|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$12,983.15
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$9,867.19 |
| Max. Negotiated Rate |
$12,983.15 |
| Rate for Payer: Aetna Medicare |
$10,801.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,983.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,983.15
|
| Rate for Payer: BCBS MAPPO |
$10,386.52
|
| Rate for Payer: BCN Medicare Advantage |
$10,386.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,386.52
|
| Rate for Payer: Mclaren Medicare |
$10,386.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,905.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,944.50
|
| Rate for Payer: PACE Medicare |
$9,867.19
|
| Rate for Payer: PACE SWMI |
$10,386.52
|
| Rate for Payer: PHP Medicare Advantage |
$10,386.52
|
| Rate for Payer: Priority Health Medicare |
$10,386.52
|
| Rate for Payer: Railroad Medicare Medicare |
$10,386.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,386.52
|
| Rate for Payer: UHC Medicare Advantage |
$10,386.52
|
| Rate for Payer: VA VA |
$10,386.52
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$21,914.54
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$16,655.05 |
| Max. Negotiated Rate |
$21,914.54 |
| Rate for Payer: Aetna Medicare |
$18,232.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,914.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,914.54
|
| Rate for Payer: BCBS MAPPO |
$17,531.63
|
| Rate for Payer: BCN Medicare Advantage |
$17,531.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,531.63
|
| Rate for Payer: Mclaren Medicare |
$17,531.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,408.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,161.37
|
| Rate for Payer: PACE Medicare |
$16,655.05
|
| Rate for Payer: PACE SWMI |
$17,531.63
|
| Rate for Payer: PHP Medicare Advantage |
$17,531.63
|
| Rate for Payer: Priority Health Medicare |
$17,531.63
|
| Rate for Payer: Railroad Medicare Medicare |
$17,531.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,531.63
|
| Rate for Payer: UHC Medicare Advantage |
$17,531.63
|
| Rate for Payer: VA VA |
$17,531.63
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$9,485.27
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$7,208.81 |
| Max. Negotiated Rate |
$9,485.27 |
| Rate for Payer: Aetna Medicare |
$7,891.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,485.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,485.27
|
| Rate for Payer: BCBS MAPPO |
$7,588.22
|
| Rate for Payer: BCN Medicare Advantage |
$7,588.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,588.22
|
| Rate for Payer: Mclaren Medicare |
$7,588.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,967.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,726.45
|
| Rate for Payer: PACE Medicare |
$7,208.81
|
| Rate for Payer: PACE SWMI |
$7,588.22
|
| Rate for Payer: PHP Medicare Advantage |
$7,588.22
|
| Rate for Payer: Priority Health Medicare |
$7,588.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7,588.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,588.22
|
| Rate for Payer: UHC Medicare Advantage |
$7,588.22
|
| Rate for Payer: VA VA |
$7,588.22
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$10,327.11
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$7,848.61 |
| Max. Negotiated Rate |
$10,327.11 |
| Rate for Payer: Aetna Medicare |
$8,592.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,327.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,327.11
|
| Rate for Payer: BCBS MAPPO |
$8,261.69
|
| Rate for Payer: BCN Medicare Advantage |
$8,261.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,261.69
|
| Rate for Payer: Mclaren Medicare |
$8,261.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,674.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,500.94
|
| Rate for Payer: PACE Medicare |
$7,848.61
|
| Rate for Payer: PACE SWMI |
$8,261.69
|
| Rate for Payer: PHP Medicare Advantage |
$8,261.69
|
| Rate for Payer: Priority Health Medicare |
$8,261.69
|
| Rate for Payer: Railroad Medicare Medicare |
$8,261.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,261.69
|
| Rate for Payer: UHC Medicare Advantage |
$8,261.69
|
| Rate for Payer: VA VA |
$8,261.69
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$19,678.41
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$14,955.59 |
| Max. Negotiated Rate |
$19,678.41 |
| Rate for Payer: Aetna Medicare |
$16,372.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,678.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,678.41
|
| Rate for Payer: BCBS MAPPO |
$15,742.73
|
| Rate for Payer: BCN Medicare Advantage |
$15,742.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,742.73
|
| Rate for Payer: Mclaren Medicare |
$15,742.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,529.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,104.14
|
| Rate for Payer: PACE Medicare |
$14,955.59
|
| Rate for Payer: PACE SWMI |
$15,742.73
|
| Rate for Payer: PHP Medicare Advantage |
$15,742.73
|
| Rate for Payer: Priority Health Medicare |
$15,742.73
|
| Rate for Payer: Railroad Medicare Medicare |
$15,742.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,742.73
|
| Rate for Payer: UHC Medicare Advantage |
$15,742.73
|
| Rate for Payer: VA VA |
$15,742.73
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,660.94
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$5,822.31 |
| Max. Negotiated Rate |
$7,660.94 |
| Rate for Payer: Aetna Medicare |
$6,373.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,660.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,660.94
|
| Rate for Payer: BCBS MAPPO |
$6,128.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,128.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,128.75
|
| Rate for Payer: Mclaren Medicare |
$6,128.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,435.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,048.06
|
| Rate for Payer: PACE Medicare |
$5,822.31
|
| Rate for Payer: PACE SWMI |
$6,128.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,128.75
|
| Rate for Payer: Priority Health Medicare |
$6,128.75
|
| Rate for Payer: Railroad Medicare Medicare |
$6,128.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,128.75
|
| Rate for Payer: UHC Medicare Advantage |
$6,128.75
|
| Rate for Payer: VA VA |
$6,128.75
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$9,254.58
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$7,033.48 |
| Max. Negotiated Rate |
$9,254.58 |
| Rate for Payer: Aetna Medicare |
$7,699.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,254.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,254.58
|
| Rate for Payer: BCBS MAPPO |
$7,403.66
|
| Rate for Payer: BCN Medicare Advantage |
$7,403.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,403.66
|
| Rate for Payer: Mclaren Medicare |
$7,403.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,773.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,514.21
|
| Rate for Payer: PACE Medicare |
$7,033.48
|
| Rate for Payer: PACE SWMI |
$7,403.66
|
| Rate for Payer: PHP Medicare Advantage |
$7,403.66
|
| Rate for Payer: Priority Health Medicare |
$7,403.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,403.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,403.66
|
| Rate for Payer: UHC Medicare Advantage |
$7,403.66
|
| Rate for Payer: VA VA |
$7,403.66
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$17,384.59
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$13,212.29 |
| Max. Negotiated Rate |
$17,384.59 |
| Rate for Payer: Aetna Medicare |
$14,463.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,384.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,384.59
|
| Rate for Payer: BCBS MAPPO |
$13,907.67
|
| Rate for Payer: BCN Medicare Advantage |
$13,907.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,907.67
|
| Rate for Payer: Mclaren Medicare |
$13,907.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,603.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,993.82
|
| Rate for Payer: PACE Medicare |
$13,212.29
|
| Rate for Payer: PACE SWMI |
$13,907.67
|
| Rate for Payer: PHP Medicare Advantage |
$13,907.67
|
| Rate for Payer: Priority Health Medicare |
$13,907.67
|
| Rate for Payer: Railroad Medicare Medicare |
$13,907.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,907.67
|
| Rate for Payer: UHC Medicare Advantage |
$13,907.67
|
| Rate for Payer: VA VA |
$13,907.67
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$6,774.60
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$5,148.70 |
| Max. Negotiated Rate |
$6,774.60 |
| Rate for Payer: Aetna Medicare |
$5,636.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,774.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,774.60
|
| Rate for Payer: BCBS MAPPO |
$5,419.68
|
| Rate for Payer: BCN Medicare Advantage |
$5,419.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,419.68
|
| Rate for Payer: Mclaren Medicare |
$5,419.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,690.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,232.63
|
| Rate for Payer: PACE Medicare |
$5,148.70
|
| Rate for Payer: PACE SWMI |
$5,419.68
|
| Rate for Payer: PHP Medicare Advantage |
$5,419.68
|
| Rate for Payer: Priority Health Medicare |
$5,419.68
|
| Rate for Payer: Railroad Medicare Medicare |
$5,419.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,419.68
|
| Rate for Payer: UHC Medicare Advantage |
$5,419.68
|
| Rate for Payer: VA VA |
$5,419.68
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$19,309.09
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$14,674.91 |
| Max. Negotiated Rate |
$19,309.09 |
| Rate for Payer: Aetna Medicare |
$16,065.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,309.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,309.09
|
| Rate for Payer: BCBS MAPPO |
$15,447.27
|
| Rate for Payer: BCN Medicare Advantage |
$15,447.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,447.27
|
| Rate for Payer: Mclaren Medicare |
$15,447.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,219.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,764.36
|
| Rate for Payer: PACE Medicare |
$14,674.91
|
| Rate for Payer: PACE SWMI |
$15,447.27
|
| Rate for Payer: PHP Medicare Advantage |
$15,447.27
|
| Rate for Payer: Priority Health Medicare |
$15,447.27
|
| Rate for Payer: Railroad Medicare Medicare |
$15,447.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,447.27
|
| Rate for Payer: UHC Medicare Advantage |
$15,447.27
|
| Rate for Payer: VA VA |
$15,447.27
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$11,524.11
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$8,758.33 |
| Max. Negotiated Rate |
$11,524.11 |
| Rate for Payer: Aetna Medicare |
$9,588.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,524.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,524.11
|
| Rate for Payer: BCBS MAPPO |
$9,219.29
|
| Rate for Payer: BCN Medicare Advantage |
$9,219.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,219.29
|
| Rate for Payer: Mclaren Medicare |
$9,219.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,680.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,602.18
|
| Rate for Payer: PACE Medicare |
$8,758.33
|
| Rate for Payer: PACE SWMI |
$9,219.29
|
| Rate for Payer: PHP Medicare Advantage |
$9,219.29
|
| Rate for Payer: Priority Health Medicare |
$9,219.29
|
| Rate for Payer: Railroad Medicare Medicare |
$9,219.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,219.29
|
| Rate for Payer: UHC Medicare Advantage |
$9,219.29
|
| Rate for Payer: VA VA |
$9,219.29
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$17,594.05
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$13,371.48 |
| Max. Negotiated Rate |
$17,594.05 |
| Rate for Payer: Aetna Medicare |
$14,638.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,594.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,594.05
|
| Rate for Payer: BCBS MAPPO |
$14,075.24
|
| Rate for Payer: BCN Medicare Advantage |
$14,075.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,075.24
|
| Rate for Payer: Mclaren Medicare |
$14,075.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,779.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,186.53
|
| Rate for Payer: PACE Medicare |
$13,371.48
|
| Rate for Payer: PACE SWMI |
$14,075.24
|
| Rate for Payer: PHP Medicare Advantage |
$14,075.24
|
| Rate for Payer: Priority Health Medicare |
$14,075.24
|
| Rate for Payer: Railroad Medicare Medicare |
$14,075.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,075.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,075.24
|
| Rate for Payer: VA VA |
$14,075.24
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$8,618.14
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$6,549.78 |
| Max. Negotiated Rate |
$8,618.14 |
| Rate for Payer: Aetna Medicare |
$7,170.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,618.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,618.14
|
| Rate for Payer: BCBS MAPPO |
$6,894.51
|
| Rate for Payer: BCN Medicare Advantage |
$6,894.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,894.51
|
| Rate for Payer: Mclaren Medicare |
$6,894.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,239.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,928.69
|
| Rate for Payer: PACE Medicare |
$6,549.78
|
| Rate for Payer: PACE SWMI |
$6,894.51
|
| Rate for Payer: PHP Medicare Advantage |
$6,894.51
|
| Rate for Payer: Priority Health Medicare |
$6,894.51
|
| Rate for Payer: Railroad Medicare Medicare |
$6,894.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,894.51
|
| Rate for Payer: UHC Medicare Advantage |
$6,894.51
|
| Rate for Payer: VA VA |
$6,894.51
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$8,114.25
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$6,166.83 |
| Max. Negotiated Rate |
$8,114.25 |
| Rate for Payer: Aetna Medicare |
$6,751.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,114.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,114.25
|
| Rate for Payer: BCBS MAPPO |
$6,491.40
|
| Rate for Payer: BCN Medicare Advantage |
$6,491.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,491.40
|
| Rate for Payer: Mclaren Medicare |
$6,491.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,815.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,465.11
|
| Rate for Payer: PACE Medicare |
$6,166.83
|
| Rate for Payer: PACE SWMI |
$6,491.40
|
| Rate for Payer: PHP Medicare Advantage |
$6,491.40
|
| Rate for Payer: Priority Health Medicare |
$6,491.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6,491.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,491.40
|
| Rate for Payer: UHC Medicare Advantage |
$6,491.40
|
| Rate for Payer: VA VA |
$6,491.40
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$13,146.06
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$9,991.01 |
| Max. Negotiated Rate |
$13,146.06 |
| Rate for Payer: Aetna Medicare |
$10,937.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,146.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,146.06
|
| Rate for Payer: BCBS MAPPO |
$10,516.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,516.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,516.85
|
| Rate for Payer: Mclaren Medicare |
$10,516.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,042.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,094.38
|
| Rate for Payer: PACE Medicare |
$9,991.01
|
| Rate for Payer: PACE SWMI |
$10,516.85
|
| Rate for Payer: PHP Medicare Advantage |
$10,516.85
|
| Rate for Payer: Priority Health Medicare |
$10,516.85
|
| Rate for Payer: Railroad Medicare Medicare |
$10,516.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,516.85
|
| Rate for Payer: UHC Medicare Advantage |
$10,516.85
|
| Rate for Payer: VA VA |
$10,516.85
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$23,763.15
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$18,059.99 |
| Max. Negotiated Rate |
$23,763.15 |
| Rate for Payer: Aetna Medicare |
$19,770.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,763.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,763.15
|
| Rate for Payer: BCBS MAPPO |
$19,010.52
|
| Rate for Payer: BCN Medicare Advantage |
$19,010.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,010.52
|
| Rate for Payer: Mclaren Medicare |
$19,010.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,961.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,862.10
|
| Rate for Payer: PACE Medicare |
$18,059.99
|
| Rate for Payer: PACE SWMI |
$19,010.52
|
| Rate for Payer: PHP Medicare Advantage |
$19,010.52
|
| Rate for Payer: Priority Health Medicare |
$19,010.52
|
| Rate for Payer: Railroad Medicare Medicare |
$19,010.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,010.52
|
| Rate for Payer: UHC Medicare Advantage |
$19,010.52
|
| Rate for Payer: VA VA |
$19,010.52
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$8,652.54
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$6,575.93 |
| Max. Negotiated Rate |
$8,652.54 |
| Rate for Payer: Aetna Medicare |
$7,198.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,652.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,652.54
|
| Rate for Payer: BCBS MAPPO |
$6,922.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,922.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,922.03
|
| Rate for Payer: Mclaren Medicare |
$6,922.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,268.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,960.33
|
| Rate for Payer: PACE Medicare |
$6,575.93
|
| Rate for Payer: PACE SWMI |
$6,922.03
|
| Rate for Payer: PHP Medicare Advantage |
$6,922.03
|
| Rate for Payer: Priority Health Medicare |
$6,922.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6,922.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,922.03
|
| Rate for Payer: UHC Medicare Advantage |
$6,922.03
|
| Rate for Payer: VA VA |
$6,922.03
|
|
|
MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$217,401.12
|
|
|
Service Code
|
MSDRG 003
|
| Min. Negotiated Rate |
$165,224.86 |
| Max. Negotiated Rate |
$217,401.12 |
| Rate for Payer: Aetna Medicare |
$180,877.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$217,401.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$217,401.12
|
| Rate for Payer: BCBS MAPPO |
$173,920.90
|
| Rate for Payer: BCN Medicare Advantage |
$173,920.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173,920.90
|
| Rate for Payer: Mclaren Medicare |
$173,920.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182,616.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$200,009.04
|
| Rate for Payer: PACE Medicare |
$165,224.86
|
| Rate for Payer: PACE SWMI |
$173,920.90
|
| Rate for Payer: PHP Medicare Advantage |
$173,920.90
|
| Rate for Payer: Priority Health Medicare |
$173,920.90
|
| Rate for Payer: Railroad Medicare Medicare |
$173,920.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$173,920.90
|
| Rate for Payer: UHC Medicare Advantage |
$173,920.90
|
| Rate for Payer: VA VA |
$173,920.90
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$11,007.06
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$8,365.37 |
| Max. Negotiated Rate |
$11,007.06 |
| Rate for Payer: Aetna Medicare |
$9,157.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,007.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,007.06
|
| Rate for Payer: BCBS MAPPO |
$8,805.65
|
| Rate for Payer: BCN Medicare Advantage |
$8,805.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,805.65
|
| Rate for Payer: Mclaren Medicare |
$8,805.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,245.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,126.50
|
| Rate for Payer: PACE Medicare |
$8,365.37
|
| Rate for Payer: PACE SWMI |
$8,805.65
|
| Rate for Payer: PHP Medicare Advantage |
$8,805.65
|
| Rate for Payer: Priority Health Medicare |
$8,805.65
|
| Rate for Payer: Railroad Medicare Medicare |
$8,805.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,805.65
|
| Rate for Payer: UHC Medicare Advantage |
$8,805.65
|
| Rate for Payer: VA VA |
$8,805.65
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$17,319.83
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$13,163.07 |
| Max. Negotiated Rate |
$17,319.83 |
| Rate for Payer: Aetna Medicare |
$14,410.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,319.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,319.83
|
| Rate for Payer: BCBS MAPPO |
$13,855.86
|
| Rate for Payer: BCN Medicare Advantage |
$13,855.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,855.86
|
| Rate for Payer: Mclaren Medicare |
$13,855.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,548.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,934.24
|
| Rate for Payer: PACE Medicare |
$13,163.07
|
| Rate for Payer: PACE SWMI |
$13,855.86
|
| Rate for Payer: PHP Medicare Advantage |
$13,855.86
|
| Rate for Payer: Priority Health Medicare |
$13,855.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,855.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,855.86
|
| Rate for Payer: UHC Medicare Advantage |
$13,855.86
|
| Rate for Payer: VA VA |
$13,855.86
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,429.94
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$6,406.75 |
| Max. Negotiated Rate |
$8,429.94 |
| Rate for Payer: Aetna Medicare |
$7,013.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,429.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,429.94
|
| Rate for Payer: BCBS MAPPO |
$6,743.95
|
| Rate for Payer: BCN Medicare Advantage |
$6,743.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,743.95
|
| Rate for Payer: Mclaren Medicare |
$6,743.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,081.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,755.54
|
| Rate for Payer: PACE Medicare |
$6,406.75
|
| Rate for Payer: PACE SWMI |
$6,743.95
|
| Rate for Payer: PHP Medicare Advantage |
$6,743.95
|
| Rate for Payer: Priority Health Medicare |
$6,743.95
|
| Rate for Payer: Railroad Medicare Medicare |
$6,743.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,743.95
|
| Rate for Payer: UHC Medicare Advantage |
$6,743.95
|
| Rate for Payer: VA VA |
$6,743.95
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,167.28
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$46,487.13 |
| Max. Negotiated Rate |
$61,167.28 |
| Rate for Payer: Aetna Medicare |
$50,891.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,167.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,167.28
|
| Rate for Payer: BCBS MAPPO |
$48,933.82
|
| Rate for Payer: BCN Medicare Advantage |
$48,933.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,933.82
|
| Rate for Payer: Mclaren Medicare |
$48,933.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,380.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,273.89
|
| Rate for Payer: PACE Medicare |
$46,487.13
|
| Rate for Payer: PACE SWMI |
$48,933.82
|
| Rate for Payer: PHP Medicare Advantage |
$48,933.82
|
| Rate for Payer: Priority Health Medicare |
$48,933.82
|
| Rate for Payer: Railroad Medicare Medicare |
$48,933.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,933.82
|
| Rate for Payer: UHC Medicare Advantage |
$48,933.82
|
| Rate for Payer: VA VA |
$48,933.82
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$48,154.19
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$36,597.18 |
| Max. Negotiated Rate |
$48,154.19 |
| Rate for Payer: Aetna Medicare |
$40,064.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,154.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,154.19
|
| Rate for Payer: BCBS MAPPO |
$38,523.35
|
| Rate for Payer: BCN Medicare Advantage |
$38,523.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,523.35
|
| Rate for Payer: Mclaren Medicare |
$38,523.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,449.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,301.85
|
| Rate for Payer: PACE Medicare |
$36,597.18
|
| Rate for Payer: PACE SWMI |
$38,523.35
|
| Rate for Payer: PHP Medicare Advantage |
$38,523.35
|
| Rate for Payer: Priority Health Medicare |
$38,523.35
|
| Rate for Payer: Railroad Medicare Medicare |
$38,523.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,523.35
|
| Rate for Payer: UHC Medicare Advantage |
$38,523.35
|
| Rate for Payer: VA VA |
$38,523.35
|
|
|
MS-DRG 42.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$14,536.30
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$11,047.59 |
| Max. Negotiated Rate |
$14,536.30 |
| Rate for Payer: Aetna Medicare |
$12,094.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,536.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,536.30
|
| Rate for Payer: BCBS MAPPO |
$11,629.04
|
| Rate for Payer: BCN Medicare Advantage |
$11,629.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,629.04
|
| Rate for Payer: Mclaren Medicare |
$11,629.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,210.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,373.40
|
| Rate for Payer: PACE Medicare |
$11,047.59
|
| Rate for Payer: PACE SWMI |
$11,629.04
|
| Rate for Payer: PHP Medicare Advantage |
$11,629.04
|
| Rate for Payer: Priority Health Medicare |
$11,629.04
|
| Rate for Payer: Railroad Medicare Medicare |
$11,629.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,629.04
|
| Rate for Payer: UHC Medicare Advantage |
$11,629.04
|
| Rate for Payer: VA VA |
$11,629.04
|
|
|
MS-DRG 42.00: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$8,220.49
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$6,247.57 |
| Max. Negotiated Rate |
$8,220.49 |
| Rate for Payer: Aetna Medicare |
$6,839.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,220.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,220.49
|
| Rate for Payer: BCBS MAPPO |
$6,576.39
|
| Rate for Payer: BCN Medicare Advantage |
$6,576.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,576.39
|
| Rate for Payer: Mclaren Medicare |
$6,576.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,905.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,562.85
|
| Rate for Payer: PACE Medicare |
$6,247.57
|
| Rate for Payer: PACE SWMI |
$6,576.39
|
| Rate for Payer: PHP Medicare Advantage |
$6,576.39
|
| Rate for Payer: Priority Health Medicare |
$6,576.39
|
| Rate for Payer: Railroad Medicare Medicare |
$6,576.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,576.39
|
| Rate for Payer: UHC Medicare Advantage |
$6,576.39
|
| Rate for Payer: VA VA |
$6,576.39
|
|
