|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$7,574.96
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$5,756.97 |
| Max. Negotiated Rate |
$7,574.96 |
| Rate for Payer: Aetna Medicare |
$6,302.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,574.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,574.96
|
| Rate for Payer: BCBS MAPPO |
$6,059.97
|
| Rate for Payer: BCN Medicare Advantage |
$6,059.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,059.97
|
| Rate for Payer: Mclaren Medicare |
$6,059.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,362.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,968.97
|
| Rate for Payer: PACE Medicare |
$5,756.97
|
| Rate for Payer: PACE SWMI |
$6,059.97
|
| Rate for Payer: PHP Medicare Advantage |
$6,059.97
|
| Rate for Payer: Priority Health Medicare |
$6,059.97
|
| Rate for Payer: Railroad Medicare Medicare |
$6,059.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,059.97
|
| Rate for Payer: UHC Medicare Advantage |
$6,059.97
|
| Rate for Payer: VA VA |
$6,059.97
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$23,907.85
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$18,169.97 |
| Max. Negotiated Rate |
$23,907.85 |
| Rate for Payer: Aetna Medicare |
$19,891.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,907.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,907.85
|
| Rate for Payer: BCBS MAPPO |
$19,126.28
|
| Rate for Payer: BCN Medicare Advantage |
$19,126.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,126.28
|
| Rate for Payer: Mclaren Medicare |
$19,126.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,082.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,995.22
|
| Rate for Payer: PACE Medicare |
$18,169.97
|
| Rate for Payer: PACE SWMI |
$19,126.28
|
| Rate for Payer: PHP Medicare Advantage |
$19,126.28
|
| Rate for Payer: Priority Health Medicare |
$19,126.28
|
| Rate for Payer: Railroad Medicare Medicare |
$19,126.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,126.28
|
| Rate for Payer: UHC Medicare Advantage |
$19,126.28
|
| Rate for Payer: VA VA |
$19,126.28
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$42,942.28
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$32,636.13 |
| Max. Negotiated Rate |
$42,942.28 |
| Rate for Payer: Aetna Medicare |
$35,727.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,942.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,942.28
|
| Rate for Payer: BCBS MAPPO |
$34,353.82
|
| Rate for Payer: BCN Medicare Advantage |
$34,353.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,353.82
|
| Rate for Payer: Mclaren Medicare |
$34,353.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,071.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,506.89
|
| Rate for Payer: PACE Medicare |
$32,636.13
|
| Rate for Payer: PACE SWMI |
$34,353.82
|
| Rate for Payer: PHP Medicare Advantage |
$34,353.82
|
| Rate for Payer: Priority Health Medicare |
$34,353.82
|
| Rate for Payer: Railroad Medicare Medicare |
$34,353.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,353.82
|
| Rate for Payer: UHC Medicare Advantage |
$34,353.82
|
| Rate for Payer: VA VA |
$34,353.82
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,388.94
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$12,455.59 |
| Max. Negotiated Rate |
$16,388.94 |
| Rate for Payer: Aetna Medicare |
$13,635.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,388.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,388.94
|
| Rate for Payer: BCBS MAPPO |
$13,111.15
|
| Rate for Payer: BCN Medicare Advantage |
$13,111.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,111.15
|
| Rate for Payer: Mclaren Medicare |
$13,111.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,766.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,077.82
|
| Rate for Payer: PACE Medicare |
$12,455.59
|
| Rate for Payer: PACE SWMI |
$13,111.15
|
| Rate for Payer: PHP Medicare Advantage |
$13,111.15
|
| Rate for Payer: Priority Health Medicare |
$13,111.15
|
| Rate for Payer: Railroad Medicare Medicare |
$13,111.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,111.15
|
| Rate for Payer: UHC Medicare Advantage |
$13,111.15
|
| Rate for Payer: VA VA |
$13,111.15
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$35,402.16
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$26,905.64 |
| Max. Negotiated Rate |
$35,402.16 |
| Rate for Payer: Aetna Medicare |
$29,454.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,402.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,402.16
|
| Rate for Payer: BCBS MAPPO |
$28,321.73
|
| Rate for Payer: BCN Medicare Advantage |
$28,321.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,321.73
|
| Rate for Payer: Mclaren Medicare |
$28,321.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,737.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,569.99
|
| Rate for Payer: PACE Medicare |
$26,905.64
|
| Rate for Payer: PACE SWMI |
$28,321.73
|
| Rate for Payer: PHP Medicare Advantage |
$28,321.73
|
| Rate for Payer: Priority Health Medicare |
$28,321.73
|
| Rate for Payer: Railroad Medicare Medicare |
$28,321.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,321.73
|
| Rate for Payer: UHC Medicare Advantage |
$28,321.73
|
| Rate for Payer: VA VA |
$28,321.73
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$52,487.84
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$39,890.76 |
| Max. Negotiated Rate |
$52,487.84 |
| Rate for Payer: Aetna Medicare |
$43,669.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,487.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,487.84
|
| Rate for Payer: BCBS MAPPO |
$41,990.27
|
| Rate for Payer: BCN Medicare Advantage |
$41,990.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,990.27
|
| Rate for Payer: Mclaren Medicare |
$41,990.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,089.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48,288.81
|
| Rate for Payer: PACE Medicare |
$39,890.76
|
| Rate for Payer: PACE SWMI |
$41,990.27
|
| Rate for Payer: PHP Medicare Advantage |
$41,990.27
|
| Rate for Payer: Priority Health Medicare |
$41,990.27
|
| Rate for Payer: Railroad Medicare Medicare |
$41,990.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,990.27
|
| Rate for Payer: UHC Medicare Advantage |
$41,990.27
|
| Rate for Payer: VA VA |
$41,990.27
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,868.75
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$19,660.25 |
| Max. Negotiated Rate |
$25,868.75 |
| Rate for Payer: Aetna Medicare |
$21,522.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,868.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,868.75
|
| Rate for Payer: BCBS MAPPO |
$20,695.00
|
| Rate for Payer: BCN Medicare Advantage |
$20,695.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,695.00
|
| Rate for Payer: Mclaren Medicare |
$20,695.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,729.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,799.25
|
| Rate for Payer: PACE Medicare |
$19,660.25
|
| Rate for Payer: PACE SWMI |
$20,695.00
|
| Rate for Payer: PHP Medicare Advantage |
$20,695.00
|
| Rate for Payer: Priority Health Medicare |
$20,695.00
|
| Rate for Payer: Railroad Medicare Medicare |
$20,695.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,695.00
|
| Rate for Payer: UHC Medicare Advantage |
$20,695.00
|
| Rate for Payer: VA VA |
$20,695.00
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$11,690.04
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$8,884.43 |
| Max. Negotiated Rate |
$11,690.04 |
| Rate for Payer: Aetna Medicare |
$9,726.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,690.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,690.04
|
| Rate for Payer: BCBS MAPPO |
$9,352.03
|
| Rate for Payer: BCN Medicare Advantage |
$9,352.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,352.03
|
| Rate for Payer: Mclaren Medicare |
$9,352.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,819.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,754.83
|
| Rate for Payer: PACE Medicare |
$8,884.43
|
| Rate for Payer: PACE SWMI |
$9,352.03
|
| Rate for Payer: PHP Medicare Advantage |
$9,352.03
|
| Rate for Payer: Priority Health Medicare |
$9,352.03
|
| Rate for Payer: Railroad Medicare Medicare |
$9,352.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,352.03
|
| Rate for Payer: UHC Medicare Advantage |
$9,352.03
|
| Rate for Payer: VA VA |
$9,352.03
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$6,691.62
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$5,085.64 |
| Max. Negotiated Rate |
$6,691.62 |
| Rate for Payer: Aetna Medicare |
$5,567.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,691.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,691.62
|
| Rate for Payer: BCBS MAPPO |
$5,353.30
|
| Rate for Payer: BCN Medicare Advantage |
$5,353.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,353.30
|
| Rate for Payer: Mclaren Medicare |
$5,353.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,620.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,156.30
|
| Rate for Payer: PACE Medicare |
$5,085.64
|
| Rate for Payer: PACE SWMI |
$5,353.30
|
| Rate for Payer: PHP Medicare Advantage |
$5,353.30
|
| Rate for Payer: Priority Health Medicare |
$5,353.30
|
| Rate for Payer: Railroad Medicare Medicare |
$5,353.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,353.30
|
| Rate for Payer: UHC Medicare Advantage |
$5,353.30
|
| Rate for Payer: VA VA |
$5,353.30
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$19,325.28
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$14,687.21 |
| Max. Negotiated Rate |
$19,325.28 |
| Rate for Payer: Aetna Medicare |
$16,078.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,325.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,325.28
|
| Rate for Payer: BCBS MAPPO |
$15,460.22
|
| Rate for Payer: BCN Medicare Advantage |
$15,460.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,460.22
|
| Rate for Payer: Mclaren Medicare |
$15,460.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,233.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,779.25
|
| Rate for Payer: PACE Medicare |
$14,687.21
|
| Rate for Payer: PACE SWMI |
$15,460.22
|
| Rate for Payer: PHP Medicare Advantage |
$15,460.22
|
| Rate for Payer: Priority Health Medicare |
$15,460.22
|
| Rate for Payer: Railroad Medicare Medicare |
$15,460.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,460.22
|
| Rate for Payer: UHC Medicare Advantage |
$15,460.22
|
| Rate for Payer: VA VA |
$15,460.22
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,015.52
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$9,891.80 |
| Max. Negotiated Rate |
$13,015.52 |
| Rate for Payer: Aetna Medicare |
$10,828.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,015.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,015.52
|
| Rate for Payer: BCBS MAPPO |
$10,412.42
|
| Rate for Payer: BCN Medicare Advantage |
$10,412.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,412.42
|
| Rate for Payer: Mclaren Medicare |
$10,412.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,933.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,974.28
|
| Rate for Payer: PACE Medicare |
$9,891.80
|
| Rate for Payer: PACE SWMI |
$10,412.42
|
| Rate for Payer: PHP Medicare Advantage |
$10,412.42
|
| Rate for Payer: Priority Health Medicare |
$10,412.42
|
| Rate for Payer: Railroad Medicare Medicare |
$10,412.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,412.42
|
| Rate for Payer: UHC Medicare Advantage |
$10,412.42
|
| Rate for Payer: VA VA |
$10,412.42
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$23,400.90
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$17,784.68 |
| Max. Negotiated Rate |
$23,400.90 |
| Rate for Payer: Aetna Medicare |
$19,469.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,400.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,400.90
|
| Rate for Payer: BCBS MAPPO |
$18,720.72
|
| Rate for Payer: BCN Medicare Advantage |
$18,720.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,720.72
|
| Rate for Payer: Mclaren Medicare |
$18,720.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,656.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,528.83
|
| Rate for Payer: PACE Medicare |
$17,784.68
|
| Rate for Payer: PACE SWMI |
$18,720.72
|
| Rate for Payer: PHP Medicare Advantage |
$18,720.72
|
| Rate for Payer: Priority Health Medicare |
$18,720.72
|
| Rate for Payer: Railroad Medicare Medicare |
$18,720.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,720.72
|
| Rate for Payer: UHC Medicare Advantage |
$18,720.72
|
| Rate for Payer: VA VA |
$18,720.72
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$14,911.69
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$11,332.88 |
| Max. Negotiated Rate |
$14,911.69 |
| Rate for Payer: Aetna Medicare |
$12,406.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,911.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,911.69
|
| Rate for Payer: BCBS MAPPO |
$11,929.35
|
| Rate for Payer: BCN Medicare Advantage |
$11,929.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,929.35
|
| Rate for Payer: Mclaren Medicare |
$11,929.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,525.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,718.75
|
| Rate for Payer: PACE Medicare |
$11,332.88
|
| Rate for Payer: PACE SWMI |
$11,929.35
|
| Rate for Payer: PHP Medicare Advantage |
$11,929.35
|
| Rate for Payer: Priority Health Medicare |
$11,929.35
|
| Rate for Payer: Railroad Medicare Medicare |
$11,929.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,929.35
|
| Rate for Payer: UHC Medicare Advantage |
$11,929.35
|
| Rate for Payer: VA VA |
$11,929.35
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$12,585.49
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$9,564.97 |
| Max. Negotiated Rate |
$12,585.49 |
| Rate for Payer: Aetna Medicare |
$10,471.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,585.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,585.49
|
| Rate for Payer: BCBS MAPPO |
$10,068.39
|
| Rate for Payer: BCN Medicare Advantage |
$10,068.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,068.39
|
| Rate for Payer: Mclaren Medicare |
$10,068.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,571.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,578.65
|
| Rate for Payer: PACE Medicare |
$9,564.97
|
| Rate for Payer: PACE SWMI |
$10,068.39
|
| Rate for Payer: PHP Medicare Advantage |
$10,068.39
|
| Rate for Payer: Priority Health Medicare |
$10,068.39
|
| Rate for Payer: Railroad Medicare Medicare |
$10,068.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,068.39
|
| Rate for Payer: UHC Medicare Advantage |
$10,068.39
|
| Rate for Payer: VA VA |
$10,068.39
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$15,729.24
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$11,954.22 |
| Max. Negotiated Rate |
$15,729.24 |
| Rate for Payer: Aetna Medicare |
$13,086.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,729.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,729.24
|
| Rate for Payer: BCBS MAPPO |
$12,583.39
|
| Rate for Payer: BCN Medicare Advantage |
$12,583.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,583.39
|
| Rate for Payer: Mclaren Medicare |
$12,583.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,212.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,470.90
|
| Rate for Payer: PACE Medicare |
$11,954.22
|
| Rate for Payer: PACE SWMI |
$12,583.39
|
| Rate for Payer: PHP Medicare Advantage |
$12,583.39
|
| Rate for Payer: Priority Health Medicare |
$12,583.39
|
| Rate for Payer: Railroad Medicare Medicare |
$12,583.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,583.39
|
| Rate for Payer: UHC Medicare Advantage |
$12,583.39
|
| Rate for Payer: VA VA |
$12,583.39
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$28,039.10
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$21,309.72 |
| Max. Negotiated Rate |
$28,039.10 |
| Rate for Payer: Aetna Medicare |
$23,328.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,039.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,039.10
|
| Rate for Payer: BCBS MAPPO |
$22,431.28
|
| Rate for Payer: BCN Medicare Advantage |
$22,431.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,431.28
|
| Rate for Payer: Mclaren Medicare |
$22,431.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,552.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,795.97
|
| Rate for Payer: PACE Medicare |
$21,309.72
|
| Rate for Payer: PACE SWMI |
$22,431.28
|
| Rate for Payer: PHP Medicare Advantage |
$22,431.28
|
| Rate for Payer: Priority Health Medicare |
$22,431.28
|
| Rate for Payer: Railroad Medicare Medicare |
$22,431.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,431.28
|
| Rate for Payer: UHC Medicare Advantage |
$22,431.28
|
| Rate for Payer: VA VA |
$22,431.28
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$9,784.79
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$7,436.44 |
| Max. Negotiated Rate |
$9,784.79 |
| Rate for Payer: Aetna Medicare |
$8,140.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,784.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,784.79
|
| Rate for Payer: BCBS MAPPO |
$7,827.83
|
| Rate for Payer: BCN Medicare Advantage |
$7,827.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,827.83
|
| Rate for Payer: Mclaren Medicare |
$7,827.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,219.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,002.00
|
| Rate for Payer: PACE Medicare |
$7,436.44
|
| Rate for Payer: PACE SWMI |
$7,827.83
|
| Rate for Payer: PHP Medicare Advantage |
$7,827.83
|
| Rate for Payer: Priority Health Medicare |
$7,827.83
|
| Rate for Payer: Railroad Medicare Medicare |
$7,827.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,827.83
|
| Rate for Payer: UHC Medicare Advantage |
$7,827.83
|
| Rate for Payer: VA VA |
$7,827.83
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$10,868.42
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$8,260.00 |
| Max. Negotiated Rate |
$10,868.42 |
| Rate for Payer: Aetna Medicare |
$9,042.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,868.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,868.42
|
| Rate for Payer: BCBS MAPPO |
$8,694.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,694.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,694.74
|
| Rate for Payer: Mclaren Medicare |
$8,694.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,129.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,998.95
|
| Rate for Payer: PACE Medicare |
$8,260.00
|
| Rate for Payer: PACE SWMI |
$8,694.74
|
| Rate for Payer: PHP Medicare Advantage |
$8,694.74
|
| Rate for Payer: Priority Health Medicare |
$8,694.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,694.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,694.74
|
| Rate for Payer: UHC Medicare Advantage |
$8,694.74
|
| Rate for Payer: VA VA |
$8,694.74
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$16,428.42
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$12,485.60 |
| Max. Negotiated Rate |
$16,428.42 |
| Rate for Payer: Aetna Medicare |
$13,668.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,428.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,428.42
|
| Rate for Payer: BCBS MAPPO |
$13,142.74
|
| Rate for Payer: BCN Medicare Advantage |
$13,142.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,142.74
|
| Rate for Payer: Mclaren Medicare |
$13,142.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,799.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,114.15
|
| Rate for Payer: PACE Medicare |
$12,485.60
|
| Rate for Payer: PACE SWMI |
$13,142.74
|
| Rate for Payer: PHP Medicare Advantage |
$13,142.74
|
| Rate for Payer: Priority Health Medicare |
$13,142.74
|
| Rate for Payer: Railroad Medicare Medicare |
$13,142.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,142.74
|
| Rate for Payer: UHC Medicare Advantage |
$13,142.74
|
| Rate for Payer: VA VA |
$13,142.74
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,120.31
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$6,171.44 |
| Max. Negotiated Rate |
$8,120.31 |
| Rate for Payer: Aetna Medicare |
$6,756.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,120.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,120.31
|
| Rate for Payer: BCBS MAPPO |
$6,496.25
|
| Rate for Payer: BCN Medicare Advantage |
$6,496.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,496.25
|
| Rate for Payer: Mclaren Medicare |
$6,496.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,821.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,470.69
|
| Rate for Payer: PACE Medicare |
$6,171.44
|
| Rate for Payer: PACE SWMI |
$6,496.25
|
| Rate for Payer: PHP Medicare Advantage |
$6,496.25
|
| Rate for Payer: Priority Health Medicare |
$6,496.25
|
| Rate for Payer: Railroad Medicare Medicare |
$6,496.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,496.25
|
| Rate for Payer: UHC Medicare Advantage |
$6,496.25
|
| Rate for Payer: VA VA |
$6,496.25
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,905.74
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$15,888.36 |
| Max. Negotiated Rate |
$20,905.74 |
| Rate for Payer: Aetna Medicare |
$17,393.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,905.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,905.74
|
| Rate for Payer: BCBS MAPPO |
$16,724.59
|
| Rate for Payer: BCN Medicare Advantage |
$16,724.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,724.59
|
| Rate for Payer: Mclaren Medicare |
$16,724.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,560.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,233.28
|
| Rate for Payer: PACE Medicare |
$15,888.36
|
| Rate for Payer: PACE SWMI |
$16,724.59
|
| Rate for Payer: PHP Medicare Advantage |
$16,724.59
|
| Rate for Payer: Priority Health Medicare |
$16,724.59
|
| Rate for Payer: Railroad Medicare Medicare |
$16,724.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,724.59
|
| Rate for Payer: UHC Medicare Advantage |
$16,724.59
|
| Rate for Payer: VA VA |
$16,724.59
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$31,840.51
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$24,198.79 |
| Max. Negotiated Rate |
$31,840.51 |
| Rate for Payer: Aetna Medicare |
$26,491.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,840.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,840.51
|
| Rate for Payer: BCBS MAPPO |
$25,472.41
|
| Rate for Payer: BCN Medicare Advantage |
$25,472.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,472.41
|
| Rate for Payer: Mclaren Medicare |
$25,472.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,746.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,293.27
|
| Rate for Payer: PACE Medicare |
$24,198.79
|
| Rate for Payer: PACE SWMI |
$25,472.41
|
| Rate for Payer: PHP Medicare Advantage |
$25,472.41
|
| Rate for Payer: Priority Health Medicare |
$25,472.41
|
| Rate for Payer: Railroad Medicare Medicare |
$25,472.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,472.41
|
| Rate for Payer: UHC Medicare Advantage |
$25,472.41
|
| Rate for Payer: VA VA |
$25,472.41
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,654.36
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$11,897.32 |
| Max. Negotiated Rate |
$15,654.36 |
| Rate for Payer: Aetna Medicare |
$13,024.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,654.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,654.36
|
| Rate for Payer: BCBS MAPPO |
$12,523.49
|
| Rate for Payer: BCN Medicare Advantage |
$12,523.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,523.49
|
| Rate for Payer: Mclaren Medicare |
$12,523.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,149.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,402.01
|
| Rate for Payer: PACE Medicare |
$11,897.32
|
| Rate for Payer: PACE SWMI |
$12,523.49
|
| Rate for Payer: PHP Medicare Advantage |
$12,523.49
|
| Rate for Payer: Priority Health Medicare |
$12,523.49
|
| Rate for Payer: Railroad Medicare Medicare |
$12,523.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,523.49
|
| Rate for Payer: UHC Medicare Advantage |
$12,523.49
|
| Rate for Payer: VA VA |
$12,523.49
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,644.19
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$9,609.58 |
| Max. Negotiated Rate |
$12,644.19 |
| Rate for Payer: Aetna Medicare |
$10,519.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,644.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,644.19
|
| Rate for Payer: BCBS MAPPO |
$10,115.35
|
| Rate for Payer: BCN Medicare Advantage |
$10,115.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,115.35
|
| Rate for Payer: Mclaren Medicare |
$10,115.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,621.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,632.65
|
| Rate for Payer: PACE Medicare |
$9,609.58
|
| Rate for Payer: PACE SWMI |
$10,115.35
|
| Rate for Payer: PHP Medicare Advantage |
$10,115.35
|
| Rate for Payer: Priority Health Medicare |
$10,115.35
|
| Rate for Payer: Railroad Medicare Medicare |
$10,115.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,115.35
|
| Rate for Payer: UHC Medicare Advantage |
$10,115.35
|
| Rate for Payer: VA VA |
$10,115.35
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$19,707.75
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$14,977.89 |
| Max. Negotiated Rate |
$19,707.75 |
| Rate for Payer: Aetna Medicare |
$16,396.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,707.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,707.75
|
| Rate for Payer: BCBS MAPPO |
$15,766.20
|
| Rate for Payer: BCN Medicare Advantage |
$15,766.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,766.20
|
| Rate for Payer: Mclaren Medicare |
$15,766.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,554.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,131.13
|
| Rate for Payer: PACE Medicare |
$14,977.89
|
| Rate for Payer: PACE SWMI |
$15,766.20
|
| Rate for Payer: PHP Medicare Advantage |
$15,766.20
|
| Rate for Payer: Priority Health Medicare |
$15,766.20
|
| Rate for Payer: Railroad Medicare Medicare |
$15,766.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,766.20
|
| Rate for Payer: UHC Medicare Advantage |
$15,766.20
|
| Rate for Payer: VA VA |
$15,766.20
|
|
