|
MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$8,792.17
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$6,682.05 |
| Max. Negotiated Rate |
$8,792.17 |
| Rate for Payer: Aetna Medicare |
$7,315.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,792.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,792.17
|
| Rate for Payer: BCBS MAPPO |
$7,033.74
|
| Rate for Payer: BCN Medicare Advantage |
$7,033.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,033.74
|
| Rate for Payer: Mclaren Medicare |
$7,033.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,385.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,088.80
|
| Rate for Payer: PACE Medicare |
$6,682.05
|
| Rate for Payer: PACE SWMI |
$7,033.74
|
| Rate for Payer: PHP Medicare Advantage |
$7,033.74
|
| Rate for Payer: Priority Health Medicare |
$7,033.74
|
| Rate for Payer: Railroad Medicare Medicare |
$7,033.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,033.74
|
| Rate for Payer: UHC Medicare Advantage |
$7,033.74
|
| Rate for Payer: VA VA |
$7,033.74
|
|
|
MS-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$27,577.71
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$20,959.06 |
| Max. Negotiated Rate |
$27,577.71 |
| Rate for Payer: Aetna Medicare |
$22,944.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,577.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,577.71
|
| Rate for Payer: BCBS MAPPO |
$22,062.17
|
| Rate for Payer: BCN Medicare Advantage |
$22,062.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,062.17
|
| Rate for Payer: Mclaren Medicare |
$22,062.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,165.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,371.50
|
| Rate for Payer: PACE Medicare |
$20,959.06
|
| Rate for Payer: PACE SWMI |
$22,062.17
|
| Rate for Payer: PHP Medicare Advantage |
$22,062.17
|
| Rate for Payer: Priority Health Medicare |
$22,062.17
|
| Rate for Payer: Railroad Medicare Medicare |
$22,062.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,062.17
|
| Rate for Payer: UHC Medicare Advantage |
$22,062.17
|
| Rate for Payer: VA VA |
$22,062.17
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$22,055.17
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$16,761.93 |
| Max. Negotiated Rate |
$22,055.17 |
| Rate for Payer: Aetna Medicare |
$18,349.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,055.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,055.17
|
| Rate for Payer: BCBS MAPPO |
$17,644.14
|
| Rate for Payer: BCN Medicare Advantage |
$17,644.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,644.14
|
| Rate for Payer: Mclaren Medicare |
$17,644.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,526.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,290.76
|
| Rate for Payer: PACE Medicare |
$16,761.93
|
| Rate for Payer: PACE SWMI |
$17,644.14
|
| Rate for Payer: PHP Medicare Advantage |
$17,644.14
|
| Rate for Payer: Priority Health Medicare |
$17,644.14
|
| Rate for Payer: Railroad Medicare Medicare |
$17,644.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,644.14
|
| Rate for Payer: UHC Medicare Advantage |
$17,644.14
|
| Rate for Payer: VA VA |
$17,644.14
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$35,648.04
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$27,092.51 |
| Max. Negotiated Rate |
$35,648.04 |
| Rate for Payer: Aetna Medicare |
$29,659.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,648.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,648.04
|
| Rate for Payer: BCBS MAPPO |
$28,518.43
|
| Rate for Payer: BCN Medicare Advantage |
$28,518.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,518.43
|
| Rate for Payer: Mclaren Medicare |
$28,518.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,944.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,796.19
|
| Rate for Payer: PACE Medicare |
$27,092.51
|
| Rate for Payer: PACE SWMI |
$28,518.43
|
| Rate for Payer: PHP Medicare Advantage |
$28,518.43
|
| Rate for Payer: Priority Health Medicare |
$28,518.43
|
| Rate for Payer: Railroad Medicare Medicare |
$28,518.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,518.43
|
| Rate for Payer: UHC Medicare Advantage |
$28,518.43
|
| Rate for Payer: VA VA |
$28,518.43
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$17,332.99
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$13,173.07 |
| Max. Negotiated Rate |
$17,332.99 |
| Rate for Payer: Aetna Medicare |
$14,421.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,332.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,332.99
|
| Rate for Payer: BCBS MAPPO |
$13,866.39
|
| Rate for Payer: BCN Medicare Advantage |
$13,866.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,866.39
|
| Rate for Payer: Mclaren Medicare |
$13,866.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,559.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,946.35
|
| Rate for Payer: PACE Medicare |
$13,173.07
|
| Rate for Payer: PACE SWMI |
$13,866.39
|
| Rate for Payer: PHP Medicare Advantage |
$13,866.39
|
| Rate for Payer: Priority Health Medicare |
$13,866.39
|
| Rate for Payer: Railroad Medicare Medicare |
$13,866.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,866.39
|
| Rate for Payer: UHC Medicare Advantage |
$13,866.39
|
| Rate for Payer: VA VA |
$13,866.39
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$14,786.24
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$11,237.54 |
| Max. Negotiated Rate |
$14,786.24 |
| Rate for Payer: Aetna Medicare |
$12,302.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,786.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,786.24
|
| Rate for Payer: BCBS MAPPO |
$11,828.99
|
| Rate for Payer: BCN Medicare Advantage |
$11,828.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,828.99
|
| Rate for Payer: Mclaren Medicare |
$11,828.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,420.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,603.34
|
| Rate for Payer: PACE Medicare |
$11,237.54
|
| Rate for Payer: PACE SWMI |
$11,828.99
|
| Rate for Payer: PHP Medicare Advantage |
$11,828.99
|
| Rate for Payer: Priority Health Medicare |
$11,828.99
|
| Rate for Payer: Railroad Medicare Medicare |
$11,828.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,828.99
|
| Rate for Payer: UHC Medicare Advantage |
$11,828.99
|
| Rate for Payer: VA VA |
$11,828.99
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$9,888.99
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$7,515.63 |
| Max. Negotiated Rate |
$9,888.99 |
| Rate for Payer: Aetna Medicare |
$8,227.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,888.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,888.99
|
| Rate for Payer: BCBS MAPPO |
$7,911.19
|
| Rate for Payer: BCN Medicare Advantage |
$7,911.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,911.19
|
| Rate for Payer: Mclaren Medicare |
$7,911.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,306.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,097.87
|
| Rate for Payer: PACE Medicare |
$7,515.63
|
| Rate for Payer: PACE SWMI |
$7,911.19
|
| Rate for Payer: PHP Medicare Advantage |
$7,911.19
|
| Rate for Payer: Priority Health Medicare |
$7,911.19
|
| Rate for Payer: Railroad Medicare Medicare |
$7,911.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,911.19
|
| Rate for Payer: UHC Medicare Advantage |
$7,911.19
|
| Rate for Payer: VA VA |
$7,911.19
|
|
|
MS-DRG 42.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$15,996.39
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$12,157.25 |
| Max. Negotiated Rate |
$15,996.39 |
| Rate for Payer: Aetna Medicare |
$13,308.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,996.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,996.39
|
| Rate for Payer: BCBS MAPPO |
$12,797.11
|
| Rate for Payer: BCN Medicare Advantage |
$12,797.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,797.11
|
| Rate for Payer: Mclaren Medicare |
$12,797.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,436.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,716.68
|
| Rate for Payer: PACE Medicare |
$12,157.25
|
| Rate for Payer: PACE SWMI |
$12,797.11
|
| Rate for Payer: PHP Medicare Advantage |
$12,797.11
|
| Rate for Payer: Priority Health Medicare |
$12,797.11
|
| Rate for Payer: Railroad Medicare Medicare |
$12,797.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,797.11
|
| Rate for Payer: UHC Medicare Advantage |
$12,797.11
|
| Rate for Payer: VA VA |
$12,797.11
|
|
|
MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$11,847.90
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$9,004.40 |
| Max. Negotiated Rate |
$11,847.90 |
| Rate for Payer: Aetna Medicare |
$9,857.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,847.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,847.90
|
| Rate for Payer: BCBS MAPPO |
$9,478.32
|
| Rate for Payer: BCN Medicare Advantage |
$9,478.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,478.32
|
| Rate for Payer: Mclaren Medicare |
$9,478.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,952.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,900.07
|
| Rate for Payer: PACE Medicare |
$9,004.40
|
| Rate for Payer: PACE SWMI |
$9,478.32
|
| Rate for Payer: PHP Medicare Advantage |
$9,478.32
|
| Rate for Payer: Priority Health Medicare |
$9,478.32
|
| Rate for Payer: Railroad Medicare Medicare |
$9,478.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,478.32
|
| Rate for Payer: UHC Medicare Advantage |
$9,478.32
|
| Rate for Payer: VA VA |
$9,478.32
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$9,544.98
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$7,254.18 |
| Max. Negotiated Rate |
$9,544.98 |
| Rate for Payer: Aetna Medicare |
$7,941.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,544.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,544.98
|
| Rate for Payer: BCBS MAPPO |
$7,635.98
|
| Rate for Payer: BCN Medicare Advantage |
$7,635.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,635.98
|
| Rate for Payer: Mclaren Medicare |
$7,635.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,017.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,781.38
|
| Rate for Payer: PACE Medicare |
$7,254.18
|
| Rate for Payer: PACE SWMI |
$7,635.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,635.98
|
| Rate for Payer: Priority Health Medicare |
$7,635.98
|
| Rate for Payer: Railroad Medicare Medicare |
$7,635.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,635.98
|
| Rate for Payer: UHC Medicare Advantage |
$7,635.98
|
| Rate for Payer: VA VA |
$7,635.98
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$15,747.45
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$11,968.06 |
| Max. Negotiated Rate |
$15,747.45 |
| Rate for Payer: Aetna Medicare |
$13,101.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,747.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,747.45
|
| Rate for Payer: BCBS MAPPO |
$12,597.96
|
| Rate for Payer: BCN Medicare Advantage |
$12,597.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,597.96
|
| Rate for Payer: Mclaren Medicare |
$12,597.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,227.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,487.65
|
| Rate for Payer: PACE Medicare |
$11,968.06
|
| Rate for Payer: PACE SWMI |
$12,597.96
|
| Rate for Payer: PHP Medicare Advantage |
$12,597.96
|
| Rate for Payer: Priority Health Medicare |
$12,597.96
|
| Rate for Payer: Railroad Medicare Medicare |
$12,597.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,597.96
|
| Rate for Payer: UHC Medicare Advantage |
$12,597.96
|
| Rate for Payer: VA VA |
$12,597.96
|
|
|
MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$6,696.69
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$5,089.48 |
| Max. Negotiated Rate |
$6,696.69 |
| Rate for Payer: Aetna Medicare |
$5,571.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,696.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,696.69
|
| Rate for Payer: BCBS MAPPO |
$5,357.35
|
| Rate for Payer: BCN Medicare Advantage |
$5,357.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,357.35
|
| Rate for Payer: Mclaren Medicare |
$5,357.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,625.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,160.95
|
| Rate for Payer: PACE Medicare |
$5,089.48
|
| Rate for Payer: PACE SWMI |
$5,357.35
|
| Rate for Payer: PHP Medicare Advantage |
$5,357.35
|
| Rate for Payer: Priority Health Medicare |
$5,357.35
|
| Rate for Payer: Railroad Medicare Medicare |
$5,357.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,357.35
|
| Rate for Payer: UHC Medicare Advantage |
$5,357.35
|
| Rate for Payer: VA VA |
$5,357.35
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$10,589.17
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$8,047.77 |
| Max. Negotiated Rate |
$10,589.17 |
| Rate for Payer: Aetna Medicare |
$8,810.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,589.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,589.17
|
| Rate for Payer: BCBS MAPPO |
$8,471.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,471.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,471.34
|
| Rate for Payer: Mclaren Medicare |
$8,471.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,894.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,742.04
|
| Rate for Payer: PACE Medicare |
$8,047.77
|
| Rate for Payer: PACE SWMI |
$8,471.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,471.34
|
| Rate for Payer: Priority Health Medicare |
$8,471.34
|
| Rate for Payer: Railroad Medicare Medicare |
$8,471.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,471.34
|
| Rate for Payer: UHC Medicare Advantage |
$8,471.34
|
| Rate for Payer: VA VA |
$8,471.34
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$16,907.01
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$12,849.33 |
| Max. Negotiated Rate |
$16,907.01 |
| Rate for Payer: Aetna Medicare |
$14,066.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,907.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,907.01
|
| Rate for Payer: BCBS MAPPO |
$13,525.61
|
| Rate for Payer: BCN Medicare Advantage |
$13,525.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,525.61
|
| Rate for Payer: Mclaren Medicare |
$13,525.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,201.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,554.45
|
| Rate for Payer: PACE Medicare |
$12,849.33
|
| Rate for Payer: PACE SWMI |
$13,525.61
|
| Rate for Payer: PHP Medicare Advantage |
$13,525.61
|
| Rate for Payer: Priority Health Medicare |
$13,525.61
|
| Rate for Payer: Railroad Medicare Medicare |
$13,525.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,525.61
|
| Rate for Payer: UHC Medicare Advantage |
$13,525.61
|
| Rate for Payer: VA VA |
$13,525.61
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$8,338.89
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$6,337.55 |
| Max. Negotiated Rate |
$8,338.89 |
| Rate for Payer: Aetna Medicare |
$6,937.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,338.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,338.89
|
| Rate for Payer: BCBS MAPPO |
$6,671.11
|
| Rate for Payer: BCN Medicare Advantage |
$6,671.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,671.11
|
| Rate for Payer: Mclaren Medicare |
$6,671.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,004.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,671.78
|
| Rate for Payer: PACE Medicare |
$6,337.55
|
| Rate for Payer: PACE SWMI |
$6,671.11
|
| Rate for Payer: PHP Medicare Advantage |
$6,671.11
|
| Rate for Payer: Priority Health Medicare |
$6,671.11
|
| Rate for Payer: Railroad Medicare Medicare |
$6,671.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,671.11
|
| Rate for Payer: UHC Medicare Advantage |
$6,671.11
|
| Rate for Payer: VA VA |
$6,671.11
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$11,785.14
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$8,956.70 |
| Max. Negotiated Rate |
$11,785.14 |
| Rate for Payer: Aetna Medicare |
$9,805.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,785.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,785.14
|
| Rate for Payer: BCBS MAPPO |
$9,428.11
|
| Rate for Payer: BCN Medicare Advantage |
$9,428.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,428.11
|
| Rate for Payer: Mclaren Medicare |
$9,428.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,899.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,842.33
|
| Rate for Payer: PACE Medicare |
$8,956.70
|
| Rate for Payer: PACE SWMI |
$9,428.11
|
| Rate for Payer: PHP Medicare Advantage |
$9,428.11
|
| Rate for Payer: Priority Health Medicare |
$9,428.11
|
| Rate for Payer: Railroad Medicare Medicare |
$9,428.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,428.11
|
| Rate for Payer: UHC Medicare Advantage |
$9,428.11
|
| Rate for Payer: VA VA |
$9,428.11
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$18,235.54
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$13,859.01 |
| Max. Negotiated Rate |
$18,235.54 |
| Rate for Payer: Aetna Medicare |
$15,171.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,235.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,235.54
|
| Rate for Payer: BCBS MAPPO |
$14,588.43
|
| Rate for Payer: BCN Medicare Advantage |
$14,588.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,588.43
|
| Rate for Payer: Mclaren Medicare |
$14,588.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,317.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,776.69
|
| Rate for Payer: PACE Medicare |
$13,859.01
|
| Rate for Payer: PACE SWMI |
$14,588.43
|
| Rate for Payer: PHP Medicare Advantage |
$14,588.43
|
| Rate for Payer: Priority Health Medicare |
$14,588.43
|
| Rate for Payer: Railroad Medicare Medicare |
$14,588.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,588.43
|
| Rate for Payer: UHC Medicare Advantage |
$14,588.43
|
| Rate for Payer: VA VA |
$14,588.43
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,024.90
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$6,858.92 |
| Max. Negotiated Rate |
$9,024.90 |
| Rate for Payer: Aetna Medicare |
$7,508.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,024.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,024.90
|
| Rate for Payer: BCBS MAPPO |
$7,219.92
|
| Rate for Payer: BCN Medicare Advantage |
$7,219.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,219.92
|
| Rate for Payer: Mclaren Medicare |
$7,219.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,580.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,302.91
|
| Rate for Payer: PACE Medicare |
$6,858.92
|
| Rate for Payer: PACE SWMI |
$7,219.92
|
| Rate for Payer: PHP Medicare Advantage |
$7,219.92
|
| Rate for Payer: Priority Health Medicare |
$7,219.92
|
| Rate for Payer: Railroad Medicare Medicare |
$7,219.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,219.92
|
| Rate for Payer: UHC Medicare Advantage |
$7,219.92
|
| Rate for Payer: VA VA |
$7,219.92
|
|
|
MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$8,756.76
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$6,655.14 |
| Max. Negotiated Rate |
$8,756.76 |
| Rate for Payer: Aetna Medicare |
$7,285.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,756.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,756.76
|
| Rate for Payer: BCBS MAPPO |
$7,005.41
|
| Rate for Payer: BCN Medicare Advantage |
$7,005.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,005.41
|
| Rate for Payer: Mclaren Medicare |
$7,005.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,355.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,056.22
|
| Rate for Payer: PACE Medicare |
$6,655.14
|
| Rate for Payer: PACE SWMI |
$7,005.41
|
| Rate for Payer: PHP Medicare Advantage |
$7,005.41
|
| Rate for Payer: Priority Health Medicare |
$7,005.41
|
| Rate for Payer: Railroad Medicare Medicare |
$7,005.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,005.41
|
| Rate for Payer: UHC Medicare Advantage |
$7,005.41
|
| Rate for Payer: VA VA |
$7,005.41
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$27,706.21
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$21,056.72 |
| Max. Negotiated Rate |
$27,706.21 |
| Rate for Payer: Aetna Medicare |
$23,051.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,706.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,706.21
|
| Rate for Payer: BCBS MAPPO |
$22,164.97
|
| Rate for Payer: BCN Medicare Advantage |
$22,164.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,164.97
|
| Rate for Payer: Mclaren Medicare |
$22,164.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,273.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,489.72
|
| Rate for Payer: PACE Medicare |
$21,056.72
|
| Rate for Payer: PACE SWMI |
$22,164.97
|
| Rate for Payer: PHP Medicare Advantage |
$22,164.97
|
| Rate for Payer: Priority Health Medicare |
$22,164.97
|
| Rate for Payer: Railroad Medicare Medicare |
$22,164.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,164.97
|
| Rate for Payer: UHC Medicare Advantage |
$22,164.97
|
| Rate for Payer: VA VA |
$22,164.97
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$65,987.61
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$50,150.59 |
| Max. Negotiated Rate |
$65,987.61 |
| Rate for Payer: Aetna Medicare |
$54,901.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,987.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,987.61
|
| Rate for Payer: BCBS MAPPO |
$52,790.09
|
| Rate for Payer: BCN Medicare Advantage |
$52,790.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,790.09
|
| Rate for Payer: Mclaren Medicare |
$52,790.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,429.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,708.60
|
| Rate for Payer: PACE Medicare |
$50,150.59
|
| Rate for Payer: PACE SWMI |
$52,790.09
|
| Rate for Payer: PHP Medicare Advantage |
$52,790.09
|
| Rate for Payer: Priority Health Medicare |
$52,790.09
|
| Rate for Payer: Railroad Medicare Medicare |
$52,790.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,790.09
|
| Rate for Payer: UHC Medicare Advantage |
$52,790.09
|
| Rate for Payer: VA VA |
$52,790.09
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$10,832.01
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$8,232.33 |
| Max. Negotiated Rate |
$10,832.01 |
| Rate for Payer: Aetna Medicare |
$9,012.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,832.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,832.01
|
| Rate for Payer: BCBS MAPPO |
$8,665.61
|
| Rate for Payer: BCN Medicare Advantage |
$8,665.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,665.61
|
| Rate for Payer: Mclaren Medicare |
$8,665.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,098.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,965.45
|
| Rate for Payer: PACE Medicare |
$8,232.33
|
| Rate for Payer: PACE SWMI |
$8,665.61
|
| Rate for Payer: PHP Medicare Advantage |
$8,665.61
|
| Rate for Payer: Priority Health Medicare |
$8,665.61
|
| Rate for Payer: Railroad Medicare Medicare |
$8,665.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,665.61
|
| Rate for Payer: UHC Medicare Advantage |
$8,665.61
|
| Rate for Payer: VA VA |
$8,665.61
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$21,703.05
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$16,494.32 |
| Max. Negotiated Rate |
$21,703.05 |
| Rate for Payer: Aetna Medicare |
$18,056.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,703.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,703.05
|
| Rate for Payer: BCBS MAPPO |
$17,362.44
|
| Rate for Payer: BCN Medicare Advantage |
$17,362.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,362.44
|
| Rate for Payer: Mclaren Medicare |
$17,362.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,230.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,966.81
|
| Rate for Payer: PACE Medicare |
$16,494.32
|
| Rate for Payer: PACE SWMI |
$17,362.44
|
| Rate for Payer: PHP Medicare Advantage |
$17,362.44
|
| Rate for Payer: Priority Health Medicare |
$17,362.44
|
| Rate for Payer: Railroad Medicare Medicare |
$17,362.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,362.44
|
| Rate for Payer: UHC Medicare Advantage |
$17,362.44
|
| Rate for Payer: VA VA |
$17,362.44
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$7,222.85
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$5,489.37 |
| Max. Negotiated Rate |
$7,222.85 |
| Rate for Payer: Aetna Medicare |
$6,009.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,222.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,222.85
|
| Rate for Payer: BCBS MAPPO |
$5,778.28
|
| Rate for Payer: BCN Medicare Advantage |
$5,778.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,778.28
|
| Rate for Payer: Mclaren Medicare |
$5,778.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,067.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,645.02
|
| Rate for Payer: PACE Medicare |
$5,489.37
|
| Rate for Payer: PACE SWMI |
$5,778.28
|
| Rate for Payer: PHP Medicare Advantage |
$5,778.28
|
| Rate for Payer: Priority Health Medicare |
$5,778.28
|
| Rate for Payer: Railroad Medicare Medicare |
$5,778.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,778.28
|
| Rate for Payer: UHC Medicare Advantage |
$5,778.28
|
| Rate for Payer: VA VA |
$5,778.28
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$35,207.90
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$26,758.00 |
| Max. Negotiated Rate |
$35,207.90 |
| Rate for Payer: Aetna Medicare |
$29,292.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,207.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,207.90
|
| Rate for Payer: BCBS MAPPO |
$28,166.32
|
| Rate for Payer: BCN Medicare Advantage |
$28,166.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,166.32
|
| Rate for Payer: Mclaren Medicare |
$28,166.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,574.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,391.27
|
| Rate for Payer: PACE Medicare |
$26,758.00
|
| Rate for Payer: PACE SWMI |
$28,166.32
|
| Rate for Payer: PHP Medicare Advantage |
$28,166.32
|
| Rate for Payer: Priority Health Medicare |
$28,166.32
|
| Rate for Payer: Railroad Medicare Medicare |
$28,166.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,166.32
|
| Rate for Payer: UHC Medicare Advantage |
$28,166.32
|
| Rate for Payer: VA VA |
$28,166.32
|
|
