|
MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$143,521.74
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$109,076.52 |
| Max. Negotiated Rate |
$143,521.74 |
| Rate for Payer: Aetna Medicare |
$119,410.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$143,521.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$143,521.74
|
| Rate for Payer: BCBS MAPPO |
$114,817.39
|
| Rate for Payer: BCN Medicare Advantage |
$114,817.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114,817.39
|
| Rate for Payer: Mclaren Medicare |
$114,817.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120,558.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$132,040.00
|
| Rate for Payer: PACE Medicare |
$109,076.52
|
| Rate for Payer: PACE SWMI |
$114,817.39
|
| Rate for Payer: PHP Medicare Advantage |
$114,817.39
|
| Rate for Payer: Priority Health Medicare |
$114,817.39
|
| Rate for Payer: Railroad Medicare Medicare |
$114,817.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$114,817.39
|
| Rate for Payer: UHC Medicare Advantage |
$114,817.39
|
| Rate for Payer: VA VA |
$114,817.39
|
|
|
MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$8,646.48
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,571.32 |
| Max. Negotiated Rate |
$8,646.48 |
| Rate for Payer: Aetna Medicare |
$7,193.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,646.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,646.48
|
| Rate for Payer: BCBS MAPPO |
$6,917.18
|
| Rate for Payer: BCN Medicare Advantage |
$6,917.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,917.18
|
| Rate for Payer: Mclaren Medicare |
$6,917.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,263.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,954.76
|
| Rate for Payer: PACE Medicare |
$6,571.32
|
| Rate for Payer: PACE SWMI |
$6,917.18
|
| Rate for Payer: PHP Medicare Advantage |
$6,917.18
|
| Rate for Payer: Priority Health Medicare |
$6,917.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6,917.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,917.18
|
| Rate for Payer: UHC Medicare Advantage |
$6,917.18
|
| Rate for Payer: VA VA |
$6,917.18
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$16,208.85
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$12,318.73 |
| Max. Negotiated Rate |
$16,208.85 |
| Rate for Payer: Aetna Medicare |
$13,485.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,208.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,208.85
|
| Rate for Payer: BCBS MAPPO |
$12,967.08
|
| Rate for Payer: BCN Medicare Advantage |
$12,967.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,967.08
|
| Rate for Payer: Mclaren Medicare |
$12,967.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,615.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,912.14
|
| Rate for Payer: PACE Medicare |
$12,318.73
|
| Rate for Payer: PACE SWMI |
$12,967.08
|
| Rate for Payer: PHP Medicare Advantage |
$12,967.08
|
| Rate for Payer: Priority Health Medicare |
$12,967.08
|
| Rate for Payer: Railroad Medicare Medicare |
$12,967.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,967.08
|
| Rate for Payer: UHC Medicare Advantage |
$12,967.08
|
| Rate for Payer: VA VA |
$12,967.08
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$30,058.71
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$22,844.62 |
| Max. Negotiated Rate |
$30,058.71 |
| Rate for Payer: Aetna Medicare |
$25,008.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,058.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,058.71
|
| Rate for Payer: BCBS MAPPO |
$24,046.97
|
| Rate for Payer: BCN Medicare Advantage |
$24,046.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,046.97
|
| Rate for Payer: Mclaren Medicare |
$24,046.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,249.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,654.02
|
| Rate for Payer: PACE Medicare |
$22,844.62
|
| Rate for Payer: PACE SWMI |
$24,046.97
|
| Rate for Payer: PHP Medicare Advantage |
$24,046.97
|
| Rate for Payer: Priority Health Medicare |
$24,046.97
|
| Rate for Payer: Railroad Medicare Medicare |
$24,046.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,046.97
|
| Rate for Payer: UHC Medicare Advantage |
$24,046.97
|
| Rate for Payer: VA VA |
$24,046.97
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,220.86
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,767.86 |
| Max. Negotiated Rate |
$10,220.86 |
| Rate for Payer: Aetna Medicare |
$8,503.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,220.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,220.86
|
| Rate for Payer: BCBS MAPPO |
$8,176.69
|
| Rate for Payer: BCN Medicare Advantage |
$8,176.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,176.69
|
| Rate for Payer: Mclaren Medicare |
$8,176.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,585.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,403.19
|
| Rate for Payer: PACE Medicare |
$7,767.86
|
| Rate for Payer: PACE SWMI |
$8,176.69
|
| Rate for Payer: PHP Medicare Advantage |
$8,176.69
|
| Rate for Payer: Priority Health Medicare |
$8,176.69
|
| Rate for Payer: Railroad Medicare Medicare |
$8,176.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,176.69
|
| Rate for Payer: UHC Medicare Advantage |
$8,176.69
|
| Rate for Payer: VA VA |
$8,176.69
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$15,181.86
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$11,538.22 |
| Max. Negotiated Rate |
$15,181.86 |
| Rate for Payer: Aetna Medicare |
$12,631.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,181.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,181.86
|
| Rate for Payer: BCBS MAPPO |
$12,145.49
|
| Rate for Payer: BCN Medicare Advantage |
$12,145.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,145.49
|
| Rate for Payer: Mclaren Medicare |
$12,145.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,752.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,967.31
|
| Rate for Payer: PACE Medicare |
$11,538.22
|
| Rate for Payer: PACE SWMI |
$12,145.49
|
| Rate for Payer: PHP Medicare Advantage |
$12,145.49
|
| Rate for Payer: Priority Health Medicare |
$12,145.49
|
| Rate for Payer: Railroad Medicare Medicare |
$12,145.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,145.49
|
| Rate for Payer: UHC Medicare Advantage |
$12,145.49
|
| Rate for Payer: VA VA |
$12,145.49
|
|
|
MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$10,058.99
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,644.83 |
| Max. Negotiated Rate |
$10,058.99 |
| Rate for Payer: Aetna Medicare |
$8,369.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,058.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,058.99
|
| Rate for Payer: BCBS MAPPO |
$8,047.19
|
| Rate for Payer: BCN Medicare Advantage |
$8,047.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,047.19
|
| Rate for Payer: Mclaren Medicare |
$8,047.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,449.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,254.27
|
| Rate for Payer: PACE Medicare |
$7,644.83
|
| Rate for Payer: PACE SWMI |
$8,047.19
|
| Rate for Payer: PHP Medicare Advantage |
$8,047.19
|
| Rate for Payer: Priority Health Medicare |
$8,047.19
|
| Rate for Payer: Railroad Medicare Medicare |
$8,047.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,047.19
|
| Rate for Payer: UHC Medicare Advantage |
$8,047.19
|
| Rate for Payer: VA VA |
$8,047.19
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$16,925.21
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$12,863.16 |
| Max. Negotiated Rate |
$16,925.21 |
| Rate for Payer: Aetna Medicare |
$14,081.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,925.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,925.21
|
| Rate for Payer: BCBS MAPPO |
$13,540.17
|
| Rate for Payer: BCN Medicare Advantage |
$13,540.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,540.17
|
| Rate for Payer: Mclaren Medicare |
$13,540.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,571.20
|
| Rate for Payer: PACE Medicare |
$12,863.16
|
| Rate for Payer: PACE SWMI |
$13,540.17
|
| Rate for Payer: PHP Medicare Advantage |
$13,540.17
|
| Rate for Payer: Priority Health Medicare |
$13,540.17
|
| Rate for Payer: Railroad Medicare Medicare |
$13,540.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,540.17
|
| Rate for Payer: UHC Medicare Advantage |
$13,540.17
|
| Rate for Payer: VA VA |
$13,540.17
|
|
|
MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$9,823.23
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$7,465.65 |
| Max. Negotiated Rate |
$9,823.23 |
| Rate for Payer: Aetna Medicare |
$8,172.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,823.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,823.23
|
| Rate for Payer: BCBS MAPPO |
$7,858.58
|
| Rate for Payer: BCN Medicare Advantage |
$7,858.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,858.58
|
| Rate for Payer: Mclaren Medicare |
$7,858.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,251.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,037.37
|
| Rate for Payer: PACE Medicare |
$7,465.65
|
| Rate for Payer: PACE SWMI |
$7,858.58
|
| Rate for Payer: PHP Medicare Advantage |
$7,858.58
|
| Rate for Payer: Priority Health Medicare |
$7,858.58
|
| Rate for Payer: Railroad Medicare Medicare |
$7,858.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,858.58
|
| Rate for Payer: UHC Medicare Advantage |
$7,858.58
|
| Rate for Payer: VA VA |
$7,858.58
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$13,821.95
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$10,504.68 |
| Max. Negotiated Rate |
$13,821.95 |
| Rate for Payer: Aetna Medicare |
$11,499.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,821.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,821.95
|
| Rate for Payer: BCBS MAPPO |
$11,057.56
|
| Rate for Payer: BCN Medicare Advantage |
$11,057.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,057.56
|
| Rate for Payer: Mclaren Medicare |
$11,057.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,610.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,716.19
|
| Rate for Payer: PACE Medicare |
$10,504.68
|
| Rate for Payer: PACE SWMI |
$11,057.56
|
| Rate for Payer: PHP Medicare Advantage |
$11,057.56
|
| Rate for Payer: Priority Health Medicare |
$11,057.56
|
| Rate for Payer: Railroad Medicare Medicare |
$11,057.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,057.56
|
| Rate for Payer: UHC Medicare Advantage |
$11,057.56
|
| Rate for Payer: VA VA |
$11,057.56
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$14,619.27
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$11,110.65 |
| Max. Negotiated Rate |
$14,619.27 |
| Rate for Payer: Aetna Medicare |
$12,163.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,619.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,619.27
|
| Rate for Payer: BCBS MAPPO |
$11,695.42
|
| Rate for Payer: BCN Medicare Advantage |
$11,695.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,695.42
|
| Rate for Payer: Mclaren Medicare |
$11,695.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,280.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,449.73
|
| Rate for Payer: PACE Medicare |
$11,110.65
|
| Rate for Payer: PACE SWMI |
$11,695.42
|
| Rate for Payer: PHP Medicare Advantage |
$11,695.42
|
| Rate for Payer: Priority Health Medicare |
$11,695.42
|
| Rate for Payer: Railroad Medicare Medicare |
$11,695.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,695.42
|
| Rate for Payer: UHC Medicare Advantage |
$11,695.42
|
| Rate for Payer: VA VA |
$11,695.42
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$23,478.81
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$17,843.90 |
| Max. Negotiated Rate |
$23,478.81 |
| Rate for Payer: Aetna Medicare |
$19,534.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,478.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,478.81
|
| Rate for Payer: BCBS MAPPO |
$18,783.05
|
| Rate for Payer: BCN Medicare Advantage |
$18,783.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,783.05
|
| Rate for Payer: Mclaren Medicare |
$18,783.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,722.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,600.51
|
| Rate for Payer: PACE Medicare |
$17,843.90
|
| Rate for Payer: PACE SWMI |
$18,783.05
|
| Rate for Payer: PHP Medicare Advantage |
$18,783.05
|
| Rate for Payer: Priority Health Medicare |
$18,783.05
|
| Rate for Payer: Railroad Medicare Medicare |
$18,783.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,783.05
|
| Rate for Payer: UHC Medicare Advantage |
$18,783.05
|
| Rate for Payer: VA VA |
$18,783.05
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$24,027.22
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$18,260.69 |
| Max. Negotiated Rate |
$24,027.22 |
| Rate for Payer: Aetna Medicare |
$19,990.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,027.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,027.22
|
| Rate for Payer: BCBS MAPPO |
$19,221.78
|
| Rate for Payer: BCN Medicare Advantage |
$19,221.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,221.78
|
| Rate for Payer: Mclaren Medicare |
$19,221.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,182.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,105.05
|
| Rate for Payer: PACE Medicare |
$18,260.69
|
| Rate for Payer: PACE SWMI |
$19,221.78
|
| Rate for Payer: PHP Medicare Advantage |
$19,221.78
|
| Rate for Payer: Priority Health Medicare |
$19,221.78
|
| Rate for Payer: Railroad Medicare Medicare |
$19,221.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,221.78
|
| Rate for Payer: UHC Medicare Advantage |
$19,221.78
|
| Rate for Payer: VA VA |
$19,221.78
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$9,495.39
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$7,216.49 |
| Max. Negotiated Rate |
$9,495.39 |
| Rate for Payer: Aetna Medicare |
$7,900.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,495.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,495.39
|
| Rate for Payer: BCBS MAPPO |
$7,596.31
|
| Rate for Payer: BCN Medicare Advantage |
$7,596.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,596.31
|
| Rate for Payer: Mclaren Medicare |
$7,596.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,976.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,735.76
|
| Rate for Payer: PACE Medicare |
$7,216.49
|
| Rate for Payer: PACE SWMI |
$7,596.31
|
| Rate for Payer: PHP Medicare Advantage |
$7,596.31
|
| Rate for Payer: Priority Health Medicare |
$7,596.31
|
| Rate for Payer: Railroad Medicare Medicare |
$7,596.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,596.31
|
| Rate for Payer: UHC Medicare Advantage |
$7,596.31
|
| Rate for Payer: VA VA |
$7,596.31
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$10,224.91
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$7,770.93 |
| Max. Negotiated Rate |
$10,224.91 |
| Rate for Payer: Aetna Medicare |
$8,507.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,224.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,224.91
|
| Rate for Payer: BCBS MAPPO |
$8,179.93
|
| Rate for Payer: BCN Medicare Advantage |
$8,179.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,179.93
|
| Rate for Payer: Mclaren Medicare |
$8,179.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,588.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,406.92
|
| Rate for Payer: PACE Medicare |
$7,770.93
|
| Rate for Payer: PACE SWMI |
$8,179.93
|
| Rate for Payer: PHP Medicare Advantage |
$8,179.93
|
| Rate for Payer: Priority Health Medicare |
$8,179.93
|
| Rate for Payer: Railroad Medicare Medicare |
$8,179.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,179.93
|
| Rate for Payer: UHC Medicare Advantage |
$8,179.93
|
| Rate for Payer: VA VA |
$8,179.93
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$15,583.55
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$11,843.50 |
| Max. Negotiated Rate |
$15,583.55 |
| Rate for Payer: Aetna Medicare |
$12,965.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,583.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,583.55
|
| Rate for Payer: BCBS MAPPO |
$12,466.84
|
| Rate for Payer: BCN Medicare Advantage |
$12,466.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,466.84
|
| Rate for Payer: Mclaren Medicare |
$12,466.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,090.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,336.87
|
| Rate for Payer: PACE Medicare |
$11,843.50
|
| Rate for Payer: PACE SWMI |
$12,466.84
|
| Rate for Payer: PHP Medicare Advantage |
$12,466.84
|
| Rate for Payer: Priority Health Medicare |
$12,466.84
|
| Rate for Payer: Railroad Medicare Medicare |
$12,466.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,466.84
|
| Rate for Payer: UHC Medicare Advantage |
$12,466.84
|
| Rate for Payer: VA VA |
$12,466.84
|
|
|
MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$9,897.09
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$7,521.79 |
| Max. Negotiated Rate |
$9,897.09 |
| Rate for Payer: Aetna Medicare |
$8,234.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,897.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,897.09
|
| Rate for Payer: BCBS MAPPO |
$7,917.67
|
| Rate for Payer: BCN Medicare Advantage |
$7,917.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,917.67
|
| Rate for Payer: Mclaren Medicare |
$7,917.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,313.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,105.32
|
| Rate for Payer: PACE Medicare |
$7,521.79
|
| Rate for Payer: PACE SWMI |
$7,917.67
|
| Rate for Payer: PHP Medicare Advantage |
$7,917.67
|
| Rate for Payer: Priority Health Medicare |
$7,917.67
|
| Rate for Payer: Railroad Medicare Medicare |
$7,917.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,917.67
|
| Rate for Payer: UHC Medicare Advantage |
$7,917.67
|
| Rate for Payer: VA VA |
$7,917.67
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
|
Facility
|
IP
|
$51,175.50
|
|
|
Service Code
|
MSDRG 278
|
| Min. Negotiated Rate |
$38,893.38 |
| Max. Negotiated Rate |
$51,175.50 |
| Rate for Payer: Aetna Medicare |
$42,578.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,175.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,175.50
|
| Rate for Payer: BCBS MAPPO |
$40,940.40
|
| Rate for Payer: BCN Medicare Advantage |
$40,940.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,940.40
|
| Rate for Payer: Mclaren Medicare |
$40,940.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,987.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,081.46
|
| Rate for Payer: PACE Medicare |
$38,893.38
|
| Rate for Payer: PACE SWMI |
$40,940.40
|
| Rate for Payer: PHP Medicare Advantage |
$40,940.40
|
| Rate for Payer: Priority Health Medicare |
$40,940.40
|
| Rate for Payer: Railroad Medicare Medicare |
$40,940.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,940.40
|
| Rate for Payer: UHC Medicare Advantage |
$40,940.40
|
| Rate for Payer: VA VA |
$40,940.40
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$32,973.79
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$25,060.08 |
| Max. Negotiated Rate |
$32,973.79 |
| Rate for Payer: Aetna Medicare |
$27,434.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,973.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,973.79
|
| Rate for Payer: BCBS MAPPO |
$26,379.03
|
| Rate for Payer: BCN Medicare Advantage |
$26,379.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,379.03
|
| Rate for Payer: Mclaren Medicare |
$26,379.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,697.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,335.88
|
| Rate for Payer: PACE Medicare |
$25,060.08
|
| Rate for Payer: PACE SWMI |
$26,379.03
|
| Rate for Payer: PHP Medicare Advantage |
$26,379.03
|
| Rate for Payer: Priority Health Medicare |
$26,379.03
|
| Rate for Payer: Railroad Medicare Medicare |
$26,379.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,379.03
|
| Rate for Payer: UHC Medicare Advantage |
$26,379.03
|
| Rate for Payer: VA VA |
$26,379.03
|
|
|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$31,599.72
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$24,015.79 |
| Max. Negotiated Rate |
$31,599.72 |
| Rate for Payer: Aetna Medicare |
$26,290.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,599.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,599.72
|
| Rate for Payer: BCBS MAPPO |
$25,279.78
|
| Rate for Payer: BCN Medicare Advantage |
$25,279.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,279.78
|
| Rate for Payer: Mclaren Medicare |
$25,279.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,543.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,071.75
|
| Rate for Payer: PACE Medicare |
$24,015.79
|
| Rate for Payer: PACE SWMI |
$25,279.78
|
| Rate for Payer: PHP Medicare Advantage |
$25,279.78
|
| Rate for Payer: Priority Health Medicare |
$25,279.78
|
| Rate for Payer: Railroad Medicare Medicare |
$25,279.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,279.78
|
| Rate for Payer: UHC Medicare Advantage |
$25,279.78
|
| Rate for Payer: VA VA |
$25,279.78
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$13,342.36
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$10,140.20 |
| Max. Negotiated Rate |
$13,342.36 |
| Rate for Payer: Aetna Medicare |
$11,100.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,342.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,342.36
|
| Rate for Payer: BCBS MAPPO |
$10,673.89
|
| Rate for Payer: BCN Medicare Advantage |
$10,673.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,673.89
|
| Rate for Payer: Mclaren Medicare |
$10,673.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,207.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,274.97
|
| Rate for Payer: PACE Medicare |
$10,140.20
|
| Rate for Payer: PACE SWMI |
$10,673.89
|
| Rate for Payer: PHP Medicare Advantage |
$10,673.89
|
| Rate for Payer: Priority Health Medicare |
$10,673.89
|
| Rate for Payer: Railroad Medicare Medicare |
$10,673.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,673.89
|
| Rate for Payer: UHC Medicare Advantage |
$10,673.89
|
| Rate for Payer: VA VA |
$10,673.89
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$9,349.70
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$7,105.77 |
| Max. Negotiated Rate |
$9,349.70 |
| Rate for Payer: Aetna Medicare |
$7,778.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,349.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,349.70
|
| Rate for Payer: BCBS MAPPO |
$7,479.76
|
| Rate for Payer: BCN Medicare Advantage |
$7,479.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,479.76
|
| Rate for Payer: Mclaren Medicare |
$7,479.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,853.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,601.72
|
| Rate for Payer: PACE Medicare |
$7,105.77
|
| Rate for Payer: PACE SWMI |
$7,479.76
|
| Rate for Payer: PHP Medicare Advantage |
$7,479.76
|
| Rate for Payer: Priority Health Medicare |
$7,479.76
|
| Rate for Payer: Railroad Medicare Medicare |
$7,479.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,479.76
|
| Rate for Payer: UHC Medicare Advantage |
$7,479.76
|
| Rate for Payer: VA VA |
$7,479.76
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$17,688.14
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$13,442.98 |
| Max. Negotiated Rate |
$17,688.14 |
| Rate for Payer: Aetna Medicare |
$14,716.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,688.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,688.14
|
| Rate for Payer: BCBS MAPPO |
$14,150.51
|
| Rate for Payer: BCN Medicare Advantage |
$14,150.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,150.51
|
| Rate for Payer: Mclaren Medicare |
$14,150.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,858.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,273.09
|
| Rate for Payer: PACE Medicare |
$13,442.98
|
| Rate for Payer: PACE SWMI |
$14,150.51
|
| Rate for Payer: PHP Medicare Advantage |
$14,150.51
|
| Rate for Payer: Priority Health Medicare |
$14,150.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,150.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,150.51
|
| Rate for Payer: UHC Medicare Advantage |
$14,150.51
|
| Rate for Payer: VA VA |
$14,150.51
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$27,025.28
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$20,539.21 |
| Max. Negotiated Rate |
$27,025.28 |
| Rate for Payer: Aetna Medicare |
$22,485.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,025.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,025.28
|
| Rate for Payer: BCBS MAPPO |
$21,620.22
|
| Rate for Payer: BCN Medicare Advantage |
$21,620.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,620.22
|
| Rate for Payer: Mclaren Medicare |
$21,620.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,701.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,863.25
|
| Rate for Payer: PACE Medicare |
$20,539.21
|
| Rate for Payer: PACE SWMI |
$21,620.22
|
| Rate for Payer: PHP Medicare Advantage |
$21,620.22
|
| Rate for Payer: Priority Health Medicare |
$21,620.22
|
| Rate for Payer: Railroad Medicare Medicare |
$21,620.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,620.22
|
| Rate for Payer: UHC Medicare Advantage |
$21,620.22
|
| Rate for Payer: VA VA |
$21,620.22
|
|
|
MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,575.33
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$7,277.25 |
| Max. Negotiated Rate |
$9,575.33 |
| Rate for Payer: Aetna Medicare |
$7,966.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,575.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,575.33
|
| Rate for Payer: BCBS MAPPO |
$7,660.26
|
| Rate for Payer: BCN Medicare Advantage |
$7,660.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,660.26
|
| Rate for Payer: Mclaren Medicare |
$7,660.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,043.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,809.30
|
| Rate for Payer: PACE Medicare |
$7,277.25
|
| Rate for Payer: PACE SWMI |
$7,660.26
|
| Rate for Payer: PHP Medicare Advantage |
$7,660.26
|
| Rate for Payer: Priority Health Medicare |
$7,660.26
|
| Rate for Payer: Railroad Medicare Medicare |
$7,660.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,660.26
|
| Rate for Payer: UHC Medicare Advantage |
$7,660.26
|
| Rate for Payer: VA VA |
$7,660.26
|
|
