|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,161.42
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$16,842.68 |
| Max. Negotiated Rate |
$22,161.42 |
| Rate for Payer: Aetna Medicare |
$18,438.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,161.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,161.42
|
| Rate for Payer: BCBS MAPPO |
$17,729.14
|
| Rate for Payer: BCN Medicare Advantage |
$17,729.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,729.14
|
| Rate for Payer: Mclaren Medicare |
$17,729.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,615.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,388.51
|
| Rate for Payer: PACE Medicare |
$16,842.68
|
| Rate for Payer: PACE SWMI |
$17,729.14
|
| Rate for Payer: PHP Medicare Advantage |
$17,729.14
|
| Rate for Payer: Priority Health Medicare |
$17,729.14
|
| Rate for Payer: Railroad Medicare Medicare |
$17,729.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,729.14
|
| Rate for Payer: UHC Medicare Advantage |
$17,729.14
|
| Rate for Payer: VA VA |
$17,729.14
|
|
|
MS-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$81,223.66
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$61,729.98 |
| Max. Negotiated Rate |
$81,223.66 |
| Rate for Payer: Aetna Medicare |
$67,578.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81,223.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81,223.66
|
| Rate for Payer: BCBS MAPPO |
$64,978.93
|
| Rate for Payer: BCN Medicare Advantage |
$64,978.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64,978.93
|
| Rate for Payer: Mclaren Medicare |
$64,978.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68,227.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74,725.77
|
| Rate for Payer: PACE Medicare |
$61,729.98
|
| Rate for Payer: PACE SWMI |
$64,978.93
|
| Rate for Payer: PHP Medicare Advantage |
$64,978.93
|
| Rate for Payer: Priority Health Medicare |
$64,978.93
|
| Rate for Payer: Railroad Medicare Medicare |
$64,978.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$64,978.93
|
| Rate for Payer: UHC Medicare Advantage |
$64,978.93
|
| Rate for Payer: VA VA |
$64,978.93
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$11,285.33
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$8,576.85 |
| Max. Negotiated Rate |
$11,285.33 |
| Rate for Payer: Aetna Medicare |
$9,389.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,285.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,285.33
|
| Rate for Payer: BCBS MAPPO |
$9,028.26
|
| Rate for Payer: BCN Medicare Advantage |
$9,028.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,028.26
|
| Rate for Payer: Mclaren Medicare |
$9,028.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,479.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,382.50
|
| Rate for Payer: PACE Medicare |
$8,576.85
|
| Rate for Payer: PACE SWMI |
$9,028.26
|
| Rate for Payer: PHP Medicare Advantage |
$9,028.26
|
| Rate for Payer: Priority Health Medicare |
$9,028.26
|
| Rate for Payer: Railroad Medicare Medicare |
$9,028.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,028.26
|
| Rate for Payer: UHC Medicare Advantage |
$9,028.26
|
| Rate for Payer: VA VA |
$9,028.26
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$19,422.40
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$14,761.02 |
| Max. Negotiated Rate |
$19,422.40 |
| Rate for Payer: Aetna Medicare |
$16,159.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,422.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,422.40
|
| Rate for Payer: BCBS MAPPO |
$15,537.92
|
| Rate for Payer: BCN Medicare Advantage |
$15,537.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,537.92
|
| Rate for Payer: Mclaren Medicare |
$15,537.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,314.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,868.61
|
| Rate for Payer: PACE Medicare |
$14,761.02
|
| Rate for Payer: PACE SWMI |
$15,537.92
|
| Rate for Payer: PHP Medicare Advantage |
$15,537.92
|
| Rate for Payer: Priority Health Medicare |
$15,537.92
|
| Rate for Payer: Railroad Medicare Medicare |
$15,537.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,537.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,537.92
|
| Rate for Payer: VA VA |
$15,537.92
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$8,197.23
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$6,229.89 |
| Max. Negotiated Rate |
$8,197.23 |
| Rate for Payer: Aetna Medicare |
$6,820.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,197.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,197.23
|
| Rate for Payer: BCBS MAPPO |
$6,557.78
|
| Rate for Payer: BCN Medicare Advantage |
$6,557.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,557.78
|
| Rate for Payer: Mclaren Medicare |
$6,557.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,885.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,541.45
|
| Rate for Payer: PACE Medicare |
$6,229.89
|
| Rate for Payer: PACE SWMI |
$6,557.78
|
| Rate for Payer: PHP Medicare Advantage |
$6,557.78
|
| Rate for Payer: Priority Health Medicare |
$6,557.78
|
| Rate for Payer: Railroad Medicare Medicare |
$6,557.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,557.78
|
| Rate for Payer: UHC Medicare Advantage |
$6,557.78
|
| Rate for Payer: VA VA |
$6,557.78
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$21,827.54
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$16,588.93 |
| Max. Negotiated Rate |
$21,827.54 |
| Rate for Payer: Aetna Medicare |
$18,160.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,827.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,827.54
|
| Rate for Payer: BCBS MAPPO |
$17,462.03
|
| Rate for Payer: BCN Medicare Advantage |
$17,462.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,462.03
|
| Rate for Payer: Mclaren Medicare |
$17,462.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,335.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,081.33
|
| Rate for Payer: PACE Medicare |
$16,588.93
|
| Rate for Payer: PACE SWMI |
$17,462.03
|
| Rate for Payer: PHP Medicare Advantage |
$17,462.03
|
| Rate for Payer: Priority Health Medicare |
$17,462.03
|
| Rate for Payer: Railroad Medicare Medicare |
$17,462.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,462.03
|
| Rate for Payer: UHC Medicare Advantage |
$17,462.03
|
| Rate for Payer: VA VA |
$17,462.03
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$12,833.42
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$9,753.40 |
| Max. Negotiated Rate |
$12,833.42 |
| Rate for Payer: Aetna Medicare |
$10,677.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,833.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,833.42
|
| Rate for Payer: BCBS MAPPO |
$10,266.74
|
| Rate for Payer: BCN Medicare Advantage |
$10,266.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,266.74
|
| Rate for Payer: Mclaren Medicare |
$10,266.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,780.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,806.75
|
| Rate for Payer: PACE Medicare |
$9,753.40
|
| Rate for Payer: PACE SWMI |
$10,266.74
|
| Rate for Payer: PHP Medicare Advantage |
$10,266.74
|
| Rate for Payer: Priority Health Medicare |
$10,266.74
|
| Rate for Payer: Railroad Medicare Medicare |
$10,266.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,266.74
|
| Rate for Payer: UHC Medicare Advantage |
$10,266.74
|
| Rate for Payer: VA VA |
$10,266.74
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,287.58
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$17,698.56 |
| Max. Negotiated Rate |
$23,287.58 |
| Rate for Payer: Aetna Medicare |
$19,375.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,287.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,287.58
|
| Rate for Payer: BCBS MAPPO |
$18,630.06
|
| Rate for Payer: BCN Medicare Advantage |
$18,630.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,630.06
|
| Rate for Payer: Mclaren Medicare |
$18,630.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,561.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,424.57
|
| Rate for Payer: PACE Medicare |
$17,698.56
|
| Rate for Payer: PACE SWMI |
$18,630.06
|
| Rate for Payer: PHP Medicare Advantage |
$18,630.06
|
| Rate for Payer: Priority Health Medicare |
$18,630.06
|
| Rate for Payer: Railroad Medicare Medicare |
$18,630.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,630.06
|
| Rate for Payer: UHC Medicare Advantage |
$18,630.06
|
| Rate for Payer: VA VA |
$18,630.06
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,742.40
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$11,964.22 |
| Max. Negotiated Rate |
$15,742.40 |
| Rate for Payer: Aetna Medicare |
$13,097.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,742.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,742.40
|
| Rate for Payer: BCBS MAPPO |
$12,593.92
|
| Rate for Payer: BCN Medicare Advantage |
$12,593.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,593.92
|
| Rate for Payer: Mclaren Medicare |
$12,593.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,223.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,483.01
|
| Rate for Payer: PACE Medicare |
$11,964.22
|
| Rate for Payer: PACE SWMI |
$12,593.92
|
| Rate for Payer: PHP Medicare Advantage |
$12,593.92
|
| Rate for Payer: Priority Health Medicare |
$12,593.92
|
| Rate for Payer: Railroad Medicare Medicare |
$12,593.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,593.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,593.92
|
| Rate for Payer: VA VA |
$12,593.92
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$40,116.26
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$30,488.36 |
| Max. Negotiated Rate |
$40,116.26 |
| Rate for Payer: Aetna Medicare |
$33,376.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,116.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,116.26
|
| Rate for Payer: BCBS MAPPO |
$32,093.01
|
| Rate for Payer: BCN Medicare Advantage |
$32,093.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,093.01
|
| Rate for Payer: Mclaren Medicare |
$32,093.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,697.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,906.96
|
| Rate for Payer: PACE Medicare |
$30,488.36
|
| Rate for Payer: PACE SWMI |
$32,093.01
|
| Rate for Payer: PHP Medicare Advantage |
$32,093.01
|
| Rate for Payer: Priority Health Medicare |
$32,093.01
|
| Rate for Payer: Railroad Medicare Medicare |
$32,093.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,093.01
|
| Rate for Payer: UHC Medicare Advantage |
$32,093.01
|
| Rate for Payer: VA VA |
$32,093.01
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$32,129.92
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$24,418.74 |
| Max. Negotiated Rate |
$32,129.92 |
| Rate for Payer: Aetna Medicare |
$26,732.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,129.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,129.92
|
| Rate for Payer: BCBS MAPPO |
$25,703.94
|
| Rate for Payer: BCN Medicare Advantage |
$25,703.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,703.94
|
| Rate for Payer: Mclaren Medicare |
$25,703.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,989.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,559.53
|
| Rate for Payer: PACE Medicare |
$24,418.74
|
| Rate for Payer: PACE SWMI |
$25,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$25,703.94
|
| Rate for Payer: Priority Health Medicare |
$25,703.94
|
| Rate for Payer: Railroad Medicare Medicare |
$25,703.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,703.94
|
| Rate for Payer: UHC Medicare Advantage |
$25,703.94
|
| Rate for Payer: VA VA |
$25,703.94
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$29,355.47
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$22,310.16 |
| Max. Negotiated Rate |
$29,355.47 |
| Rate for Payer: Aetna Medicare |
$24,423.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,355.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,355.47
|
| Rate for Payer: BCBS MAPPO |
$23,484.38
|
| Rate for Payer: BCN Medicare Advantage |
$23,484.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,484.38
|
| Rate for Payer: Mclaren Medicare |
$23,484.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,658.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,007.04
|
| Rate for Payer: PACE Medicare |
$22,310.16
|
| Rate for Payer: PACE SWMI |
$23,484.38
|
| Rate for Payer: PHP Medicare Advantage |
$23,484.38
|
| Rate for Payer: Priority Health Medicare |
$23,484.38
|
| Rate for Payer: Railroad Medicare Medicare |
$23,484.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,484.38
|
| Rate for Payer: UHC Medicare Advantage |
$23,484.38
|
| Rate for Payer: VA VA |
$23,484.38
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$18,856.81
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$14,331.18 |
| Max. Negotiated Rate |
$18,856.81 |
| Rate for Payer: Aetna Medicare |
$15,688.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,856.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,856.81
|
| Rate for Payer: BCBS MAPPO |
$15,085.45
|
| Rate for Payer: BCN Medicare Advantage |
$15,085.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,085.45
|
| Rate for Payer: Mclaren Medicare |
$15,085.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,839.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,348.27
|
| Rate for Payer: PACE Medicare |
$14,331.18
|
| Rate for Payer: PACE SWMI |
$15,085.45
|
| Rate for Payer: PHP Medicare Advantage |
$15,085.45
|
| Rate for Payer: Priority Health Medicare |
$15,085.45
|
| Rate for Payer: Railroad Medicare Medicare |
$15,085.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,085.45
|
| Rate for Payer: UHC Medicare Advantage |
$15,085.45
|
| Rate for Payer: VA VA |
$15,085.45
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$23,950.33
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$18,202.25 |
| Max. Negotiated Rate |
$23,950.33 |
| Rate for Payer: Aetna Medicare |
$19,926.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,950.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,950.33
|
| Rate for Payer: BCBS MAPPO |
$19,160.26
|
| Rate for Payer: BCN Medicare Advantage |
$19,160.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,160.26
|
| Rate for Payer: Mclaren Medicare |
$19,160.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,118.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,034.30
|
| Rate for Payer: PACE Medicare |
$18,202.25
|
| Rate for Payer: PACE SWMI |
$19,160.26
|
| Rate for Payer: PHP Medicare Advantage |
$19,160.26
|
| Rate for Payer: Priority Health Medicare |
$19,160.26
|
| Rate for Payer: Railroad Medicare Medicare |
$19,160.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,160.26
|
| Rate for Payer: UHC Medicare Advantage |
$19,160.26
|
| Rate for Payer: VA VA |
$19,160.26
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$16,361.61
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$12,434.83 |
| Max. Negotiated Rate |
$16,361.61 |
| Rate for Payer: Aetna Medicare |
$13,612.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,361.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,361.61
|
| Rate for Payer: BCBS MAPPO |
$13,089.29
|
| Rate for Payer: BCN Medicare Advantage |
$13,089.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,089.29
|
| Rate for Payer: Mclaren Medicare |
$13,089.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,743.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,052.68
|
| Rate for Payer: PACE Medicare |
$12,434.83
|
| Rate for Payer: PACE SWMI |
$13,089.29
|
| Rate for Payer: PHP Medicare Advantage |
$13,089.29
|
| Rate for Payer: Priority Health Medicare |
$13,089.29
|
| Rate for Payer: Railroad Medicare Medicare |
$13,089.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,089.29
|
| Rate for Payer: UHC Medicare Advantage |
$13,089.29
|
| Rate for Payer: VA VA |
$13,089.29
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$23,399.90
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$17,783.92 |
| Max. Negotiated Rate |
$23,399.90 |
| Rate for Payer: Aetna Medicare |
$19,468.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,399.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,399.90
|
| Rate for Payer: BCBS MAPPO |
$18,719.92
|
| Rate for Payer: BCN Medicare Advantage |
$18,719.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,719.92
|
| Rate for Payer: Mclaren Medicare |
$18,719.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,655.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,527.91
|
| Rate for Payer: PACE Medicare |
$17,783.92
|
| Rate for Payer: PACE SWMI |
$18,719.92
|
| Rate for Payer: PHP Medicare Advantage |
$18,719.92
|
| Rate for Payer: Priority Health Medicare |
$18,719.92
|
| Rate for Payer: Railroad Medicare Medicare |
$18,719.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,719.92
|
| Rate for Payer: UHC Medicare Advantage |
$18,719.92
|
| Rate for Payer: VA VA |
$18,719.92
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$38,717.91
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$29,425.61 |
| Max. Negotiated Rate |
$38,717.91 |
| Rate for Payer: Aetna Medicare |
$32,213.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,717.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,717.91
|
| Rate for Payer: BCBS MAPPO |
$30,974.33
|
| Rate for Payer: BCN Medicare Advantage |
$30,974.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,974.33
|
| Rate for Payer: Mclaren Medicare |
$30,974.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,523.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,620.48
|
| Rate for Payer: PACE Medicare |
$29,425.61
|
| Rate for Payer: PACE SWMI |
$30,974.33
|
| Rate for Payer: PHP Medicare Advantage |
$30,974.33
|
| Rate for Payer: Priority Health Medicare |
$30,974.33
|
| Rate for Payer: Railroad Medicare Medicare |
$30,974.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,974.33
|
| Rate for Payer: UHC Medicare Advantage |
$30,974.33
|
| Rate for Payer: VA VA |
$30,974.33
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,334.70
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$13,934.37 |
| Max. Negotiated Rate |
$18,334.70 |
| Rate for Payer: Aetna Medicare |
$15,254.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,334.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,334.70
|
| Rate for Payer: BCBS MAPPO |
$14,667.76
|
| Rate for Payer: BCN Medicare Advantage |
$14,667.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,667.76
|
| Rate for Payer: Mclaren Medicare |
$14,667.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,401.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,867.92
|
| Rate for Payer: PACE Medicare |
$13,934.37
|
| Rate for Payer: PACE SWMI |
$14,667.76
|
| Rate for Payer: PHP Medicare Advantage |
$14,667.76
|
| Rate for Payer: Priority Health Medicare |
$14,667.76
|
| Rate for Payer: Railroad Medicare Medicare |
$14,667.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,667.76
|
| Rate for Payer: UHC Medicare Advantage |
$14,667.76
|
| Rate for Payer: VA VA |
$14,667.76
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$11,383.46
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$8,651.43 |
| Max. Negotiated Rate |
$11,383.46 |
| Rate for Payer: Aetna Medicare |
$9,471.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,383.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,383.46
|
| Rate for Payer: BCBS MAPPO |
$9,106.77
|
| Rate for Payer: BCN Medicare Advantage |
$9,106.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,106.77
|
| Rate for Payer: Mclaren Medicare |
$9,106.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,562.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,472.79
|
| Rate for Payer: PACE Medicare |
$8,651.43
|
| Rate for Payer: PACE SWMI |
$9,106.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,106.77
|
| Rate for Payer: Priority Health Medicare |
$9,106.77
|
| Rate for Payer: Railroad Medicare Medicare |
$9,106.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,106.77
|
| Rate for Payer: UHC Medicare Advantage |
$9,106.77
|
| Rate for Payer: VA VA |
$9,106.77
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$16,918.14
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$12,857.78 |
| Max. Negotiated Rate |
$16,918.14 |
| Rate for Payer: Aetna Medicare |
$14,075.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,918.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,918.14
|
| Rate for Payer: BCBS MAPPO |
$13,534.51
|
| Rate for Payer: BCN Medicare Advantage |
$13,534.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,534.51
|
| Rate for Payer: Mclaren Medicare |
$13,534.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,211.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,564.69
|
| Rate for Payer: PACE Medicare |
$12,857.78
|
| Rate for Payer: PACE SWMI |
$13,534.51
|
| Rate for Payer: PHP Medicare Advantage |
$13,534.51
|
| Rate for Payer: Priority Health Medicare |
$13,534.51
|
| Rate for Payer: Railroad Medicare Medicare |
$13,534.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,534.51
|
| Rate for Payer: UHC Medicare Advantage |
$13,534.51
|
| Rate for Payer: VA VA |
$13,534.51
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,769.23
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$5,904.61 |
| Max. Negotiated Rate |
$7,769.23 |
| Rate for Payer: Aetna Medicare |
$6,464.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,769.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,769.23
|
| Rate for Payer: BCBS MAPPO |
$6,215.38
|
| Rate for Payer: BCN Medicare Advantage |
$6,215.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,215.38
|
| Rate for Payer: Mclaren Medicare |
$6,215.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,526.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,147.69
|
| Rate for Payer: PACE Medicare |
$5,904.61
|
| Rate for Payer: PACE SWMI |
$6,215.38
|
| Rate for Payer: PHP Medicare Advantage |
$6,215.38
|
| Rate for Payer: Priority Health Medicare |
$6,215.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6,215.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,215.38
|
| Rate for Payer: UHC Medicare Advantage |
$6,215.38
|
| Rate for Payer: VA VA |
$6,215.38
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$21,923.66
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$16,661.98 |
| Max. Negotiated Rate |
$21,923.66 |
| Rate for Payer: Aetna Medicare |
$18,240.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,923.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,923.66
|
| Rate for Payer: BCBS MAPPO |
$17,538.93
|
| Rate for Payer: BCN Medicare Advantage |
$17,538.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,538.93
|
| Rate for Payer: Mclaren Medicare |
$17,538.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,415.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,169.77
|
| Rate for Payer: PACE Medicare |
$16,661.98
|
| Rate for Payer: PACE SWMI |
$17,538.93
|
| Rate for Payer: PHP Medicare Advantage |
$17,538.93
|
| Rate for Payer: Priority Health Medicare |
$17,538.93
|
| Rate for Payer: Railroad Medicare Medicare |
$17,538.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,538.93
|
| Rate for Payer: UHC Medicare Advantage |
$17,538.93
|
| Rate for Payer: VA VA |
$17,538.93
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$37,213.34
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$28,282.14 |
| Max. Negotiated Rate |
$37,213.34 |
| Rate for Payer: Aetna Medicare |
$30,961.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,213.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,213.34
|
| Rate for Payer: BCBS MAPPO |
$29,770.67
|
| Rate for Payer: BCN Medicare Advantage |
$29,770.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,770.67
|
| Rate for Payer: Mclaren Medicare |
$29,770.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,259.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,236.27
|
| Rate for Payer: PACE Medicare |
$28,282.14
|
| Rate for Payer: PACE SWMI |
$29,770.67
|
| Rate for Payer: PHP Medicare Advantage |
$29,770.67
|
| Rate for Payer: Priority Health Medicare |
$29,770.67
|
| Rate for Payer: Railroad Medicare Medicare |
$29,770.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,770.67
|
| Rate for Payer: UHC Medicare Advantage |
$29,770.67
|
| Rate for Payer: VA VA |
$29,770.67
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,083.39
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$12,223.37 |
| Max. Negotiated Rate |
$16,083.39 |
| Rate for Payer: Aetna Medicare |
$13,381.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,083.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,083.39
|
| Rate for Payer: BCBS MAPPO |
$12,866.71
|
| Rate for Payer: BCN Medicare Advantage |
$12,866.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,866.71
|
| Rate for Payer: Mclaren Medicare |
$12,866.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,510.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,796.72
|
| Rate for Payer: PACE Medicare |
$12,223.37
|
| Rate for Payer: PACE SWMI |
$12,866.71
|
| Rate for Payer: PHP Medicare Advantage |
$12,866.71
|
| Rate for Payer: Priority Health Medicare |
$12,866.71
|
| Rate for Payer: Railroad Medicare Medicare |
$12,866.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,866.71
|
| Rate for Payer: UHC Medicare Advantage |
$12,866.71
|
| Rate for Payer: VA VA |
$12,866.71
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$23,345.26
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$17,742.40 |
| Max. Negotiated Rate |
$23,345.26 |
| Rate for Payer: Aetna Medicare |
$19,423.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,345.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,345.26
|
| Rate for Payer: BCBS MAPPO |
$18,676.21
|
| Rate for Payer: BCN Medicare Advantage |
$18,676.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,676.21
|
| Rate for Payer: Mclaren Medicare |
$18,676.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,610.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,477.64
|
| Rate for Payer: PACE Medicare |
$17,742.40
|
| Rate for Payer: PACE SWMI |
$18,676.21
|
| Rate for Payer: PHP Medicare Advantage |
$18,676.21
|
| Rate for Payer: Priority Health Medicare |
$18,676.21
|
| Rate for Payer: Railroad Medicare Medicare |
$18,676.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,676.21
|
| Rate for Payer: UHC Medicare Advantage |
$18,676.21
|
| Rate for Payer: VA VA |
$18,676.21
|
|
