|
MS-DRG 42.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$183,349.70
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$112,375.62 |
| Max. Negotiated Rate |
$183,349.70 |
| Rate for Payer: Aetna Medicare |
$118,290.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$147,862.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$147,862.66
|
| Rate for Payer: BCBS MAPPO |
$118,290.13
|
| Rate for Payer: BCN Medicare Advantage |
$118,290.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118,290.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$118,290.13
|
| Rate for Payer: Mclaren Medicare |
$118,290.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124,204.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136,033.65
|
| Rate for Payer: PACE Medicare |
$112,375.62
|
| Rate for Payer: PACE SWMI |
$118,290.13
|
| Rate for Payer: PHP Commercial |
$130,119.14
|
| Rate for Payer: PHP Medicare Advantage |
$118,290.13
|
| Rate for Payer: Priority Health Medicare |
$118,290.13
|
| Rate for Payer: Railroad Medicare Medicare |
$118,290.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$118,290.13
|
| Rate for Payer: UHC Exchange |
$183,349.70
|
| Rate for Payer: UHC Medicare Advantage |
$118,290.13
|
| Rate for Payer: UHCCP DNSP |
$118,290.13
|
| Rate for Payer: VA VA |
$118,290.13
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,473.16
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$20,515.81 |
| Max. Negotiated Rate |
$33,473.16 |
| Rate for Payer: Aetna Medicare |
$21,595.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,994.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,994.49
|
| Rate for Payer: BCBS MAPPO |
$21,595.59
|
| Rate for Payer: BCN Medicare Advantage |
$21,595.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,595.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,595.59
|
| Rate for Payer: Mclaren Medicare |
$21,595.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,675.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,834.93
|
| Rate for Payer: PACE Medicare |
$20,515.81
|
| Rate for Payer: PACE SWMI |
$21,595.59
|
| Rate for Payer: PHP Commercial |
$23,755.15
|
| Rate for Payer: PHP Medicare Advantage |
$21,595.59
|
| Rate for Payer: Priority Health Medicare |
$21,595.59
|
| Rate for Payer: Railroad Medicare Medicare |
$21,595.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,595.59
|
| Rate for Payer: UHC Exchange |
$33,473.16
|
| Rate for Payer: UHC Medicare Advantage |
$21,595.59
|
| Rate for Payer: UHCCP DNSP |
$21,595.59
|
| Rate for Payer: VA VA |
$21,595.59
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$83,124.49
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$50,947.26 |
| Max. Negotiated Rate |
$83,124.49 |
| Rate for Payer: Aetna Medicare |
$53,628.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$67,035.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$67,035.88
|
| Rate for Payer: BCBS MAPPO |
$53,628.70
|
| Rate for Payer: BCN Medicare Advantage |
$53,628.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53,628.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$53,628.70
|
| Rate for Payer: Mclaren Medicare |
$53,628.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56,310.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$61,673.00
|
| Rate for Payer: PACE Medicare |
$50,947.26
|
| Rate for Payer: PACE SWMI |
$53,628.70
|
| Rate for Payer: PHP Commercial |
$58,991.57
|
| Rate for Payer: PHP Medicare Advantage |
$53,628.70
|
| Rate for Payer: Priority Health Medicare |
$53,628.70
|
| Rate for Payer: Railroad Medicare Medicare |
$53,628.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$53,628.70
|
| Rate for Payer: UHC Exchange |
$83,124.49
|
| Rate for Payer: UHC Medicare Advantage |
$53,628.70
|
| Rate for Payer: UHCCP DNSP |
$53,628.70
|
| Rate for Payer: VA VA |
$53,628.70
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,415.55
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$11,286.95 |
| Max. Negotiated Rate |
$18,415.55 |
| Rate for Payer: Aetna Medicare |
$11,881.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,851.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,851.25
|
| Rate for Payer: BCBS MAPPO |
$11,881.00
|
| Rate for Payer: BCN Medicare Advantage |
$11,881.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,881.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,881.00
|
| Rate for Payer: Mclaren Medicare |
$11,881.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,475.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,663.15
|
| Rate for Payer: PACE Medicare |
$11,286.95
|
| Rate for Payer: PACE SWMI |
$11,881.00
|
| Rate for Payer: PHP Commercial |
$13,069.10
|
| Rate for Payer: PHP Medicare Advantage |
$11,881.00
|
| Rate for Payer: Priority Health Medicare |
$11,881.00
|
| Rate for Payer: Railroad Medicare Medicare |
$11,881.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,881.00
|
| Rate for Payer: UHC Exchange |
$18,415.55
|
| Rate for Payer: UHC Medicare Advantage |
$11,881.00
|
| Rate for Payer: UHCCP DNSP |
$11,881.00
|
| Rate for Payer: VA VA |
$11,881.00
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$24,283.97
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$14,883.73 |
| Max. Negotiated Rate |
$24,283.97 |
| Rate for Payer: Aetna Medicare |
$15,667.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,583.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,583.85
|
| Rate for Payer: BCBS MAPPO |
$15,667.08
|
| Rate for Payer: BCN Medicare Advantage |
$15,667.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,667.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,667.08
|
| Rate for Payer: Mclaren Medicare |
$15,667.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,450.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,017.14
|
| Rate for Payer: PACE Medicare |
$14,883.73
|
| Rate for Payer: PACE SWMI |
$15,667.08
|
| Rate for Payer: PHP Commercial |
$17,233.79
|
| Rate for Payer: PHP Medicare Advantage |
$15,667.08
|
| Rate for Payer: Priority Health Medicare |
$15,667.08
|
| Rate for Payer: Railroad Medicare Medicare |
$15,667.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,667.08
|
| Rate for Payer: UHC Exchange |
$24,283.97
|
| Rate for Payer: UHC Medicare Advantage |
$15,667.08
|
| Rate for Payer: UHCCP DNSP |
$15,667.08
|
| Rate for Payer: VA VA |
$15,667.08
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$46,703.75
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$28,624.88 |
| Max. Negotiated Rate |
$46,703.75 |
| Rate for Payer: Aetna Medicare |
$30,131.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,664.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,664.31
|
| Rate for Payer: BCBS MAPPO |
$30,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$30,131.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,131.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$30,131.45
|
| Rate for Payer: Mclaren Medicare |
$30,131.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,638.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,651.17
|
| Rate for Payer: PACE Medicare |
$28,624.88
|
| Rate for Payer: PACE SWMI |
$30,131.45
|
| Rate for Payer: PHP Commercial |
$33,144.60
|
| Rate for Payer: PHP Medicare Advantage |
$30,131.45
|
| Rate for Payer: Priority Health Medicare |
$30,131.45
|
| Rate for Payer: Railroad Medicare Medicare |
$30,131.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$30,131.45
|
| Rate for Payer: UHC Exchange |
$46,703.75
|
| Rate for Payer: UHC Medicare Advantage |
$30,131.45
|
| Rate for Payer: UHCCP DNSP |
$30,131.45
|
| Rate for Payer: VA VA |
$30,131.45
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$33,016.75
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$20,236.07 |
| Max. Negotiated Rate |
$33,016.75 |
| Rate for Payer: Aetna Medicare |
$21,301.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,626.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,626.41
|
| Rate for Payer: BCBS MAPPO |
$21,301.13
|
| Rate for Payer: BCN Medicare Advantage |
$21,301.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,301.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,301.13
|
| Rate for Payer: Mclaren Medicare |
$21,301.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,366.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,496.30
|
| Rate for Payer: PACE Medicare |
$20,236.07
|
| Rate for Payer: PACE SWMI |
$21,301.13
|
| Rate for Payer: PHP Commercial |
$23,431.24
|
| Rate for Payer: PHP Medicare Advantage |
$21,301.13
|
| Rate for Payer: Priority Health Medicare |
$21,301.13
|
| Rate for Payer: Railroad Medicare Medicare |
$21,301.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,301.13
|
| Rate for Payer: UHC Exchange |
$33,016.75
|
| Rate for Payer: UHC Medicare Advantage |
$21,301.13
|
| Rate for Payer: UHCCP DNSP |
$21,301.13
|
| Rate for Payer: VA VA |
$21,301.13
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$67,318.61
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$41,259.79 |
| Max. Negotiated Rate |
$67,318.61 |
| Rate for Payer: Aetna Medicare |
$43,431.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54,289.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54,289.20
|
| Rate for Payer: BCBS MAPPO |
$43,431.36
|
| Rate for Payer: BCN Medicare Advantage |
$43,431.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43,431.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$43,431.36
|
| Rate for Payer: Mclaren Medicare |
$43,431.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45,602.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,946.06
|
| Rate for Payer: PACE Medicare |
$41,259.79
|
| Rate for Payer: PACE SWMI |
$43,431.36
|
| Rate for Payer: PHP Commercial |
$47,774.50
|
| Rate for Payer: PHP Medicare Advantage |
$43,431.36
|
| Rate for Payer: Priority Health Medicare |
$43,431.36
|
| Rate for Payer: Railroad Medicare Medicare |
$43,431.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$43,431.36
|
| Rate for Payer: UHC Exchange |
$67,318.61
|
| Rate for Payer: UHC Medicare Advantage |
$43,431.36
|
| Rate for Payer: UHCCP DNSP |
$43,431.36
|
| Rate for Payer: VA VA |
$43,431.36
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,620.19
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$12,025.28 |
| Max. Negotiated Rate |
$19,620.19 |
| Rate for Payer: Aetna Medicare |
$12,658.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,822.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,822.74
|
| Rate for Payer: BCBS MAPPO |
$12,658.19
|
| Rate for Payer: BCN Medicare Advantage |
$12,658.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,658.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,658.19
|
| Rate for Payer: Mclaren Medicare |
$12,658.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,291.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,556.92
|
| Rate for Payer: PACE Medicare |
$12,025.28
|
| Rate for Payer: PACE SWMI |
$12,658.19
|
| Rate for Payer: PHP Commercial |
$13,924.01
|
| Rate for Payer: PHP Medicare Advantage |
$12,658.19
|
| Rate for Payer: Priority Health Medicare |
$12,658.19
|
| Rate for Payer: Railroad Medicare Medicare |
$12,658.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,658.19
|
| Rate for Payer: UHC Exchange |
$19,620.19
|
| Rate for Payer: UHC Medicare Advantage |
$12,658.19
|
| Rate for Payer: UHCCP DNSP |
$12,658.19
|
| Rate for Payer: VA VA |
$12,658.19
|
|
|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$17,145.85
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$10,508.75 |
| Max. Negotiated Rate |
$17,145.85 |
| Rate for Payer: Aetna Medicare |
$11,061.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,827.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,827.30
|
| Rate for Payer: BCBS MAPPO |
$11,061.84
|
| Rate for Payer: BCN Medicare Advantage |
$11,061.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,061.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,061.84
|
| Rate for Payer: Mclaren Medicare |
$11,061.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,614.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,721.12
|
| Rate for Payer: PACE Medicare |
$10,508.75
|
| Rate for Payer: PACE SWMI |
$11,061.84
|
| Rate for Payer: PHP Commercial |
$12,168.02
|
| Rate for Payer: PHP Medicare Advantage |
$11,061.84
|
| Rate for Payer: Priority Health Medicare |
$11,061.84
|
| Rate for Payer: Railroad Medicare Medicare |
$11,061.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,061.84
|
| Rate for Payer: UHC Exchange |
$17,145.85
|
| Rate for Payer: UHC Medicare Advantage |
$11,061.84
|
| Rate for Payer: UHCCP DNSP |
$11,061.84
|
| Rate for Payer: VA VA |
$11,061.84
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$41,629.20
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$25,514.67 |
| Max. Negotiated Rate |
$41,629.20 |
| Rate for Payer: Aetna Medicare |
$26,857.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,571.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,571.94
|
| Rate for Payer: BCBS MAPPO |
$26,857.55
|
| Rate for Payer: BCN Medicare Advantage |
$26,857.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,857.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,857.55
|
| Rate for Payer: Mclaren Medicare |
$26,857.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,200.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30,886.18
|
| Rate for Payer: PACE Medicare |
$25,514.67
|
| Rate for Payer: PACE SWMI |
$26,857.55
|
| Rate for Payer: PHP Commercial |
$29,543.31
|
| Rate for Payer: PHP Medicare Advantage |
$26,857.55
|
| Rate for Payer: Priority Health Medicare |
$26,857.55
|
| Rate for Payer: Railroad Medicare Medicare |
$26,857.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,857.55
|
| Rate for Payer: UHC Exchange |
$41,629.20
|
| Rate for Payer: UHC Medicare Advantage |
$26,857.55
|
| Rate for Payer: UHCCP DNSP |
$26,857.55
|
| Rate for Payer: VA VA |
$26,857.55
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$79,698.60
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$48,847.53 |
| Max. Negotiated Rate |
$79,698.60 |
| Rate for Payer: Aetna Medicare |
$51,418.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64,273.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64,273.06
|
| Rate for Payer: BCBS MAPPO |
$51,418.45
|
| Rate for Payer: BCN Medicare Advantage |
$51,418.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51,418.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$51,418.45
|
| Rate for Payer: Mclaren Medicare |
$51,418.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,989.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$59,131.22
|
| Rate for Payer: PACE Medicare |
$48,847.53
|
| Rate for Payer: PACE SWMI |
$51,418.45
|
| Rate for Payer: PHP Commercial |
$56,560.29
|
| Rate for Payer: PHP Medicare Advantage |
$51,418.45
|
| Rate for Payer: Priority Health Medicare |
$51,418.45
|
| Rate for Payer: Railroad Medicare Medicare |
$51,418.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$51,418.45
|
| Rate for Payer: UHC Exchange |
$79,698.60
|
| Rate for Payer: UHC Medicare Advantage |
$51,418.45
|
| Rate for Payer: UHCCP DNSP |
$51,418.45
|
| Rate for Payer: VA VA |
$51,418.45
|
|
|
MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,328.03
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$19,201.05 |
| Max. Negotiated Rate |
$31,328.03 |
| Rate for Payer: Aetna Medicare |
$20,211.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,264.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,264.54
|
| Rate for Payer: BCBS MAPPO |
$20,211.63
|
| Rate for Payer: BCN Medicare Advantage |
$20,211.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,211.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,211.63
|
| Rate for Payer: Mclaren Medicare |
$20,211.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,222.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,243.37
|
| Rate for Payer: PACE Medicare |
$19,201.05
|
| Rate for Payer: PACE SWMI |
$20,211.63
|
| Rate for Payer: PHP Commercial |
$22,232.79
|
| Rate for Payer: PHP Medicare Advantage |
$20,211.63
|
| Rate for Payer: Priority Health Medicare |
$20,211.63
|
| Rate for Payer: Railroad Medicare Medicare |
$20,211.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,211.63
|
| Rate for Payer: UHC Exchange |
$31,328.03
|
| Rate for Payer: UHC Medicare Advantage |
$20,211.63
|
| Rate for Payer: UHCCP DNSP |
$20,211.63
|
| Rate for Payer: VA VA |
$20,211.63
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$37,409.40
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$22,928.35 |
| Max. Negotiated Rate |
$37,409.40 |
| Rate for Payer: Aetna Medicare |
$24,135.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,168.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,168.88
|
| Rate for Payer: BCBS MAPPO |
$24,135.10
|
| Rate for Payer: BCN Medicare Advantage |
$24,135.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,135.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,135.10
|
| Rate for Payer: Mclaren Medicare |
$24,135.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,341.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,755.37
|
| Rate for Payer: PACE Medicare |
$22,928.35
|
| Rate for Payer: PACE SWMI |
$24,135.10
|
| Rate for Payer: PHP Commercial |
$26,548.61
|
| Rate for Payer: PHP Medicare Advantage |
$24,135.10
|
| Rate for Payer: Priority Health Medicare |
$24,135.10
|
| Rate for Payer: Railroad Medicare Medicare |
$24,135.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,135.10
|
| Rate for Payer: UHC Exchange |
$37,409.40
|
| Rate for Payer: UHC Medicare Advantage |
$24,135.10
|
| Rate for Payer: UHCCP DNSP |
$24,135.10
|
| Rate for Payer: VA VA |
$24,135.10
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$66,346.32
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$40,663.88 |
| Max. Negotiated Rate |
$66,346.32 |
| Rate for Payer: Aetna Medicare |
$42,804.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53,505.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53,505.10
|
| Rate for Payer: BCBS MAPPO |
$42,804.08
|
| Rate for Payer: BCN Medicare Advantage |
$42,804.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42,804.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$42,804.08
|
| Rate for Payer: Mclaren Medicare |
$42,804.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44,944.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49,224.69
|
| Rate for Payer: PACE Medicare |
$40,663.88
|
| Rate for Payer: PACE SWMI |
$42,804.08
|
| Rate for Payer: PHP Commercial |
$47,084.49
|
| Rate for Payer: PHP Medicare Advantage |
$42,804.08
|
| Rate for Payer: Priority Health Medicare |
$42,804.08
|
| Rate for Payer: Railroad Medicare Medicare |
$42,804.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$42,804.08
|
| Rate for Payer: UHC Exchange |
$66,346.32
|
| Rate for Payer: UHC Medicare Advantage |
$42,804.08
|
| Rate for Payer: UHCCP DNSP |
$42,804.08
|
| Rate for Payer: VA VA |
$42,804.08
|
|
|
MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,377.88
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$17,392.89 |
| Max. Negotiated Rate |
$28,377.88 |
| Rate for Payer: Aetna Medicare |
$18,308.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,885.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,885.39
|
| Rate for Payer: BCBS MAPPO |
$18,308.31
|
| Rate for Payer: BCN Medicare Advantage |
$18,308.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,308.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,308.31
|
| Rate for Payer: Mclaren Medicare |
$18,308.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,223.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,054.56
|
| Rate for Payer: PACE Medicare |
$17,392.89
|
| Rate for Payer: PACE SWMI |
$18,308.31
|
| Rate for Payer: PHP Commercial |
$20,139.14
|
| Rate for Payer: PHP Medicare Advantage |
$18,308.31
|
| Rate for Payer: Priority Health Medicare |
$18,308.31
|
| Rate for Payer: Railroad Medicare Medicare |
$18,308.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,308.31
|
| Rate for Payer: UHC Exchange |
$28,377.88
|
| Rate for Payer: UHC Medicare Advantage |
$18,308.31
|
| Rate for Payer: UHCCP DNSP |
$18,308.31
|
| Rate for Payer: VA VA |
$18,308.31
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$17,369.94
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$10,646.09 |
| Max. Negotiated Rate |
$17,369.94 |
| Rate for Payer: Aetna Medicare |
$11,206.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,008.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,008.01
|
| Rate for Payer: BCBS MAPPO |
$11,206.41
|
| Rate for Payer: BCN Medicare Advantage |
$11,206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,206.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,206.41
|
| Rate for Payer: Mclaren Medicare |
$11,206.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,766.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,887.37
|
| Rate for Payer: PACE Medicare |
$10,646.09
|
| Rate for Payer: PACE SWMI |
$11,206.41
|
| Rate for Payer: PHP Commercial |
$12,327.05
|
| Rate for Payer: PHP Medicare Advantage |
$11,206.41
|
| Rate for Payer: Priority Health Medicare |
$11,206.41
|
| Rate for Payer: Railroad Medicare Medicare |
$11,206.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,206.41
|
| Rate for Payer: UHC Exchange |
$17,369.94
|
| Rate for Payer: UHC Medicare Advantage |
$11,206.41
|
| Rate for Payer: UHCCP DNSP |
$11,206.41
|
| Rate for Payer: VA VA |
$11,206.41
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$24,550.90
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$15,047.33 |
| Max. Negotiated Rate |
$24,550.90 |
| Rate for Payer: Aetna Medicare |
$15,839.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,799.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,799.11
|
| Rate for Payer: BCBS MAPPO |
$15,839.29
|
| Rate for Payer: BCN Medicare Advantage |
$15,839.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,839.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,839.29
|
| Rate for Payer: Mclaren Medicare |
$15,839.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,631.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,215.18
|
| Rate for Payer: PACE Medicare |
$15,047.33
|
| Rate for Payer: PACE SWMI |
$15,839.29
|
| Rate for Payer: PHP Commercial |
$17,423.22
|
| Rate for Payer: PHP Medicare Advantage |
$15,839.29
|
| Rate for Payer: Priority Health Medicare |
$15,839.29
|
| Rate for Payer: Railroad Medicare Medicare |
$15,839.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,839.29
|
| Rate for Payer: UHC Exchange |
$24,550.90
|
| Rate for Payer: UHC Medicare Advantage |
$15,839.29
|
| Rate for Payer: UHCCP DNSP |
$15,839.29
|
| Rate for Payer: VA VA |
$15,839.29
|
|
|
MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$13,353.45
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$8,184.37 |
| Max. Negotiated Rate |
$13,353.45 |
| Rate for Payer: Aetna Medicare |
$8,615.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,768.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,768.91
|
| Rate for Payer: BCBS MAPPO |
$8,615.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,615.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,615.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,615.13
|
| Rate for Payer: Mclaren Medicare |
$8,615.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,045.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,907.40
|
| Rate for Payer: PACE Medicare |
$8,184.37
|
| Rate for Payer: PACE SWMI |
$8,615.13
|
| Rate for Payer: PHP Commercial |
$9,476.64
|
| Rate for Payer: PHP Medicare Advantage |
$8,615.13
|
| Rate for Payer: Priority Health Medicare |
$8,615.13
|
| Rate for Payer: Railroad Medicare Medicare |
$8,615.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,615.13
|
| Rate for Payer: UHC Exchange |
$13,353.45
|
| Rate for Payer: UHC Medicare Advantage |
$8,615.13
|
| Rate for Payer: UHCCP DNSP |
$8,615.13
|
| Rate for Payer: VA VA |
$8,615.13
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$16,671.46
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$10,217.99 |
| Max. Negotiated Rate |
$16,671.46 |
| Rate for Payer: Aetna Medicare |
$10,755.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,444.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,444.73
|
| Rate for Payer: BCBS MAPPO |
$10,755.78
|
| Rate for Payer: BCN Medicare Advantage |
$10,755.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,755.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,755.78
|
| Rate for Payer: Mclaren Medicare |
$10,755.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,293.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,369.15
|
| Rate for Payer: PACE Medicare |
$10,217.99
|
| Rate for Payer: PACE SWMI |
$10,755.78
|
| Rate for Payer: PHP Commercial |
$11,831.36
|
| Rate for Payer: PHP Medicare Advantage |
$10,755.78
|
| Rate for Payer: Priority Health Medicare |
$10,755.78
|
| Rate for Payer: Railroad Medicare Medicare |
$10,755.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,755.78
|
| Rate for Payer: UHC Exchange |
$16,671.46
|
| Rate for Payer: UHC Medicare Advantage |
$10,755.78
|
| Rate for Payer: UHCCP DNSP |
$10,755.78
|
| Rate for Payer: VA VA |
$10,755.78
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$25,694.71
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$15,748.37 |
| Max. Negotiated Rate |
$25,694.71 |
| Rate for Payer: Aetna Medicare |
$16,577.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,721.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,721.54
|
| Rate for Payer: BCBS MAPPO |
$16,577.23
|
| Rate for Payer: BCN Medicare Advantage |
$16,577.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,577.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,577.23
|
| Rate for Payer: Mclaren Medicare |
$16,577.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,406.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,063.81
|
| Rate for Payer: PACE Medicare |
$15,748.37
|
| Rate for Payer: PACE SWMI |
$16,577.23
|
| Rate for Payer: PHP Commercial |
$18,234.95
|
| Rate for Payer: PHP Medicare Advantage |
$16,577.23
|
| Rate for Payer: Priority Health Medicare |
$16,577.23
|
| Rate for Payer: Railroad Medicare Medicare |
$16,577.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,577.23
|
| Rate for Payer: UHC Exchange |
$25,694.71
|
| Rate for Payer: UHC Medicare Advantage |
$16,577.23
|
| Rate for Payer: UHCCP DNSP |
$16,577.23
|
| Rate for Payer: VA VA |
$16,577.23
|
|
|
MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,251.12
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$7,508.75 |
| Max. Negotiated Rate |
$12,251.12 |
| Rate for Payer: Aetna Medicare |
$7,903.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,879.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,879.94
|
| Rate for Payer: BCBS MAPPO |
$7,903.95
|
| Rate for Payer: BCN Medicare Advantage |
$7,903.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,903.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,903.95
|
| Rate for Payer: Mclaren Medicare |
$7,903.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,299.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,089.54
|
| Rate for Payer: PACE Medicare |
$7,508.75
|
| Rate for Payer: PACE SWMI |
$7,903.95
|
| Rate for Payer: PHP Commercial |
$8,694.34
|
| Rate for Payer: PHP Medicare Advantage |
$7,903.95
|
| Rate for Payer: Priority Health Medicare |
$7,903.95
|
| Rate for Payer: Railroad Medicare Medicare |
$7,903.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,903.95
|
| Rate for Payer: UHC Exchange |
$12,251.12
|
| Rate for Payer: UHC Medicare Advantage |
$7,903.95
|
| Rate for Payer: UHCCP DNSP |
$7,903.95
|
| Rate for Payer: VA VA |
$7,903.95
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$16,833.29
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$10,317.18 |
| Max. Negotiated Rate |
$16,833.29 |
| Rate for Payer: Aetna Medicare |
$10,860.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,575.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,575.24
|
| Rate for Payer: BCBS MAPPO |
$10,860.19
|
| Rate for Payer: BCN Medicare Advantage |
$10,860.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,860.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,860.19
|
| Rate for Payer: Mclaren Medicare |
$10,860.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,403.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,489.22
|
| Rate for Payer: PACE Medicare |
$10,317.18
|
| Rate for Payer: PACE SWMI |
$10,860.19
|
| Rate for Payer: PHP Commercial |
$11,946.21
|
| Rate for Payer: PHP Medicare Advantage |
$10,860.19
|
| Rate for Payer: Priority Health Medicare |
$10,860.19
|
| Rate for Payer: Railroad Medicare Medicare |
$10,860.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,860.19
|
| Rate for Payer: UHC Exchange |
$16,833.29
|
| Rate for Payer: UHC Medicare Advantage |
$10,860.19
|
| Rate for Payer: UHCCP DNSP |
$10,860.19
|
| Rate for Payer: VA VA |
$10,860.19
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$26,773.51
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$16,409.57 |
| Max. Negotiated Rate |
$26,773.51 |
| Rate for Payer: Aetna Medicare |
$17,273.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,591.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,591.54
|
| Rate for Payer: BCBS MAPPO |
$17,273.23
|
| Rate for Payer: BCN Medicare Advantage |
$17,273.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,273.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,273.23
|
| Rate for Payer: Mclaren Medicare |
$17,273.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,136.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,864.21
|
| Rate for Payer: PACE Medicare |
$16,409.57
|
| Rate for Payer: PACE SWMI |
$17,273.23
|
| Rate for Payer: PHP Commercial |
$19,000.55
|
| Rate for Payer: PHP Medicare Advantage |
$17,273.23
|
| Rate for Payer: Priority Health Medicare |
$17,273.23
|
| Rate for Payer: Railroad Medicare Medicare |
$17,273.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,273.23
|
| Rate for Payer: UHC Exchange |
$26,773.51
|
| Rate for Payer: UHC Medicare Advantage |
$17,273.23
|
| Rate for Payer: UHCCP DNSP |
$17,273.23
|
| Rate for Payer: VA VA |
$17,273.23
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,630.10
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$7,741.03 |
| Max. Negotiated Rate |
$12,630.10 |
| Rate for Payer: Aetna Medicare |
$8,148.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,185.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,185.56
|
| Rate for Payer: BCBS MAPPO |
$8,148.45
|
| Rate for Payer: BCN Medicare Advantage |
$8,148.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,148.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,148.45
|
| Rate for Payer: Mclaren Medicare |
$8,148.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,555.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,370.72
|
| Rate for Payer: PACE Medicare |
$7,741.03
|
| Rate for Payer: PACE SWMI |
$8,148.45
|
| Rate for Payer: PHP Commercial |
$8,963.30
|
| Rate for Payer: PHP Medicare Advantage |
$8,148.45
|
| Rate for Payer: Priority Health Medicare |
$8,148.45
|
| Rate for Payer: Railroad Medicare Medicare |
$8,148.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,148.45
|
| Rate for Payer: UHC Exchange |
$12,630.10
|
| Rate for Payer: UHC Medicare Advantage |
$8,148.45
|
| Rate for Payer: UHCCP DNSP |
$8,148.45
|
| Rate for Payer: VA VA |
$8,148.45
|
|
