|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,067.57
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$55,202.70 |
| Max. Negotiated Rate |
$90,067.57 |
| Rate for Payer: Aetna Medicare |
$58,108.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$72,635.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$72,635.14
|
| Rate for Payer: BCBS MAPPO |
$58,108.11
|
| Rate for Payer: BCN Medicare Advantage |
$58,108.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58,108.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$58,108.11
|
| Rate for Payer: Mclaren Medicare |
$58,108.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61,013.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$66,824.33
|
| Rate for Payer: PACE Medicare |
$55,202.70
|
| Rate for Payer: PACE SWMI |
$58,108.11
|
| Rate for Payer: PHP Commercial |
$63,918.92
|
| Rate for Payer: PHP Medicare Advantage |
$58,108.11
|
| Rate for Payer: Priority Health Medicare |
$58,108.11
|
| Rate for Payer: Railroad Medicare Medicare |
$58,108.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$58,108.11
|
| Rate for Payer: UHC Exchange |
$90,067.57
|
| Rate for Payer: UHC Medicare Advantage |
$58,108.11
|
| Rate for Payer: UHCCP DNSP |
$58,108.11
|
| Rate for Payer: VA VA |
$58,108.11
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$39,294.58
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$24,083.77 |
| Max. Negotiated Rate |
$39,294.58 |
| Rate for Payer: Aetna Medicare |
$25,351.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,689.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,689.17
|
| Rate for Payer: BCBS MAPPO |
$25,351.34
|
| Rate for Payer: BCN Medicare Advantage |
$25,351.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,351.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,351.34
|
| Rate for Payer: Mclaren Medicare |
$25,351.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,618.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,154.04
|
| Rate for Payer: PACE Medicare |
$24,083.77
|
| Rate for Payer: PACE SWMI |
$25,351.34
|
| Rate for Payer: PHP Commercial |
$27,886.47
|
| Rate for Payer: PHP Medicare Advantage |
$25,351.34
|
| Rate for Payer: Priority Health Medicare |
$25,351.34
|
| Rate for Payer: Railroad Medicare Medicare |
$25,351.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,351.34
|
| Rate for Payer: UHC Exchange |
$39,294.58
|
| Rate for Payer: UHC Medicare Advantage |
$25,351.34
|
| Rate for Payer: UHCCP DNSP |
$25,351.34
|
| Rate for Payer: VA VA |
$25,351.34
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$22,256.36
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$13,640.99 |
| Max. Negotiated Rate |
$22,256.36 |
| Rate for Payer: Aetna Medicare |
$14,358.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,948.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,948.67
|
| Rate for Payer: BCBS MAPPO |
$14,358.94
|
| Rate for Payer: BCN Medicare Advantage |
$14,358.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,358.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,358.94
|
| Rate for Payer: Mclaren Medicare |
$14,358.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,076.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,512.78
|
| Rate for Payer: PACE Medicare |
$13,640.99
|
| Rate for Payer: PACE SWMI |
$14,358.94
|
| Rate for Payer: PHP Commercial |
$15,794.83
|
| Rate for Payer: PHP Medicare Advantage |
$14,358.94
|
| Rate for Payer: Priority Health Medicare |
$14,358.94
|
| Rate for Payer: Railroad Medicare Medicare |
$14,358.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,358.94
|
| Rate for Payer: UHC Exchange |
$22,256.36
|
| Rate for Payer: UHC Medicare Advantage |
$14,358.94
|
| Rate for Payer: UHCCP DNSP |
$14,358.94
|
| Rate for Payer: VA VA |
$14,358.94
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$43,898.85
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$26,905.75 |
| Max. Negotiated Rate |
$43,898.85 |
| Rate for Payer: Aetna Medicare |
$28,321.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,402.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,402.30
|
| Rate for Payer: BCBS MAPPO |
$28,321.84
|
| Rate for Payer: BCN Medicare Advantage |
$28,321.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,321.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,321.84
|
| Rate for Payer: Mclaren Medicare |
$28,321.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,737.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,570.12
|
| Rate for Payer: PACE Medicare |
$26,905.75
|
| Rate for Payer: PACE SWMI |
$28,321.84
|
| Rate for Payer: PHP Commercial |
$31,154.02
|
| Rate for Payer: PHP Medicare Advantage |
$28,321.84
|
| Rate for Payer: Priority Health Medicare |
$28,321.84
|
| Rate for Payer: Railroad Medicare Medicare |
$28,321.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,321.84
|
| Rate for Payer: UHC Exchange |
$43,898.85
|
| Rate for Payer: UHC Medicare Advantage |
$28,321.84
|
| Rate for Payer: UHCCP DNSP |
$28,321.84
|
| Rate for Payer: VA VA |
$28,321.84
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$16,469.54
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$10,094.23 |
| Max. Negotiated Rate |
$16,469.54 |
| Rate for Payer: Aetna Medicare |
$10,625.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,281.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,281.89
|
| Rate for Payer: BCBS MAPPO |
$10,625.51
|
| Rate for Payer: BCN Medicare Advantage |
$10,625.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,625.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,625.51
|
| Rate for Payer: Mclaren Medicare |
$10,625.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,156.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,219.34
|
| Rate for Payer: PACE Medicare |
$10,094.23
|
| Rate for Payer: PACE SWMI |
$10,625.51
|
| Rate for Payer: PHP Commercial |
$11,688.06
|
| Rate for Payer: PHP Medicare Advantage |
$10,625.51
|
| Rate for Payer: Priority Health Medicare |
$10,625.51
|
| Rate for Payer: Railroad Medicare Medicare |
$10,625.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,625.51
|
| Rate for Payer: UHC Exchange |
$16,469.54
|
| Rate for Payer: UHC Medicare Advantage |
$10,625.51
|
| Rate for Payer: UHCCP DNSP |
$10,625.51
|
| Rate for Payer: VA VA |
$10,625.51
|
|
|
MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$22,539.87
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$13,814.76 |
| Max. Negotiated Rate |
$22,539.87 |
| Rate for Payer: Aetna Medicare |
$14,541.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,177.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,177.31
|
| Rate for Payer: BCBS MAPPO |
$14,541.85
|
| Rate for Payer: BCN Medicare Advantage |
$14,541.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,541.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,541.85
|
| Rate for Payer: Mclaren Medicare |
$14,541.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,268.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,723.13
|
| Rate for Payer: PACE Medicare |
$13,814.76
|
| Rate for Payer: PACE SWMI |
$14,541.85
|
| Rate for Payer: PHP Commercial |
$15,996.03
|
| Rate for Payer: PHP Medicare Advantage |
$14,541.85
|
| Rate for Payer: Priority Health Medicare |
$14,541.85
|
| Rate for Payer: Railroad Medicare Medicare |
$14,541.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,541.85
|
| Rate for Payer: UHC Exchange |
$22,539.87
|
| Rate for Payer: UHC Medicare Advantage |
$14,541.85
|
| Rate for Payer: UHCCP DNSP |
$14,541.85
|
| Rate for Payer: VA VA |
$14,541.85
|
|
|
MS-DRG 42.00: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$18,845.67
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$11,550.58 |
| Max. Negotiated Rate |
$18,845.67 |
| Rate for Payer: Aetna Medicare |
$12,158.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,198.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,198.12
|
| Rate for Payer: BCBS MAPPO |
$12,158.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,158.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,158.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,158.50
|
| Rate for Payer: Mclaren Medicare |
$12,158.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,766.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,982.27
|
| Rate for Payer: PACE Medicare |
$11,550.58
|
| Rate for Payer: PACE SWMI |
$12,158.50
|
| Rate for Payer: PHP Commercial |
$13,374.35
|
| Rate for Payer: PHP Medicare Advantage |
$12,158.50
|
| Rate for Payer: Priority Health Medicare |
$12,158.50
|
| Rate for Payer: Railroad Medicare Medicare |
$12,158.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,158.50
|
| Rate for Payer: UHC Exchange |
$18,845.67
|
| Rate for Payer: UHC Medicare Advantage |
$12,158.50
|
| Rate for Payer: UHCCP DNSP |
$12,158.50
|
| Rate for Payer: VA VA |
$12,158.50
|
|
|
MS-DRG 42.00: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$12,980.03
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$7,955.50 |
| Max. Negotiated Rate |
$12,980.03 |
| Rate for Payer: Aetna Medicare |
$8,374.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,467.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,467.76
|
| Rate for Payer: BCBS MAPPO |
$8,374.21
|
| Rate for Payer: BCN Medicare Advantage |
$8,374.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,374.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,374.21
|
| Rate for Payer: Mclaren Medicare |
$8,374.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,792.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,630.34
|
| Rate for Payer: PACE Medicare |
$7,955.50
|
| Rate for Payer: PACE SWMI |
$8,374.21
|
| Rate for Payer: PHP Commercial |
$9,211.63
|
| Rate for Payer: PHP Medicare Advantage |
$8,374.21
|
| Rate for Payer: Priority Health Medicare |
$8,374.21
|
| Rate for Payer: Railroad Medicare Medicare |
$8,374.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,374.21
|
| Rate for Payer: UHC Exchange |
$12,980.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,374.21
|
| Rate for Payer: UHCCP DNSP |
$8,374.21
|
| Rate for Payer: VA VA |
$8,374.21
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$16,399.00
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$10,051.00 |
| Max. Negotiated Rate |
$16,399.00 |
| Rate for Payer: Aetna Medicare |
$10,580.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,225.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,225.00
|
| Rate for Payer: BCBS MAPPO |
$10,580.00
|
| Rate for Payer: BCN Medicare Advantage |
$10,580.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,580.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,580.00
|
| Rate for Payer: Mclaren Medicare |
$10,580.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,109.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,167.00
|
| Rate for Payer: PACE Medicare |
$10,051.00
|
| Rate for Payer: PACE SWMI |
$10,580.00
|
| Rate for Payer: PHP Commercial |
$11,638.00
|
| Rate for Payer: PHP Medicare Advantage |
$10,580.00
|
| Rate for Payer: Priority Health Medicare |
$10,580.00
|
| Rate for Payer: Railroad Medicare Medicare |
$10,580.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,580.00
|
| Rate for Payer: UHC Exchange |
$16,399.00
|
| Rate for Payer: UHC Medicare Advantage |
$10,580.00
|
| Rate for Payer: UHCCP DNSP |
$10,580.00
|
| Rate for Payer: VA VA |
$10,580.00
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$23,983.83
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$14,699.77 |
| Max. Negotiated Rate |
$23,983.83 |
| Rate for Payer: Aetna Medicare |
$15,473.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,341.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,341.80
|
| Rate for Payer: BCBS MAPPO |
$15,473.44
|
| Rate for Payer: BCN Medicare Advantage |
$15,473.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,473.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,473.44
|
| Rate for Payer: Mclaren Medicare |
$15,473.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,247.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,794.46
|
| Rate for Payer: PACE Medicare |
$14,699.77
|
| Rate for Payer: PACE SWMI |
$15,473.44
|
| Rate for Payer: PHP Commercial |
$17,020.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,473.44
|
| Rate for Payer: Priority Health Medicare |
$15,473.44
|
| Rate for Payer: Railroad Medicare Medicare |
$15,473.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,473.44
|
| Rate for Payer: UHC Exchange |
$23,983.83
|
| Rate for Payer: UHC Medicare Advantage |
$15,473.44
|
| Rate for Payer: UHCCP DNSP |
$15,473.44
|
| Rate for Payer: VA VA |
$15,473.44
|
|
|
MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
|
Facility
|
IP
|
$11,818.21
|
|
|
Service Code
|
MSDRG 079
|
| Min. Negotiated Rate |
$7,243.42 |
| Max. Negotiated Rate |
$11,818.21 |
| Rate for Payer: Aetna Medicare |
$7,624.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,530.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,530.81
|
| Rate for Payer: BCBS MAPPO |
$7,624.65
|
| Rate for Payer: BCN Medicare Advantage |
$7,624.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,624.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,624.65
|
| Rate for Payer: Mclaren Medicare |
$7,624.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,005.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,768.35
|
| Rate for Payer: PACE Medicare |
$7,243.42
|
| Rate for Payer: PACE SWMI |
$7,624.65
|
| Rate for Payer: PHP Commercial |
$8,387.11
|
| Rate for Payer: PHP Medicare Advantage |
$7,624.65
|
| Rate for Payer: Priority Health Medicare |
$7,624.65
|
| Rate for Payer: Railroad Medicare Medicare |
$7,624.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,624.65
|
| Rate for Payer: UHC Exchange |
$11,818.21
|
| Rate for Payer: UHC Medicare Advantage |
$7,624.65
|
| Rate for Payer: UHCCP DNSP |
$7,624.65
|
| Rate for Payer: VA VA |
$7,624.65
|
|
|
MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$19,762.65
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$12,112.59 |
| Max. Negotiated Rate |
$19,762.65 |
| Rate for Payer: Aetna Medicare |
$12,750.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,937.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,937.62
|
| Rate for Payer: BCBS MAPPO |
$12,750.10
|
| Rate for Payer: BCN Medicare Advantage |
$12,750.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,750.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,750.10
|
| Rate for Payer: Mclaren Medicare |
$12,750.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,387.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,662.61
|
| Rate for Payer: PACE Medicare |
$12,112.59
|
| Rate for Payer: PACE SWMI |
$12,750.10
|
| Rate for Payer: PHP Commercial |
$14,025.11
|
| Rate for Payer: PHP Medicare Advantage |
$12,750.10
|
| Rate for Payer: Priority Health Medicare |
$12,750.10
|
| Rate for Payer: Railroad Medicare Medicare |
$12,750.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,750.10
|
| Rate for Payer: UHC Exchange |
$19,762.65
|
| Rate for Payer: UHC Medicare Advantage |
$12,750.10
|
| Rate for Payer: UHCCP DNSP |
$12,750.10
|
| Rate for Payer: VA VA |
$12,750.10
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$16,694.99
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$10,232.41 |
| Max. Negotiated Rate |
$16,694.99 |
| Rate for Payer: Aetna Medicare |
$10,770.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,463.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,463.70
|
| Rate for Payer: BCBS MAPPO |
$10,770.96
|
| Rate for Payer: BCN Medicare Advantage |
$10,770.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,770.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,770.96
|
| Rate for Payer: Mclaren Medicare |
$10,770.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,309.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,386.60
|
| Rate for Payer: PACE Medicare |
$10,232.41
|
| Rate for Payer: PACE SWMI |
$10,770.96
|
| Rate for Payer: PHP Commercial |
$11,848.06
|
| Rate for Payer: PHP Medicare Advantage |
$10,770.96
|
| Rate for Payer: Priority Health Medicare |
$10,770.96
|
| Rate for Payer: Railroad Medicare Medicare |
$10,770.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,770.96
|
| Rate for Payer: UHC Exchange |
$16,694.99
|
| Rate for Payer: UHC Medicare Advantage |
$10,770.96
|
| Rate for Payer: UHCCP DNSP |
$10,770.96
|
| Rate for Payer: VA VA |
$10,770.96
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$22,171.99
|
|
|
Service Code
|
MSDRG 757
|
| Min. Negotiated Rate |
$13,589.28 |
| Max. Negotiated Rate |
$22,171.99 |
| Rate for Payer: Aetna Medicare |
$14,304.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,880.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,880.64
|
| Rate for Payer: BCBS MAPPO |
$14,304.51
|
| Rate for Payer: BCN Medicare Advantage |
$14,304.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,304.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,304.51
|
| Rate for Payer: Mclaren Medicare |
$14,304.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,019.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,450.19
|
| Rate for Payer: PACE Medicare |
$13,589.28
|
| Rate for Payer: PACE SWMI |
$14,304.51
|
| Rate for Payer: PHP Commercial |
$15,734.96
|
| Rate for Payer: PHP Medicare Advantage |
$14,304.51
|
| Rate for Payer: Priority Health Medicare |
$14,304.51
|
| Rate for Payer: Railroad Medicare Medicare |
$14,304.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,304.51
|
| Rate for Payer: UHC Exchange |
$22,171.99
|
| Rate for Payer: UHC Medicare Advantage |
$14,304.51
|
| Rate for Payer: UHCCP DNSP |
$14,304.51
|
| Rate for Payer: VA VA |
$14,304.51
|
|
|
MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$11,448.97
|
|
|
Service Code
|
MSDRG 759
|
| Min. Negotiated Rate |
$7,017.11 |
| Max. Negotiated Rate |
$11,448.97 |
| Rate for Payer: Aetna Medicare |
$7,386.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,233.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,233.04
|
| Rate for Payer: BCBS MAPPO |
$7,386.43
|
| Rate for Payer: BCN Medicare Advantage |
$7,386.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,386.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,386.43
|
| Rate for Payer: Mclaren Medicare |
$7,386.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,755.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,494.39
|
| Rate for Payer: PACE Medicare |
$7,017.11
|
| Rate for Payer: PACE SWMI |
$7,386.43
|
| Rate for Payer: PHP Commercial |
$8,125.07
|
| Rate for Payer: PHP Medicare Advantage |
$7,386.43
|
| Rate for Payer: Priority Health Medicare |
$7,386.43
|
| Rate for Payer: Railroad Medicare Medicare |
$7,386.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,386.43
|
| Rate for Payer: UHC Exchange |
$11,448.97
|
| Rate for Payer: UHC Medicare Advantage |
$7,386.43
|
| Rate for Payer: UHCCP DNSP |
$7,386.43
|
| Rate for Payer: VA VA |
$7,386.43
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$30,232.61
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$18,529.66 |
| Max. Negotiated Rate |
$30,232.61 |
| Rate for Payer: Aetna Medicare |
$19,504.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,381.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,381.14
|
| Rate for Payer: BCBS MAPPO |
$19,504.91
|
| Rate for Payer: BCN Medicare Advantage |
$19,504.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,504.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,504.91
|
| Rate for Payer: Mclaren Medicare |
$19,504.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,480.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,430.65
|
| Rate for Payer: PACE Medicare |
$18,529.66
|
| Rate for Payer: PACE SWMI |
$19,504.91
|
| Rate for Payer: PHP Commercial |
$21,455.40
|
| Rate for Payer: PHP Medicare Advantage |
$19,504.91
|
| Rate for Payer: Priority Health Medicare |
$19,504.91
|
| Rate for Payer: Railroad Medicare Medicare |
$19,504.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,504.91
|
| Rate for Payer: UHC Exchange |
$30,232.61
|
| Rate for Payer: UHC Medicare Advantage |
$19,504.91
|
| Rate for Payer: UHCCP DNSP |
$19,504.91
|
| Rate for Payer: VA VA |
$19,504.91
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,769.39
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$43,987.69 |
| Max. Negotiated Rate |
$71,769.39 |
| Rate for Payer: Aetna Medicare |
$46,302.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,878.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,878.54
|
| Rate for Payer: BCBS MAPPO |
$46,302.83
|
| Rate for Payer: BCN Medicare Advantage |
$46,302.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,302.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,302.83
|
| Rate for Payer: Mclaren Medicare |
$46,302.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,617.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,248.25
|
| Rate for Payer: PACE Medicare |
$43,987.69
|
| Rate for Payer: PACE SWMI |
$46,302.83
|
| Rate for Payer: PHP Commercial |
$50,933.11
|
| Rate for Payer: PHP Medicare Advantage |
$46,302.83
|
| Rate for Payer: Priority Health Medicare |
$46,302.83
|
| Rate for Payer: Railroad Medicare Medicare |
$46,302.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,302.83
|
| Rate for Payer: UHC Exchange |
$71,769.39
|
| Rate for Payer: UHC Medicare Advantage |
$46,302.83
|
| Rate for Payer: UHCCP DNSP |
$46,302.83
|
| Rate for Payer: VA VA |
$46,302.83
|
|
|
MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,080.61
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$15,371.99 |
| Max. Negotiated Rate |
$25,080.61 |
| Rate for Payer: Aetna Medicare |
$16,181.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,226.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,226.30
|
| Rate for Payer: BCBS MAPPO |
$16,181.04
|
| Rate for Payer: BCN Medicare Advantage |
$16,181.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,181.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,181.04
|
| Rate for Payer: Mclaren Medicare |
$16,181.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,990.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,608.20
|
| Rate for Payer: PACE Medicare |
$15,371.99
|
| Rate for Payer: PACE SWMI |
$16,181.04
|
| Rate for Payer: PHP Commercial |
$17,799.14
|
| Rate for Payer: PHP Medicare Advantage |
$16,181.04
|
| Rate for Payer: Priority Health Medicare |
$16,181.04
|
| Rate for Payer: Railroad Medicare Medicare |
$16,181.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,181.04
|
| Rate for Payer: UHC Exchange |
$25,080.61
|
| Rate for Payer: UHC Medicare Advantage |
$16,181.04
|
| Rate for Payer: UHCCP DNSP |
$16,181.04
|
| Rate for Payer: VA VA |
$16,181.04
|
|
|
MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$22,920.24
|
|
|
Service Code
|
MSDRG 727
|
| 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: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$13,898.37
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$8,518.36 |
| Max. Negotiated Rate |
$13,898.37 |
| Rate for Payer: Aetna Medicare |
$8,966.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,208.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,208.36
|
| Rate for Payer: BCBS MAPPO |
$8,966.69
|
| Rate for Payer: BCN Medicare Advantage |
$8,966.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,966.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,966.69
|
| Rate for Payer: Mclaren Medicare |
$8,966.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,415.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,311.69
|
| Rate for Payer: PACE Medicare |
$8,518.36
|
| Rate for Payer: PACE SWMI |
$8,966.69
|
| Rate for Payer: PHP Commercial |
$9,863.36
|
| Rate for Payer: PHP Medicare Advantage |
$8,966.69
|
| Rate for Payer: Priority Health Medicare |
$8,966.69
|
| Rate for Payer: Railroad Medicare Medicare |
$8,966.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,966.69
|
| Rate for Payer: UHC Exchange |
$13,898.37
|
| Rate for Payer: UHC Medicare Advantage |
$8,966.69
|
| Rate for Payer: UHCCP DNSP |
$8,966.69
|
| Rate for Payer: VA VA |
$8,966.69
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
|
IP
|
$16,324.34
|
|
|
Service Code
|
MSDRG 386
|
| Min. Negotiated Rate |
$10,005.24 |
| Max. Negotiated Rate |
$16,324.34 |
| Rate for Payer: Aetna Medicare |
$10,531.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,164.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,164.79
|
| Rate for Payer: BCBS MAPPO |
$10,531.83
|
| Rate for Payer: BCN Medicare Advantage |
$10,531.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,531.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,531.83
|
| Rate for Payer: Mclaren Medicare |
$10,531.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,058.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,111.60
|
| Rate for Payer: PACE Medicare |
$10,005.24
|
| Rate for Payer: PACE SWMI |
$10,531.83
|
| Rate for Payer: PHP Commercial |
$11,585.01
|
| Rate for Payer: PHP Medicare Advantage |
$10,531.83
|
| Rate for Payer: Priority Health Medicare |
$10,531.83
|
| Rate for Payer: Railroad Medicare Medicare |
$10,531.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,531.83
|
| Rate for Payer: UHC Exchange |
$16,324.34
|
| Rate for Payer: UHC Medicare Advantage |
$10,531.83
|
| Rate for Payer: UHCCP DNSP |
$10,531.83
|
| Rate for Payer: VA VA |
$10,531.83
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
|
IP
|
$25,069.54
|
|
|
Service Code
|
MSDRG 385
|
| Min. Negotiated Rate |
$15,365.20 |
| Max. Negotiated Rate |
$25,069.54 |
| Rate for Payer: Aetna Medicare |
$16,173.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,217.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,217.38
|
| Rate for Payer: BCBS MAPPO |
$16,173.90
|
| Rate for Payer: BCN Medicare Advantage |
$16,173.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,173.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,173.90
|
| Rate for Payer: Mclaren Medicare |
$16,173.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,982.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,599.99
|
| Rate for Payer: PACE Medicare |
$15,365.20
|
| Rate for Payer: PACE SWMI |
$16,173.90
|
| Rate for Payer: PHP Commercial |
$17,791.29
|
| Rate for Payer: PHP Medicare Advantage |
$16,173.90
|
| Rate for Payer: Priority Health Medicare |
$16,173.90
|
| Rate for Payer: Railroad Medicare Medicare |
$16,173.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,173.90
|
| Rate for Payer: UHC Exchange |
$25,069.54
|
| Rate for Payer: UHC Medicare Advantage |
$16,173.90
|
| Rate for Payer: UHCCP DNSP |
$16,173.90
|
| Rate for Payer: VA VA |
$16,173.90
|
|
|
MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$11,868.01
|
|
|
Service Code
|
MSDRG 387
|
| Min. Negotiated Rate |
$7,273.94 |
| Max. Negotiated Rate |
$11,868.01 |
| Rate for Payer: Aetna Medicare |
$7,656.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,570.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,570.98
|
| Rate for Payer: BCBS MAPPO |
$7,656.78
|
| Rate for Payer: BCN Medicare Advantage |
$7,656.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,656.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,656.78
|
| Rate for Payer: Mclaren Medicare |
$7,656.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,039.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,805.30
|
| Rate for Payer: PACE Medicare |
$7,273.94
|
| Rate for Payer: PACE SWMI |
$7,656.78
|
| Rate for Payer: PHP Commercial |
$8,422.46
|
| Rate for Payer: PHP Medicare Advantage |
$7,656.78
|
| Rate for Payer: Priority Health Medicare |
$7,656.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,656.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,656.78
|
| Rate for Payer: UHC Exchange |
$11,868.01
|
| Rate for Payer: UHC Medicare Advantage |
$7,656.78
|
| Rate for Payer: UHCCP DNSP |
$7,656.78
|
| Rate for Payer: VA VA |
$7,656.78
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$23,405.70
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$14,345.43 |
| Max. Negotiated Rate |
$23,405.70 |
| Rate for Payer: Aetna Medicare |
$15,100.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,875.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,875.56
|
| Rate for Payer: BCBS MAPPO |
$15,100.45
|
| Rate for Payer: BCN Medicare Advantage |
$15,100.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,100.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,100.45
|
| Rate for Payer: Mclaren Medicare |
$15,100.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,855.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,365.52
|
| Rate for Payer: PACE Medicare |
$14,345.43
|
| Rate for Payer: PACE SWMI |
$15,100.45
|
| Rate for Payer: PHP Commercial |
$16,610.49
|
| Rate for Payer: PHP Medicare Advantage |
$15,100.45
|
| Rate for Payer: Priority Health Medicare |
$15,100.45
|
| Rate for Payer: Railroad Medicare Medicare |
$15,100.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,100.45
|
| Rate for Payer: UHC Exchange |
$23,405.70
|
| Rate for Payer: UHC Medicare Advantage |
$15,100.45
|
| Rate for Payer: UHCCP DNSP |
$15,100.45
|
| Rate for Payer: VA VA |
$15,100.45
|
|
|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,049.87
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$22,095.08 |
| Max. Negotiated Rate |
$36,049.87 |
| Rate for Payer: Aetna Medicare |
$23,257.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29,072.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29,072.47
|
| Rate for Payer: BCBS MAPPO |
$23,257.98
|
| Rate for Payer: BCN Medicare Advantage |
$23,257.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,257.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,257.98
|
| Rate for Payer: Mclaren Medicare |
$23,257.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,420.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,746.68
|
| Rate for Payer: PACE Medicare |
$22,095.08
|
| Rate for Payer: PACE SWMI |
$23,257.98
|
| Rate for Payer: PHP Commercial |
$25,583.78
|
| Rate for Payer: PHP Medicare Advantage |
$23,257.98
|
| Rate for Payer: Priority Health Medicare |
$23,257.98
|
| Rate for Payer: Railroad Medicare Medicare |
$23,257.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,257.98
|
| Rate for Payer: UHC Exchange |
$36,049.87
|
| Rate for Payer: UHC Medicare Advantage |
$23,257.98
|
| Rate for Payer: UHCCP DNSP |
$23,257.98
|
| Rate for Payer: VA VA |
$23,257.98
|
|
