|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,017.83
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$6,853.55 |
| Max. Negotiated Rate |
$9,017.83 |
| Rate for Payer: Aetna Medicare |
$7,502.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,017.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,017.83
|
| Rate for Payer: BCBS MAPPO |
$7,214.26
|
| Rate for Payer: BCN Medicare Advantage |
$7,214.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,214.26
|
| Rate for Payer: Mclaren Medicare |
$7,214.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,574.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,296.40
|
| Rate for Payer: PACE Medicare |
$6,853.55
|
| Rate for Payer: PACE SWMI |
$7,214.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,214.26
|
| Rate for Payer: Priority Health Medicare |
$7,214.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,214.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,214.26
|
| Rate for Payer: UHC Medicare Advantage |
$7,214.26
|
| Rate for Payer: VA VA |
$7,214.26
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$20,960.38
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$15,929.89 |
| Max. Negotiated Rate |
$20,960.38 |
| Rate for Payer: Aetna Medicare |
$17,439.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,960.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,960.38
|
| Rate for Payer: BCBS MAPPO |
$16,768.30
|
| Rate for Payer: BCN Medicare Advantage |
$16,768.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,768.30
|
| Rate for Payer: Mclaren Medicare |
$16,768.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,606.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,283.54
|
| Rate for Payer: PACE Medicare |
$15,929.89
|
| Rate for Payer: PACE SWMI |
$16,768.30
|
| Rate for Payer: PHP Medicare Advantage |
$16,768.30
|
| Rate for Payer: Priority Health Medicare |
$16,768.30
|
| Rate for Payer: Railroad Medicare Medicare |
$16,768.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,768.30
|
| Rate for Payer: UHC Medicare Advantage |
$16,768.30
|
| Rate for Payer: VA VA |
$16,768.30
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$40,858.95
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$31,052.80 |
| Max. Negotiated Rate |
$40,858.95 |
| Rate for Payer: Aetna Medicare |
$33,994.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,858.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,858.95
|
| Rate for Payer: BCBS MAPPO |
$32,687.16
|
| Rate for Payer: BCN Medicare Advantage |
$32,687.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,687.16
|
| Rate for Payer: Mclaren Medicare |
$32,687.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,321.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,590.23
|
| Rate for Payer: PACE Medicare |
$31,052.80
|
| Rate for Payer: PACE SWMI |
$32,687.16
|
| Rate for Payer: PHP Medicare Advantage |
$32,687.16
|
| Rate for Payer: Priority Health Medicare |
$32,687.16
|
| Rate for Payer: Railroad Medicare Medicare |
$32,687.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,687.16
|
| Rate for Payer: UHC Medicare Advantage |
$32,687.16
|
| Rate for Payer: VA VA |
$32,687.16
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,383.84
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$10,171.72 |
| Max. Negotiated Rate |
$13,383.84 |
| Rate for Payer: Aetna Medicare |
$11,135.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,383.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,383.84
|
| Rate for Payer: BCBS MAPPO |
$10,707.07
|
| Rate for Payer: BCN Medicare Advantage |
$10,707.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,707.07
|
| Rate for Payer: Mclaren Medicare |
$10,707.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,242.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,313.13
|
| Rate for Payer: PACE Medicare |
$10,171.72
|
| Rate for Payer: PACE SWMI |
$10,707.07
|
| Rate for Payer: PHP Medicare Advantage |
$10,707.07
|
| Rate for Payer: Priority Health Medicare |
$10,707.07
|
| Rate for Payer: Railroad Medicare Medicare |
$10,707.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,707.07
|
| Rate for Payer: UHC Medicare Advantage |
$10,707.07
|
| Rate for Payer: VA VA |
$10,707.07
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$42,134.84
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$32,022.48 |
| Max. Negotiated Rate |
$42,134.84 |
| Rate for Payer: Aetna Medicare |
$35,056.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,134.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,134.84
|
| Rate for Payer: BCBS MAPPO |
$33,707.87
|
| Rate for Payer: BCN Medicare Advantage |
$33,707.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,707.87
|
| Rate for Payer: Mclaren Medicare |
$33,707.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,393.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,764.05
|
| Rate for Payer: PACE Medicare |
$32,022.48
|
| Rate for Payer: PACE SWMI |
$33,707.87
|
| Rate for Payer: PHP Medicare Advantage |
$33,707.87
|
| Rate for Payer: Priority Health Medicare |
$33,707.87
|
| Rate for Payer: Railroad Medicare Medicare |
$33,707.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,707.87
|
| Rate for Payer: UHC Medicare Advantage |
$33,707.87
|
| Rate for Payer: VA VA |
$33,707.87
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$76,075.50
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$57,817.38 |
| Max. Negotiated Rate |
$76,075.50 |
| Rate for Payer: Aetna Medicare |
$63,294.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76,075.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76,075.50
|
| Rate for Payer: BCBS MAPPO |
$60,860.40
|
| Rate for Payer: BCN Medicare Advantage |
$60,860.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60,860.40
|
| Rate for Payer: Mclaren Medicare |
$60,860.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63,903.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$69,989.46
|
| Rate for Payer: PACE Medicare |
$57,817.38
|
| Rate for Payer: PACE SWMI |
$60,860.40
|
| Rate for Payer: PHP Medicare Advantage |
$60,860.40
|
| Rate for Payer: Priority Health Medicare |
$60,860.40
|
| Rate for Payer: Railroad Medicare Medicare |
$60,860.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$60,860.40
|
| Rate for Payer: UHC Medicare Advantage |
$60,860.40
|
| Rate for Payer: VA VA |
$60,860.40
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$27,302.50
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$20,749.90 |
| Max. Negotiated Rate |
$27,302.50 |
| Rate for Payer: Aetna Medicare |
$22,715.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,302.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,302.50
|
| Rate for Payer: BCBS MAPPO |
$21,842.00
|
| Rate for Payer: BCN Medicare Advantage |
$21,842.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,842.00
|
| Rate for Payer: Mclaren Medicare |
$21,842.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,934.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,118.30
|
| Rate for Payer: PACE Medicare |
$20,749.90
|
| Rate for Payer: PACE SWMI |
$21,842.00
|
| Rate for Payer: PHP Medicare Advantage |
$21,842.00
|
| Rate for Payer: Priority Health Medicare |
$21,842.00
|
| Rate for Payer: Railroad Medicare Medicare |
$21,842.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,842.00
|
| Rate for Payer: UHC Medicare Advantage |
$21,842.00
|
| Rate for Payer: VA VA |
$21,842.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$18,561.35
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$14,106.63 |
| Max. Negotiated Rate |
$18,561.35 |
| Rate for Payer: Aetna Medicare |
$15,443.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,561.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,561.35
|
| Rate for Payer: BCBS MAPPO |
$14,849.08
|
| Rate for Payer: BCN Medicare Advantage |
$14,849.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,849.08
|
| Rate for Payer: Mclaren Medicare |
$14,849.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,591.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,076.44
|
| Rate for Payer: PACE Medicare |
$14,106.63
|
| Rate for Payer: PACE SWMI |
$14,849.08
|
| Rate for Payer: PHP Medicare Advantage |
$14,849.08
|
| Rate for Payer: Priority Health Medicare |
$14,849.08
|
| Rate for Payer: Railroad Medicare Medicare |
$14,849.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,849.08
|
| Rate for Payer: UHC Medicare Advantage |
$14,849.08
|
| Rate for Payer: VA VA |
$14,849.08
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$36,822.76
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$27,985.30 |
| Max. Negotiated Rate |
$36,822.76 |
| Rate for Payer: Aetna Medicare |
$30,636.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,822.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,822.76
|
| Rate for Payer: BCBS MAPPO |
$29,458.21
|
| Rate for Payer: BCN Medicare Advantage |
$29,458.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,458.21
|
| Rate for Payer: Mclaren Medicare |
$29,458.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,931.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,876.94
|
| Rate for Payer: PACE Medicare |
$27,985.30
|
| Rate for Payer: PACE SWMI |
$29,458.21
|
| Rate for Payer: PHP Medicare Advantage |
$29,458.21
|
| Rate for Payer: Priority Health Medicare |
$29,458.21
|
| Rate for Payer: Railroad Medicare Medicare |
$29,458.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,458.21
|
| Rate for Payer: UHC Medicare Advantage |
$29,458.21
|
| Rate for Payer: VA VA |
$29,458.21
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,737.60
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$8,920.58 |
| Max. Negotiated Rate |
$11,737.60 |
| Rate for Payer: Aetna Medicare |
$9,765.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,737.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,737.60
|
| Rate for Payer: BCBS MAPPO |
$9,390.08
|
| Rate for Payer: BCN Medicare Advantage |
$9,390.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,390.08
|
| Rate for Payer: Mclaren Medicare |
$9,390.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,859.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,798.59
|
| Rate for Payer: PACE Medicare |
$8,920.58
|
| Rate for Payer: PACE SWMI |
$9,390.08
|
| Rate for Payer: PHP Medicare Advantage |
$9,390.08
|
| Rate for Payer: Priority Health Medicare |
$9,390.08
|
| Rate for Payer: Railroad Medicare Medicare |
$9,390.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,390.08
|
| Rate for Payer: UHC Medicare Advantage |
$9,390.08
|
| Rate for Payer: VA VA |
$9,390.08
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$19,652.08
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$14,935.58 |
| Max. Negotiated Rate |
$19,652.08 |
| Rate for Payer: Aetna Medicare |
$16,350.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,652.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,652.08
|
| Rate for Payer: BCBS MAPPO |
$15,721.66
|
| Rate for Payer: BCN Medicare Advantage |
$15,721.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,721.66
|
| Rate for Payer: Mclaren Medicare |
$15,721.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,507.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,079.91
|
| Rate for Payer: PACE Medicare |
$14,935.58
|
| Rate for Payer: PACE SWMI |
$15,721.66
|
| Rate for Payer: PHP Medicare Advantage |
$15,721.66
|
| Rate for Payer: Priority Health Medicare |
$15,721.66
|
| Rate for Payer: Railroad Medicare Medicare |
$15,721.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,721.66
|
| Rate for Payer: UHC Medicare Advantage |
$15,721.66
|
| Rate for Payer: VA VA |
$15,721.66
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$9,715.98
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$7,384.14 |
| Max. Negotiated Rate |
$9,715.98 |
| Rate for Payer: Aetna Medicare |
$8,083.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,715.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,715.98
|
| Rate for Payer: BCBS MAPPO |
$7,772.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,772.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,772.78
|
| Rate for Payer: Mclaren Medicare |
$7,772.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,161.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,938.70
|
| Rate for Payer: PACE Medicare |
$7,384.14
|
| Rate for Payer: PACE SWMI |
$7,772.78
|
| Rate for Payer: PHP Medicare Advantage |
$7,772.78
|
| Rate for Payer: Priority Health Medicare |
$7,772.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,772.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,772.78
|
| Rate for Payer: UHC Medicare Advantage |
$7,772.78
|
| Rate for Payer: VA VA |
$7,772.78
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$19,038.92
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$14,469.58 |
| Max. Negotiated Rate |
$19,038.92 |
| Rate for Payer: Aetna Medicare |
$15,840.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,038.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,038.92
|
| Rate for Payer: BCBS MAPPO |
$15,231.14
|
| Rate for Payer: BCN Medicare Advantage |
$15,231.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,231.14
|
| Rate for Payer: Mclaren Medicare |
$15,231.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,992.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,515.81
|
| Rate for Payer: PACE Medicare |
$14,469.58
|
| Rate for Payer: PACE SWMI |
$15,231.14
|
| Rate for Payer: PHP Medicare Advantage |
$15,231.14
|
| Rate for Payer: Priority Health Medicare |
$15,231.14
|
| Rate for Payer: Railroad Medicare Medicare |
$15,231.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,231.14
|
| Rate for Payer: UHC Medicare Advantage |
$15,231.14
|
| Rate for Payer: VA VA |
$15,231.14
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$39,509.15
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$30,026.95 |
| Max. Negotiated Rate |
$39,509.15 |
| Rate for Payer: Aetna Medicare |
$32,871.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,509.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,509.15
|
| Rate for Payer: BCBS MAPPO |
$31,607.32
|
| Rate for Payer: BCN Medicare Advantage |
$31,607.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,607.32
|
| Rate for Payer: Mclaren Medicare |
$31,607.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,187.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,348.42
|
| Rate for Payer: PACE Medicare |
$30,026.95
|
| Rate for Payer: PACE SWMI |
$31,607.32
|
| Rate for Payer: PHP Medicare Advantage |
$31,607.32
|
| Rate for Payer: Priority Health Medicare |
$31,607.32
|
| Rate for Payer: Railroad Medicare Medicare |
$31,607.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,607.32
|
| Rate for Payer: UHC Medicare Advantage |
$31,607.32
|
| Rate for Payer: VA VA |
$31,607.32
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,249.95
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$10,829.96 |
| Max. Negotiated Rate |
$14,249.95 |
| Rate for Payer: Aetna Medicare |
$11,855.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,249.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,249.95
|
| Rate for Payer: BCBS MAPPO |
$11,399.96
|
| Rate for Payer: BCN Medicare Advantage |
$11,399.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,399.96
|
| Rate for Payer: Mclaren Medicare |
$11,399.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,969.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,109.95
|
| Rate for Payer: PACE Medicare |
$10,829.96
|
| Rate for Payer: PACE SWMI |
$11,399.96
|
| Rate for Payer: PHP Medicare Advantage |
$11,399.96
|
| Rate for Payer: Priority Health Medicare |
$11,399.96
|
| Rate for Payer: Railroad Medicare Medicare |
$11,399.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,399.96
|
| Rate for Payer: UHC Medicare Advantage |
$11,399.96
|
| Rate for Payer: VA VA |
$11,399.96
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$18,490.50
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$14,052.78 |
| Max. Negotiated Rate |
$18,490.50 |
| Rate for Payer: Aetna Medicare |
$15,384.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,490.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,490.50
|
| Rate for Payer: BCBS MAPPO |
$14,792.40
|
| Rate for Payer: BCN Medicare Advantage |
$14,792.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,792.40
|
| Rate for Payer: Mclaren Medicare |
$14,792.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,532.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,011.26
|
| Rate for Payer: PACE Medicare |
$14,052.78
|
| Rate for Payer: PACE SWMI |
$14,792.40
|
| Rate for Payer: PHP Medicare Advantage |
$14,792.40
|
| Rate for Payer: Priority Health Medicare |
$14,792.40
|
| Rate for Payer: Railroad Medicare Medicare |
$14,792.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,792.40
|
| Rate for Payer: UHC Medicare Advantage |
$14,792.40
|
| Rate for Payer: VA VA |
$14,792.40
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$33,530.29
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$25,483.02 |
| Max. Negotiated Rate |
$33,530.29 |
| Rate for Payer: Aetna Medicare |
$27,897.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,530.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,530.29
|
| Rate for Payer: BCBS MAPPO |
$26,824.23
|
| Rate for Payer: BCN Medicare Advantage |
$26,824.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,824.23
|
| Rate for Payer: Mclaren Medicare |
$26,824.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,165.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,847.86
|
| Rate for Payer: PACE Medicare |
$25,483.02
|
| Rate for Payer: PACE SWMI |
$26,824.23
|
| Rate for Payer: PHP Medicare Advantage |
$26,824.23
|
| Rate for Payer: Priority Health Medicare |
$26,824.23
|
| Rate for Payer: Railroad Medicare Medicare |
$26,824.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,824.23
|
| Rate for Payer: UHC Medicare Advantage |
$26,824.23
|
| Rate for Payer: VA VA |
$26,824.23
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,113.04
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$11,485.91 |
| Max. Negotiated Rate |
$15,113.04 |
| Rate for Payer: Aetna Medicare |
$12,574.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,113.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,113.04
|
| Rate for Payer: BCBS MAPPO |
$12,090.43
|
| Rate for Payer: BCN Medicare Advantage |
$12,090.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,090.43
|
| Rate for Payer: Mclaren Medicare |
$12,090.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,694.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,903.99
|
| Rate for Payer: PACE Medicare |
$11,485.91
|
| Rate for Payer: PACE SWMI |
$12,090.43
|
| Rate for Payer: PHP Medicare Advantage |
$12,090.43
|
| Rate for Payer: Priority Health Medicare |
$12,090.43
|
| Rate for Payer: Railroad Medicare Medicare |
$12,090.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,090.43
|
| Rate for Payer: UHC Medicare Advantage |
$12,090.43
|
| Rate for Payer: VA VA |
$12,090.43
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$26,382.76
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$20,050.90 |
| Max. Negotiated Rate |
$26,382.76 |
| Rate for Payer: Aetna Medicare |
$21,950.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,382.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,382.76
|
| Rate for Payer: BCBS MAPPO |
$21,106.21
|
| Rate for Payer: BCN Medicare Advantage |
$21,106.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,106.21
|
| Rate for Payer: Mclaren Medicare |
$21,106.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,161.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,272.14
|
| Rate for Payer: PACE Medicare |
$20,050.90
|
| Rate for Payer: PACE SWMI |
$21,106.21
|
| Rate for Payer: PHP Medicare Advantage |
$21,106.21
|
| Rate for Payer: Priority Health Medicare |
$21,106.21
|
| Rate for Payer: Railroad Medicare Medicare |
$21,106.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,106.21
|
| Rate for Payer: UHC Medicare Advantage |
$21,106.21
|
| Rate for Payer: VA VA |
$21,106.21
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$35,260.50
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$26,797.98 |
| Max. Negotiated Rate |
$35,260.50 |
| Rate for Payer: Aetna Medicare |
$29,336.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,260.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,260.50
|
| Rate for Payer: BCBS MAPPO |
$28,208.40
|
| Rate for Payer: BCN Medicare Advantage |
$28,208.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,208.40
|
| Rate for Payer: Mclaren Medicare |
$28,208.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,618.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,439.66
|
| Rate for Payer: PACE Medicare |
$26,797.98
|
| Rate for Payer: PACE SWMI |
$28,208.40
|
| Rate for Payer: PHP Medicare Advantage |
$28,208.40
|
| Rate for Payer: Priority Health Medicare |
$28,208.40
|
| Rate for Payer: Railroad Medicare Medicare |
$28,208.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,208.40
|
| Rate for Payer: UHC Medicare Advantage |
$28,208.40
|
| Rate for Payer: VA VA |
$28,208.40
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,251.74
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$13,871.32 |
| Max. Negotiated Rate |
$18,251.74 |
| Rate for Payer: Aetna Medicare |
$15,185.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,251.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,251.74
|
| Rate for Payer: BCBS MAPPO |
$14,601.39
|
| Rate for Payer: BCN Medicare Advantage |
$14,601.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,601.39
|
| Rate for Payer: Mclaren Medicare |
$14,601.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,331.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,791.60
|
| Rate for Payer: PACE Medicare |
$13,871.32
|
| Rate for Payer: PACE SWMI |
$14,601.39
|
| Rate for Payer: PHP Medicare Advantage |
$14,601.39
|
| Rate for Payer: Priority Health Medicare |
$14,601.39
|
| Rate for Payer: Railroad Medicare Medicare |
$14,601.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,601.39
|
| Rate for Payer: UHC Medicare Advantage |
$14,601.39
|
| Rate for Payer: VA VA |
$14,601.39
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$12,033.05
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$9,145.12 |
| Max. Negotiated Rate |
$12,033.05 |
| Rate for Payer: Aetna Medicare |
$10,011.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,033.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,033.05
|
| Rate for Payer: BCBS MAPPO |
$9,626.44
|
| Rate for Payer: BCN Medicare Advantage |
$9,626.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,626.44
|
| Rate for Payer: Mclaren Medicare |
$9,626.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,107.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,070.41
|
| Rate for Payer: PACE Medicare |
$9,145.12
|
| Rate for Payer: PACE SWMI |
$9,626.44
|
| Rate for Payer: PHP Medicare Advantage |
$9,626.44
|
| Rate for Payer: Priority Health Medicare |
$9,626.44
|
| Rate for Payer: Railroad Medicare Medicare |
$9,626.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,626.44
|
| Rate for Payer: UHC Medicare Advantage |
$9,626.44
|
| Rate for Payer: VA VA |
$9,626.44
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$7,752.04
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$5,891.55 |
| Max. Negotiated Rate |
$7,752.04 |
| Rate for Payer: Aetna Medicare |
$6,449.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,752.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,752.04
|
| Rate for Payer: BCBS MAPPO |
$6,201.63
|
| Rate for Payer: BCN Medicare Advantage |
$6,201.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,201.63
|
| Rate for Payer: Mclaren Medicare |
$6,201.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,511.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,131.87
|
| Rate for Payer: PACE Medicare |
$5,891.55
|
| Rate for Payer: PACE SWMI |
$6,201.63
|
| Rate for Payer: PHP Medicare Advantage |
$6,201.63
|
| Rate for Payer: Priority Health Medicare |
$6,201.63
|
| Rate for Payer: Railroad Medicare Medicare |
$6,201.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,201.63
|
| Rate for Payer: UHC Medicare Advantage |
$6,201.63
|
| Rate for Payer: VA VA |
$6,201.63
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$28,966.96
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$22,014.89 |
| Max. Negotiated Rate |
$28,966.96 |
| Rate for Payer: Aetna Medicare |
$24,100.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,966.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,966.96
|
| Rate for Payer: BCBS MAPPO |
$23,173.57
|
| Rate for Payer: BCN Medicare Advantage |
$23,173.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,173.57
|
| Rate for Payer: Mclaren Medicare |
$23,173.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,332.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,649.61
|
| Rate for Payer: PACE Medicare |
$22,014.89
|
| Rate for Payer: PACE SWMI |
$23,173.57
|
| Rate for Payer: PHP Medicare Advantage |
$23,173.57
|
| Rate for Payer: Priority Health Medicare |
$23,173.57
|
| Rate for Payer: Railroad Medicare Medicare |
$23,173.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,173.57
|
| Rate for Payer: UHC Medicare Advantage |
$23,173.57
|
| Rate for Payer: VA VA |
$23,173.57
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$55,479.81
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$42,164.66 |
| Max. Negotiated Rate |
$55,479.81 |
| Rate for Payer: Aetna Medicare |
$46,159.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,479.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,479.81
|
| Rate for Payer: BCBS MAPPO |
$44,383.85
|
| Rate for Payer: BCN Medicare Advantage |
$44,383.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,383.85
|
| Rate for Payer: Mclaren Medicare |
$44,383.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,603.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,041.43
|
| Rate for Payer: PACE Medicare |
$42,164.66
|
| Rate for Payer: PACE SWMI |
$44,383.85
|
| Rate for Payer: PHP Medicare Advantage |
$44,383.85
|
| Rate for Payer: Priority Health Medicare |
$44,383.85
|
| Rate for Payer: Railroad Medicare Medicare |
$44,383.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,383.85
|
| Rate for Payer: UHC Medicare Advantage |
$44,383.85
|
| Rate for Payer: VA VA |
$44,383.85
|
|
