare |
$22,590.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,720.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,979.37
|
| Rate for Payer: PACE Medicare |
$21,461.22
|
| Rate for Payer: PACE SWMI |
$22,590.76
|
| Rate for Payer: PHP Medicare Advantage |
$22,590.76
|
| Rate for Payer: Priority Health Medicare |
$22,590.76
|
| Rate for Payer: Railroad Medicare Medicare |
$22,590.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,590.76
|
| Rate for Payer: UHC Medicare Advantage |
$22,590.76
|
| Rate for Payer: VA VA |
$22,590.76
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$17,372.45
|
|
|
Service Code
|
MSDRG 413
|
| Min. Negotiated Rate |
$13,203.06 |
| Max. Negotiated Rate |
$17,372.45 |
| Rate for Payer: Aetna Medicare |
$14,453.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,372.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,372.45
|
| Rate for Payer: BCBS MAPPO |
$13,897.96
|
| Rate for Payer: BCN Medicare Advantage |
$13,897.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,897.96
|
| Rate for Payer: Mclaren Medicare |
$13,897.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,592.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,982.65
|
| Rate for Payer: PACE Medicare |
$13,203.06
|
| Rate for Payer: PACE SWMI |
$13,897.96
|
| Rate for Payer: PHP Medicare Advantage |
$13,897.96
|
| Rate for Payer: Priority Health Medicare |
$13,897.96
|
| Rate for Payer: Railroad Medicare Medicare |
$13,897.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,897.96
|
| Rate for Payer: UHC Medicare Advantage |
$13,897.96
|
| Rate for Payer: VA VA |
$13,897.96
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
|
Facility
|
IP
|
$9,243.45
|
|
|
Service Code
|
MSDRG 191
|
| Min. Negotiated Rate |
$7,025.02 |
| Max. Negotiated Rate |
$9,243.45 |
| Rate for Payer: Aetna Medicare |
$7,690.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,243.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,243.45
|
| Rate for Payer: BCBS MAPPO |
$7,394.76
|
| Rate for Payer: BCN Medicare Advantage |
$7,394.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,394.76
|
| Rate for Payer: Mclaren Medicare |
$7,394.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,764.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,503.97
|
| Rate for Payer: PACE Medicare |
$7,025.02
|
| Rate for Payer: PACE SWMI |
$7,394.76
|
| Rate for Payer: PHP Medicare Advantage |
$7,394.76
|
| Rate for Payer: Priority Health Medicare |
$7,394.76
|
| Rate for Payer: Railroad Medicare Medicare |
$7,394.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,394.76
|
| Rate for Payer: UHC Medicare Advantage |
$7,394.76
|
| Rate for Payer: VA VA |
$7,394.76
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
|
Facility
|
IP
|
$11,913.67
|
|
|
Service Code
|
MSDRG 190
|
| Min. Negotiated Rate |
$9,054.39 |
| Max. Negotiated Rate |
$11,913.67 |
| Rate for Payer: Aetna Medicare |
$9,912.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,913.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,913.67
|
| Rate for Payer: BCBS MAPPO |
$9,530.94
|
| Rate for Payer: BCN Medicare Advantage |
$9,530.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,530.94
|
| Rate for Payer: Mclaren Medicare |
$9,530.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,007.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,960.58
|
| Rate for Payer: PACE Medicare |
$9,054.39
|
| Rate for Payer: PACE SWMI |
$9,530.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,530.94
|
| Rate for Payer: Priority Health Medicare |
$9,530.94
|
| Rate for Payer: Railroad Medicare Medicare |
$9,530.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,530.94
|
| Rate for Payer: UHC Medicare Advantage |
$9,530.94
|
| Rate for Payer: VA VA |
$9,530.94
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$7,099.40
|
|
|
Service Code
|
MSDRG 192
|
| Min. Negotiated Rate |
$5,395.54 |
| Max. Negotiated Rate |
$7,099.40 |
| Rate for Payer: Aetna Medicare |
$5,906.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,099.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,099.40
|
| Rate for Payer: BCBS MAPPO |
$5,679.52
|
| Rate for Payer: BCN Medicare Advantage |
$5,679.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,679.52
|
| Rate for Payer: Mclaren Medicare |
$5,679.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,963.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,531.45
|
| Rate for Payer: PACE Medicare |
$5,395.54
|
| Rate for Payer: PACE SWMI |
$5,679.52
|
| Rate for Payer: PHP Medicare Advantage |
$5,679.52
|
| Rate for Payer: Priority Health Medicare |
$5,679.52
|
| Rate for Payer: Railroad Medicare Medicare |
$5,679.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,679.52
|
| Rate for Payer: UHC Medicare Advantage |
$5,679.52
|
| Rate for Payer: VA VA |
$5,679.52
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$22,945.60
|
|
|
Service Code
|
MSDRG 286
|
| Min. Negotiated Rate |
$17,438.66 |
| Max. Negotiated Rate |
$22,945.60 |
| Rate for Payer: Aetna Medicare |
$19,090.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,945.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,945.60
|
| Rate for Payer: BCBS MAPPO |
$18,356.48
|
| Rate for Payer: BCN Medicare Advantage |
$18,356.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,356.48
|
| Rate for Payer: Mclaren Medicare |
$18,356.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,274.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,109.95
|
| Rate for Payer: PACE Medicare |
$17,438.66
|
| Rate for Payer: PACE SWMI |
$18,356.48
|
| Rate for Payer: PHP Medicare Advantage |
$18,356.48
|
| Rate for Payer: Priority Health Medicare |
$18,356.48
|
| Rate for Payer: Railroad Medicare Medicare |
$18,356.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,356.48
|
| Rate for Payer: UHC Medicare Advantage |
$18,356.48
|
| Rate for Payer: VA VA |
$18,356.48
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$11,576.73
|
|
|
Service Code
|
MSDRG 287
|
| Min. Negotiated Rate |
$8,798.31 |
| Max. Negotiated Rate |
$11,576.73 |
| Rate for Payer: Aetna Medicare |
$9,631.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,576.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,576.73
|
| Rate for Payer: BCBS MAPPO |
$9,261.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,261.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,261.38
|
| Rate for Payer: Mclaren Medicare |
$9,261.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,724.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,650.59
|
| Rate for Payer: PACE Medicare |
$8,798.31
|
| Rate for Payer: PACE SWMI |
$9,261.38
|
| Rate for Payer: PHP Medicare Advantage |
$9,261.38
|
| Rate for Payer: Priority Health Medicare |
$9,261.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,261.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,261.38
|
| Rate for Payer: UHC Medicare Advantage |
$9,261.38
|
| Rate for Payer: VA VA |
$9,261.38
|
|
