|
MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,613.51
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$7,730.86 |
| Max. Negotiated Rate |
$12,613.51 |
| Rate for Payer: Aetna Medicare |
$8,137.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,172.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,172.19
|
| Rate for Payer: BCBS MAPPO |
$8,137.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,137.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,137.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,137.75
|
| Rate for Payer: Mclaren Medicare |
$8,137.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,544.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,358.41
|
| Rate for Payer: PACE Medicare |
$7,730.86
|
| Rate for Payer: PACE SWMI |
$8,137.75
|
| Rate for Payer: PHP Commercial |
$8,951.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,137.75
|
| Rate for Payer: Priority Health Medicare |
$8,137.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,137.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,137.75
|
| Rate for Payer: UHC Exchange |
$12,613.51
|
| Rate for Payer: UHC Medicare Advantage |
$8,137.75
|
| Rate for Payer: UHCCP DNSP |
$8,137.75
|
| Rate for Payer: VA VA |
$8,137.75
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$18,195.62
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$11,152.15 |
| Max. Negotiated Rate |
$18,195.62 |
| Rate for Payer: Aetna Medicare |
$11,739.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,673.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,673.89
|
| Rate for Payer: BCBS MAPPO |
$11,739.11
|
| Rate for Payer: BCN Medicare Advantage |
$11,739.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,739.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,739.11
|
| Rate for Payer: Mclaren Medicare |
$11,739.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,326.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,499.98
|
| Rate for Payer: PACE Medicare |
$11,152.15
|
| Rate for Payer: PACE SWMI |
$11,739.11
|
| Rate for Payer: PHP Commercial |
$12,913.02
|
| Rate for Payer: PHP Medicare Advantage |
$11,739.11
|
| Rate for Payer: Priority Health Medicare |
$11,739.11
|
| Rate for Payer: Railroad Medicare Medicare |
$11,739.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,739.11
|
| Rate for Payer: UHC Exchange |
$18,195.62
|
| Rate for Payer: UHC Medicare Advantage |
$11,739.11
|
| Rate for Payer: UHCCP DNSP |
$11,739.11
|
| Rate for Payer: VA VA |
$11,739.11
|
|
|
MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$12,165.38
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$7,456.20 |
| Max. Negotiated Rate |
$12,165.38 |
| Rate for Payer: Aetna Medicare |
$7,848.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,810.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,810.79
|
| Rate for Payer: BCBS MAPPO |
$7,848.63
|
| Rate for Payer: BCN Medicare Advantage |
$7,848.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,848.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,848.63
|
| Rate for Payer: Mclaren Medicare |
$7,848.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,241.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,025.92
|
| Rate for Payer: PACE Medicare |
$7,456.20
|
| Rate for Payer: PACE SWMI |
$7,848.63
|
| Rate for Payer: PHP Commercial |
$8,633.49
|
| Rate for Payer: PHP Medicare Advantage |
$7,848.63
|
| Rate for Payer: Priority Health Medicare |
$7,848.63
|
| Rate for Payer: Railroad Medicare Medicare |
$7,848.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,848.63
|
| Rate for Payer: UHC Exchange |
$12,165.38
|
| Rate for Payer: UHC Medicare Advantage |
$7,848.63
|
| Rate for Payer: UHCCP DNSP |
$7,848.63
|
| Rate for Payer: VA VA |
$7,848.63
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$45,077.25
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$27,627.99 |
| Max. Negotiated Rate |
$45,077.25 |
| Rate for Payer: Aetna Medicare |
$29,082.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,352.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,352.62
|
| Rate for Payer: BCBS MAPPO |
$29,082.10
|
| Rate for Payer: BCN Medicare Advantage |
$29,082.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,082.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,082.10
|
| Rate for Payer: Mclaren Medicare |
$29,082.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,536.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,444.42
|
| Rate for Payer: PACE Medicare |
$27,627.99
|
| Rate for Payer: PACE SWMI |
$29,082.10
|
| Rate for Payer: PHP Commercial |
$31,990.31
|
| Rate for Payer: PHP Medicare Advantage |
$29,082.10
|
| Rate for Payer: Priority Health Medicare |
$29,082.10
|
| Rate for Payer: Railroad Medicare Medicare |
$29,082.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,082.10
|
| Rate for Payer: UHC Exchange |
$45,077.25
|
| Rate for Payer: UHC Medicare Advantage |
$29,082.10
|
| Rate for Payer: UHCCP DNSP |
$29,082.10
|
| Rate for Payer: VA VA |
$29,082.10
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$66,320.05
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$40,647.77 |
| Max. Negotiated Rate |
$66,320.05 |
| Rate for Payer: Aetna Medicare |
$42,787.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,483.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,483.91
|
| Rate for Payer: BCBS MAPPO |
$42,787.13
|
| Rate for Payer: BCN Medicare Advantage |
$42,787.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,787.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,787.13
|
| Rate for Payer: Mclaren Medicare |
$42,787.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,926.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,205.20
|
| Rate for Payer: PACE Medicare |
$40,647.77
|
| Rate for Payer: PACE SWMI |
$42,787.13
|
| Rate for Payer: PHP Commercial |
$47,065.84
|
| Rate for Payer: PHP Medicare Advantage |
$42,787.13
|
| Rate for Payer: Priority Health Medicare |
$42,787.13
|
| Rate for Payer: Railroad Medicare Medicare |
$42,787.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,787.13
|
| Rate for Payer: UHC Exchange |
$66,320.05
|
| Rate for Payer: UHC Medicare Advantage |
$42,787.13
|
| Rate for Payer: UHCCP DNSP |
$42,787.13
|
| Rate for Payer: VA VA |
$42,787.13
|
|
|
MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$50,624.80
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$31,028.10 |
| Max. Negotiated Rate |
$50,624.80 |
| Rate for Payer: Aetna Medicare |
$32,661.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,826.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,826.45
|
| Rate for Payer: BCBS MAPPO |
$32,661.16
|
| Rate for Payer: BCN Medicare Advantage |
$32,661.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,661.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,661.16
|
| Rate for Payer: Mclaren Medicare |
$32,661.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,294.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,560.33
|
| Rate for Payer: PACE Medicare |
$31,028.10
|
| Rate for Payer: PACE SWMI |
$32,661.16
|
| Rate for Payer: PHP Commercial |
$35,927.28
|
| Rate for Payer: PHP Medicare Advantage |
$32,661.16
|
| Rate for Payer: Priority Health Medicare |
$32,661.16
|
| Rate for Payer: Railroad Medicare Medicare |
$32,661.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,661.16
|
| Rate for Payer: UHC Exchange |
$50,624.80
|
| Rate for Payer: UHC Medicare Advantage |
$32,661.16
|
| Rate for Payer: UHCCP DNSP |
$32,661.16
|
| Rate for Payer: VA VA |
$32,661.16
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$29,780.35
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$18,252.47 |
| Max. Negotiated Rate |
$29,780.35 |
| Rate for Payer: Aetna Medicare |
$19,213.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,016.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,016.41
|
| Rate for Payer: BCBS MAPPO |
$19,213.13
|
| Rate for Payer: BCN Medicare Advantage |
$19,213.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,213.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,213.13
|
| Rate for Payer: Mclaren Medicare |
$19,213.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,173.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,095.10
|
| Rate for Payer: PACE Medicare |
$18,252.47
|
| Rate for Payer: PACE SWMI |
$19,213.13
|
| Rate for Payer: PHP Commercial |
$21,134.44
|
| Rate for Payer: PHP Medicare Advantage |
$19,213.13
|
| Rate for Payer: Priority Health Medicare |
$19,213.13
|
| Rate for Payer: Railroad Medicare Medicare |
$19,213.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,213.13
|
| Rate for Payer: UHC Exchange |
$29,780.35
|
| Rate for Payer: UHC Medicare Advantage |
$19,213.13
|
| Rate for Payer: UHCCP DNSP |
$19,213.13
|
| Rate for Payer: VA VA |
$19,213.13
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$19,725.32
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$12,089.71 |
| Max. Negotiated Rate |
$19,725.32 |
| Rate for Payer: Aetna Medicare |
$12,726.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,907.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,907.51
|
| Rate for Payer: BCBS MAPPO |
$12,726.01
|
| Rate for Payer: BCN Medicare Advantage |
$12,726.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,726.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,726.01
|
| Rate for Payer: Mclaren Medicare |
$12,726.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,362.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,634.91
|
| Rate for Payer: PACE Medicare |
$12,089.71
|
| Rate for Payer: PACE SWMI |
$12,726.01
|
| Rate for Payer: PHP Commercial |
$13,998.61
|
| Rate for Payer: PHP Medicare Advantage |
$12,726.01
|
| Rate for Payer: Priority Health Medicare |
$12,726.01
|
| Rate for Payer: Railroad Medicare Medicare |
$12,726.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,726.01
|
| Rate for Payer: UHC Exchange |
$19,725.32
|
| Rate for Payer: UHC Medicare Advantage |
$12,726.01
|
| Rate for Payer: UHCCP DNSP |
$12,726.01
|
| Rate for Payer: VA VA |
$12,726.01
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$31,931.02
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$19,570.63 |
| Max. Negotiated Rate |
$31,931.02 |
| Rate for Payer: Aetna Medicare |
$20,600.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,750.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,750.83
|
| Rate for Payer: BCBS MAPPO |
$20,600.66
|
| Rate for Payer: BCN Medicare Advantage |
$20,600.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,600.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,600.66
|
| Rate for Payer: Mclaren Medicare |
$20,600.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,630.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,690.76
|
| Rate for Payer: PACE Medicare |
$19,570.63
|
| Rate for Payer: PACE SWMI |
$20,600.66
|
| Rate for Payer: PHP Commercial |
$22,660.73
|
| Rate for Payer: PHP Medicare Advantage |
$20,600.66
|
| Rate for Payer: Priority Health Medicare |
$20,600.66
|
| Rate for Payer: Railroad Medicare Medicare |
$20,600.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,600.66
|
| Rate for Payer: UHC Exchange |
$31,931.02
|
| Rate for Payer: UHC Medicare Advantage |
$20,600.66
|
| Rate for Payer: UHCCP DNSP |
$20,600.66
|
| Rate for Payer: VA VA |
$20,600.66
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$47,122.85
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$28,881.75 |
| Max. Negotiated Rate |
$47,122.85 |
| Rate for Payer: Aetna Medicare |
$30,401.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,002.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,002.30
|
| Rate for Payer: BCBS MAPPO |
$30,401.84
|
| Rate for Payer: BCN Medicare Advantage |
$30,401.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,401.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,401.84
|
| Rate for Payer: Mclaren Medicare |
$30,401.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,921.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,962.12
|
| Rate for Payer: PACE Medicare |
$28,881.75
|
| Rate for Payer: PACE SWMI |
$30,401.84
|
| Rate for Payer: PHP Commercial |
$33,442.02
|
| Rate for Payer: PHP Medicare Advantage |
$30,401.84
|
| Rate for Payer: Priority Health Medicare |
$30,401.84
|
| Rate for Payer: Railroad Medicare Medicare |
$30,401.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,401.84
|
| Rate for Payer: UHC Exchange |
$47,122.85
|
| Rate for Payer: UHC Medicare Advantage |
$30,401.84
|
| Rate for Payer: UHCCP DNSP |
$30,401.84
|
| Rate for Payer: VA VA |
$30,401.84
|
|
|
MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$24,452.71
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$14,987.14 |
| Max. Negotiated Rate |
$24,452.71 |
| Rate for Payer: Aetna Medicare |
$15,775.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,719.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,719.92
|
| Rate for Payer: BCBS MAPPO |
$15,775.94
|
| Rate for Payer: BCN Medicare Advantage |
$15,775.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,775.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,775.94
|
| Rate for Payer: Mclaren Medicare |
$15,775.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,564.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,142.33
|
| Rate for Payer: PACE Medicare |
$14,987.14
|
| Rate for Payer: PACE SWMI |
$15,775.94
|
| Rate for Payer: PHP Commercial |
$17,353.53
|
| Rate for Payer: PHP Medicare Advantage |
$15,775.94
|
| Rate for Payer: Priority Health Medicare |
$15,775.94
|
| Rate for Payer: Railroad Medicare Medicare |
$15,775.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,775.94
|
| Rate for Payer: UHC Exchange |
$24,452.71
|
| Rate for Payer: UHC Medicare Advantage |
$15,775.94
|
| Rate for Payer: UHCCP DNSP |
$15,775.94
|
| Rate for Payer: VA VA |
$15,775.94
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$25,534.28
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$15,650.04 |
| Max. Negotiated Rate |
$25,534.28 |
| Rate for Payer: Aetna Medicare |
$16,473.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,592.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,592.16
|
| Rate for Payer: BCBS MAPPO |
$16,473.73
|
| Rate for Payer: BCN Medicare Advantage |
$16,473.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,473.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,473.73
|
| Rate for Payer: Mclaren Medicare |
$16,473.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,297.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,944.79
|
| Rate for Payer: PACE Medicare |
$15,650.04
|
| Rate for Payer: PACE SWMI |
$16,473.73
|
| Rate for Payer: PHP Commercial |
$18,121.10
|
| Rate for Payer: PHP Medicare Advantage |
$16,473.73
|
| Rate for Payer: Priority Health Medicare |
$16,473.73
|
| Rate for Payer: Railroad Medicare Medicare |
$16,473.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,473.73
|
| Rate for Payer: UHC Exchange |
$25,534.28
|
| Rate for Payer: UHC Medicare Advantage |
$16,473.73
|
| Rate for Payer: UHCCP DNSP |
$16,473.73
|
| Rate for Payer: VA VA |
$16,473.73
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$35,466.19
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$21,737.34 |
| Max. Negotiated Rate |
$35,466.19 |
| Rate for Payer: Aetna Medicare |
$22,881.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,601.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,601.76
|
| Rate for Payer: BCBS MAPPO |
$22,881.41
|
| Rate for Payer: BCN Medicare Advantage |
$22,881.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,881.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,881.41
|
| Rate for Payer: Mclaren Medicare |
$22,881.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,025.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,313.62
|
| Rate for Payer: PACE Medicare |
$21,737.34
|
| Rate for Payer: PACE SWMI |
$22,881.41
|
| Rate for Payer: PHP Commercial |
$25,169.55
|
| Rate for Payer: PHP Medicare Advantage |
$22,881.41
|
| Rate for Payer: Priority Health Medicare |
$22,881.41
|
| Rate for Payer: Railroad Medicare Medicare |
$22,881.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,881.41
|
| Rate for Payer: UHC Exchange |
$35,466.19
|
| Rate for Payer: UHC Medicare Advantage |
$22,881.41
|
| Rate for Payer: UHCCP DNSP |
$22,881.41
|
| Rate for Payer: VA VA |
$22,881.41
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$20,820.73
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$12,761.09 |
| Max. Negotiated Rate |
$20,820.73 |
| Rate for Payer: Aetna Medicare |
$13,432.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,790.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,790.91
|
| Rate for Payer: BCBS MAPPO |
$13,432.73
|
| Rate for Payer: BCN Medicare Advantage |
$13,432.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,432.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,432.73
|
| Rate for Payer: Mclaren Medicare |
$13,432.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,104.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,447.64
|
| Rate for Payer: PACE Medicare |
$12,761.09
|
| Rate for Payer: PACE SWMI |
$13,432.73
|
| Rate for Payer: PHP Commercial |
$14,776.00
|
| Rate for Payer: PHP Medicare Advantage |
$13,432.73
|
| Rate for Payer: Priority Health Medicare |
$13,432.73
|
| Rate for Payer: Railroad Medicare Medicare |
$13,432.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,432.73
|
| Rate for Payer: UHC Exchange |
$20,820.73
|
| Rate for Payer: UHC Medicare Advantage |
$13,432.73
|
| Rate for Payer: UHCCP DNSP |
$13,432.73
|
| Rate for Payer: VA VA |
$13,432.73
|
|
|
MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$55,464.19
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$33,994.18 |
| Max. Negotiated Rate |
$55,464.19 |
| Rate for Payer: Aetna Medicare |
$35,783.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,729.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,729.19
|
| Rate for Payer: BCBS MAPPO |
$35,783.35
|
| Rate for Payer: BCN Medicare Advantage |
$35,783.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,783.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,783.35
|
| Rate for Payer: Mclaren Medicare |
$35,783.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,572.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,150.85
|
| Rate for Payer: PACE Medicare |
$33,994.18
|
| Rate for Payer: PACE SWMI |
$35,783.35
|
| Rate for Payer: PHP Commercial |
$39,361.68
|
| Rate for Payer: PHP Medicare Advantage |
$35,783.35
|
| Rate for Payer: Priority Health Medicare |
$35,783.35
|
| Rate for Payer: Railroad Medicare Medicare |
$35,783.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,783.35
|
| Rate for Payer: UHC Exchange |
$55,464.19
|
| Rate for Payer: UHC Medicare Advantage |
$35,783.35
|
| Rate for Payer: UHCCP DNSP |
$35,783.35
|
| Rate for Payer: VA VA |
$35,783.35
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$149,887.37
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$91,866.45 |
| Max. Negotiated Rate |
$149,887.37 |
| Rate for Payer: Aetna Medicare |
$96,701.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120,876.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120,876.91
|
| Rate for Payer: BCBS MAPPO |
$96,701.53
|
| Rate for Payer: BCN Medicare Advantage |
$96,701.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96,701.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$96,701.53
|
| Rate for Payer: Mclaren Medicare |
$96,701.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101,536.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111,206.76
|
| Rate for Payer: PACE Medicare |
$91,866.45
|
| Rate for Payer: PACE SWMI |
$96,701.53
|
| Rate for Payer: PHP Commercial |
$106,371.68
|
| Rate for Payer: PHP Medicare Advantage |
$96,701.53
|
| Rate for Payer: Priority Health Medicare |
$96,701.53
|
| Rate for Payer: Railroad Medicare Medicare |
$96,701.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$96,701.53
|
| Rate for Payer: UHC Exchange |
$149,887.37
|
| Rate for Payer: UHC Medicare Advantage |
$96,701.53
|
| Rate for Payer: UHCCP DNSP |
$96,701.53
|
| Rate for Payer: VA VA |
$96,701.53
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$69,665.70
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$42,698.33 |
| Max. Negotiated Rate |
$69,665.70 |
| Rate for Payer: Aetna Medicare |
$44,945.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$56,182.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$56,182.01
|
| Rate for Payer: BCBS MAPPO |
$44,945.61
|
| Rate for Payer: BCN Medicare Advantage |
$44,945.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,945.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,945.61
|
| Rate for Payer: Mclaren Medicare |
$44,945.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47,192.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51,687.45
|
| Rate for Payer: PACE Medicare |
$42,698.33
|
| Rate for Payer: PACE SWMI |
$44,945.61
|
| Rate for Payer: PHP Commercial |
$49,440.17
|
| Rate for Payer: PHP Medicare Advantage |
$44,945.61
|
| Rate for Payer: Priority Health Medicare |
$44,945.61
|
| Rate for Payer: Railroad Medicare Medicare |
$44,945.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,945.61
|
| Rate for Payer: UHC Exchange |
$69,665.70
|
| Rate for Payer: UHC Medicare Advantage |
$44,945.61
|
| Rate for Payer: UHCCP DNSP |
$44,945.61
|
| Rate for Payer: VA VA |
$44,945.61
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
|
IP
|
$29,885.46
|
|
|
Service Code
|
MSDRG 496
|
| Min. Negotiated Rate |
$18,316.89 |
| Max. Negotiated Rate |
$29,885.46 |
| Rate for Payer: Aetna Medicare |
$19,280.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,101.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,101.17
|
| Rate for Payer: BCBS MAPPO |
$19,280.94
|
| Rate for Payer: BCN Medicare Advantage |
$19,280.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,280.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,280.94
|
| Rate for Payer: Mclaren Medicare |
$19,280.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,244.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,173.08
|
| Rate for Payer: PACE Medicare |
$18,316.89
|
| Rate for Payer: PACE SWMI |
$19,280.94
|
| Rate for Payer: PHP Commercial |
$21,209.03
|
| Rate for Payer: PHP Medicare Advantage |
$19,280.94
|
| Rate for Payer: Priority Health Medicare |
$19,280.94
|
| Rate for Payer: Railroad Medicare Medicare |
$19,280.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,280.94
|
| Rate for Payer: UHC Exchange |
$29,885.46
|
| Rate for Payer: UHC Medicare Advantage |
$19,280.94
|
| Rate for Payer: UHCCP DNSP |
$19,280.94
|
| Rate for Payer: VA VA |
$19,280.94
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
|
IP
|
$51,290.06
|
|
|
Service Code
|
MSDRG 495
|
| Min. Negotiated Rate |
$31,435.84 |
| Max. Negotiated Rate |
$51,290.06 |
| Rate for Payer: Aetna Medicare |
$33,090.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,362.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,362.95
|
| Rate for Payer: BCBS MAPPO |
$33,090.36
|
| Rate for Payer: BCN Medicare Advantage |
$33,090.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,090.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,090.36
|
| Rate for Payer: Mclaren Medicare |
$33,090.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,744.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,053.91
|
| Rate for Payer: PACE Medicare |
$31,435.84
|
| Rate for Payer: PACE SWMI |
$33,090.36
|
| Rate for Payer: PHP Commercial |
$36,399.40
|
| Rate for Payer: PHP Medicare Advantage |
$33,090.36
|
| Rate for Payer: Priority Health Medicare |
$33,090.36
|
| Rate for Payer: Railroad Medicare Medicare |
$33,090.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,090.36
|
| Rate for Payer: UHC Exchange |
$51,290.06
|
| Rate for Payer: UHC Medicare Advantage |
$33,090.36
|
| Rate for Payer: UHCCP DNSP |
$33,090.36
|
| Rate for Payer: VA VA |
$33,090.36
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$21,166.49
|
|
|
Service Code
|
MSDRG 497
|
| Min. Negotiated Rate |
$12,973.01 |
| Max. Negotiated Rate |
$21,166.49 |
| Rate for Payer: Aetna Medicare |
$13,655.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,069.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,069.75
|
| Rate for Payer: BCBS MAPPO |
$13,655.80
|
| Rate for Payer: BCN Medicare Advantage |
$13,655.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,655.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,655.80
|
| Rate for Payer: Mclaren Medicare |
$13,655.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,338.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,704.17
|
| Rate for Payer: PACE Medicare |
$12,973.01
|
| Rate for Payer: PACE SWMI |
$13,655.80
|
| Rate for Payer: PHP Commercial |
$15,021.38
|
| Rate for Payer: PHP Medicare Advantage |
$13,655.80
|
| Rate for Payer: Priority Health Medicare |
$13,655.80
|
| Rate for Payer: Railroad Medicare Medicare |
$13,655.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,655.80
|
| Rate for Payer: UHC Exchange |
$21,166.49
|
| Rate for Payer: UHC Medicare Advantage |
$13,655.80
|
| Rate for Payer: UHCCP DNSP |
$13,655.80
|
| Rate for Payer: VA VA |
$13,655.80
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
|
IP
|
$37,518.70
|
|
|
Service Code
|
MSDRG 498
|
| Min. Negotiated Rate |
$22,995.33 |
| Max. Negotiated Rate |
$37,518.70 |
| Rate for Payer: Aetna Medicare |
$24,205.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,257.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,257.01
|
| Rate for Payer: BCBS MAPPO |
$24,205.61
|
| Rate for Payer: BCN Medicare Advantage |
$24,205.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,205.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,205.61
|
| Rate for Payer: Mclaren Medicare |
$24,205.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,415.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,836.45
|
| Rate for Payer: PACE Medicare |
$22,995.33
|
| Rate for Payer: PACE SWMI |
$24,205.61
|
| Rate for Payer: PHP Commercial |
$26,626.17
|
| Rate for Payer: PHP Medicare Advantage |
$24,205.61
|
| Rate for Payer: Priority Health Medicare |
$24,205.61
|
| Rate for Payer: Railroad Medicare Medicare |
$24,205.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,205.61
|
| Rate for Payer: UHC Exchange |
$37,518.70
|
| Rate for Payer: UHC Medicare Advantage |
$24,205.61
|
| Rate for Payer: UHCCP DNSP |
$24,205.61
|
| Rate for Payer: VA VA |
$24,205.61
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$18,652.05
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$11,431.90 |
| Max. Negotiated Rate |
$18,652.05 |
| Rate for Payer: Aetna Medicare |
$12,033.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,041.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,041.98
|
| Rate for Payer: BCBS MAPPO |
$12,033.58
|
| Rate for Payer: BCN Medicare Advantage |
$12,033.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,033.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,033.58
|
| Rate for Payer: Mclaren Medicare |
$12,033.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,635.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,838.62
|
| Rate for Payer: PACE Medicare |
$11,431.90
|
| Rate for Payer: PACE SWMI |
$12,033.58
|
| Rate for Payer: PHP Commercial |
$13,236.94
|
| Rate for Payer: PHP Medicare Advantage |
$12,033.58
|
| Rate for Payer: Priority Health Medicare |
$12,033.58
|
| Rate for Payer: Railroad Medicare Medicare |
$12,033.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,033.58
|
| Rate for Payer: UHC Exchange |
$18,652.05
|
| Rate for Payer: UHC Medicare Advantage |
$12,033.58
|
| Rate for Payer: UHCCP DNSP |
$12,033.58
|
| Rate for Payer: VA VA |
$12,033.58
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$35,805.05
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$21,945.03 |
| Max. Negotiated Rate |
$35,805.05 |
| Rate for Payer: Aetna Medicare |
$23,100.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,875.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,875.04
|
| Rate for Payer: BCBS MAPPO |
$23,100.03
|
| Rate for Payer: BCN Medicare Advantage |
$23,100.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23,100.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$23,100.03
|
| Rate for Payer: Mclaren Medicare |
$23,100.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,255.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,565.03
|
| Rate for Payer: PACE Medicare |
$21,945.03
|
| Rate for Payer: PACE SWMI |
$23,100.03
|
| Rate for Payer: PHP Commercial |
$25,410.03
|
| Rate for Payer: PHP Medicare Advantage |
$23,100.03
|
| Rate for Payer: Priority Health Medicare |
$23,100.03
|
| Rate for Payer: Railroad Medicare Medicare |
$23,100.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$23,100.03
|
| Rate for Payer: UHC Exchange |
$35,805.05
|
| Rate for Payer: UHC Medicare Advantage |
$23,100.03
|
| Rate for Payer: UHCCP DNSP |
$23,100.03
|
| Rate for Payer: VA VA |
$23,100.03
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$51,713.27
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$31,695.23 |
| Max. Negotiated Rate |
$51,713.27 |
| Rate for Payer: Aetna Medicare |
$33,363.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,704.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,704.25
|
| Rate for Payer: BCBS MAPPO |
$33,363.40
|
| Rate for Payer: BCN Medicare Advantage |
$33,363.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,363.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,363.40
|
| Rate for Payer: Mclaren Medicare |
$33,363.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,031.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,367.91
|
| Rate for Payer: PACE Medicare |
$31,695.23
|
| Rate for Payer: PACE SWMI |
$33,363.40
|
| Rate for Payer: PHP Commercial |
$36,699.74
|
| Rate for Payer: PHP Medicare Advantage |
$33,363.40
|
| Rate for Payer: Priority Health Medicare |
$33,363.40
|
| Rate for Payer: Railroad Medicare Medicare |
$33,363.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,363.40
|
| Rate for Payer: UHC Exchange |
$51,713.27
|
| Rate for Payer: UHC Medicare Advantage |
$33,363.40
|
| Rate for Payer: UHCCP DNSP |
$33,363.40
|
| Rate for Payer: VA VA |
$33,363.40
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$28,673.88
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$17,574.32 |
| Max. Negotiated Rate |
$28,673.88 |
| Rate for Payer: Aetna Medicare |
$18,499.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,124.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,124.10
|
| Rate for Payer: BCBS MAPPO |
$18,499.28
|
| Rate for Payer: BCN Medicare Advantage |
$18,499.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,499.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,499.28
|
| Rate for Payer: Mclaren Medicare |
$18,499.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,424.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,274.17
|
| Rate for Payer: PACE Medicare |
$17,574.32
|
| Rate for Payer: PACE SWMI |
$18,499.28
|
| Rate for Payer: PHP Commercial |
$20,349.21
|
| Rate for Payer: PHP Medicare Advantage |
$18,499.28
|
| Rate for Payer: Priority Health Medicare |
$18,499.28
|
| Rate for Payer: Railroad Medicare Medicare |
$18,499.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,499.28
|
| Rate for Payer: UHC Exchange |
$28,673.88
|
| Rate for Payer: UHC Medicare Advantage |
$18,499.28
|
| Rate for Payer: UHCCP DNSP |
$18,499.28
|
| Rate for Payer: VA VA |
$18,499.28
|
|
