|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$88,270.95
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$54,101.55 |
| Max. Negotiated Rate |
$88,270.95 |
| Rate for Payer: Aetna Medicare |
$56,949.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71,186.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71,186.25
|
| Rate for Payer: BCBS MAPPO |
$56,949.00
|
| Rate for Payer: BCN Medicare Advantage |
$56,949.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,949.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,949.00
|
| Rate for Payer: Mclaren Medicare |
$56,949.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,796.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65,491.35
|
| Rate for Payer: PACE Medicare |
$54,101.55
|
| Rate for Payer: PACE SWMI |
$56,949.00
|
| Rate for Payer: PHP Commercial |
$62,643.90
|
| Rate for Payer: PHP Medicare Advantage |
$56,949.00
|
| Rate for Payer: Priority Health Medicare |
$56,949.00
|
| Rate for Payer: Railroad Medicare Medicare |
$56,949.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,949.00
|
| Rate for Payer: UHC Exchange |
$88,270.95
|
| Rate for Payer: UHC Medicare Advantage |
$56,949.00
|
| Rate for Payer: UHCCP DNSP |
$56,949.00
|
| Rate for Payer: VA VA |
$56,949.00
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$66,936.89
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$41,025.84 |
| Max. Negotiated Rate |
$66,936.89 |
| Rate for Payer: Aetna Medicare |
$43,185.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,981.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,981.36
|
| Rate for Payer: BCBS MAPPO |
$43,185.09
|
| Rate for Payer: BCN Medicare Advantage |
$43,185.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,185.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,185.09
|
| Rate for Payer: Mclaren Medicare |
$43,185.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,344.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,662.85
|
| Rate for Payer: PACE Medicare |
$41,025.84
|
| Rate for Payer: PACE SWMI |
$43,185.09
|
| Rate for Payer: PHP Commercial |
$47,503.60
|
| Rate for Payer: PHP Medicare Advantage |
$43,185.09
|
| Rate for Payer: Priority Health Medicare |
$43,185.09
|
| Rate for Payer: Railroad Medicare Medicare |
$43,185.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,185.09
|
| Rate for Payer: UHC Exchange |
$66,936.89
|
| Rate for Payer: UHC Medicare Advantage |
$43,185.09
|
| Rate for Payer: UHCCP DNSP |
$43,185.09
|
| Rate for Payer: VA VA |
$43,185.09
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$41,399.63
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$25,373.97 |
| Max. Negotiated Rate |
$41,399.63 |
| Rate for Payer: Aetna Medicare |
$26,709.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,386.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,386.80
|
| Rate for Payer: BCBS MAPPO |
$26,709.44
|
| Rate for Payer: BCN Medicare Advantage |
$26,709.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,709.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,709.44
|
| Rate for Payer: Mclaren Medicare |
$26,709.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,044.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,715.86
|
| Rate for Payer: PACE Medicare |
$25,373.97
|
| Rate for Payer: PACE SWMI |
$26,709.44
|
| Rate for Payer: PHP Commercial |
$29,380.38
|
| Rate for Payer: PHP Medicare Advantage |
$26,709.44
|
| Rate for Payer: Priority Health Medicare |
$26,709.44
|
| Rate for Payer: Railroad Medicare Medicare |
$26,709.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,709.44
|
| Rate for Payer: UHC Exchange |
$41,399.63
|
| Rate for Payer: UHC Medicare Advantage |
$26,709.44
|
| Rate for Payer: UHCCP DNSP |
$26,709.44
|
| Rate for Payer: VA VA |
$26,709.44
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$26,907.67
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$16,491.80 |
| Max. Negotiated Rate |
$26,907.67 |
| Rate for Payer: Aetna Medicare |
$17,359.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,699.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,699.74
|
| Rate for Payer: BCBS MAPPO |
$17,359.79
|
| Rate for Payer: BCN Medicare Advantage |
$17,359.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,359.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,359.79
|
| Rate for Payer: Mclaren Medicare |
$17,359.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,227.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,963.76
|
| Rate for Payer: PACE Medicare |
$16,491.80
|
| Rate for Payer: PACE SWMI |
$17,359.79
|
| Rate for Payer: PHP Commercial |
$19,095.77
|
| Rate for Payer: PHP Medicare Advantage |
$17,359.79
|
| Rate for Payer: Priority Health Medicare |
$17,359.79
|
| Rate for Payer: Railroad Medicare Medicare |
$17,359.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,359.79
|
| Rate for Payer: UHC Exchange |
$26,907.67
|
| Rate for Payer: UHC Medicare Advantage |
$17,359.79
|
| Rate for Payer: UHCCP DNSP |
$17,359.79
|
| Rate for Payer: VA VA |
$17,359.79
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$28,842.62
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$17,677.73 |
| Max. Negotiated Rate |
$28,842.62 |
| Rate for Payer: Aetna Medicare |
$18,608.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,260.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,260.17
|
| Rate for Payer: BCBS MAPPO |
$18,608.14
|
| Rate for Payer: BCN Medicare Advantage |
$18,608.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,608.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,608.14
|
| Rate for Payer: Mclaren Medicare |
$18,608.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,538.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,399.36
|
| Rate for Payer: PACE Medicare |
$17,677.73
|
| Rate for Payer: PACE SWMI |
$18,608.14
|
| Rate for Payer: PHP Commercial |
$20,468.95
|
| Rate for Payer: PHP Medicare Advantage |
$18,608.14
|
| Rate for Payer: Priority Health Medicare |
$18,608.14
|
| Rate for Payer: Railroad Medicare Medicare |
$18,608.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,608.14
|
| Rate for Payer: UHC Exchange |
$28,842.62
|
| Rate for Payer: UHC Medicare Advantage |
$18,608.14
|
| Rate for Payer: UHCCP DNSP |
$18,608.14
|
| Rate for Payer: VA VA |
$18,608.14
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$49,707.82
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$30,466.08 |
| Max. Negotiated Rate |
$49,707.82 |
| Rate for Payer: Aetna Medicare |
$32,069.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,086.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,086.95
|
| Rate for Payer: BCBS MAPPO |
$32,069.56
|
| Rate for Payer: BCN Medicare Advantage |
$32,069.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,069.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,069.56
|
| Rate for Payer: Mclaren Medicare |
$32,069.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,673.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,879.99
|
| Rate for Payer: PACE Medicare |
$30,466.08
|
| Rate for Payer: PACE SWMI |
$32,069.56
|
| Rate for Payer: PHP Commercial |
$35,276.52
|
| Rate for Payer: PHP Medicare Advantage |
$32,069.56
|
| Rate for Payer: Priority Health Medicare |
$32,069.56
|
| Rate for Payer: Railroad Medicare Medicare |
$32,069.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,069.56
|
| Rate for Payer: UHC Exchange |
$49,707.82
|
| Rate for Payer: UHC Medicare Advantage |
$32,069.56
|
| Rate for Payer: UHCCP DNSP |
$32,069.56
|
| Rate for Payer: VA VA |
$32,069.56
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$23,589.65
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$14,458.17 |
| Max. Negotiated Rate |
$23,589.65 |
| Rate for Payer: Aetna Medicare |
$15,219.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,023.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,023.91
|
| Rate for Payer: BCBS MAPPO |
$15,219.13
|
| Rate for Payer: BCN Medicare Advantage |
$15,219.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,219.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,219.13
|
| Rate for Payer: Mclaren Medicare |
$15,219.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,980.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,502.00
|
| Rate for Payer: PACE Medicare |
$14,458.17
|
| Rate for Payer: PACE SWMI |
$15,219.13
|
| Rate for Payer: PHP Commercial |
$16,741.04
|
| Rate for Payer: PHP Medicare Advantage |
$15,219.13
|
| Rate for Payer: Priority Health Medicare |
$15,219.13
|
| Rate for Payer: Railroad Medicare Medicare |
$15,219.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,219.13
|
| Rate for Payer: UHC Exchange |
$23,589.65
|
| Rate for Payer: UHC Medicare Advantage |
$15,219.13
|
| Rate for Payer: UHCCP DNSP |
$15,219.13
|
| Rate for Payer: VA VA |
$15,219.13
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$91,915.39
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$56,335.24 |
| Max. Negotiated Rate |
$91,915.39 |
| Rate for Payer: Aetna Medicare |
$59,300.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74,125.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74,125.31
|
| Rate for Payer: BCBS MAPPO |
$59,300.25
|
| Rate for Payer: BCN Medicare Advantage |
$59,300.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59,300.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$59,300.25
|
| Rate for Payer: Mclaren Medicare |
$59,300.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62,265.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68,195.29
|
| Rate for Payer: PACE Medicare |
$56,335.24
|
| Rate for Payer: PACE SWMI |
$59,300.25
|
| Rate for Payer: PHP Commercial |
$65,230.28
|
| Rate for Payer: PHP Medicare Advantage |
$59,300.25
|
| Rate for Payer: Priority Health Medicare |
$59,300.25
|
| Rate for Payer: Railroad Medicare Medicare |
$59,300.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$59,300.25
|
| Rate for Payer: UHC Exchange |
$91,915.39
|
| Rate for Payer: UHC Medicare Advantage |
$59,300.25
|
| Rate for Payer: UHCCP DNSP |
$59,300.25
|
| Rate for Payer: VA VA |
$59,300.25
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$136,080.02
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$83,403.88 |
| Max. Negotiated Rate |
$136,080.02 |
| Rate for Payer: Aetna Medicare |
$87,793.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$109,741.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$109,741.95
|
| Rate for Payer: BCBS MAPPO |
$87,793.56
|
| Rate for Payer: BCN Medicare Advantage |
$87,793.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87,793.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$87,793.56
|
| Rate for Payer: Mclaren Medicare |
$87,793.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92,183.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100,962.59
|
| Rate for Payer: PACE Medicare |
$83,403.88
|
| Rate for Payer: PACE SWMI |
$87,793.56
|
| Rate for Payer: PHP Commercial |
$96,572.92
|
| Rate for Payer: PHP Medicare Advantage |
$87,793.56
|
| Rate for Payer: Priority Health Medicare |
$87,793.56
|
| Rate for Payer: Railroad Medicare Medicare |
$87,793.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$87,793.56
|
| Rate for Payer: UHC Exchange |
$136,080.02
|
| Rate for Payer: UHC Medicare Advantage |
$87,793.56
|
| Rate for Payer: UHCCP DNSP |
$87,793.56
|
| Rate for Payer: VA VA |
$87,793.56
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$84,881.02
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$52,023.85 |
| Max. Negotiated Rate |
$84,881.02 |
| Rate for Payer: Aetna Medicare |
$54,761.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,452.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,452.44
|
| Rate for Payer: BCBS MAPPO |
$54,761.95
|
| Rate for Payer: BCN Medicare Advantage |
$54,761.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,761.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$54,761.95
|
| Rate for Payer: Mclaren Medicare |
$54,761.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,500.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,976.24
|
| Rate for Payer: PACE Medicare |
$52,023.85
|
| Rate for Payer: PACE SWMI |
$54,761.95
|
| Rate for Payer: PHP Commercial |
$60,238.14
|
| Rate for Payer: PHP Medicare Advantage |
$54,761.95
|
| Rate for Payer: Priority Health Medicare |
$54,761.95
|
| Rate for Payer: Railroad Medicare Medicare |
$54,761.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,761.95
|
| Rate for Payer: UHC Exchange |
$84,881.02
|
| Rate for Payer: UHC Medicare Advantage |
$54,761.95
|
| Rate for Payer: UHCCP DNSP |
$54,761.95
|
| Rate for Payer: VA VA |
$54,761.95
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$75,855.03
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$46,491.79 |
| Max. Negotiated Rate |
$75,855.03 |
| Rate for Payer: Aetna Medicare |
$48,938.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,173.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,173.41
|
| Rate for Payer: BCBS MAPPO |
$48,938.73
|
| Rate for Payer: BCN Medicare Advantage |
$48,938.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48,938.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$48,938.73
|
| Rate for Payer: Mclaren Medicare |
$48,938.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,385.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,279.54
|
| Rate for Payer: PACE Medicare |
$46,491.79
|
| Rate for Payer: PACE SWMI |
$48,938.73
|
| Rate for Payer: PHP Commercial |
$53,832.60
|
| Rate for Payer: PHP Medicare Advantage |
$48,938.73
|
| Rate for Payer: Priority Health Medicare |
$48,938.73
|
| Rate for Payer: Railroad Medicare Medicare |
$48,938.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$48,938.73
|
| Rate for Payer: UHC Exchange |
$75,855.03
|
| Rate for Payer: UHC Medicare Advantage |
$48,938.73
|
| Rate for Payer: UHCCP DNSP |
$48,938.73
|
| Rate for Payer: VA VA |
$48,938.73
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$109,613.33
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$67,182.37 |
| Max. Negotiated Rate |
$109,613.33 |
| Rate for Payer: Aetna Medicare |
$70,718.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88,397.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88,397.85
|
| Rate for Payer: BCBS MAPPO |
$70,718.28
|
| Rate for Payer: BCN Medicare Advantage |
$70,718.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70,718.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$70,718.28
|
| Rate for Payer: Mclaren Medicare |
$70,718.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74,254.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81,326.02
|
| Rate for Payer: PACE Medicare |
$67,182.37
|
| Rate for Payer: PACE SWMI |
$70,718.28
|
| Rate for Payer: PHP Commercial |
$77,790.11
|
| Rate for Payer: PHP Medicare Advantage |
$70,718.28
|
| Rate for Payer: Priority Health Medicare |
$70,718.28
|
| Rate for Payer: Railroad Medicare Medicare |
$70,718.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$70,718.28
|
| Rate for Payer: UHC Exchange |
$109,613.33
|
| Rate for Payer: UHC Medicare Advantage |
$70,718.28
|
| Rate for Payer: UHCCP DNSP |
$70,718.28
|
| Rate for Payer: VA VA |
$70,718.28
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$66,116.71
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$40,523.14 |
| Max. Negotiated Rate |
$66,116.71 |
| Rate for Payer: Aetna Medicare |
$42,655.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,319.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,319.93
|
| Rate for Payer: BCBS MAPPO |
$42,655.94
|
| Rate for Payer: BCN Medicare Advantage |
$42,655.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,655.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,655.94
|
| Rate for Payer: Mclaren Medicare |
$42,655.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,788.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,054.33
|
| Rate for Payer: PACE Medicare |
$40,523.14
|
| Rate for Payer: PACE SWMI |
$42,655.94
|
| Rate for Payer: PHP Commercial |
$46,921.53
|
| Rate for Payer: PHP Medicare Advantage |
$42,655.94
|
| Rate for Payer: Priority Health Medicare |
$42,655.94
|
| Rate for Payer: Railroad Medicare Medicare |
$42,655.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,655.94
|
| Rate for Payer: UHC Exchange |
$66,116.71
|
| Rate for Payer: UHC Medicare Advantage |
$42,655.94
|
| Rate for Payer: UHCCP DNSP |
$42,655.94
|
| Rate for Payer: VA VA |
$42,655.94
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$34,059.61
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$20,875.24 |
| Max. Negotiated Rate |
$34,059.61 |
| Rate for Payer: Aetna Medicare |
$21,973.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,467.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,467.42
|
| Rate for Payer: BCBS MAPPO |
$21,973.94
|
| Rate for Payer: BCN Medicare Advantage |
$21,973.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,973.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,973.94
|
| Rate for Payer: Mclaren Medicare |
$21,973.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,072.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,270.03
|
| Rate for Payer: PACE Medicare |
$20,875.24
|
| Rate for Payer: PACE SWMI |
$21,973.94
|
| Rate for Payer: PHP Commercial |
$24,171.33
|
| Rate for Payer: PHP Medicare Advantage |
$21,973.94
|
| Rate for Payer: Priority Health Medicare |
$21,973.94
|
| Rate for Payer: Railroad Medicare Medicare |
$21,973.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,973.94
|
| Rate for Payer: UHC Exchange |
$34,059.61
|
| Rate for Payer: UHC Medicare Advantage |
$21,973.94
|
| Rate for Payer: UHCCP DNSP |
$21,973.94
|
| Rate for Payer: VA VA |
$21,973.94
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,381.19
|
|
|
Service Code
|
MSDRG 034
|
| Min. Negotiated Rate |
$34,556.21 |
| Max. Negotiated Rate |
$56,381.19 |
| Rate for Payer: Aetna Medicare |
$36,374.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,468.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,468.70
|
| Rate for Payer: BCBS MAPPO |
$36,374.96
|
| Rate for Payer: BCN Medicare Advantage |
$36,374.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,374.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,374.96
|
| Rate for Payer: Mclaren Medicare |
$36,374.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,193.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,831.20
|
| Rate for Payer: PACE Medicare |
$34,556.21
|
| Rate for Payer: PACE SWMI |
$36,374.96
|
| Rate for Payer: PHP Commercial |
$40,012.46
|
| Rate for Payer: PHP Medicare Advantage |
$36,374.96
|
| Rate for Payer: Priority Health Medicare |
$36,374.96
|
| Rate for Payer: Railroad Medicare Medicare |
$36,374.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,374.96
|
| Rate for Payer: UHC Exchange |
$56,381.19
|
| Rate for Payer: UHC Medicare Advantage |
$36,374.96
|
| Rate for Payer: UHCCP DNSP |
$36,374.96
|
| Rate for Payer: VA VA |
$36,374.96
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,950.51
|
|
|
Service Code
|
MSDRG 036
|
| Min. Negotiated Rate |
$17,130.96 |
| Max. Negotiated Rate |
$27,950.51 |
| Rate for Payer: Aetna Medicare |
$18,032.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,540.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,540.74
|
| Rate for Payer: BCBS MAPPO |
$18,032.59
|
| Rate for Payer: BCN Medicare Advantage |
$18,032.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,032.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,032.59
|
| Rate for Payer: Mclaren Medicare |
$18,032.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,934.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,737.48
|
| Rate for Payer: PACE Medicare |
$17,130.96
|
| Rate for Payer: PACE SWMI |
$18,032.59
|
| Rate for Payer: PHP Commercial |
$19,835.85
|
| Rate for Payer: PHP Medicare Advantage |
$18,032.59
|
| Rate for Payer: Priority Health Medicare |
$18,032.59
|
| Rate for Payer: Railroad Medicare Medicare |
$18,032.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,032.59
|
| Rate for Payer: UHC Exchange |
$27,950.51
|
| Rate for Payer: UHC Medicare Advantage |
$18,032.59
|
| Rate for Payer: UHCCP DNSP |
$18,032.59
|
| Rate for Payer: VA VA |
$18,032.59
|
|
|
MS-DRG 42.00: CELLULITIS WITH MCC
|
Facility
|
IP
|
$22,917.46
|
|
|
Service Code
|
MSDRG 602
|
| Min. Negotiated Rate |
$14,046.19 |
| Max. Negotiated Rate |
$22,917.46 |
| Rate for Payer: Aetna Medicare |
$14,785.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,481.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,481.83
|
| Rate for Payer: BCBS MAPPO |
$14,785.46
|
| Rate for Payer: BCN Medicare Advantage |
$14,785.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,785.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,785.46
|
| Rate for Payer: Mclaren Medicare |
$14,785.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,524.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,003.28
|
| Rate for Payer: PACE Medicare |
$14,046.19
|
| Rate for Payer: PACE SWMI |
$14,785.46
|
| Rate for Payer: PHP Commercial |
$16,264.01
|
| Rate for Payer: PHP Medicare Advantage |
$14,785.46
|
| Rate for Payer: Priority Health Medicare |
$14,785.46
|
| Rate for Payer: Railroad Medicare Medicare |
$14,785.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,785.46
|
| Rate for Payer: UHC Exchange |
$22,917.46
|
| Rate for Payer: UHC Medicare Advantage |
$14,785.46
|
| Rate for Payer: UHCCP DNSP |
$14,785.46
|
| Rate for Payer: VA VA |
$14,785.46
|
|
|
MS-DRG 42.00: CELLULITIS WITHOUT MCC
|
Facility
|
IP
|
$14,779.41
|
|
|
Service Code
|
MSDRG 603
|
| Min. Negotiated Rate |
$9,058.34 |
| Max. Negotiated Rate |
$14,779.41 |
| Rate for Payer: Aetna Medicare |
$9,535.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,918.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,918.88
|
| Rate for Payer: BCBS MAPPO |
$9,535.10
|
| Rate for Payer: BCN Medicare Advantage |
$9,535.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,535.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,535.10
|
| Rate for Payer: Mclaren Medicare |
$9,535.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,011.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,965.36
|
| Rate for Payer: PACE Medicare |
$9,058.34
|
| Rate for Payer: PACE SWMI |
$9,535.10
|
| Rate for Payer: PHP Commercial |
$10,488.61
|
| Rate for Payer: PHP Medicare Advantage |
$9,535.10
|
| Rate for Payer: Priority Health Medicare |
$9,535.10
|
| Rate for Payer: Railroad Medicare Medicare |
$9,535.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,535.10
|
| Rate for Payer: UHC Exchange |
$14,779.41
|
| Rate for Payer: UHC Medicare Advantage |
$9,535.10
|
| Rate for Payer: UHCCP DNSP |
$9,535.10
|
| Rate for Payer: VA VA |
$9,535.10
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$42,667.90
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$26,151.30 |
| Max. Negotiated Rate |
$42,667.90 |
| Rate for Payer: Aetna Medicare |
$27,527.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,409.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,409.60
|
| Rate for Payer: BCBS MAPPO |
$27,527.68
|
| Rate for Payer: BCN Medicare Advantage |
$27,527.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,527.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,527.68
|
| Rate for Payer: Mclaren Medicare |
$27,527.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,904.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,656.83
|
| Rate for Payer: PACE Medicare |
$26,151.30
|
| Rate for Payer: PACE SWMI |
$27,527.68
|
| Rate for Payer: PHP Commercial |
$30,280.45
|
| Rate for Payer: PHP Medicare Advantage |
$27,527.68
|
| Rate for Payer: Priority Health Medicare |
$27,527.68
|
| Rate for Payer: Railroad Medicare Medicare |
$27,527.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,527.68
|
| Rate for Payer: UHC Exchange |
$42,667.90
|
| Rate for Payer: UHC Medicare Advantage |
$27,527.68
|
| Rate for Payer: UHCCP DNSP |
$27,527.68
|
| Rate for Payer: VA VA |
$27,527.68
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$69,777.73
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$42,767.00 |
| Max. Negotiated Rate |
$69,777.73 |
| Rate for Payer: Aetna Medicare |
$45,017.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,272.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,272.36
|
| Rate for Payer: BCBS MAPPO |
$45,017.89
|
| Rate for Payer: BCN Medicare Advantage |
$45,017.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45,017.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$45,017.89
|
| Rate for Payer: Mclaren Medicare |
$45,017.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,268.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,770.57
|
| Rate for Payer: PACE Medicare |
$42,767.00
|
| Rate for Payer: PACE SWMI |
$45,017.89
|
| Rate for Payer: PHP Commercial |
$49,519.68
|
| Rate for Payer: PHP Medicare Advantage |
$45,017.89
|
| Rate for Payer: Priority Health Medicare |
$45,017.89
|
| Rate for Payer: Railroad Medicare Medicare |
$45,017.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$45,017.89
|
| Rate for Payer: UHC Exchange |
$69,777.73
|
| Rate for Payer: UHC Medicare Advantage |
$45,017.89
|
| Rate for Payer: UHCCP DNSP |
$45,017.89
|
| Rate for Payer: VA VA |
$45,017.89
|
|
|
MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$35,340.36
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$21,660.22 |
| Max. Negotiated Rate |
$35,340.36 |
| Rate for Payer: Aetna Medicare |
$22,800.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,500.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,500.29
|
| Rate for Payer: BCBS MAPPO |
$22,800.23
|
| Rate for Payer: BCN Medicare Advantage |
$22,800.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,800.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,800.23
|
| Rate for Payer: Mclaren Medicare |
$22,800.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,940.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,220.26
|
| Rate for Payer: PACE Medicare |
$21,660.22
|
| Rate for Payer: PACE SWMI |
$22,800.23
|
| Rate for Payer: PHP Commercial |
$25,080.25
|
| Rate for Payer: PHP Medicare Advantage |
$22,800.23
|
| Rate for Payer: Priority Health Medicare |
$22,800.23
|
| Rate for Payer: Railroad Medicare Medicare |
$22,800.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,800.23
|
| Rate for Payer: UHC Exchange |
$35,340.36
|
| Rate for Payer: UHC Medicare Advantage |
$22,800.23
|
| Rate for Payer: UHCCP DNSP |
$22,800.23
|
| Rate for Payer: VA VA |
$22,800.23
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$17,282.79
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$10,592.68 |
| Max. Negotiated Rate |
$17,282.79 |
| Rate for Payer: Aetna Medicare |
$11,150.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,937.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,937.74
|
| Rate for Payer: BCBS MAPPO |
$11,150.19
|
| Rate for Payer: BCN Medicare Advantage |
$11,150.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,150.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,150.19
|
| Rate for Payer: Mclaren Medicare |
$11,150.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,707.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,822.72
|
| Rate for Payer: PACE Medicare |
$10,592.68
|
| Rate for Payer: PACE SWMI |
$11,150.19
|
| Rate for Payer: PHP Commercial |
$12,265.21
|
| Rate for Payer: PHP Medicare Advantage |
$11,150.19
|
| Rate for Payer: Priority Health Medicare |
$11,150.19
|
| Rate for Payer: Railroad Medicare Medicare |
$11,150.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,150.19
|
| Rate for Payer: UHC Exchange |
$17,282.79
|
| Rate for Payer: UHC Medicare Advantage |
$11,150.19
|
| Rate for Payer: UHCCP DNSP |
$11,150.19
|
| Rate for Payer: VA VA |
$11,150.19
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$24,946.46
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$15,289.77 |
| Max. Negotiated Rate |
$24,946.46 |
| Rate for Payer: Aetna Medicare |
$16,094.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,118.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,118.11
|
| Rate for Payer: BCBS MAPPO |
$16,094.49
|
| Rate for Payer: BCN Medicare Advantage |
$16,094.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,094.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,094.49
|
| Rate for Payer: Mclaren Medicare |
$16,094.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,899.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,508.66
|
| Rate for Payer: PACE Medicare |
$15,289.77
|
| Rate for Payer: PACE SWMI |
$16,094.49
|
| Rate for Payer: PHP Commercial |
$17,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,094.49
|
| Rate for Payer: Priority Health Medicare |
$16,094.49
|
| Rate for Payer: Railroad Medicare Medicare |
$16,094.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,094.49
|
| Rate for Payer: UHC Exchange |
$24,946.46
|
| Rate for Payer: UHC Medicare Advantage |
$16,094.49
|
| Rate for Payer: UHCCP DNSP |
$16,094.49
|
| Rate for Payer: VA VA |
$16,094.49
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,109.99
|
|
|
Service Code
|
MSDRG 788
|
| Min. Negotiated Rate |
$9,260.96 |
| Max. Negotiated Rate |
$15,109.99 |
| Rate for Payer: Aetna Medicare |
$9,748.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,185.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,185.48
|
| Rate for Payer: BCBS MAPPO |
$9,748.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,748.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,748.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,748.38
|
| Rate for Payer: Mclaren Medicare |
$9,748.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,235.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,210.64
|
| Rate for Payer: PACE Medicare |
$9,260.96
|
| Rate for Payer: PACE SWMI |
$9,748.38
|
| Rate for Payer: PHP Commercial |
$10,723.22
|
| Rate for Payer: PHP Medicare Advantage |
$9,748.38
|
| Rate for Payer: Priority Health Medicare |
$9,748.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,748.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,748.38
|
| Rate for Payer: UHC Exchange |
$15,109.99
|
| Rate for Payer: UHC Medicare Advantage |
$9,748.38
|
| Rate for Payer: UHCCP DNSP |
$9,748.38
|
| Rate for Payer: VA VA |
$9,748.38
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC
|
Facility
|
IP
|
$17,576.01
|
|
|
Service Code
|
MSDRG 784
|
| Min. Negotiated Rate |
$10,772.39 |
| Max. Negotiated Rate |
$17,576.01 |
| Rate for Payer: Aetna Medicare |
$11,339.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,174.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,174.20
|
| Rate for Payer: BCBS MAPPO |
$11,339.36
|
| Rate for Payer: BCN Medicare Advantage |
$11,339.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,339.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,339.36
|
| Rate for Payer: Mclaren Medicare |
$11,339.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,906.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,040.26
|
| Rate for Payer: PACE Medicare |
$10,772.39
|
| Rate for Payer: PACE SWMI |
$11,339.36
|
| Rate for Payer: PHP Commercial |
$12,473.30
|
| Rate for Payer: PHP Medicare Advantage |
$11,339.36
|
| Rate for Payer: Priority Health Medicare |
$11,339.36
|
| Rate for Payer: Railroad Medicare Medicare |
$11,339.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,339.36
|
| Rate for Payer: UHC Exchange |
$17,576.01
|
| Rate for Payer: UHC Medicare Advantage |
$11,339.36
|
| Rate for Payer: UHCCP DNSP |
$11,339.36
|
| Rate for Payer: VA VA |
$11,339.36
|
|
