|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$30,308.62
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$23,034.56 |
| Max. Negotiated Rate |
$30,308.62 |
| Rate for Payer: Aetna Medicare |
$25,216.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,308.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,308.62
|
| Rate for Payer: BCBS MAPPO |
$24,246.90
|
| Rate for Payer: BCN Medicare Advantage |
$24,246.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,246.90
|
| Rate for Payer: Mclaren Medicare |
$24,246.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,459.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,883.94
|
| Rate for Payer: PACE Medicare |
$23,034.56
|
| Rate for Payer: PACE SWMI |
$24,246.90
|
| Rate for Payer: PHP Medicare Advantage |
$24,246.90
|
| Rate for Payer: Priority Health Medicare |
$24,246.90
|
| Rate for Payer: Railroad Medicare Medicare |
$24,246.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,246.90
|
| Rate for Payer: UHC Medicare Advantage |
$24,246.90
|
| Rate for Payer: VA VA |
$24,246.90
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$16,602.45
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$12,617.86 |
| Max. Negotiated Rate |
$16,602.45 |
| Rate for Payer: Aetna Medicare |
$13,813.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,602.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,602.45
|
| Rate for Payer: BCBS MAPPO |
$13,281.96
|
| Rate for Payer: BCN Medicare Advantage |
$13,281.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,281.96
|
| Rate for Payer: Mclaren Medicare |
$13,281.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,946.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,274.25
|
| Rate for Payer: PACE Medicare |
$12,617.86
|
| Rate for Payer: PACE SWMI |
$13,281.96
|
| Rate for Payer: PHP Medicare Advantage |
$13,281.96
|
| Rate for Payer: Priority Health Medicare |
$13,281.96
|
| Rate for Payer: Railroad Medicare Medicare |
$13,281.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,281.96
|
| Rate for Payer: UHC Medicare Advantage |
$13,281.96
|
| Rate for Payer: VA VA |
$13,281.96
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$30,042.54
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$22,832.33 |
| Max. Negotiated Rate |
$30,042.54 |
| Rate for Payer: Aetna Medicare |
$24,995.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,042.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,042.54
|
| Rate for Payer: BCBS MAPPO |
$24,034.03
|
| Rate for Payer: BCN Medicare Advantage |
$24,034.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,034.03
|
| Rate for Payer: Mclaren Medicare |
$24,034.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,235.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,639.13
|
| Rate for Payer: PACE Medicare |
$22,832.33
|
| Rate for Payer: PACE SWMI |
$24,034.03
|
| Rate for Payer: PHP Medicare Advantage |
$24,034.03
|
| Rate for Payer: Priority Health Medicare |
$24,034.03
|
| Rate for Payer: Railroad Medicare Medicare |
$24,034.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,034.03
|
| Rate for Payer: UHC Medicare Advantage |
$24,034.03
|
| Rate for Payer: VA VA |
$24,034.03
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$21,881.14
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$16,629.66 |
| Max. Negotiated Rate |
$21,881.14 |
| Rate for Payer: Aetna Medicare |
$18,205.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,881.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,881.14
|
| Rate for Payer: BCBS MAPPO |
$17,504.91
|
| Rate for Payer: BCN Medicare Advantage |
$17,504.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,504.91
|
| Rate for Payer: Mclaren Medicare |
$17,504.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,380.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,130.65
|
| Rate for Payer: PACE Medicare |
$16,629.66
|
| Rate for Payer: PACE SWMI |
$17,504.91
|
| Rate for Payer: PHP Medicare Advantage |
$17,504.91
|
| Rate for Payer: Priority Health Medicare |
$17,504.91
|
| Rate for Payer: Railroad Medicare Medicare |
$17,504.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,504.91
|
| Rate for Payer: UHC Medicare Advantage |
$17,504.91
|
| Rate for Payer: VA VA |
$17,504.91
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,541.70
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$49,051.69 |
| Max. Negotiated Rate |
$64,541.70 |
| Rate for Payer: Aetna Medicare |
$53,698.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64,541.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64,541.70
|
| Rate for Payer: BCBS MAPPO |
$51,633.36
|
| Rate for Payer: BCN Medicare Advantage |
$51,633.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51,633.36
|
| Rate for Payer: Mclaren Medicare |
$51,633.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54,215.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,378.36
|
| Rate for Payer: PACE Medicare |
$49,051.69
|
| Rate for Payer: PACE SWMI |
$51,633.36
|
| Rate for Payer: PHP Medicare Advantage |
$51,633.36
|
| Rate for Payer: Priority Health Medicare |
$51,633.36
|
| Rate for Payer: Railroad Medicare Medicare |
$51,633.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$51,633.36
|
| Rate for Payer: UHC Medicare Advantage |
$51,633.36
|
| Rate for Payer: VA VA |
$51,633.36
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$27,397.61
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$20,822.19 |
| Max. Negotiated Rate |
$27,397.61 |
| Rate for Payer: Aetna Medicare |
$22,794.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,397.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,397.61
|
| Rate for Payer: BCBS MAPPO |
$21,918.09
|
| Rate for Payer: BCN Medicare Advantage |
$21,918.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,918.09
|
| Rate for Payer: Mclaren Medicare |
$21,918.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,013.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,205.80
|
| Rate for Payer: PACE Medicare |
$20,822.19
|
| Rate for Payer: PACE SWMI |
$21,918.09
|
| Rate for Payer: PHP Medicare Advantage |
$21,918.09
|
| Rate for Payer: Priority Health Medicare |
$21,918.09
|
| Rate for Payer: Railroad Medicare Medicare |
$21,918.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,918.09
|
| Rate for Payer: UHC Medicare Advantage |
$21,918.09
|
| Rate for Payer: VA VA |
$21,918.09
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$14,932.94
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$11,349.03 |
| Max. Negotiated Rate |
$14,932.94 |
| Rate for Payer: Aetna Medicare |
$12,424.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,932.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,932.94
|
| Rate for Payer: BCBS MAPPO |
$11,946.35
|
| Rate for Payer: BCN Medicare Advantage |
$11,946.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,946.35
|
| Rate for Payer: Mclaren Medicare |
$11,946.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,543.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,738.30
|
| Rate for Payer: PACE Medicare |
$11,349.03
|
| Rate for Payer: PACE SWMI |
$11,946.35
|
| Rate for Payer: PHP Medicare Advantage |
$11,946.35
|
| Rate for Payer: Priority Health Medicare |
$11,946.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,946.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,946.35
|
| Rate for Payer: UHC Medicare Advantage |
$11,946.35
|
| Rate for Payer: VA VA |
$11,946.35
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$30,765.97
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$23,382.14 |
| Max. Negotiated Rate |
$30,765.97 |
| Rate for Payer: Aetna Medicare |
$25,597.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,765.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,765.97
|
| Rate for Payer: BCBS MAPPO |
$24,612.78
|
| Rate for Payer: BCN Medicare Advantage |
$24,612.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,612.78
|
| Rate for Payer: Mclaren Medicare |
$24,612.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,843.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,304.70
|
| Rate for Payer: PACE Medicare |
$23,382.14
|
| Rate for Payer: PACE SWMI |
$24,612.78
|
| Rate for Payer: PHP Medicare Advantage |
$24,612.78
|
| Rate for Payer: Priority Health Medicare |
$24,612.78
|
| Rate for Payer: Railroad Medicare Medicare |
$24,612.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,612.78
|
| Rate for Payer: UHC Medicare Advantage |
$24,612.78
|
| Rate for Payer: VA VA |
$24,612.78
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$10,699.46
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$8,131.59 |
| Max. Negotiated Rate |
$10,699.46 |
| Rate for Payer: Aetna Medicare |
$8,901.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,699.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,699.46
|
| Rate for Payer: BCBS MAPPO |
$8,559.57
|
| Rate for Payer: BCN Medicare Advantage |
$8,559.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,559.57
|
| Rate for Payer: Mclaren Medicare |
$8,559.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,987.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,843.51
|
| Rate for Payer: PACE Medicare |
$8,131.59
|
| Rate for Payer: PACE SWMI |
$8,559.57
|
| Rate for Payer: PHP Medicare Advantage |
$8,559.57
|
| Rate for Payer: Priority Health Medicare |
$8,559.57
|
| Rate for Payer: Railroad Medicare Medicare |
$8,559.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,559.57
|
| Rate for Payer: UHC Medicare Advantage |
$8,559.57
|
| Rate for Payer: VA VA |
$8,559.57
|
|
|
MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$15,140.34
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$11,506.66 |
| Max. Negotiated Rate |
$15,140.34 |
| Rate for Payer: Aetna Medicare |
$12,596.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,140.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,140.34
|
| Rate for Payer: BCBS MAPPO |
$12,112.27
|
| Rate for Payer: BCN Medicare Advantage |
$12,112.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,112.27
|
| Rate for Payer: Mclaren Medicare |
$12,112.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,717.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,929.11
|
| Rate for Payer: PACE Medicare |
$11,506.66
|
| Rate for Payer: PACE SWMI |
$12,112.27
|
| Rate for Payer: PHP Medicare Advantage |
$12,112.27
|
| Rate for Payer: Priority Health Medicare |
$12,112.27
|
| Rate for Payer: Railroad Medicare Medicare |
$12,112.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,112.27
|
| Rate for Payer: UHC Medicare Advantage |
$12,112.27
|
| Rate for Payer: VA VA |
$12,112.27
|
|
|
MS-DRG 42.00: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$12,437.77
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$9,452.71 |
| Max. Negotiated Rate |
$12,437.77 |
| Rate for Payer: Aetna Medicare |
$10,348.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,437.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,437.77
|
| Rate for Payer: BCBS MAPPO |
$9,950.22
|
| Rate for Payer: BCN Medicare Advantage |
$9,950.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,950.22
|
| Rate for Payer: Mclaren Medicare |
$9,950.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,447.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,442.75
|
| Rate for Payer: PACE Medicare |
$9,452.71
|
| Rate for Payer: PACE SWMI |
$9,950.22
|
| Rate for Payer: PHP Medicare Advantage |
$9,950.22
|
| Rate for Payer: Priority Health Medicare |
$9,950.22
|
| Rate for Payer: Railroad Medicare Medicare |
$9,950.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,950.22
|
| Rate for Payer: UHC Medicare Advantage |
$9,950.22
|
| Rate for Payer: VA VA |
$9,950.22
|
|
|
MS-DRG 42.00: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$8,146.64
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$6,191.44 |
| Max. Negotiated Rate |
$8,146.64 |
| Rate for Payer: Aetna Medicare |
$6,778.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,146.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,146.64
|
| Rate for Payer: BCBS MAPPO |
$6,517.31
|
| Rate for Payer: BCN Medicare Advantage |
$6,517.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,517.31
|
| Rate for Payer: Mclaren Medicare |
$6,517.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,843.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,494.91
|
| Rate for Payer: PACE Medicare |
$6,191.44
|
| Rate for Payer: PACE SWMI |
$6,517.31
|
| Rate for Payer: PHP Medicare Advantage |
$6,517.31
|
| Rate for Payer: Priority Health Medicare |
$6,517.31
|
| Rate for Payer: Railroad Medicare Medicare |
$6,517.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,517.31
|
| Rate for Payer: UHC Medicare Advantage |
$6,517.31
|
| Rate for Payer: VA VA |
$6,517.31
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$10,647.86
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$8,092.38 |
| Max. Negotiated Rate |
$10,647.86 |
| Rate for Payer: Aetna Medicare |
$8,859.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,647.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,647.86
|
| Rate for Payer: BCBS MAPPO |
$8,518.29
|
| Rate for Payer: BCN Medicare Advantage |
$8,518.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,518.29
|
| Rate for Payer: Mclaren Medicare |
$8,518.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,944.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,796.03
|
| Rate for Payer: PACE Medicare |
$8,092.38
|
| Rate for Payer: PACE SWMI |
$8,518.29
|
| Rate for Payer: PHP Medicare Advantage |
$8,518.29
|
| Rate for Payer: Priority Health Medicare |
$8,518.29
|
| Rate for Payer: Railroad Medicare Medicare |
$8,518.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,518.29
|
| Rate for Payer: UHC Medicare Advantage |
$8,518.29
|
| Rate for Payer: VA VA |
$8,518.29
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$16,196.73
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$12,309.51 |
| Max. Negotiated Rate |
$16,196.73 |
| Rate for Payer: Aetna Medicare |
$13,475.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,196.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,196.73
|
| Rate for Payer: BCBS MAPPO |
$12,957.38
|
| Rate for Payer: BCN Medicare Advantage |
$12,957.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,957.38
|
| Rate for Payer: Mclaren Medicare |
$12,957.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,605.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,900.99
|
| Rate for Payer: PACE Medicare |
$12,309.51
|
| Rate for Payer: PACE SWMI |
$12,957.38
|
| Rate for Payer: PHP Medicare Advantage |
$12,957.38
|
| Rate for Payer: Priority Health Medicare |
$12,957.38
|
| Rate for Payer: Railroad Medicare Medicare |
$12,957.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,957.38
|
| Rate for Payer: UHC Medicare Advantage |
$12,957.38
|
| Rate for Payer: VA VA |
$12,957.38
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
|
Facility
|
IP
|
$7,296.70
|
|
|
Service Code
|
MSDRG 079
|
| Min. Negotiated Rate |
$5,545.49 |
| Max. Negotiated Rate |
$7,296.70 |
| Rate for Payer: Aetna Medicare |
$6,070.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,296.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,296.70
|
| Rate for Payer: BCBS MAPPO |
$5,837.36
|
| Rate for Payer: BCN Medicare Advantage |
$5,837.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,837.36
|
| Rate for Payer: Mclaren Medicare |
$5,837.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,129.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,712.96
|
| Rate for Payer: PACE Medicare |
$5,545.49
|
| Rate for Payer: PACE SWMI |
$5,837.36
|
| Rate for Payer: PHP Medicare Advantage |
$5,837.36
|
| Rate for Payer: Priority Health Medicare |
$5,837.36
|
| Rate for Payer: Railroad Medicare Medicare |
$5,837.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,837.36
|
| Rate for Payer: UHC Medicare Advantage |
$5,837.36
|
| Rate for Payer: VA VA |
$5,837.36
|
|
|
MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$13,108.61
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$9,962.55 |
| Max. Negotiated Rate |
$13,108.61 |
| Rate for Payer: Aetna Medicare |
$10,906.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,108.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,108.61
|
| Rate for Payer: BCBS MAPPO |
$10,486.89
|
| Rate for Payer: BCN Medicare Advantage |
$10,486.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,486.89
|
| Rate for Payer: Mclaren Medicare |
$10,486.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,011.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,059.92
|
| Rate for Payer: PACE Medicare |
$9,962.55
|
| Rate for Payer: PACE SWMI |
$10,486.89
|
| Rate for Payer: PHP Medicare Advantage |
$10,486.89
|
| Rate for Payer: Priority Health Medicare |
$10,486.89
|
| Rate for Payer: Railroad Medicare Medicare |
$10,486.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,486.89
|
| Rate for Payer: UHC Medicare Advantage |
$10,486.89
|
| Rate for Payer: VA VA |
$10,486.89
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$10,864.40
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$8,256.94 |
| Max. Negotiated Rate |
$10,864.40 |
| Rate for Payer: Aetna Medicare |
$9,039.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,864.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,864.40
|
| Rate for Payer: BCBS MAPPO |
$8,691.52
|
| Rate for Payer: BCN Medicare Advantage |
$8,691.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,691.52
|
| Rate for Payer: Mclaren Medicare |
$8,691.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,126.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,995.25
|
| Rate for Payer: PACE Medicare |
$8,256.94
|
| Rate for Payer: PACE SWMI |
$8,691.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,691.52
|
| Rate for Payer: Priority Health Medicare |
$8,691.52
|
| Rate for Payer: Railroad Medicare Medicare |
$8,691.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,691.52
|
| Rate for Payer: UHC Medicare Advantage |
$8,691.52
|
| Rate for Payer: VA VA |
$8,691.52
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$14,871.23
|
|
|
Service Code
|
MSDRG 757
|
| Min. Negotiated Rate |
$11,302.13 |
| Max. Negotiated Rate |
$14,871.23 |
| Rate for Payer: Aetna Medicare |
$12,372.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,871.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,871.23
|
| Rate for Payer: BCBS MAPPO |
$11,896.98
|
| Rate for Payer: BCN Medicare Advantage |
$11,896.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,896.98
|
| Rate for Payer: Mclaren Medicare |
$11,896.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,491.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,681.53
|
| Rate for Payer: PACE Medicare |
$11,302.13
|
| Rate for Payer: PACE SWMI |
$11,896.98
|
| Rate for Payer: PHP Medicare Advantage |
$11,896.98
|
| Rate for Payer: Priority Health Medicare |
$11,896.98
|
| Rate for Payer: Railroad Medicare Medicare |
$11,896.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,896.98
|
| Rate for Payer: UHC Medicare Advantage |
$11,896.98
|
| Rate for Payer: VA VA |
$11,896.98
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$7,026.55
|
|
|
Service Code
|
MSDRG 759
|
| Min. Negotiated Rate |
$5,340.18 |
| Max. Negotiated Rate |
$7,026.55 |
| Rate for Payer: Aetna Medicare |
$5,846.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,026.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,026.55
|
| Rate for Payer: BCBS MAPPO |
$5,621.24
|
| Rate for Payer: BCN Medicare Advantage |
$5,621.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,621.24
|
| Rate for Payer: Mclaren Medicare |
$5,621.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,902.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,464.43
|
| Rate for Payer: PACE Medicare |
$5,340.18
|
| Rate for Payer: PACE SWMI |
$5,621.24
|
| Rate for Payer: PHP Medicare Advantage |
$5,621.24
|
| Rate for Payer: Priority Health Medicare |
$5,621.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5,621.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,621.24
|
| Rate for Payer: UHC Medicare Advantage |
$5,621.24
|
| Rate for Payer: VA VA |
$5,621.24
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,768.12
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$15,783.77 |
| Max. Negotiated Rate |
$20,768.12 |
| Rate for Payer: Aetna Medicare |
$17,279.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,768.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,768.12
|
| Rate for Payer: BCBS MAPPO |
$16,614.50
|
| Rate for Payer: BCN Medicare Advantage |
$16,614.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,614.50
|
| Rate for Payer: Mclaren Medicare |
$16,614.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,445.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,106.67
|
| Rate for Payer: PACE Medicare |
$15,783.77
|
| Rate for Payer: PACE SWMI |
$16,614.50
|
| Rate for Payer: PHP Medicare Advantage |
$16,614.50
|
| Rate for Payer: Priority Health Medicare |
$16,614.50
|
| Rate for Payer: Railroad Medicare Medicare |
$16,614.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,614.50
|
| Rate for Payer: UHC Medicare Advantage |
$16,614.50
|
| Rate for Payer: VA VA |
$16,614.50
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,155.26
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$38,878.00 |
| Max. Negotiated Rate |
$51,155.26 |
| Rate for Payer: Aetna Medicare |
$42,561.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,155.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,155.26
|
| Rate for Payer: BCBS MAPPO |
$40,924.21
|
| Rate for Payer: BCN Medicare Advantage |
$40,924.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,924.21
|
| Rate for Payer: Mclaren Medicare |
$40,924.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,970.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,062.84
|
| Rate for Payer: PACE Medicare |
$38,878.00
|
| Rate for Payer: PACE SWMI |
$40,924.21
|
| Rate for Payer: PHP Medicare Advantage |
$40,924.21
|
| Rate for Payer: Priority Health Medicare |
$40,924.21
|
| Rate for Payer: Railroad Medicare Medicare |
$40,924.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,924.21
|
| Rate for Payer: UHC Medicare Advantage |
$40,924.21
|
| Rate for Payer: VA VA |
$40,924.21
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,999.09
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$12,919.31 |
| Max. Negotiated Rate |
$16,999.09 |
| Rate for Payer: Aetna Medicare |
$14,143.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,999.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,999.09
|
| Rate for Payer: BCBS MAPPO |
$13,599.27
|
| Rate for Payer: BCN Medicare Advantage |
$13,599.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,599.27
|
| Rate for Payer: Mclaren Medicare |
$13,599.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,279.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,639.16
|
| Rate for Payer: PACE Medicare |
$12,919.31
|
| Rate for Payer: PACE SWMI |
$13,599.27
|
| Rate for Payer: PHP Medicare Advantage |
$13,599.27
|
| Rate for Payer: Priority Health Medicare |
$13,599.27
|
| Rate for Payer: Railroad Medicare Medicare |
$13,599.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,599.27
|
| Rate for Payer: UHC Medicare Advantage |
$13,599.27
|
| Rate for Payer: VA VA |
$13,599.27
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$15,418.61
|
|
|
Service Code
|
MSDRG 727
|
| Min. Negotiated Rate |
$11,718.15 |
| Max. Negotiated Rate |
$15,418.61 |
| Rate for Payer: Aetna Medicare |
$12,828.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,418.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,418.61
|
| Rate for Payer: BCBS MAPPO |
$12,334.89
|
| Rate for Payer: BCN Medicare Advantage |
$12,334.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,334.89
|
| Rate for Payer: Mclaren Medicare |
$12,334.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,951.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,185.12
|
| Rate for Payer: PACE Medicare |
$11,718.15
|
| Rate for Payer: PACE SWMI |
$12,334.89
|
| Rate for Payer: PHP Medicare Advantage |
$12,334.89
|
| Rate for Payer: Priority Health Medicare |
$12,334.89
|
| Rate for Payer: Railroad Medicare Medicare |
$12,334.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,334.89
|
| Rate for Payer: UHC Medicare Advantage |
$12,334.89
|
| Rate for Payer: VA VA |
$12,334.89
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$8,818.48
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$6,702.04 |
| Max. Negotiated Rate |
$8,818.48 |
| Rate for Payer: Aetna Medicare |
$7,336.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,818.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,818.48
|
| Rate for Payer: BCBS MAPPO |
$7,054.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,054.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,054.78
|
| Rate for Payer: Mclaren Medicare |
$7,054.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,407.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,113.00
|
| Rate for Payer: PACE Medicare |
$6,702.04
|
| Rate for Payer: PACE SWMI |
$7,054.78
|
| Rate for Payer: PHP Medicare Advantage |
$7,054.78
|
| Rate for Payer: Priority Health Medicare |
$7,054.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,054.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,054.78
|
| Rate for Payer: UHC Medicare Advantage |
$7,054.78
|
| Rate for Payer: VA VA |
$7,054.78
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
|
IP
|
$10,593.23
|
|
|
Service Code
|
MSDRG 386
|
| Min. Negotiated Rate |
$8,050.85 |
| Max. Negotiated Rate |
$10,593.23 |
| Rate for Payer: Aetna Medicare |
$8,813.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,593.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,593.23
|
| Rate for Payer: BCBS MAPPO |
$8,474.58
|
| Rate for Payer: BCN Medicare Advantage |
$8,474.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,474.58
|
| Rate for Payer: Mclaren Medicare |
$8,474.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,898.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,745.77
|
| Rate for Payer: PACE Medicare |
$8,050.85
|
| Rate for Payer: PACE SWMI |
$8,474.58
|
| Rate for Payer: PHP Medicare Advantage |
$8,474.58
|
| Rate for Payer: Priority Health Medicare |
$8,474.58
|
| Rate for Payer: Railroad Medicare Medicare |
$8,474.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,474.58
|
| Rate for Payer: UHC Medicare Advantage |
$8,474.58
|
| Rate for Payer: VA VA |
$8,474.58
|
|
