|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
|
IP
|
$16,991.00
|
|
|
Service Code
|
MSDRG 385
|
| Min. Negotiated Rate |
$12,913.16 |
| Max. Negotiated Rate |
$16,991.00 |
| Rate for Payer: Aetna Medicare |
$14,136.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,991.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,991.00
|
| Rate for Payer: BCBS MAPPO |
$13,592.80
|
| Rate for Payer: BCN Medicare Advantage |
$13,592.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,592.80
|
| Rate for Payer: Mclaren Medicare |
$13,592.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,272.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,631.72
|
| Rate for Payer: PACE Medicare |
$12,913.16
|
| Rate for Payer: PACE SWMI |
$13,592.80
|
| Rate for Payer: PHP Medicare Advantage |
$13,592.80
|
| Rate for Payer: Priority Health Medicare |
$13,592.80
|
| Rate for Payer: Railroad Medicare Medicare |
$13,592.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,592.80
|
| Rate for Payer: UHC Medicare Advantage |
$13,592.80
|
| Rate for Payer: VA VA |
$13,592.80
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$7,333.10
|
|
|
Service Code
|
MSDRG 387
|
| Min. Negotiated Rate |
$5,573.16 |
| Max. Negotiated Rate |
$7,333.10 |
| Rate for Payer: Aetna Medicare |
$6,101.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,333.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,333.10
|
| Rate for Payer: BCBS MAPPO |
$5,866.48
|
| Rate for Payer: BCN Medicare Advantage |
$5,866.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,866.48
|
| Rate for Payer: Mclaren Medicare |
$5,866.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,159.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,746.45
|
| Rate for Payer: PACE Medicare |
$5,573.16
|
| Rate for Payer: PACE SWMI |
$5,866.48
|
| Rate for Payer: PHP Medicare Advantage |
$5,866.48
|
| Rate for Payer: Priority Health Medicare |
$5,866.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,866.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,866.48
|
| Rate for Payer: UHC Medicare Advantage |
$5,866.48
|
| Rate for Payer: VA VA |
$5,866.48
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$15,773.79
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$11,988.08 |
| Max. Negotiated Rate |
$15,773.79 |
| Rate for Payer: Aetna Medicare |
$13,123.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,773.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,773.79
|
| Rate for Payer: BCBS MAPPO |
$12,619.03
|
| Rate for Payer: BCN Medicare Advantage |
$12,619.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,619.03
|
| Rate for Payer: Mclaren Medicare |
$12,619.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,249.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,511.88
|
| Rate for Payer: PACE Medicare |
$11,988.08
|
| Rate for Payer: PACE SWMI |
$12,619.03
|
| Rate for Payer: PHP Medicare Advantage |
$12,619.03
|
| Rate for Payer: Priority Health Medicare |
$12,619.03
|
| Rate for Payer: Railroad Medicare Medicare |
$12,619.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,619.03
|
| Rate for Payer: UHC Medicare Advantage |
$12,619.03
|
| Rate for Payer: VA VA |
$12,619.03
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$25,023.89
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$19,018.15 |
| Max. Negotiated Rate |
$25,023.89 |
| Rate for Payer: Aetna Medicare |
$20,819.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,023.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,023.89
|
| Rate for Payer: BCBS MAPPO |
$20,019.11
|
| Rate for Payer: BCN Medicare Advantage |
$20,019.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,019.11
|
| Rate for Payer: Mclaren Medicare |
$20,019.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,020.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,021.98
|
| Rate for Payer: PACE Medicare |
$19,018.15
|
| Rate for Payer: PACE SWMI |
$20,019.11
|
| Rate for Payer: PHP Medicare Advantage |
$20,019.11
|
| Rate for Payer: Priority Health Medicare |
$20,019.11
|
| Rate for Payer: Railroad Medicare Medicare |
$20,019.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,019.11
|
| Rate for Payer: UHC Medicare Advantage |
$20,019.11
|
| Rate for Payer: VA VA |
$20,019.11
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,707.24
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$8,897.50 |
| Max. Negotiated Rate |
$11,707.24 |
| Rate for Payer: Aetna Medicare |
$9,740.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,707.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,707.24
|
| Rate for Payer: BCBS MAPPO |
$9,365.79
|
| Rate for Payer: BCN Medicare Advantage |
$9,365.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,365.79
|
| Rate for Payer: Mclaren Medicare |
$9,365.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,834.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,770.66
|
| Rate for Payer: PACE Medicare |
$8,897.50
|
| Rate for Payer: PACE SWMI |
$9,365.79
|
| Rate for Payer: PHP Medicare Advantage |
$9,365.79
|
| Rate for Payer: Priority Health Medicare |
$9,365.79
|
| Rate for Payer: Railroad Medicare Medicare |
$9,365.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,365.79
|
| Rate for Payer: UHC Medicare Advantage |
$9,365.79
|
| Rate for Payer: VA VA |
$9,365.79
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC
|
Facility
|
IP
|
$10,567.92
|
|
|
Service Code
|
MSDRG 197
|
| Min. Negotiated Rate |
$8,031.62 |
| Max. Negotiated Rate |
$10,567.92 |
| Rate for Payer: Aetna Medicare |
$8,792.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,567.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,567.92
|
| Rate for Payer: BCBS MAPPO |
$8,454.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,454.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,454.34
|
| Rate for Payer: Mclaren Medicare |
$8,454.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,722.49
|
| Rate for Payer: PACE Medicare |
$8,031.62
|
| Rate for Payer: PACE SWMI |
$8,454.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,454.34
|
| Rate for Payer: Priority Health Medicare |
$8,454.34
|
| Rate for Payer: Railroad Medicare Medicare |
$8,454.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,454.34
|
| Rate for Payer: UHC Medicare Advantage |
$8,454.34
|
| Rate for Payer: VA VA |
$8,454.34
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC
|
Facility
|
IP
|
$19,614.66
|
|
|
Service Code
|
MSDRG 196
|
| Min. Negotiated Rate |
$14,907.14 |
| Max. Negotiated Rate |
$19,614.66 |
| Rate for Payer: Aetna Medicare |
$16,319.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,614.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,614.66
|
| Rate for Payer: BCBS MAPPO |
$15,691.73
|
| Rate for Payer: BCN Medicare Advantage |
$15,691.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,691.73
|
| Rate for Payer: Mclaren Medicare |
$15,691.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,476.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,045.49
|
| Rate for Payer: PACE Medicare |
$14,907.14
|
| Rate for Payer: PACE SWMI |
$15,691.73
|
| Rate for Payer: PHP Medicare Advantage |
$15,691.73
|
| Rate for Payer: Priority Health Medicare |
$15,691.73
|
| Rate for Payer: Railroad Medicare Medicare |
$15,691.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,691.73
|
| Rate for Payer: UHC Medicare Advantage |
$15,691.73
|
| Rate for Payer: VA VA |
$15,691.73
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$7,637.68
|
|
|
Service Code
|
MSDRG 198
|
| Min. Negotiated Rate |
$5,804.63 |
| Max. Negotiated Rate |
$7,637.68 |
| Rate for Payer: Aetna Medicare |
$6,354.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,637.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,637.68
|
| Rate for Payer: BCBS MAPPO |
$6,110.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,110.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,110.14
|
| Rate for Payer: Mclaren Medicare |
$6,110.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,415.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,026.66
|
| Rate for Payer: PACE Medicare |
$5,804.63
|
| Rate for Payer: PACE SWMI |
$6,110.14
|
| Rate for Payer: PHP Medicare Advantage |
$6,110.14
|
| Rate for Payer: Priority Health Medicare |
$6,110.14
|
| Rate for Payer: Railroad Medicare Medicare |
$6,110.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,110.14
|
| Rate for Payer: UHC Medicare Advantage |
$6,110.14
|
| Rate for Payer: VA VA |
$6,110.14
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
|
IP
|
$10,840.11
|
|
|
Service Code
|
MSDRG 065
|
| Min. Negotiated Rate |
$8,238.49 |
| Max. Negotiated Rate |
$10,840.11 |
| Rate for Payer: Aetna Medicare |
$9,018.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,840.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,840.11
|
| Rate for Payer: BCBS MAPPO |
$8,672.09
|
| Rate for Payer: BCN Medicare Advantage |
$8,672.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,672.09
|
| Rate for Payer: Mclaren Medicare |
$8,672.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,105.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,972.90
|
| Rate for Payer: PACE Medicare |
$8,238.49
|
| Rate for Payer: PACE SWMI |
$8,672.09
|
| Rate for Payer: PHP Medicare Advantage |
$8,672.09
|
| Rate for Payer: Priority Health Medicare |
$8,672.09
|
| Rate for Payer: Railroad Medicare Medicare |
$8,672.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,672.09
|
| Rate for Payer: UHC Medicare Advantage |
$8,672.09
|
| Rate for Payer: VA VA |
$8,672.09
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
|
IP
|
$20,678.09
|
|
|
Service Code
|
MSDRG 064
|
| Min. Negotiated Rate |
$15,715.35 |
| Max. Negotiated Rate |
$20,678.09 |
| Rate for Payer: Aetna Medicare |
$17,204.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,678.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,678.09
|
| Rate for Payer: BCBS MAPPO |
$16,542.47
|
| Rate for Payer: BCN Medicare Advantage |
$16,542.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,542.47
|
| Rate for Payer: Mclaren Medicare |
$16,542.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,369.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,023.84
|
| Rate for Payer: PACE Medicare |
$15,715.35
|
| Rate for Payer: PACE SWMI |
$16,542.47
|
| Rate for Payer: PHP Medicare Advantage |
$16,542.47
|
| Rate for Payer: Priority Health Medicare |
$16,542.47
|
| Rate for Payer: Railroad Medicare Medicare |
$16,542.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,542.47
|
| Rate for Payer: UHC Medicare Advantage |
$16,542.47
|
| Rate for Payer: VA VA |
$16,542.47
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$7,515.24
|
|
|
Service Code
|
MSDRG 066
|
| Min. Negotiated Rate |
$5,711.58 |
| Max. Negotiated Rate |
$7,515.24 |
| Rate for Payer: Aetna Medicare |
$6,252.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,515.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,515.24
|
| Rate for Payer: BCBS MAPPO |
$6,012.19
|
| Rate for Payer: BCN Medicare Advantage |
$6,012.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,012.19
|
| Rate for Payer: Mclaren Medicare |
$6,012.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,312.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,914.02
|
| Rate for Payer: PACE Medicare |
$5,711.58
|
| Rate for Payer: PACE SWMI |
$6,012.19
|
| Rate for Payer: PHP Medicare Advantage |
$6,012.19
|
| Rate for Payer: Priority Health Medicare |
$6,012.19
|
| Rate for Payer: Railroad Medicare Medicare |
$6,012.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,012.19
|
| Rate for Payer: UHC Medicare Advantage |
$6,012.19
|
| Rate for Payer: VA VA |
$6,012.19
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
|
Facility
|
IP
|
$56,477.47
|
|
|
Service Code
|
MSDRG 021
|
| Min. Negotiated Rate |
$42,922.88 |
| Max. Negotiated Rate |
$56,477.47 |
| Rate for Payer: Aetna Medicare |
$46,989.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,477.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,477.47
|
| Rate for Payer: BCBS MAPPO |
$45,181.98
|
| Rate for Payer: BCN Medicare Advantage |
$45,181.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,181.98
|
| Rate for Payer: Mclaren Medicare |
$45,181.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,441.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,959.28
|
| Rate for Payer: PACE Medicare |
$42,922.88
|
| Rate for Payer: PACE SWMI |
$45,181.98
|
| Rate for Payer: PHP Medicare Advantage |
$45,181.98
|
| Rate for Payer: Priority Health Medicare |
$45,181.98
|
| Rate for Payer: Railroad Medicare Medicare |
$45,181.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,181.98
|
| Rate for Payer: UHC Medicare Advantage |
$45,181.98
|
| Rate for Payer: VA VA |
$45,181.98
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$82,115.07
|
|
|
Service Code
|
MSDRG 020
|
| Min. Negotiated Rate |
$62,407.46 |
| Max. Negotiated Rate |
$82,115.07 |
| Rate for Payer: Aetna Medicare |
$68,319.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$82,115.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$82,115.07
|
| Rate for Payer: BCBS MAPPO |
$65,692.06
|
| Rate for Payer: BCN Medicare Advantage |
$65,692.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65,692.06
|
| Rate for Payer: Mclaren Medicare |
$65,692.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68,976.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75,545.87
|
| Rate for Payer: PACE Medicare |
$62,407.46
|
| Rate for Payer: PACE SWMI |
$65,692.06
|
| Rate for Payer: PHP Medicare Advantage |
$65,692.06
|
| Rate for Payer: Priority Health Medicare |
$65,692.06
|
| Rate for Payer: Railroad Medicare Medicare |
$65,692.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$65,692.06
|
| Rate for Payer: UHC Medicare Advantage |
$65,692.06
|
| Rate for Payer: VA VA |
$65,692.06
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$36,272.31
|
|
|
Service Code
|
MSDRG 022
|
| Min. Negotiated Rate |
$27,566.96 |
| Max. Negotiated Rate |
$36,272.31 |
| Rate for Payer: Aetna Medicare |
$30,178.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,272.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,272.31
|
| Rate for Payer: BCBS MAPPO |
$29,017.85
|
| Rate for Payer: BCN Medicare Advantage |
$29,017.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,017.85
|
| Rate for Payer: Mclaren Medicare |
$29,017.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,468.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,370.53
|
| Rate for Payer: PACE Medicare |
$27,566.96
|
| Rate for Payer: PACE SWMI |
$29,017.85
|
| Rate for Payer: PHP Medicare Advantage |
$29,017.85
|
| Rate for Payer: Priority Health Medicare |
$29,017.85
|
| Rate for Payer: Railroad Medicare Medicare |
$29,017.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,017.85
|
| Rate for Payer: UHC Medicare Advantage |
$29,017.85
|
| Rate for Payer: VA VA |
$29,017.85
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$17,434.16
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$13,249.96 |
| Max. Negotiated Rate |
$17,434.16 |
| Rate for Payer: Aetna Medicare |
$14,505.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,434.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,434.16
|
| Rate for Payer: BCBS MAPPO |
$13,947.33
|
| Rate for Payer: BCN Medicare Advantage |
$13,947.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,947.33
|
| Rate for Payer: Mclaren Medicare |
$13,947.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,644.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,039.43
|
| Rate for Payer: PACE Medicare |
$13,249.96
|
| Rate for Payer: PACE SWMI |
$13,947.33
|
| Rate for Payer: PHP Medicare Advantage |
$13,947.33
|
| Rate for Payer: Priority Health Medicare |
$13,947.33
|
| Rate for Payer: Railroad Medicare Medicare |
$13,947.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,947.33
|
| Rate for Payer: UHC Medicare Advantage |
$13,947.33
|
| Rate for Payer: VA VA |
$13,947.33
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,464.41
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$8,712.95 |
| Max. Negotiated Rate |
$11,464.41 |
| Rate for Payer: Aetna Medicare |
$9,538.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,464.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,464.41
|
| Rate for Payer: BCBS MAPPO |
$9,171.53
|
| Rate for Payer: BCN Medicare Advantage |
$9,171.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,171.53
|
| Rate for Payer: Mclaren Medicare |
$9,171.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,630.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,547.26
|
| Rate for Payer: PACE Medicare |
$8,712.95
|
| Rate for Payer: PACE SWMI |
$9,171.53
|
| Rate for Payer: PHP Medicare Advantage |
$9,171.53
|
| Rate for Payer: Priority Health Medicare |
$9,171.53
|
| Rate for Payer: Railroad Medicare Medicare |
$9,171.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,171.53
|
| Rate for Payer: UHC Medicare Advantage |
$9,171.53
|
| Rate for Payer: VA VA |
$9,171.53
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$18,570.45
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$14,113.54 |
| Max. Negotiated Rate |
$18,570.45 |
| Rate for Payer: Aetna Medicare |
$15,450.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,570.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,570.45
|
| Rate for Payer: BCBS MAPPO |
$14,856.36
|
| Rate for Payer: BCN Medicare Advantage |
$14,856.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,856.36
|
| Rate for Payer: Mclaren Medicare |
$14,856.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,599.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,084.81
|
| Rate for Payer: PACE Medicare |
$14,113.54
|
| Rate for Payer: PACE SWMI |
$14,856.36
|
| Rate for Payer: PHP Medicare Advantage |
$14,856.36
|
| Rate for Payer: Priority Health Medicare |
$14,856.36
|
| Rate for Payer: Railroad Medicare Medicare |
$14,856.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,856.36
|
| Rate for Payer: UHC Medicare Advantage |
$14,856.36
|
| Rate for Payer: VA VA |
$14,856.36
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$27,904.54
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$21,207.45 |
| Max. Negotiated Rate |
$27,904.54 |
| Rate for Payer: Aetna Medicare |
$23,216.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,904.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,904.54
|
| Rate for Payer: BCBS MAPPO |
$22,323.63
|
| Rate for Payer: BCN Medicare Advantage |
$22,323.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,323.63
|
| Rate for Payer: Mclaren Medicare |
$22,323.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,439.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,672.17
|
| Rate for Payer: PACE Medicare |
$21,207.45
|
| Rate for Payer: PACE SWMI |
$22,323.63
|
| Rate for Payer: PHP Medicare Advantage |
$22,323.63
|
| Rate for Payer: Priority Health Medicare |
$22,323.63
|
| Rate for Payer: Railroad Medicare Medicare |
$22,323.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,323.63
|
| Rate for Payer: UHC Medicare Advantage |
$22,323.63
|
| Rate for Payer: VA VA |
$22,323.63
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$14,764.98
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$11,221.38 |
| Max. Negotiated Rate |
$14,764.98 |
| Rate for Payer: Aetna Medicare |
$12,284.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,764.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,764.98
|
| Rate for Payer: BCBS MAPPO |
$11,811.98
|
| Rate for Payer: BCN Medicare Advantage |
$11,811.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,811.98
|
| Rate for Payer: Mclaren Medicare |
$11,811.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,402.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,583.78
|
| Rate for Payer: PACE Medicare |
$11,221.38
|
| Rate for Payer: PACE SWMI |
$11,811.98
|
| Rate for Payer: PHP Medicare Advantage |
$11,811.98
|
| Rate for Payer: Priority Health Medicare |
$11,811.98
|
| Rate for Payer: Railroad Medicare Medicare |
$11,811.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,811.98
|
| Rate for Payer: UHC Medicare Advantage |
$11,811.98
|
| Rate for Payer: VA VA |
$11,811.98
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$19,048.05
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$14,476.52 |
| Max. Negotiated Rate |
$19,048.05 |
| Rate for Payer: Aetna Medicare |
$15,847.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,048.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,048.05
|
| Rate for Payer: BCBS MAPPO |
$15,238.44
|
| Rate for Payer: BCN Medicare Advantage |
$15,238.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,238.44
|
| Rate for Payer: Mclaren Medicare |
$15,238.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,000.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,524.21
|
| Rate for Payer: PACE Medicare |
$14,476.52
|
| Rate for Payer: PACE SWMI |
$15,238.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,238.44
|
| Rate for Payer: Priority Health Medicare |
$15,238.44
|
| Rate for Payer: Railroad Medicare Medicare |
$15,238.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,238.44
|
| Rate for Payer: UHC Medicare Advantage |
$15,238.44
|
| Rate for Payer: VA VA |
$15,238.44
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$33,516.10
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$25,472.24 |
| Max. Negotiated Rate |
$33,516.10 |
| Rate for Payer: Aetna Medicare |
$27,885.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,516.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,516.10
|
| Rate for Payer: BCBS MAPPO |
$26,812.88
|
| Rate for Payer: BCN Medicare Advantage |
$26,812.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,812.88
|
| Rate for Payer: Mclaren Medicare |
$26,812.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,153.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,834.81
|
| Rate for Payer: PACE Medicare |
$25,472.24
|
| Rate for Payer: PACE SWMI |
$26,812.88
|
| Rate for Payer: PHP Medicare Advantage |
$26,812.88
|
| Rate for Payer: Priority Health Medicare |
$26,812.88
|
| Rate for Payer: Railroad Medicare Medicare |
$26,812.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,812.88
|
| Rate for Payer: UHC Medicare Advantage |
$26,812.88
|
| Rate for Payer: VA VA |
$26,812.88
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$15,768.71
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$11,984.22 |
| Max. Negotiated Rate |
$15,768.71 |
| Rate for Payer: Aetna Medicare |
$13,119.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,768.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,768.71
|
| Rate for Payer: BCBS MAPPO |
$12,614.97
|
| Rate for Payer: BCN Medicare Advantage |
$12,614.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,614.97
|
| Rate for Payer: Mclaren Medicare |
$12,614.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,245.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,507.22
|
| Rate for Payer: PACE Medicare |
$11,984.22
|
| Rate for Payer: PACE SWMI |
$12,614.97
|
| Rate for Payer: PHP Medicare Advantage |
$12,614.97
|
| Rate for Payer: Priority Health Medicare |
$12,614.97
|
| Rate for Payer: Railroad Medicare Medicare |
$12,614.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,614.97
|
| Rate for Payer: UHC Medicare Advantage |
$12,614.97
|
| Rate for Payer: VA VA |
$12,614.97
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$14,109.33
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$10,723.09 |
| Max. Negotiated Rate |
$14,109.33 |
| Rate for Payer: Aetna Medicare |
$11,738.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,109.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,109.33
|
| Rate for Payer: BCBS MAPPO |
$11,287.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,287.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,287.46
|
| Rate for Payer: Mclaren Medicare |
$11,287.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,851.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,980.58
|
| Rate for Payer: PACE Medicare |
$10,723.09
|
| Rate for Payer: PACE SWMI |
$11,287.46
|
| Rate for Payer: PHP Medicare Advantage |
$11,287.46
|
| Rate for Payer: Priority Health Medicare |
$11,287.46
|
| Rate for Payer: Railroad Medicare Medicare |
$11,287.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,287.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,287.46
|
| Rate for Payer: VA VA |
$11,287.46
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$26,699.46
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$20,291.59 |
| Max. Negotiated Rate |
$26,699.46 |
| Rate for Payer: Aetna Medicare |
$22,213.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,699.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,699.46
|
| Rate for Payer: BCBS MAPPO |
$21,359.57
|
| Rate for Payer: BCN Medicare Advantage |
$21,359.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,359.57
|
| Rate for Payer: Mclaren Medicare |
$21,359.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,427.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,563.51
|
| Rate for Payer: PACE Medicare |
$20,291.59
|
| Rate for Payer: PACE SWMI |
$21,359.57
|
| Rate for Payer: PHP Medicare Advantage |
$21,359.57
|
| Rate for Payer: Priority Health Medicare |
$21,359.57
|
| Rate for Payer: Railroad Medicare Medicare |
$21,359.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,359.57
|
| Rate for Payer: UHC Medicare Advantage |
$21,359.57
|
| Rate for Payer: VA VA |
$21,359.57
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$10,938.26
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$8,313.08 |
| Max. Negotiated Rate |
$10,938.26 |
| Rate for Payer: Aetna Medicare |
$9,100.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,938.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,938.26
|
| Rate for Payer: BCBS MAPPO |
$8,750.61
|
| Rate for Payer: BCN Medicare Advantage |
$8,750.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,750.61
|
| Rate for Payer: Mclaren Medicare |
$8,750.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,188.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,063.20
|
| Rate for Payer: PACE Medicare |
$8,313.08
|
| Rate for Payer: PACE SWMI |
$8,750.61
|
| Rate for Payer: PHP Medicare Advantage |
$8,750.61
|
| Rate for Payer: Priority Health Medicare |
$8,750.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8,750.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,750.61
|
| Rate for Payer: UHC Medicare Advantage |
$8,750.61
|
| Rate for Payer: VA VA |
$8,750.61
|
|
