|
MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,847.09
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$10,938.54 |
| Max. Negotiated Rate |
$17,847.09 |
| Rate for Payer: Aetna Medicare |
$11,514.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,392.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,392.81
|
| Rate for Payer: BCBS MAPPO |
$11,514.25
|
| Rate for Payer: BCN Medicare Advantage |
$11,514.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,514.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,514.25
|
| Rate for Payer: Mclaren Medicare |
$11,514.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,089.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,241.39
|
| Rate for Payer: PACE Medicare |
$10,938.54
|
| Rate for Payer: PACE SWMI |
$11,514.25
|
| Rate for Payer: PHP Commercial |
$12,665.67
|
| Rate for Payer: PHP Medicare Advantage |
$11,514.25
|
| Rate for Payer: Priority Health Medicare |
$11,514.25
|
| Rate for Payer: Railroad Medicare Medicare |
$11,514.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,514.25
|
| Rate for Payer: UHC Exchange |
$17,847.09
|
| Rate for Payer: UHC Medicare Advantage |
$11,514.25
|
| Rate for Payer: UHCCP DNSP |
$11,514.25
|
| Rate for Payer: VA VA |
$11,514.25
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC
|
Facility
|
IP
|
$16,289.74
|
|
|
Service Code
|
MSDRG 197
|
| Min. Negotiated Rate |
$9,984.03 |
| Max. Negotiated Rate |
$16,289.74 |
| Rate for Payer: Aetna Medicare |
$10,509.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,136.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,136.89
|
| Rate for Payer: BCBS MAPPO |
$10,509.51
|
| Rate for Payer: BCN Medicare Advantage |
$10,509.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,509.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,509.51
|
| Rate for Payer: Mclaren Medicare |
$10,509.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,034.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,085.94
|
| Rate for Payer: PACE Medicare |
$9,984.03
|
| Rate for Payer: PACE SWMI |
$10,509.51
|
| Rate for Payer: PHP Commercial |
$11,560.46
|
| Rate for Payer: PHP Medicare Advantage |
$10,509.51
|
| Rate for Payer: Priority Health Medicare |
$10,509.51
|
| Rate for Payer: Railroad Medicare Medicare |
$10,509.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,509.51
|
| Rate for Payer: UHC Exchange |
$16,289.74
|
| Rate for Payer: UHC Medicare Advantage |
$10,509.51
|
| Rate for Payer: UHCCP DNSP |
$10,509.51
|
| Rate for Payer: VA VA |
$10,509.51
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC
|
Facility
|
IP
|
$28,655.90
|
|
|
Service Code
|
MSDRG 196
|
| Min. Negotiated Rate |
$17,563.30 |
| Max. Negotiated Rate |
$28,655.90 |
| Rate for Payer: Aetna Medicare |
$18,487.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,109.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,109.60
|
| Rate for Payer: BCBS MAPPO |
$18,487.68
|
| Rate for Payer: BCN Medicare Advantage |
$18,487.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,487.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,487.68
|
| Rate for Payer: Mclaren Medicare |
$18,487.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,412.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,260.83
|
| Rate for Payer: PACE Medicare |
$17,563.30
|
| Rate for Payer: PACE SWMI |
$18,487.68
|
| Rate for Payer: PHP Commercial |
$20,336.45
|
| Rate for Payer: PHP Medicare Advantage |
$18,487.68
|
| Rate for Payer: Priority Health Medicare |
$18,487.68
|
| Rate for Payer: Railroad Medicare Medicare |
$18,487.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,487.68
|
| Rate for Payer: UHC Exchange |
$28,655.90
|
| Rate for Payer: UHC Medicare Advantage |
$18,487.68
|
| Rate for Payer: UHCCP DNSP |
$18,487.68
|
| Rate for Payer: VA VA |
$18,487.68
|
|
|
MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
|
Facility
|
IP
|
$12,284.31
|
|
|
Service Code
|
MSDRG 198
|
| Min. Negotiated Rate |
$7,529.09 |
| Max. Negotiated Rate |
$12,284.31 |
| Rate for Payer: Aetna Medicare |
$7,925.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,906.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,906.70
|
| Rate for Payer: BCBS MAPPO |
$7,925.36
|
| Rate for Payer: BCN Medicare Advantage |
$7,925.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,925.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,925.36
|
| Rate for Payer: Mclaren Medicare |
$7,925.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,321.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,114.16
|
| Rate for Payer: PACE Medicare |
$7,529.09
|
| Rate for Payer: PACE SWMI |
$7,925.36
|
| Rate for Payer: PHP Commercial |
$8,717.90
|
| Rate for Payer: PHP Medicare Advantage |
$7,925.36
|
| Rate for Payer: Priority Health Medicare |
$7,925.36
|
| Rate for Payer: Railroad Medicare Medicare |
$7,925.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,925.36
|
| Rate for Payer: UHC Exchange |
$12,284.31
|
| Rate for Payer: UHC Medicare Advantage |
$7,925.36
|
| Rate for Payer: UHCCP DNSP |
$7,925.36
|
| Rate for Payer: VA VA |
$7,925.36
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
|
IP
|
$16,661.77
|
|
|
Service Code
|
MSDRG 065
|
| Min. Negotiated Rate |
$10,212.05 |
| Max. Negotiated Rate |
$16,661.77 |
| Rate for Payer: Aetna Medicare |
$10,749.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,436.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,436.91
|
| Rate for Payer: BCBS MAPPO |
$10,749.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,749.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,749.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,749.53
|
| Rate for Payer: Mclaren Medicare |
$10,749.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,287.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,361.96
|
| Rate for Payer: PACE Medicare |
$10,212.05
|
| Rate for Payer: PACE SWMI |
$10,749.53
|
| Rate for Payer: PHP Commercial |
$11,824.48
|
| Rate for Payer: PHP Medicare Advantage |
$10,749.53
|
| Rate for Payer: Priority Health Medicare |
$10,749.53
|
| Rate for Payer: Railroad Medicare Medicare |
$10,749.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,749.53
|
| Rate for Payer: UHC Exchange |
$16,661.77
|
| Rate for Payer: UHC Medicare Advantage |
$10,749.53
|
| Rate for Payer: UHCCP DNSP |
$10,749.53
|
| Rate for Payer: VA VA |
$10,749.53
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
|
IP
|
$30,109.51
|
|
|
Service Code
|
MSDRG 064
|
| Min. Negotiated Rate |
$18,454.22 |
| Max. Negotiated Rate |
$30,109.51 |
| Rate for Payer: Aetna Medicare |
$19,425.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,281.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,281.86
|
| Rate for Payer: BCBS MAPPO |
$19,425.49
|
| Rate for Payer: BCN Medicare Advantage |
$19,425.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,425.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,425.49
|
| Rate for Payer: Mclaren Medicare |
$19,425.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,396.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,339.31
|
| Rate for Payer: PACE Medicare |
$18,454.22
|
| Rate for Payer: PACE SWMI |
$19,425.49
|
| Rate for Payer: PHP Commercial |
$21,368.04
|
| Rate for Payer: PHP Medicare Advantage |
$19,425.49
|
| Rate for Payer: Priority Health Medicare |
$19,425.49
|
| Rate for Payer: Railroad Medicare Medicare |
$19,425.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,425.49
|
| Rate for Payer: UHC Exchange |
$30,109.51
|
| Rate for Payer: UHC Medicare Advantage |
$19,425.49
|
| Rate for Payer: UHCCP DNSP |
$19,425.49
|
| Rate for Payer: VA VA |
$19,425.49
|
|
|
MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$12,116.97
|
|
|
Service Code
|
MSDRG 066
|
| Min. Negotiated Rate |
$7,426.53 |
| Max. Negotiated Rate |
$12,116.97 |
| Rate for Payer: Aetna Medicare |
$7,817.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,771.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,771.75
|
| Rate for Payer: BCBS MAPPO |
$7,817.40
|
| Rate for Payer: BCN Medicare Advantage |
$7,817.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,817.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,817.40
|
| Rate for Payer: Mclaren Medicare |
$7,817.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,208.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,990.01
|
| Rate for Payer: PACE Medicare |
$7,426.53
|
| Rate for Payer: PACE SWMI |
$7,817.40
|
| Rate for Payer: PHP Commercial |
$8,599.14
|
| Rate for Payer: PHP Medicare Advantage |
$7,817.40
|
| Rate for Payer: Priority Health Medicare |
$7,817.40
|
| Rate for Payer: Railroad Medicare Medicare |
$7,817.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,817.40
|
| Rate for Payer: UHC Exchange |
$12,116.97
|
| Rate for Payer: UHC Medicare Advantage |
$7,817.40
|
| Rate for Payer: UHCCP DNSP |
$7,817.40
|
| Rate for Payer: VA VA |
$7,817.40
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
|
Facility
|
IP
|
$79,044.42
|
|
|
Service Code
|
MSDRG 021
|
| Min. Negotiated Rate |
$48,446.58 |
| Max. Negotiated Rate |
$79,044.42 |
| Rate for Payer: Aetna Medicare |
$50,996.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63,745.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63,745.50
|
| Rate for Payer: BCBS MAPPO |
$50,996.40
|
| Rate for Payer: BCN Medicare Advantage |
$50,996.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,996.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$50,996.40
|
| Rate for Payer: Mclaren Medicare |
$50,996.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,546.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58,645.86
|
| Rate for Payer: PACE Medicare |
$48,446.58
|
| Rate for Payer: PACE SWMI |
$50,996.40
|
| Rate for Payer: PHP Commercial |
$56,096.04
|
| Rate for Payer: PHP Medicare Advantage |
$50,996.40
|
| Rate for Payer: Priority Health Medicare |
$50,996.40
|
| Rate for Payer: Railroad Medicare Medicare |
$50,996.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,996.40
|
| Rate for Payer: UHC Exchange |
$79,044.42
|
| Rate for Payer: UHC Medicare Advantage |
$50,996.40
|
| Rate for Payer: UHCCP DNSP |
$50,996.40
|
| Rate for Payer: VA VA |
$50,996.40
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$114,088.99
|
|
|
Service Code
|
MSDRG 020
|
| Min. Negotiated Rate |
$69,925.51 |
| Max. Negotiated Rate |
$114,088.99 |
| Rate for Payer: Aetna Medicare |
$73,605.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92,007.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92,007.25
|
| Rate for Payer: BCBS MAPPO |
$73,605.80
|
| Rate for Payer: BCN Medicare Advantage |
$73,605.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73,605.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$73,605.80
|
| Rate for Payer: Mclaren Medicare |
$73,605.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77,286.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84,646.67
|
| Rate for Payer: PACE Medicare |
$69,925.51
|
| Rate for Payer: PACE SWMI |
$73,605.80
|
| Rate for Payer: PHP Commercial |
$80,966.38
|
| Rate for Payer: PHP Medicare Advantage |
$73,605.80
|
| Rate for Payer: Priority Health Medicare |
$73,605.80
|
| Rate for Payer: Railroad Medicare Medicare |
$73,605.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$73,605.80
|
| Rate for Payer: UHC Exchange |
$114,088.99
|
| Rate for Payer: UHC Medicare Advantage |
$73,605.80
|
| Rate for Payer: UHCCP DNSP |
$73,605.80
|
| Rate for Payer: VA VA |
$73,605.80
|
|
|
MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$51,425.59
|
|
|
Service Code
|
MSDRG 022
|
| Min. Negotiated Rate |
$31,518.91 |
| Max. Negotiated Rate |
$51,425.59 |
| Rate for Payer: Aetna Medicare |
$33,177.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,472.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,472.25
|
| Rate for Payer: BCBS MAPPO |
$33,177.80
|
| Rate for Payer: BCN Medicare Advantage |
$33,177.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,177.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,177.80
|
| Rate for Payer: Mclaren Medicare |
$33,177.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,836.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,154.47
|
| Rate for Payer: PACE Medicare |
$31,518.91
|
| Rate for Payer: PACE SWMI |
$33,177.80
|
| Rate for Payer: PHP Commercial |
$36,495.58
|
| Rate for Payer: PHP Medicare Advantage |
$33,177.80
|
| Rate for Payer: Priority Health Medicare |
$33,177.80
|
| Rate for Payer: Railroad Medicare Medicare |
$33,177.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,177.80
|
| Rate for Payer: UHC Exchange |
$51,425.59
|
| Rate for Payer: UHC Medicare Advantage |
$33,177.80
|
| Rate for Payer: UHCCP DNSP |
$33,177.80
|
| Rate for Payer: VA VA |
$33,177.80
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$25,675.35
|
|
|
Service Code
|
MSDRG 116
|
| Min. Negotiated Rate |
$15,736.50 |
| Max. Negotiated Rate |
$25,675.35 |
| Rate for Payer: Aetna Medicare |
$16,564.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,705.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,705.92
|
| Rate for Payer: BCBS MAPPO |
$16,564.74
|
| Rate for Payer: BCN Medicare Advantage |
$16,564.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,564.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,564.74
|
| Rate for Payer: Mclaren Medicare |
$16,564.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,392.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,049.45
|
| Rate for Payer: PACE Medicare |
$15,736.50
|
| Rate for Payer: PACE SWMI |
$16,564.74
|
| Rate for Payer: PHP Commercial |
$18,221.21
|
| Rate for Payer: PHP Medicare Advantage |
$16,564.74
|
| Rate for Payer: Priority Health Medicare |
$16,564.74
|
| Rate for Payer: Railroad Medicare Medicare |
$16,564.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,564.74
|
| Rate for Payer: UHC Exchange |
$25,675.35
|
| Rate for Payer: UHC Medicare Advantage |
$16,564.74
|
| Rate for Payer: UHCCP DNSP |
$16,564.74
|
| Rate for Payer: VA VA |
$16,564.74
|
|
|
MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,515.15
|
|
|
Service Code
|
MSDRG 117
|
| Min. Negotiated Rate |
$10,735.09 |
| Max. Negotiated Rate |
$17,515.15 |
| Rate for Payer: Aetna Medicare |
$11,300.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,125.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,125.12
|
| Rate for Payer: BCBS MAPPO |
$11,300.10
|
| Rate for Payer: BCN Medicare Advantage |
$11,300.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,300.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,300.10
|
| Rate for Payer: Mclaren Medicare |
$11,300.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,865.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,995.11
|
| Rate for Payer: PACE Medicare |
$10,735.09
|
| Rate for Payer: PACE SWMI |
$11,300.10
|
| Rate for Payer: PHP Commercial |
$12,430.11
|
| Rate for Payer: PHP Medicare Advantage |
$11,300.10
|
| Rate for Payer: Priority Health Medicare |
$11,300.10
|
| Rate for Payer: Railroad Medicare Medicare |
$11,300.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,300.10
|
| Rate for Payer: UHC Exchange |
$17,515.15
|
| Rate for Payer: UHC Medicare Advantage |
$11,300.10
|
| Rate for Payer: UHCCP DNSP |
$11,300.10
|
| Rate for Payer: VA VA |
$11,300.10
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
|
IP
|
$27,228.54
|
|
|
Service Code
|
MSDRG 062
|
| Min. Negotiated Rate |
$16,688.46 |
| Max. Negotiated Rate |
$27,228.54 |
| Rate for Payer: Aetna Medicare |
$17,566.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,958.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,958.50
|
| Rate for Payer: BCBS MAPPO |
$17,566.80
|
| Rate for Payer: BCN Medicare Advantage |
$17,566.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,566.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,566.80
|
| Rate for Payer: Mclaren Medicare |
$17,566.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,445.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,201.82
|
| Rate for Payer: PACE Medicare |
$16,688.46
|
| Rate for Payer: PACE SWMI |
$17,566.80
|
| Rate for Payer: PHP Commercial |
$19,323.48
|
| Rate for Payer: PHP Medicare Advantage |
$17,566.80
|
| Rate for Payer: Priority Health Medicare |
$17,566.80
|
| Rate for Payer: Railroad Medicare Medicare |
$17,566.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,566.80
|
| Rate for Payer: UHC Exchange |
$27,228.54
|
| Rate for Payer: UHC Medicare Advantage |
$17,566.80
|
| Rate for Payer: UHCCP DNSP |
$17,566.80
|
| Rate for Payer: VA VA |
$17,566.80
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$39,987.50
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$24,508.47 |
| Max. Negotiated Rate |
$39,987.50 |
| Rate for Payer: Aetna Medicare |
$25,798.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,247.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,247.99
|
| Rate for Payer: BCBS MAPPO |
$25,798.39
|
| Rate for Payer: BCN Medicare Advantage |
$25,798.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,798.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,798.39
|
| Rate for Payer: Mclaren Medicare |
$25,798.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,088.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,668.15
|
| Rate for Payer: PACE Medicare |
$24,508.47
|
| Rate for Payer: PACE SWMI |
$25,798.39
|
| Rate for Payer: PHP Commercial |
$28,378.23
|
| Rate for Payer: PHP Medicare Advantage |
$25,798.39
|
| Rate for Payer: Priority Health Medicare |
$25,798.39
|
| Rate for Payer: Railroad Medicare Medicare |
$25,798.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,798.39
|
| Rate for Payer: UHC Exchange |
$39,987.50
|
| Rate for Payer: UHC Medicare Advantage |
$25,798.39
|
| Rate for Payer: UHCCP DNSP |
$25,798.39
|
| Rate for Payer: VA VA |
$25,798.39
|
|
|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$22,026.76
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$13,500.27 |
| Max. Negotiated Rate |
$22,026.76 |
| Rate for Payer: Aetna Medicare |
$14,210.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,763.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,763.51
|
| Rate for Payer: BCBS MAPPO |
$14,210.81
|
| Rate for Payer: BCN Medicare Advantage |
$14,210.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,210.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,210.81
|
| Rate for Payer: Mclaren Medicare |
$14,210.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,921.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,342.43
|
| Rate for Payer: PACE Medicare |
$13,500.27
|
| Rate for Payer: PACE SWMI |
$14,210.81
|
| Rate for Payer: PHP Commercial |
$15,631.89
|
| Rate for Payer: PHP Medicare Advantage |
$14,210.81
|
| Rate for Payer: Priority Health Medicare |
$14,210.81
|
| Rate for Payer: Railroad Medicare Medicare |
$14,210.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,210.81
|
| Rate for Payer: UHC Exchange |
$22,026.76
|
| Rate for Payer: UHC Medicare Advantage |
$14,210.81
|
| Rate for Payer: UHCCP DNSP |
$14,210.81
|
| Rate for Payer: VA VA |
$14,210.81
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$27,881.37
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$17,088.58 |
| Max. Negotiated Rate |
$27,881.37 |
| Rate for Payer: Aetna Medicare |
$17,987.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,484.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,484.97
|
| Rate for Payer: BCBS MAPPO |
$17,987.98
|
| Rate for Payer: BCN Medicare Advantage |
$17,987.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,987.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,987.98
|
| Rate for Payer: Mclaren Medicare |
$17,987.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,887.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,686.18
|
| Rate for Payer: PACE Medicare |
$17,088.58
|
| Rate for Payer: PACE SWMI |
$17,987.98
|
| Rate for Payer: PHP Commercial |
$19,786.78
|
| Rate for Payer: PHP Medicare Advantage |
$17,987.98
|
| Rate for Payer: Priority Health Medicare |
$17,987.98
|
| Rate for Payer: Railroad Medicare Medicare |
$17,987.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,987.98
|
| Rate for Payer: UHC Exchange |
$27,881.37
|
| Rate for Payer: UHC Medicare Advantage |
$17,987.98
|
| Rate for Payer: UHCCP DNSP |
$17,987.98
|
| Rate for Payer: VA VA |
$17,987.98
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$47,658.08
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$29,209.79 |
| Max. Negotiated Rate |
$47,658.08 |
| Rate for Payer: Aetna Medicare |
$30,747.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,433.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,433.94
|
| Rate for Payer: BCBS MAPPO |
$30,747.15
|
| Rate for Payer: BCN Medicare Advantage |
$30,747.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,747.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,747.15
|
| Rate for Payer: Mclaren Medicare |
$30,747.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,284.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,359.22
|
| Rate for Payer: PACE Medicare |
$29,209.79
|
| Rate for Payer: PACE SWMI |
$30,747.15
|
| Rate for Payer: PHP Commercial |
$33,821.86
|
| Rate for Payer: PHP Medicare Advantage |
$30,747.15
|
| Rate for Payer: Priority Health Medicare |
$30,747.15
|
| Rate for Payer: Railroad Medicare Medicare |
$30,747.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,747.15
|
| Rate for Payer: UHC Exchange |
$47,658.08
|
| Rate for Payer: UHC Medicare Advantage |
$30,747.15
|
| Rate for Payer: UHCCP DNSP |
$30,747.15
|
| Rate for Payer: VA VA |
$30,747.15
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$23,398.78
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$14,341.19 |
| Max. Negotiated Rate |
$23,398.78 |
| Rate for Payer: Aetna Medicare |
$15,095.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,869.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,869.99
|
| Rate for Payer: BCBS MAPPO |
$15,095.99
|
| Rate for Payer: BCN Medicare Advantage |
$15,095.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,095.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,095.99
|
| Rate for Payer: Mclaren Medicare |
$15,095.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,850.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,360.39
|
| Rate for Payer: PACE Medicare |
$14,341.19
|
| Rate for Payer: PACE SWMI |
$15,095.99
|
| Rate for Payer: PHP Commercial |
$16,605.59
|
| Rate for Payer: PHP Medicare Advantage |
$15,095.99
|
| Rate for Payer: Priority Health Medicare |
$15,095.99
|
| Rate for Payer: Railroad Medicare Medicare |
$15,095.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,095.99
|
| Rate for Payer: UHC Exchange |
$23,398.78
|
| Rate for Payer: UHC Medicare Advantage |
$15,095.99
|
| Rate for Payer: UHCCP DNSP |
$15,095.99
|
| Rate for Payer: VA VA |
$15,095.99
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$21,130.53
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$12,950.97 |
| Max. Negotiated Rate |
$21,130.53 |
| Rate for Payer: Aetna Medicare |
$13,632.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,040.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,040.75
|
| Rate for Payer: BCBS MAPPO |
$13,632.60
|
| Rate for Payer: BCN Medicare Advantage |
$13,632.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,632.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,632.60
|
| Rate for Payer: Mclaren Medicare |
$13,632.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,314.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,677.49
|
| Rate for Payer: PACE Medicare |
$12,950.97
|
| Rate for Payer: PACE SWMI |
$13,632.60
|
| Rate for Payer: PHP Commercial |
$14,995.86
|
| Rate for Payer: PHP Medicare Advantage |
$13,632.60
|
| Rate for Payer: Priority Health Medicare |
$13,632.60
|
| Rate for Payer: Railroad Medicare Medicare |
$13,632.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,632.60
|
| Rate for Payer: UHC Exchange |
$21,130.53
|
| Rate for Payer: UHC Medicare Advantage |
$13,632.60
|
| Rate for Payer: UHCCP DNSP |
$13,632.60
|
| Rate for Payer: VA VA |
$13,632.60
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$38,340.24
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$23,498.86 |
| Max. Negotiated Rate |
$38,340.24 |
| Rate for Payer: Aetna Medicare |
$24,735.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,919.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,919.55
|
| Rate for Payer: BCBS MAPPO |
$24,735.64
|
| Rate for Payer: BCN Medicare Advantage |
$24,735.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,735.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,735.64
|
| Rate for Payer: Mclaren Medicare |
$24,735.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,972.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,445.99
|
| Rate for Payer: PACE Medicare |
$23,498.86
|
| Rate for Payer: PACE SWMI |
$24,735.64
|
| Rate for Payer: PHP Commercial |
$27,209.20
|
| Rate for Payer: PHP Medicare Advantage |
$24,735.64
|
| Rate for Payer: Priority Health Medicare |
$24,735.64
|
| Rate for Payer: Railroad Medicare Medicare |
$24,735.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,735.64
|
| Rate for Payer: UHC Exchange |
$38,340.24
|
| Rate for Payer: UHC Medicare Advantage |
$24,735.64
|
| Rate for Payer: UHCCP DNSP |
$24,735.64
|
| Rate for Payer: VA VA |
$24,735.64
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$16,795.96
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$10,294.30 |
| Max. Negotiated Rate |
$16,795.96 |
| Rate for Payer: Aetna Medicare |
$10,836.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,545.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,545.12
|
| Rate for Payer: BCBS MAPPO |
$10,836.10
|
| Rate for Payer: BCN Medicare Advantage |
$10,836.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,836.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,836.10
|
| Rate for Payer: Mclaren Medicare |
$10,836.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,377.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,461.51
|
| Rate for Payer: PACE Medicare |
$10,294.30
|
| Rate for Payer: PACE SWMI |
$10,836.10
|
| Rate for Payer: PHP Commercial |
$11,919.71
|
| Rate for Payer: PHP Medicare Advantage |
$10,836.10
|
| Rate for Payer: Priority Health Medicare |
$10,836.10
|
| Rate for Payer: Railroad Medicare Medicare |
$10,836.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,836.10
|
| Rate for Payer: UHC Exchange |
$16,795.96
|
| Rate for Payer: UHC Medicare Advantage |
$10,836.10
|
| Rate for Payer: UHCCP DNSP |
$10,836.10
|
| Rate for Payer: VA VA |
$10,836.10
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$18,783.43
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$11,512.42 |
| Max. Negotiated Rate |
$18,783.43 |
| Rate for Payer: Aetna Medicare |
$12,118.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,147.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,147.92
|
| Rate for Payer: BCBS MAPPO |
$12,118.34
|
| Rate for Payer: BCN Medicare Advantage |
$12,118.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,118.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,118.34
|
| Rate for Payer: Mclaren Medicare |
$12,118.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,724.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,936.09
|
| Rate for Payer: PACE Medicare |
$11,512.42
|
| Rate for Payer: PACE SWMI |
$12,118.34
|
| Rate for Payer: PHP Commercial |
$13,330.17
|
| Rate for Payer: PHP Medicare Advantage |
$12,118.34
|
| Rate for Payer: Priority Health Medicare |
$12,118.34
|
| Rate for Payer: Railroad Medicare Medicare |
$12,118.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,118.34
|
| Rate for Payer: UHC Exchange |
$18,783.43
|
| Rate for Payer: UHC Medicare Advantage |
$12,118.34
|
| Rate for Payer: UHCCP DNSP |
$12,118.34
|
| Rate for Payer: VA VA |
$12,118.34
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$13,697.83
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$8,395.44 |
| Max. Negotiated Rate |
$13,697.83 |
| Rate for Payer: Aetna Medicare |
$8,837.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,046.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,046.64
|
| Rate for Payer: BCBS MAPPO |
$8,837.31
|
| Rate for Payer: BCN Medicare Advantage |
$8,837.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,837.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,837.31
|
| Rate for Payer: Mclaren Medicare |
$8,837.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,279.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,162.91
|
| Rate for Payer: PACE Medicare |
$8,395.44
|
| Rate for Payer: PACE SWMI |
$8,837.31
|
| Rate for Payer: PHP Commercial |
$9,721.04
|
| Rate for Payer: PHP Medicare Advantage |
$8,837.31
|
| Rate for Payer: Priority Health Medicare |
$8,837.31
|
| Rate for Payer: Railroad Medicare Medicare |
$8,837.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,837.31
|
| Rate for Payer: UHC Exchange |
$13,697.83
|
| Rate for Payer: UHC Medicare Advantage |
$8,837.31
|
| Rate for Payer: UHCCP DNSP |
$8,837.31
|
| Rate for Payer: VA VA |
$8,837.31
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$17,156.92
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$10,515.53 |
| Max. Negotiated Rate |
$17,156.92 |
| Rate for Payer: Aetna Medicare |
$11,068.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,836.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,836.23
|
| Rate for Payer: BCBS MAPPO |
$11,068.98
|
| Rate for Payer: BCN Medicare Advantage |
$11,068.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,068.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,068.98
|
| Rate for Payer: Mclaren Medicare |
$11,068.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,622.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,729.33
|
| Rate for Payer: PACE Medicare |
$10,515.53
|
| Rate for Payer: PACE SWMI |
$11,068.98
|
| Rate for Payer: PHP Commercial |
$12,175.88
|
| Rate for Payer: PHP Medicare Advantage |
$11,068.98
|
| Rate for Payer: Priority Health Medicare |
$11,068.98
|
| Rate for Payer: Railroad Medicare Medicare |
$11,068.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,068.98
|
| Rate for Payer: UHC Exchange |
$17,156.92
|
| Rate for Payer: UHC Medicare Advantage |
$11,068.98
|
| Rate for Payer: UHCCP DNSP |
$11,068.98
|
| Rate for Payer: VA VA |
$11,068.98
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$28,678.01
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$17,576.84 |
| Max. Negotiated Rate |
$28,678.01 |
| Rate for Payer: Aetna Medicare |
$18,501.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,127.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,127.42
|
| Rate for Payer: BCBS MAPPO |
$18,501.94
|
| Rate for Payer: BCN Medicare Advantage |
$18,501.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,501.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,501.94
|
| Rate for Payer: Mclaren Medicare |
$18,501.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,427.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,277.23
|
| Rate for Payer: PACE Medicare |
$17,576.84
|
| Rate for Payer: PACE SWMI |
$18,501.94
|
| Rate for Payer: PHP Commercial |
$20,352.13
|
| Rate for Payer: PHP Medicare Advantage |
$18,501.94
|
| Rate for Payer: Priority Health Medicare |
$18,501.94
|
| Rate for Payer: Railroad Medicare Medicare |
$18,501.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,501.94
|
| Rate for Payer: UHC Exchange |
$28,678.01
|
| Rate for Payer: UHC Medicare Advantage |
$18,501.94
|
| Rate for Payer: UHCCP DNSP |
$18,501.94
|
| Rate for Payer: VA VA |
$18,501.94
|
|
