|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$28,743.03
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$17,616.70 |
| Max. Negotiated Rate |
$28,743.03 |
| Rate for Payer: Aetna Medicare |
$18,543.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,179.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,179.86
|
| Rate for Payer: BCBS MAPPO |
$18,543.89
|
| Rate for Payer: BCN Medicare Advantage |
$18,543.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,543.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,543.89
|
| Rate for Payer: Mclaren Medicare |
$18,543.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,471.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,325.47
|
| Rate for Payer: PACE Medicare |
$17,616.70
|
| Rate for Payer: PACE SWMI |
$18,543.89
|
| Rate for Payer: PHP Commercial |
$20,398.28
|
| Rate for Payer: PHP Medicare Advantage |
$18,543.89
|
| Rate for Payer: Priority Health Medicare |
$18,543.89
|
| Rate for Payer: Railroad Medicare Medicare |
$18,543.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,543.89
|
| Rate for Payer: UHC Exchange |
$28,743.03
|
| Rate for Payer: UHC Medicare Advantage |
$18,543.89
|
| Rate for Payer: UHCCP DNSP |
$18,543.89
|
| Rate for Payer: VA VA |
$18,543.89
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,316.13
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$7,548.60 |
| Max. Negotiated Rate |
$12,316.13 |
| Rate for Payer: Aetna Medicare |
$7,945.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,932.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,932.36
|
| Rate for Payer: BCBS MAPPO |
$7,945.89
|
| Rate for Payer: BCN Medicare Advantage |
$7,945.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,945.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,945.89
|
| Rate for Payer: Mclaren Medicare |
$7,945.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,343.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,137.77
|
| Rate for Payer: PACE Medicare |
$7,548.60
|
| Rate for Payer: PACE SWMI |
$7,945.89
|
| Rate for Payer: PHP Commercial |
$8,740.48
|
| Rate for Payer: PHP Medicare Advantage |
$7,945.89
|
| Rate for Payer: Priority Health Medicare |
$7,945.89
|
| Rate for Payer: Railroad Medicare Medicare |
$7,945.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,945.89
|
| Rate for Payer: UHC Exchange |
$12,316.13
|
| Rate for Payer: UHC Medicare Advantage |
$7,945.89
|
| Rate for Payer: UHCCP DNSP |
$7,945.89
|
| Rate for Payer: VA VA |
$7,945.89
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$14,494.48
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$8,883.72 |
| Max. Negotiated Rate |
$14,494.48 |
| Rate for Payer: Aetna Medicare |
$9,351.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,689.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,689.10
|
| Rate for Payer: BCBS MAPPO |
$9,351.28
|
| Rate for Payer: BCN Medicare Advantage |
$9,351.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,351.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,351.28
|
| Rate for Payer: Mclaren Medicare |
$9,351.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,818.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,753.97
|
| Rate for Payer: PACE Medicare |
$8,883.72
|
| Rate for Payer: PACE SWMI |
$9,351.28
|
| Rate for Payer: PHP Commercial |
$10,286.41
|
| Rate for Payer: PHP Medicare Advantage |
$9,351.28
|
| Rate for Payer: Priority Health Medicare |
$9,351.28
|
| Rate for Payer: Railroad Medicare Medicare |
$9,351.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,351.28
|
| Rate for Payer: UHC Exchange |
$14,494.48
|
| Rate for Payer: UHC Medicare Advantage |
$9,351.28
|
| Rate for Payer: UHCCP DNSP |
$9,351.28
|
| Rate for Payer: VA VA |
$9,351.28
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$25,607.57
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$15,694.96 |
| Max. Negotiated Rate |
$25,607.57 |
| Rate for Payer: Aetna Medicare |
$16,521.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,651.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,651.26
|
| Rate for Payer: BCBS MAPPO |
$16,521.01
|
| Rate for Payer: BCN Medicare Advantage |
$16,521.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,521.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,521.01
|
| Rate for Payer: Mclaren Medicare |
$16,521.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,347.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,999.16
|
| Rate for Payer: PACE Medicare |
$15,694.96
|
| Rate for Payer: PACE SWMI |
$16,521.01
|
| Rate for Payer: PHP Commercial |
$18,173.11
|
| Rate for Payer: PHP Medicare Advantage |
$16,521.01
|
| Rate for Payer: Priority Health Medicare |
$16,521.01
|
| Rate for Payer: Railroad Medicare Medicare |
$16,521.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,521.01
|
| Rate for Payer: UHC Exchange |
$25,607.57
|
| Rate for Payer: UHC Medicare Advantage |
$16,521.01
|
| Rate for Payer: UHCCP DNSP |
$16,521.01
|
| Rate for Payer: VA VA |
$16,521.01
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$11,104.56
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$6,806.02 |
| Max. Negotiated Rate |
$11,104.56 |
| Rate for Payer: Aetna Medicare |
$7,164.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,955.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,955.29
|
| Rate for Payer: BCBS MAPPO |
$7,164.23
|
| Rate for Payer: BCN Medicare Advantage |
$7,164.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,164.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,164.23
|
| Rate for Payer: Mclaren Medicare |
$7,164.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,522.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,238.86
|
| Rate for Payer: PACE Medicare |
$6,806.02
|
| Rate for Payer: PACE SWMI |
$7,164.23
|
| Rate for Payer: PHP Commercial |
$7,880.65
|
| Rate for Payer: PHP Medicare Advantage |
$7,164.23
|
| Rate for Payer: Priority Health Medicare |
$7,164.23
|
| Rate for Payer: Railroad Medicare Medicare |
$7,164.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,164.23
|
| Rate for Payer: UHC Exchange |
$11,104.56
|
| Rate for Payer: UHC Medicare Advantage |
$7,164.23
|
| Rate for Payer: UHCCP DNSP |
$7,164.23
|
| Rate for Payer: VA VA |
$7,164.23
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$28,238.19
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$17,307.28 |
| Max. Negotiated Rate |
$28,238.19 |
| Rate for Payer: Aetna Medicare |
$18,218.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,772.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,772.74
|
| Rate for Payer: BCBS MAPPO |
$18,218.19
|
| Rate for Payer: BCN Medicare Advantage |
$18,218.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,218.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,218.19
|
| Rate for Payer: Mclaren Medicare |
$18,218.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,129.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,950.92
|
| Rate for Payer: PACE Medicare |
$17,307.28
|
| Rate for Payer: PACE SWMI |
$18,218.19
|
| Rate for Payer: PHP Commercial |
$20,040.01
|
| Rate for Payer: PHP Medicare Advantage |
$18,218.19
|
| Rate for Payer: Priority Health Medicare |
$18,218.19
|
| Rate for Payer: Railroad Medicare Medicare |
$18,218.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,218.19
|
| Rate for Payer: UHC Exchange |
$28,238.19
|
| Rate for Payer: UHC Medicare Advantage |
$18,218.19
|
| Rate for Payer: UHCCP DNSP |
$18,218.19
|
| Rate for Payer: VA VA |
$18,218.19
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$17,596.75
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$10,785.10 |
| Max. Negotiated Rate |
$17,596.75 |
| Rate for Payer: Aetna Medicare |
$11,352.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,190.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,190.92
|
| Rate for Payer: BCBS MAPPO |
$11,352.74
|
| Rate for Payer: BCN Medicare Advantage |
$11,352.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,352.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,352.74
|
| Rate for Payer: Mclaren Medicare |
$11,352.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,920.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,055.65
|
| Rate for Payer: PACE Medicare |
$10,785.10
|
| Rate for Payer: PACE SWMI |
$11,352.74
|
| Rate for Payer: PHP Commercial |
$12,488.01
|
| Rate for Payer: PHP Medicare Advantage |
$11,352.74
|
| Rate for Payer: Priority Health Medicare |
$11,352.74
|
| Rate for Payer: Railroad Medicare Medicare |
$11,352.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,352.74
|
| Rate for Payer: UHC Exchange |
$17,596.75
|
| Rate for Payer: UHC Medicare Advantage |
$11,352.74
|
| Rate for Payer: UHCCP DNSP |
$11,352.74
|
| Rate for Payer: VA VA |
$11,352.74
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$25,893.85
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$15,870.42 |
| Max. Negotiated Rate |
$25,893.85 |
| Rate for Payer: Aetna Medicare |
$16,705.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,882.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,882.14
|
| Rate for Payer: BCBS MAPPO |
$16,705.71
|
| Rate for Payer: BCN Medicare Advantage |
$16,705.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,705.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,705.71
|
| Rate for Payer: Mclaren Medicare |
$16,705.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,541.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,211.57
|
| Rate for Payer: PACE Medicare |
$15,870.42
|
| Rate for Payer: PACE SWMI |
$16,705.71
|
| Rate for Payer: PHP Commercial |
$18,376.28
|
| Rate for Payer: PHP Medicare Advantage |
$16,705.71
|
| Rate for Payer: Priority Health Medicare |
$16,705.71
|
| Rate for Payer: Railroad Medicare Medicare |
$16,705.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,705.71
|
| Rate for Payer: UHC Exchange |
$25,893.85
|
| Rate for Payer: UHC Medicare Advantage |
$16,705.71
|
| Rate for Payer: UHCCP DNSP |
$16,705.71
|
| Rate for Payer: VA VA |
$16,705.71
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$13,624.55
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$8,350.53 |
| Max. Negotiated Rate |
$13,624.55 |
| Rate for Payer: Aetna Medicare |
$8,790.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,987.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,987.54
|
| Rate for Payer: BCBS MAPPO |
$8,790.03
|
| Rate for Payer: BCN Medicare Advantage |
$8,790.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,790.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,790.03
|
| Rate for Payer: Mclaren Medicare |
$8,790.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,229.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,108.53
|
| Rate for Payer: PACE Medicare |
$8,350.53
|
| Rate for Payer: PACE SWMI |
$8,790.03
|
| Rate for Payer: PHP Commercial |
$9,669.03
|
| Rate for Payer: PHP Medicare Advantage |
$8,790.03
|
| Rate for Payer: Priority Health Medicare |
$8,790.03
|
| Rate for Payer: Railroad Medicare Medicare |
$8,790.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,790.03
|
| Rate for Payer: UHC Exchange |
$13,624.55
|
| Rate for Payer: UHC Medicare Advantage |
$8,790.03
|
| Rate for Payer: UHCCP DNSP |
$8,790.03
|
| Rate for Payer: VA VA |
$8,790.03
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$12,935.74
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$7,928.36 |
| Max. Negotiated Rate |
$12,935.74 |
| Rate for Payer: Aetna Medicare |
$8,345.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,432.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,432.05
|
| Rate for Payer: BCBS MAPPO |
$8,345.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,345.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,345.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,345.64
|
| Rate for Payer: Mclaren Medicare |
$8,345.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,762.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,597.49
|
| Rate for Payer: PACE Medicare |
$7,928.36
|
| Rate for Payer: PACE SWMI |
$8,345.64
|
| Rate for Payer: PHP Commercial |
$9,180.20
|
| Rate for Payer: PHP Medicare Advantage |
$8,345.64
|
| Rate for Payer: Priority Health Medicare |
$8,345.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,345.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,345.64
|
| Rate for Payer: UHC Exchange |
$12,935.74
|
| Rate for Payer: UHC Medicare Advantage |
$8,345.64
|
| Rate for Payer: UHCCP DNSP |
$8,345.64
|
| Rate for Payer: VA VA |
$8,345.64
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$19,813.82
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$12,143.95 |
| Max. Negotiated Rate |
$19,813.82 |
| Rate for Payer: Aetna Medicare |
$12,783.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,978.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,978.89
|
| Rate for Payer: BCBS MAPPO |
$12,783.11
|
| Rate for Payer: BCN Medicare Advantage |
$12,783.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,783.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,783.11
|
| Rate for Payer: Mclaren Medicare |
$12,783.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,422.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,700.58
|
| Rate for Payer: PACE Medicare |
$12,143.95
|
| Rate for Payer: PACE SWMI |
$12,783.11
|
| Rate for Payer: PHP Commercial |
$14,061.42
|
| Rate for Payer: PHP Medicare Advantage |
$12,783.11
|
| Rate for Payer: Priority Health Medicare |
$12,783.11
|
| Rate for Payer: Railroad Medicare Medicare |
$12,783.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,783.11
|
| Rate for Payer: UHC Exchange |
$19,813.82
|
| Rate for Payer: UHC Medicare Advantage |
$12,783.11
|
| Rate for Payer: UHCCP DNSP |
$12,783.11
|
| Rate for Payer: VA VA |
$12,783.11
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$34,326.55
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$21,038.85 |
| Max. Negotiated Rate |
$34,326.55 |
| Rate for Payer: Aetna Medicare |
$22,146.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,682.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,682.70
|
| Rate for Payer: BCBS MAPPO |
$22,146.16
|
| Rate for Payer: BCN Medicare Advantage |
$22,146.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,146.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,146.16
|
| Rate for Payer: Mclaren Medicare |
$22,146.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,253.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,468.08
|
| Rate for Payer: PACE Medicare |
$21,038.85
|
| Rate for Payer: PACE SWMI |
$22,146.16
|
| Rate for Payer: PHP Commercial |
$24,360.78
|
| Rate for Payer: PHP Medicare Advantage |
$22,146.16
|
| Rate for Payer: Priority Health Medicare |
$22,146.16
|
| Rate for Payer: Railroad Medicare Medicare |
$22,146.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,146.16
|
| Rate for Payer: UHC Exchange |
$34,326.55
|
| Rate for Payer: UHC Medicare Advantage |
$22,146.16
|
| Rate for Payer: UHCCP DNSP |
$22,146.16
|
| Rate for Payer: VA VA |
$22,146.16
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,671.54
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$8,379.33 |
| Max. Negotiated Rate |
$13,671.54 |
| Rate for Payer: Aetna Medicare |
$8,820.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,025.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,025.44
|
| Rate for Payer: BCBS MAPPO |
$8,820.35
|
| Rate for Payer: BCN Medicare Advantage |
$8,820.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,820.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,820.35
|
| Rate for Payer: Mclaren Medicare |
$8,820.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,261.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,143.40
|
| Rate for Payer: PACE Medicare |
$8,379.33
|
| Rate for Payer: PACE SWMI |
$8,820.35
|
| Rate for Payer: PHP Commercial |
$9,702.39
|
| Rate for Payer: PHP Medicare Advantage |
$8,820.35
|
| Rate for Payer: Priority Health Medicare |
$8,820.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8,820.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,820.35
|
| Rate for Payer: UHC Exchange |
$13,671.54
|
| Rate for Payer: UHC Medicare Advantage |
$8,820.35
|
| Rate for Payer: UHCCP DNSP |
$8,820.35
|
| Rate for Payer: VA VA |
$8,820.35
|
|
|
MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$299,014.24
|
|
|
Service Code
|
MSDRG 003
|
| Min. Negotiated Rate |
$183,266.79 |
| Max. Negotiated Rate |
$299,014.24 |
| Rate for Payer: Aetna Medicare |
$192,912.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$241,140.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$241,140.51
|
| Rate for Payer: BCBS MAPPO |
$192,912.41
|
| Rate for Payer: BCN Medicare Advantage |
$192,912.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192,912.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$192,912.41
|
| Rate for Payer: Mclaren Medicare |
$192,912.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202,558.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$221,849.27
|
| Rate for Payer: PACE Medicare |
$183,266.79
|
| Rate for Payer: PACE SWMI |
$192,912.41
|
| Rate for Payer: PHP Commercial |
$212,203.65
|
| Rate for Payer: PHP Medicare Advantage |
$192,912.41
|
| Rate for Payer: Priority Health Medicare |
$192,912.41
|
| Rate for Payer: Railroad Medicare Medicare |
$192,912.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$192,912.41
|
| Rate for Payer: UHC Exchange |
$299,014.24
|
| Rate for Payer: UHC Medicare Advantage |
$192,912.41
|
| Rate for Payer: UHCCP DNSP |
$192,912.41
|
| Rate for Payer: VA VA |
$192,912.41
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$16,889.98
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$10,351.92 |
| Max. Negotiated Rate |
$16,889.98 |
| Rate for Payer: Aetna Medicare |
$10,896.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,620.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,620.95
|
| Rate for Payer: BCBS MAPPO |
$10,896.76
|
| Rate for Payer: BCN Medicare Advantage |
$10,896.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,896.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,896.76
|
| Rate for Payer: Mclaren Medicare |
$10,896.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,441.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,531.27
|
| Rate for Payer: PACE Medicare |
$10,351.92
|
| Rate for Payer: PACE SWMI |
$10,896.76
|
| Rate for Payer: PHP Commercial |
$11,986.44
|
| Rate for Payer: PHP Medicare Advantage |
$10,896.76
|
| Rate for Payer: Priority Health Medicare |
$10,896.76
|
| Rate for Payer: Railroad Medicare Medicare |
$10,896.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,896.76
|
| Rate for Payer: UHC Exchange |
$16,889.98
|
| Rate for Payer: UHC Medicare Advantage |
$10,896.76
|
| Rate for Payer: UHCCP DNSP |
$10,896.76
|
| Rate for Payer: VA VA |
$10,896.76
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$25,519.04
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$15,640.70 |
| Max. Negotiated Rate |
$25,519.04 |
| Rate for Payer: Aetna Medicare |
$16,463.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,579.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,579.88
|
| Rate for Payer: BCBS MAPPO |
$16,463.90
|
| Rate for Payer: BCN Medicare Advantage |
$16,463.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,463.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,463.90
|
| Rate for Payer: Mclaren Medicare |
$16,463.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,287.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,933.49
|
| Rate for Payer: PACE Medicare |
$15,640.70
|
| Rate for Payer: PACE SWMI |
$16,463.90
|
| Rate for Payer: PHP Commercial |
$18,110.29
|
| Rate for Payer: PHP Medicare Advantage |
$16,463.90
|
| Rate for Payer: Priority Health Medicare |
$16,463.90
|
| Rate for Payer: Railroad Medicare Medicare |
$16,463.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,463.90
|
| Rate for Payer: UHC Exchange |
$25,519.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,463.90
|
| Rate for Payer: UHCCP DNSP |
$16,463.90
|
| Rate for Payer: VA VA |
$16,463.90
|
|
|
MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,367.26
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$8,192.84 |
| Max. Negotiated Rate |
$13,367.26 |
| Rate for Payer: Aetna Medicare |
$8,624.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,780.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,780.05
|
| Rate for Payer: BCBS MAPPO |
$8,624.04
|
| Rate for Payer: BCN Medicare Advantage |
$8,624.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,624.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,624.04
|
| Rate for Payer: Mclaren Medicare |
$8,624.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,055.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,917.65
|
| Rate for Payer: PACE Medicare |
$8,192.84
|
| Rate for Payer: PACE SWMI |
$8,624.04
|
| Rate for Payer: PHP Commercial |
$9,486.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,624.04
|
| Rate for Payer: Priority Health Medicare |
$8,624.04
|
| Rate for Payer: Railroad Medicare Medicare |
$8,624.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,624.04
|
| Rate for Payer: UHC Exchange |
$13,367.26
|
| Rate for Payer: UHC Medicare Advantage |
$8,624.04
|
| Rate for Payer: UHCCP DNSP |
$8,624.04
|
| Rate for Payer: VA VA |
$8,624.04
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,455.00
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$52,375.65 |
| Max. Negotiated Rate |
$85,455.00 |
| Rate for Payer: Aetna Medicare |
$55,132.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$68,915.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$68,915.32
|
| Rate for Payer: BCBS MAPPO |
$55,132.26
|
| Rate for Payer: BCN Medicare Advantage |
$55,132.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55,132.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$55,132.26
|
| Rate for Payer: Mclaren Medicare |
$55,132.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57,888.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63,402.10
|
| Rate for Payer: PACE Medicare |
$52,375.65
|
| Rate for Payer: PACE SWMI |
$55,132.26
|
| Rate for Payer: PHP Commercial |
$60,645.49
|
| Rate for Payer: PHP Medicare Advantage |
$55,132.26
|
| Rate for Payer: Priority Health Medicare |
$55,132.26
|
| Rate for Payer: Railroad Medicare Medicare |
$55,132.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$55,132.26
|
| Rate for Payer: UHC Exchange |
$85,455.00
|
| Rate for Payer: UHC Medicare Advantage |
$55,132.26
|
| Rate for Payer: UHCCP DNSP |
$55,132.26
|
| Rate for Payer: VA VA |
$55,132.26
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$67,667.16
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$41,473.42 |
| Max. Negotiated Rate |
$67,667.16 |
| Rate for Payer: Aetna Medicare |
$43,656.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,570.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,570.29
|
| Rate for Payer: BCBS MAPPO |
$43,656.23
|
| Rate for Payer: BCN Medicare Advantage |
$43,656.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,656.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,656.23
|
| Rate for Payer: Mclaren Medicare |
$43,656.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,839.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,204.66
|
| Rate for Payer: PACE Medicare |
$41,473.42
|
| Rate for Payer: PACE SWMI |
$43,656.23
|
| Rate for Payer: PHP Commercial |
$48,021.85
|
| Rate for Payer: PHP Medicare Advantage |
$43,656.23
|
| Rate for Payer: Priority Health Medicare |
$43,656.23
|
| Rate for Payer: Railroad Medicare Medicare |
$43,656.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,656.23
|
| Rate for Payer: UHC Exchange |
$67,667.16
|
| Rate for Payer: UHC Medicare Advantage |
$43,656.23
|
| Rate for Payer: UHCCP DNSP |
$43,656.23
|
| Rate for Payer: VA VA |
$43,656.23
|
|
|
MS-DRG 42.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$21,714.18
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$13,308.69 |
| Max. Negotiated Rate |
$21,714.18 |
| Rate for Payer: Aetna Medicare |
$14,009.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,511.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,511.44
|
| Rate for Payer: BCBS MAPPO |
$14,009.15
|
| Rate for Payer: BCN Medicare Advantage |
$14,009.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,009.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,009.15
|
| Rate for Payer: Mclaren Medicare |
$14,009.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,709.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,110.52
|
| Rate for Payer: PACE Medicare |
$13,308.69
|
| Rate for Payer: PACE SWMI |
$14,009.15
|
| Rate for Payer: PHP Commercial |
$15,410.07
|
| Rate for Payer: PHP Medicare Advantage |
$14,009.15
|
| Rate for Payer: Priority Health Medicare |
$14,009.15
|
| Rate for Payer: Railroad Medicare Medicare |
$14,009.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,009.15
|
| Rate for Payer: UHC Exchange |
$21,714.18
|
| Rate for Payer: UHC Medicare Advantage |
$14,009.15
|
| Rate for Payer: UHCCP DNSP |
$14,009.15
|
| Rate for Payer: VA VA |
$14,009.15
|
|
|
MS-DRG 42.00: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$13,080.98
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$8,017.37 |
| Max. Negotiated Rate |
$13,080.98 |
| Rate for Payer: Aetna Medicare |
$8,439.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,549.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,549.17
|
| Rate for Payer: BCBS MAPPO |
$8,439.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,439.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,439.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,439.34
|
| Rate for Payer: Mclaren Medicare |
$8,439.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,861.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,705.24
|
| Rate for Payer: PACE Medicare |
$8,017.37
|
| Rate for Payer: PACE SWMI |
$8,439.34
|
| Rate for Payer: PHP Commercial |
$9,283.27
|
| Rate for Payer: PHP Medicare Advantage |
$8,439.34
|
| Rate for Payer: Priority Health Medicare |
$8,439.34
|
| Rate for Payer: Railroad Medicare Medicare |
$8,439.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,439.34
|
| Rate for Payer: UHC Exchange |
$13,080.98
|
| Rate for Payer: UHC Medicare Advantage |
$8,439.34
|
| Rate for Payer: UHCCP DNSP |
$8,439.34
|
| Rate for Payer: VA VA |
$8,439.34
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
|
IP
|
$20,362.91
|
|
|
Service Code
|
MSDRG 391
|
| Min. Negotiated Rate |
$12,480.49 |
| Max. Negotiated Rate |
$20,362.91 |
| Rate for Payer: Aetna Medicare |
$13,137.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,421.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,421.70
|
| Rate for Payer: BCBS MAPPO |
$13,137.36
|
| Rate for Payer: BCN Medicare Advantage |
$13,137.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,137.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,137.36
|
| Rate for Payer: Mclaren Medicare |
$13,137.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,794.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,107.96
|
| Rate for Payer: PACE Medicare |
$12,480.49
|
| Rate for Payer: PACE SWMI |
$13,137.36
|
| Rate for Payer: PHP Commercial |
$14,451.10
|
| Rate for Payer: PHP Medicare Advantage |
$13,137.36
|
| Rate for Payer: Priority Health Medicare |
$13,137.36
|
| Rate for Payer: Railroad Medicare Medicare |
$13,137.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,137.36
|
| Rate for Payer: UHC Exchange |
$20,362.91
|
| Rate for Payer: UHC Medicare Advantage |
$13,137.36
|
| Rate for Payer: UHCCP DNSP |
$13,137.36
|
| Rate for Payer: VA VA |
$13,137.36
|
|
|
MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$13,389.41
|
|
|
Service Code
|
MSDRG 392
|
| Min. Negotiated Rate |
$8,206.41 |
| Max. Negotiated Rate |
$13,389.41 |
| Rate for Payer: Aetna Medicare |
$8,638.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,797.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,797.91
|
| Rate for Payer: BCBS MAPPO |
$8,638.33
|
| Rate for Payer: BCN Medicare Advantage |
$8,638.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,638.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,638.33
|
| Rate for Payer: Mclaren Medicare |
$8,638.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,070.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,934.08
|
| Rate for Payer: PACE Medicare |
$8,206.41
|
| Rate for Payer: PACE SWMI |
$8,638.33
|
| Rate for Payer: PHP Commercial |
$9,502.16
|
| Rate for Payer: PHP Medicare Advantage |
$8,638.33
|
| Rate for Payer: Priority Health Medicare |
$8,638.33
|
| Rate for Payer: Railroad Medicare Medicare |
$8,638.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,638.33
|
| Rate for Payer: UHC Exchange |
$13,389.41
|
| Rate for Payer: UHC Medicare Advantage |
$8,638.33
|
| Rate for Payer: UHCCP DNSP |
$8,638.33
|
| Rate for Payer: VA VA |
$8,638.33
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$62,441.87
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$38,270.83 |
| Max. Negotiated Rate |
$62,441.87 |
| Rate for Payer: Aetna Medicare |
$40,285.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,356.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,356.35
|
| Rate for Payer: BCBS MAPPO |
$40,285.08
|
| Rate for Payer: BCN Medicare Advantage |
$40,285.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,285.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,285.08
|
| Rate for Payer: Mclaren Medicare |
$40,285.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,299.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,327.84
|
| Rate for Payer: PACE Medicare |
$38,270.83
|
| Rate for Payer: PACE SWMI |
$40,285.08
|
| Rate for Payer: PHP Commercial |
$44,313.59
|
| Rate for Payer: PHP Medicare Advantage |
$40,285.08
|
| Rate for Payer: Priority Health Medicare |
$40,285.08
|
| Rate for Payer: Railroad Medicare Medicare |
$40,285.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,285.08
|
| Rate for Payer: UHC Exchange |
$62,441.87
|
| Rate for Payer: UHC Medicare Advantage |
$40,285.08
|
| Rate for Payer: UHCCP DNSP |
$40,285.08
|
| Rate for Payer: VA VA |
$40,285.08
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$330,703.49
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$202,689.24 |
| Max. Negotiated Rate |
$330,703.49 |
| Rate for Payer: Aetna Medicare |
$213,357.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266,696.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266,696.36
|
| Rate for Payer: BCBS MAPPO |
$213,357.09
|
| Rate for Payer: BCN Medicare Advantage |
$213,357.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213,357.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$213,357.09
|
| Rate for Payer: Mclaren Medicare |
$213,357.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224,024.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245,360.65
|
| Rate for Payer: PACE Medicare |
$202,689.24
|
| Rate for Payer: PACE SWMI |
$213,357.09
|
| Rate for Payer: PHP Commercial |
$234,692.80
|
| Rate for Payer: PHP Medicare Advantage |
$213,357.09
|
| Rate for Payer: Priority Health Medicare |
$213,357.09
|
| Rate for Payer: Railroad Medicare Medicare |
$213,357.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$213,357.09
|
| Rate for Payer: UHC Exchange |
$330,703.49
|
| Rate for Payer: UHC Medicare Advantage |
$213,357.09
|
| Rate for Payer: UHCCP DNSP |
$213,357.09
|
| Rate for Payer: VA VA |
$213,357.09
|
|
