|
MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,403.29
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$6,989.11 |
| Max. Negotiated Rate |
$11,403.29 |
| Rate for Payer: Aetna Medicare |
$7,356.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,196.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,196.20
|
| Rate for Payer: BCBS MAPPO |
$7,356.96
|
| Rate for Payer: BCN Medicare Advantage |
$7,356.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,356.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,356.96
|
| Rate for Payer: Mclaren Medicare |
$7,356.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,724.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,460.50
|
| Rate for Payer: PACE Medicare |
$6,989.11
|
| Rate for Payer: PACE SWMI |
$7,356.96
|
| Rate for Payer: PHP Commercial |
$8,092.66
|
| Rate for Payer: PHP Medicare Advantage |
$7,356.96
|
| Rate for Payer: Priority Health Medicare |
$7,356.96
|
| Rate for Payer: Railroad Medicare Medicare |
$7,356.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,356.96
|
| Rate for Payer: UHC Exchange |
$11,403.29
|
| Rate for Payer: UHC Medicare Advantage |
$7,356.96
|
| Rate for Payer: UHCCP DNSP |
$7,356.96
|
| Rate for Payer: VA VA |
$7,356.96
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$13,684.00
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$8,386.97 |
| Max. Negotiated Rate |
$13,684.00 |
| Rate for Payer: Aetna Medicare |
$8,828.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,035.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,035.49
|
| Rate for Payer: BCBS MAPPO |
$8,828.39
|
| Rate for Payer: BCN Medicare Advantage |
$8,828.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,828.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,828.39
|
| Rate for Payer: Mclaren Medicare |
$8,828.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,269.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,152.65
|
| Rate for Payer: PACE Medicare |
$8,386.97
|
| Rate for Payer: PACE SWMI |
$8,828.39
|
| Rate for Payer: PHP Commercial |
$9,711.23
|
| Rate for Payer: PHP Medicare Advantage |
$8,828.39
|
| Rate for Payer: Priority Health Medicare |
$8,828.39
|
| Rate for Payer: Railroad Medicare Medicare |
$8,828.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,828.39
|
| Rate for Payer: UHC Exchange |
$13,684.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,828.39
|
| Rate for Payer: UHCCP DNSP |
$8,828.39
|
| Rate for Payer: VA VA |
$8,828.39
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$22,927.13
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$14,052.11 |
| Max. Negotiated Rate |
$22,927.13 |
| Rate for Payer: Aetna Medicare |
$14,791.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,489.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,489.62
|
| Rate for Payer: BCBS MAPPO |
$14,791.70
|
| Rate for Payer: BCN Medicare Advantage |
$14,791.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,791.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,791.70
|
| Rate for Payer: Mclaren Medicare |
$14,791.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,531.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,010.46
|
| Rate for Payer: PACE Medicare |
$14,052.11
|
| Rate for Payer: PACE SWMI |
$14,791.70
|
| Rate for Payer: PHP Commercial |
$16,270.87
|
| Rate for Payer: PHP Medicare Advantage |
$14,791.70
|
| Rate for Payer: Priority Health Medicare |
$14,791.70
|
| Rate for Payer: Railroad Medicare Medicare |
$14,791.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,791.70
|
| Rate for Payer: UHC Exchange |
$22,927.13
|
| Rate for Payer: UHC Medicare Advantage |
$14,791.70
|
| Rate for Payer: UHCCP DNSP |
$14,791.70
|
| Rate for Payer: VA VA |
$14,791.70
|
|
|
MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$10,165.44
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$6,230.43 |
| Max. Negotiated Rate |
$10,165.44 |
| Rate for Payer: Aetna Medicare |
$6,558.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,197.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,197.94
|
| Rate for Payer: BCBS MAPPO |
$6,558.35
|
| Rate for Payer: BCN Medicare Advantage |
$6,558.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,558.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,558.35
|
| Rate for Payer: Mclaren Medicare |
$6,558.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,886.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,542.10
|
| Rate for Payer: PACE Medicare |
$6,230.43
|
| Rate for Payer: PACE SWMI |
$6,558.35
|
| Rate for Payer: PHP Commercial |
$7,214.19
|
| Rate for Payer: PHP Medicare Advantage |
$6,558.35
|
| Rate for Payer: Priority Health Medicare |
$6,558.35
|
| Rate for Payer: Railroad Medicare Medicare |
$6,558.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,558.35
|
| Rate for Payer: UHC Exchange |
$10,165.44
|
| Rate for Payer: UHC Medicare Advantage |
$6,558.35
|
| Rate for Payer: UHCCP DNSP |
$6,558.35
|
| Rate for Payer: VA VA |
$6,558.35
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,420.90
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$14,354.75 |
| Max. Negotiated Rate |
$23,420.90 |
| Rate for Payer: Aetna Medicare |
$15,110.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,887.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,887.83
|
| Rate for Payer: BCBS MAPPO |
$15,110.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,110.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,110.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,110.26
|
| Rate for Payer: Mclaren Medicare |
$15,110.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,865.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,376.80
|
| Rate for Payer: PACE Medicare |
$14,354.75
|
| Rate for Payer: PACE SWMI |
$15,110.26
|
| Rate for Payer: PHP Commercial |
$16,621.29
|
| Rate for Payer: PHP Medicare Advantage |
$15,110.26
|
| Rate for Payer: Priority Health Medicare |
$15,110.26
|
| Rate for Payer: Railroad Medicare Medicare |
$15,110.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,110.26
|
| Rate for Payer: UHC Exchange |
$23,420.90
|
| Rate for Payer: UHC Medicare Advantage |
$15,110.26
|
| Rate for Payer: UHCCP DNSP |
$15,110.26
|
| Rate for Payer: VA VA |
$15,110.26
|
|
|
MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,699.14
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$10,234.96 |
| Max. Negotiated Rate |
$16,699.14 |
| Rate for Payer: Aetna Medicare |
$10,773.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,467.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,467.05
|
| Rate for Payer: BCBS MAPPO |
$10,773.64
|
| Rate for Payer: BCN Medicare Advantage |
$10,773.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,773.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,773.64
|
| Rate for Payer: Mclaren Medicare |
$10,773.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,312.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,389.69
|
| Rate for Payer: PACE Medicare |
$10,234.96
|
| Rate for Payer: PACE SWMI |
$10,773.64
|
| Rate for Payer: PHP Commercial |
$11,851.00
|
| Rate for Payer: PHP Medicare Advantage |
$10,773.64
|
| Rate for Payer: Priority Health Medicare |
$10,773.64
|
| Rate for Payer: Railroad Medicare Medicare |
$10,773.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,773.64
|
| Rate for Payer: UHC Exchange |
$16,699.14
|
| Rate for Payer: UHC Medicare Advantage |
$10,773.64
|
| Rate for Payer: UHCCP DNSP |
$10,773.64
|
| Rate for Payer: VA VA |
$10,773.64
|
|
|
MS-DRG 42.00: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$32,783.01
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$20,092.81 |
| Max. Negotiated Rate |
$32,783.01 |
| Rate for Payer: Aetna Medicare |
$21,150.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,437.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,437.91
|
| Rate for Payer: BCBS MAPPO |
$21,150.33
|
| Rate for Payer: BCN Medicare Advantage |
$21,150.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,150.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,150.33
|
| Rate for Payer: Mclaren Medicare |
$21,150.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,207.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,322.88
|
| Rate for Payer: PACE Medicare |
$20,092.81
|
| Rate for Payer: PACE SWMI |
$21,150.33
|
| Rate for Payer: PHP Commercial |
$23,265.36
|
| Rate for Payer: PHP Medicare Advantage |
$21,150.33
|
| Rate for Payer: Priority Health Medicare |
$21,150.33
|
| Rate for Payer: Railroad Medicare Medicare |
$21,150.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,150.33
|
| Rate for Payer: UHC Exchange |
$32,783.01
|
| Rate for Payer: UHC Medicare Advantage |
$21,150.33
|
| Rate for Payer: UHCCP DNSP |
$21,150.33
|
| Rate for Payer: VA VA |
$21,150.33
|
|
|
MS-DRG 42.00: HEADACHES WITH MCC
|
Facility
|
IP
|
$18,634.04
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$11,420.86 |
| Max. Negotiated Rate |
$18,634.04 |
| Rate for Payer: Aetna Medicare |
$12,021.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,027.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,027.45
|
| Rate for Payer: BCBS MAPPO |
$12,021.96
|
| Rate for Payer: BCN Medicare Advantage |
$12,021.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,021.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,021.96
|
| Rate for Payer: Mclaren Medicare |
$12,021.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,623.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,825.25
|
| Rate for Payer: PACE Medicare |
$11,420.86
|
| Rate for Payer: PACE SWMI |
$12,021.96
|
| Rate for Payer: PHP Commercial |
$13,224.16
|
| Rate for Payer: PHP Medicare Advantage |
$12,021.96
|
| Rate for Payer: Priority Health Medicare |
$12,021.96
|
| Rate for Payer: Railroad Medicare Medicare |
$12,021.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,021.96
|
| Rate for Payer: UHC Exchange |
$18,634.04
|
| Rate for Payer: UHC Medicare Advantage |
$12,021.96
|
| Rate for Payer: UHCCP DNSP |
$12,021.96
|
| Rate for Payer: VA VA |
$12,021.96
|
|
|
MS-DRG 42.00: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$14,356.18
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$8,798.95 |
| Max. Negotiated Rate |
$14,356.18 |
| Rate for Payer: Aetna Medicare |
$9,262.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,577.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,577.56
|
| Rate for Payer: BCBS MAPPO |
$9,262.05
|
| Rate for Payer: BCN Medicare Advantage |
$9,262.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,262.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,262.05
|
| Rate for Payer: Mclaren Medicare |
$9,262.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,725.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,651.36
|
| Rate for Payer: PACE Medicare |
$8,798.95
|
| Rate for Payer: PACE SWMI |
$9,262.05
|
| Rate for Payer: PHP Commercial |
$10,188.25
|
| Rate for Payer: PHP Medicare Advantage |
$9,262.05
|
| Rate for Payer: Priority Health Medicare |
$9,262.05
|
| Rate for Payer: Railroad Medicare Medicare |
$9,262.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,262.05
|
| Rate for Payer: UHC Exchange |
$14,356.18
|
| Rate for Payer: UHC Medicare Advantage |
$9,262.05
|
| Rate for Payer: UHCCP DNSP |
$9,262.05
|
| Rate for Payer: VA VA |
$9,262.05
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$14,508.33
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$8,892.20 |
| Max. Negotiated Rate |
$14,508.33 |
| Rate for Payer: Aetna Medicare |
$9,360.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,700.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,700.26
|
| Rate for Payer: BCBS MAPPO |
$9,360.21
|
| Rate for Payer: BCN Medicare Advantage |
$9,360.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,360.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,360.21
|
| Rate for Payer: Mclaren Medicare |
$9,360.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,828.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,764.24
|
| Rate for Payer: PACE Medicare |
$8,892.20
|
| Rate for Payer: PACE SWMI |
$9,360.21
|
| Rate for Payer: PHP Commercial |
$10,296.23
|
| Rate for Payer: PHP Medicare Advantage |
$9,360.21
|
| Rate for Payer: Priority Health Medicare |
$9,360.21
|
| Rate for Payer: Railroad Medicare Medicare |
$9,360.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,360.21
|
| Rate for Payer: UHC Exchange |
$14,508.33
|
| Rate for Payer: UHC Medicare Advantage |
$9,360.21
|
| Rate for Payer: UHCCP DNSP |
$9,360.21
|
| Rate for Payer: VA VA |
$9,360.21
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$20,643.69
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$12,652.58 |
| Max. Negotiated Rate |
$20,643.69 |
| Rate for Payer: Aetna Medicare |
$13,318.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,648.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,648.14
|
| Rate for Payer: BCBS MAPPO |
$13,318.51
|
| Rate for Payer: BCN Medicare Advantage |
$13,318.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,318.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,318.51
|
| Rate for Payer: Mclaren Medicare |
$13,318.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,984.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,316.29
|
| Rate for Payer: PACE Medicare |
$12,652.58
|
| Rate for Payer: PACE SWMI |
$13,318.51
|
| Rate for Payer: PHP Commercial |
$14,650.36
|
| Rate for Payer: PHP Medicare Advantage |
$13,318.51
|
| Rate for Payer: Priority Health Medicare |
$13,318.51
|
| Rate for Payer: Railroad Medicare Medicare |
$13,318.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,318.51
|
| Rate for Payer: UHC Exchange |
$20,643.69
|
| Rate for Payer: UHC Medicare Advantage |
$13,318.51
|
| Rate for Payer: UHCCP DNSP |
$13,318.51
|
| Rate for Payer: VA VA |
$13,318.51
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$10,186.18
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$6,243.14 |
| Max. Negotiated Rate |
$10,186.18 |
| Rate for Payer: Aetna Medicare |
$6,571.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,214.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,214.66
|
| Rate for Payer: BCBS MAPPO |
$6,571.73
|
| Rate for Payer: BCN Medicare Advantage |
$6,571.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,571.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,571.73
|
| Rate for Payer: Mclaren Medicare |
$6,571.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,900.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,557.49
|
| Rate for Payer: PACE Medicare |
$6,243.14
|
| Rate for Payer: PACE SWMI |
$6,571.73
|
| Rate for Payer: PHP Commercial |
$7,228.90
|
| Rate for Payer: PHP Medicare Advantage |
$6,571.73
|
| Rate for Payer: Priority Health Medicare |
$6,571.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6,571.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,571.73
|
| Rate for Payer: UHC Exchange |
$10,186.18
|
| Rate for Payer: UHC Medicare Advantage |
$6,571.73
|
| Rate for Payer: UHCCP DNSP |
$6,571.73
|
| Rate for Payer: VA VA |
$6,571.73
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
|
Facility
|
IP
|
$392,188.46
|
|
|
Service Code
|
MSDRG 001
|
| Min. Negotiated Rate |
$240,373.57 |
| Max. Negotiated Rate |
$392,188.46 |
| Rate for Payer: Aetna Medicare |
$253,024.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$316,281.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$316,281.01
|
| Rate for Payer: BCBS MAPPO |
$253,024.81
|
| Rate for Payer: BCN Medicare Advantage |
$253,024.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253,024.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$253,024.81
|
| Rate for Payer: Mclaren Medicare |
$253,024.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265,676.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$290,978.53
|
| Rate for Payer: PACE Medicare |
$240,373.57
|
| Rate for Payer: PACE SWMI |
$253,024.81
|
| Rate for Payer: PHP Commercial |
$278,327.29
|
| Rate for Payer: PHP Medicare Advantage |
$253,024.81
|
| Rate for Payer: Priority Health Medicare |
$253,024.81
|
| Rate for Payer: Railroad Medicare Medicare |
$253,024.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$253,024.81
|
| Rate for Payer: UHC Exchange |
$392,188.46
|
| Rate for Payer: UHC Medicare Advantage |
$253,024.81
|
| Rate for Payer: UHCCP DNSP |
$253,024.81
|
| Rate for Payer: VA VA |
$253,024.81
|
|
|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$155,008.91
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$95,005.46 |
| Max. Negotiated Rate |
$155,008.91 |
| Rate for Payer: Aetna Medicare |
$100,005.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$125,007.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$125,007.19
|
| Rate for Payer: BCBS MAPPO |
$100,005.75
|
| Rate for Payer: BCN Medicare Advantage |
$100,005.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100,005.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$100,005.75
|
| Rate for Payer: Mclaren Medicare |
$100,005.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105,006.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115,006.61
|
| Rate for Payer: PACE Medicare |
$95,005.46
|
| Rate for Payer: PACE SWMI |
$100,005.75
|
| Rate for Payer: PHP Commercial |
$110,006.32
|
| Rate for Payer: PHP Medicare Advantage |
$100,005.75
|
| Rate for Payer: Priority Health Medicare |
$100,005.75
|
| Rate for Payer: Railroad Medicare Medicare |
$100,005.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$100,005.75
|
| Rate for Payer: UHC Exchange |
$155,008.91
|
| Rate for Payer: UHC Medicare Advantage |
$100,005.75
|
| Rate for Payer: UHCCP DNSP |
$100,005.75
|
| Rate for Payer: VA VA |
$100,005.75
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$25,246.60
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$15,473.72 |
| Max. Negotiated Rate |
$25,246.60 |
| Rate for Payer: Aetna Medicare |
$16,288.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,360.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,360.16
|
| Rate for Payer: BCBS MAPPO |
$16,288.13
|
| Rate for Payer: BCN Medicare Advantage |
$16,288.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,288.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,288.13
|
| Rate for Payer: Mclaren Medicare |
$16,288.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,102.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,731.35
|
| Rate for Payer: PACE Medicare |
$15,473.72
|
| Rate for Payer: PACE SWMI |
$16,288.13
|
| Rate for Payer: PHP Commercial |
$17,916.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,288.13
|
| Rate for Payer: Priority Health Medicare |
$16,288.13
|
| Rate for Payer: Railroad Medicare Medicare |
$16,288.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,288.13
|
| Rate for Payer: UHC Exchange |
$25,246.60
|
| Rate for Payer: UHC Medicare Advantage |
$16,288.13
|
| Rate for Payer: UHCCP DNSP |
$16,288.13
|
| Rate for Payer: VA VA |
$16,288.13
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$51,413.17
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$31,511.30 |
| Max. Negotiated Rate |
$51,413.17 |
| Rate for Payer: Aetna Medicare |
$33,169.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,462.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,462.24
|
| Rate for Payer: BCBS MAPPO |
$33,169.79
|
| Rate for Payer: BCN Medicare Advantage |
$33,169.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,169.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,169.79
|
| Rate for Payer: Mclaren Medicare |
$33,169.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,828.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,145.26
|
| Rate for Payer: PACE Medicare |
$31,511.30
|
| Rate for Payer: PACE SWMI |
$33,169.79
|
| Rate for Payer: PHP Commercial |
$36,486.77
|
| Rate for Payer: PHP Medicare Advantage |
$33,169.79
|
| Rate for Payer: Priority Health Medicare |
$33,169.79
|
| Rate for Payer: Railroad Medicare Medicare |
$33,169.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,169.79
|
| Rate for Payer: UHC Exchange |
$51,413.17
|
| Rate for Payer: UHC Medicare Advantage |
$33,169.79
|
| Rate for Payer: UHCCP DNSP |
$33,169.79
|
| Rate for Payer: VA VA |
$33,169.79
|
|
|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,920.24
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$14,047.89 |
| Max. Negotiated Rate |
$22,920.24 |
| Rate for Payer: Aetna Medicare |
$14,787.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,484.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,484.06
|
| Rate for Payer: BCBS MAPPO |
$14,787.25
|
| Rate for Payer: BCN Medicare Advantage |
$14,787.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,787.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,787.25
|
| Rate for Payer: Mclaren Medicare |
$14,787.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,526.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,005.34
|
| Rate for Payer: PACE Medicare |
$14,047.89
|
| Rate for Payer: PACE SWMI |
$14,787.25
|
| Rate for Payer: PHP Commercial |
$16,265.98
|
| Rate for Payer: PHP Medicare Advantage |
$14,787.25
|
| Rate for Payer: Priority Health Medicare |
$14,787.25
|
| Rate for Payer: Railroad Medicare Medicare |
$14,787.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,787.25
|
| Rate for Payer: UHC Exchange |
$22,920.24
|
| Rate for Payer: UHC Medicare Advantage |
$14,787.25
|
| Rate for Payer: UHCCP DNSP |
$14,787.25
|
| Rate for Payer: VA VA |
$14,787.25
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$26,124.85
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$16,012.00 |
| Max. Negotiated Rate |
$26,124.85 |
| Rate for Payer: Aetna Medicare |
$16,854.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,068.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,068.42
|
| Rate for Payer: BCBS MAPPO |
$16,854.74
|
| Rate for Payer: BCN Medicare Advantage |
$16,854.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,854.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,854.74
|
| Rate for Payer: Mclaren Medicare |
$16,854.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,697.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,382.95
|
| Rate for Payer: PACE Medicare |
$16,012.00
|
| Rate for Payer: PACE SWMI |
$16,854.74
|
| Rate for Payer: PHP Commercial |
$18,540.21
|
| Rate for Payer: PHP Medicare Advantage |
$16,854.74
|
| Rate for Payer: Priority Health Medicare |
$16,854.74
|
| Rate for Payer: Railroad Medicare Medicare |
$16,854.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,854.74
|
| Rate for Payer: UHC Exchange |
$26,124.85
|
| Rate for Payer: UHC Medicare Advantage |
$16,854.74
|
| Rate for Payer: UHCCP DNSP |
$16,854.74
|
| Rate for Payer: VA VA |
$16,854.74
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$43,163.05
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$26,454.77 |
| Max. Negotiated Rate |
$43,163.05 |
| Rate for Payer: Aetna Medicare |
$27,847.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,808.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,808.91
|
| Rate for Payer: BCBS MAPPO |
$27,847.13
|
| Rate for Payer: BCN Medicare Advantage |
$27,847.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,847.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,847.13
|
| Rate for Payer: Mclaren Medicare |
$27,847.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,239.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,024.20
|
| Rate for Payer: PACE Medicare |
$26,454.77
|
| Rate for Payer: PACE SWMI |
$27,847.13
|
| Rate for Payer: PHP Commercial |
$30,631.84
|
| Rate for Payer: PHP Medicare Advantage |
$27,847.13
|
| Rate for Payer: Priority Health Medicare |
$27,847.13
|
| Rate for Payer: Railroad Medicare Medicare |
$27,847.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,847.13
|
| Rate for Payer: UHC Exchange |
$43,163.05
|
| Rate for Payer: UHC Medicare Advantage |
$27,847.13
|
| Rate for Payer: UHCCP DNSP |
$27,847.13
|
| Rate for Payer: VA VA |
$27,847.13
|
|
|
MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$21,036.49
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$12,893.33 |
| Max. Negotiated Rate |
$21,036.49 |
| Rate for Payer: Aetna Medicare |
$13,571.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,964.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,964.91
|
| Rate for Payer: BCBS MAPPO |
$13,571.93
|
| Rate for Payer: BCN Medicare Advantage |
$13,571.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,571.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,571.93
|
| Rate for Payer: Mclaren Medicare |
$13,571.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,250.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,607.72
|
| Rate for Payer: PACE Medicare |
$12,893.33
|
| Rate for Payer: PACE SWMI |
$13,571.93
|
| Rate for Payer: PHP Commercial |
$14,929.12
|
| Rate for Payer: PHP Medicare Advantage |
$13,571.93
|
| Rate for Payer: Priority Health Medicare |
$13,571.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13,571.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,571.93
|
| Rate for Payer: UHC Exchange |
$21,036.49
|
| Rate for Payer: UHC Medicare Advantage |
$13,571.93
|
| Rate for Payer: UHCCP DNSP |
$13,571.93
|
| Rate for Payer: VA VA |
$13,571.93
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$31,294.81
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$19,180.69 |
| Max. Negotiated Rate |
$31,294.81 |
| Rate for Payer: Aetna Medicare |
$20,190.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,237.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,237.75
|
| Rate for Payer: BCBS MAPPO |
$20,190.20
|
| Rate for Payer: BCN Medicare Advantage |
$20,190.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,190.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,190.20
|
| Rate for Payer: Mclaren Medicare |
$20,190.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,199.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,218.73
|
| Rate for Payer: PACE Medicare |
$19,180.69
|
| Rate for Payer: PACE SWMI |
$20,190.20
|
| Rate for Payer: PHP Commercial |
$22,209.22
|
| Rate for Payer: PHP Medicare Advantage |
$20,190.20
|
| Rate for Payer: Priority Health Medicare |
$20,190.20
|
| Rate for Payer: Railroad Medicare Medicare |
$20,190.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,190.20
|
| Rate for Payer: UHC Exchange |
$31,294.81
|
| Rate for Payer: UHC Medicare Advantage |
$20,190.20
|
| Rate for Payer: UHCCP DNSP |
$20,190.20
|
| Rate for Payer: VA VA |
$20,190.20
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$43,273.69
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$26,522.58 |
| Max. Negotiated Rate |
$43,273.69 |
| Rate for Payer: Aetna Medicare |
$27,918.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,898.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,898.14
|
| Rate for Payer: BCBS MAPPO |
$27,918.51
|
| Rate for Payer: BCN Medicare Advantage |
$27,918.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,918.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,918.51
|
| Rate for Payer: Mclaren Medicare |
$27,918.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,314.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,106.29
|
| Rate for Payer: PACE Medicare |
$26,522.58
|
| Rate for Payer: PACE SWMI |
$27,918.51
|
| Rate for Payer: PHP Commercial |
$30,710.36
|
| Rate for Payer: PHP Medicare Advantage |
$27,918.51
|
| Rate for Payer: Priority Health Medicare |
$27,918.51
|
| Rate for Payer: Railroad Medicare Medicare |
$27,918.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,918.51
|
| Rate for Payer: UHC Exchange |
$43,273.69
|
| Rate for Payer: UHC Medicare Advantage |
$27,918.51
|
| Rate for Payer: UHCCP DNSP |
$27,918.51
|
| Rate for Payer: VA VA |
$27,918.51
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$24,538.44
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$15,039.69 |
| Max. Negotiated Rate |
$24,538.44 |
| Rate for Payer: Aetna Medicare |
$15,831.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,789.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,789.06
|
| Rate for Payer: BCBS MAPPO |
$15,831.25
|
| Rate for Payer: BCN Medicare Advantage |
$15,831.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,831.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,831.25
|
| Rate for Payer: Mclaren Medicare |
$15,831.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,622.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,205.94
|
| Rate for Payer: PACE Medicare |
$15,039.69
|
| Rate for Payer: PACE SWMI |
$15,831.25
|
| Rate for Payer: PHP Commercial |
$17,414.38
|
| Rate for Payer: PHP Medicare Advantage |
$15,831.25
|
| Rate for Payer: Priority Health Medicare |
$15,831.25
|
| Rate for Payer: Railroad Medicare Medicare |
$15,831.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,831.25
|
| Rate for Payer: UHC Exchange |
$24,538.44
|
| Rate for Payer: UHC Medicare Advantage |
$15,831.25
|
| Rate for Payer: UHCCP DNSP |
$15,831.25
|
| Rate for Payer: VA VA |
$15,831.25
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$42,909.97
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$26,299.66 |
| Max. Negotiated Rate |
$42,909.97 |
| Rate for Payer: Aetna Medicare |
$27,683.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,604.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,604.81
|
| Rate for Payer: BCBS MAPPO |
$27,683.85
|
| Rate for Payer: BCN Medicare Advantage |
$27,683.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,683.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,683.85
|
| Rate for Payer: Mclaren Medicare |
$27,683.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,068.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,836.43
|
| Rate for Payer: PACE Medicare |
$26,299.66
|
| Rate for Payer: PACE SWMI |
$27,683.85
|
| Rate for Payer: PHP Commercial |
$30,452.24
|
| Rate for Payer: PHP Medicare Advantage |
$27,683.85
|
| Rate for Payer: Priority Health Medicare |
$27,683.85
|
| Rate for Payer: Railroad Medicare Medicare |
$27,683.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,683.85
|
| Rate for Payer: UHC Exchange |
$42,909.97
|
| Rate for Payer: UHC Medicare Advantage |
$27,683.85
|
| Rate for Payer: UHCCP DNSP |
$27,683.85
|
| Rate for Payer: VA VA |
$27,683.85
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$31,754.00
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$19,462.13 |
| Max. Negotiated Rate |
$31,754.00 |
| Rate for Payer: Aetna Medicare |
$20,486.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,608.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,608.06
|
| Rate for Payer: BCBS MAPPO |
$20,486.45
|
| Rate for Payer: BCN Medicare Advantage |
$20,486.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,486.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,486.45
|
| Rate for Payer: Mclaren Medicare |
$20,486.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,510.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,559.42
|
| Rate for Payer: PACE Medicare |
$19,462.13
|
| Rate for Payer: PACE SWMI |
$20,486.45
|
| Rate for Payer: PHP Commercial |
$22,535.10
|
| Rate for Payer: PHP Medicare Advantage |
$20,486.45
|
| Rate for Payer: Priority Health Medicare |
$20,486.45
|
| Rate for Payer: Railroad Medicare Medicare |
$20,486.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,486.45
|
| Rate for Payer: UHC Exchange |
$31,754.00
|
| Rate for Payer: UHC Medicare Advantage |
$20,486.45
|
| Rate for Payer: UHCCP DNSP |
$20,486.45
|
| Rate for Payer: VA VA |
$20,486.45
|
|
