|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$9,997.24
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$7,597.90 |
| Max. Negotiated Rate |
$9,997.24 |
| Rate for Payer: Aetna Medicare |
$8,317.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,997.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,997.24
|
| Rate for Payer: BCBS MAPPO |
$7,997.79
|
| Rate for Payer: BCN Medicare Advantage |
$7,997.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,997.79
|
| Rate for Payer: Mclaren Medicare |
$7,997.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,397.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,197.46
|
| Rate for Payer: PACE Medicare |
$7,597.90
|
| Rate for Payer: PACE SWMI |
$7,997.79
|
| Rate for Payer: PHP Medicare Advantage |
$7,997.79
|
| Rate for Payer: Priority Health Medicare |
$7,997.79
|
| Rate for Payer: Railroad Medicare Medicare |
$7,997.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,997.79
|
| Rate for Payer: UHC Medicare Advantage |
$7,997.79
|
| Rate for Payer: VA VA |
$7,997.79
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$17,006.16
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$12,924.68 |
| Max. Negotiated Rate |
$17,006.16 |
| Rate for Payer: Aetna Medicare |
$14,149.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,006.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,006.16
|
| Rate for Payer: BCBS MAPPO |
$13,604.93
|
| Rate for Payer: BCN Medicare Advantage |
$13,604.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,604.93
|
| Rate for Payer: Mclaren Medicare |
$13,604.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,285.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,645.67
|
| Rate for Payer: PACE Medicare |
$12,924.68
|
| Rate for Payer: PACE SWMI |
$13,604.93
|
| Rate for Payer: PHP Medicare Advantage |
$13,604.93
|
| Rate for Payer: Priority Health Medicare |
$13,604.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13,604.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,604.93
|
| Rate for Payer: UHC Medicare Advantage |
$13,604.93
|
| Rate for Payer: VA VA |
$13,604.93
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,354.35
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$5,589.31 |
| Max. Negotiated Rate |
$7,354.35 |
| Rate for Payer: Aetna Medicare |
$6,118.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,354.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,354.35
|
| Rate for Payer: BCBS MAPPO |
$5,883.48
|
| Rate for Payer: BCN Medicare Advantage |
$5,883.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,883.48
|
| Rate for Payer: Mclaren Medicare |
$5,883.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,177.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,766.00
|
| Rate for Payer: PACE Medicare |
$5,589.31
|
| Rate for Payer: PACE SWMI |
$5,883.48
|
| Rate for Payer: PHP Medicare Advantage |
$5,883.48
|
| Rate for Payer: Priority Health Medicare |
$5,883.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5,883.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,883.48
|
| Rate for Payer: UHC Medicare Advantage |
$5,883.48
|
| Rate for Payer: VA VA |
$5,883.48
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$18,325.59
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$13,927.45 |
| Max. Negotiated Rate |
$18,325.59 |
| Rate for Payer: Aetna Medicare |
$15,246.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,325.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,325.59
|
| Rate for Payer: BCBS MAPPO |
$14,660.47
|
| Rate for Payer: BCN Medicare Advantage |
$14,660.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,660.47
|
| Rate for Payer: Mclaren Medicare |
$14,660.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,393.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,859.54
|
| Rate for Payer: PACE Medicare |
$13,927.45
|
| Rate for Payer: PACE SWMI |
$14,660.47
|
| Rate for Payer: PHP Medicare Advantage |
$14,660.47
|
| Rate for Payer: Priority Health Medicare |
$14,660.47
|
| Rate for Payer: Railroad Medicare Medicare |
$14,660.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,660.47
|
| Rate for Payer: UHC Medicare Advantage |
$14,660.47
|
| Rate for Payer: VA VA |
$14,660.47
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$33,960.31
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$25,809.84 |
| Max. Negotiated Rate |
$33,960.31 |
| Rate for Payer: Aetna Medicare |
$28,254.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,960.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,960.31
|
| Rate for Payer: BCBS MAPPO |
$27,168.25
|
| Rate for Payer: BCN Medicare Advantage |
$27,168.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,168.25
|
| Rate for Payer: Mclaren Medicare |
$27,168.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,526.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,243.49
|
| Rate for Payer: PACE Medicare |
$25,809.84
|
| Rate for Payer: PACE SWMI |
$27,168.25
|
| Rate for Payer: PHP Medicare Advantage |
$27,168.25
|
| Rate for Payer: Priority Health Medicare |
$27,168.25
|
| Rate for Payer: Railroad Medicare Medicare |
$27,168.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,168.25
|
| Rate for Payer: UHC Medicare Advantage |
$27,168.25
|
| Rate for Payer: VA VA |
$27,168.25
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,538.96
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$9,529.61 |
| Max. Negotiated Rate |
$12,538.96 |
| Rate for Payer: Aetna Medicare |
$10,432.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,538.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,538.96
|
| Rate for Payer: BCBS MAPPO |
$10,031.17
|
| Rate for Payer: BCN Medicare Advantage |
$10,031.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,031.17
|
| Rate for Payer: Mclaren Medicare |
$10,031.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,532.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,535.85
|
| Rate for Payer: PACE Medicare |
$9,529.61
|
| Rate for Payer: PACE SWMI |
$10,031.17
|
| Rate for Payer: PHP Medicare Advantage |
$10,031.17
|
| Rate for Payer: Priority Health Medicare |
$10,031.17
|
| Rate for Payer: Railroad Medicare Medicare |
$10,031.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,031.17
|
| Rate for Payer: UHC Medicare Advantage |
$10,031.17
|
| Rate for Payer: VA VA |
$10,031.17
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,307.80
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$17,713.93 |
| Max. Negotiated Rate |
$23,307.80 |
| Rate for Payer: Aetna Medicare |
$19,392.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,307.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,307.80
|
| Rate for Payer: BCBS MAPPO |
$18,646.24
|
| Rate for Payer: BCN Medicare Advantage |
$18,646.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,646.24
|
| Rate for Payer: Mclaren Medicare |
$18,646.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,578.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,443.18
|
| Rate for Payer: PACE Medicare |
$17,713.93
|
| Rate for Payer: PACE SWMI |
$18,646.24
|
| Rate for Payer: PHP Medicare Advantage |
$18,646.24
|
| Rate for Payer: Priority Health Medicare |
$18,646.24
|
| Rate for Payer: Railroad Medicare Medicare |
$18,646.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,646.24
|
| Rate for Payer: UHC Medicare Advantage |
$18,646.24
|
| Rate for Payer: VA VA |
$18,646.24
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$40,474.43
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$30,760.56 |
| Max. Negotiated Rate |
$40,474.43 |
| Rate for Payer: Aetna Medicare |
$33,674.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,474.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,474.43
|
| Rate for Payer: BCBS MAPPO |
$32,379.54
|
| Rate for Payer: BCN Medicare Advantage |
$32,379.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,379.54
|
| Rate for Payer: Mclaren Medicare |
$32,379.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,998.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,236.47
|
| Rate for Payer: PACE Medicare |
$30,760.56
|
| Rate for Payer: PACE SWMI |
$32,379.54
|
| Rate for Payer: PHP Medicare Advantage |
$32,379.54
|
| Rate for Payer: Priority Health Medicare |
$32,379.54
|
| Rate for Payer: Railroad Medicare Medicare |
$32,379.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,379.54
|
| Rate for Payer: UHC Medicare Advantage |
$32,379.54
|
| Rate for Payer: VA VA |
$32,379.54
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,729.56
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$11,194.47 |
| Max. Negotiated Rate |
$14,729.56 |
| Rate for Payer: Aetna Medicare |
$12,255.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,729.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,729.56
|
| Rate for Payer: BCBS MAPPO |
$11,783.65
|
| Rate for Payer: BCN Medicare Advantage |
$11,783.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,783.65
|
| Rate for Payer: Mclaren Medicare |
$11,783.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,372.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,551.20
|
| Rate for Payer: PACE Medicare |
$11,194.47
|
| Rate for Payer: PACE SWMI |
$11,783.65
|
| Rate for Payer: PHP Medicare Advantage |
$11,783.65
|
| Rate for Payer: Priority Health Medicare |
$11,783.65
|
| Rate for Payer: Railroad Medicare Medicare |
$11,783.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,783.65
|
| Rate for Payer: UHC Medicare Advantage |
$11,783.65
|
| Rate for Payer: VA VA |
$11,783.65
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$44,998.30
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$34,198.71 |
| Max. Negotiated Rate |
$44,998.30 |
| Rate for Payer: Aetna Medicare |
$37,438.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,998.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,998.30
|
| Rate for Payer: BCBS MAPPO |
$35,998.64
|
| Rate for Payer: BCN Medicare Advantage |
$35,998.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,998.64
|
| Rate for Payer: Mclaren Medicare |
$35,998.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,798.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,398.44
|
| Rate for Payer: PACE Medicare |
$34,198.71
|
| Rate for Payer: PACE SWMI |
$35,998.64
|
| Rate for Payer: PHP Medicare Advantage |
$35,998.64
|
| Rate for Payer: Priority Health Medicare |
$35,998.64
|
| Rate for Payer: Railroad Medicare Medicare |
$35,998.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,998.64
|
| Rate for Payer: UHC Medicare Advantage |
$35,998.64
|
| Rate for Payer: VA VA |
$35,998.64
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$23,972.59
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$18,219.17 |
| Max. Negotiated Rate |
$23,972.59 |
| Rate for Payer: Aetna Medicare |
$19,945.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,972.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,972.59
|
| Rate for Payer: BCBS MAPPO |
$19,178.07
|
| Rate for Payer: BCN Medicare Advantage |
$19,178.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,178.07
|
| Rate for Payer: Mclaren Medicare |
$19,178.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,136.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,054.78
|
| Rate for Payer: PACE Medicare |
$18,219.17
|
| Rate for Payer: PACE SWMI |
$19,178.07
|
| Rate for Payer: PHP Medicare Advantage |
$19,178.07
|
| Rate for Payer: Priority Health Medicare |
$19,178.07
|
| Rate for Payer: Railroad Medicare Medicare |
$19,178.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,178.07
|
| Rate for Payer: UHC Medicare Advantage |
$19,178.07
|
| Rate for Payer: VA VA |
$19,178.07
|
|
|
MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$6,287.90
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$4,778.80 |
| Max. Negotiated Rate |
$6,287.90 |
| Rate for Payer: Aetna Medicare |
$5,231.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,287.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,287.90
|
| Rate for Payer: BCBS MAPPO |
$5,030.32
|
| Rate for Payer: BCN Medicare Advantage |
$5,030.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,030.32
|
| Rate for Payer: Mclaren Medicare |
$5,030.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,281.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,784.87
|
| Rate for Payer: PACE Medicare |
$4,778.80
|
| Rate for Payer: PACE SWMI |
$5,030.32
|
| Rate for Payer: PHP Medicare Advantage |
$5,030.32
|
| Rate for Payer: Priority Health Medicare |
$5,030.32
|
| Rate for Payer: Railroad Medicare Medicare |
$5,030.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,030.32
|
| Rate for Payer: UHC Medicare Advantage |
$5,030.32
|
| Rate for Payer: VA VA |
$5,030.32
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$26,742.97
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$20,324.66 |
| Max. Negotiated Rate |
$26,742.97 |
| Rate for Payer: Aetna Medicare |
$22,250.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,742.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,742.97
|
| Rate for Payer: BCBS MAPPO |
$21,394.38
|
| Rate for Payer: BCN Medicare Advantage |
$21,394.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,394.38
|
| Rate for Payer: Mclaren Medicare |
$21,394.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,464.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,603.54
|
| Rate for Payer: PACE Medicare |
$20,324.66
|
| Rate for Payer: PACE SWMI |
$21,394.38
|
| Rate for Payer: PHP Medicare Advantage |
$21,394.38
|
| Rate for Payer: Priority Health Medicare |
$21,394.38
|
| Rate for Payer: Railroad Medicare Medicare |
$21,394.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,394.38
|
| Rate for Payer: UHC Medicare Advantage |
$21,394.38
|
| Rate for Payer: VA VA |
$21,394.38
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,598.34
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$10,334.74 |
| Max. Negotiated Rate |
$13,598.34 |
| Rate for Payer: Aetna Medicare |
$11,313.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,598.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,598.34
|
| Rate for Payer: BCBS MAPPO |
$10,878.67
|
| Rate for Payer: BCN Medicare Advantage |
$10,878.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,878.67
|
| Rate for Payer: Mclaren Medicare |
$10,878.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,422.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,510.47
|
| Rate for Payer: PACE Medicare |
$10,334.74
|
| Rate for Payer: PACE SWMI |
$10,878.67
|
| Rate for Payer: PHP Medicare Advantage |
$10,878.67
|
| Rate for Payer: Priority Health Medicare |
$10,878.67
|
| Rate for Payer: Railroad Medicare Medicare |
$10,878.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,878.67
|
| Rate for Payer: UHC Medicare Advantage |
$10,878.67
|
| Rate for Payer: VA VA |
$10,878.67
|
|
|
MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$107,751.68
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$81,891.27 |
| Max. Negotiated Rate |
$107,751.68 |
| Rate for Payer: Aetna Medicare |
$89,649.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107,751.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107,751.68
|
| Rate for Payer: BCBS MAPPO |
$86,201.34
|
| Rate for Payer: BCN Medicare Advantage |
$86,201.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86,201.34
|
| Rate for Payer: Mclaren Medicare |
$86,201.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90,511.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99,131.54
|
| Rate for Payer: PACE Medicare |
$81,891.27
|
| Rate for Payer: PACE SWMI |
$86,201.34
|
| Rate for Payer: PHP Medicare Advantage |
$86,201.34
|
| Rate for Payer: Priority Health Medicare |
$86,201.34
|
| Rate for Payer: Railroad Medicare Medicare |
$86,201.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$86,201.34
|
| Rate for Payer: UHC Medicare Advantage |
$86,201.34
|
| Rate for Payer: VA VA |
$86,201.34
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,653.88
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$17,976.94 |
| Max. Negotiated Rate |
$23,653.88 |
| Rate for Payer: Aetna Medicare |
$19,680.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,653.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,653.88
|
| Rate for Payer: BCBS MAPPO |
$18,923.10
|
| Rate for Payer: BCN Medicare Advantage |
$18,923.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,923.10
|
| Rate for Payer: Mclaren Medicare |
$18,923.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,869.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,761.56
|
| Rate for Payer: PACE Medicare |
$17,976.94
|
| Rate for Payer: PACE SWMI |
$18,923.10
|
| Rate for Payer: PHP Medicare Advantage |
$18,923.10
|
| Rate for Payer: Priority Health Medicare |
$18,923.10
|
| Rate for Payer: Railroad Medicare Medicare |
$18,923.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,923.10
|
| Rate for Payer: UHC Medicare Advantage |
$18,923.10
|
| Rate for Payer: VA VA |
$18,923.10
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$41,705.85
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$31,696.45 |
| Max. Negotiated Rate |
$41,705.85 |
| Rate for Payer: Aetna Medicare |
$34,699.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,705.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,705.85
|
| Rate for Payer: BCBS MAPPO |
$33,364.68
|
| Rate for Payer: BCN Medicare Advantage |
$33,364.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,364.68
|
| Rate for Payer: Mclaren Medicare |
$33,364.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,032.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,369.38
|
| Rate for Payer: PACE Medicare |
$31,696.45
|
| Rate for Payer: PACE SWMI |
$33,364.68
|
| Rate for Payer: PHP Medicare Advantage |
$33,364.68
|
| Rate for Payer: Priority Health Medicare |
$33,364.68
|
| Rate for Payer: Railroad Medicare Medicare |
$33,364.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,364.68
|
| Rate for Payer: UHC Medicare Advantage |
$33,364.68
|
| Rate for Payer: VA VA |
$33,364.68
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,191.64
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$12,305.64 |
| Max. Negotiated Rate |
$16,191.64 |
| Rate for Payer: Aetna Medicare |
$13,471.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,191.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,191.64
|
| Rate for Payer: BCBS MAPPO |
$12,953.31
|
| Rate for Payer: BCN Medicare Advantage |
$12,953.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,953.31
|
| Rate for Payer: Mclaren Medicare |
$12,953.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,600.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,896.31
|
| Rate for Payer: PACE Medicare |
$12,305.64
|
| Rate for Payer: PACE SWMI |
$12,953.31
|
| Rate for Payer: PHP Medicare Advantage |
$12,953.31
|
| Rate for Payer: Priority Health Medicare |
$12,953.31
|
| Rate for Payer: Railroad Medicare Medicare |
$12,953.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,953.31
|
| Rate for Payer: UHC Medicare Advantage |
$12,953.31
|
| Rate for Payer: VA VA |
$12,953.31
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$11,176.04
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$8,493.79 |
| Max. Negotiated Rate |
$11,176.04 |
| Rate for Payer: Aetna Medicare |
$9,298.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,176.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,176.04
|
| Rate for Payer: BCBS MAPPO |
$8,940.83
|
| Rate for Payer: BCN Medicare Advantage |
$8,940.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,940.83
|
| Rate for Payer: Mclaren Medicare |
$8,940.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,387.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,281.95
|
| Rate for Payer: PACE Medicare |
$8,493.79
|
| Rate for Payer: PACE SWMI |
$8,940.83
|
| Rate for Payer: PHP Medicare Advantage |
$8,940.83
|
| Rate for Payer: Priority Health Medicare |
$8,940.83
|
| Rate for Payer: Railroad Medicare Medicare |
$8,940.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,940.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,940.83
|
| Rate for Payer: VA VA |
$8,940.83
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$22,247.42
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$16,908.04 |
| Max. Negotiated Rate |
$22,247.42 |
| Rate for Payer: Aetna Medicare |
$18,509.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,247.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,247.42
|
| Rate for Payer: BCBS MAPPO |
$17,797.94
|
| Rate for Payer: BCN Medicare Advantage |
$17,797.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,797.94
|
| Rate for Payer: Mclaren Medicare |
$17,797.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,687.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,467.63
|
| Rate for Payer: PACE Medicare |
$16,908.04
|
| Rate for Payer: PACE SWMI |
$17,797.94
|
| Rate for Payer: PHP Medicare Advantage |
$17,797.94
|
| Rate for Payer: Priority Health Medicare |
$17,797.94
|
| Rate for Payer: Railroad Medicare Medicare |
$17,797.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,797.94
|
| Rate for Payer: UHC Medicare Advantage |
$17,797.94
|
| Rate for Payer: VA VA |
$17,797.94
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,831.95
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$5,952.28 |
| Max. Negotiated Rate |
$7,831.95 |
| Rate for Payer: Aetna Medicare |
$6,516.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,831.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,831.95
|
| Rate for Payer: BCBS MAPPO |
$6,265.56
|
| Rate for Payer: BCN Medicare Advantage |
$6,265.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,265.56
|
| Rate for Payer: Mclaren Medicare |
$6,265.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,578.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,205.39
|
| Rate for Payer: PACE Medicare |
$5,952.28
|
| Rate for Payer: PACE SWMI |
$6,265.56
|
| Rate for Payer: PHP Medicare Advantage |
$6,265.56
|
| Rate for Payer: Priority Health Medicare |
$6,265.56
|
| Rate for Payer: Railroad Medicare Medicare |
$6,265.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,265.56
|
| Rate for Payer: UHC Medicare Advantage |
$6,265.56
|
| Rate for Payer: VA VA |
$6,265.56
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$17,644.64
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$13,409.92 |
| Max. Negotiated Rate |
$17,644.64 |
| Rate for Payer: Aetna Medicare |
$14,680.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,644.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,644.64
|
| Rate for Payer: BCBS MAPPO |
$14,115.71
|
| Rate for Payer: BCN Medicare Advantage |
$14,115.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,115.71
|
| Rate for Payer: Mclaren Medicare |
$14,115.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,821.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,233.07
|
| Rate for Payer: PACE Medicare |
$13,409.92
|
| Rate for Payer: PACE SWMI |
$14,115.71
|
| Rate for Payer: PHP Medicare Advantage |
$14,115.71
|
| Rate for Payer: Priority Health Medicare |
$14,115.71
|
| Rate for Payer: Railroad Medicare Medicare |
$14,115.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,115.71
|
| Rate for Payer: UHC Medicare Advantage |
$14,115.71
|
| Rate for Payer: VA VA |
$14,115.71
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$10,870.49
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$8,261.57 |
| Max. Negotiated Rate |
$10,870.49 |
| Rate for Payer: Aetna Medicare |
$9,044.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,870.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,870.49
|
| Rate for Payer: BCBS MAPPO |
$8,696.39
|
| Rate for Payer: BCN Medicare Advantage |
$8,696.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,696.39
|
| Rate for Payer: Mclaren Medicare |
$8,696.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,131.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,000.85
|
| Rate for Payer: PACE Medicare |
$8,261.57
|
| Rate for Payer: PACE SWMI |
$8,696.39
|
| Rate for Payer: PHP Medicare Advantage |
$8,696.39
|
| Rate for Payer: Priority Health Medicare |
$8,696.39
|
| Rate for Payer: Railroad Medicare Medicare |
$8,696.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,696.39
|
| Rate for Payer: UHC Medicare Advantage |
$8,696.39
|
| Rate for Payer: VA VA |
$8,696.39
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,870.49
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$8,261.57 |
| Max. Negotiated Rate |
$10,870.49 |
| Rate for Payer: Aetna Medicare |
$9,044.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,870.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,870.49
|
| Rate for Payer: BCBS MAPPO |
$8,696.39
|
| Rate for Payer: BCN Medicare Advantage |
$8,696.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,696.39
|
| Rate for Payer: Mclaren Medicare |
$8,696.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,131.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,000.85
|
| Rate for Payer: PACE Medicare |
$8,261.57
|
| Rate for Payer: PACE SWMI |
$8,696.39
|
| Rate for Payer: PHP Medicare Advantage |
$8,696.39
|
| Rate for Payer: Priority Health Medicare |
$8,696.39
|
| Rate for Payer: Railroad Medicare Medicare |
$8,696.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,696.39
|
| Rate for Payer: UHC Medicare Advantage |
$8,696.39
|
| Rate for Payer: VA VA |
$8,696.39
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$17,558.62
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$13,344.56 |
| Max. Negotiated Rate |
$17,558.62 |
| Rate for Payer: Aetna Medicare |
$14,608.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,558.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,558.62
|
| Rate for Payer: BCBS MAPPO |
$14,046.90
|
| Rate for Payer: BCN Medicare Advantage |
$14,046.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,046.90
|
| Rate for Payer: Mclaren Medicare |
$14,046.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,749.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,153.93
|
| Rate for Payer: PACE Medicare |
$13,344.56
|
| Rate for Payer: PACE SWMI |
$14,046.90
|
| Rate for Payer: PHP Medicare Advantage |
$14,046.90
|
| Rate for Payer: Priority Health Medicare |
$14,046.90
|
| Rate for Payer: Railroad Medicare Medicare |
$14,046.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,046.90
|
| Rate for Payer: UHC Medicare Advantage |
$14,046.90
|
| Rate for Payer: VA VA |
$14,046.90
|
|
