|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$12,296.14
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$9,345.06 |
| Max. Negotiated Rate |
$12,296.14 |
| Rate for Payer: Aetna Medicare |
$10,230.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,296.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,296.14
|
| Rate for Payer: BCBS MAPPO |
$9,836.91
|
| Rate for Payer: BCN Medicare Advantage |
$9,836.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,836.91
|
| Rate for Payer: Mclaren Medicare |
$9,836.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,328.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,312.45
|
| Rate for Payer: PACE Medicare |
$9,345.06
|
| Rate for Payer: PACE SWMI |
$9,836.91
|
| Rate for Payer: PHP Medicare Advantage |
$9,836.91
|
| Rate for Payer: Priority Health Medicare |
$9,836.91
|
| Rate for Payer: Railroad Medicare Medicare |
$9,836.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,836.91
|
| Rate for Payer: UHC Medicare Advantage |
$9,836.91
|
| Rate for Payer: VA VA |
$9,836.91
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$24,844.76
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$18,882.02 |
| Max. Negotiated Rate |
$24,844.76 |
| Rate for Payer: Aetna Medicare |
$20,670.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,844.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,844.76
|
| Rate for Payer: BCBS MAPPO |
$19,875.81
|
| Rate for Payer: BCN Medicare Advantage |
$19,875.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,875.81
|
| Rate for Payer: Mclaren Medicare |
$19,875.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,869.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,857.18
|
| Rate for Payer: PACE Medicare |
$18,882.02
|
| Rate for Payer: PACE SWMI |
$19,875.81
|
| Rate for Payer: PHP Medicare Advantage |
$19,875.81
|
| Rate for Payer: Priority Health Medicare |
$19,875.81
|
| Rate for Payer: Railroad Medicare Medicare |
$19,875.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,875.81
|
| Rate for Payer: UHC Medicare Advantage |
$19,875.81
|
| Rate for Payer: VA VA |
$19,875.81
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$36,482.78
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$27,726.91 |
| Max. Negotiated Rate |
$36,482.78 |
| Rate for Payer: Aetna Medicare |
$30,353.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,482.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,482.78
|
| Rate for Payer: BCBS MAPPO |
$29,186.22
|
| Rate for Payer: BCN Medicare Advantage |
$29,186.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,186.22
|
| Rate for Payer: Mclaren Medicare |
$29,186.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,645.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,564.15
|
| Rate for Payer: PACE Medicare |
$27,726.91
|
| Rate for Payer: PACE SWMI |
$29,186.22
|
| Rate for Payer: PHP Medicare Advantage |
$29,186.22
|
| Rate for Payer: Priority Health Medicare |
$29,186.22
|
| Rate for Payer: Railroad Medicare Medicare |
$29,186.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,186.22
|
| Rate for Payer: UHC Medicare Advantage |
$29,186.22
|
| Rate for Payer: VA VA |
$29,186.22
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$19,627.83
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$14,917.15 |
| Max. Negotiated Rate |
$19,627.83 |
| Rate for Payer: Aetna Medicare |
$16,330.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,627.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,627.83
|
| Rate for Payer: BCBS MAPPO |
$15,702.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,702.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,702.26
|
| Rate for Payer: Mclaren Medicare |
$15,702.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,487.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,057.60
|
| Rate for Payer: PACE Medicare |
$14,917.15
|
| Rate for Payer: PACE SWMI |
$15,702.26
|
| Rate for Payer: PHP Medicare Advantage |
$15,702.26
|
| Rate for Payer: Priority Health Medicare |
$15,702.26
|
| Rate for Payer: Railroad Medicare Medicare |
$15,702.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,702.26
|
| Rate for Payer: UHC Medicare Advantage |
$15,702.26
|
| Rate for Payer: VA VA |
$15,702.26
|
|
|
MS-DRG 42.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$132,784.25
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$100,916.03 |
| Max. Negotiated Rate |
$132,784.25 |
| Rate for Payer: Aetna Medicare |
$110,476.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$132,784.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$132,784.25
|
| Rate for Payer: BCBS MAPPO |
$106,227.40
|
| Rate for Payer: BCN Medicare Advantage |
$106,227.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106,227.40
|
| Rate for Payer: Mclaren Medicare |
$106,227.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111,538.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122,161.51
|
| Rate for Payer: PACE Medicare |
$100,916.03
|
| Rate for Payer: PACE SWMI |
$106,227.40
|
| Rate for Payer: PHP Medicare Advantage |
$106,227.40
|
| Rate for Payer: Priority Health Medicare |
$106,227.40
|
| Rate for Payer: Railroad Medicare Medicare |
$106,227.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$106,227.40
|
| Rate for Payer: UHC Medicare Advantage |
$106,227.40
|
| Rate for Payer: VA VA |
$106,227.40
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,138.84
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$17,585.52 |
| Max. Negotiated Rate |
$23,138.84 |
| Rate for Payer: Aetna Medicare |
$19,251.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,138.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,138.84
|
| Rate for Payer: BCBS MAPPO |
$18,511.07
|
| Rate for Payer: BCN Medicare Advantage |
$18,511.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,511.07
|
| Rate for Payer: Mclaren Medicare |
$18,511.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,436.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,287.73
|
| Rate for Payer: PACE Medicare |
$17,585.52
|
| Rate for Payer: PACE SWMI |
$18,511.07
|
| Rate for Payer: PHP Medicare Advantage |
$18,511.07
|
| Rate for Payer: Priority Health Medicare |
$18,511.07
|
| Rate for Payer: Railroad Medicare Medicare |
$18,511.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,511.07
|
| Rate for Payer: UHC Medicare Advantage |
$18,511.07
|
| Rate for Payer: VA VA |
$18,511.07
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$59,462.34
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$45,191.38 |
| Max. Negotiated Rate |
$59,462.34 |
| Rate for Payer: Aetna Medicare |
$49,472.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59,462.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59,462.34
|
| Rate for Payer: BCBS MAPPO |
$47,569.87
|
| Rate for Payer: BCN Medicare Advantage |
$47,569.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,569.87
|
| Rate for Payer: Mclaren Medicare |
$47,569.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,948.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,705.35
|
| Rate for Payer: PACE Medicare |
$45,191.38
|
| Rate for Payer: PACE SWMI |
$47,569.87
|
| Rate for Payer: PHP Medicare Advantage |
$47,569.87
|
| Rate for Payer: Priority Health Medicare |
$47,569.87
|
| Rate for Payer: Railroad Medicare Medicare |
$47,569.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,569.87
|
| Rate for Payer: UHC Medicare Advantage |
$47,569.87
|
| Rate for Payer: VA VA |
$47,569.87
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,123.11
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$9,213.57 |
| Max. Negotiated Rate |
$12,123.11 |
| Rate for Payer: Aetna Medicare |
$10,086.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,123.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,123.11
|
| Rate for Payer: BCBS MAPPO |
$9,698.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,698.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,698.49
|
| Rate for Payer: Mclaren Medicare |
$9,698.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,183.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,153.26
|
| Rate for Payer: PACE Medicare |
$9,213.57
|
| Rate for Payer: PACE SWMI |
$9,698.49
|
| Rate for Payer: PHP Medicare Advantage |
$9,698.49
|
| Rate for Payer: Priority Health Medicare |
$9,698.49
|
| Rate for Payer: Railroad Medicare Medicare |
$9,698.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,698.49
|
| Rate for Payer: UHC Medicare Advantage |
$9,698.49
|
| Rate for Payer: VA VA |
$9,698.49
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$16,416.28
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$12,476.37 |
| Max. Negotiated Rate |
$16,416.28 |
| Rate for Payer: Aetna Medicare |
$13,658.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,416.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,416.28
|
| Rate for Payer: BCBS MAPPO |
$13,133.02
|
| Rate for Payer: BCN Medicare Advantage |
$13,133.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,133.02
|
| Rate for Payer: Mclaren Medicare |
$13,133.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,789.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,102.97
|
| Rate for Payer: PACE Medicare |
$12,476.37
|
| Rate for Payer: PACE SWMI |
$13,133.02
|
| Rate for Payer: PHP Medicare Advantage |
$13,133.02
|
| Rate for Payer: Priority Health Medicare |
$13,133.02
|
| Rate for Payer: Railroad Medicare Medicare |
$13,133.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,133.02
|
| Rate for Payer: UHC Medicare Advantage |
$13,133.02
|
| Rate for Payer: VA VA |
$13,133.02
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$32,817.95
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$24,941.64 |
| Max. Negotiated Rate |
$32,817.95 |
| Rate for Payer: Aetna Medicare |
$27,304.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,817.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,817.95
|
| Rate for Payer: BCBS MAPPO |
$26,254.36
|
| Rate for Payer: BCN Medicare Advantage |
$26,254.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,254.36
|
| Rate for Payer: Mclaren Medicare |
$26,254.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,567.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,192.51
|
| Rate for Payer: PACE Medicare |
$24,941.64
|
| Rate for Payer: PACE SWMI |
$26,254.36
|
| Rate for Payer: PHP Medicare Advantage |
$26,254.36
|
| Rate for Payer: Priority Health Medicare |
$26,254.36
|
| Rate for Payer: Railroad Medicare Medicare |
$26,254.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,254.36
|
| Rate for Payer: UHC Medicare Advantage |
$26,254.36
|
| Rate for Payer: VA VA |
$26,254.36
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$22,804.92
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$17,331.74 |
| Max. Negotiated Rate |
$22,804.92 |
| Rate for Payer: Aetna Medicare |
$18,973.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,804.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,804.92
|
| Rate for Payer: BCBS MAPPO |
$18,243.94
|
| Rate for Payer: BCN Medicare Advantage |
$18,243.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,243.94
|
| Rate for Payer: Mclaren Medicare |
$18,243.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,156.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,980.53
|
| Rate for Payer: PACE Medicare |
$17,331.74
|
| Rate for Payer: PACE SWMI |
$18,243.94
|
| Rate for Payer: PHP Medicare Advantage |
$18,243.94
|
| Rate for Payer: Priority Health Medicare |
$18,243.94
|
| Rate for Payer: Railroad Medicare Medicare |
$18,243.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,243.94
|
| Rate for Payer: UHC Medicare Advantage |
$18,243.94
|
| Rate for Payer: VA VA |
$18,243.94
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,899.21
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$36,403.40 |
| Max. Negotiated Rate |
$47,899.21 |
| Rate for Payer: Aetna Medicare |
$39,852.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,899.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,899.21
|
| Rate for Payer: BCBS MAPPO |
$38,319.37
|
| Rate for Payer: BCN Medicare Advantage |
$38,319.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,319.37
|
| Rate for Payer: Mclaren Medicare |
$38,319.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,235.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,067.28
|
| Rate for Payer: PACE Medicare |
$36,403.40
|
| Rate for Payer: PACE SWMI |
$38,319.37
|
| Rate for Payer: PHP Medicare Advantage |
$38,319.37
|
| Rate for Payer: Priority Health Medicare |
$38,319.37
|
| Rate for Payer: Railroad Medicare Medicare |
$38,319.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,319.37
|
| Rate for Payer: UHC Medicare Advantage |
$38,319.37
|
| Rate for Payer: VA VA |
$38,319.37
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,004.40
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$9,883.34 |
| Max. Negotiated Rate |
$13,004.40 |
| Rate for Payer: Aetna Medicare |
$10,819.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,004.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,004.40
|
| Rate for Payer: BCBS MAPPO |
$10,403.52
|
| Rate for Payer: BCN Medicare Advantage |
$10,403.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,403.52
|
| Rate for Payer: Mclaren Medicare |
$10,403.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,923.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,964.05
|
| Rate for Payer: PACE Medicare |
$9,883.34
|
| Rate for Payer: PACE SWMI |
$10,403.52
|
| Rate for Payer: PHP Medicare Advantage |
$10,403.52
|
| Rate for Payer: Priority Health Medicare |
$10,403.52
|
| Rate for Payer: Railroad Medicare Medicare |
$10,403.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,403.52
|
| Rate for Payer: UHC Medicare Advantage |
$10,403.52
|
| Rate for Payer: VA VA |
$10,403.52
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$11,194.23
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$8,507.61 |
| Max. Negotiated Rate |
$11,194.23 |
| Rate for Payer: Aetna Medicare |
$9,313.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,194.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,194.23
|
| Rate for Payer: BCBS MAPPO |
$8,955.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,955.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,955.38
|
| Rate for Payer: Mclaren Medicare |
$8,955.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,403.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,298.69
|
| Rate for Payer: PACE Medicare |
$8,507.61
|
| Rate for Payer: PACE SWMI |
$8,955.38
|
| Rate for Payer: PHP Medicare Advantage |
$8,955.38
|
| Rate for Payer: Priority Health Medicare |
$8,955.38
|
| Rate for Payer: Railroad Medicare Medicare |
$8,955.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,955.38
|
| Rate for Payer: UHC Medicare Advantage |
$8,955.38
|
| Rate for Payer: VA VA |
$8,955.38
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$29,105.56
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$22,120.23 |
| Max. Negotiated Rate |
$29,105.56 |
| Rate for Payer: Aetna Medicare |
$24,215.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,105.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,105.56
|
| Rate for Payer: BCBS MAPPO |
$23,284.45
|
| Rate for Payer: BCN Medicare Advantage |
$23,284.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,284.45
|
| Rate for Payer: Mclaren Medicare |
$23,284.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,448.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,777.12
|
| Rate for Payer: PACE Medicare |
$22,120.23
|
| Rate for Payer: PACE SWMI |
$23,284.45
|
| Rate for Payer: PHP Medicare Advantage |
$23,284.45
|
| Rate for Payer: Priority Health Medicare |
$23,284.45
|
| Rate for Payer: Railroad Medicare Medicare |
$23,284.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,284.45
|
| Rate for Payer: UHC Medicare Advantage |
$23,284.45
|
| Rate for Payer: VA VA |
$23,284.45
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,956.04
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$43,286.59 |
| Max. Negotiated Rate |
$56,956.04 |
| Rate for Payer: Aetna Medicare |
$47,387.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,956.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,956.04
|
| Rate for Payer: BCBS MAPPO |
$45,564.83
|
| Rate for Payer: BCN Medicare Advantage |
$45,564.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,564.83
|
| Rate for Payer: Mclaren Medicare |
$45,564.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,843.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,399.55
|
| Rate for Payer: PACE Medicare |
$43,286.59
|
| Rate for Payer: PACE SWMI |
$45,564.83
|
| Rate for Payer: PHP Medicare Advantage |
$45,564.83
|
| Rate for Payer: Priority Health Medicare |
$45,564.83
|
| Rate for Payer: Railroad Medicare Medicare |
$45,564.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,564.83
|
| Rate for Payer: UHC Medicare Advantage |
$45,564.83
|
| Rate for Payer: VA VA |
$45,564.83
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,569.50
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$16,392.82 |
| Max. Negotiated Rate |
$21,569.50 |
| Rate for Payer: Aetna Medicare |
$17,945.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,569.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,569.50
|
| Rate for Payer: BCBS MAPPO |
$17,255.60
|
| Rate for Payer: BCN Medicare Advantage |
$17,255.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,255.60
|
| Rate for Payer: Mclaren Medicare |
$17,255.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,118.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,843.94
|
| Rate for Payer: PACE Medicare |
$16,392.82
|
| Rate for Payer: PACE SWMI |
$17,255.60
|
| Rate for Payer: PHP Medicare Advantage |
$17,255.60
|
| Rate for Payer: Priority Health Medicare |
$17,255.60
|
| Rate for Payer: Railroad Medicare Medicare |
$17,255.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,255.60
|
| Rate for Payer: UHC Medicare Advantage |
$17,255.60
|
| Rate for Payer: VA VA |
$17,255.60
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$26,018.49
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$19,774.05 |
| Max. Negotiated Rate |
$26,018.49 |
| Rate for Payer: Aetna Medicare |
$21,647.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,018.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,018.49
|
| Rate for Payer: BCBS MAPPO |
$20,814.79
|
| Rate for Payer: BCN Medicare Advantage |
$20,814.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,814.79
|
| Rate for Payer: Mclaren Medicare |
$20,814.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,855.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,937.01
|
| Rate for Payer: PACE Medicare |
$19,774.05
|
| Rate for Payer: PACE SWMI |
$20,814.79
|
| Rate for Payer: PHP Medicare Advantage |
$20,814.79
|
| Rate for Payer: Priority Health Medicare |
$20,814.79
|
| Rate for Payer: Railroad Medicare Medicare |
$20,814.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,814.79
|
| Rate for Payer: UHC Medicare Advantage |
$20,814.79
|
| Rate for Payer: VA VA |
$20,814.79
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,187.89
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$35,862.79 |
| Max. Negotiated Rate |
$47,187.89 |
| Rate for Payer: Aetna Medicare |
$39,260.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,187.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,187.89
|
| Rate for Payer: BCBS MAPPO |
$37,750.31
|
| Rate for Payer: BCN Medicare Advantage |
$37,750.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,750.31
|
| Rate for Payer: Mclaren Medicare |
$37,750.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,637.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,412.86
|
| Rate for Payer: PACE Medicare |
$35,862.79
|
| Rate for Payer: PACE SWMI |
$37,750.31
|
| Rate for Payer: PHP Medicare Advantage |
$37,750.31
|
| Rate for Payer: Priority Health Medicare |
$37,750.31
|
| Rate for Payer: Railroad Medicare Medicare |
$37,750.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,750.31
|
| Rate for Payer: UHC Medicare Advantage |
$37,750.31
|
| Rate for Payer: VA VA |
$37,750.31
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,411.28
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$14,752.57 |
| Max. Negotiated Rate |
$19,411.28 |
| Rate for Payer: Aetna Medicare |
$16,150.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,411.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,411.28
|
| Rate for Payer: BCBS MAPPO |
$15,529.02
|
| Rate for Payer: BCN Medicare Advantage |
$15,529.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,529.02
|
| Rate for Payer: Mclaren Medicare |
$15,529.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,305.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,858.37
|
| Rate for Payer: PACE Medicare |
$14,752.57
|
| Rate for Payer: PACE SWMI |
$15,529.02
|
| Rate for Payer: PHP Medicare Advantage |
$15,529.02
|
| Rate for Payer: Priority Health Medicare |
$15,529.02
|
| Rate for Payer: Railroad Medicare Medicare |
$15,529.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,529.02
|
| Rate for Payer: UHC Medicare Advantage |
$15,529.02
|
| Rate for Payer: VA VA |
$15,529.02
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$11,358.19
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$8,632.22 |
| Max. Negotiated Rate |
$11,358.19 |
| Rate for Payer: Aetna Medicare |
$9,450.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,358.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,358.19
|
| Rate for Payer: BCBS MAPPO |
$9,086.55
|
| Rate for Payer: BCN Medicare Advantage |
$9,086.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,086.55
|
| Rate for Payer: Mclaren Medicare |
$9,086.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,540.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,449.53
|
| Rate for Payer: PACE Medicare |
$8,632.22
|
| Rate for Payer: PACE SWMI |
$9,086.55
|
| Rate for Payer: PHP Medicare Advantage |
$9,086.55
|
| Rate for Payer: Priority Health Medicare |
$9,086.55
|
| Rate for Payer: Railroad Medicare Medicare |
$9,086.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,086.55
|
| Rate for Payer: UHC Medicare Advantage |
$9,086.55
|
| Rate for Payer: VA VA |
$9,086.55
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$16,611.56
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$12,624.79 |
| Max. Negotiated Rate |
$16,611.56 |
| Rate for Payer: Aetna Medicare |
$13,820.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,611.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,611.56
|
| Rate for Payer: BCBS MAPPO |
$13,289.25
|
| Rate for Payer: BCN Medicare Advantage |
$13,289.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,289.25
|
| Rate for Payer: Mclaren Medicare |
$13,289.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,953.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,282.64
|
| Rate for Payer: PACE Medicare |
$12,624.79
|
| Rate for Payer: PACE SWMI |
$13,289.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,289.25
|
| Rate for Payer: Priority Health Medicare |
$13,289.25
|
| Rate for Payer: Railroad Medicare Medicare |
$13,289.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,289.25
|
| Rate for Payer: UHC Medicare Advantage |
$13,289.25
|
| Rate for Payer: VA VA |
$13,289.25
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$8,419.83
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$6,399.07 |
| Max. Negotiated Rate |
$8,419.83 |
| Rate for Payer: Aetna Medicare |
$7,005.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,419.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,419.83
|
| Rate for Payer: BCBS MAPPO |
$6,735.86
|
| Rate for Payer: BCN Medicare Advantage |
$6,735.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,735.86
|
| Rate for Payer: Mclaren Medicare |
$6,735.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,072.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,746.24
|
| Rate for Payer: PACE Medicare |
$6,399.07
|
| Rate for Payer: PACE SWMI |
$6,735.86
|
| Rate for Payer: PHP Medicare Advantage |
$6,735.86
|
| Rate for Payer: Priority Health Medicare |
$6,735.86
|
| Rate for Payer: Railroad Medicare Medicare |
$6,735.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,735.86
|
| Rate for Payer: UHC Medicare Advantage |
$6,735.86
|
| Rate for Payer: VA VA |
$6,735.86
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$10,847.19
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$8,243.86 |
| Max. Negotiated Rate |
$10,847.19 |
| Rate for Payer: Aetna Medicare |
$9,024.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,847.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,847.19
|
| Rate for Payer: BCBS MAPPO |
$8,677.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,677.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,677.75
|
| Rate for Payer: Mclaren Medicare |
$8,677.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,111.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,979.41
|
| Rate for Payer: PACE Medicare |
$8,243.86
|
| Rate for Payer: PACE SWMI |
$8,677.75
|
| Rate for Payer: PHP Medicare Advantage |
$8,677.75
|
| Rate for Payer: Priority Health Medicare |
$8,677.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,677.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,677.75
|
| Rate for Payer: UHC Medicare Advantage |
$8,677.75
|
| Rate for Payer: VA VA |
$8,677.75
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$17,448.33
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$13,260.73 |
| Max. Negotiated Rate |
$17,448.33 |
| Rate for Payer: Aetna Medicare |
$14,517.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,448.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,448.33
|
| Rate for Payer: BCBS MAPPO |
$13,958.66
|
| Rate for Payer: BCN Medicare Advantage |
$13,958.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,958.66
|
| Rate for Payer: Mclaren Medicare |
$13,958.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,656.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,052.46
|
| Rate for Payer: PACE Medicare |
$13,260.73
|
| Rate for Payer: PACE SWMI |
$13,958.66
|
| Rate for Payer: PHP Medicare Advantage |
$13,958.66
|
| Rate for Payer: Priority Health Medicare |
$13,958.66
|
| Rate for Payer: Railroad Medicare Medicare |
$13,958.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,958.66
|
| Rate for Payer: UHC Medicare Advantage |
$13,958.66
|
| Rate for Payer: VA VA |
$13,958.66
|
|
