|
MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$31,775.78
|
|
|
Service Code
|
MSDRG 451
|
| Min. Negotiated Rate |
$24,149.59 |
| Max. Negotiated Rate |
$31,775.78 |
| Rate for Payer: Aetna Medicare |
$26,437.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,775.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,775.78
|
| Rate for Payer: BCBS MAPPO |
$25,420.62
|
| Rate for Payer: BCN Medicare Advantage |
$25,420.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,420.62
|
| Rate for Payer: Mclaren Medicare |
$25,420.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,691.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,233.71
|
| Rate for Payer: PACE Medicare |
$24,149.59
|
| Rate for Payer: PACE SWMI |
$25,420.62
|
| Rate for Payer: PHP Medicare Advantage |
$25,420.62
|
| Rate for Payer: Priority Health Medicare |
$25,420.62
|
| Rate for Payer: Railroad Medicare Medicare |
$25,420.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,420.62
|
| Rate for Payer: UHC Medicare Advantage |
$25,420.62
|
| Rate for Payer: VA VA |
$25,420.62
|
|
|
MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$24,946.97
|
|
|
Service Code
|
MSDRG 135
|
| Min. Negotiated Rate |
$18,959.70 |
| Max. Negotiated Rate |
$24,946.97 |
| Rate for Payer: Aetna Medicare |
$20,755.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,946.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,946.97
|
| Rate for Payer: BCBS MAPPO |
$19,957.58
|
| Rate for Payer: BCN Medicare Advantage |
$19,957.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,957.58
|
| Rate for Payer: Mclaren Medicare |
$19,957.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,955.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,951.22
|
| Rate for Payer: PACE Medicare |
$18,959.70
|
| Rate for Payer: PACE SWMI |
$19,957.58
|
| Rate for Payer: PHP Medicare Advantage |
$19,957.58
|
| Rate for Payer: Priority Health Medicare |
$19,957.58
|
| Rate for Payer: Railroad Medicare Medicare |
$19,957.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,957.58
|
| Rate for Payer: UHC Medicare Advantage |
$19,957.58
|
| Rate for Payer: VA VA |
$19,957.58
|
|
|
MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,448.54
|
|
|
Service Code
|
MSDRG 136
|
| Min. Negotiated Rate |
$7,940.89 |
| Max. Negotiated Rate |
$10,448.54 |
| Rate for Payer: Aetna Medicare |
$8,693.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,448.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,448.54
|
| Rate for Payer: BCBS MAPPO |
$8,358.83
|
| Rate for Payer: BCN Medicare Advantage |
$8,358.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,358.83
|
| Rate for Payer: Mclaren Medicare |
$8,358.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,776.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,612.65
|
| Rate for Payer: PACE Medicare |
$7,940.89
|
| Rate for Payer: PACE SWMI |
$8,358.83
|
| Rate for Payer: PHP Medicare Advantage |
$8,358.83
|
| Rate for Payer: Priority Health Medicare |
$8,358.83
|
| Rate for Payer: Railroad Medicare Medicare |
$8,358.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,358.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,358.83
|
| Rate for Payer: VA VA |
$8,358.83
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC
|
Facility
|
IP
|
$17,491.84
|
|
|
Service Code
|
MSDRG 571
|
| Min. Negotiated Rate |
$13,293.80 |
| Max. Negotiated Rate |
$17,491.84 |
| Rate for Payer: Aetna Medicare |
$14,553.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,491.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,491.84
|
| Rate for Payer: BCBS MAPPO |
$13,993.47
|
| Rate for Payer: BCN Medicare Advantage |
$13,993.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,993.47
|
| Rate for Payer: Mclaren Medicare |
$13,993.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,693.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,092.49
|
| Rate for Payer: PACE Medicare |
$13,293.80
|
| Rate for Payer: PACE SWMI |
$13,993.47
|
| Rate for Payer: PHP Medicare Advantage |
$13,993.47
|
| Rate for Payer: Priority Health Medicare |
$13,993.47
|
| Rate for Payer: Railroad Medicare Medicare |
$13,993.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,993.47
|
| Rate for Payer: UHC Medicare Advantage |
$13,993.47
|
| Rate for Payer: VA VA |
$13,993.47
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC
|
Facility
|
IP
|
$31,008.81
|
|
|
Service Code
|
MSDRG 570
|
| Min. Negotiated Rate |
$23,566.70 |
| Max. Negotiated Rate |
$31,008.81 |
| Rate for Payer: Aetna Medicare |
$25,799.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,008.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,008.81
|
| Rate for Payer: BCBS MAPPO |
$24,807.05
|
| Rate for Payer: BCN Medicare Advantage |
$24,807.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,807.05
|
| Rate for Payer: Mclaren Medicare |
$24,807.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,047.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,528.11
|
| Rate for Payer: PACE Medicare |
$23,566.70
|
| Rate for Payer: PACE SWMI |
$24,807.05
|
| Rate for Payer: PHP Medicare Advantage |
$24,807.05
|
| Rate for Payer: Priority Health Medicare |
$24,807.05
|
| Rate for Payer: Railroad Medicare Medicare |
$24,807.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,807.05
|
| Rate for Payer: UHC Medicare Advantage |
$24,807.05
|
| Rate for Payer: VA VA |
$24,807.05
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$12,109.94
|
|
|
Service Code
|
MSDRG 572
|
| Min. Negotiated Rate |
$9,203.55 |
| Max. Negotiated Rate |
$12,109.94 |
| Rate for Payer: Aetna Medicare |
$10,075.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,109.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,109.94
|
| Rate for Payer: BCBS MAPPO |
$9,687.95
|
| Rate for Payer: BCN Medicare Advantage |
$9,687.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,687.95
|
| Rate for Payer: Mclaren Medicare |
$9,687.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,172.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,141.14
|
| Rate for Payer: PACE Medicare |
$9,203.55
|
| Rate for Payer: PACE SWMI |
$9,687.95
|
| Rate for Payer: PHP Medicare Advantage |
$9,687.95
|
| Rate for Payer: Priority Health Medicare |
$9,687.95
|
| Rate for Payer: Railroad Medicare Medicare |
$9,687.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,687.95
|
| Rate for Payer: UHC Medicare Advantage |
$9,687.95
|
| Rate for Payer: VA VA |
$9,687.95
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$27,493.74
|
|
|
Service Code
|
MSDRG 577
|
| Min. Negotiated Rate |
$20,895.24 |
| Max. Negotiated Rate |
$27,493.74 |
| Rate for Payer: Aetna Medicare |
$22,874.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,493.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,493.74
|
| Rate for Payer: BCBS MAPPO |
$21,994.99
|
| Rate for Payer: BCN Medicare Advantage |
$21,994.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,994.99
|
| Rate for Payer: Mclaren Medicare |
$21,994.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,094.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,294.24
|
| Rate for Payer: PACE Medicare |
$20,895.24
|
| Rate for Payer: PACE SWMI |
$21,994.99
|
| Rate for Payer: PHP Medicare Advantage |
$21,994.99
|
| Rate for Payer: Priority Health Medicare |
$21,994.99
|
| Rate for Payer: Railroad Medicare Medicare |
$21,994.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,994.99
|
| Rate for Payer: UHC Medicare Advantage |
$21,994.99
|
| Rate for Payer: VA VA |
$21,994.99
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$55,141.86
|
|
|
Service Code
|
MSDRG 576
|
| Min. Negotiated Rate |
$41,907.82 |
| Max. Negotiated Rate |
$55,141.86 |
| Rate for Payer: Aetna Medicare |
$45,878.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,141.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,141.86
|
| Rate for Payer: BCBS MAPPO |
$44,113.49
|
| Rate for Payer: BCN Medicare Advantage |
$44,113.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,113.49
|
| Rate for Payer: Mclaren Medicare |
$44,113.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,319.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,730.51
|
| Rate for Payer: PACE Medicare |
$41,907.82
|
| Rate for Payer: PACE SWMI |
$44,113.49
|
| Rate for Payer: PHP Medicare Advantage |
$44,113.49
|
| Rate for Payer: Priority Health Medicare |
$44,113.49
|
| Rate for Payer: Railroad Medicare Medicare |
$44,113.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,113.49
|
| Rate for Payer: UHC Medicare Advantage |
$44,113.49
|
| Rate for Payer: VA VA |
$44,113.49
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$17,654.76
|
|
|
Service Code
|
MSDRG 578
|
| Min. Negotiated Rate |
$13,417.62 |
| Max. Negotiated Rate |
$17,654.76 |
| Rate for Payer: Aetna Medicare |
$14,688.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,654.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,654.76
|
| Rate for Payer: BCBS MAPPO |
$14,123.81
|
| Rate for Payer: BCN Medicare Advantage |
$14,123.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,123.81
|
| Rate for Payer: Mclaren Medicare |
$14,123.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,830.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,242.38
|
| Rate for Payer: PACE Medicare |
$13,417.62
|
| Rate for Payer: PACE SWMI |
$14,123.81
|
| Rate for Payer: PHP Medicare Advantage |
$14,123.81
|
| Rate for Payer: Priority Health Medicare |
$14,123.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14,123.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,123.81
|
| Rate for Payer: UHC Medicare Advantage |
$14,123.81
|
| Rate for Payer: VA VA |
$14,123.81
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$35,609.59
|
|
|
Service Code
|
MSDRG 574
|
| Min. Negotiated Rate |
$27,063.29 |
| Max. Negotiated Rate |
$35,609.59 |
| Rate for Payer: Aetna Medicare |
$29,627.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,609.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,609.59
|
| Rate for Payer: BCBS MAPPO |
$28,487.67
|
| Rate for Payer: BCN Medicare Advantage |
$28,487.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,487.67
|
| Rate for Payer: Mclaren Medicare |
$28,487.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,912.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,760.82
|
| Rate for Payer: PACE Medicare |
$27,063.29
|
| Rate for Payer: PACE SWMI |
$28,487.67
|
| Rate for Payer: PHP Medicare Advantage |
$28,487.67
|
| Rate for Payer: Priority Health Medicare |
$28,487.67
|
| Rate for Payer: Railroad Medicare Medicare |
$28,487.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,487.67
|
| Rate for Payer: UHC Medicare Advantage |
$28,487.67
|
| Rate for Payer: VA VA |
$28,487.67
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$62,861.06
|
|
|
Service Code
|
MSDRG 573
|
| Min. Negotiated Rate |
$47,774.41 |
| Max. Negotiated Rate |
$62,861.06 |
| Rate for Payer: Aetna Medicare |
$52,300.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,861.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,861.06
|
| Rate for Payer: BCBS MAPPO |
$50,288.85
|
| Rate for Payer: BCN Medicare Advantage |
$50,288.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,288.85
|
| Rate for Payer: Mclaren Medicare |
$50,288.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,803.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,832.18
|
| Rate for Payer: PACE Medicare |
$47,774.41
|
| Rate for Payer: PACE SWMI |
$50,288.85
|
| Rate for Payer: PHP Medicare Advantage |
$50,288.85
|
| Rate for Payer: Priority Health Medicare |
$50,288.85
|
| Rate for Payer: Railroad Medicare Medicare |
$50,288.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,288.85
|
| Rate for Payer: UHC Medicare Advantage |
$50,288.85
|
| Rate for Payer: VA VA |
$50,288.85
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,753.97
|
|
|
Service Code
|
MSDRG 575
|
| Min. Negotiated Rate |
$15,773.02 |
| Max. Negotiated Rate |
$20,753.97 |
| Rate for Payer: Aetna Medicare |
$17,267.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,753.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,753.97
|
| Rate for Payer: BCBS MAPPO |
$16,603.18
|
| Rate for Payer: BCN Medicare Advantage |
$16,603.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,603.18
|
| Rate for Payer: Mclaren Medicare |
$16,603.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,433.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,093.66
|
| Rate for Payer: PACE Medicare |
$15,773.02
|
| Rate for Payer: PACE SWMI |
$16,603.18
|
| Rate for Payer: PHP Medicare Advantage |
$16,603.18
|
| Rate for Payer: Priority Health Medicare |
$16,603.18
|
| Rate for Payer: Railroad Medicare Medicare |
$16,603.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,603.18
|
| Rate for Payer: UHC Medicare Advantage |
$16,603.18
|
| Rate for Payer: VA VA |
$16,603.18
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$19,905.05
|
|
|
Service Code
|
MSDRG 623
|
| Min. Negotiated Rate |
$15,127.84 |
| Max. Negotiated Rate |
$19,905.05 |
| Rate for Payer: Aetna Medicare |
$16,561.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,905.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,905.05
|
| Rate for Payer: BCBS MAPPO |
$15,924.04
|
| Rate for Payer: BCN Medicare Advantage |
$15,924.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,924.04
|
| Rate for Payer: Mclaren Medicare |
$15,924.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,720.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,312.65
|
| Rate for Payer: PACE Medicare |
$15,127.84
|
| Rate for Payer: PACE SWMI |
$15,924.04
|
| Rate for Payer: PHP Medicare Advantage |
$15,924.04
|
| Rate for Payer: Priority Health Medicare |
$15,924.04
|
| Rate for Payer: Railroad Medicare Medicare |
$15,924.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,924.04
|
| Rate for Payer: UHC Medicare Advantage |
$15,924.04
|
| Rate for Payer: VA VA |
$15,924.04
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$38,413.35
|
|
|
Service Code
|
MSDRG 622
|
| Min. Negotiated Rate |
$29,194.15 |
| Max. Negotiated Rate |
$38,413.35 |
| Rate for Payer: Aetna Medicare |
$31,959.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,413.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,413.35
|
| Rate for Payer: BCBS MAPPO |
$30,730.68
|
| Rate for Payer: BCN Medicare Advantage |
$30,730.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,730.68
|
| Rate for Payer: Mclaren Medicare |
$30,730.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,267.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,340.28
|
| Rate for Payer: PACE Medicare |
$29,194.15
|
| Rate for Payer: PACE SWMI |
$30,730.68
|
| Rate for Payer: PHP Medicare Advantage |
$30,730.68
|
| Rate for Payer: Priority Health Medicare |
$30,730.68
|
| Rate for Payer: Railroad Medicare Medicare |
$30,730.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,730.68
|
| Rate for Payer: UHC Medicare Advantage |
$30,730.68
|
| Rate for Payer: VA VA |
$30,730.68
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,700.46
|
|
|
Service Code
|
MSDRG 624
|
| Min. Negotiated Rate |
$8,132.35 |
| Max. Negotiated Rate |
$10,700.46 |
| Rate for Payer: Aetna Medicare |
$8,902.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,700.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,700.46
|
| Rate for Payer: BCBS MAPPO |
$8,560.37
|
| Rate for Payer: BCN Medicare Advantage |
$8,560.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,560.37
|
| Rate for Payer: Mclaren Medicare |
$8,560.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,988.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,844.43
|
| Rate for Payer: PACE Medicare |
$8,132.35
|
| Rate for Payer: PACE SWMI |
$8,560.37
|
| Rate for Payer: PHP Medicare Advantage |
$8,560.37
|
| Rate for Payer: Priority Health Medicare |
$8,560.37
|
| Rate for Payer: Railroad Medicare Medicare |
$8,560.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,560.37
|
| Rate for Payer: UHC Medicare Advantage |
$8,560.37
|
| Rate for Payer: VA VA |
$8,560.37
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC
|
Facility
|
IP
|
$39,618.43
|
|
|
Service Code
|
MSDRG 904
|
| Min. Negotiated Rate |
$30,110.00 |
| Max. Negotiated Rate |
$39,618.43 |
| Rate for Payer: Aetna Medicare |
$32,962.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,618.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,618.43
|
| Rate for Payer: BCBS MAPPO |
$31,694.74
|
| Rate for Payer: BCN Medicare Advantage |
$31,694.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,694.74
|
| Rate for Payer: Mclaren Medicare |
$31,694.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,279.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,448.95
|
| Rate for Payer: PACE Medicare |
$30,110.00
|
| Rate for Payer: PACE SWMI |
$31,694.74
|
| Rate for Payer: PHP Medicare Advantage |
$31,694.74
|
| Rate for Payer: Priority Health Medicare |
$31,694.74
|
| Rate for Payer: Railroad Medicare Medicare |
$31,694.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,694.74
|
| Rate for Payer: UHC Medicare Advantage |
$31,694.74
|
| Rate for Payer: VA VA |
$31,694.74
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,227.76
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$13,093.10 |
| Max. Negotiated Rate |
$17,227.76 |
| Rate for Payer: Aetna Medicare |
$14,333.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,227.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,227.76
|
| Rate for Payer: BCBS MAPPO |
$13,782.21
|
| Rate for Payer: BCN Medicare Advantage |
$13,782.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,782.21
|
| Rate for Payer: Mclaren Medicare |
$13,782.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,471.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,849.54
|
| Rate for Payer: PACE Medicare |
$13,093.10
|
| Rate for Payer: PACE SWMI |
$13,782.21
|
| Rate for Payer: PHP Medicare Advantage |
$13,782.21
|
| Rate for Payer: Priority Health Medicare |
$13,782.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13,782.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,782.21
|
| Rate for Payer: UHC Medicare Advantage |
$13,782.21
|
| Rate for Payer: VA VA |
$13,782.21
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$12,922.46
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$9,821.07 |
| Max. Negotiated Rate |
$12,922.46 |
| Rate for Payer: Aetna Medicare |
$10,751.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,922.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,922.46
|
| Rate for Payer: BCBS MAPPO |
$10,337.97
|
| Rate for Payer: BCN Medicare Advantage |
$10,337.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,337.97
|
| Rate for Payer: Mclaren Medicare |
$10,337.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,854.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,888.67
|
| Rate for Payer: PACE Medicare |
$9,821.07
|
| Rate for Payer: PACE SWMI |
$10,337.97
|
| Rate for Payer: PHP Medicare Advantage |
$10,337.97
|
| Rate for Payer: Priority Health Medicare |
$10,337.97
|
| Rate for Payer: Railroad Medicare Medicare |
$10,337.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,337.97
|
| Rate for Payer: UHC Medicare Advantage |
$10,337.97
|
| Rate for Payer: VA VA |
$10,337.97
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$21,357.01
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$16,231.33 |
| Max. Negotiated Rate |
$21,357.01 |
| Rate for Payer: Aetna Medicare |
$17,769.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,357.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,357.01
|
| Rate for Payer: BCBS MAPPO |
$17,085.61
|
| Rate for Payer: BCN Medicare Advantage |
$17,085.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,085.61
|
| Rate for Payer: Mclaren Medicare |
$17,085.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,939.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,648.45
|
| Rate for Payer: PACE Medicare |
$16,231.33
|
| Rate for Payer: PACE SWMI |
$17,085.61
|
| Rate for Payer: PHP Medicare Advantage |
$17,085.61
|
| Rate for Payer: Priority Health Medicare |
$17,085.61
|
| Rate for Payer: Railroad Medicare Medicare |
$17,085.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,085.61
|
| Rate for Payer: UHC Medicare Advantage |
$17,085.61
|
| Rate for Payer: VA VA |
$17,085.61
|
|
|
MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,138.23
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$6,945.05 |
| Max. Negotiated Rate |
$9,138.23 |
| Rate for Payer: Aetna Medicare |
$7,603.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,138.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,138.23
|
| Rate for Payer: BCBS MAPPO |
$7,310.58
|
| Rate for Payer: BCN Medicare Advantage |
$7,310.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,310.58
|
| Rate for Payer: Mclaren Medicare |
$7,310.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,676.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,407.17
|
| Rate for Payer: PACE Medicare |
$6,945.05
|
| Rate for Payer: PACE SWMI |
$7,310.58
|
| Rate for Payer: PHP Medicare Advantage |
$7,310.58
|
| Rate for Payer: Priority Health Medicare |
$7,310.58
|
| Rate for Payer: Railroad Medicare Medicare |
$7,310.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,310.58
|
| Rate for Payer: UHC Medicare Advantage |
$7,310.58
|
| Rate for Payer: VA VA |
$7,310.58
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$18,608.90
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$14,142.76 |
| Max. Negotiated Rate |
$18,608.90 |
| Rate for Payer: Aetna Medicare |
$15,482.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,608.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,608.90
|
| Rate for Payer: BCBS MAPPO |
$14,887.12
|
| Rate for Payer: BCN Medicare Advantage |
$14,887.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,887.12
|
| Rate for Payer: Mclaren Medicare |
$14,887.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,631.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,120.19
|
| Rate for Payer: PACE Medicare |
$14,142.76
|
| Rate for Payer: PACE SWMI |
$14,887.12
|
| Rate for Payer: PHP Medicare Advantage |
$14,887.12
|
| Rate for Payer: Priority Health Medicare |
$14,887.12
|
| Rate for Payer: Railroad Medicare Medicare |
$14,887.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,887.12
|
| Rate for Payer: UHC Medicare Advantage |
$14,887.12
|
| Rate for Payer: VA VA |
$14,887.12
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$32,612.55
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$24,785.54 |
| Max. Negotiated Rate |
$32,612.55 |
| Rate for Payer: Aetna Medicare |
$27,133.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,612.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,612.55
|
| Rate for Payer: BCBS MAPPO |
$26,090.04
|
| Rate for Payer: BCN Medicare Advantage |
$26,090.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,090.04
|
| Rate for Payer: Mclaren Medicare |
$26,090.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,394.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,003.55
|
| Rate for Payer: PACE Medicare |
$24,785.54
|
| Rate for Payer: PACE SWMI |
$26,090.04
|
| Rate for Payer: PHP Medicare Advantage |
$26,090.04
|
| Rate for Payer: Priority Health Medicare |
$26,090.04
|
| Rate for Payer: Railroad Medicare Medicare |
$26,090.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,090.04
|
| Rate for Payer: UHC Medicare Advantage |
$26,090.04
|
| Rate for Payer: VA VA |
$26,090.04
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,688.08
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$11,162.94 |
| Max. Negotiated Rate |
$14,688.08 |
| Rate for Payer: Aetna Medicare |
$12,220.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,688.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,688.08
|
| Rate for Payer: BCBS MAPPO |
$11,750.46
|
| Rate for Payer: BCN Medicare Advantage |
$11,750.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,750.46
|
| Rate for Payer: Mclaren Medicare |
$11,750.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,337.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,513.03
|
| Rate for Payer: PACE Medicare |
$11,162.94
|
| Rate for Payer: PACE SWMI |
$11,750.46
|
| Rate for Payer: PHP Medicare Advantage |
$11,750.46
|
| Rate for Payer: Priority Health Medicare |
$11,750.46
|
| Rate for Payer: Railroad Medicare Medicare |
$11,750.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,750.46
|
| Rate for Payer: UHC Medicare Advantage |
$11,750.46
|
| Rate for Payer: VA VA |
$11,750.46
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$20,913.83
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$15,894.51 |
| Max. Negotiated Rate |
$20,913.83 |
| Rate for Payer: Aetna Medicare |
$17,400.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,913.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,913.83
|
| Rate for Payer: BCBS MAPPO |
$16,731.06
|
| Rate for Payer: BCN Medicare Advantage |
$16,731.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,731.06
|
| Rate for Payer: Mclaren Medicare |
$16,731.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,567.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,240.72
|
| Rate for Payer: PACE Medicare |
$15,894.51
|
| Rate for Payer: PACE SWMI |
$16,731.06
|
| Rate for Payer: PHP Medicare Advantage |
$16,731.06
|
| Rate for Payer: Priority Health Medicare |
$16,731.06
|
| Rate for Payer: Railroad Medicare Medicare |
$16,731.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,731.06
|
| Rate for Payer: UHC Medicare Advantage |
$16,731.06
|
| Rate for Payer: VA VA |
$16,731.06
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,873.83
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$7,504.11 |
| Max. Negotiated Rate |
$9,873.83 |
| Rate for Payer: Aetna Medicare |
$8,215.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,873.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,873.83
|
| Rate for Payer: BCBS MAPPO |
$7,899.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,899.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,899.06
|
| Rate for Payer: Mclaren Medicare |
$7,899.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,294.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,083.92
|
| Rate for Payer: PACE Medicare |
$7,504.11
|
| Rate for Payer: PACE SWMI |
$7,899.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,899.06
|
| Rate for Payer: Priority Health Medicare |
$7,899.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,899.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,899.06
|
| Rate for Payer: UHC Medicare Advantage |
$7,899.06
|
| Rate for Payer: VA VA |
$7,899.06
|
|
