|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$12,625.93
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$7,738.47 |
| Max. Negotiated Rate |
$12,625.93 |
| Rate for Payer: Aetna Medicare |
$8,145.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,182.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,182.20
|
| Rate for Payer: BCBS MAPPO |
$8,145.76
|
| Rate for Payer: BCN Medicare Advantage |
$8,145.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,145.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,145.76
|
| Rate for Payer: Mclaren Medicare |
$8,145.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,553.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,367.62
|
| Rate for Payer: PACE Medicare |
$7,738.47
|
| Rate for Payer: PACE SWMI |
$8,145.76
|
| Rate for Payer: PHP Commercial |
$8,960.34
|
| Rate for Payer: PHP Medicare Advantage |
$8,145.76
|
| Rate for Payer: Priority Health Medicare |
$8,145.76
|
| Rate for Payer: Railroad Medicare Medicare |
$8,145.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,145.76
|
| Rate for Payer: UHC Exchange |
$12,625.93
|
| Rate for Payer: UHC Medicare Advantage |
$8,145.76
|
| Rate for Payer: UHCCP DNSP |
$8,145.76
|
| Rate for Payer: VA VA |
$8,145.76
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$12,845.84
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$7,873.26 |
| Max. Negotiated Rate |
$12,845.84 |
| Rate for Payer: Aetna Medicare |
$8,287.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,359.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,359.55
|
| Rate for Payer: BCBS MAPPO |
$8,287.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,287.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,287.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,287.64
|
| Rate for Payer: Mclaren Medicare |
$8,287.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,702.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,530.79
|
| Rate for Payer: PACE Medicare |
$7,873.26
|
| Rate for Payer: PACE SWMI |
$8,287.64
|
| Rate for Payer: PHP Commercial |
$9,116.40
|
| Rate for Payer: PHP Medicare Advantage |
$8,287.64
|
| Rate for Payer: Priority Health Medicare |
$8,287.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,287.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,287.64
|
| Rate for Payer: UHC Exchange |
$12,845.84
|
| Rate for Payer: UHC Medicare Advantage |
$8,287.64
|
| Rate for Payer: UHCCP DNSP |
$8,287.64
|
| Rate for Payer: VA VA |
$8,287.64
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$29,642.04
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$18,167.71 |
| Max. Negotiated Rate |
$29,642.04 |
| Rate for Payer: Aetna Medicare |
$19,123.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,904.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,904.88
|
| Rate for Payer: BCBS MAPPO |
$19,123.90
|
| Rate for Payer: BCN Medicare Advantage |
$19,123.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,123.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,123.90
|
| Rate for Payer: Mclaren Medicare |
$19,123.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,080.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,992.49
|
| Rate for Payer: PACE Medicare |
$18,167.71
|
| Rate for Payer: PACE SWMI |
$19,123.90
|
| Rate for Payer: PHP Commercial |
$21,036.29
|
| Rate for Payer: PHP Medicare Advantage |
$19,123.90
|
| Rate for Payer: Priority Health Medicare |
$19,123.90
|
| Rate for Payer: Railroad Medicare Medicare |
$19,123.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,123.90
|
| Rate for Payer: UHC Exchange |
$29,642.04
|
| Rate for Payer: UHC Medicare Advantage |
$19,123.90
|
| Rate for Payer: UHCCP DNSP |
$19,123.90
|
| Rate for Payer: VA VA |
$19,123.90
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$10,361.84
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$6,350.81 |
| Max. Negotiated Rate |
$10,361.84 |
| Rate for Payer: Aetna Medicare |
$6,685.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,356.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,356.33
|
| Rate for Payer: BCBS MAPPO |
$6,685.06
|
| Rate for Payer: BCN Medicare Advantage |
$6,685.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,685.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,685.06
|
| Rate for Payer: Mclaren Medicare |
$6,685.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,019.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,687.82
|
| Rate for Payer: PACE Medicare |
$6,350.81
|
| Rate for Payer: PACE SWMI |
$6,685.06
|
| Rate for Payer: PHP Commercial |
$7,353.57
|
| Rate for Payer: PHP Medicare Advantage |
$6,685.06
|
| Rate for Payer: Priority Health Medicare |
$6,685.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,685.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,685.06
|
| Rate for Payer: UHC Exchange |
$10,361.84
|
| Rate for Payer: UHC Medicare Advantage |
$6,685.06
|
| Rate for Payer: UHCCP DNSP |
$6,685.06
|
| Rate for Payer: VA VA |
$6,685.06
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$34,117.69
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$20,910.84 |
| Max. Negotiated Rate |
$34,117.69 |
| Rate for Payer: Aetna Medicare |
$22,011.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,514.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,514.26
|
| Rate for Payer: BCBS MAPPO |
$22,011.41
|
| Rate for Payer: BCN Medicare Advantage |
$22,011.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,011.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,011.41
|
| Rate for Payer: Mclaren Medicare |
$22,011.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,111.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,313.12
|
| Rate for Payer: PACE Medicare |
$20,910.84
|
| Rate for Payer: PACE SWMI |
$22,011.41
|
| Rate for Payer: PHP Commercial |
$24,212.55
|
| Rate for Payer: PHP Medicare Advantage |
$22,011.41
|
| Rate for Payer: Priority Health Medicare |
$22,011.41
|
| Rate for Payer: Railroad Medicare Medicare |
$22,011.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,011.41
|
| Rate for Payer: UHC Exchange |
$34,117.69
|
| Rate for Payer: UHC Medicare Advantage |
$22,011.41
|
| Rate for Payer: UHCCP DNSP |
$22,011.41
|
| Rate for Payer: VA VA |
$22,011.41
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,416.80
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$13,739.33 |
| Max. Negotiated Rate |
$22,416.80 |
| Rate for Payer: Aetna Medicare |
$14,462.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,078.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,078.06
|
| Rate for Payer: BCBS MAPPO |
$14,462.45
|
| Rate for Payer: BCN Medicare Advantage |
$14,462.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,462.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,462.45
|
| Rate for Payer: Mclaren Medicare |
$14,462.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,185.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,631.82
|
| Rate for Payer: PACE Medicare |
$13,739.33
|
| Rate for Payer: PACE SWMI |
$14,462.45
|
| Rate for Payer: PHP Commercial |
$15,908.69
|
| Rate for Payer: PHP Medicare Advantage |
$14,462.45
|
| Rate for Payer: Priority Health Medicare |
$14,462.45
|
| Rate for Payer: Railroad Medicare Medicare |
$14,462.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,462.45
|
| Rate for Payer: UHC Exchange |
$22,416.80
|
| Rate for Payer: UHC Medicare Advantage |
$14,462.45
|
| Rate for Payer: UHCCP DNSP |
$14,462.45
|
| Rate for Payer: VA VA |
$14,462.45
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$18,346.40
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$11,244.57 |
| Max. Negotiated Rate |
$18,346.40 |
| Rate for Payer: Aetna Medicare |
$11,836.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,795.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,795.49
|
| Rate for Payer: BCBS MAPPO |
$11,836.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,836.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,836.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,836.39
|
| Rate for Payer: Mclaren Medicare |
$11,836.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,428.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,611.85
|
| Rate for Payer: PACE Medicare |
$11,244.57
|
| Rate for Payer: PACE SWMI |
$11,836.39
|
| Rate for Payer: PHP Commercial |
$13,020.03
|
| Rate for Payer: PHP Medicare Advantage |
$11,836.39
|
| Rate for Payer: Priority Health Medicare |
$11,836.39
|
| Rate for Payer: Railroad Medicare Medicare |
$11,836.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,836.39
|
| Rate for Payer: UHC Exchange |
$18,346.40
|
| Rate for Payer: UHC Medicare Advantage |
$11,836.39
|
| Rate for Payer: UHCCP DNSP |
$11,836.39
|
| Rate for Payer: VA VA |
$11,836.39
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$28,271.38
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$17,327.62 |
| Max. Negotiated Rate |
$28,271.38 |
| Rate for Payer: Aetna Medicare |
$18,239.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,799.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,799.50
|
| Rate for Payer: BCBS MAPPO |
$18,239.60
|
| Rate for Payer: BCN Medicare Advantage |
$18,239.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,239.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,239.60
|
| Rate for Payer: Mclaren Medicare |
$18,239.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,151.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,975.54
|
| Rate for Payer: PACE Medicare |
$17,327.62
|
| Rate for Payer: PACE SWMI |
$18,239.60
|
| Rate for Payer: PHP Commercial |
$20,063.56
|
| Rate for Payer: PHP Medicare Advantage |
$18,239.60
|
| Rate for Payer: Priority Health Medicare |
$18,239.60
|
| Rate for Payer: Railroad Medicare Medicare |
$18,239.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,239.60
|
| Rate for Payer: UHC Exchange |
$28,271.38
|
| Rate for Payer: UHC Medicare Advantage |
$18,239.60
|
| Rate for Payer: UHCCP DNSP |
$18,239.60
|
| Rate for Payer: VA VA |
$18,239.60
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$13,905.30
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$8,522.60 |
| Max. Negotiated Rate |
$13,905.30 |
| Rate for Payer: Aetna Medicare |
$8,971.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,213.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,213.95
|
| Rate for Payer: BCBS MAPPO |
$8,971.16
|
| Rate for Payer: BCN Medicare Advantage |
$8,971.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,971.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,971.16
|
| Rate for Payer: Mclaren Medicare |
$8,971.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,419.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,316.83
|
| Rate for Payer: PACE Medicare |
$8,522.60
|
| Rate for Payer: PACE SWMI |
$8,971.16
|
| Rate for Payer: PHP Commercial |
$9,868.28
|
| Rate for Payer: PHP Medicare Advantage |
$8,971.16
|
| Rate for Payer: Priority Health Medicare |
$8,971.16
|
| Rate for Payer: Railroad Medicare Medicare |
$8,971.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,971.16
|
| Rate for Payer: UHC Exchange |
$13,905.30
|
| Rate for Payer: UHC Medicare Advantage |
$8,971.16
|
| Rate for Payer: UHCCP DNSP |
$8,971.16
|
| Rate for Payer: VA VA |
$8,971.16
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$17,520.67
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$10,738.48 |
| Max. Negotiated Rate |
$17,520.67 |
| Rate for Payer: Aetna Medicare |
$11,303.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,129.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,129.58
|
| Rate for Payer: BCBS MAPPO |
$11,303.66
|
| Rate for Payer: BCN Medicare Advantage |
$11,303.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,303.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,303.66
|
| Rate for Payer: Mclaren Medicare |
$11,303.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,868.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,999.21
|
| Rate for Payer: PACE Medicare |
$10,738.48
|
| Rate for Payer: PACE SWMI |
$11,303.66
|
| Rate for Payer: PHP Commercial |
$12,434.03
|
| Rate for Payer: PHP Medicare Advantage |
$11,303.66
|
| Rate for Payer: Priority Health Medicare |
$11,303.66
|
| Rate for Payer: Railroad Medicare Medicare |
$11,303.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,303.66
|
| Rate for Payer: UHC Exchange |
$17,520.67
|
| Rate for Payer: UHC Medicare Advantage |
$11,303.66
|
| Rate for Payer: UHCCP DNSP |
$11,303.66
|
| Rate for Payer: VA VA |
$11,303.66
|
|
|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$10,703.45
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$6,560.18 |
| Max. Negotiated Rate |
$10,703.45 |
| Rate for Payer: Aetna Medicare |
$6,905.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,631.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,631.81
|
| Rate for Payer: BCBS MAPPO |
$6,905.45
|
| Rate for Payer: BCN Medicare Advantage |
$6,905.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,905.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,905.45
|
| Rate for Payer: Mclaren Medicare |
$6,905.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,250.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,941.27
|
| Rate for Payer: PACE Medicare |
$6,560.18
|
| Rate for Payer: PACE SWMI |
$6,905.45
|
| Rate for Payer: PHP Commercial |
$7,595.99
|
| Rate for Payer: PHP Medicare Advantage |
$6,905.45
|
| Rate for Payer: Priority Health Medicare |
$6,905.45
|
| Rate for Payer: Railroad Medicare Medicare |
$6,905.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,905.45
|
| Rate for Payer: UHC Exchange |
$10,703.45
|
| Rate for Payer: UHC Medicare Advantage |
$6,905.45
|
| Rate for Payer: UHCCP DNSP |
$6,905.45
|
| Rate for Payer: VA VA |
$6,905.45
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$70,185.77
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$43,017.08 |
| Max. Negotiated Rate |
$70,185.77 |
| Rate for Payer: Aetna Medicare |
$45,281.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,601.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,601.43
|
| Rate for Payer: BCBS MAPPO |
$45,281.14
|
| Rate for Payer: BCN Medicare Advantage |
$45,281.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,281.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$45,281.14
|
| Rate for Payer: Mclaren Medicare |
$45,281.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,545.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52,073.31
|
| Rate for Payer: PACE Medicare |
$43,017.08
|
| Rate for Payer: PACE SWMI |
$45,281.14
|
| Rate for Payer: PHP Commercial |
$49,809.25
|
| Rate for Payer: PHP Medicare Advantage |
$45,281.14
|
| Rate for Payer: Priority Health Medicare |
$45,281.14
|
| Rate for Payer: Railroad Medicare Medicare |
$45,281.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,281.14
|
| Rate for Payer: UHC Exchange |
$70,185.77
|
| Rate for Payer: UHC Medicare Advantage |
$45,281.14
|
| Rate for Payer: UHCCP DNSP |
$45,281.14
|
| Rate for Payer: VA VA |
$45,281.14
|
|
|
MS-DRG 42.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$51,934.59
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$31,830.88 |
| Max. Negotiated Rate |
$51,934.59 |
| Rate for Payer: Aetna Medicare |
$33,506.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,882.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,882.74
|
| Rate for Payer: BCBS MAPPO |
$33,506.19
|
| Rate for Payer: BCN Medicare Advantage |
$33,506.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,506.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,506.19
|
| Rate for Payer: Mclaren Medicare |
$33,506.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,181.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,532.12
|
| Rate for Payer: PACE Medicare |
$31,830.88
|
| Rate for Payer: PACE SWMI |
$33,506.19
|
| Rate for Payer: PHP Commercial |
$36,856.81
|
| Rate for Payer: PHP Medicare Advantage |
$33,506.19
|
| Rate for Payer: Priority Health Medicare |
$33,506.19
|
| Rate for Payer: Railroad Medicare Medicare |
$33,506.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,506.19
|
| Rate for Payer: UHC Exchange |
$51,934.59
|
| Rate for Payer: UHC Medicare Advantage |
$33,506.19
|
| Rate for Payer: UHCCP DNSP |
$33,506.19
|
| Rate for Payer: VA VA |
$33,506.19
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$11,229.02
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$6,882.30 |
| Max. Negotiated Rate |
$11,229.02 |
| Rate for Payer: Aetna Medicare |
$7,244.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,055.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,055.66
|
| Rate for Payer: BCBS MAPPO |
$7,244.53
|
| Rate for Payer: BCN Medicare Advantage |
$7,244.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,244.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,244.53
|
| Rate for Payer: Mclaren Medicare |
$7,244.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,606.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,331.21
|
| Rate for Payer: PACE Medicare |
$6,882.30
|
| Rate for Payer: PACE SWMI |
$7,244.53
|
| Rate for Payer: PHP Commercial |
$7,968.98
|
| Rate for Payer: PHP Medicare Advantage |
$7,244.53
|
| Rate for Payer: Priority Health Medicare |
$7,244.53
|
| Rate for Payer: Railroad Medicare Medicare |
$7,244.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,244.53
|
| Rate for Payer: UHC Exchange |
$11,229.02
|
| Rate for Payer: UHC Medicare Advantage |
$7,244.53
|
| Rate for Payer: UHCCP DNSP |
$7,244.53
|
| Rate for Payer: VA VA |
$7,244.53
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$27,227.15
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$16,687.60 |
| Max. Negotiated Rate |
$27,227.15 |
| Rate for Payer: Aetna Medicare |
$17,565.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,957.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,957.38
|
| Rate for Payer: BCBS MAPPO |
$17,565.90
|
| Rate for Payer: BCN Medicare Advantage |
$17,565.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,565.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,565.90
|
| Rate for Payer: Mclaren Medicare |
$17,565.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,444.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,200.78
|
| Rate for Payer: PACE Medicare |
$16,687.60
|
| Rate for Payer: PACE SWMI |
$17,565.90
|
| Rate for Payer: PHP Commercial |
$19,322.49
|
| Rate for Payer: PHP Medicare Advantage |
$17,565.90
|
| Rate for Payer: Priority Health Medicare |
$17,565.90
|
| Rate for Payer: Railroad Medicare Medicare |
$17,565.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,565.90
|
| Rate for Payer: UHC Exchange |
$27,227.15
|
| Rate for Payer: UHC Medicare Advantage |
$17,565.90
|
| Rate for Payer: UHCCP DNSP |
$17,565.90
|
| Rate for Payer: VA VA |
$17,565.90
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$14,798.76
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$9,070.21 |
| Max. Negotiated Rate |
$14,798.76 |
| Rate for Payer: Aetna Medicare |
$9,547.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,934.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,934.49
|
| Rate for Payer: BCBS MAPPO |
$9,547.59
|
| Rate for Payer: BCN Medicare Advantage |
$9,547.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,547.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,547.59
|
| Rate for Payer: Mclaren Medicare |
$9,547.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,024.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,979.73
|
| Rate for Payer: PACE Medicare |
$9,070.21
|
| Rate for Payer: PACE SWMI |
$9,547.59
|
| Rate for Payer: PHP Commercial |
$10,502.35
|
| Rate for Payer: PHP Medicare Advantage |
$9,547.59
|
| Rate for Payer: Priority Health Medicare |
$9,547.59
|
| Rate for Payer: Railroad Medicare Medicare |
$9,547.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,547.59
|
| Rate for Payer: UHC Exchange |
$14,798.76
|
| Rate for Payer: UHC Medicare Advantage |
$9,547.59
|
| Rate for Payer: UHCCP DNSP |
$9,547.59
|
| Rate for Payer: VA VA |
$9,547.59
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$22,622.87
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$13,865.63 |
| Max. Negotiated Rate |
$22,622.87 |
| Rate for Payer: Aetna Medicare |
$14,595.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,244.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,244.25
|
| Rate for Payer: BCBS MAPPO |
$14,595.40
|
| Rate for Payer: BCN Medicare Advantage |
$14,595.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,595.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,595.40
|
| Rate for Payer: Mclaren Medicare |
$14,595.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,325.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,784.71
|
| Rate for Payer: PACE Medicare |
$13,865.63
|
| Rate for Payer: PACE SWMI |
$14,595.40
|
| Rate for Payer: PHP Commercial |
$16,054.94
|
| Rate for Payer: PHP Medicare Advantage |
$14,595.40
|
| Rate for Payer: Priority Health Medicare |
$14,595.40
|
| Rate for Payer: Railroad Medicare Medicare |
$14,595.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,595.40
|
| Rate for Payer: UHC Exchange |
$22,622.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,595.40
|
| Rate for Payer: UHCCP DNSP |
$14,595.40
|
| Rate for Payer: VA VA |
$14,595.40
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$26,633.81
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$16,323.94 |
| Max. Negotiated Rate |
$26,633.81 |
| Rate for Payer: Aetna Medicare |
$17,183.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,478.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,478.88
|
| Rate for Payer: BCBS MAPPO |
$17,183.10
|
| Rate for Payer: BCN Medicare Advantage |
$17,183.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,183.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,183.10
|
| Rate for Payer: Mclaren Medicare |
$17,183.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,042.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,760.56
|
| Rate for Payer: PACE Medicare |
$16,323.94
|
| Rate for Payer: PACE SWMI |
$17,183.10
|
| Rate for Payer: PHP Commercial |
$18,901.41
|
| Rate for Payer: PHP Medicare Advantage |
$17,183.10
|
| Rate for Payer: Priority Health Medicare |
$17,183.10
|
| Rate for Payer: Railroad Medicare Medicare |
$17,183.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,183.10
|
| Rate for Payer: UHC Exchange |
$26,633.81
|
| Rate for Payer: UHC Medicare Advantage |
$17,183.10
|
| Rate for Payer: UHCCP DNSP |
$17,183.10
|
| Rate for Payer: VA VA |
$17,183.10
|
|
|
MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$11,782.25
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$7,221.38 |
| Max. Negotiated Rate |
$11,782.25 |
| Rate for Payer: Aetna Medicare |
$7,601.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,501.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,501.81
|
| Rate for Payer: BCBS MAPPO |
$7,601.45
|
| Rate for Payer: BCN Medicare Advantage |
$7,601.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,601.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,601.45
|
| Rate for Payer: Mclaren Medicare |
$7,601.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,981.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,741.67
|
| Rate for Payer: PACE Medicare |
$7,221.38
|
| Rate for Payer: PACE SWMI |
$7,601.45
|
| Rate for Payer: PHP Commercial |
$8,361.59
|
| Rate for Payer: PHP Medicare Advantage |
$7,601.45
|
| Rate for Payer: Priority Health Medicare |
$7,601.45
|
| Rate for Payer: Railroad Medicare Medicare |
$7,601.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,601.45
|
| Rate for Payer: UHC Exchange |
$11,782.25
|
| Rate for Payer: UHC Medicare Advantage |
$7,601.45
|
| Rate for Payer: UHCCP DNSP |
$7,601.45
|
| Rate for Payer: VA VA |
$7,601.45
|
|
|
MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$183,806.11
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$112,655.36 |
| Max. Negotiated Rate |
$183,806.11 |
| Rate for Payer: Aetna Medicare |
$118,584.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$148,230.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$148,230.74
|
| Rate for Payer: BCBS MAPPO |
$118,584.59
|
| Rate for Payer: BCN Medicare Advantage |
$118,584.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118,584.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$118,584.59
|
| Rate for Payer: Mclaren Medicare |
$118,584.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124,513.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136,372.28
|
| Rate for Payer: PACE Medicare |
$112,655.36
|
| Rate for Payer: PACE SWMI |
$118,584.59
|
| Rate for Payer: PHP Commercial |
$130,443.05
|
| Rate for Payer: PHP Medicare Advantage |
$118,584.59
|
| Rate for Payer: Priority Health Medicare |
$118,584.59
|
| Rate for Payer: Railroad Medicare Medicare |
$118,584.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$118,584.59
|
| Rate for Payer: UHC Exchange |
$183,806.11
|
| Rate for Payer: UHC Medicare Advantage |
$118,584.59
|
| Rate for Payer: UHCCP DNSP |
$118,584.59
|
| Rate for Payer: VA VA |
$118,584.59
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$42,875.39
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$26,278.46 |
| Max. Negotiated Rate |
$42,875.39 |
| Rate for Payer: Aetna Medicare |
$27,661.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,576.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,576.93
|
| Rate for Payer: BCBS MAPPO |
$27,661.54
|
| Rate for Payer: BCN Medicare Advantage |
$27,661.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,661.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,661.54
|
| Rate for Payer: Mclaren Medicare |
$27,661.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,044.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,810.77
|
| Rate for Payer: PACE Medicare |
$26,278.46
|
| Rate for Payer: PACE SWMI |
$27,661.54
|
| Rate for Payer: PHP Commercial |
$30,427.69
|
| Rate for Payer: PHP Medicare Advantage |
$27,661.54
|
| Rate for Payer: Priority Health Medicare |
$27,661.54
|
| Rate for Payer: Railroad Medicare Medicare |
$27,661.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,661.54
|
| Rate for Payer: UHC Exchange |
$42,875.39
|
| Rate for Payer: UHC Medicare Advantage |
$27,661.54
|
| Rate for Payer: UHCCP DNSP |
$27,661.54
|
| Rate for Payer: VA VA |
$27,661.54
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
|
IP
|
$72,261.76
|
|
|
Service Code
|
MSDRG 239
|
| Min. Negotiated Rate |
$44,289.47 |
| Max. Negotiated Rate |
$72,261.76 |
| Rate for Payer: Aetna Medicare |
$46,620.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,275.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,275.61
|
| Rate for Payer: BCBS MAPPO |
$46,620.49
|
| Rate for Payer: BCN Medicare Advantage |
$46,620.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,620.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,620.49
|
| Rate for Payer: Mclaren Medicare |
$46,620.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,951.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,613.56
|
| Rate for Payer: PACE Medicare |
$44,289.47
|
| Rate for Payer: PACE SWMI |
$46,620.49
|
| Rate for Payer: PHP Commercial |
$51,282.54
|
| Rate for Payer: PHP Medicare Advantage |
$46,620.49
|
| Rate for Payer: Priority Health Medicare |
$46,620.49
|
| Rate for Payer: Railroad Medicare Medicare |
$46,620.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,620.49
|
| Rate for Payer: UHC Exchange |
$72,261.76
|
| Rate for Payer: UHC Medicare Advantage |
$46,620.49
|
| Rate for Payer: UHCCP DNSP |
$46,620.49
|
| Rate for Payer: VA VA |
$46,620.49
|
|
|
MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
|
IP
|
$23,480.38
|
|
|
Service Code
|
MSDRG 241
|
| Min. Negotiated Rate |
$14,391.20 |
| Max. Negotiated Rate |
$23,480.38 |
| Rate for Payer: Aetna Medicare |
$15,148.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,935.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,935.79
|
| Rate for Payer: BCBS MAPPO |
$15,148.63
|
| Rate for Payer: BCN Medicare Advantage |
$15,148.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,148.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,148.63
|
| Rate for Payer: Mclaren Medicare |
$15,148.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,906.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,420.92
|
| Rate for Payer: PACE Medicare |
$14,391.20
|
| Rate for Payer: PACE SWMI |
$15,148.63
|
| Rate for Payer: PHP Commercial |
$16,663.49
|
| Rate for Payer: PHP Medicare Advantage |
$15,148.63
|
| Rate for Payer: Priority Health Medicare |
$15,148.63
|
| Rate for Payer: Railroad Medicare Medicare |
$15,148.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,148.63
|
| Rate for Payer: UHC Exchange |
$23,480.38
|
| Rate for Payer: UHC Medicare Advantage |
$15,148.63
|
| Rate for Payer: UHCCP DNSP |
$15,148.63
|
| Rate for Payer: VA VA |
$15,148.63
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$32,434.46
|
|
|
Service Code
|
MSDRG 475
|
| Min. Negotiated Rate |
$19,879.19 |
| Max. Negotiated Rate |
$32,434.46 |
| Rate for Payer: Aetna Medicare |
$20,925.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,156.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,156.83
|
| Rate for Payer: BCBS MAPPO |
$20,925.46
|
| Rate for Payer: BCN Medicare Advantage |
$20,925.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,925.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,925.46
|
| Rate for Payer: Mclaren Medicare |
$20,925.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,971.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,064.28
|
| Rate for Payer: PACE Medicare |
$19,879.19
|
| Rate for Payer: PACE SWMI |
$20,925.46
|
| Rate for Payer: PHP Commercial |
$23,018.01
|
| Rate for Payer: PHP Medicare Advantage |
$20,925.46
|
| Rate for Payer: Priority Health Medicare |
$20,925.46
|
| Rate for Payer: Railroad Medicare Medicare |
$20,925.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,925.46
|
| Rate for Payer: UHC Exchange |
$32,434.46
|
| Rate for Payer: UHC Medicare Advantage |
$20,925.46
|
| Rate for Payer: UHCCP DNSP |
$20,925.46
|
| Rate for Payer: VA VA |
$20,925.46
|
|
|
MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$64,624.37
|
|
|
Service Code
|
MSDRG 474
|
| Min. Negotiated Rate |
$39,608.48 |
| Max. Negotiated Rate |
$64,624.37 |
| Rate for Payer: Aetna Medicare |
$41,693.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$52,116.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$52,116.43
|
| Rate for Payer: BCBS MAPPO |
$41,693.14
|
| Rate for Payer: BCN Medicare Advantage |
$41,693.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,693.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$41,693.14
|
| Rate for Payer: Mclaren Medicare |
$41,693.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,777.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,947.11
|
| Rate for Payer: PACE Medicare |
$39,608.48
|
| Rate for Payer: PACE SWMI |
$41,693.14
|
| Rate for Payer: PHP Commercial |
$45,862.45
|
| Rate for Payer: PHP Medicare Advantage |
$41,693.14
|
| Rate for Payer: Priority Health Medicare |
$41,693.14
|
| Rate for Payer: Railroad Medicare Medicare |
$41,693.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,693.14
|
| Rate for Payer: UHC Exchange |
$64,624.37
|
| Rate for Payer: UHC Medicare Advantage |
$41,693.14
|
| Rate for Payer: UHCCP DNSP |
$41,693.14
|
| Rate for Payer: VA VA |
$41,693.14
|
|
