|
MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
|
Facility
|
IP
|
$8,457.26
|
|
|
Service Code
|
MSDRG 641
|
| Min. Negotiated Rate |
$6,427.52 |
| Max. Negotiated Rate |
$8,457.26 |
| Rate for Payer: Aetna Medicare |
$7,036.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,457.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,457.26
|
| Rate for Payer: BCBS MAPPO |
$6,765.81
|
| Rate for Payer: BCN Medicare Advantage |
$6,765.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,765.81
|
| Rate for Payer: Mclaren Medicare |
$6,765.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,104.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,780.68
|
| Rate for Payer: PACE Medicare |
$6,427.52
|
| Rate for Payer: PACE SWMI |
$6,765.81
|
| Rate for Payer: PHP Medicare Advantage |
$6,765.81
|
| Rate for Payer: Priority Health Medicare |
$6,765.81
|
| Rate for Payer: Railroad Medicare Medicare |
$6,765.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,765.81
|
| Rate for Payer: UHC Medicare Advantage |
$6,765.81
|
| Rate for Payer: VA VA |
$6,765.81
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$14,702.24
|
|
|
Service Code
|
MSDRG 137
|
| Min. Negotiated Rate |
$11,173.70 |
| Max. Negotiated Rate |
$14,702.24 |
| Rate for Payer: Aetna Medicare |
$12,232.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,702.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,702.24
|
| Rate for Payer: BCBS MAPPO |
$11,761.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,761.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,761.79
|
| Rate for Payer: Mclaren Medicare |
$11,761.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,349.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,526.06
|
| Rate for Payer: PACE Medicare |
$11,173.70
|
| Rate for Payer: PACE SWMI |
$11,761.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,761.79
|
| Rate for Payer: Priority Health Medicare |
$11,761.79
|
| Rate for Payer: Railroad Medicare Medicare |
$11,761.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,761.79
|
| Rate for Payer: UHC Medicare Advantage |
$11,761.79
|
| Rate for Payer: VA VA |
$11,761.79
|
|
|
MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,782.04
|
|
|
Service Code
|
MSDRG 138
|
| Min. Negotiated Rate |
$6,674.35 |
| Max. Negotiated Rate |
$8,782.04 |
| Rate for Payer: Aetna Medicare |
$7,306.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,782.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,782.04
|
| Rate for Payer: BCBS MAPPO |
$7,025.63
|
| Rate for Payer: BCN Medicare Advantage |
$7,025.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,025.63
|
| Rate for Payer: Mclaren Medicare |
$7,025.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,376.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,079.47
|
| Rate for Payer: PACE Medicare |
$6,674.35
|
| Rate for Payer: PACE SWMI |
$7,025.63
|
| Rate for Payer: PHP Medicare Advantage |
$7,025.63
|
| Rate for Payer: Priority Health Medicare |
$7,025.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,025.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,025.63
|
| Rate for Payer: UHC Medicare Advantage |
$7,025.63
|
| Rate for Payer: VA VA |
$7,025.63
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
|
Facility
|
IP
|
$72,417.76
|
|
|
Service Code
|
MSDRG 427
|
| Min. Negotiated Rate |
$55,037.50 |
| Max. Negotiated Rate |
$72,417.76 |
| Rate for Payer: Aetna Medicare |
$60,251.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72,417.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72,417.76
|
| Rate for Payer: BCBS MAPPO |
$57,934.21
|
| Rate for Payer: BCN Medicare Advantage |
$57,934.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57,934.21
|
| Rate for Payer: Mclaren Medicare |
$57,934.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60,830.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66,624.34
|
| Rate for Payer: PACE Medicare |
$55,037.50
|
| Rate for Payer: PACE SWMI |
$57,934.21
|
| Rate for Payer: PHP Medicare Advantage |
$57,934.21
|
| Rate for Payer: Priority Health Medicare |
$57,934.21
|
| Rate for Payer: Railroad Medicare Medicare |
$57,934.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$57,934.21
|
| Rate for Payer: UHC Medicare Advantage |
$57,934.21
|
| Rate for Payer: VA VA |
$57,934.21
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$106,543.57
|
|
|
Service Code
|
MSDRG 426
|
| Min. Negotiated Rate |
$80,973.12 |
| Max. Negotiated Rate |
$106,543.57 |
| Rate for Payer: Aetna Medicare |
$88,644.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$106,543.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$106,543.57
|
| Rate for Payer: BCBS MAPPO |
$85,234.86
|
| Rate for Payer: BCN Medicare Advantage |
$85,234.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85,234.86
|
| Rate for Payer: Mclaren Medicare |
$85,234.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89,496.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98,020.09
|
| Rate for Payer: PACE Medicare |
$80,973.12
|
| Rate for Payer: PACE SWMI |
$85,234.86
|
| Rate for Payer: PHP Medicare Advantage |
$85,234.86
|
| Rate for Payer: Priority Health Medicare |
$85,234.86
|
| Rate for Payer: Railroad Medicare Medicare |
$85,234.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$85,234.86
|
| Rate for Payer: UHC Medicare Advantage |
$85,234.86
|
| Rate for Payer: VA VA |
$85,234.86
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
|
Facility
|
IP
|
$56,242.71
|
|
|
Service Code
|
MSDRG 428
|
| Min. Negotiated Rate |
$42,744.46 |
| Max. Negotiated Rate |
$56,242.71 |
| Rate for Payer: Aetna Medicare |
$46,793.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,242.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,242.71
|
| Rate for Payer: BCBS MAPPO |
$44,994.17
|
| Rate for Payer: BCN Medicare Advantage |
$44,994.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,994.17
|
| Rate for Payer: Mclaren Medicare |
$44,994.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,243.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,743.30
|
| Rate for Payer: PACE Medicare |
$42,744.46
|
| Rate for Payer: PACE SWMI |
$44,994.17
|
| Rate for Payer: PHP Medicare Advantage |
$44,994.17
|
| Rate for Payer: Priority Health Medicare |
$44,994.17
|
| Rate for Payer: Railroad Medicare Medicare |
$44,994.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,994.17
|
| Rate for Payer: UHC Medicare Advantage |
$44,994.17
|
| Rate for Payer: VA VA |
$44,994.17
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$68,390.68
|
|
|
Service Code
|
MSDRG 447
|
| Min. Negotiated Rate |
$51,976.91 |
| Max. Negotiated Rate |
$68,390.68 |
| Rate for Payer: Aetna Medicare |
$56,901.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,390.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,390.68
|
| Rate for Payer: BCBS MAPPO |
$54,712.54
|
| Rate for Payer: BCN Medicare Advantage |
$54,712.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,712.54
|
| Rate for Payer: Mclaren Medicare |
$54,712.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,448.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,919.42
|
| Rate for Payer: PACE Medicare |
$51,976.91
|
| Rate for Payer: PACE SWMI |
$54,712.54
|
| Rate for Payer: PHP Medicare Advantage |
$54,712.54
|
| Rate for Payer: Priority Health Medicare |
$54,712.54
|
| Rate for Payer: Railroad Medicare Medicare |
$54,712.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,712.54
|
| Rate for Payer: UHC Medicare Advantage |
$54,712.54
|
| Rate for Payer: VA VA |
$54,712.54
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$41,868.72
|
|
|
Service Code
|
MSDRG 448
|
| Min. Negotiated Rate |
$31,820.23 |
| Max. Negotiated Rate |
$41,868.72 |
| Rate for Payer: Aetna Medicare |
$34,834.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,868.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,868.72
|
| Rate for Payer: BCBS MAPPO |
$33,494.98
|
| Rate for Payer: BCN Medicare Advantage |
$33,494.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,494.98
|
| Rate for Payer: Mclaren Medicare |
$33,494.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,169.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,519.23
|
| Rate for Payer: PACE Medicare |
$31,820.23
|
| Rate for Payer: PACE SWMI |
$33,494.98
|
| Rate for Payer: PHP Medicare Advantage |
$33,494.98
|
| Rate for Payer: Priority Health Medicare |
$33,494.98
|
| Rate for Payer: Railroad Medicare Medicare |
$33,494.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,494.98
|
| Rate for Payer: UHC Medicare Advantage |
$33,494.98
|
| Rate for Payer: VA VA |
$33,494.98
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
|
IP
|
$12,931.58
|
|
|
Service Code
|
MSDRG 059
|
| Min. Negotiated Rate |
$9,828.00 |
| Max. Negotiated Rate |
$12,931.58 |
| Rate for Payer: Aetna Medicare |
$10,759.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,931.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,931.58
|
| Rate for Payer: BCBS MAPPO |
$10,345.26
|
| Rate for Payer: BCN Medicare Advantage |
$10,345.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,345.26
|
| Rate for Payer: Mclaren Medicare |
$10,345.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,862.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,897.05
|
| Rate for Payer: PACE Medicare |
$9,828.00
|
| Rate for Payer: PACE SWMI |
$10,345.26
|
| Rate for Payer: PHP Medicare Advantage |
$10,345.26
|
| Rate for Payer: Priority Health Medicare |
$10,345.26
|
| Rate for Payer: Railroad Medicare Medicare |
$10,345.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,345.26
|
| Rate for Payer: UHC Medicare Advantage |
$10,345.26
|
| Rate for Payer: VA VA |
$10,345.26
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
|
IP
|
$19,228.14
|
|
|
Service Code
|
MSDRG 058
|
| Min. Negotiated Rate |
$14,613.38 |
| Max. Negotiated Rate |
$19,228.14 |
| Rate for Payer: Aetna Medicare |
$15,997.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,228.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,228.14
|
| Rate for Payer: BCBS MAPPO |
$15,382.51
|
| Rate for Payer: BCN Medicare Advantage |
$15,382.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,382.51
|
| Rate for Payer: Mclaren Medicare |
$15,382.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,151.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,689.89
|
| Rate for Payer: PACE Medicare |
$14,613.38
|
| Rate for Payer: PACE SWMI |
$15,382.51
|
| Rate for Payer: PHP Medicare Advantage |
$15,382.51
|
| Rate for Payer: Priority Health Medicare |
$15,382.51
|
| Rate for Payer: Railroad Medicare Medicare |
$15,382.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,382.51
|
| Rate for Payer: UHC Medicare Advantage |
$15,382.51
|
| Rate for Payer: VA VA |
$15,382.51
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
|
IP
|
$9,580.39
|
|
|
Service Code
|
MSDRG 060
|
| Min. Negotiated Rate |
$7,281.09 |
| Max. Negotiated Rate |
$9,580.39 |
| Rate for Payer: Aetna Medicare |
$7,970.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,580.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,580.39
|
| Rate for Payer: BCBS MAPPO |
$7,664.31
|
| Rate for Payer: BCN Medicare Advantage |
$7,664.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,664.31
|
| Rate for Payer: Mclaren Medicare |
$7,664.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,047.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,813.96
|
| Rate for Payer: PACE Medicare |
$7,281.09
|
| Rate for Payer: PACE SWMI |
$7,664.31
|
| Rate for Payer: PHP Medicare Advantage |
$7,664.31
|
| Rate for Payer: Priority Health Medicare |
$7,664.31
|
| Rate for Payer: Railroad Medicare Medicare |
$7,664.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,664.31
|
| Rate for Payer: UHC Medicare Advantage |
$7,664.31
|
| Rate for Payer: VA VA |
$7,664.31
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$24,428.90
|
|
|
Service Code
|
MSDRG 827
|
| Min. Negotiated Rate |
$18,565.96 |
| Max. Negotiated Rate |
$24,428.90 |
| Rate for Payer: Aetna Medicare |
$20,324.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,428.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,428.90
|
| Rate for Payer: BCBS MAPPO |
$19,543.12
|
| Rate for Payer: BCN Medicare Advantage |
$19,543.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,543.12
|
| Rate for Payer: Mclaren Medicare |
$19,543.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,520.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,474.59
|
| Rate for Payer: PACE Medicare |
$18,565.96
|
| Rate for Payer: PACE SWMI |
$19,543.12
|
| Rate for Payer: PHP Medicare Advantage |
$19,543.12
|
| Rate for Payer: Priority Health Medicare |
$19,543.12
|
| Rate for Payer: Railroad Medicare Medicare |
$19,543.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,543.12
|
| Rate for Payer: UHC Medicare Advantage |
$19,543.12
|
| Rate for Payer: VA VA |
$19,543.12
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,870.56
|
|
|
Service Code
|
MSDRG 826
|
| Min. Negotiated Rate |
$37,141.63 |
| Max. Negotiated Rate |
$48,870.56 |
| Rate for Payer: Aetna Medicare |
$40,660.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,870.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,870.56
|
| Rate for Payer: BCBS MAPPO |
$39,096.45
|
| Rate for Payer: BCN Medicare Advantage |
$39,096.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,096.45
|
| Rate for Payer: Mclaren Medicare |
$39,096.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,051.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,960.92
|
| Rate for Payer: PACE Medicare |
$37,141.63
|
| Rate for Payer: PACE SWMI |
$39,096.45
|
| Rate for Payer: PHP Medicare Advantage |
$39,096.45
|
| Rate for Payer: Priority Health Medicare |
$39,096.45
|
| Rate for Payer: Railroad Medicare Medicare |
$39,096.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,096.45
|
| Rate for Payer: UHC Medicare Advantage |
$39,096.45
|
| Rate for Payer: VA VA |
$39,096.45
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,769.41
|
|
|
Service Code
|
MSDRG 828
|
| Min. Negotiated Rate |
$12,744.75 |
| Max. Negotiated Rate |
$16,769.41 |
| Rate for Payer: Aetna Medicare |
$13,952.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,769.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,769.41
|
| Rate for Payer: BCBS MAPPO |
$13,415.53
|
| Rate for Payer: BCN Medicare Advantage |
$13,415.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,415.53
|
| Rate for Payer: Mclaren Medicare |
$13,415.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,086.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,427.86
|
| Rate for Payer: PACE Medicare |
$12,744.75
|
| Rate for Payer: PACE SWMI |
$13,415.53
|
| Rate for Payer: PHP Medicare Advantage |
$13,415.53
|
| Rate for Payer: Priority Health Medicare |
$13,415.53
|
| Rate for Payer: Railroad Medicare Medicare |
$13,415.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,415.53
|
| Rate for Payer: UHC Medicare Advantage |
$13,415.53
|
| Rate for Payer: VA VA |
$13,415.53
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$31,753.53
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$24,132.68 |
| Max. Negotiated Rate |
$31,753.53 |
| Rate for Payer: Aetna Medicare |
$26,418.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,753.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,753.53
|
| Rate for Payer: BCBS MAPPO |
$25,402.82
|
| Rate for Payer: BCN Medicare Advantage |
$25,402.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,402.82
|
| Rate for Payer: Mclaren Medicare |
$25,402.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,672.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,213.24
|
| Rate for Payer: PACE Medicare |
$24,132.68
|
| Rate for Payer: PACE SWMI |
$25,402.82
|
| Rate for Payer: PHP Medicare Advantage |
$25,402.82
|
| Rate for Payer: Priority Health Medicare |
$25,402.82
|
| Rate for Payer: Railroad Medicare Medicare |
$25,402.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,402.82
|
| Rate for Payer: UHC Medicare Advantage |
$25,402.82
|
| Rate for Payer: VA VA |
$25,402.82
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,348.81
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$11,665.10 |
| Max. Negotiated Rate |
$15,348.81 |
| Rate for Payer: Aetna Medicare |
$12,770.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,348.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,348.81
|
| Rate for Payer: BCBS MAPPO |
$12,279.05
|
| Rate for Payer: BCN Medicare Advantage |
$12,279.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,279.05
|
| Rate for Payer: Mclaren Medicare |
$12,279.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,893.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,120.91
|
| Rate for Payer: PACE Medicare |
$11,665.10
|
| Rate for Payer: PACE SWMI |
$12,279.05
|
| Rate for Payer: PHP Medicare Advantage |
$12,279.05
|
| Rate for Payer: Priority Health Medicare |
$12,279.05
|
| Rate for Payer: Railroad Medicare Medicare |
$12,279.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,279.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,279.05
|
| Rate for Payer: VA VA |
$12,279.05
|
|
|
MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$18,790.03
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$14,280.42 |
| Max. Negotiated Rate |
$18,790.03 |
| Rate for Payer: Aetna Medicare |
$15,633.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,790.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,790.03
|
| Rate for Payer: BCBS MAPPO |
$15,032.02
|
| Rate for Payer: BCN Medicare Advantage |
$15,032.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,032.02
|
| Rate for Payer: Mclaren Medicare |
$15,032.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,783.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,286.82
|
| Rate for Payer: PACE Medicare |
$14,280.42
|
| Rate for Payer: PACE SWMI |
$15,032.02
|
| Rate for Payer: PHP Medicare Advantage |
$15,032.02
|
| Rate for Payer: Priority Health Medicare |
$15,032.02
|
| Rate for Payer: Railroad Medicare Medicare |
$15,032.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,032.02
|
| Rate for Payer: UHC Medicare Advantage |
$15,032.02
|
| Rate for Payer: VA VA |
$15,032.02
|
|
|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$15,487.41
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$11,770.43 |
| Max. Negotiated Rate |
$15,487.41 |
| Rate for Payer: Aetna Medicare |
$12,885.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,487.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,487.41
|
| Rate for Payer: BCBS MAPPO |
$12,389.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,389.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,389.93
|
| Rate for Payer: Mclaren Medicare |
$12,389.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,009.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,248.42
|
| Rate for Payer: PACE Medicare |
$11,770.43
|
| Rate for Payer: PACE SWMI |
$12,389.93
|
| Rate for Payer: PHP Medicare Advantage |
$12,389.93
|
| Rate for Payer: Priority Health Medicare |
$12,389.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12,389.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,389.93
|
| Rate for Payer: UHC Medicare Advantage |
$12,389.93
|
| Rate for Payer: VA VA |
$12,389.93
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$15,719.14
|
|
|
Service Code
|
MSDRG 054
|
| 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: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$11,589.84
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$8,808.28 |
| Max. Negotiated Rate |
$11,589.84 |
| Rate for Payer: Aetna Medicare |
$9,642.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,589.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,589.84
|
| Rate for Payer: BCBS MAPPO |
$9,271.87
|
| Rate for Payer: BCN Medicare Advantage |
$9,271.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,271.87
|
| Rate for Payer: Mclaren Medicare |
$9,271.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,735.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,662.65
|
| Rate for Payer: PACE Medicare |
$8,808.28
|
| Rate for Payer: PACE SWMI |
$9,271.87
|
| Rate for Payer: PHP Medicare Advantage |
$9,271.87
|
| Rate for Payer: Priority Health Medicare |
$9,271.87
|
| Rate for Payer: Railroad Medicare Medicare |
$9,271.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,271.87
|
| Rate for Payer: UHC Medicare Advantage |
$9,271.87
|
| Rate for Payer: VA VA |
$9,271.87
|
|
|
MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$8,677.85
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$6,595.17 |
| Max. Negotiated Rate |
$8,677.85 |
| Rate for Payer: Aetna Medicare |
$7,219.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,677.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,677.85
|
| Rate for Payer: BCBS MAPPO |
$6,942.28
|
| Rate for Payer: BCN Medicare Advantage |
$6,942.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,942.28
|
| Rate for Payer: Mclaren Medicare |
$6,942.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,289.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,983.62
|
| Rate for Payer: PACE Medicare |
$6,595.17
|
| Rate for Payer: PACE SWMI |
$6,942.28
|
| Rate for Payer: PHP Medicare Advantage |
$6,942.28
|
| Rate for Payer: Priority Health Medicare |
$6,942.28
|
| Rate for Payer: Railroad Medicare Medicare |
$6,942.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,942.28
|
| Rate for Payer: UHC Medicare Advantage |
$6,942.28
|
| Rate for Payer: VA VA |
$6,942.28
|
|
|
MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$10,284.61
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$7,816.31 |
| Max. Negotiated Rate |
$10,284.61 |
| Rate for Payer: Aetna Medicare |
$8,556.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,284.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,284.61
|
| Rate for Payer: BCBS MAPPO |
$8,227.69
|
| Rate for Payer: BCN Medicare Advantage |
$8,227.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,227.69
|
| Rate for Payer: Mclaren Medicare |
$8,227.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,639.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,461.84
|
| Rate for Payer: PACE Medicare |
$7,816.31
|
| Rate for Payer: PACE SWMI |
$8,227.69
|
| Rate for Payer: PHP Medicare Advantage |
$8,227.69
|
| Rate for Payer: Priority Health Medicare |
$8,227.69
|
| Rate for Payer: Railroad Medicare Medicare |
$8,227.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,227.69
|
| Rate for Payer: UHC Medicare Advantage |
$8,227.69
|
| Rate for Payer: VA VA |
$8,227.69
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$22,500.38
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$17,100.28 |
| Max. Negotiated Rate |
$22,500.38 |
| Rate for Payer: Aetna Medicare |
$18,720.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,500.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,500.38
|
| Rate for Payer: BCBS MAPPO |
$18,000.30
|
| Rate for Payer: BCN Medicare Advantage |
$18,000.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,000.30
|
| Rate for Payer: Mclaren Medicare |
$18,000.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,900.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,700.35
|
| Rate for Payer: PACE Medicare |
$17,100.28
|
| Rate for Payer: PACE SWMI |
$18,000.30
|
| Rate for Payer: PHP Medicare Advantage |
$18,000.30
|
| Rate for Payer: Priority Health Medicare |
$18,000.30
|
| Rate for Payer: Railroad Medicare Medicare |
$18,000.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,000.30
|
| Rate for Payer: UHC Medicare Advantage |
$18,000.30
|
| Rate for Payer: VA VA |
$18,000.30
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$36,820.72
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$27,983.75 |
| Max. Negotiated Rate |
$36,820.72 |
| Rate for Payer: Aetna Medicare |
$30,634.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,820.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,820.72
|
| Rate for Payer: BCBS MAPPO |
$29,456.58
|
| Rate for Payer: BCN Medicare Advantage |
$29,456.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,456.58
|
| Rate for Payer: Mclaren Medicare |
$29,456.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,929.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,875.07
|
| Rate for Payer: PACE Medicare |
$27,983.75
|
| Rate for Payer: PACE SWMI |
$29,456.58
|
| Rate for Payer: PHP Medicare Advantage |
$29,456.58
|
| Rate for Payer: Priority Health Medicare |
$29,456.58
|
| Rate for Payer: Railroad Medicare Medicare |
$29,456.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,456.58
|
| Rate for Payer: UHC Medicare Advantage |
$29,456.58
|
| Rate for Payer: VA VA |
$29,456.58
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,648.62
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$11,132.95 |
| Max. Negotiated Rate |
$14,648.62 |
| Rate for Payer: Aetna Medicare |
$12,187.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,648.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,648.62
|
| Rate for Payer: BCBS MAPPO |
$11,718.90
|
| Rate for Payer: BCN Medicare Advantage |
$11,718.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,718.90
|
| Rate for Payer: Mclaren Medicare |
$11,718.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,304.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,476.74
|
| Rate for Payer: PACE Medicare |
$11,132.95
|
| Rate for Payer: PACE SWMI |
$11,718.90
|
| Rate for Payer: PHP Medicare Advantage |
$11,718.90
|
| Rate for Payer: Priority Health Medicare |
$11,718.90
|
| Rate for Payer: Railroad Medicare Medicare |
$11,718.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,718.90
|
| Rate for Payer: UHC Medicare Advantage |
$11,718.90
|
| Rate for Payer: VA VA |
$11,718.90
|
|
