|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$58,623.54
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$44,553.89 |
| Max. Negotiated Rate |
$58,623.54 |
| Rate for Payer: Aetna Medicare |
$48,774.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,623.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,623.54
|
| Rate for Payer: BCBS MAPPO |
$46,898.83
|
| Rate for Payer: BCN Medicare Advantage |
$46,898.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,898.83
|
| Rate for Payer: Mclaren Medicare |
$46,898.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,243.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,933.65
|
| Rate for Payer: PACE Medicare |
$44,553.89
|
| Rate for Payer: PACE SWMI |
$46,898.83
|
| Rate for Payer: PHP Medicare Advantage |
$46,898.83
|
| Rate for Payer: Priority Health Medicare |
$46,898.83
|
| Rate for Payer: Railroad Medicare Medicare |
$46,898.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,898.83
|
| Rate for Payer: UHC Medicare Advantage |
$46,898.83
|
| Rate for Payer: VA VA |
$46,898.83
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$86,244.32
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$65,545.69 |
| Max. Negotiated Rate |
$86,244.32 |
| Rate for Payer: Aetna Medicare |
$71,755.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86,244.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86,244.32
|
| Rate for Payer: BCBS MAPPO |
$68,995.46
|
| Rate for Payer: BCN Medicare Advantage |
$68,995.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68,995.46
|
| Rate for Payer: Mclaren Medicare |
$68,995.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72,445.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79,344.78
|
| Rate for Payer: PACE Medicare |
$65,545.69
|
| Rate for Payer: PACE SWMI |
$68,995.46
|
| Rate for Payer: PHP Medicare Advantage |
$68,995.46
|
| Rate for Payer: Priority Health Medicare |
$68,995.46
|
| Rate for Payer: Railroad Medicare Medicare |
$68,995.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$68,995.46
|
| Rate for Payer: UHC Medicare Advantage |
$68,995.46
|
| Rate for Payer: VA VA |
$68,995.46
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$44,241.45
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$33,623.50 |
| Max. Negotiated Rate |
$44,241.45 |
| Rate for Payer: Aetna Medicare |
$36,808.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,241.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,241.45
|
| Rate for Payer: BCBS MAPPO |
$35,393.16
|
| Rate for Payer: BCN Medicare Advantage |
$35,393.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,393.16
|
| Rate for Payer: Mclaren Medicare |
$35,393.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,162.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,702.13
|
| Rate for Payer: PACE Medicare |
$33,623.50
|
| Rate for Payer: PACE SWMI |
$35,393.16
|
| Rate for Payer: PHP Medicare Advantage |
$35,393.16
|
| Rate for Payer: Priority Health Medicare |
$35,393.16
|
| Rate for Payer: Railroad Medicare Medicare |
$35,393.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,393.16
|
| Rate for Payer: UHC Medicare Advantage |
$35,393.16
|
| Rate for Payer: VA VA |
$35,393.16
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$34,514.79
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$26,231.24 |
| Max. Negotiated Rate |
$34,514.79 |
| Rate for Payer: Aetna Medicare |
$28,716.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,514.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,514.79
|
| Rate for Payer: BCBS MAPPO |
$27,611.83
|
| Rate for Payer: BCN Medicare Advantage |
$27,611.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,611.83
|
| Rate for Payer: Mclaren Medicare |
$27,611.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,992.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,753.60
|
| Rate for Payer: PACE Medicare |
$26,231.24
|
| Rate for Payer: PACE SWMI |
$27,611.83
|
| Rate for Payer: PHP Medicare Advantage |
$27,611.83
|
| Rate for Payer: Priority Health Medicare |
$27,611.83
|
| Rate for Payer: Railroad Medicare Medicare |
$27,611.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,611.83
|
| Rate for Payer: UHC Medicare Advantage |
$27,611.83
|
| Rate for Payer: VA VA |
$27,611.83
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$62,064.75
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$47,169.21 |
| Max. Negotiated Rate |
$62,064.75 |
| Rate for Payer: Aetna Medicare |
$51,637.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,064.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,064.75
|
| Rate for Payer: BCBS MAPPO |
$49,651.80
|
| Rate for Payer: BCN Medicare Advantage |
$49,651.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,651.80
|
| Rate for Payer: Mclaren Medicare |
$49,651.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,134.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,099.57
|
| Rate for Payer: PACE Medicare |
$47,169.21
|
| Rate for Payer: PACE SWMI |
$49,651.80
|
| Rate for Payer: PHP Medicare Advantage |
$49,651.80
|
| Rate for Payer: Priority Health Medicare |
$49,651.80
|
| Rate for Payer: Railroad Medicare Medicare |
$49,651.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,651.80
|
| Rate for Payer: UHC Medicare Advantage |
$49,651.80
|
| Rate for Payer: VA VA |
$49,651.80
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,068.03
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$17,531.70 |
| Max. Negotiated Rate |
$23,068.03 |
| Rate for Payer: Aetna Medicare |
$19,192.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,068.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,068.03
|
| Rate for Payer: BCBS MAPPO |
$18,454.42
|
| Rate for Payer: BCN Medicare Advantage |
$18,454.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,454.42
|
| Rate for Payer: Mclaren Medicare |
$18,454.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,377.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,222.58
|
| Rate for Payer: PACE Medicare |
$17,531.70
|
| Rate for Payer: PACE SWMI |
$18,454.42
|
| Rate for Payer: PHP Medicare Advantage |
$18,454.42
|
| Rate for Payer: Priority Health Medicare |
$18,454.42
|
| Rate for Payer: Railroad Medicare Medicare |
$18,454.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,454.42
|
| Rate for Payer: UHC Medicare Advantage |
$18,454.42
|
| Rate for Payer: VA VA |
$18,454.42
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$30,033.44
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$22,825.41 |
| Max. Negotiated Rate |
$30,033.44 |
| Rate for Payer: Aetna Medicare |
$24,987.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,033.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,033.44
|
| Rate for Payer: BCBS MAPPO |
$24,026.75
|
| Rate for Payer: BCN Medicare Advantage |
$24,026.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,026.75
|
| Rate for Payer: Mclaren Medicare |
$24,026.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,228.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,630.76
|
| Rate for Payer: PACE Medicare |
$22,825.41
|
| Rate for Payer: PACE SWMI |
$24,026.75
|
| Rate for Payer: PHP Medicare Advantage |
$24,026.75
|
| Rate for Payer: Priority Health Medicare |
$24,026.75
|
| Rate for Payer: Railroad Medicare Medicare |
$24,026.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,026.75
|
| Rate for Payer: UHC Medicare Advantage |
$24,026.75
|
| Rate for Payer: VA VA |
$24,026.75
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,661.12
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$36,982.46 |
| Max. Negotiated Rate |
$48,661.12 |
| Rate for Payer: Aetna Medicare |
$40,486.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,661.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,661.12
|
| Rate for Payer: BCBS MAPPO |
$38,928.90
|
| Rate for Payer: BCN Medicare Advantage |
$38,928.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,928.90
|
| Rate for Payer: Mclaren Medicare |
$38,928.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,875.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,768.24
|
| Rate for Payer: PACE Medicare |
$36,982.46
|
| Rate for Payer: PACE SWMI |
$38,928.90
|
| Rate for Payer: PHP Medicare Advantage |
$38,928.90
|
| Rate for Payer: Priority Health Medicare |
$38,928.90
|
| Rate for Payer: Railroad Medicare Medicare |
$38,928.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,928.90
|
| Rate for Payer: UHC Medicare Advantage |
$38,928.90
|
| Rate for Payer: VA VA |
$38,928.90
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,161.99
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$13,043.11 |
| Max. Negotiated Rate |
$17,161.99 |
| Rate for Payer: Aetna Medicare |
$14,278.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,161.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,161.99
|
| Rate for Payer: BCBS MAPPO |
$13,729.59
|
| Rate for Payer: BCN Medicare Advantage |
$13,729.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,729.59
|
| Rate for Payer: Mclaren Medicare |
$13,729.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,416.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,789.03
|
| Rate for Payer: PACE Medicare |
$13,043.11
|
| Rate for Payer: PACE SWMI |
$13,729.59
|
| Rate for Payer: PHP Medicare Advantage |
$13,729.59
|
| Rate for Payer: Priority Health Medicare |
$13,729.59
|
| Rate for Payer: Railroad Medicare Medicare |
$13,729.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,729.59
|
| Rate for Payer: UHC Medicare Advantage |
$13,729.59
|
| Rate for Payer: VA VA |
$13,729.59
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$9,849.54
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$7,485.65 |
| Max. Negotiated Rate |
$9,849.54 |
| Rate for Payer: Aetna Medicare |
$8,194.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,849.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,849.54
|
| Rate for Payer: BCBS MAPPO |
$7,879.63
|
| Rate for Payer: BCN Medicare Advantage |
$7,879.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,879.63
|
| Rate for Payer: Mclaren Medicare |
$7,879.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,273.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,061.57
|
| Rate for Payer: PACE Medicare |
$7,485.65
|
| Rate for Payer: PACE SWMI |
$7,879.63
|
| Rate for Payer: PHP Medicare Advantage |
$7,879.63
|
| Rate for Payer: Priority Health Medicare |
$7,879.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,879.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,879.63
|
| Rate for Payer: UHC Medicare Advantage |
$7,879.63
|
| Rate for Payer: VA VA |
$7,879.63
|
|
|
MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$7,345.25
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$5,582.39 |
| Max. Negotiated Rate |
$7,345.25 |
| Rate for Payer: Aetna Medicare |
$6,111.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,345.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,345.25
|
| Rate for Payer: BCBS MAPPO |
$5,876.20
|
| Rate for Payer: BCN Medicare Advantage |
$5,876.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,876.20
|
| Rate for Payer: Mclaren Medicare |
$5,876.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,170.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,757.63
|
| Rate for Payer: PACE Medicare |
$5,582.39
|
| Rate for Payer: PACE SWMI |
$5,876.20
|
| Rate for Payer: PHP Medicare Advantage |
$5,876.20
|
| Rate for Payer: Priority Health Medicare |
$5,876.20
|
| Rate for Payer: Railroad Medicare Medicare |
$5,876.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,876.20
|
| Rate for Payer: UHC Medicare Advantage |
$5,876.20
|
| Rate for Payer: VA VA |
$5,876.20
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$25,118.99
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$19,090.43 |
| Max. Negotiated Rate |
$25,118.99 |
| Rate for Payer: Aetna Medicare |
$20,899.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,118.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,118.99
|
| Rate for Payer: BCBS MAPPO |
$20,095.19
|
| Rate for Payer: BCN Medicare Advantage |
$20,095.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,095.19
|
| Rate for Payer: Mclaren Medicare |
$20,095.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,099.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,109.47
|
| Rate for Payer: PACE Medicare |
$19,090.43
|
| Rate for Payer: PACE SWMI |
$20,095.19
|
| Rate for Payer: PHP Medicare Advantage |
$20,095.19
|
| Rate for Payer: Priority Health Medicare |
$20,095.19
|
| Rate for Payer: Railroad Medicare Medicare |
$20,095.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,095.19
|
| Rate for Payer: UHC Medicare Advantage |
$20,095.19
|
| Rate for Payer: VA VA |
$20,095.19
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,941.44
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$39,475.49 |
| Max. Negotiated Rate |
$51,941.44 |
| Rate for Payer: Aetna Medicare |
$43,215.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,941.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,941.44
|
| Rate for Payer: BCBS MAPPO |
$41,553.15
|
| Rate for Payer: BCN Medicare Advantage |
$41,553.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,553.15
|
| Rate for Payer: Mclaren Medicare |
$41,553.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,630.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,786.12
|
| Rate for Payer: PACE Medicare |
$39,475.49
|
| Rate for Payer: PACE SWMI |
$41,553.15
|
| Rate for Payer: PHP Medicare Advantage |
$41,553.15
|
| Rate for Payer: Priority Health Medicare |
$41,553.15
|
| Rate for Payer: Railroad Medicare Medicare |
$41,553.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,553.15
|
| Rate for Payer: UHC Medicare Advantage |
$41,553.15
|
| Rate for Payer: VA VA |
$41,553.15
|
|
|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,674.30
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$12,672.47 |
| Max. Negotiated Rate |
$16,674.30 |
| Rate for Payer: Aetna Medicare |
$13,873.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,674.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,674.30
|
| Rate for Payer: BCBS MAPPO |
$13,339.44
|
| Rate for Payer: BCN Medicare Advantage |
$13,339.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,339.44
|
| Rate for Payer: Mclaren Medicare |
$13,339.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,006.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,340.36
|
| Rate for Payer: PACE Medicare |
$12,672.47
|
| Rate for Payer: PACE SWMI |
$13,339.44
|
| Rate for Payer: PHP Medicare Advantage |
$13,339.44
|
| Rate for Payer: Priority Health Medicare |
$13,339.44
|
| Rate for Payer: Railroad Medicare Medicare |
$13,339.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,339.44
|
| Rate for Payer: UHC Medicare Advantage |
$13,339.44
|
| Rate for Payer: VA VA |
$13,339.44
|
|
|
MS-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$9,366.89
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$7,118.83 |
| Max. Negotiated Rate |
$9,366.89 |
| Rate for Payer: Aetna Medicare |
$7,793.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,366.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,366.89
|
| Rate for Payer: BCBS MAPPO |
$7,493.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,493.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,493.51
|
| Rate for Payer: Mclaren Medicare |
$7,493.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,868.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,617.54
|
| Rate for Payer: PACE Medicare |
$7,118.83
|
| Rate for Payer: PACE SWMI |
$7,493.51
|
| Rate for Payer: PHP Medicare Advantage |
$7,493.51
|
| Rate for Payer: Priority Health Medicare |
$7,493.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,493.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,493.51
|
| Rate for Payer: UHC Medicare Advantage |
$7,493.51
|
| Rate for Payer: VA VA |
$7,493.51
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$16,231.10
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$12,335.64 |
| Max. Negotiated Rate |
$16,231.10 |
| Rate for Payer: Aetna Medicare |
$13,504.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,231.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,231.10
|
| Rate for Payer: BCBS MAPPO |
$12,984.88
|
| Rate for Payer: BCN Medicare Advantage |
$12,984.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,984.88
|
| Rate for Payer: Mclaren Medicare |
$12,984.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,634.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,932.61
|
| Rate for Payer: PACE Medicare |
$12,335.64
|
| Rate for Payer: PACE SWMI |
$12,984.88
|
| Rate for Payer: PHP Medicare Advantage |
$12,984.88
|
| Rate for Payer: Priority Health Medicare |
$12,984.88
|
| Rate for Payer: Railroad Medicare Medicare |
$12,984.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,984.88
|
| Rate for Payer: UHC Medicare Advantage |
$12,984.88
|
| Rate for Payer: VA VA |
$12,984.88
|
|
|
MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$9,290.99
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$7,061.15 |
| Max. Negotiated Rate |
$9,290.99 |
| Rate for Payer: Aetna Medicare |
$7,730.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,290.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,290.99
|
| Rate for Payer: BCBS MAPPO |
$7,432.79
|
| Rate for Payer: BCN Medicare Advantage |
$7,432.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,432.79
|
| Rate for Payer: Mclaren Medicare |
$7,432.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,804.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,547.71
|
| Rate for Payer: PACE Medicare |
$7,061.15
|
| Rate for Payer: PACE SWMI |
$7,432.79
|
| Rate for Payer: PHP Medicare Advantage |
$7,432.79
|
| Rate for Payer: Priority Health Medicare |
$7,432.79
|
| Rate for Payer: Railroad Medicare Medicare |
$7,432.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,432.79
|
| Rate for Payer: UHC Medicare Advantage |
$7,432.79
|
| Rate for Payer: VA VA |
$7,432.79
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$19,882.79
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$15,110.92 |
| Max. Negotiated Rate |
$19,882.79 |
| Rate for Payer: Aetna Medicare |
$16,542.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,882.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,882.79
|
| Rate for Payer: BCBS MAPPO |
$15,906.23
|
| Rate for Payer: BCN Medicare Advantage |
$15,906.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,906.23
|
| Rate for Payer: Mclaren Medicare |
$15,906.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,701.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,292.16
|
| Rate for Payer: PACE Medicare |
$15,110.92
|
| Rate for Payer: PACE SWMI |
$15,906.23
|
| Rate for Payer: PHP Medicare Advantage |
$15,906.23
|
| Rate for Payer: Priority Health Medicare |
$15,906.23
|
| Rate for Payer: Railroad Medicare Medicare |
$15,906.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,906.23
|
| Rate for Payer: UHC Medicare Advantage |
$15,906.23
|
| Rate for Payer: VA VA |
$15,906.23
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,373.33
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$8,643.73 |
| Max. Negotiated Rate |
$11,373.33 |
| Rate for Payer: Aetna Medicare |
$9,462.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,373.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,373.33
|
| Rate for Payer: BCBS MAPPO |
$9,098.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,098.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,098.66
|
| Rate for Payer: Mclaren Medicare |
$9,098.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,553.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,463.46
|
| Rate for Payer: PACE Medicare |
$8,643.73
|
| Rate for Payer: PACE SWMI |
$9,098.66
|
| Rate for Payer: PHP Medicare Advantage |
$9,098.66
|
| Rate for Payer: Priority Health Medicare |
$9,098.66
|
| Rate for Payer: Railroad Medicare Medicare |
$9,098.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,098.66
|
| Rate for Payer: UHC Medicare Advantage |
$9,098.66
|
| Rate for Payer: VA VA |
$9,098.66
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$15,822.33
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$12,024.97 |
| Max. Negotiated Rate |
$15,822.33 |
| Rate for Payer: Aetna Medicare |
$13,164.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,822.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,822.33
|
| Rate for Payer: BCBS MAPPO |
$12,657.86
|
| Rate for Payer: BCN Medicare Advantage |
$12,657.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,657.86
|
| Rate for Payer: Mclaren Medicare |
$12,657.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,290.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,556.54
|
| Rate for Payer: PACE Medicare |
$12,024.97
|
| Rate for Payer: PACE SWMI |
$12,657.86
|
| Rate for Payer: PHP Medicare Advantage |
$12,657.86
|
| Rate for Payer: Priority Health Medicare |
$12,657.86
|
| Rate for Payer: Railroad Medicare Medicare |
$12,657.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,657.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,657.86
|
| Rate for Payer: VA VA |
$12,657.86
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$29,560.89
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$22,466.27 |
| Max. Negotiated Rate |
$29,560.89 |
| Rate for Payer: Aetna Medicare |
$24,594.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,560.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,560.89
|
| Rate for Payer: BCBS MAPPO |
$23,648.71
|
| Rate for Payer: BCN Medicare Advantage |
$23,648.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,648.71
|
| Rate for Payer: Mclaren Medicare |
$23,648.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,831.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,196.02
|
| Rate for Payer: PACE Medicare |
$22,466.27
|
| Rate for Payer: PACE SWMI |
$23,648.71
|
| Rate for Payer: PHP Medicare Advantage |
$23,648.71
|
| Rate for Payer: Priority Health Medicare |
$23,648.71
|
| Rate for Payer: Railroad Medicare Medicare |
$23,648.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,648.71
|
| Rate for Payer: UHC Medicare Advantage |
$23,648.71
|
| Rate for Payer: VA VA |
$23,648.71
|
|
|
MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,369.67
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$10,160.95 |
| Max. Negotiated Rate |
$13,369.67 |
| Rate for Payer: Aetna Medicare |
$11,123.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,369.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,369.67
|
| Rate for Payer: BCBS MAPPO |
$10,695.74
|
| Rate for Payer: BCN Medicare Advantage |
$10,695.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,695.74
|
| Rate for Payer: Mclaren Medicare |
$10,695.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,230.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,300.10
|
| Rate for Payer: PACE Medicare |
$10,160.95
|
| Rate for Payer: PACE SWMI |
$10,695.74
|
| Rate for Payer: PHP Medicare Advantage |
$10,695.74
|
| Rate for Payer: Priority Health Medicare |
$10,695.74
|
| Rate for Payer: Railroad Medicare Medicare |
$10,695.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,695.74
|
| Rate for Payer: UHC Medicare Advantage |
$10,695.74
|
| Rate for Payer: VA VA |
$10,695.74
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$42,073.12
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$31,975.58 |
| Max. Negotiated Rate |
$42,073.12 |
| Rate for Payer: Aetna Medicare |
$35,004.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,073.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,073.12
|
| Rate for Payer: BCBS MAPPO |
$33,658.50
|
| Rate for Payer: BCN Medicare Advantage |
$33,658.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,658.50
|
| Rate for Payer: Mclaren Medicare |
$33,658.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,341.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,707.28
|
| Rate for Payer: PACE Medicare |
$31,975.58
|
| Rate for Payer: PACE SWMI |
$33,658.50
|
| Rate for Payer: PHP Medicare Advantage |
$33,658.50
|
| Rate for Payer: Priority Health Medicare |
$33,658.50
|
| Rate for Payer: Railroad Medicare Medicare |
$33,658.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,658.50
|
| Rate for Payer: UHC Medicare Advantage |
$33,658.50
|
| Rate for Payer: VA VA |
$33,658.50
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$55,147.91
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$41,912.41 |
| Max. Negotiated Rate |
$55,147.91 |
| Rate for Payer: Aetna Medicare |
$45,883.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,147.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,147.91
|
| Rate for Payer: BCBS MAPPO |
$44,118.33
|
| Rate for Payer: BCN Medicare Advantage |
$44,118.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,118.33
|
| Rate for Payer: Mclaren Medicare |
$44,118.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,324.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,736.08
|
| Rate for Payer: PACE Medicare |
$41,912.41
|
| Rate for Payer: PACE SWMI |
$44,118.33
|
| Rate for Payer: PHP Medicare Advantage |
$44,118.33
|
| Rate for Payer: Priority Health Medicare |
$44,118.33
|
| Rate for Payer: Railroad Medicare Medicare |
$44,118.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,118.33
|
| Rate for Payer: UHC Medicare Advantage |
$44,118.33
|
| Rate for Payer: VA VA |
$44,118.33
|
|
|
MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$27,364.22
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$20,796.81 |
| Max. Negotiated Rate |
$27,364.22 |
| Rate for Payer: Aetna Medicare |
$22,767.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,364.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,364.22
|
| Rate for Payer: BCBS MAPPO |
$21,891.38
|
| Rate for Payer: BCN Medicare Advantage |
$21,891.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,891.38
|
| Rate for Payer: Mclaren Medicare |
$21,891.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,985.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,175.09
|
| Rate for Payer: PACE Medicare |
$20,796.81
|
| Rate for Payer: PACE SWMI |
$21,891.38
|
| Rate for Payer: PHP Medicare Advantage |
$21,891.38
|
| Rate for Payer: Priority Health Medicare |
$21,891.38
|
| Rate for Payer: Railroad Medicare Medicare |
$21,891.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,891.38
|
| Rate for Payer: UHC Medicare Advantage |
$21,891.38
|
| Rate for Payer: VA VA |
$21,891.38
|
|
