|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$23,974.14
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$14,693.83 |
| Max. Negotiated Rate |
$23,974.14 |
| Rate for Payer: Aetna Medicare |
$15,467.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,333.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,333.99
|
| Rate for Payer: BCBS MAPPO |
$15,467.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,467.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,467.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,467.19
|
| Rate for Payer: Mclaren Medicare |
$15,467.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,240.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,787.27
|
| Rate for Payer: PACE Medicare |
$14,693.83
|
| Rate for Payer: PACE SWMI |
$15,467.19
|
| Rate for Payer: PHP Commercial |
$17,013.91
|
| Rate for Payer: PHP Medicare Advantage |
$15,467.19
|
| Rate for Payer: Priority Health Medicare |
$15,467.19
|
| Rate for Payer: Railroad Medicare Medicare |
$15,467.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,467.19
|
| Rate for Payer: UHC Exchange |
$23,974.14
|
| Rate for Payer: UHC Medicare Advantage |
$15,467.19
|
| Rate for Payer: UHCCP DNSP |
$15,467.19
|
| Rate for Payer: VA VA |
$15,467.19
|
|
|
MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$17,014.47
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$10,428.23 |
| Max. Negotiated Rate |
$17,014.47 |
| Rate for Payer: Aetna Medicare |
$10,977.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,721.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,721.35
|
| Rate for Payer: BCBS MAPPO |
$10,977.08
|
| Rate for Payer: BCN Medicare Advantage |
$10,977.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,977.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,977.08
|
| Rate for Payer: Mclaren Medicare |
$10,977.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,525.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,623.64
|
| Rate for Payer: PACE Medicare |
$10,428.23
|
| Rate for Payer: PACE SWMI |
$10,977.08
|
| Rate for Payer: PHP Commercial |
$12,074.79
|
| Rate for Payer: PHP Medicare Advantage |
$10,977.08
|
| Rate for Payer: Priority Health Medicare |
$10,977.08
|
| Rate for Payer: Railroad Medicare Medicare |
$10,977.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,977.08
|
| Rate for Payer: UHC Exchange |
$17,014.47
|
| Rate for Payer: UHC Medicare Advantage |
$10,977.08
|
| Rate for Payer: UHCCP DNSP |
$10,977.08
|
| Rate for Payer: VA VA |
$10,977.08
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$44,900.23
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$27,519.50 |
| Max. Negotiated Rate |
$44,900.23 |
| Rate for Payer: Aetna Medicare |
$28,967.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,209.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,209.86
|
| Rate for Payer: BCBS MAPPO |
$28,967.89
|
| Rate for Payer: BCN Medicare Advantage |
$28,967.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,967.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,967.89
|
| Rate for Payer: Mclaren Medicare |
$28,967.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,416.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,313.07
|
| Rate for Payer: PACE Medicare |
$27,519.50
|
| Rate for Payer: PACE SWMI |
$28,967.89
|
| Rate for Payer: PHP Commercial |
$31,864.68
|
| Rate for Payer: PHP Medicare Advantage |
$28,967.89
|
| Rate for Payer: Priority Health Medicare |
$28,967.89
|
| Rate for Payer: Railroad Medicare Medicare |
$28,967.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,967.89
|
| Rate for Payer: UHC Exchange |
$44,900.23
|
| Rate for Payer: UHC Medicare Advantage |
$28,967.89
|
| Rate for Payer: UHCCP DNSP |
$28,967.89
|
| Rate for Payer: VA VA |
$28,967.89
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$64,452.88
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$39,503.38 |
| Max. Negotiated Rate |
$64,452.88 |
| Rate for Payer: Aetna Medicare |
$41,582.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,978.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,978.12
|
| Rate for Payer: BCBS MAPPO |
$41,582.50
|
| Rate for Payer: BCN Medicare Advantage |
$41,582.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41,582.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$41,582.50
|
| Rate for Payer: Mclaren Medicare |
$41,582.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43,661.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,819.88
|
| Rate for Payer: PACE Medicare |
$39,503.38
|
| Rate for Payer: PACE SWMI |
$41,582.50
|
| Rate for Payer: PHP Commercial |
$45,740.75
|
| Rate for Payer: PHP Medicare Advantage |
$41,582.50
|
| Rate for Payer: Priority Health Medicare |
$41,582.50
|
| Rate for Payer: Railroad Medicare Medicare |
$41,582.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$41,582.50
|
| Rate for Payer: UHC Exchange |
$64,452.88
|
| Rate for Payer: UHC Medicare Advantage |
$41,582.50
|
| Rate for Payer: UHCCP DNSP |
$41,582.50
|
| Rate for Payer: VA VA |
$41,582.50
|
|
|
MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,728.94
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$22,511.29 |
| Max. Negotiated Rate |
$36,728.94 |
| Rate for Payer: Aetna Medicare |
$23,696.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,620.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,620.11
|
| Rate for Payer: BCBS MAPPO |
$23,696.09
|
| Rate for Payer: BCN Medicare Advantage |
$23,696.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,696.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,696.09
|
| Rate for Payer: Mclaren Medicare |
$23,696.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,880.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,250.50
|
| Rate for Payer: PACE Medicare |
$22,511.29
|
| Rate for Payer: PACE SWMI |
$23,696.09
|
| Rate for Payer: PHP Commercial |
$26,065.70
|
| Rate for Payer: PHP Medicare Advantage |
$23,696.09
|
| Rate for Payer: Priority Health Medicare |
$23,696.09
|
| Rate for Payer: Railroad Medicare Medicare |
$23,696.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,696.09
|
| Rate for Payer: UHC Exchange |
$36,728.94
|
| Rate for Payer: UHC Medicare Advantage |
$23,696.09
|
| Rate for Payer: UHCCP DNSP |
$23,696.09
|
| Rate for Payer: VA VA |
$23,696.09
|
|
|
MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$97,038.35
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$59,475.12 |
| Max. Negotiated Rate |
$97,038.35 |
| Rate for Payer: Aetna Medicare |
$62,605.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$78,256.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$78,256.74
|
| Rate for Payer: BCBS MAPPO |
$62,605.39
|
| Rate for Payer: BCN Medicare Advantage |
$62,605.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62,605.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$62,605.39
|
| Rate for Payer: Mclaren Medicare |
$62,605.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65,735.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71,996.20
|
| Rate for Payer: PACE Medicare |
$59,475.12
|
| Rate for Payer: PACE SWMI |
$62,605.39
|
| Rate for Payer: PHP Commercial |
$68,865.93
|
| Rate for Payer: PHP Medicare Advantage |
$62,605.39
|
| Rate for Payer: Priority Health Medicare |
$62,605.39
|
| Rate for Payer: Railroad Medicare Medicare |
$62,605.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$62,605.39
|
| Rate for Payer: UHC Exchange |
$97,038.35
|
| Rate for Payer: UHC Medicare Advantage |
$62,605.39
|
| Rate for Payer: UHCCP DNSP |
$62,605.39
|
| Rate for Payer: VA VA |
$62,605.39
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$81,503.51
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$49,953.76 |
| Max. Negotiated Rate |
$81,503.51 |
| Rate for Payer: Aetna Medicare |
$52,582.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65,728.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65,728.64
|
| Rate for Payer: BCBS MAPPO |
$52,582.91
|
| Rate for Payer: BCN Medicare Advantage |
$52,582.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,582.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$52,582.91
|
| Rate for Payer: Mclaren Medicare |
$52,582.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,212.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,470.35
|
| Rate for Payer: PACE Medicare |
$49,953.76
|
| Rate for Payer: PACE SWMI |
$52,582.91
|
| Rate for Payer: PHP Commercial |
$57,841.20
|
| Rate for Payer: PHP Medicare Advantage |
$52,582.91
|
| Rate for Payer: Priority Health Medicare |
$52,582.91
|
| Rate for Payer: Railroad Medicare Medicare |
$52,582.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,582.91
|
| Rate for Payer: UHC Exchange |
$81,503.51
|
| Rate for Payer: UHC Medicare Advantage |
$52,582.91
|
| Rate for Payer: UHCCP DNSP |
$52,582.91
|
| Rate for Payer: VA VA |
$52,582.91
|
|
|
MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$55,177.91
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$33,818.72 |
| Max. Negotiated Rate |
$55,177.91 |
| Rate for Payer: Aetna Medicare |
$35,598.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,498.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,498.31
|
| Rate for Payer: BCBS MAPPO |
$35,598.65
|
| Rate for Payer: BCN Medicare Advantage |
$35,598.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,598.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,598.65
|
| Rate for Payer: Mclaren Medicare |
$35,598.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,378.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,938.45
|
| Rate for Payer: PACE Medicare |
$33,818.72
|
| Rate for Payer: PACE SWMI |
$35,598.65
|
| Rate for Payer: PHP Commercial |
$39,158.51
|
| Rate for Payer: PHP Medicare Advantage |
$35,598.65
|
| Rate for Payer: Priority Health Medicare |
$35,598.65
|
| Rate for Payer: Railroad Medicare Medicare |
$35,598.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,598.65
|
| Rate for Payer: UHC Exchange |
$55,177.91
|
| Rate for Payer: UHC Medicare Advantage |
$35,598.65
|
| Rate for Payer: UHCCP DNSP |
$35,598.65
|
| Rate for Payer: VA VA |
$35,598.65
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$29,622.67
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$18,155.83 |
| Max. Negotiated Rate |
$29,622.67 |
| Rate for Payer: Aetna Medicare |
$19,111.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,889.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,889.25
|
| Rate for Payer: BCBS MAPPO |
$19,111.40
|
| Rate for Payer: BCN Medicare Advantage |
$19,111.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,111.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,111.40
|
| Rate for Payer: Mclaren Medicare |
$19,111.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,066.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,978.11
|
| Rate for Payer: PACE Medicare |
$18,155.83
|
| Rate for Payer: PACE SWMI |
$19,111.40
|
| Rate for Payer: PHP Commercial |
$21,022.54
|
| Rate for Payer: PHP Medicare Advantage |
$19,111.40
|
| Rate for Payer: Priority Health Medicare |
$19,111.40
|
| Rate for Payer: Railroad Medicare Medicare |
$19,111.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,111.40
|
| Rate for Payer: UHC Exchange |
$29,622.67
|
| Rate for Payer: UHC Medicare Advantage |
$19,111.40
|
| Rate for Payer: UHCCP DNSP |
$19,111.40
|
| Rate for Payer: VA VA |
$19,111.40
|
|
|
MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$16,771.05
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$10,279.03 |
| Max. Negotiated Rate |
$16,771.05 |
| Rate for Payer: Aetna Medicare |
$10,820.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,525.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,525.04
|
| Rate for Payer: BCBS MAPPO |
$10,820.03
|
| Rate for Payer: BCN Medicare Advantage |
$10,820.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,820.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,820.03
|
| Rate for Payer: Mclaren Medicare |
$10,820.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,361.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,443.03
|
| Rate for Payer: PACE Medicare |
$10,279.03
|
| Rate for Payer: PACE SWMI |
$10,820.03
|
| Rate for Payer: PHP Commercial |
$11,902.03
|
| Rate for Payer: PHP Medicare Advantage |
$10,820.03
|
| Rate for Payer: Priority Health Medicare |
$10,820.03
|
| Rate for Payer: Railroad Medicare Medicare |
$10,820.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,820.03
|
| Rate for Payer: UHC Exchange |
$16,771.05
|
| Rate for Payer: UHC Medicare Advantage |
$10,820.03
|
| Rate for Payer: UHCCP DNSP |
$10,820.03
|
| Rate for Payer: VA VA |
$10,820.03
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
|
Facility
|
IP
|
$19,581.46
|
|
|
Service Code
|
MSDRG 294
|
| Min. Negotiated Rate |
$12,001.54 |
| Max. Negotiated Rate |
$19,581.46 |
| Rate for Payer: Aetna Medicare |
$12,633.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,791.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,791.50
|
| Rate for Payer: BCBS MAPPO |
$12,633.20
|
| Rate for Payer: BCN Medicare Advantage |
$12,633.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,633.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,633.20
|
| Rate for Payer: Mclaren Medicare |
$12,633.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,264.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,528.18
|
| Rate for Payer: PACE Medicare |
$12,001.54
|
| Rate for Payer: PACE SWMI |
$12,633.20
|
| Rate for Payer: PHP Commercial |
$13,896.52
|
| Rate for Payer: PHP Medicare Advantage |
$12,633.20
|
| Rate for Payer: Priority Health Medicare |
$12,633.20
|
| Rate for Payer: Railroad Medicare Medicare |
$12,633.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,633.20
|
| Rate for Payer: UHC Exchange |
$19,581.46
|
| Rate for Payer: UHC Medicare Advantage |
$12,633.20
|
| Rate for Payer: UHCCP DNSP |
$12,633.20
|
| Rate for Payer: VA VA |
$12,633.20
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,520.81
|
|
|
Service Code
|
MSDRG 295
|
| Min. Negotiated Rate |
$8,286.94 |
| Max. Negotiated Rate |
$13,520.81 |
| Rate for Payer: Aetna Medicare |
$8,723.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,903.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,903.88
|
| Rate for Payer: BCBS MAPPO |
$8,723.10
|
| Rate for Payer: BCN Medicare Advantage |
$8,723.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,723.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,723.10
|
| Rate for Payer: Mclaren Medicare |
$8,723.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,159.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,031.57
|
| Rate for Payer: PACE Medicare |
$8,286.94
|
| Rate for Payer: PACE SWMI |
$8,723.10
|
| Rate for Payer: PHP Commercial |
$9,595.41
|
| Rate for Payer: PHP Medicare Advantage |
$8,723.10
|
| Rate for Payer: Priority Health Medicare |
$8,723.10
|
| Rate for Payer: Railroad Medicare Medicare |
$8,723.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,723.10
|
| Rate for Payer: UHC Exchange |
$13,520.81
|
| Rate for Payer: UHC Medicare Advantage |
$8,723.10
|
| Rate for Payer: UHCCP DNSP |
$8,723.10
|
| Rate for Payer: VA VA |
$8,723.10
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$37,231.00
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$22,819.00 |
| Max. Negotiated Rate |
$37,231.00 |
| Rate for Payer: Aetna Medicare |
$24,020.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,025.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,025.00
|
| Rate for Payer: BCBS MAPPO |
$24,020.00
|
| Rate for Payer: BCN Medicare Advantage |
$24,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,020.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,020.00
|
| Rate for Payer: Mclaren Medicare |
$24,020.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,221.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,623.00
|
| Rate for Payer: PACE Medicare |
$22,819.00
|
| Rate for Payer: PACE SWMI |
$24,020.00
|
| Rate for Payer: PHP Commercial |
$26,422.00
|
| Rate for Payer: PHP Medicare Advantage |
$24,020.00
|
| Rate for Payer: Priority Health Medicare |
$24,020.00
|
| Rate for Payer: Railroad Medicare Medicare |
$24,020.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,020.00
|
| Rate for Payer: UHC Exchange |
$37,231.00
|
| Rate for Payer: UHC Medicare Advantage |
$24,020.00
|
| Rate for Payer: UHCCP DNSP |
$24,020.00
|
| Rate for Payer: VA VA |
$24,020.00
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$21,053.08
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$12,903.50 |
| Max. Negotiated Rate |
$21,053.08 |
| Rate for Payer: Aetna Medicare |
$13,582.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,978.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,978.29
|
| Rate for Payer: BCBS MAPPO |
$13,582.63
|
| Rate for Payer: BCN Medicare Advantage |
$13,582.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,582.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,582.63
|
| Rate for Payer: Mclaren Medicare |
$13,582.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,261.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,620.02
|
| Rate for Payer: PACE Medicare |
$12,903.50
|
| Rate for Payer: PACE SWMI |
$13,582.63
|
| Rate for Payer: PHP Commercial |
$14,940.89
|
| Rate for Payer: PHP Medicare Advantage |
$13,582.63
|
| Rate for Payer: Priority Health Medicare |
$13,582.63
|
| Rate for Payer: Railroad Medicare Medicare |
$13,582.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,582.63
|
| Rate for Payer: UHC Exchange |
$21,053.08
|
| Rate for Payer: UHC Medicare Advantage |
$13,582.63
|
| Rate for Payer: UHCCP DNSP |
$13,582.63
|
| Rate for Payer: VA VA |
$13,582.63
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$15,606.47
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$9,565.26 |
| Max. Negotiated Rate |
$15,606.47 |
| Rate for Payer: Aetna Medicare |
$10,068.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,585.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,585.86
|
| Rate for Payer: BCBS MAPPO |
$10,068.69
|
| Rate for Payer: BCN Medicare Advantage |
$10,068.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,068.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,068.69
|
| Rate for Payer: Mclaren Medicare |
$10,068.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,572.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,578.99
|
| Rate for Payer: PACE Medicare |
$9,565.26
|
| Rate for Payer: PACE SWMI |
$10,068.69
|
| Rate for Payer: PHP Commercial |
$11,075.56
|
| Rate for Payer: PHP Medicare Advantage |
$10,068.69
|
| Rate for Payer: Priority Health Medicare |
$10,068.69
|
| Rate for Payer: Railroad Medicare Medicare |
$10,068.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,068.69
|
| Rate for Payer: UHC Exchange |
$15,606.47
|
| Rate for Payer: UHC Medicare Advantage |
$10,068.69
|
| Rate for Payer: UHCCP DNSP |
$10,068.69
|
| Rate for Payer: VA VA |
$10,068.69
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$25,245.21
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$15,472.87 |
| Max. Negotiated Rate |
$25,245.21 |
| Rate for Payer: Aetna Medicare |
$16,287.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,359.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,359.04
|
| Rate for Payer: BCBS MAPPO |
$16,287.23
|
| Rate for Payer: BCN Medicare Advantage |
$16,287.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,287.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,287.23
|
| Rate for Payer: Mclaren Medicare |
$16,287.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,101.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,730.31
|
| Rate for Payer: PACE Medicare |
$15,472.87
|
| Rate for Payer: PACE SWMI |
$16,287.23
|
| Rate for Payer: PHP Commercial |
$17,915.95
|
| Rate for Payer: PHP Medicare Advantage |
$16,287.23
|
| Rate for Payer: Priority Health Medicare |
$16,287.23
|
| Rate for Payer: Railroad Medicare Medicare |
$16,287.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,287.23
|
| Rate for Payer: UHC Exchange |
$25,245.21
|
| Rate for Payer: UHC Medicare Advantage |
$16,287.23
|
| Rate for Payer: UHCCP DNSP |
$16,287.23
|
| Rate for Payer: VA VA |
$16,287.23
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,720.01
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$7,183.23 |
| Max. Negotiated Rate |
$11,720.01 |
| Rate for Payer: Aetna Medicare |
$7,561.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,451.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,451.62
|
| Rate for Payer: BCBS MAPPO |
$7,561.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,561.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,561.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,561.30
|
| Rate for Payer: Mclaren Medicare |
$7,561.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,939.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,695.50
|
| Rate for Payer: PACE Medicare |
$7,183.23
|
| Rate for Payer: PACE SWMI |
$7,561.30
|
| Rate for Payer: PHP Commercial |
$8,317.43
|
| Rate for Payer: PHP Medicare Advantage |
$7,561.30
|
| Rate for Payer: Priority Health Medicare |
$7,561.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7,561.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,561.30
|
| Rate for Payer: UHC Exchange |
$11,720.01
|
| Rate for Payer: UHC Medicare Advantage |
$7,561.30
|
| Rate for Payer: UHCCP DNSP |
$7,561.30
|
| Rate for Payer: VA VA |
$7,561.30
|
|
|
MS-DRG 42.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$15,239.97
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$9,340.63 |
| Max. Negotiated Rate |
$15,239.97 |
| Rate for Payer: Aetna Medicare |
$9,832.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,290.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,290.30
|
| Rate for Payer: BCBS MAPPO |
$9,832.24
|
| Rate for Payer: BCN Medicare Advantage |
$9,832.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,832.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,832.24
|
| Rate for Payer: Mclaren Medicare |
$9,832.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,323.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,307.08
|
| Rate for Payer: PACE Medicare |
$9,340.63
|
| Rate for Payer: PACE SWMI |
$9,832.24
|
| Rate for Payer: PHP Commercial |
$10,815.46
|
| Rate for Payer: PHP Medicare Advantage |
$9,832.24
|
| Rate for Payer: Priority Health Medicare |
$9,832.24
|
| Rate for Payer: Railroad Medicare Medicare |
$9,832.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,832.24
|
| Rate for Payer: UHC Exchange |
$15,239.97
|
| Rate for Payer: UHC Medicare Advantage |
$9,832.24
|
| Rate for Payer: UHCCP DNSP |
$9,832.24
|
| Rate for Payer: VA VA |
$9,832.24
|
|
|
MS-DRG 42.00: DIABETES WITH CC
|
Facility
|
IP
|
$15,282.84
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$9,366.91 |
| Max. Negotiated Rate |
$15,282.84 |
| Rate for Payer: Aetna Medicare |
$9,859.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,324.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,324.88
|
| Rate for Payer: BCBS MAPPO |
$9,859.90
|
| Rate for Payer: BCN Medicare Advantage |
$9,859.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,859.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,859.90
|
| Rate for Payer: Mclaren Medicare |
$9,859.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,352.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,338.89
|
| Rate for Payer: PACE Medicare |
$9,366.91
|
| Rate for Payer: PACE SWMI |
$9,859.90
|
| Rate for Payer: PHP Commercial |
$10,845.89
|
| Rate for Payer: PHP Medicare Advantage |
$9,859.90
|
| Rate for Payer: Priority Health Medicare |
$9,859.90
|
| Rate for Payer: Railroad Medicare Medicare |
$9,859.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,859.90
|
| Rate for Payer: UHC Exchange |
$15,282.84
|
| Rate for Payer: UHC Medicare Advantage |
$9,859.90
|
| Rate for Payer: UHCCP DNSP |
$9,859.90
|
| Rate for Payer: VA VA |
$9,859.90
|
|
|
MS-DRG 42.00: DIABETES WITH MCC
|
Facility
|
IP
|
$22,739.04
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$13,936.83 |
| Max. Negotiated Rate |
$22,739.04 |
| Rate for Payer: Aetna Medicare |
$14,670.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,337.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,337.94
|
| Rate for Payer: BCBS MAPPO |
$14,670.35
|
| Rate for Payer: BCN Medicare Advantage |
$14,670.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,670.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,670.35
|
| Rate for Payer: Mclaren Medicare |
$14,670.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,403.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,870.90
|
| Rate for Payer: PACE Medicare |
$13,936.83
|
| Rate for Payer: PACE SWMI |
$14,670.35
|
| Rate for Payer: PHP Commercial |
$16,137.39
|
| Rate for Payer: PHP Medicare Advantage |
$14,670.35
|
| Rate for Payer: Priority Health Medicare |
$14,670.35
|
| Rate for Payer: Railroad Medicare Medicare |
$14,670.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,670.35
|
| Rate for Payer: UHC Exchange |
$22,739.04
|
| Rate for Payer: UHC Medicare Advantage |
$14,670.35
|
| Rate for Payer: UHCCP DNSP |
$14,670.35
|
| Rate for Payer: VA VA |
$14,670.35
|
|
|
MS-DRG 42.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,263.62
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$6,903.51 |
| Max. Negotiated Rate |
$11,263.62 |
| Rate for Payer: Aetna Medicare |
$7,266.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,083.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,083.56
|
| Rate for Payer: BCBS MAPPO |
$7,266.85
|
| Rate for Payer: BCN Medicare Advantage |
$7,266.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,266.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,266.85
|
| Rate for Payer: Mclaren Medicare |
$7,266.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,630.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,356.88
|
| Rate for Payer: PACE Medicare |
$6,903.51
|
| Rate for Payer: PACE SWMI |
$7,266.85
|
| Rate for Payer: PHP Commercial |
$7,993.53
|
| Rate for Payer: PHP Medicare Advantage |
$7,266.85
|
| Rate for Payer: Priority Health Medicare |
$7,266.85
|
| Rate for Payer: Railroad Medicare Medicare |
$7,266.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,266.85
|
| Rate for Payer: UHC Exchange |
$11,263.62
|
| Rate for Payer: UHC Medicare Advantage |
$7,266.85
|
| Rate for Payer: UHCCP DNSP |
$7,266.85
|
| Rate for Payer: VA VA |
$7,266.85
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$19,591.15
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$12,007.48 |
| Max. Negotiated Rate |
$19,591.15 |
| Rate for Payer: Aetna Medicare |
$12,639.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,799.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,799.31
|
| Rate for Payer: BCBS MAPPO |
$12,639.45
|
| Rate for Payer: BCN Medicare Advantage |
$12,639.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,639.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,639.45
|
| Rate for Payer: Mclaren Medicare |
$12,639.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,271.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,535.37
|
| Rate for Payer: PACE Medicare |
$12,007.48
|
| Rate for Payer: PACE SWMI |
$12,639.45
|
| Rate for Payer: PHP Commercial |
$13,903.40
|
| Rate for Payer: PHP Medicare Advantage |
$12,639.45
|
| Rate for Payer: Priority Health Medicare |
$12,639.45
|
| Rate for Payer: Railroad Medicare Medicare |
$12,639.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,639.45
|
| Rate for Payer: UHC Exchange |
$19,591.15
|
| Rate for Payer: UHC Medicare Advantage |
$12,639.45
|
| Rate for Payer: UHCCP DNSP |
$12,639.45
|
| Rate for Payer: VA VA |
$12,639.45
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$31,799.65
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$19,490.10 |
| Max. Negotiated Rate |
$31,799.65 |
| Rate for Payer: Aetna Medicare |
$20,515.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,644.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,644.88
|
| Rate for Payer: BCBS MAPPO |
$20,515.90
|
| Rate for Payer: BCN Medicare Advantage |
$20,515.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,515.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,515.90
|
| Rate for Payer: Mclaren Medicare |
$20,515.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,541.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,593.28
|
| Rate for Payer: PACE Medicare |
$19,490.10
|
| Rate for Payer: PACE SWMI |
$20,515.90
|
| Rate for Payer: PHP Commercial |
$22,567.49
|
| Rate for Payer: PHP Medicare Advantage |
$20,515.90
|
| Rate for Payer: Priority Health Medicare |
$20,515.90
|
| Rate for Payer: Railroad Medicare Medicare |
$20,515.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,515.90
|
| Rate for Payer: UHC Exchange |
$31,799.65
|
| Rate for Payer: UHC Medicare Advantage |
$20,515.90
|
| Rate for Payer: UHCCP DNSP |
$20,515.90
|
| Rate for Payer: VA VA |
$20,515.90
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$14,809.83
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$9,076.99 |
| Max. Negotiated Rate |
$14,809.83 |
| Rate for Payer: Aetna Medicare |
$9,554.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,943.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,943.41
|
| Rate for Payer: BCBS MAPPO |
$9,554.73
|
| Rate for Payer: BCN Medicare Advantage |
$9,554.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,554.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,554.73
|
| Rate for Payer: Mclaren Medicare |
$9,554.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,032.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,987.94
|
| Rate for Payer: PACE Medicare |
$9,076.99
|
| Rate for Payer: PACE SWMI |
$9,554.73
|
| Rate for Payer: PHP Commercial |
$10,510.20
|
| Rate for Payer: PHP Medicare Advantage |
$9,554.73
|
| Rate for Payer: Priority Health Medicare |
$9,554.73
|
| Rate for Payer: Railroad Medicare Medicare |
$9,554.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,554.73
|
| Rate for Payer: UHC Exchange |
$14,809.83
|
| Rate for Payer: UHC Medicare Advantage |
$9,554.73
|
| Rate for Payer: UHCCP DNSP |
$9,554.73
|
| Rate for Payer: VA VA |
$9,554.73
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$15,960.55
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$9,782.27 |
| Max. Negotiated Rate |
$15,960.55 |
| Rate for Payer: Aetna Medicare |
$10,297.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,871.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,871.41
|
| Rate for Payer: BCBS MAPPO |
$10,297.13
|
| Rate for Payer: BCN Medicare Advantage |
$10,297.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,297.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,297.13
|
| Rate for Payer: Mclaren Medicare |
$10,297.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,811.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,841.70
|
| Rate for Payer: PACE Medicare |
$9,782.27
|
| Rate for Payer: PACE SWMI |
$10,297.13
|
| Rate for Payer: PHP Commercial |
$11,326.84
|
| Rate for Payer: PHP Medicare Advantage |
$10,297.13
|
| Rate for Payer: Priority Health Medicare |
$10,297.13
|
| Rate for Payer: Railroad Medicare Medicare |
$10,297.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,297.13
|
| Rate for Payer: UHC Exchange |
$15,960.55
|
| Rate for Payer: UHC Medicare Advantage |
$10,297.13
|
| Rate for Payer: UHCCP DNSP |
$10,297.13
|
| Rate for Payer: VA VA |
$10,297.13
|
|
