|
MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$117,954.74
|
|
|
Service Code
|
MSDRG 429
|
| Min. Negotiated Rate |
$72,294.84 |
| Max. Negotiated Rate |
$117,954.74 |
| Rate for Payer: Aetna Medicare |
$76,099.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$95,124.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$95,124.79
|
| Rate for Payer: BCBS MAPPO |
$76,099.83
|
| Rate for Payer: BCN Medicare Advantage |
$76,099.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76,099.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$76,099.83
|
| Rate for Payer: Mclaren Medicare |
$76,099.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$79,904.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87,514.80
|
| Rate for Payer: PACE Medicare |
$72,294.84
|
| Rate for Payer: PACE SWMI |
$76,099.83
|
| Rate for Payer: PHP Commercial |
$83,709.81
|
| Rate for Payer: PHP Medicare Advantage |
$76,099.83
|
| Rate for Payer: Priority Health Medicare |
$76,099.83
|
| Rate for Payer: Railroad Medicare Medicare |
$76,099.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$76,099.83
|
| Rate for Payer: UHC Exchange |
$117,954.74
|
| Rate for Payer: UHC Medicare Advantage |
$76,099.83
|
| Rate for Payer: UHCCP DNSP |
$76,099.83
|
| Rate for Payer: VA VA |
$76,099.83
|
|
|
MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC
|
Facility
|
IP
|
$78,258.80
|
|
|
Service Code
|
MSDRG 430
|
| Min. Negotiated Rate |
$47,965.07 |
| Max. Negotiated Rate |
$78,258.80 |
| Rate for Payer: Aetna Medicare |
$50,489.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63,111.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63,111.94
|
| Rate for Payer: BCBS MAPPO |
$50,489.55
|
| Rate for Payer: BCN Medicare Advantage |
$50,489.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,489.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$50,489.55
|
| Rate for Payer: Mclaren Medicare |
$50,489.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,014.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58,062.98
|
| Rate for Payer: PACE Medicare |
$47,965.07
|
| Rate for Payer: PACE SWMI |
$50,489.55
|
| Rate for Payer: PHP Commercial |
$55,538.50
|
| Rate for Payer: PHP Medicare Advantage |
$50,489.55
|
| Rate for Payer: Priority Health Medicare |
$50,489.55
|
| Rate for Payer: Railroad Medicare Medicare |
$50,489.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,489.55
|
| Rate for Payer: UHC Exchange |
$78,258.80
|
| Rate for Payer: UHC Medicare Advantage |
$50,489.55
|
| Rate for Payer: UHCCP DNSP |
$50,489.55
|
| Rate for Payer: VA VA |
$50,489.55
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC
|
Facility
|
IP
|
$17,660.36
|
|
|
Service Code
|
MSDRG 381
|
| Min. Negotiated Rate |
$10,824.09 |
| Max. Negotiated Rate |
$17,660.36 |
| Rate for Payer: Aetna Medicare |
$11,393.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,242.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,242.23
|
| Rate for Payer: BCBS MAPPO |
$11,393.78
|
| Rate for Payer: BCN Medicare Advantage |
$11,393.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,393.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,393.78
|
| Rate for Payer: Mclaren Medicare |
$11,393.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,963.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,102.85
|
| Rate for Payer: PACE Medicare |
$10,824.09
|
| Rate for Payer: PACE SWMI |
$11,393.78
|
| Rate for Payer: PHP Commercial |
$12,533.16
|
| Rate for Payer: PHP Medicare Advantage |
$11,393.78
|
| Rate for Payer: Priority Health Medicare |
$11,393.78
|
| Rate for Payer: Railroad Medicare Medicare |
$11,393.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,393.78
|
| Rate for Payer: UHC Exchange |
$17,660.36
|
| Rate for Payer: UHC Medicare Advantage |
$11,393.78
|
| Rate for Payer: UHCCP DNSP |
$11,393.78
|
| Rate for Payer: VA VA |
$11,393.78
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$29,211.89
|
|
|
Service Code
|
MSDRG 380
|
| Min. Negotiated Rate |
$17,904.06 |
| Max. Negotiated Rate |
$29,211.89 |
| Rate for Payer: Aetna Medicare |
$18,846.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,557.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,557.97
|
| Rate for Payer: BCBS MAPPO |
$18,846.38
|
| Rate for Payer: BCN Medicare Advantage |
$18,846.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,846.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,846.38
|
| Rate for Payer: Mclaren Medicare |
$18,846.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,788.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,673.34
|
| Rate for Payer: PACE Medicare |
$17,904.06
|
| Rate for Payer: PACE SWMI |
$18,846.38
|
| Rate for Payer: PHP Commercial |
$20,731.02
|
| Rate for Payer: PHP Medicare Advantage |
$18,846.38
|
| Rate for Payer: Priority Health Medicare |
$18,846.38
|
| Rate for Payer: Railroad Medicare Medicare |
$18,846.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,846.38
|
| Rate for Payer: UHC Exchange |
$29,211.89
|
| Rate for Payer: UHC Medicare Advantage |
$18,846.38
|
| Rate for Payer: UHCCP DNSP |
$18,846.38
|
| Rate for Payer: VA VA |
$18,846.38
|
|
|
MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
|
Facility
|
IP
|
$12,960.64
|
|
|
Service Code
|
MSDRG 382
|
| Min. Negotiated Rate |
$7,943.61 |
| Max. Negotiated Rate |
$12,960.64 |
| Rate for Payer: Aetna Medicare |
$8,361.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,452.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,452.12
|
| Rate for Payer: BCBS MAPPO |
$8,361.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,361.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,361.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,361.70
|
| Rate for Payer: Mclaren Medicare |
$8,361.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,779.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,615.95
|
| Rate for Payer: PACE Medicare |
$7,943.61
|
| Rate for Payer: PACE SWMI |
$8,361.70
|
| Rate for Payer: PHP Commercial |
$9,197.87
|
| Rate for Payer: PHP Medicare Advantage |
$8,361.70
|
| Rate for Payer: Priority Health Medicare |
$8,361.70
|
| Rate for Payer: Railroad Medicare Medicare |
$8,361.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,361.70
|
| Rate for Payer: UHC Exchange |
$12,960.64
|
| Rate for Payer: UHC Medicare Advantage |
$8,361.70
|
| Rate for Payer: UHCCP DNSP |
$8,361.70
|
| Rate for Payer: VA VA |
$8,361.70
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC
|
Facility
|
IP
|
$16,647.95
|
|
|
Service Code
|
MSDRG 920
|
| Min. Negotiated Rate |
$10,203.58 |
| Max. Negotiated Rate |
$16,647.95 |
| Rate for Payer: Aetna Medicare |
$10,740.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,425.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,425.76
|
| Rate for Payer: BCBS MAPPO |
$10,740.61
|
| Rate for Payer: BCN Medicare Advantage |
$10,740.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,740.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,740.61
|
| Rate for Payer: Mclaren Medicare |
$10,740.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,277.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,351.70
|
| Rate for Payer: PACE Medicare |
$10,203.58
|
| Rate for Payer: PACE SWMI |
$10,740.61
|
| Rate for Payer: PHP Commercial |
$11,814.67
|
| Rate for Payer: PHP Medicare Advantage |
$10,740.61
|
| Rate for Payer: Priority Health Medicare |
$10,740.61
|
| Rate for Payer: Railroad Medicare Medicare |
$10,740.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,740.61
|
| Rate for Payer: UHC Exchange |
$16,647.95
|
| Rate for Payer: UHC Medicare Advantage |
$10,740.61
|
| Rate for Payer: UHCCP DNSP |
$10,740.61
|
| Rate for Payer: VA VA |
$10,740.61
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC
|
Facility
|
IP
|
$27,819.11
|
|
|
Service Code
|
MSDRG 919
|
| Min. Negotiated Rate |
$17,050.42 |
| Max. Negotiated Rate |
$27,819.11 |
| Rate for Payer: Aetna Medicare |
$17,947.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,434.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,434.76
|
| Rate for Payer: BCBS MAPPO |
$17,947.81
|
| Rate for Payer: BCN Medicare Advantage |
$17,947.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,947.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,947.81
|
| Rate for Payer: Mclaren Medicare |
$17,947.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,845.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,639.98
|
| Rate for Payer: PACE Medicare |
$17,050.42
|
| Rate for Payer: PACE SWMI |
$17,947.81
|
| Rate for Payer: PHP Commercial |
$19,742.59
|
| Rate for Payer: PHP Medicare Advantage |
$17,947.81
|
| Rate for Payer: Priority Health Medicare |
$17,947.81
|
| Rate for Payer: Railroad Medicare Medicare |
$17,947.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,947.81
|
| Rate for Payer: UHC Exchange |
$27,819.11
|
| Rate for Payer: UHC Medicare Advantage |
$17,947.81
|
| Rate for Payer: UHCCP DNSP |
$17,947.81
|
| Rate for Payer: VA VA |
$17,947.81
|
|
|
MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$12,108.68
|
|
|
Service Code
|
MSDRG 921
|
| Min. Negotiated Rate |
$7,421.45 |
| Max. Negotiated Rate |
$12,108.68 |
| Rate for Payer: Aetna Medicare |
$7,812.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,765.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,765.06
|
| Rate for Payer: BCBS MAPPO |
$7,812.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,812.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,812.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,812.05
|
| Rate for Payer: Mclaren Medicare |
$7,812.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,202.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,983.86
|
| Rate for Payer: PACE Medicare |
$7,421.45
|
| Rate for Payer: PACE SWMI |
$7,812.05
|
| Rate for Payer: PHP Commercial |
$8,593.25
|
| Rate for Payer: PHP Medicare Advantage |
$7,812.05
|
| Rate for Payer: Priority Health Medicare |
$7,812.05
|
| Rate for Payer: Railroad Medicare Medicare |
$7,812.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,812.05
|
| Rate for Payer: UHC Exchange |
$12,108.68
|
| Rate for Payer: UHC Medicare Advantage |
$7,812.05
|
| Rate for Payer: UHCCP DNSP |
$7,812.05
|
| Rate for Payer: VA VA |
$7,812.05
|
|
|
MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
|
Facility
|
IP
|
$153,269.01
|
|
|
Service Code
|
MSDRG 212
|
| Min. Negotiated Rate |
$93,939.07 |
| Max. Negotiated Rate |
$153,269.01 |
| Rate for Payer: Aetna Medicare |
$98,883.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123,604.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123,604.04
|
| Rate for Payer: BCBS MAPPO |
$98,883.23
|
| Rate for Payer: BCN Medicare Advantage |
$98,883.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98,883.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$98,883.23
|
| Rate for Payer: Mclaren Medicare |
$98,883.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103,827.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113,715.71
|
| Rate for Payer: PACE Medicare |
$93,939.07
|
| Rate for Payer: PACE SWMI |
$98,883.23
|
| Rate for Payer: PHP Commercial |
$108,771.55
|
| Rate for Payer: PHP Medicare Advantage |
$98,883.23
|
| Rate for Payer: Priority Health Medicare |
$98,883.23
|
| Rate for Payer: Railroad Medicare Medicare |
$98,883.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$98,883.23
|
| Rate for Payer: UHC Exchange |
$153,269.01
|
| Rate for Payer: UHC Medicare Advantage |
$98,883.23
|
| Rate for Payer: UHCCP DNSP |
$98,883.23
|
| Rate for Payer: VA VA |
$98,883.23
|
|
|
MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
|
Facility
|
IP
|
$88,160.33
|
|
|
Service Code
|
MSDRG 317
|
| Min. Negotiated Rate |
$54,033.75 |
| Max. Negotiated Rate |
$88,160.33 |
| Rate for Payer: Aetna Medicare |
$56,877.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$71,097.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$71,097.04
|
| Rate for Payer: BCBS MAPPO |
$56,877.63
|
| Rate for Payer: BCN Medicare Advantage |
$56,877.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,877.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,877.63
|
| Rate for Payer: Mclaren Medicare |
$56,877.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,721.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65,409.27
|
| Rate for Payer: PACE Medicare |
$54,033.75
|
| Rate for Payer: PACE SWMI |
$56,877.63
|
| Rate for Payer: PHP Commercial |
$62,565.39
|
| Rate for Payer: PHP Medicare Advantage |
$56,877.63
|
| Rate for Payer: Priority Health Medicare |
$56,877.63
|
| Rate for Payer: Railroad Medicare Medicare |
$56,877.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,877.63
|
| Rate for Payer: UHC Exchange |
$88,160.33
|
| Rate for Payer: UHC Medicare Advantage |
$56,877.63
|
| Rate for Payer: UHCCP DNSP |
$56,877.63
|
| Rate for Payer: VA VA |
$56,877.63
|
|
|
MS-DRG 42.00: CONCUSSION WITH CC
|
Facility
|
IP
|
$17,425.26
|
|
|
Service Code
|
MSDRG 089
|
| Min. Negotiated Rate |
$10,680.00 |
| Max. Negotiated Rate |
$17,425.26 |
| Rate for Payer: Aetna Medicare |
$11,242.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,052.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,052.62
|
| Rate for Payer: BCBS MAPPO |
$11,242.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,242.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,242.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,242.10
|
| Rate for Payer: Mclaren Medicare |
$11,242.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,804.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,928.42
|
| Rate for Payer: PACE Medicare |
$10,680.00
|
| Rate for Payer: PACE SWMI |
$11,242.10
|
| Rate for Payer: PHP Commercial |
$12,366.31
|
| Rate for Payer: PHP Medicare Advantage |
$11,242.10
|
| Rate for Payer: Priority Health Medicare |
$11,242.10
|
| Rate for Payer: Railroad Medicare Medicare |
$11,242.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,242.10
|
| Rate for Payer: UHC Exchange |
$17,425.26
|
| Rate for Payer: UHC Medicare Advantage |
$11,242.10
|
| Rate for Payer: UHCCP DNSP |
$11,242.10
|
| Rate for Payer: VA VA |
$11,242.10
|
|
|
MS-DRG 42.00: CONCUSSION WITH MCC
|
Facility
|
IP
|
$22,108.36
|
|
|
Service Code
|
MSDRG 088
|
| Min. Negotiated Rate |
$13,550.29 |
| Max. Negotiated Rate |
$22,108.36 |
| Rate for Payer: Aetna Medicare |
$14,263.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,829.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,829.33
|
| Rate for Payer: BCBS MAPPO |
$14,263.46
|
| Rate for Payer: BCN Medicare Advantage |
$14,263.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,263.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,263.46
|
| Rate for Payer: Mclaren Medicare |
$14,263.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,976.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,402.98
|
| Rate for Payer: PACE Medicare |
$13,550.29
|
| Rate for Payer: PACE SWMI |
$14,263.46
|
| Rate for Payer: PHP Commercial |
$15,689.81
|
| Rate for Payer: PHP Medicare Advantage |
$14,263.46
|
| Rate for Payer: Priority Health Medicare |
$14,263.46
|
| Rate for Payer: Railroad Medicare Medicare |
$14,263.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,263.46
|
| Rate for Payer: UHC Exchange |
$22,108.36
|
| Rate for Payer: UHC Medicare Advantage |
$14,263.46
|
| Rate for Payer: UHCCP DNSP |
$14,263.46
|
| Rate for Payer: VA VA |
$14,263.46
|
|
|
MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,454.37
|
|
|
Service Code
|
MSDRG 090
|
| Min. Negotiated Rate |
$8,859.13 |
| Max. Negotiated Rate |
$14,454.37 |
| Rate for Payer: Aetna Medicare |
$9,325.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,656.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,656.75
|
| Rate for Payer: BCBS MAPPO |
$9,325.40
|
| Rate for Payer: BCN Medicare Advantage |
$9,325.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,325.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,325.40
|
| Rate for Payer: Mclaren Medicare |
$9,325.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,791.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,724.21
|
| Rate for Payer: PACE Medicare |
$8,859.13
|
| Rate for Payer: PACE SWMI |
$9,325.40
|
| Rate for Payer: PHP Commercial |
$10,257.94
|
| Rate for Payer: PHP Medicare Advantage |
$9,325.40
|
| Rate for Payer: Priority Health Medicare |
$9,325.40
|
| Rate for Payer: Railroad Medicare Medicare |
$9,325.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,325.40
|
| Rate for Payer: UHC Exchange |
$14,454.37
|
| Rate for Payer: UHC Medicare Advantage |
$9,325.40
|
| Rate for Payer: UHCCP DNSP |
$9,325.40
|
| Rate for Payer: VA VA |
$9,325.40
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$18,609.16
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$11,405.61 |
| Max. Negotiated Rate |
$18,609.16 |
| Rate for Payer: Aetna Medicare |
$12,005.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,007.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,007.39
|
| Rate for Payer: BCBS MAPPO |
$12,005.91
|
| Rate for Payer: BCN Medicare Advantage |
$12,005.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,005.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,005.91
|
| Rate for Payer: Mclaren Medicare |
$12,005.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,606.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,806.80
|
| Rate for Payer: PACE Medicare |
$11,405.61
|
| Rate for Payer: PACE SWMI |
$12,005.91
|
| Rate for Payer: PHP Commercial |
$13,206.50
|
| Rate for Payer: PHP Medicare Advantage |
$12,005.91
|
| Rate for Payer: Priority Health Medicare |
$12,005.91
|
| Rate for Payer: Railroad Medicare Medicare |
$12,005.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,005.91
|
| Rate for Payer: UHC Exchange |
$18,609.16
|
| Rate for Payer: UHC Medicare Advantage |
$12,005.91
|
| Rate for Payer: UHCCP DNSP |
$12,005.91
|
| Rate for Payer: VA VA |
$12,005.91
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$37,546.35
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$23,012.28 |
| Max. Negotiated Rate |
$37,546.35 |
| Rate for Payer: Aetna Medicare |
$24,223.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,279.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,279.31
|
| Rate for Payer: BCBS MAPPO |
$24,223.45
|
| Rate for Payer: BCN Medicare Advantage |
$24,223.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,223.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,223.45
|
| Rate for Payer: Mclaren Medicare |
$24,223.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,434.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,856.97
|
| Rate for Payer: PACE Medicare |
$23,012.28
|
| Rate for Payer: PACE SWMI |
$24,223.45
|
| Rate for Payer: PHP Commercial |
$26,645.79
|
| Rate for Payer: PHP Medicare Advantage |
$24,223.45
|
| Rate for Payer: Priority Health Medicare |
$24,223.45
|
| Rate for Payer: Railroad Medicare Medicare |
$24,223.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,223.45
|
| Rate for Payer: UHC Exchange |
$37,546.35
|
| Rate for Payer: UHC Medicare Advantage |
$24,223.45
|
| Rate for Payer: UHCCP DNSP |
$24,223.45
|
| Rate for Payer: VA VA |
$24,223.45
|
|
|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,917.78
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$7,917.35 |
| Max. Negotiated Rate |
$12,917.78 |
| Rate for Payer: Aetna Medicare |
$8,334.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,417.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,417.56
|
| Rate for Payer: BCBS MAPPO |
$8,334.05
|
| Rate for Payer: BCN Medicare Advantage |
$8,334.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,334.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,334.05
|
| Rate for Payer: Mclaren Medicare |
$8,334.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,750.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,584.16
|
| Rate for Payer: PACE Medicare |
$7,917.35
|
| Rate for Payer: PACE SWMI |
$8,334.05
|
| Rate for Payer: PHP Commercial |
$9,167.45
|
| Rate for Payer: PHP Medicare Advantage |
$8,334.05
|
| Rate for Payer: Priority Health Medicare |
$8,334.05
|
| Rate for Payer: Railroad Medicare Medicare |
$8,334.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,334.05
|
| Rate for Payer: UHC Exchange |
$12,917.78
|
| Rate for Payer: UHC Medicare Advantage |
$8,334.05
|
| Rate for Payer: UHCCP DNSP |
$8,334.05
|
| Rate for Payer: VA VA |
$8,334.05
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$110,704.57
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$67,851.18 |
| Max. Negotiated Rate |
$110,704.57 |
| Rate for Payer: Aetna Medicare |
$71,422.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89,277.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89,277.88
|
| Rate for Payer: BCBS MAPPO |
$71,422.30
|
| Rate for Payer: BCN Medicare Advantage |
$71,422.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71,422.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$71,422.30
|
| Rate for Payer: Mclaren Medicare |
$71,422.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74,993.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82,135.65
|
| Rate for Payer: PACE Medicare |
$67,851.18
|
| Rate for Payer: PACE SWMI |
$71,422.30
|
| Rate for Payer: PHP Commercial |
$78,564.53
|
| Rate for Payer: PHP Medicare Advantage |
$71,422.30
|
| Rate for Payer: Priority Health Medicare |
$71,422.30
|
| Rate for Payer: Railroad Medicare Medicare |
$71,422.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$71,422.30
|
| Rate for Payer: UHC Exchange |
$110,704.57
|
| Rate for Payer: UHC Medicare Advantage |
$71,422.30
|
| Rate for Payer: UHCCP DNSP |
$71,422.30
|
| Rate for Payer: VA VA |
$71,422.30
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$76,180.04
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$46,690.99 |
| Max. Negotiated Rate |
$76,180.04 |
| Rate for Payer: Aetna Medicare |
$49,148.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61,435.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61,435.51
|
| Rate for Payer: BCBS MAPPO |
$49,148.41
|
| Rate for Payer: BCN Medicare Advantage |
$49,148.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,148.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$49,148.41
|
| Rate for Payer: Mclaren Medicare |
$49,148.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51,605.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56,520.67
|
| Rate for Payer: PACE Medicare |
$46,690.99
|
| Rate for Payer: PACE SWMI |
$49,148.41
|
| Rate for Payer: PHP Commercial |
$54,063.25
|
| Rate for Payer: PHP Medicare Advantage |
$49,148.41
|
| Rate for Payer: Priority Health Medicare |
$49,148.41
|
| Rate for Payer: Railroad Medicare Medicare |
$49,148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,148.41
|
| Rate for Payer: UHC Exchange |
$76,180.04
|
| Rate for Payer: UHC Medicare Advantage |
$49,148.41
|
| Rate for Payer: UHCCP DNSP |
$49,148.41
|
| Rate for Payer: VA VA |
$49,148.41
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$83,980.63
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$51,472.00 |
| Max. Negotiated Rate |
$83,980.63 |
| Rate for Payer: Aetna Medicare |
$54,181.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67,726.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67,726.31
|
| Rate for Payer: BCBS MAPPO |
$54,181.05
|
| Rate for Payer: BCN Medicare Advantage |
$54,181.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54,181.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$54,181.05
|
| Rate for Payer: Mclaren Medicare |
$54,181.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56,890.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62,308.21
|
| Rate for Payer: PACE Medicare |
$51,472.00
|
| Rate for Payer: PACE SWMI |
$54,181.05
|
| Rate for Payer: PHP Commercial |
$59,599.15
|
| Rate for Payer: PHP Medicare Advantage |
$54,181.05
|
| Rate for Payer: Priority Health Medicare |
$54,181.05
|
| Rate for Payer: Railroad Medicare Medicare |
$54,181.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$54,181.05
|
| Rate for Payer: UHC Exchange |
$83,980.63
|
| Rate for Payer: UHC Medicare Advantage |
$54,181.05
|
| Rate for Payer: UHCCP DNSP |
$54,181.05
|
| Rate for Payer: VA VA |
$54,181.05
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$59,471.00
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$36,449.97 |
| Max. Negotiated Rate |
$59,471.00 |
| Rate for Payer: Aetna Medicare |
$38,368.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,960.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,960.49
|
| Rate for Payer: BCBS MAPPO |
$38,368.39
|
| Rate for Payer: BCN Medicare Advantage |
$38,368.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,368.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,368.39
|
| Rate for Payer: Mclaren Medicare |
$38,368.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,286.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,123.65
|
| Rate for Payer: PACE Medicare |
$36,449.97
|
| Rate for Payer: PACE SWMI |
$38,368.39
|
| Rate for Payer: PHP Commercial |
$42,205.23
|
| Rate for Payer: PHP Medicare Advantage |
$38,368.39
|
| Rate for Payer: Priority Health Medicare |
$38,368.39
|
| Rate for Payer: Railroad Medicare Medicare |
$38,368.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,368.39
|
| Rate for Payer: UHC Exchange |
$59,471.00
|
| Rate for Payer: UHC Medicare Advantage |
$38,368.39
|
| Rate for Payer: UHCCP DNSP |
$38,368.39
|
| Rate for Payer: VA VA |
$38,368.39
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$119,798.35
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$73,424.80 |
| Max. Negotiated Rate |
$119,798.35 |
| Rate for Payer: Aetna Medicare |
$77,289.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96,611.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96,611.57
|
| Rate for Payer: BCBS MAPPO |
$77,289.26
|
| Rate for Payer: BCN Medicare Advantage |
$77,289.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77,289.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$77,289.26
|
| Rate for Payer: Mclaren Medicare |
$77,289.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81,153.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88,882.65
|
| Rate for Payer: PACE Medicare |
$73,424.80
|
| Rate for Payer: PACE SWMI |
$77,289.26
|
| Rate for Payer: PHP Commercial |
$85,018.19
|
| Rate for Payer: PHP Medicare Advantage |
$77,289.26
|
| Rate for Payer: Priority Health Medicare |
$77,289.26
|
| Rate for Payer: Railroad Medicare Medicare |
$77,289.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$77,289.26
|
| Rate for Payer: UHC Exchange |
$119,798.35
|
| Rate for Payer: UHC Medicare Advantage |
$77,289.26
|
| Rate for Payer: UHCCP DNSP |
$77,289.26
|
| Rate for Payer: VA VA |
$77,289.26
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$87,085.66
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$53,375.08 |
| Max. Negotiated Rate |
$87,085.66 |
| Rate for Payer: Aetna Medicare |
$56,184.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70,230.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70,230.38
|
| Rate for Payer: BCBS MAPPO |
$56,184.30
|
| Rate for Payer: BCN Medicare Advantage |
$56,184.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,184.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,184.30
|
| Rate for Payer: Mclaren Medicare |
$56,184.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58,993.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64,611.94
|
| Rate for Payer: PACE Medicare |
$53,375.08
|
| Rate for Payer: PACE SWMI |
$56,184.30
|
| Rate for Payer: PHP Commercial |
$61,802.73
|
| Rate for Payer: PHP Medicare Advantage |
$56,184.30
|
| Rate for Payer: Priority Health Medicare |
$56,184.30
|
| Rate for Payer: Railroad Medicare Medicare |
$56,184.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,184.30
|
| Rate for Payer: UHC Exchange |
$87,085.66
|
| Rate for Payer: UHC Medicare Advantage |
$56,184.30
|
| Rate for Payer: UHCCP DNSP |
$56,184.30
|
| Rate for Payer: VA VA |
$56,184.30
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$61,508.28
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$37,698.62 |
| Max. Negotiated Rate |
$61,508.28 |
| Rate for Payer: Aetna Medicare |
$39,682.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,603.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,603.45
|
| Rate for Payer: BCBS MAPPO |
$39,682.76
|
| Rate for Payer: BCN Medicare Advantage |
$39,682.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,682.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,682.76
|
| Rate for Payer: Mclaren Medicare |
$39,682.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,666.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,635.17
|
| Rate for Payer: PACE Medicare |
$37,698.62
|
| Rate for Payer: PACE SWMI |
$39,682.76
|
| Rate for Payer: PHP Commercial |
$43,651.04
|
| Rate for Payer: PHP Medicare Advantage |
$39,682.76
|
| Rate for Payer: Priority Health Medicare |
$39,682.76
|
| Rate for Payer: Railroad Medicare Medicare |
$39,682.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,682.76
|
| Rate for Payer: UHC Exchange |
$61,508.28
|
| Rate for Payer: UHC Medicare Advantage |
$39,682.76
|
| Rate for Payer: UHCCP DNSP |
$39,682.76
|
| Rate for Payer: VA VA |
$39,682.76
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$46,788.11
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$28,676.59 |
| Max. Negotiated Rate |
$46,788.11 |
| Rate for Payer: Aetna Medicare |
$30,185.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,732.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,732.35
|
| Rate for Payer: BCBS MAPPO |
$30,185.88
|
| Rate for Payer: BCN Medicare Advantage |
$30,185.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,185.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,185.88
|
| Rate for Payer: Mclaren Medicare |
$30,185.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,695.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,713.76
|
| Rate for Payer: PACE Medicare |
$28,676.59
|
| Rate for Payer: PACE SWMI |
$30,185.88
|
| Rate for Payer: PHP Commercial |
$33,204.47
|
| Rate for Payer: PHP Medicare Advantage |
$30,185.88
|
| Rate for Payer: Priority Health Medicare |
$30,185.88
|
| Rate for Payer: Railroad Medicare Medicare |
$30,185.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,185.88
|
| Rate for Payer: UHC Exchange |
$46,788.11
|
| Rate for Payer: UHC Medicare Advantage |
$30,185.88
|
| Rate for Payer: UHCCP DNSP |
$30,185.88
|
| Rate for Payer: VA VA |
$30,185.88
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$42,182.44
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$25,853.76 |
| Max. Negotiated Rate |
$42,182.44 |
| Rate for Payer: Aetna Medicare |
$27,214.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,018.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,018.10
|
| Rate for Payer: BCBS MAPPO |
$27,214.48
|
| Rate for Payer: BCN Medicare Advantage |
$27,214.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,214.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,214.48
|
| Rate for Payer: Mclaren Medicare |
$27,214.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,575.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,296.65
|
| Rate for Payer: PACE Medicare |
$25,853.76
|
| Rate for Payer: PACE SWMI |
$27,214.48
|
| Rate for Payer: PHP Commercial |
$29,935.93
|
| Rate for Payer: PHP Medicare Advantage |
$27,214.48
|
| Rate for Payer: Priority Health Medicare |
$27,214.48
|
| Rate for Payer: Railroad Medicare Medicare |
$27,214.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,214.48
|
| Rate for Payer: UHC Exchange |
$42,182.44
|
| Rate for Payer: UHC Medicare Advantage |
$27,214.48
|
| Rate for Payer: UHCCP DNSP |
$27,214.48
|
| Rate for Payer: VA VA |
$27,214.48
|
|
