|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$34,871.97
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$26,502.70 |
| Max. Negotiated Rate |
$34,871.97 |
| Rate for Payer: Aetna Medicare |
$29,013.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,871.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,871.97
|
| Rate for Payer: BCBS MAPPO |
$27,897.58
|
| Rate for Payer: BCN Medicare Advantage |
$27,897.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,897.58
|
| Rate for Payer: Mclaren Medicare |
$27,897.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,292.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,082.22
|
| Rate for Payer: PACE Medicare |
$26,502.70
|
| Rate for Payer: PACE SWMI |
$27,897.58
|
| Rate for Payer: PHP Medicare Advantage |
$27,897.58
|
| Rate for Payer: Priority Health Medicare |
$27,897.58
|
| Rate for Payer: Railroad Medicare Medicare |
$27,897.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,897.58
|
| Rate for Payer: UHC Medicare Advantage |
$27,897.58
|
| Rate for Payer: VA VA |
$27,897.58
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$18,811.28
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$14,296.57 |
| Max. Negotiated Rate |
$18,811.28 |
| Rate for Payer: Aetna Medicare |
$15,650.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,811.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,811.28
|
| Rate for Payer: BCBS MAPPO |
$15,049.02
|
| Rate for Payer: BCN Medicare Advantage |
$15,049.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,049.02
|
| Rate for Payer: Mclaren Medicare |
$15,049.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,801.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,306.37
|
| Rate for Payer: PACE Medicare |
$14,296.57
|
| Rate for Payer: PACE SWMI |
$15,049.02
|
| Rate for Payer: PHP Medicare Advantage |
$15,049.02
|
| Rate for Payer: Priority Health Medicare |
$15,049.02
|
| Rate for Payer: Railroad Medicare Medicare |
$15,049.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,049.02
|
| Rate for Payer: UHC Medicare Advantage |
$15,049.02
|
| Rate for Payer: VA VA |
$15,049.02
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$10,709.58
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$8,139.28 |
| Max. Negotiated Rate |
$10,709.58 |
| Rate for Payer: Aetna Medicare |
$8,910.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,709.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,709.58
|
| Rate for Payer: BCBS MAPPO |
$8,567.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,567.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,567.66
|
| Rate for Payer: Mclaren Medicare |
$8,567.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,996.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,852.81
|
| Rate for Payer: PACE Medicare |
$8,139.28
|
| Rate for Payer: PACE SWMI |
$8,567.66
|
| Rate for Payer: PHP Medicare Advantage |
$8,567.66
|
| Rate for Payer: Priority Health Medicare |
$8,567.66
|
| Rate for Payer: Railroad Medicare Medicare |
$8,567.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,567.66
|
| Rate for Payer: UHC Medicare Advantage |
$8,567.66
|
| Rate for Payer: VA VA |
$8,567.66
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$16,537.71
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$12,568.66 |
| Max. Negotiated Rate |
$16,537.71 |
| Rate for Payer: Aetna Medicare |
$13,759.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,537.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,537.71
|
| Rate for Payer: BCBS MAPPO |
$13,230.17
|
| Rate for Payer: BCN Medicare Advantage |
$13,230.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,230.17
|
| Rate for Payer: Mclaren Medicare |
$13,230.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,891.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,214.70
|
| Rate for Payer: PACE Medicare |
$12,568.66
|
| Rate for Payer: PACE SWMI |
$13,230.17
|
| Rate for Payer: PHP Medicare Advantage |
$13,230.17
|
| Rate for Payer: Priority Health Medicare |
$13,230.17
|
| Rate for Payer: Railroad Medicare Medicare |
$13,230.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,230.17
|
| Rate for Payer: UHC Medicare Advantage |
$13,230.17
|
| Rate for Payer: VA VA |
$13,230.17
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$7,979.66
|
|
|
Service Code
|
MSDRG 188
|
| Min. Negotiated Rate |
$6,064.54 |
| Max. Negotiated Rate |
$7,979.66 |
| Rate for Payer: Aetna Medicare |
$6,639.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,979.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,979.66
|
| Rate for Payer: BCBS MAPPO |
$6,383.73
|
| Rate for Payer: BCN Medicare Advantage |
$6,383.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,383.73
|
| Rate for Payer: Mclaren Medicare |
$6,383.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,702.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,341.29
|
| Rate for Payer: PACE Medicare |
$6,064.54
|
| Rate for Payer: PACE SWMI |
$6,383.73
|
| Rate for Payer: PHP Medicare Advantage |
$6,383.73
|
| Rate for Payer: Priority Health Medicare |
$6,383.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6,383.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,383.73
|
| Rate for Payer: UHC Medicare Advantage |
$6,383.73
|
| Rate for Payer: VA VA |
$6,383.73
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH CC
|
Facility
|
IP
|
$11,756.83
|
|
|
Service Code
|
MSDRG 200
|
| Min. Negotiated Rate |
$8,935.19 |
| Max. Negotiated Rate |
$11,756.83 |
| Rate for Payer: Aetna Medicare |
$9,781.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,756.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,756.83
|
| Rate for Payer: BCBS MAPPO |
$9,405.46
|
| Rate for Payer: BCN Medicare Advantage |
$9,405.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,405.46
|
| Rate for Payer: Mclaren Medicare |
$9,405.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,875.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,816.28
|
| Rate for Payer: PACE Medicare |
$8,935.19
|
| Rate for Payer: PACE SWMI |
$9,405.46
|
| Rate for Payer: PHP Medicare Advantage |
$9,405.46
|
| Rate for Payer: Priority Health Medicare |
$9,405.46
|
| Rate for Payer: Railroad Medicare Medicare |
$9,405.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,405.46
|
| Rate for Payer: UHC Medicare Advantage |
$9,405.46
|
| Rate for Payer: VA VA |
$9,405.46
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITH MCC
|
Facility
|
IP
|
$18,412.60
|
|
|
Service Code
|
MSDRG 199
|
| Min. Negotiated Rate |
$13,993.58 |
| Max. Negotiated Rate |
$18,412.60 |
| Rate for Payer: Aetna Medicare |
$15,319.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,412.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,412.60
|
| Rate for Payer: BCBS MAPPO |
$14,730.08
|
| Rate for Payer: BCN Medicare Advantage |
$14,730.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,730.08
|
| Rate for Payer: Mclaren Medicare |
$14,730.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,466.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,939.59
|
| Rate for Payer: PACE Medicare |
$13,993.58
|
| Rate for Payer: PACE SWMI |
$14,730.08
|
| Rate for Payer: PHP Medicare Advantage |
$14,730.08
|
| Rate for Payer: Priority Health Medicare |
$14,730.08
|
| Rate for Payer: Railroad Medicare Medicare |
$14,730.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,730.08
|
| Rate for Payer: UHC Medicare Advantage |
$14,730.08
|
| Rate for Payer: VA VA |
$14,730.08
|
|
|
MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC
|
Facility
|
IP
|
$7,401.94
|
|
|
Service Code
|
MSDRG 201
|
| Min. Negotiated Rate |
$5,625.47 |
| Max. Negotiated Rate |
$7,401.94 |
| Rate for Payer: Aetna Medicare |
$6,158.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,401.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,401.94
|
| Rate for Payer: BCBS MAPPO |
$5,921.55
|
| Rate for Payer: BCN Medicare Advantage |
$5,921.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,921.55
|
| Rate for Payer: Mclaren Medicare |
$5,921.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,217.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,809.78
|
| Rate for Payer: PACE Medicare |
$5,625.47
|
| Rate for Payer: PACE SWMI |
$5,921.55
|
| Rate for Payer: PHP Medicare Advantage |
$5,921.55
|
| Rate for Payer: Priority Health Medicare |
$5,921.55
|
| Rate for Payer: Railroad Medicare Medicare |
$5,921.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,921.55
|
| Rate for Payer: UHC Medicare Advantage |
$5,921.55
|
| Rate for Payer: VA VA |
$5,921.55
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
|
Facility
|
IP
|
$17,141.74
|
|
|
Service Code
|
MSDRG 917
|
| Min. Negotiated Rate |
$13,027.72 |
| Max. Negotiated Rate |
$17,141.74 |
| Rate for Payer: Aetna Medicare |
$14,261.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,141.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,141.74
|
| Rate for Payer: BCBS MAPPO |
$13,713.39
|
| Rate for Payer: BCN Medicare Advantage |
$13,713.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,713.39
|
| Rate for Payer: Mclaren Medicare |
$13,713.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,399.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,770.40
|
| Rate for Payer: PACE Medicare |
$13,027.72
|
| Rate for Payer: PACE SWMI |
$13,713.39
|
| Rate for Payer: PHP Medicare Advantage |
$13,713.39
|
| Rate for Payer: Priority Health Medicare |
$13,713.39
|
| Rate for Payer: Railroad Medicare Medicare |
$13,713.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,713.39
|
| Rate for Payer: UHC Medicare Advantage |
$13,713.39
|
| Rate for Payer: VA VA |
$13,713.39
|
|
|
MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
|
Facility
|
IP
|
$9,501.48
|
|
|
Service Code
|
MSDRG 918
|
| Min. Negotiated Rate |
$7,221.12 |
| Max. Negotiated Rate |
$9,501.48 |
| Rate for Payer: Aetna Medicare |
$7,905.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,501.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,501.48
|
| Rate for Payer: BCBS MAPPO |
$7,601.18
|
| Rate for Payer: BCN Medicare Advantage |
$7,601.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,601.18
|
| Rate for Payer: Mclaren Medicare |
$7,601.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,981.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,741.36
|
| Rate for Payer: PACE Medicare |
$7,221.12
|
| Rate for Payer: PACE SWMI |
$7,601.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,601.18
|
| Rate for Payer: Priority Health Medicare |
$7,601.18
|
| Rate for Payer: Railroad Medicare Medicare |
$7,601.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,601.18
|
| Rate for Payer: UHC Medicare Advantage |
$7,601.18
|
| Rate for Payer: VA VA |
$7,601.18
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
|
IP
|
$19,155.28
|
|
|
Service Code
|
MSDRG 862
|
| Min. Negotiated Rate |
$14,558.01 |
| Max. Negotiated Rate |
$19,155.28 |
| Rate for Payer: Aetna Medicare |
$15,937.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,155.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,155.28
|
| Rate for Payer: BCBS MAPPO |
$15,324.22
|
| Rate for Payer: BCN Medicare Advantage |
$15,324.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,324.22
|
| Rate for Payer: Mclaren Medicare |
$15,324.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,090.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,622.85
|
| Rate for Payer: PACE Medicare |
$14,558.01
|
| Rate for Payer: PACE SWMI |
$15,324.22
|
| Rate for Payer: PHP Medicare Advantage |
$15,324.22
|
| Rate for Payer: Priority Health Medicare |
$15,324.22
|
| Rate for Payer: Railroad Medicare Medicare |
$15,324.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,324.22
|
| Rate for Payer: UHC Medicare Advantage |
$15,324.22
|
| Rate for Payer: VA VA |
$15,324.22
|
|
|
MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$10,668.09
|
|
|
Service Code
|
MSDRG 863
|
| Min. Negotiated Rate |
$8,107.75 |
| Max. Negotiated Rate |
$10,668.09 |
| Rate for Payer: Aetna Medicare |
$8,875.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,668.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,668.09
|
| Rate for Payer: BCBS MAPPO |
$8,534.47
|
| Rate for Payer: BCN Medicare Advantage |
$8,534.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,534.47
|
| Rate for Payer: Mclaren Medicare |
$8,534.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,961.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,814.64
|
| Rate for Payer: PACE Medicare |
$8,107.75
|
| Rate for Payer: PACE SWMI |
$8,534.47
|
| Rate for Payer: PHP Medicare Advantage |
$8,534.47
|
| Rate for Payer: Priority Health Medicare |
$8,534.47
|
| Rate for Payer: Railroad Medicare Medicare |
$8,534.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,534.47
|
| Rate for Payer: UHC Medicare Advantage |
$8,534.47
|
| Rate for Payer: VA VA |
$8,534.47
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$22,597.51
|
|
|
Service Code
|
MSDRG 857
|
| Min. Negotiated Rate |
$17,174.11 |
| Max. Negotiated Rate |
$22,597.51 |
| Rate for Payer: Aetna Medicare |
$18,801.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,597.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,597.51
|
| Rate for Payer: BCBS MAPPO |
$18,078.01
|
| Rate for Payer: BCN Medicare Advantage |
$18,078.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,078.01
|
| Rate for Payer: Mclaren Medicare |
$18,078.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,981.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,789.71
|
| Rate for Payer: PACE Medicare |
$17,174.11
|
| Rate for Payer: PACE SWMI |
$18,078.01
|
| Rate for Payer: PHP Medicare Advantage |
$18,078.01
|
| Rate for Payer: Priority Health Medicare |
$18,078.01
|
| Rate for Payer: Railroad Medicare Medicare |
$18,078.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,078.01
|
| Rate for Payer: UHC Medicare Advantage |
$18,078.01
|
| Rate for Payer: VA VA |
$18,078.01
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,200.35
|
|
|
Service Code
|
MSDRG 856
|
| Min. Negotiated Rate |
$35,112.27 |
| Max. Negotiated Rate |
$46,200.35 |
| Rate for Payer: Aetna Medicare |
$38,438.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,200.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,200.35
|
| Rate for Payer: BCBS MAPPO |
$36,960.28
|
| Rate for Payer: BCN Medicare Advantage |
$36,960.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,960.28
|
| Rate for Payer: Mclaren Medicare |
$36,960.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,808.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,504.32
|
| Rate for Payer: PACE Medicare |
$35,112.27
|
| Rate for Payer: PACE SWMI |
$36,960.28
|
| Rate for Payer: PHP Medicare Advantage |
$36,960.28
|
| Rate for Payer: Priority Health Medicare |
$36,960.28
|
| Rate for Payer: Railroad Medicare Medicare |
$36,960.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,960.28
|
| Rate for Payer: UHC Medicare Advantage |
$36,960.28
|
| Rate for Payer: VA VA |
$36,960.28
|
|
|
MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,587.20
|
|
|
Service Code
|
MSDRG 858
|
| Min. Negotiated Rate |
$10,326.27 |
| Max. Negotiated Rate |
$13,587.20 |
| Rate for Payer: Aetna Medicare |
$11,304.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,587.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,587.20
|
| Rate for Payer: BCBS MAPPO |
$10,869.76
|
| Rate for Payer: BCN Medicare Advantage |
$10,869.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,869.76
|
| Rate for Payer: Mclaren Medicare |
$10,869.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,413.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,500.22
|
| Rate for Payer: PACE Medicare |
$10,326.27
|
| Rate for Payer: PACE SWMI |
$10,869.76
|
| Rate for Payer: PHP Medicare Advantage |
$10,869.76
|
| Rate for Payer: Priority Health Medicare |
$10,869.76
|
| Rate for Payer: Railroad Medicare Medicare |
$10,869.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,869.76
|
| Rate for Payer: UHC Medicare Advantage |
$10,869.76
|
| Rate for Payer: VA VA |
$10,869.76
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
|
Facility
|
IP
|
$14,610.16
|
|
|
Service Code
|
MSDRG 769
|
| Min. Negotiated Rate |
$11,103.72 |
| Max. Negotiated Rate |
$14,610.16 |
| Rate for Payer: Aetna Medicare |
$12,155.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,610.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,610.16
|
| Rate for Payer: BCBS MAPPO |
$11,688.13
|
| Rate for Payer: BCN Medicare Advantage |
$11,688.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,688.13
|
| Rate for Payer: Mclaren Medicare |
$11,688.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,272.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,441.35
|
| Rate for Payer: PACE Medicare |
$11,103.72
|
| Rate for Payer: PACE SWMI |
$11,688.13
|
| Rate for Payer: PHP Medicare Advantage |
$11,688.13
|
| Rate for Payer: Priority Health Medicare |
$11,688.13
|
| Rate for Payer: Railroad Medicare Medicare |
$11,688.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,688.13
|
| Rate for Payer: UHC Medicare Advantage |
$11,688.13
|
| Rate for Payer: VA VA |
$11,688.13
|
|
|
MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
|
Facility
|
IP
|
$7,770.25
|
|
|
Service Code
|
MSDRG 776
|
| Min. Negotiated Rate |
$5,905.39 |
| Max. Negotiated Rate |
$7,770.25 |
| Rate for Payer: Aetna Medicare |
$6,464.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,770.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,770.25
|
| Rate for Payer: BCBS MAPPO |
$6,216.20
|
| Rate for Payer: BCN Medicare Advantage |
$6,216.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,216.20
|
| Rate for Payer: Mclaren Medicare |
$6,216.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,527.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,148.63
|
| Rate for Payer: PACE Medicare |
$5,905.39
|
| Rate for Payer: PACE SWMI |
$6,216.20
|
| Rate for Payer: PHP Medicare Advantage |
$6,216.20
|
| Rate for Payer: Priority Health Medicare |
$6,216.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6,216.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,216.20
|
| Rate for Payer: UHC Medicare Advantage |
$6,216.20
|
| Rate for Payer: VA VA |
$6,216.20
|
|
|
MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$41,629.95
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$31,638.76 |
| Max. Negotiated Rate |
$41,629.95 |
| Rate for Payer: Aetna Medicare |
$34,636.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,629.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,629.95
|
| Rate for Payer: BCBS MAPPO |
$33,303.96
|
| Rate for Payer: BCN Medicare Advantage |
$33,303.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,303.96
|
| Rate for Payer: Mclaren Medicare |
$33,303.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,969.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,299.55
|
| Rate for Payer: PACE Medicare |
$31,638.76
|
| Rate for Payer: PACE SWMI |
$33,303.96
|
| Rate for Payer: PHP Medicare Advantage |
$33,303.96
|
| Rate for Payer: Priority Health Medicare |
$33,303.96
|
| Rate for Payer: Railroad Medicare Medicare |
$33,303.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,303.96
|
| Rate for Payer: UHC Medicare Advantage |
$33,303.96
|
| Rate for Payer: VA VA |
$33,303.96
|
|
|
MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$25,337.54
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$19,256.53 |
| Max. Negotiated Rate |
$25,337.54 |
| Rate for Payer: Aetna Medicare |
$21,080.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,337.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,337.54
|
| Rate for Payer: BCBS MAPPO |
$20,270.03
|
| Rate for Payer: BCN Medicare Advantage |
$20,270.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,270.03
|
| Rate for Payer: Mclaren Medicare |
$20,270.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,283.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,310.53
|
| Rate for Payer: PACE Medicare |
$19,256.53
|
| Rate for Payer: PACE SWMI |
$20,270.03
|
| Rate for Payer: PHP Medicare Advantage |
$20,270.03
|
| Rate for Payer: Priority Health Medicare |
$20,270.03
|
| Rate for Payer: Railroad Medicare Medicare |
$20,270.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,270.03
|
| Rate for Payer: UHC Medicare Advantage |
$20,270.03
|
| Rate for Payer: VA VA |
$20,270.03
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$17,218.65
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$13,086.17 |
| Max. Negotiated Rate |
$17,218.65 |
| Rate for Payer: Aetna Medicare |
$14,325.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,218.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,218.65
|
| Rate for Payer: BCBS MAPPO |
$13,774.92
|
| Rate for Payer: BCN Medicare Advantage |
$13,774.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,774.92
|
| Rate for Payer: Mclaren Medicare |
$13,774.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,463.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,841.16
|
| Rate for Payer: PACE Medicare |
$13,086.17
|
| Rate for Payer: PACE SWMI |
$13,774.92
|
| Rate for Payer: PHP Medicare Advantage |
$13,774.92
|
| Rate for Payer: Priority Health Medicare |
$13,774.92
|
| Rate for Payer: Railroad Medicare Medicare |
$13,774.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,774.92
|
| Rate for Payer: UHC Medicare Advantage |
$13,774.92
|
| Rate for Payer: VA VA |
$13,774.92
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$35,292.88
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$26,822.58 |
| Max. Negotiated Rate |
$35,292.88 |
| Rate for Payer: Aetna Medicare |
$29,363.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,292.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,292.88
|
| Rate for Payer: BCBS MAPPO |
$28,234.30
|
| Rate for Payer: BCN Medicare Advantage |
$28,234.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,234.30
|
| Rate for Payer: Mclaren Medicare |
$28,234.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,646.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,469.44
|
| Rate for Payer: PACE Medicare |
$26,822.58
|
| Rate for Payer: PACE SWMI |
$28,234.30
|
| Rate for Payer: PHP Medicare Advantage |
$28,234.30
|
| Rate for Payer: Priority Health Medicare |
$28,234.30
|
| Rate for Payer: Railroad Medicare Medicare |
$28,234.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,234.30
|
| Rate for Payer: UHC Medicare Advantage |
$28,234.30
|
| Rate for Payer: VA VA |
$28,234.30
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$10,950.40
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$8,322.30 |
| Max. Negotiated Rate |
$10,950.40 |
| Rate for Payer: Aetna Medicare |
$9,110.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,950.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,950.40
|
| Rate for Payer: BCBS MAPPO |
$8,760.32
|
| Rate for Payer: BCN Medicare Advantage |
$8,760.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,760.32
|
| Rate for Payer: Mclaren Medicare |
$8,760.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,198.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,074.37
|
| Rate for Payer: PACE Medicare |
$8,322.30
|
| Rate for Payer: PACE SWMI |
$8,760.32
|
| Rate for Payer: PHP Medicare Advantage |
$8,760.32
|
| Rate for Payer: Priority Health Medicare |
$8,760.32
|
| Rate for Payer: Railroad Medicare Medicare |
$8,760.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,760.32
|
| Rate for Payer: UHC Medicare Advantage |
$8,760.32
|
| Rate for Payer: VA VA |
$8,760.32
|
|
|
MS-DRG 42.00: PSYCHOSES
|
Facility
|
IP
|
$14,813.52
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$11,258.28 |
| Max. Negotiated Rate |
$14,813.52 |
| Rate for Payer: Aetna Medicare |
$12,324.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,813.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,813.52
|
| Rate for Payer: BCBS MAPPO |
$11,850.82
|
| Rate for Payer: BCN Medicare Advantage |
$11,850.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,850.82
|
| Rate for Payer: Mclaren Medicare |
$11,850.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,443.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,628.44
|
| Rate for Payer: PACE Medicare |
$11,258.28
|
| Rate for Payer: PACE SWMI |
$11,850.82
|
| Rate for Payer: PHP Medicare Advantage |
$11,850.82
|
| Rate for Payer: Priority Health Medicare |
$11,850.82
|
| Rate for Payer: Railroad Medicare Medicare |
$11,850.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,850.82
|
| Rate for Payer: UHC Medicare Advantage |
$11,850.82
|
| Rate for Payer: VA VA |
$11,850.82
|
|
|
MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$13,071.17
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$9,934.09 |
| Max. Negotiated Rate |
$13,071.17 |
| Rate for Payer: Aetna Medicare |
$10,875.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,071.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,071.17
|
| Rate for Payer: BCBS MAPPO |
$10,456.94
|
| Rate for Payer: BCN Medicare Advantage |
$10,456.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,456.94
|
| Rate for Payer: Mclaren Medicare |
$10,456.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,979.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,025.48
|
| Rate for Payer: PACE Medicare |
$9,934.09
|
| Rate for Payer: PACE SWMI |
$10,456.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,456.94
|
| Rate for Payer: Priority Health Medicare |
$10,456.94
|
| Rate for Payer: Railroad Medicare Medicare |
$10,456.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,456.94
|
| Rate for Payer: UHC Medicare Advantage |
$10,456.94
|
| Rate for Payer: VA VA |
$10,456.94
|
|
|
MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$14,808.49
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$11,254.45 |
| Max. Negotiated Rate |
$14,808.49 |
| Rate for Payer: Aetna Medicare |
$12,320.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,808.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,808.49
|
| Rate for Payer: BCBS MAPPO |
$11,846.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,846.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,846.79
|
| Rate for Payer: Mclaren Medicare |
$11,846.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,439.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,623.81
|
| Rate for Payer: PACE Medicare |
$11,254.45
|
| Rate for Payer: PACE SWMI |
$11,846.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,846.79
|
| Rate for Payer: Priority Health Medicare |
$11,846.79
|
| Rate for Payer: Railroad Medicare Medicare |
$11,846.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,846.79
|
| Rate for Payer: UHC Medicare Advantage |
$11,846.79
|
| Rate for Payer: VA VA |
$11,846.79
|
|
