|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC
|
Facility
|
IP
|
$28,074.99
|
|
|
Service Code
|
MSDRG 783
|
| Min. Negotiated Rate |
$17,207.26 |
| Max. Negotiated Rate |
$28,074.99 |
| Rate for Payer: Aetna Medicare |
$18,112.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,641.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,641.12
|
| Rate for Payer: BCBS MAPPO |
$18,112.90
|
| Rate for Payer: BCN Medicare Advantage |
$18,112.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,112.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,112.90
|
| Rate for Payer: Mclaren Medicare |
$18,112.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,018.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,829.83
|
| Rate for Payer: PACE Medicare |
$17,207.26
|
| Rate for Payer: PACE SWMI |
$18,112.90
|
| Rate for Payer: PHP Commercial |
$19,924.19
|
| Rate for Payer: PHP Medicare Advantage |
$18,112.90
|
| Rate for Payer: Priority Health Medicare |
$18,112.90
|
| Rate for Payer: Railroad Medicare Medicare |
$18,112.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,112.90
|
| Rate for Payer: UHC Exchange |
$28,074.99
|
| Rate for Payer: UHC Medicare Advantage |
$18,112.90
|
| Rate for Payer: UHCCP DNSP |
$18,112.90
|
| Rate for Payer: VA VA |
$18,112.90
|
|
|
MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,678.44
|
|
|
Service Code
|
MSDRG 785
|
| Min. Negotiated Rate |
$8,996.46 |
| Max. Negotiated Rate |
$14,678.44 |
| Rate for Payer: Aetna Medicare |
$9,469.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,837.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,837.45
|
| Rate for Payer: BCBS MAPPO |
$9,469.96
|
| Rate for Payer: BCN Medicare Advantage |
$9,469.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,469.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,469.96
|
| Rate for Payer: Mclaren Medicare |
$9,469.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,943.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,890.45
|
| Rate for Payer: PACE Medicare |
$8,996.46
|
| Rate for Payer: PACE SWMI |
$9,469.96
|
| Rate for Payer: PHP Commercial |
$10,416.96
|
| Rate for Payer: PHP Medicare Advantage |
$9,469.96
|
| Rate for Payer: Priority Health Medicare |
$9,469.96
|
| Rate for Payer: Railroad Medicare Medicare |
$9,469.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,469.96
|
| Rate for Payer: UHC Exchange |
$14,678.44
|
| Rate for Payer: UHC Medicare Advantage |
$9,469.96
|
| Rate for Payer: UHCCP DNSP |
$9,469.96
|
| Rate for Payer: VA VA |
$9,469.96
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
|
IP
|
$71,850.99
|
|
|
Service Code
|
MSDRG 837
|
| Min. Negotiated Rate |
$44,037.71 |
| Max. Negotiated Rate |
$71,850.99 |
| Rate for Payer: Aetna Medicare |
$46,355.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,944.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,944.35
|
| Rate for Payer: BCBS MAPPO |
$46,355.48
|
| Rate for Payer: BCN Medicare Advantage |
$46,355.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,355.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,355.48
|
| Rate for Payer: Mclaren Medicare |
$46,355.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,673.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,308.80
|
| Rate for Payer: PACE Medicare |
$44,037.71
|
| Rate for Payer: PACE SWMI |
$46,355.48
|
| Rate for Payer: PHP Commercial |
$50,991.03
|
| Rate for Payer: PHP Medicare Advantage |
$46,355.48
|
| Rate for Payer: Priority Health Medicare |
$46,355.48
|
| Rate for Payer: Railroad Medicare Medicare |
$46,355.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,355.48
|
| Rate for Payer: UHC Exchange |
$71,850.99
|
| Rate for Payer: UHC Medicare Advantage |
$46,355.48
|
| Rate for Payer: UHCCP DNSP |
$46,355.48
|
| Rate for Payer: VA VA |
$46,355.48
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
|
IP
|
$30,648.91
|
|
|
Service Code
|
MSDRG 838
|
| Min. Negotiated Rate |
$18,784.82 |
| Max. Negotiated Rate |
$30,648.91 |
| Rate for Payer: Aetna Medicare |
$19,773.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,716.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,716.86
|
| Rate for Payer: BCBS MAPPO |
$19,773.49
|
| Rate for Payer: BCN Medicare Advantage |
$19,773.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,773.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,773.49
|
| Rate for Payer: Mclaren Medicare |
$19,773.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,762.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,739.51
|
| Rate for Payer: PACE Medicare |
$18,784.82
|
| Rate for Payer: PACE SWMI |
$19,773.49
|
| Rate for Payer: PHP Commercial |
$21,750.84
|
| Rate for Payer: PHP Medicare Advantage |
$19,773.49
|
| Rate for Payer: Priority Health Medicare |
$19,773.49
|
| Rate for Payer: Railroad Medicare Medicare |
$19,773.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,773.49
|
| Rate for Payer: UHC Exchange |
$30,648.91
|
| Rate for Payer: UHC Medicare Advantage |
$19,773.49
|
| Rate for Payer: UHCCP DNSP |
$19,773.49
|
| Rate for Payer: VA VA |
$19,773.49
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,550.98
|
|
|
Service Code
|
MSDRG 839
|
| Min. Negotiated Rate |
$13,208.67 |
| Max. Negotiated Rate |
$21,550.98 |
| Rate for Payer: Aetna Medicare |
$13,903.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,379.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,379.83
|
| Rate for Payer: BCBS MAPPO |
$13,903.86
|
| Rate for Payer: BCN Medicare Advantage |
$13,903.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,903.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,903.86
|
| Rate for Payer: Mclaren Medicare |
$13,903.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,599.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,989.44
|
| Rate for Payer: PACE Medicare |
$13,208.67
|
| Rate for Payer: PACE SWMI |
$13,903.86
|
| Rate for Payer: PHP Commercial |
$15,294.25
|
| Rate for Payer: PHP Medicare Advantage |
$13,903.86
|
| Rate for Payer: Priority Health Medicare |
$13,903.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,903.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,903.86
|
| Rate for Payer: UHC Exchange |
$21,550.98
|
| Rate for Payer: UHC Medicare Advantage |
$13,903.86
|
| Rate for Payer: UHCCP DNSP |
$13,903.86
|
| Rate for Payer: VA VA |
$13,903.86
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
|
IP
|
$20,172.03
|
|
|
Service Code
|
MSDRG 847
|
| Min. Negotiated Rate |
$12,363.50 |
| Max. Negotiated Rate |
$20,172.03 |
| Rate for Payer: Aetna Medicare |
$13,014.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,267.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,267.76
|
| Rate for Payer: BCBS MAPPO |
$13,014.21
|
| Rate for Payer: BCN Medicare Advantage |
$13,014.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,014.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,014.21
|
| Rate for Payer: Mclaren Medicare |
$13,014.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,664.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,966.34
|
| Rate for Payer: PACE Medicare |
$12,363.50
|
| Rate for Payer: PACE SWMI |
$13,014.21
|
| Rate for Payer: PHP Commercial |
$14,315.63
|
| Rate for Payer: PHP Medicare Advantage |
$13,014.21
|
| Rate for Payer: Priority Health Medicare |
$13,014.21
|
| Rate for Payer: Railroad Medicare Medicare |
$13,014.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,014.21
|
| Rate for Payer: UHC Exchange |
$20,172.03
|
| Rate for Payer: UHC Medicare Advantage |
$13,014.21
|
| Rate for Payer: UHCCP DNSP |
$13,014.21
|
| Rate for Payer: VA VA |
$13,014.21
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$37,918.41
|
|
|
Service Code
|
MSDRG 846
|
| Min. Negotiated Rate |
$23,240.32 |
| Max. Negotiated Rate |
$37,918.41 |
| Rate for Payer: Aetna Medicare |
$24,463.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,579.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,579.36
|
| Rate for Payer: BCBS MAPPO |
$24,463.49
|
| Rate for Payer: BCN Medicare Advantage |
$24,463.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,463.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,463.49
|
| Rate for Payer: Mclaren Medicare |
$24,463.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,686.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,133.01
|
| Rate for Payer: PACE Medicare |
$23,240.32
|
| Rate for Payer: PACE SWMI |
$24,463.49
|
| Rate for Payer: PHP Commercial |
$26,909.84
|
| Rate for Payer: PHP Medicare Advantage |
$24,463.49
|
| Rate for Payer: Priority Health Medicare |
$24,463.49
|
| Rate for Payer: Railroad Medicare Medicare |
$24,463.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,463.49
|
| Rate for Payer: UHC Exchange |
$37,918.41
|
| Rate for Payer: UHC Medicare Advantage |
$24,463.49
|
| Rate for Payer: UHCCP DNSP |
$24,463.49
|
| Rate for Payer: VA VA |
$24,463.49
|
|
|
MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,923.26
|
|
|
Service Code
|
MSDRG 848
|
| Min. Negotiated Rate |
$8,533.61 |
| Max. Negotiated Rate |
$13,923.26 |
| Rate for Payer: Aetna Medicare |
$8,982.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,228.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,228.44
|
| Rate for Payer: BCBS MAPPO |
$8,982.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,982.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,982.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,982.75
|
| Rate for Payer: Mclaren Medicare |
$8,982.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,431.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,330.16
|
| Rate for Payer: PACE Medicare |
$8,533.61
|
| Rate for Payer: PACE SWMI |
$8,982.75
|
| Rate for Payer: PHP Commercial |
$9,881.02
|
| Rate for Payer: PHP Medicare Advantage |
$8,982.75
|
| Rate for Payer: Priority Health Medicare |
$8,982.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,982.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,982.75
|
| Rate for Payer: UHC Exchange |
$13,923.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,982.75
|
| Rate for Payer: UHCCP DNSP |
$8,982.75
|
| Rate for Payer: VA VA |
$8,982.75
|
|
|
MS-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$12,464.14
|
|
|
Service Code
|
MSDRG 313
|
| Min. Negotiated Rate |
$7,639.31 |
| Max. Negotiated Rate |
$12,464.14 |
| Rate for Payer: Aetna Medicare |
$8,041.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,051.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,051.73
|
| Rate for Payer: BCBS MAPPO |
$8,041.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,041.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,041.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,041.38
|
| Rate for Payer: Mclaren Medicare |
$8,041.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,443.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,247.59
|
| Rate for Payer: PACE Medicare |
$7,639.31
|
| Rate for Payer: PACE SWMI |
$8,041.38
|
| Rate for Payer: PHP Commercial |
$8,845.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,041.38
|
| Rate for Payer: Priority Health Medicare |
$8,041.38
|
| Rate for Payer: Railroad Medicare Medicare |
$8,041.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,041.38
|
| Rate for Payer: UHC Exchange |
$12,464.14
|
| Rate for Payer: UHC Medicare Advantage |
$8,041.38
|
| Rate for Payer: UHCCP DNSP |
$8,041.38
|
| Rate for Payer: VA VA |
$8,041.38
|
|
|
MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$524,196.95
|
|
|
Service Code
|
MSDRG 018
|
| Min. Negotiated Rate |
$321,282.00 |
| Max. Negotiated Rate |
$524,196.95 |
| Rate for Payer: Aetna Medicare |
$338,191.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$422,739.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$422,739.47
|
| Rate for Payer: BCBS MAPPO |
$338,191.58
|
| Rate for Payer: BCN Medicare Advantage |
$338,191.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338,191.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$338,191.58
|
| Rate for Payer: Mclaren Medicare |
$338,191.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$355,101.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388,920.32
|
| Rate for Payer: PACE Medicare |
$321,282.00
|
| Rate for Payer: PACE SWMI |
$338,191.58
|
| Rate for Payer: PHP Commercial |
$372,010.74
|
| Rate for Payer: PHP Medicare Advantage |
$338,191.58
|
| Rate for Payer: Priority Health Medicare |
$338,191.58
|
| Rate for Payer: Railroad Medicare Medicare |
$338,191.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$338,191.58
|
| Rate for Payer: UHC Exchange |
$524,196.95
|
| Rate for Payer: UHC Medicare Advantage |
$338,191.58
|
| Rate for Payer: UHCCP DNSP |
$338,191.58
|
| Rate for Payer: VA VA |
$338,191.58
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$29,955.98
|
|
|
Service Code
|
MSDRG 415
|
| Min. Negotiated Rate |
$18,360.12 |
| Max. Negotiated Rate |
$29,955.98 |
| Rate for Payer: Aetna Medicare |
$19,326.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,158.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,158.05
|
| Rate for Payer: BCBS MAPPO |
$19,326.44
|
| Rate for Payer: BCN Medicare Advantage |
$19,326.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,326.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,326.44
|
| Rate for Payer: Mclaren Medicare |
$19,326.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,292.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,225.41
|
| Rate for Payer: PACE Medicare |
$18,360.12
|
| Rate for Payer: PACE SWMI |
$19,326.44
|
| Rate for Payer: PHP Commercial |
$21,259.08
|
| Rate for Payer: PHP Medicare Advantage |
$19,326.44
|
| Rate for Payer: Priority Health Medicare |
$19,326.44
|
| Rate for Payer: Railroad Medicare Medicare |
$19,326.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,326.44
|
| Rate for Payer: UHC Exchange |
$29,955.98
|
| Rate for Payer: UHC Medicare Advantage |
$19,326.44
|
| Rate for Payer: UHCCP DNSP |
$19,326.44
|
| Rate for Payer: VA VA |
$19,326.44
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$51,057.70
|
|
|
Service Code
|
MSDRG 414
|
| Min. Negotiated Rate |
$31,293.43 |
| Max. Negotiated Rate |
$51,057.70 |
| Rate for Payer: Aetna Medicare |
$32,940.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,175.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,175.56
|
| Rate for Payer: BCBS MAPPO |
$32,940.45
|
| Rate for Payer: BCN Medicare Advantage |
$32,940.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,940.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,940.45
|
| Rate for Payer: Mclaren Medicare |
$32,940.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,587.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,881.52
|
| Rate for Payer: PACE Medicare |
$31,293.43
|
| Rate for Payer: PACE SWMI |
$32,940.45
|
| Rate for Payer: PHP Commercial |
$36,234.50
|
| Rate for Payer: PHP Medicare Advantage |
$32,940.45
|
| Rate for Payer: Priority Health Medicare |
$32,940.45
|
| Rate for Payer: Railroad Medicare Medicare |
$32,940.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,940.45
|
| Rate for Payer: UHC Exchange |
$51,057.70
|
| Rate for Payer: UHC Medicare Advantage |
$32,940.45
|
| Rate for Payer: UHCCP DNSP |
$32,940.45
|
| Rate for Payer: VA VA |
$32,940.45
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$21,548.22
|
|
|
Service Code
|
MSDRG 416
|
| Min. Negotiated Rate |
$13,206.98 |
| Max. Negotiated Rate |
$21,548.22 |
| Rate for Payer: Aetna Medicare |
$13,902.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,377.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,377.60
|
| Rate for Payer: BCBS MAPPO |
$13,902.08
|
| Rate for Payer: BCN Medicare Advantage |
$13,902.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,902.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,902.08
|
| Rate for Payer: Mclaren Medicare |
$13,902.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,597.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,987.39
|
| Rate for Payer: PACE Medicare |
$13,206.98
|
| Rate for Payer: PACE SWMI |
$13,902.08
|
| Rate for Payer: PHP Commercial |
$15,292.29
|
| Rate for Payer: PHP Medicare Advantage |
$13,902.08
|
| Rate for Payer: Priority Health Medicare |
$13,902.08
|
| Rate for Payer: Railroad Medicare Medicare |
$13,902.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,902.08
|
| Rate for Payer: UHC Exchange |
$21,548.22
|
| Rate for Payer: UHC Medicare Advantage |
$13,902.08
|
| Rate for Payer: UHCCP DNSP |
$13,902.08
|
| Rate for Payer: VA VA |
$13,902.08
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC
|
Facility
|
IP
|
$32,079.02
|
|
|
Service Code
|
MSDRG 412
|
| Min. Negotiated Rate |
$19,661.33 |
| Max. Negotiated Rate |
$32,079.02 |
| Rate for Payer: Aetna Medicare |
$20,696.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,870.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,870.17
|
| Rate for Payer: BCBS MAPPO |
$20,696.14
|
| Rate for Payer: BCN Medicare Advantage |
$20,696.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,696.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,696.14
|
| Rate for Payer: Mclaren Medicare |
$20,696.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,730.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,800.56
|
| Rate for Payer: PACE Medicare |
$19,661.33
|
| Rate for Payer: PACE SWMI |
$20,696.14
|
| Rate for Payer: PHP Commercial |
$22,765.75
|
| Rate for Payer: PHP Medicare Advantage |
$20,696.14
|
| Rate for Payer: Priority Health Medicare |
$20,696.14
|
| Rate for Payer: Railroad Medicare Medicare |
$20,696.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,696.14
|
| Rate for Payer: UHC Exchange |
$32,079.02
|
| Rate for Payer: UHC Medicare Advantage |
$20,696.14
|
| Rate for Payer: UHCCP DNSP |
$20,696.14
|
| Rate for Payer: VA VA |
$20,696.14
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC
|
Facility
|
IP
|
$40,443.92
|
|
|
Service Code
|
MSDRG 411
|
| Min. Negotiated Rate |
$24,788.21 |
| Max. Negotiated Rate |
$40,443.92 |
| Rate for Payer: Aetna Medicare |
$26,092.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,616.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,616.06
|
| Rate for Payer: BCBS MAPPO |
$26,092.85
|
| Rate for Payer: BCN Medicare Advantage |
$26,092.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,092.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,092.85
|
| Rate for Payer: Mclaren Medicare |
$26,092.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,397.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,006.78
|
| Rate for Payer: PACE Medicare |
$24,788.21
|
| Rate for Payer: PACE SWMI |
$26,092.85
|
| Rate for Payer: PHP Commercial |
$28,702.13
|
| Rate for Payer: PHP Medicare Advantage |
$26,092.85
|
| Rate for Payer: Priority Health Medicare |
$26,092.85
|
| Rate for Payer: Railroad Medicare Medicare |
$26,092.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,092.85
|
| Rate for Payer: UHC Exchange |
$40,443.92
|
| Rate for Payer: UHC Medicare Advantage |
$26,092.85
|
| Rate for Payer: UHCCP DNSP |
$26,092.85
|
| Rate for Payer: VA VA |
$26,092.85
|
|
|
MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$25,590.97
|
|
|
Service Code
|
MSDRG 413
|
| Min. Negotiated Rate |
$15,684.78 |
| Max. Negotiated Rate |
$25,590.97 |
| Rate for Payer: Aetna Medicare |
$16,510.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,637.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,637.88
|
| Rate for Payer: BCBS MAPPO |
$16,510.30
|
| Rate for Payer: BCN Medicare Advantage |
$16,510.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,510.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,510.30
|
| Rate for Payer: Mclaren Medicare |
$16,510.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,335.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,986.85
|
| Rate for Payer: PACE Medicare |
$15,684.78
|
| Rate for Payer: PACE SWMI |
$16,510.30
|
| Rate for Payer: PHP Commercial |
$18,161.33
|
| Rate for Payer: PHP Medicare Advantage |
$16,510.30
|
| Rate for Payer: Priority Health Medicare |
$16,510.30
|
| Rate for Payer: Railroad Medicare Medicare |
$16,510.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,510.30
|
| Rate for Payer: UHC Exchange |
$25,590.97
|
| Rate for Payer: UHC Medicare Advantage |
$16,510.30
|
| Rate for Payer: UHCCP DNSP |
$16,510.30
|
| Rate for Payer: VA VA |
$16,510.30
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
|
Facility
|
IP
|
$14,479.29
|
|
|
Service Code
|
MSDRG 191
|
| Min. Negotiated Rate |
$8,874.41 |
| Max. Negotiated Rate |
$14,479.29 |
| Rate for Payer: Aetna Medicare |
$9,341.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,676.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,676.85
|
| Rate for Payer: BCBS MAPPO |
$9,341.48
|
| Rate for Payer: BCN Medicare Advantage |
$9,341.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,341.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,341.48
|
| Rate for Payer: Mclaren Medicare |
$9,341.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,808.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,742.70
|
| Rate for Payer: PACE Medicare |
$8,874.41
|
| Rate for Payer: PACE SWMI |
$9,341.48
|
| Rate for Payer: PHP Commercial |
$10,275.63
|
| Rate for Payer: PHP Medicare Advantage |
$9,341.48
|
| Rate for Payer: Priority Health Medicare |
$9,341.48
|
| Rate for Payer: Railroad Medicare Medicare |
$9,341.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,341.48
|
| Rate for Payer: UHC Exchange |
$14,479.29
|
| Rate for Payer: UHC Medicare Advantage |
$9,341.48
|
| Rate for Payer: UHCCP DNSP |
$9,341.48
|
| Rate for Payer: VA VA |
$9,341.48
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
|
Facility
|
IP
|
$18,129.25
|
|
|
Service Code
|
MSDRG 190
|
| Min. Negotiated Rate |
$11,111.48 |
| Max. Negotiated Rate |
$18,129.25 |
| Rate for Payer: Aetna Medicare |
$11,696.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,620.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,620.36
|
| Rate for Payer: BCBS MAPPO |
$11,696.29
|
| Rate for Payer: BCN Medicare Advantage |
$11,696.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,696.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,696.29
|
| Rate for Payer: Mclaren Medicare |
$11,696.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,281.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,450.73
|
| Rate for Payer: PACE Medicare |
$11,111.48
|
| Rate for Payer: PACE SWMI |
$11,696.29
|
| Rate for Payer: PHP Commercial |
$12,865.92
|
| Rate for Payer: PHP Medicare Advantage |
$11,696.29
|
| Rate for Payer: Priority Health Medicare |
$11,696.29
|
| Rate for Payer: Railroad Medicare Medicare |
$11,696.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,696.29
|
| Rate for Payer: UHC Exchange |
$18,129.25
|
| Rate for Payer: UHC Medicare Advantage |
$11,696.29
|
| Rate for Payer: UHCCP DNSP |
$11,696.29
|
| Rate for Payer: VA VA |
$11,696.29
|
|
|
MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,548.52
|
|
|
Service Code
|
MSDRG 192
|
| Min. Negotiated Rate |
$7,078.13 |
| Max. Negotiated Rate |
$11,548.52 |
| Rate for Payer: Aetna Medicare |
$7,450.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,313.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,313.33
|
| Rate for Payer: BCBS MAPPO |
$7,450.66
|
| Rate for Payer: BCN Medicare Advantage |
$7,450.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,450.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,450.66
|
| Rate for Payer: Mclaren Medicare |
$7,450.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,823.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,568.26
|
| Rate for Payer: PACE Medicare |
$7,078.13
|
| Rate for Payer: PACE SWMI |
$7,450.66
|
| Rate for Payer: PHP Commercial |
$8,195.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,450.66
|
| Rate for Payer: Priority Health Medicare |
$7,450.66
|
| Rate for Payer: Railroad Medicare Medicare |
$7,450.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,450.66
|
| Rate for Payer: UHC Exchange |
$11,548.52
|
| Rate for Payer: UHC Medicare Advantage |
$7,450.66
|
| Rate for Payer: UHCCP DNSP |
$7,450.66
|
| Rate for Payer: VA VA |
$7,450.66
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$33,209.00
|
|
|
Service Code
|
MSDRG 286
|
| Min. Negotiated Rate |
$20,353.90 |
| Max. Negotiated Rate |
$33,209.00 |
| Rate for Payer: Aetna Medicare |
$21,425.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,781.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,781.45
|
| Rate for Payer: BCBS MAPPO |
$21,425.16
|
| Rate for Payer: BCN Medicare Advantage |
$21,425.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,425.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,425.16
|
| Rate for Payer: Mclaren Medicare |
$21,425.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,496.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,638.93
|
| Rate for Payer: PACE Medicare |
$20,353.90
|
| Rate for Payer: PACE SWMI |
$21,425.16
|
| Rate for Payer: PHP Commercial |
$23,567.68
|
| Rate for Payer: PHP Medicare Advantage |
$21,425.16
|
| Rate for Payer: Priority Health Medicare |
$21,425.16
|
| Rate for Payer: Railroad Medicare Medicare |
$21,425.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,425.16
|
| Rate for Payer: UHC Exchange |
$33,209.00
|
| Rate for Payer: UHC Medicare Advantage |
$21,425.16
|
| Rate for Payer: UHCCP DNSP |
$21,425.16
|
| Rate for Payer: VA VA |
$21,425.16
|
|
|
MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$17,668.67
|
|
|
Service Code
|
MSDRG 287
|
| Min. Negotiated Rate |
$10,829.18 |
| Max. Negotiated Rate |
$17,668.67 |
| Rate for Payer: Aetna Medicare |
$11,399.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,248.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,248.92
|
| Rate for Payer: BCBS MAPPO |
$11,399.14
|
| Rate for Payer: BCN Medicare Advantage |
$11,399.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,399.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,399.14
|
| Rate for Payer: Mclaren Medicare |
$11,399.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,969.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,109.01
|
| Rate for Payer: PACE Medicare |
$10,829.18
|
| Rate for Payer: PACE SWMI |
$11,399.14
|
| Rate for Payer: PHP Commercial |
$12,539.05
|
| Rate for Payer: PHP Medicare Advantage |
$11,399.14
|
| Rate for Payer: Priority Health Medicare |
$11,399.14
|
| Rate for Payer: Railroad Medicare Medicare |
$11,399.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,399.14
|
| Rate for Payer: UHC Exchange |
$17,668.67
|
| Rate for Payer: UHC Medicare Advantage |
$11,399.14
|
| Rate for Payer: UHCCP DNSP |
$11,399.14
|
| Rate for Payer: VA VA |
$11,399.14
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$17,393.45
|
|
|
Service Code
|
MSDRG 433
|
| Min. Negotiated Rate |
$10,660.50 |
| Max. Negotiated Rate |
$17,393.45 |
| Rate for Payer: Aetna Medicare |
$11,221.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,026.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,026.98
|
| Rate for Payer: BCBS MAPPO |
$11,221.58
|
| Rate for Payer: BCN Medicare Advantage |
$11,221.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,221.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,221.58
|
| Rate for Payer: Mclaren Medicare |
$11,221.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,782.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,904.82
|
| Rate for Payer: PACE Medicare |
$10,660.50
|
| Rate for Payer: PACE SWMI |
$11,221.58
|
| Rate for Payer: PHP Commercial |
$12,343.74
|
| Rate for Payer: PHP Medicare Advantage |
$11,221.58
|
| Rate for Payer: Priority Health Medicare |
$11,221.58
|
| Rate for Payer: Railroad Medicare Medicare |
$11,221.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,221.58
|
| Rate for Payer: UHC Exchange |
$17,393.45
|
| Rate for Payer: UHC Medicare Advantage |
$11,221.58
|
| Rate for Payer: UHCCP DNSP |
$11,221.58
|
| Rate for Payer: VA VA |
$11,221.58
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$29,693.19
|
|
|
Service Code
|
MSDRG 432
|
| Min. Negotiated Rate |
$18,199.06 |
| Max. Negotiated Rate |
$29,693.19 |
| Rate for Payer: Aetna Medicare |
$19,156.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,946.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,946.12
|
| Rate for Payer: BCBS MAPPO |
$19,156.90
|
| Rate for Payer: BCN Medicare Advantage |
$19,156.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,156.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,156.90
|
| Rate for Payer: Mclaren Medicare |
$19,156.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,114.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,030.44
|
| Rate for Payer: PACE Medicare |
$18,199.06
|
| Rate for Payer: PACE SWMI |
$19,156.90
|
| Rate for Payer: PHP Commercial |
$21,072.59
|
| Rate for Payer: PHP Medicare Advantage |
$19,156.90
|
| Rate for Payer: Priority Health Medicare |
$19,156.90
|
| Rate for Payer: Railroad Medicare Medicare |
$19,156.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,156.90
|
| Rate for Payer: UHC Exchange |
$29,693.19
|
| Rate for Payer: UHC Medicare Advantage |
$19,156.90
|
| Rate for Payer: UHCCP DNSP |
$19,156.90
|
| Rate for Payer: VA VA |
$19,156.90
|
|
|
MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,230.40
|
|
|
Service Code
|
MSDRG 434
|
| Min. Negotiated Rate |
$7,496.05 |
| Max. Negotiated Rate |
$12,230.40 |
| Rate for Payer: Aetna Medicare |
$7,890.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,863.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,863.23
|
| Rate for Payer: BCBS MAPPO |
$7,890.58
|
| Rate for Payer: BCN Medicare Advantage |
$7,890.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,890.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,890.58
|
| Rate for Payer: Mclaren Medicare |
$7,890.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,285.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,074.17
|
| Rate for Payer: PACE Medicare |
$7,496.05
|
| Rate for Payer: PACE SWMI |
$7,890.58
|
| Rate for Payer: PHP Commercial |
$8,679.64
|
| Rate for Payer: PHP Medicare Advantage |
$7,890.58
|
| Rate for Payer: Priority Health Medicare |
$7,890.58
|
| Rate for Payer: Railroad Medicare Medicare |
$7,890.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,890.58
|
| Rate for Payer: UHC Exchange |
$12,230.40
|
| Rate for Payer: UHC Medicare Advantage |
$7,890.58
|
| Rate for Payer: UHCCP DNSP |
$7,890.58
|
| Rate for Payer: VA VA |
$7,890.58
|
|
|
MS-DRG 42.00: COAGULATION DISORDERS
|
Facility
|
IP
|
$24,007.35
|
|
|
Service Code
|
MSDRG 813
|
| Min. Negotiated Rate |
$14,714.18 |
| Max. Negotiated Rate |
$24,007.35 |
| Rate for Payer: Aetna Medicare |
$15,488.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,360.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,360.76
|
| Rate for Payer: BCBS MAPPO |
$15,488.61
|
| Rate for Payer: BCN Medicare Advantage |
$15,488.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,488.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,488.61
|
| Rate for Payer: Mclaren Medicare |
$15,488.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,263.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,811.90
|
| Rate for Payer: PACE Medicare |
$14,714.18
|
| Rate for Payer: PACE SWMI |
$15,488.61
|
| Rate for Payer: PHP Commercial |
$17,037.47
|
| Rate for Payer: PHP Medicare Advantage |
$15,488.61
|
| Rate for Payer: Priority Health Medicare |
$15,488.61
|
| Rate for Payer: Railroad Medicare Medicare |
$15,488.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,488.61
|
| Rate for Payer: UHC Exchange |
$24,007.35
|
| Rate for Payer: UHC Medicare Advantage |
$15,488.61
|
| Rate for Payer: UHCCP DNSP |
$15,488.61
|
| Rate for Payer: VA VA |
$15,488.61
|
|
