|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,613.39
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$5,786.17 |
| Max. Negotiated Rate |
$7,613.39 |
| Rate for Payer: Aetna Medicare |
$6,334.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,613.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,613.39
|
| Rate for Payer: BCBS MAPPO |
$6,090.71
|
| Rate for Payer: BCN Medicare Advantage |
$6,090.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,090.71
|
| Rate for Payer: Mclaren Medicare |
$6,090.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,395.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,004.32
|
| Rate for Payer: PACE Medicare |
$5,786.17
|
| Rate for Payer: PACE SWMI |
$6,090.71
|
| Rate for Payer: PHP Medicare Advantage |
$6,090.71
|
| Rate for Payer: Priority Health Medicare |
$6,090.71
|
| Rate for Payer: Railroad Medicare Medicare |
$6,090.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,090.71
|
| Rate for Payer: UHC Medicare Advantage |
$6,090.71
|
| Rate for Payer: VA VA |
$6,090.71
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$10,965.58
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$8,333.84 |
| Max. Negotiated Rate |
$10,965.58 |
| Rate for Payer: Aetna Medicare |
$9,123.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,965.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,965.58
|
| Rate for Payer: BCBS MAPPO |
$8,772.46
|
| Rate for Payer: BCN Medicare Advantage |
$8,772.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,772.46
|
| Rate for Payer: Mclaren Medicare |
$8,772.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,211.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,088.33
|
| Rate for Payer: PACE Medicare |
$8,333.84
|
| Rate for Payer: PACE SWMI |
$8,772.46
|
| Rate for Payer: PHP Medicare Advantage |
$8,772.46
|
| Rate for Payer: Priority Health Medicare |
$8,772.46
|
| Rate for Payer: Railroad Medicare Medicare |
$8,772.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,772.46
|
| Rate for Payer: UHC Medicare Advantage |
$8,772.46
|
| Rate for Payer: VA VA |
$8,772.46
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$18,237.54
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$13,860.53 |
| Max. Negotiated Rate |
$18,237.54 |
| Rate for Payer: Aetna Medicare |
$15,173.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,237.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,237.54
|
| Rate for Payer: BCBS MAPPO |
$14,590.03
|
| Rate for Payer: BCN Medicare Advantage |
$14,590.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,590.03
|
| Rate for Payer: Mclaren Medicare |
$14,590.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,319.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,778.53
|
| Rate for Payer: PACE Medicare |
$13,860.53
|
| Rate for Payer: PACE SWMI |
$14,590.03
|
| Rate for Payer: PHP Medicare Advantage |
$14,590.03
|
| Rate for Payer: Priority Health Medicare |
$14,590.03
|
| Rate for Payer: Railroad Medicare Medicare |
$14,590.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,590.03
|
| Rate for Payer: UHC Medicare Advantage |
$14,590.03
|
| Rate for Payer: VA VA |
$14,590.03
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,890.65
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$5,996.89 |
| Max. Negotiated Rate |
$7,890.65 |
| Rate for Payer: Aetna Medicare |
$6,565.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,890.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,890.65
|
| Rate for Payer: BCBS MAPPO |
$6,312.52
|
| Rate for Payer: BCN Medicare Advantage |
$6,312.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,312.52
|
| Rate for Payer: Mclaren Medicare |
$6,312.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,628.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,259.40
|
| Rate for Payer: PACE Medicare |
$5,996.89
|
| Rate for Payer: PACE SWMI |
$6,312.52
|
| Rate for Payer: PHP Medicare Advantage |
$6,312.52
|
| Rate for Payer: Priority Health Medicare |
$6,312.52
|
| Rate for Payer: Railroad Medicare Medicare |
$6,312.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,312.52
|
| Rate for Payer: UHC Medicare Advantage |
$6,312.52
|
| Rate for Payer: VA VA |
$6,312.52
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$22,289.92
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$16,940.34 |
| Max. Negotiated Rate |
$22,289.92 |
| Rate for Payer: Aetna Medicare |
$18,545.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,289.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,289.92
|
| Rate for Payer: BCBS MAPPO |
$17,831.94
|
| Rate for Payer: BCN Medicare Advantage |
$17,831.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,831.94
|
| Rate for Payer: Mclaren Medicare |
$17,831.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,723.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,506.73
|
| Rate for Payer: PACE Medicare |
$16,940.34
|
| Rate for Payer: PACE SWMI |
$17,831.94
|
| Rate for Payer: PHP Medicare Advantage |
$17,831.94
|
| Rate for Payer: Priority Health Medicare |
$17,831.94
|
| Rate for Payer: Railroad Medicare Medicare |
$17,831.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,831.94
|
| Rate for Payer: UHC Medicare Advantage |
$17,831.94
|
| Rate for Payer: VA VA |
$17,831.94
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$43,342.97
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$32,940.66 |
| Max. Negotiated Rate |
$43,342.97 |
| Rate for Payer: Aetna Medicare |
$36,061.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,342.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,342.97
|
| Rate for Payer: BCBS MAPPO |
$34,674.38
|
| Rate for Payer: BCN Medicare Advantage |
$34,674.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,674.38
|
| Rate for Payer: Mclaren Medicare |
$34,674.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,408.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,875.54
|
| Rate for Payer: PACE Medicare |
$32,940.66
|
| Rate for Payer: PACE SWMI |
$34,674.38
|
| Rate for Payer: PHP Medicare Advantage |
$34,674.38
|
| Rate for Payer: Priority Health Medicare |
$34,674.38
|
| Rate for Payer: Railroad Medicare Medicare |
$34,674.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,674.38
|
| Rate for Payer: UHC Medicare Advantage |
$34,674.38
|
| Rate for Payer: VA VA |
$34,674.38
|
|
|
MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,460.81
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$12,510.22 |
| Max. Negotiated Rate |
$16,460.81 |
| Rate for Payer: Aetna Medicare |
$13,695.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,460.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,460.81
|
| Rate for Payer: BCBS MAPPO |
$13,168.65
|
| Rate for Payer: BCN Medicare Advantage |
$13,168.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,168.65
|
| Rate for Payer: Mclaren Medicare |
$13,168.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,827.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,143.95
|
| Rate for Payer: PACE Medicare |
$12,510.22
|
| Rate for Payer: PACE SWMI |
$13,168.65
|
| Rate for Payer: PHP Medicare Advantage |
$13,168.65
|
| Rate for Payer: Priority Health Medicare |
$13,168.65
|
| Rate for Payer: Railroad Medicare Medicare |
$13,168.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,168.65
|
| Rate for Payer: UHC Medicare Advantage |
$13,168.65
|
| Rate for Payer: VA VA |
$13,168.65
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$13,082.31
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$9,942.56 |
| Max. Negotiated Rate |
$13,082.31 |
| Rate for Payer: Aetna Medicare |
$10,884.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,082.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,082.31
|
| Rate for Payer: BCBS MAPPO |
$10,465.85
|
| Rate for Payer: BCN Medicare Advantage |
$10,465.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,465.85
|
| Rate for Payer: Mclaren Medicare |
$10,465.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,989.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,035.73
|
| Rate for Payer: PACE Medicare |
$9,942.56
|
| Rate for Payer: PACE SWMI |
$10,465.85
|
| Rate for Payer: PHP Medicare Advantage |
$10,465.85
|
| Rate for Payer: Priority Health Medicare |
$10,465.85
|
| Rate for Payer: Railroad Medicare Medicare |
$10,465.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,465.85
|
| Rate for Payer: UHC Medicare Advantage |
$10,465.85
|
| Rate for Payer: VA VA |
$10,465.85
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$23,724.71
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$18,030.78 |
| Max. Negotiated Rate |
$23,724.71 |
| Rate for Payer: Aetna Medicare |
$19,738.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,724.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,724.71
|
| Rate for Payer: BCBS MAPPO |
$18,979.77
|
| Rate for Payer: BCN Medicare Advantage |
$18,979.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,979.77
|
| Rate for Payer: Mclaren Medicare |
$18,979.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,928.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,826.74
|
| Rate for Payer: PACE Medicare |
$18,030.78
|
| Rate for Payer: PACE SWMI |
$18,979.77
|
| Rate for Payer: PHP Medicare Advantage |
$18,979.77
|
| Rate for Payer: Priority Health Medicare |
$18,979.77
|
| Rate for Payer: Railroad Medicare Medicare |
$18,979.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,979.77
|
| Rate for Payer: UHC Medicare Advantage |
$18,979.77
|
| Rate for Payer: VA VA |
$18,979.77
|
|
|
MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,181.41
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$7,737.87 |
| Max. Negotiated Rate |
$10,181.41 |
| Rate for Payer: Aetna Medicare |
$8,470.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,181.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,181.41
|
| Rate for Payer: BCBS MAPPO |
$8,145.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,145.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,145.13
|
| Rate for Payer: Mclaren Medicare |
$8,145.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,552.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,366.90
|
| Rate for Payer: PACE Medicare |
$7,737.87
|
| Rate for Payer: PACE SWMI |
$8,145.13
|
| Rate for Payer: PHP Medicare Advantage |
$8,145.13
|
| Rate for Payer: Priority Health Medicare |
$8,145.13
|
| Rate for Payer: Railroad Medicare Medicare |
$8,145.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,145.13
|
| Rate for Payer: UHC Medicare Advantage |
$8,145.13
|
| Rate for Payer: VA VA |
$8,145.13
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$33,624.38
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$25,554.53 |
| Max. Negotiated Rate |
$33,624.38 |
| Rate for Payer: Aetna Medicare |
$27,975.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,624.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,624.38
|
| Rate for Payer: BCBS MAPPO |
$26,899.50
|
| Rate for Payer: BCN Medicare Advantage |
$26,899.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,899.50
|
| Rate for Payer: Mclaren Medicare |
$26,899.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,244.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,934.42
|
| Rate for Payer: PACE Medicare |
$25,554.53
|
| Rate for Payer: PACE SWMI |
$26,899.50
|
| Rate for Payer: PHP Medicare Advantage |
$26,899.50
|
| Rate for Payer: Priority Health Medicare |
$26,899.50
|
| Rate for Payer: Railroad Medicare Medicare |
$26,899.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,899.50
|
| Rate for Payer: UHC Medicare Advantage |
$26,899.50
|
| Rate for Payer: VA VA |
$26,899.50
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$19,628.83
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$14,917.91 |
| Max. Negotiated Rate |
$19,628.83 |
| Rate for Payer: Aetna Medicare |
$16,331.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,628.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,628.83
|
| Rate for Payer: BCBS MAPPO |
$15,703.06
|
| Rate for Payer: BCN Medicare Advantage |
$15,703.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,703.06
|
| Rate for Payer: Mclaren Medicare |
$15,703.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,488.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,058.52
|
| Rate for Payer: PACE Medicare |
$14,917.91
|
| Rate for Payer: PACE SWMI |
$15,703.06
|
| Rate for Payer: PHP Medicare Advantage |
$15,703.06
|
| Rate for Payer: Priority Health Medicare |
$15,703.06
|
| Rate for Payer: Railroad Medicare Medicare |
$15,703.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,703.06
|
| Rate for Payer: UHC Medicare Advantage |
$15,703.06
|
| Rate for Payer: VA VA |
$15,703.06
|
|
|
MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$26,334.19
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$20,013.98 |
| Max. Negotiated Rate |
$26,334.19 |
| Rate for Payer: Aetna Medicare |
$21,910.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,334.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,334.19
|
| Rate for Payer: BCBS MAPPO |
$21,067.35
|
| Rate for Payer: BCN Medicare Advantage |
$21,067.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,067.35
|
| Rate for Payer: Mclaren Medicare |
$21,067.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,120.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,227.45
|
| Rate for Payer: PACE Medicare |
$20,013.98
|
| Rate for Payer: PACE SWMI |
$21,067.35
|
| Rate for Payer: PHP Medicare Advantage |
$21,067.35
|
| Rate for Payer: Priority Health Medicare |
$21,067.35
|
| Rate for Payer: Railroad Medicare Medicare |
$21,067.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,067.35
|
| Rate for Payer: UHC Medicare Advantage |
$21,067.35
|
| Rate for Payer: VA VA |
$21,067.35
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$20,186.33
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$15,341.61 |
| Max. Negotiated Rate |
$20,186.33 |
| Rate for Payer: Aetna Medicare |
$16,795.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,186.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,186.33
|
| Rate for Payer: BCBS MAPPO |
$16,149.06
|
| Rate for Payer: BCN Medicare Advantage |
$16,149.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,149.06
|
| Rate for Payer: Mclaren Medicare |
$16,149.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,956.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,571.42
|
| Rate for Payer: PACE Medicare |
$15,341.61
|
| Rate for Payer: PACE SWMI |
$16,149.06
|
| Rate for Payer: PHP Medicare Advantage |
$16,149.06
|
| Rate for Payer: Priority Health Medicare |
$16,149.06
|
| Rate for Payer: Railroad Medicare Medicare |
$16,149.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,149.06
|
| Rate for Payer: UHC Medicare Advantage |
$16,149.06
|
| Rate for Payer: VA VA |
$16,149.06
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,551.17
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$11,818.89 |
| Max. Negotiated Rate |
$15,551.17 |
| Rate for Payer: Aetna Medicare |
$12,938.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,551.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,551.17
|
| Rate for Payer: BCBS MAPPO |
$12,440.94
|
| Rate for Payer: BCN Medicare Advantage |
$12,440.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,440.94
|
| Rate for Payer: Mclaren Medicare |
$12,440.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,062.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,307.08
|
| Rate for Payer: PACE Medicare |
$11,818.89
|
| Rate for Payer: PACE SWMI |
$12,440.94
|
| Rate for Payer: PHP Medicare Advantage |
$12,440.94
|
| Rate for Payer: Priority Health Medicare |
$12,440.94
|
| Rate for Payer: Railroad Medicare Medicare |
$12,440.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,440.94
|
| Rate for Payer: UHC Medicare Advantage |
$12,440.94
|
| Rate for Payer: VA VA |
$12,440.94
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$20,162.05
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$15,323.16 |
| Max. Negotiated Rate |
$20,162.05 |
| Rate for Payer: Aetna Medicare |
$16,774.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,162.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,162.05
|
| Rate for Payer: BCBS MAPPO |
$16,129.64
|
| Rate for Payer: BCN Medicare Advantage |
$16,129.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,129.64
|
| Rate for Payer: Mclaren Medicare |
$16,129.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,936.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,549.09
|
| Rate for Payer: PACE Medicare |
$15,323.16
|
| Rate for Payer: PACE SWMI |
$16,129.64
|
| Rate for Payer: PHP Medicare Advantage |
$16,129.64
|
| Rate for Payer: Priority Health Medicare |
$16,129.64
|
| Rate for Payer: Railroad Medicare Medicare |
$16,129.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,129.64
|
| Rate for Payer: UHC Medicare Advantage |
$16,129.64
|
| Rate for Payer: VA VA |
$16,129.64
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,609.48
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$10,343.20 |
| Max. Negotiated Rate |
$13,609.48 |
| Rate for Payer: Aetna Medicare |
$11,323.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,609.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,609.48
|
| Rate for Payer: BCBS MAPPO |
$10,887.58
|
| Rate for Payer: BCN Medicare Advantage |
$10,887.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,887.58
|
| Rate for Payer: Mclaren Medicare |
$10,887.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,431.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,520.72
|
| Rate for Payer: PACE Medicare |
$10,343.20
|
| Rate for Payer: PACE SWMI |
$10,887.58
|
| Rate for Payer: PHP Medicare Advantage |
$10,887.58
|
| Rate for Payer: Priority Health Medicare |
$10,887.58
|
| Rate for Payer: Railroad Medicare Medicare |
$10,887.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,887.58
|
| Rate for Payer: UHC Medicare Advantage |
$10,887.58
|
| Rate for Payer: VA VA |
$10,887.58
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$21,951.96
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$16,683.49 |
| Max. Negotiated Rate |
$21,951.96 |
| Rate for Payer: Aetna Medicare |
$18,264.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,951.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,951.96
|
| Rate for Payer: BCBS MAPPO |
$17,561.57
|
| Rate for Payer: BCN Medicare Advantage |
$17,561.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,561.57
|
| Rate for Payer: Mclaren Medicare |
$17,561.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,439.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,195.81
|
| Rate for Payer: PACE Medicare |
$16,683.49
|
| Rate for Payer: PACE SWMI |
$17,561.57
|
| Rate for Payer: PHP Medicare Advantage |
$17,561.57
|
| Rate for Payer: Priority Health Medicare |
$17,561.57
|
| Rate for Payer: Railroad Medicare Medicare |
$17,561.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,561.57
|
| Rate for Payer: UHC Medicare Advantage |
$17,561.57
|
| Rate for Payer: VA VA |
$17,561.57
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$11,489.69
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$8,732.16 |
| Max. Negotiated Rate |
$11,489.69 |
| Rate for Payer: Aetna Medicare |
$9,559.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,489.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,489.69
|
| Rate for Payer: BCBS MAPPO |
$9,191.75
|
| Rate for Payer: BCN Medicare Advantage |
$9,191.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,191.75
|
| Rate for Payer: Mclaren Medicare |
$9,191.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,651.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,570.51
|
| Rate for Payer: PACE Medicare |
$8,732.16
|
| Rate for Payer: PACE SWMI |
$9,191.75
|
| Rate for Payer: PHP Medicare Advantage |
$9,191.75
|
| Rate for Payer: Priority Health Medicare |
$9,191.75
|
| Rate for Payer: Railroad Medicare Medicare |
$9,191.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,191.75
|
| Rate for Payer: UHC Medicare Advantage |
$9,191.75
|
| Rate for Payer: VA VA |
$9,191.75
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$24,467.35
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$18,595.19 |
| Max. Negotiated Rate |
$24,467.35 |
| Rate for Payer: Aetna Medicare |
$20,356.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,467.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,467.35
|
| Rate for Payer: BCBS MAPPO |
$19,573.88
|
| Rate for Payer: BCN Medicare Advantage |
$19,573.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,573.88
|
| Rate for Payer: Mclaren Medicare |
$19,573.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,552.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,509.96
|
| Rate for Payer: PACE Medicare |
$18,595.19
|
| Rate for Payer: PACE SWMI |
$19,573.88
|
| Rate for Payer: PHP Medicare Advantage |
$19,573.88
|
| Rate for Payer: Priority Health Medicare |
$19,573.88
|
| Rate for Payer: Railroad Medicare Medicare |
$19,573.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,573.88
|
| Rate for Payer: UHC Medicare Advantage |
$19,573.88
|
| Rate for Payer: VA VA |
$19,573.88
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$47,012.85
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$35,729.77 |
| Max. Negotiated Rate |
$47,012.85 |
| Rate for Payer: Aetna Medicare |
$39,114.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,012.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,012.85
|
| Rate for Payer: BCBS MAPPO |
$37,610.28
|
| Rate for Payer: BCN Medicare Advantage |
$37,610.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,610.28
|
| Rate for Payer: Mclaren Medicare |
$37,610.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,490.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,251.82
|
| Rate for Payer: PACE Medicare |
$35,729.77
|
| Rate for Payer: PACE SWMI |
$37,610.28
|
| Rate for Payer: PHP Medicare Advantage |
$37,610.28
|
| Rate for Payer: Priority Health Medicare |
$37,610.28
|
| Rate for Payer: Railroad Medicare Medicare |
$37,610.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,610.28
|
| Rate for Payer: UHC Medicare Advantage |
$37,610.28
|
| Rate for Payer: VA VA |
$37,610.28
|
|
|
MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,256.10
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$13,114.64 |
| Max. Negotiated Rate |
$17,256.10 |
| Rate for Payer: Aetna Medicare |
$14,357.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,256.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,256.10
|
| Rate for Payer: BCBS MAPPO |
$13,804.88
|
| Rate for Payer: BCN Medicare Advantage |
$13,804.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,804.88
|
| Rate for Payer: Mclaren Medicare |
$13,804.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,495.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,875.61
|
| Rate for Payer: PACE Medicare |
$13,114.64
|
| Rate for Payer: PACE SWMI |
$13,804.88
|
| Rate for Payer: PHP Medicare Advantage |
$13,804.88
|
| Rate for Payer: Priority Health Medicare |
$13,804.88
|
| Rate for Payer: Railroad Medicare Medicare |
$13,804.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,804.88
|
| Rate for Payer: UHC Medicare Advantage |
$13,804.88
|
| Rate for Payer: VA VA |
$13,804.88
|
|
|
MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$15,719.14
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$11,946.54 |
| Max. Negotiated Rate |
$15,719.14 |
| Rate for Payer: Aetna Medicare |
$13,078.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,719.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,719.14
|
| Rate for Payer: BCBS MAPPO |
$12,575.31
|
| Rate for Payer: BCN Medicare Advantage |
$12,575.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,575.31
|
| Rate for Payer: Mclaren Medicare |
$12,575.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,204.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,461.61
|
| Rate for Payer: PACE Medicare |
$11,946.54
|
| Rate for Payer: PACE SWMI |
$12,575.31
|
| Rate for Payer: PHP Medicare Advantage |
$12,575.31
|
| Rate for Payer: Priority Health Medicare |
$12,575.31
|
| Rate for Payer: Railroad Medicare Medicare |
$12,575.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,575.31
|
| Rate for Payer: UHC Medicare Advantage |
$12,575.31
|
| Rate for Payer: VA VA |
$12,575.31
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$11,783.12
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$8,955.17 |
| Max. Negotiated Rate |
$11,783.12 |
| Rate for Payer: Aetna Medicare |
$9,803.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,783.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,783.12
|
| Rate for Payer: BCBS MAPPO |
$9,426.50
|
| Rate for Payer: BCN Medicare Advantage |
$9,426.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,426.50
|
| Rate for Payer: Mclaren Medicare |
$9,426.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,897.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,840.48
|
| Rate for Payer: PACE Medicare |
$8,955.17
|
| Rate for Payer: PACE SWMI |
$9,426.50
|
| Rate for Payer: PHP Medicare Advantage |
$9,426.50
|
| Rate for Payer: Priority Health Medicare |
$9,426.50
|
| Rate for Payer: Railroad Medicare Medicare |
$9,426.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,426.50
|
| Rate for Payer: UHC Medicare Advantage |
$9,426.50
|
| Rate for Payer: VA VA |
$9,426.50
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$18,857.80
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$14,331.93 |
| Max. Negotiated Rate |
$18,857.80 |
| Rate for Payer: Aetna Medicare |
$15,689.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,857.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,857.80
|
| Rate for Payer: BCBS MAPPO |
$15,086.24
|
| Rate for Payer: BCN Medicare Advantage |
$15,086.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,086.24
|
| Rate for Payer: Mclaren Medicare |
$15,086.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,840.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,349.18
|
| Rate for Payer: PACE Medicare |
$14,331.93
|
| Rate for Payer: PACE SWMI |
$15,086.24
|
| Rate for Payer: PHP Medicare Advantage |
$15,086.24
|
| Rate for Payer: Priority Health Medicare |
$15,086.24
|
| Rate for Payer: Railroad Medicare Medicare |
$15,086.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,086.24
|
| Rate for Payer: UHC Medicare Advantage |
$15,086.24
|
| Rate for Payer: VA VA |
$15,086.24
|
|
