|
MS-DRG 42.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$21,014.03
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$15,970.66 |
| Max. Negotiated Rate |
$21,014.03 |
| Rate for Payer: Aetna Medicare |
$17,483.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,014.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,014.03
|
| Rate for Payer: BCBS MAPPO |
$16,811.22
|
| Rate for Payer: BCN Medicare Advantage |
$16,811.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,811.22
|
| Rate for Payer: Mclaren Medicare |
$16,811.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,651.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,332.90
|
| Rate for Payer: PACE Medicare |
$15,970.66
|
| Rate for Payer: PACE SWMI |
$16,811.22
|
| Rate for Payer: PHP Medicare Advantage |
$16,811.22
|
| Rate for Payer: Priority Health Medicare |
$16,811.22
|
| Rate for Payer: Railroad Medicare Medicare |
$16,811.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,811.22
|
| Rate for Payer: UHC Medicare Advantage |
$16,811.22
|
| Rate for Payer: VA VA |
$16,811.22
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,403.31
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$7,146.52 |
| Max. Negotiated Rate |
$9,403.31 |
| Rate for Payer: Aetna Medicare |
$7,823.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,403.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,403.31
|
| Rate for Payer: BCBS MAPPO |
$7,522.65
|
| Rate for Payer: BCN Medicare Advantage |
$7,522.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,522.65
|
| Rate for Payer: Mclaren Medicare |
$7,522.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,898.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,651.05
|
| Rate for Payer: PACE Medicare |
$7,146.52
|
| Rate for Payer: PACE SWMI |
$7,522.65
|
| Rate for Payer: PHP Medicare Advantage |
$7,522.65
|
| Rate for Payer: Priority Health Medicare |
$7,522.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,522.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,522.65
|
| Rate for Payer: UHC Medicare Advantage |
$7,522.65
|
| Rate for Payer: VA VA |
$7,522.65
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$13,583.16
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$10,323.20 |
| Max. Negotiated Rate |
$13,583.16 |
| Rate for Payer: Aetna Medicare |
$11,301.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,583.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,583.16
|
| Rate for Payer: BCBS MAPPO |
$10,866.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,866.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,866.53
|
| Rate for Payer: Mclaren Medicare |
$10,866.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,409.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,496.51
|
| Rate for Payer: PACE Medicare |
$10,323.20
|
| Rate for Payer: PACE SWMI |
$10,866.53
|
| Rate for Payer: PHP Medicare Advantage |
$10,866.53
|
| Rate for Payer: Priority Health Medicare |
$10,866.53
|
| Rate for Payer: Railroad Medicare Medicare |
$10,866.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,866.53
|
| Rate for Payer: UHC Medicare Advantage |
$10,866.53
|
| Rate for Payer: VA VA |
$10,866.53
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$26,201.64
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$19,913.24 |
| Max. Negotiated Rate |
$26,201.64 |
| Rate for Payer: Aetna Medicare |
$21,799.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,201.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,201.64
|
| Rate for Payer: BCBS MAPPO |
$20,961.31
|
| Rate for Payer: BCN Medicare Advantage |
$20,961.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,961.31
|
| Rate for Payer: Mclaren Medicare |
$20,961.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,009.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,105.51
|
| Rate for Payer: PACE Medicare |
$19,913.24
|
| Rate for Payer: PACE SWMI |
$20,961.31
|
| Rate for Payer: PHP Medicare Advantage |
$20,961.31
|
| Rate for Payer: Priority Health Medicare |
$20,961.31
|
| Rate for Payer: Railroad Medicare Medicare |
$20,961.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,961.31
|
| Rate for Payer: UHC Medicare Advantage |
$20,961.31
|
| Rate for Payer: VA VA |
$20,961.31
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,812.40
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$6,697.42 |
| Max. Negotiated Rate |
$8,812.40 |
| Rate for Payer: Aetna Medicare |
$7,331.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,812.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,812.40
|
| Rate for Payer: BCBS MAPPO |
$7,049.92
|
| Rate for Payer: BCN Medicare Advantage |
$7,049.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,049.92
|
| Rate for Payer: Mclaren Medicare |
$7,049.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,402.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,107.41
|
| Rate for Payer: PACE Medicare |
$6,697.42
|
| Rate for Payer: PACE SWMI |
$7,049.92
|
| Rate for Payer: PHP Medicare Advantage |
$7,049.92
|
| Rate for Payer: Priority Health Medicare |
$7,049.92
|
| Rate for Payer: Railroad Medicare Medicare |
$7,049.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,049.92
|
| Rate for Payer: UHC Medicare Advantage |
$7,049.92
|
| Rate for Payer: VA VA |
$7,049.92
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$8,113.23
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$6,166.05 |
| Max. Negotiated Rate |
$8,113.23 |
| Rate for Payer: Aetna Medicare |
$6,750.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,113.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,113.23
|
| Rate for Payer: BCBS MAPPO |
$6,490.58
|
| Rate for Payer: BCN Medicare Advantage |
$6,490.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,490.58
|
| Rate for Payer: Mclaren Medicare |
$6,490.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,815.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,464.17
|
| Rate for Payer: PACE Medicare |
$6,166.05
|
| Rate for Payer: PACE SWMI |
$6,490.58
|
| Rate for Payer: PHP Medicare Advantage |
$6,490.58
|
| Rate for Payer: Priority Health Medicare |
$6,490.58
|
| Rate for Payer: Railroad Medicare Medicare |
$6,490.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,490.58
|
| Rate for Payer: UHC Medicare Advantage |
$6,490.58
|
| Rate for Payer: VA VA |
$6,490.58
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$12,196.95
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$9,269.68 |
| Max. Negotiated Rate |
$12,196.95 |
| Rate for Payer: Aetna Medicare |
$10,147.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,196.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,196.95
|
| Rate for Payer: BCBS MAPPO |
$9,757.56
|
| Rate for Payer: BCN Medicare Advantage |
$9,757.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,757.56
|
| Rate for Payer: Mclaren Medicare |
$9,757.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,245.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,221.19
|
| Rate for Payer: PACE Medicare |
$9,269.68
|
| Rate for Payer: PACE SWMI |
$9,757.56
|
| Rate for Payer: PHP Medicare Advantage |
$9,757.56
|
| Rate for Payer: Priority Health Medicare |
$9,757.56
|
| Rate for Payer: Railroad Medicare Medicare |
$9,757.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,757.56
|
| Rate for Payer: UHC Medicare Advantage |
$9,757.56
|
| Rate for Payer: VA VA |
$9,757.56
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$5,810.34
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$4,415.86 |
| Max. Negotiated Rate |
$5,810.34 |
| Rate for Payer: Aetna Medicare |
$4,834.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5,810.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5,810.34
|
| Rate for Payer: BCBS MAPPO |
$4,648.27
|
| Rate for Payer: BCN Medicare Advantage |
$4,648.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,648.27
|
| Rate for Payer: Mclaren Medicare |
$4,648.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,880.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,345.51
|
| Rate for Payer: PACE Medicare |
$4,415.86
|
| Rate for Payer: PACE SWMI |
$4,648.27
|
| Rate for Payer: PHP Medicare Advantage |
$4,648.27
|
| Rate for Payer: Priority Health Medicare |
$4,648.27
|
| Rate for Payer: Railroad Medicare Medicare |
$4,648.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,648.27
|
| Rate for Payer: UHC Medicare Advantage |
$4,648.27
|
| Rate for Payer: VA VA |
$4,648.27
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$50,973.12
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$38,739.57 |
| Max. Negotiated Rate |
$50,973.12 |
| Rate for Payer: Aetna Medicare |
$42,409.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,973.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,973.12
|
| Rate for Payer: BCBS MAPPO |
$40,778.50
|
| Rate for Payer: BCN Medicare Advantage |
$40,778.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,778.50
|
| Rate for Payer: Mclaren Medicare |
$40,778.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,817.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,895.28
|
| Rate for Payer: PACE Medicare |
$38,739.57
|
| Rate for Payer: PACE SWMI |
$40,778.50
|
| Rate for Payer: PHP Medicare Advantage |
$40,778.50
|
| Rate for Payer: Priority Health Medicare |
$40,778.50
|
| Rate for Payer: Railroad Medicare Medicare |
$40,778.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,778.50
|
| Rate for Payer: UHC Medicare Advantage |
$40,778.50
|
| Rate for Payer: VA VA |
$40,778.50
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$31,981.16
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$24,305.68 |
| Max. Negotiated Rate |
$31,981.16 |
| Rate for Payer: Aetna Medicare |
$26,608.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,981.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,981.16
|
| Rate for Payer: BCBS MAPPO |
$25,584.93
|
| Rate for Payer: BCN Medicare Advantage |
$25,584.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,584.93
|
| Rate for Payer: Mclaren Medicare |
$25,584.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,864.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,422.67
|
| Rate for Payer: PACE Medicare |
$24,305.68
|
| Rate for Payer: PACE SWMI |
$25,584.93
|
| Rate for Payer: PHP Medicare Advantage |
$25,584.93
|
| Rate for Payer: Priority Health Medicare |
$25,584.93
|
| Rate for Payer: Railroad Medicare Medicare |
$25,584.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,584.93
|
| Rate for Payer: UHC Medicare Advantage |
$25,584.93
|
| Rate for Payer: VA VA |
$25,584.93
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,287.66
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$7,818.62 |
| Max. Negotiated Rate |
$10,287.66 |
| Rate for Payer: Aetna Medicare |
$8,559.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,287.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,287.66
|
| Rate for Payer: BCBS MAPPO |
$8,230.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,230.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,230.13
|
| Rate for Payer: Mclaren Medicare |
$8,230.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,641.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,464.65
|
| Rate for Payer: PACE Medicare |
$7,818.62
|
| Rate for Payer: PACE SWMI |
$8,230.13
|
| Rate for Payer: PHP Medicare Advantage |
$8,230.13
|
| Rate for Payer: Priority Health Medicare |
$8,230.13
|
| Rate for Payer: Railroad Medicare Medicare |
$8,230.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,230.13
|
| Rate for Payer: UHC Medicare Advantage |
$8,230.13
|
| Rate for Payer: VA VA |
$8,230.13
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$22,340.51
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,978.79 |
| Max. Negotiated Rate |
$22,340.51 |
| Rate for Payer: Aetna Medicare |
$18,587.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,340.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,340.51
|
| Rate for Payer: BCBS MAPPO |
$17,872.41
|
| Rate for Payer: BCN Medicare Advantage |
$17,872.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,872.41
|
| Rate for Payer: Mclaren Medicare |
$17,872.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,766.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,553.27
|
| Rate for Payer: PACE Medicare |
$16,978.79
|
| Rate for Payer: PACE SWMI |
$17,872.41
|
| Rate for Payer: PHP Medicare Advantage |
$17,872.41
|
| Rate for Payer: Priority Health Medicare |
$17,872.41
|
| Rate for Payer: Railroad Medicare Medicare |
$17,872.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,872.41
|
| Rate for Payer: UHC Medicare Advantage |
$17,872.41
|
| Rate for Payer: VA VA |
$17,872.41
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,458.60
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,668.54 |
| Max. Negotiated Rate |
$7,458.60 |
| Rate for Payer: Aetna Medicare |
$6,205.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,458.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,458.60
|
| Rate for Payer: BCBS MAPPO |
$5,966.88
|
| Rate for Payer: BCN Medicare Advantage |
$5,966.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,966.88
|
| Rate for Payer: Mclaren Medicare |
$5,966.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,265.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,861.91
|
| Rate for Payer: PACE Medicare |
$5,668.54
|
| Rate for Payer: PACE SWMI |
$5,966.88
|
| Rate for Payer: PHP Medicare Advantage |
$5,966.88
|
| Rate for Payer: Priority Health Medicare |
$5,966.88
|
| Rate for Payer: Railroad Medicare Medicare |
$5,966.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,966.88
|
| Rate for Payer: UHC Medicare Advantage |
$5,966.88
|
| Rate for Payer: VA VA |
$5,966.88
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$35,915.18
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$27,295.53 |
| Max. Negotiated Rate |
$35,915.18 |
| Rate for Payer: Aetna Medicare |
$29,881.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,915.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,915.18
|
| Rate for Payer: BCBS MAPPO |
$28,732.14
|
| Rate for Payer: BCN Medicare Advantage |
$28,732.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,732.14
|
| Rate for Payer: Mclaren Medicare |
$28,732.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,168.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,041.96
|
| Rate for Payer: PACE Medicare |
$27,295.53
|
| Rate for Payer: PACE SWMI |
$28,732.14
|
| Rate for Payer: PHP Medicare Advantage |
$28,732.14
|
| Rate for Payer: Priority Health Medicare |
$28,732.14
|
| Rate for Payer: Railroad Medicare Medicare |
$28,732.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,732.14
|
| Rate for Payer: UHC Medicare Advantage |
$28,732.14
|
| Rate for Payer: VA VA |
$28,732.14
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,075.14
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$7,657.10 |
| Max. Negotiated Rate |
$10,075.14 |
| Rate for Payer: Aetna Medicare |
$8,382.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,075.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,075.14
|
| Rate for Payer: BCBS MAPPO |
$8,060.11
|
| Rate for Payer: BCN Medicare Advantage |
$8,060.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,060.11
|
| Rate for Payer: Mclaren Medicare |
$8,060.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,463.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,269.13
|
| Rate for Payer: PACE Medicare |
$7,657.10
|
| Rate for Payer: PACE SWMI |
$8,060.11
|
| Rate for Payer: PHP Medicare Advantage |
$8,060.11
|
| Rate for Payer: Priority Health Medicare |
$8,060.11
|
| Rate for Payer: Railroad Medicare Medicare |
$8,060.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,060.11
|
| Rate for Payer: UHC Medicare Advantage |
$8,060.11
|
| Rate for Payer: VA VA |
$8,060.11
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$17,306.67
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$13,153.07 |
| Max. Negotiated Rate |
$17,306.67 |
| Rate for Payer: Aetna Medicare |
$14,399.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,306.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,306.67
|
| Rate for Payer: BCBS MAPPO |
$13,845.34
|
| Rate for Payer: BCN Medicare Advantage |
$13,845.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,845.34
|
| Rate for Payer: Mclaren Medicare |
$13,845.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,537.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,922.14
|
| Rate for Payer: PACE Medicare |
$13,153.07
|
| Rate for Payer: PACE SWMI |
$13,845.34
|
| Rate for Payer: PHP Medicare Advantage |
$13,845.34
|
| Rate for Payer: Priority Health Medicare |
$13,845.34
|
| Rate for Payer: Railroad Medicare Medicare |
$13,845.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,845.34
|
| Rate for Payer: UHC Medicare Advantage |
$13,845.34
|
| Rate for Payer: VA VA |
$13,845.34
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,990.11
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$5,312.49 |
| Max. Negotiated Rate |
$6,990.11 |
| Rate for Payer: Aetna Medicare |
$5,815.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,990.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,990.11
|
| Rate for Payer: BCBS MAPPO |
$5,592.09
|
| Rate for Payer: BCN Medicare Advantage |
$5,592.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,592.09
|
| Rate for Payer: Mclaren Medicare |
$5,592.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,871.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,430.90
|
| Rate for Payer: PACE Medicare |
$5,312.49
|
| Rate for Payer: PACE SWMI |
$5,592.09
|
| Rate for Payer: PHP Medicare Advantage |
$5,592.09
|
| Rate for Payer: Priority Health Medicare |
$5,592.09
|
| Rate for Payer: Railroad Medicare Medicare |
$5,592.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,592.09
|
| Rate for Payer: UHC Medicare Advantage |
$5,592.09
|
| Rate for Payer: VA VA |
$5,592.09
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,337.17
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$17,736.25 |
| Max. Negotiated Rate |
$23,337.17 |
| Rate for Payer: Aetna Medicare |
$19,416.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,337.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,337.17
|
| Rate for Payer: BCBS MAPPO |
$18,669.74
|
| Rate for Payer: BCN Medicare Advantage |
$18,669.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,669.74
|
| Rate for Payer: Mclaren Medicare |
$18,669.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,603.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,470.20
|
| Rate for Payer: PACE Medicare |
$17,736.25
|
| Rate for Payer: PACE SWMI |
$18,669.74
|
| Rate for Payer: PHP Medicare Advantage |
$18,669.74
|
| Rate for Payer: Priority Health Medicare |
$18,669.74
|
| Rate for Payer: Railroad Medicare Medicare |
$18,669.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,669.74
|
| Rate for Payer: UHC Medicare Advantage |
$18,669.74
|
| Rate for Payer: VA VA |
$18,669.74
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$43,712.30
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$33,221.35 |
| Max. Negotiated Rate |
$43,712.30 |
| Rate for Payer: Aetna Medicare |
$36,368.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,712.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,712.30
|
| Rate for Payer: BCBS MAPPO |
$34,969.84
|
| Rate for Payer: BCN Medicare Advantage |
$34,969.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,969.84
|
| Rate for Payer: Mclaren Medicare |
$34,969.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,718.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,215.32
|
| Rate for Payer: PACE Medicare |
$33,221.35
|
| Rate for Payer: PACE SWMI |
$34,969.84
|
| Rate for Payer: PHP Medicare Advantage |
$34,969.84
|
| Rate for Payer: Priority Health Medicare |
$34,969.84
|
| Rate for Payer: Railroad Medicare Medicare |
$34,969.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,969.84
|
| Rate for Payer: UHC Medicare Advantage |
$34,969.84
|
| Rate for Payer: VA VA |
$34,969.84
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,262.10
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$10,839.20 |
| Max. Negotiated Rate |
$14,262.10 |
| Rate for Payer: Aetna Medicare |
$11,866.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,262.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,262.10
|
| Rate for Payer: BCBS MAPPO |
$11,409.68
|
| Rate for Payer: BCN Medicare Advantage |
$11,409.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,409.68
|
| Rate for Payer: Mclaren Medicare |
$11,409.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,980.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,121.13
|
| Rate for Payer: PACE Medicare |
$10,839.20
|
| Rate for Payer: PACE SWMI |
$11,409.68
|
| Rate for Payer: PHP Medicare Advantage |
$11,409.68
|
| Rate for Payer: Priority Health Medicare |
$11,409.68
|
| Rate for Payer: Railroad Medicare Medicare |
$11,409.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,409.68
|
| Rate for Payer: UHC Medicare Advantage |
$11,409.68
|
| Rate for Payer: VA VA |
$11,409.68
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$11,263.08
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$8,559.94 |
| Max. Negotiated Rate |
$11,263.08 |
| Rate for Payer: Aetna Medicare |
$9,370.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,263.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,263.08
|
| Rate for Payer: BCBS MAPPO |
$9,010.46
|
| Rate for Payer: BCN Medicare Advantage |
$9,010.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,010.46
|
| Rate for Payer: Mclaren Medicare |
$9,010.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,460.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,362.03
|
| Rate for Payer: PACE Medicare |
$8,559.94
|
| Rate for Payer: PACE SWMI |
$9,010.46
|
| Rate for Payer: PHP Medicare Advantage |
$9,010.46
|
| Rate for Payer: Priority Health Medicare |
$9,010.46
|
| Rate for Payer: Railroad Medicare Medicare |
$9,010.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,010.46
|
| Rate for Payer: UHC Medicare Advantage |
$9,010.46
|
| Rate for Payer: VA VA |
$9,010.46
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$18,995.41
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$14,436.51 |
| Max. Negotiated Rate |
$18,995.41 |
| Rate for Payer: Aetna Medicare |
$15,804.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,995.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,995.41
|
| Rate for Payer: BCBS MAPPO |
$15,196.33
|
| Rate for Payer: BCN Medicare Advantage |
$15,196.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,196.33
|
| Rate for Payer: Mclaren Medicare |
$15,196.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,956.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,475.78
|
| Rate for Payer: PACE Medicare |
$14,436.51
|
| Rate for Payer: PACE SWMI |
$15,196.33
|
| Rate for Payer: PHP Medicare Advantage |
$15,196.33
|
| Rate for Payer: Priority Health Medicare |
$15,196.33
|
| Rate for Payer: Railroad Medicare Medicare |
$15,196.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,196.33
|
| Rate for Payer: UHC Medicare Advantage |
$15,196.33
|
| Rate for Payer: VA VA |
$15,196.33
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$8,537.20
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,488.27 |
| Max. Negotiated Rate |
$8,537.20 |
| Rate for Payer: Aetna Medicare |
$7,102.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,537.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,537.20
|
| Rate for Payer: BCBS MAPPO |
$6,829.76
|
| Rate for Payer: BCN Medicare Advantage |
$6,829.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,829.76
|
| Rate for Payer: Mclaren Medicare |
$6,829.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,171.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,854.22
|
| Rate for Payer: PACE Medicare |
$6,488.27
|
| Rate for Payer: PACE SWMI |
$6,829.76
|
| Rate for Payer: PHP Medicare Advantage |
$6,829.76
|
| Rate for Payer: Priority Health Medicare |
$6,829.76
|
| Rate for Payer: Railroad Medicare Medicare |
$6,829.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,829.76
|
| Rate for Payer: UHC Medicare Advantage |
$6,829.76
|
| Rate for Payer: VA VA |
$6,829.76
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$13,744.06
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$10,445.49 |
| Max. Negotiated Rate |
$13,744.06 |
| Rate for Payer: Aetna Medicare |
$11,435.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,744.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,744.06
|
| Rate for Payer: BCBS MAPPO |
$10,995.25
|
| Rate for Payer: BCN Medicare Advantage |
$10,995.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,995.25
|
| Rate for Payer: Mclaren Medicare |
$10,995.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,545.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,644.54
|
| Rate for Payer: PACE Medicare |
$10,445.49
|
| Rate for Payer: PACE SWMI |
$10,995.25
|
| Rate for Payer: PHP Medicare Advantage |
$10,995.25
|
| Rate for Payer: Priority Health Medicare |
$10,995.25
|
| Rate for Payer: Railroad Medicare Medicare |
$10,995.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,995.25
|
| Rate for Payer: UHC Medicare Advantage |
$10,995.25
|
| Rate for Payer: VA VA |
$10,995.25
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$8,905.50
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,768.18 |
| Max. Negotiated Rate |
$8,905.50 |
| Rate for Payer: Aetna Medicare |
$7,409.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,905.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,905.50
|
| Rate for Payer: BCBS MAPPO |
$7,124.40
|
| Rate for Payer: BCN Medicare Advantage |
$7,124.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,124.40
|
| Rate for Payer: Mclaren Medicare |
$7,124.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,480.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,193.06
|
| Rate for Payer: PACE Medicare |
$6,768.18
|
| Rate for Payer: PACE SWMI |
$7,124.40
|
| Rate for Payer: PHP Medicare Advantage |
$7,124.40
|
| Rate for Payer: Priority Health Medicare |
$7,124.40
|
| Rate for Payer: Railroad Medicare Medicare |
$7,124.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,124.40
|
| Rate for Payer: UHC Medicare Advantage |
$7,124.40
|
| Rate for Payer: VA VA |
$7,124.40
|
|
