|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$147,480.80
|
|
|
Service Code
|
MSDRG 426
|
| Min. Negotiated Rate |
$90,391.46 |
| Max. Negotiated Rate |
$147,480.80 |
| Rate for Payer: Aetna Medicare |
$95,148.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118,936.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118,936.12
|
| Rate for Payer: BCBS MAPPO |
$95,148.90
|
| Rate for Payer: BCN Medicare Advantage |
$95,148.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95,148.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$95,148.90
|
| Rate for Payer: Mclaren Medicare |
$95,148.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99,906.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109,421.24
|
| Rate for Payer: PACE Medicare |
$90,391.46
|
| Rate for Payer: PACE SWMI |
$95,148.90
|
| Rate for Payer: PHP Commercial |
$104,663.79
|
| Rate for Payer: PHP Medicare Advantage |
$95,148.90
|
| Rate for Payer: Priority Health Medicare |
$95,148.90
|
| Rate for Payer: Railroad Medicare Medicare |
$95,148.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$95,148.90
|
| Rate for Payer: UHC Exchange |
$147,480.80
|
| Rate for Payer: UHC Medicare Advantage |
$95,148.90
|
| Rate for Payer: UHCCP DNSP |
$95,148.90
|
| Rate for Payer: VA VA |
$95,148.90
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
|
Facility
|
IP
|
$78,723.54
|
|
|
Service Code
|
MSDRG 428
|
| Min. Negotiated Rate |
$48,249.91 |
| Max. Negotiated Rate |
$78,723.54 |
| Rate for Payer: Aetna Medicare |
$50,789.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$63,486.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$63,486.72
|
| Rate for Payer: BCBS MAPPO |
$50,789.38
|
| Rate for Payer: BCN Medicare Advantage |
$50,789.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50,789.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$50,789.38
|
| Rate for Payer: Mclaren Medicare |
$50,789.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53,328.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58,407.79
|
| Rate for Payer: PACE Medicare |
$48,249.91
|
| Rate for Payer: PACE SWMI |
$50,789.38
|
| Rate for Payer: PHP Commercial |
$55,868.32
|
| Rate for Payer: PHP Medicare Advantage |
$50,789.38
|
| Rate for Payer: Priority Health Medicare |
$50,789.38
|
| Rate for Payer: Railroad Medicare Medicare |
$50,789.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$50,789.38
|
| Rate for Payer: UHC Exchange |
$78,723.54
|
| Rate for Payer: UHC Medicare Advantage |
$50,789.38
|
| Rate for Payer: UHCCP DNSP |
$50,789.38
|
| Rate for Payer: VA VA |
$50,789.38
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
|
Facility
|
IP
|
$95,328.84
|
|
|
Service Code
|
MSDRG 447
|
| Min. Negotiated Rate |
$58,427.36 |
| Max. Negotiated Rate |
$95,328.84 |
| Rate for Payer: Aetna Medicare |
$61,502.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76,878.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76,878.10
|
| Rate for Payer: BCBS MAPPO |
$61,502.48
|
| Rate for Payer: BCN Medicare Advantage |
$61,502.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61,502.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$61,502.48
|
| Rate for Payer: Mclaren Medicare |
$61,502.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64,577.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70,727.85
|
| Rate for Payer: PACE Medicare |
$58,427.36
|
| Rate for Payer: PACE SWMI |
$61,502.48
|
| Rate for Payer: PHP Commercial |
$67,652.73
|
| Rate for Payer: PHP Medicare Advantage |
$61,502.48
|
| Rate for Payer: Priority Health Medicare |
$61,502.48
|
| Rate for Payer: Railroad Medicare Medicare |
$61,502.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$61,502.48
|
| Rate for Payer: UHC Exchange |
$95,328.84
|
| Rate for Payer: UHC Medicare Advantage |
$61,502.48
|
| Rate for Payer: UHCCP DNSP |
$61,502.48
|
| Rate for Payer: VA VA |
$61,502.48
|
|
|
MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
|
IP
|
$59,075.44
|
|
|
Service Code
|
MSDRG 448
|
| Min. Negotiated Rate |
$36,207.53 |
| Max. Negotiated Rate |
$59,075.44 |
| Rate for Payer: Aetna Medicare |
$38,113.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,641.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,641.49
|
| Rate for Payer: BCBS MAPPO |
$38,113.19
|
| Rate for Payer: BCN Medicare Advantage |
$38,113.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38,113.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$38,113.19
|
| Rate for Payer: Mclaren Medicare |
$38,113.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40,018.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,830.17
|
| Rate for Payer: PACE Medicare |
$36,207.53
|
| Rate for Payer: PACE SWMI |
$38,113.19
|
| Rate for Payer: PHP Commercial |
$41,924.51
|
| Rate for Payer: PHP Medicare Advantage |
$38,113.19
|
| Rate for Payer: Priority Health Medicare |
$38,113.19
|
| Rate for Payer: Railroad Medicare Medicare |
$38,113.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$38,113.19
|
| Rate for Payer: UHC Exchange |
$59,075.44
|
| Rate for Payer: UHC Medicare Advantage |
$38,113.19
|
| Rate for Payer: UHCCP DNSP |
$38,113.19
|
| Rate for Payer: VA VA |
$38,113.19
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
|
IP
|
$19,520.62
|
|
|
Service Code
|
MSDRG 059
|
| Min. Negotiated Rate |
$11,964.25 |
| Max. Negotiated Rate |
$19,520.62 |
| Rate for Payer: Aetna Medicare |
$12,593.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,742.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,742.44
|
| Rate for Payer: BCBS MAPPO |
$12,593.95
|
| Rate for Payer: BCN Medicare Advantage |
$12,593.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,593.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,593.95
|
| Rate for Payer: Mclaren Medicare |
$12,593.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,223.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,483.04
|
| Rate for Payer: PACE Medicare |
$11,964.25
|
| Rate for Payer: PACE SWMI |
$12,593.95
|
| Rate for Payer: PHP Commercial |
$13,853.34
|
| Rate for Payer: PHP Medicare Advantage |
$12,593.95
|
| Rate for Payer: Priority Health Medicare |
$12,593.95
|
| Rate for Payer: Railroad Medicare Medicare |
$12,593.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,593.95
|
| Rate for Payer: UHC Exchange |
$19,520.62
|
| Rate for Payer: UHC Medicare Advantage |
$12,593.95
|
| Rate for Payer: UHCCP DNSP |
$12,593.95
|
| Rate for Payer: VA VA |
$12,593.95
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
|
IP
|
$28,127.54
|
|
|
Service Code
|
MSDRG 058
|
| Min. Negotiated Rate |
$17,239.46 |
| Max. Negotiated Rate |
$28,127.54 |
| Rate for Payer: Aetna Medicare |
$18,146.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,683.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,683.50
|
| Rate for Payer: BCBS MAPPO |
$18,146.80
|
| Rate for Payer: BCN Medicare Advantage |
$18,146.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,146.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,146.80
|
| Rate for Payer: Mclaren Medicare |
$18,146.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,054.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,868.82
|
| Rate for Payer: PACE Medicare |
$17,239.46
|
| Rate for Payer: PACE SWMI |
$18,146.80
|
| Rate for Payer: PHP Commercial |
$19,961.48
|
| Rate for Payer: PHP Medicare Advantage |
$18,146.80
|
| Rate for Payer: Priority Health Medicare |
$18,146.80
|
| Rate for Payer: Railroad Medicare Medicare |
$18,146.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,146.80
|
| Rate for Payer: UHC Exchange |
$28,127.54
|
| Rate for Payer: UHC Medicare Advantage |
$18,146.80
|
| Rate for Payer: UHCCP DNSP |
$18,146.80
|
| Rate for Payer: VA VA |
$18,146.80
|
|
|
MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
|
IP
|
$14,939.85
|
|
|
Service Code
|
MSDRG 060
|
| Min. Negotiated Rate |
$9,156.68 |
| Max. Negotiated Rate |
$14,939.85 |
| Rate for Payer: Aetna Medicare |
$9,638.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,048.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,048.26
|
| Rate for Payer: BCBS MAPPO |
$9,638.61
|
| Rate for Payer: BCN Medicare Advantage |
$9,638.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,638.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,638.61
|
| Rate for Payer: Mclaren Medicare |
$9,638.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,120.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,084.40
|
| Rate for Payer: PACE Medicare |
$9,156.68
|
| Rate for Payer: PACE SWMI |
$9,638.61
|
| Rate for Payer: PHP Commercial |
$10,602.47
|
| Rate for Payer: PHP Medicare Advantage |
$9,638.61
|
| Rate for Payer: Priority Health Medicare |
$9,638.61
|
| Rate for Payer: Railroad Medicare Medicare |
$9,638.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,638.61
|
| Rate for Payer: UHC Exchange |
$14,939.85
|
| Rate for Payer: UHC Medicare Advantage |
$9,638.61
|
| Rate for Payer: UHCCP DNSP |
$9,638.61
|
| Rate for Payer: VA VA |
$9,638.61
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$35,236.58
|
|
|
Service Code
|
MSDRG 827
|
| Min. Negotiated Rate |
$21,596.62 |
| Max. Negotiated Rate |
$35,236.58 |
| Rate for Payer: Aetna Medicare |
$22,733.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,416.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,416.60
|
| Rate for Payer: BCBS MAPPO |
$22,733.28
|
| Rate for Payer: BCN Medicare Advantage |
$22,733.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,733.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,733.28
|
| Rate for Payer: Mclaren Medicare |
$22,733.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,869.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,143.27
|
| Rate for Payer: PACE Medicare |
$21,596.62
|
| Rate for Payer: PACE SWMI |
$22,733.28
|
| Rate for Payer: PHP Commercial |
$25,006.61
|
| Rate for Payer: PHP Medicare Advantage |
$22,733.28
|
| Rate for Payer: Priority Health Medicare |
$22,733.28
|
| Rate for Payer: Railroad Medicare Medicare |
$22,733.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,733.28
|
| Rate for Payer: UHC Exchange |
$35,236.58
|
| Rate for Payer: UHC Medicare Advantage |
$22,733.28
|
| Rate for Payer: UHCCP DNSP |
$22,733.28
|
| Rate for Payer: VA VA |
$22,733.28
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$68,646.38
|
|
|
Service Code
|
MSDRG 826
|
| Min. Negotiated Rate |
$42,073.59 |
| Max. Negotiated Rate |
$68,646.38 |
| Rate for Payer: Aetna Medicare |
$44,287.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55,359.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55,359.99
|
| Rate for Payer: BCBS MAPPO |
$44,287.99
|
| Rate for Payer: BCN Medicare Advantage |
$44,287.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44,287.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$44,287.99
|
| Rate for Payer: Mclaren Medicare |
$44,287.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46,502.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50,931.19
|
| Rate for Payer: PACE Medicare |
$42,073.59
|
| Rate for Payer: PACE SWMI |
$44,287.99
|
| Rate for Payer: PHP Commercial |
$48,716.79
|
| Rate for Payer: PHP Medicare Advantage |
$44,287.99
|
| Rate for Payer: Priority Health Medicare |
$44,287.99
|
| Rate for Payer: Railroad Medicare Medicare |
$44,287.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$44,287.99
|
| Rate for Payer: UHC Exchange |
$68,646.38
|
| Rate for Payer: UHC Medicare Advantage |
$44,287.99
|
| Rate for Payer: UHCCP DNSP |
$44,287.99
|
| Rate for Payer: VA VA |
$44,287.99
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,766.67
|
|
|
Service Code
|
MSDRG 828
|
| Min. Negotiated Rate |
$15,179.58 |
| Max. Negotiated Rate |
$24,766.67 |
| Rate for Payer: Aetna Medicare |
$15,978.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,973.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,973.12
|
| Rate for Payer: BCBS MAPPO |
$15,978.50
|
| Rate for Payer: BCN Medicare Advantage |
$15,978.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,978.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,978.50
|
| Rate for Payer: Mclaren Medicare |
$15,978.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,777.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,375.28
|
| Rate for Payer: PACE Medicare |
$15,179.58
|
| Rate for Payer: PACE SWMI |
$15,978.50
|
| Rate for Payer: PHP Commercial |
$17,576.35
|
| Rate for Payer: PHP Medicare Advantage |
$15,978.50
|
| Rate for Payer: Priority Health Medicare |
$15,978.50
|
| Rate for Payer: Railroad Medicare Medicare |
$15,978.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,978.50
|
| Rate for Payer: UHC Exchange |
$24,766.67
|
| Rate for Payer: UHC Medicare Advantage |
$15,978.50
|
| Rate for Payer: UHCCP DNSP |
$15,978.50
|
| Rate for Payer: VA VA |
$15,978.50
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$45,248.75
|
|
|
Service Code
|
MSDRG 829
|
| Min. Negotiated Rate |
$27,733.10 |
| Max. Negotiated Rate |
$45,248.75 |
| Rate for Payer: Aetna Medicare |
$29,192.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,490.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,490.93
|
| Rate for Payer: BCBS MAPPO |
$29,192.74
|
| Rate for Payer: BCN Medicare Advantage |
$29,192.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,192.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,192.74
|
| Rate for Payer: Mclaren Medicare |
$29,192.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,652.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,571.65
|
| Rate for Payer: PACE Medicare |
$27,733.10
|
| Rate for Payer: PACE SWMI |
$29,192.74
|
| Rate for Payer: PHP Commercial |
$32,112.01
|
| Rate for Payer: PHP Medicare Advantage |
$29,192.74
|
| Rate for Payer: Priority Health Medicare |
$29,192.74
|
| Rate for Payer: Railroad Medicare Medicare |
$29,192.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,192.74
|
| Rate for Payer: UHC Exchange |
$45,248.75
|
| Rate for Payer: UHC Medicare Advantage |
$29,192.74
|
| Rate for Payer: UHCCP DNSP |
$29,192.74
|
| Rate for Payer: VA VA |
$29,192.74
|
|
|
MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,824.82
|
|
|
Service Code
|
MSDRG 830
|
| Min. Negotiated Rate |
$13,989.41 |
| Max. Negotiated Rate |
$22,824.82 |
| Rate for Payer: Aetna Medicare |
$14,725.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,407.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,407.11
|
| Rate for Payer: BCBS MAPPO |
$14,725.69
|
| Rate for Payer: BCN Medicare Advantage |
$14,725.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,725.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,725.69
|
| Rate for Payer: Mclaren Medicare |
$14,725.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,461.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,934.54
|
| Rate for Payer: PACE Medicare |
$13,989.41
|
| Rate for Payer: PACE SWMI |
$14,725.69
|
| Rate for Payer: PHP Commercial |
$16,198.26
|
| Rate for Payer: PHP Medicare Advantage |
$14,725.69
|
| Rate for Payer: Priority Health Medicare |
$14,725.69
|
| Rate for Payer: Railroad Medicare Medicare |
$14,725.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,725.69
|
| Rate for Payer: UHC Exchange |
$22,824.82
|
| Rate for Payer: UHC Medicare Advantage |
$14,725.69
|
| Rate for Payer: UHCCP DNSP |
$14,725.69
|
| Rate for Payer: VA VA |
$14,725.69
|
|
|
MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
|
Facility
|
IP
|
$27,528.68
|
|
|
Service Code
|
MSDRG 789
|
| Min. Negotiated Rate |
$16,872.42 |
| Max. Negotiated Rate |
$27,528.68 |
| Rate for Payer: Aetna Medicare |
$17,760.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,200.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,200.55
|
| Rate for Payer: BCBS MAPPO |
$17,760.44
|
| Rate for Payer: BCN Medicare Advantage |
$17,760.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,760.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,760.44
|
| Rate for Payer: Mclaren Medicare |
$17,760.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,648.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,424.51
|
| Rate for Payer: PACE Medicare |
$16,872.42
|
| Rate for Payer: PACE SWMI |
$17,760.44
|
| Rate for Payer: PHP Commercial |
$19,536.48
|
| Rate for Payer: PHP Medicare Advantage |
$17,760.44
|
| Rate for Payer: Priority Health Medicare |
$17,760.44
|
| Rate for Payer: Railroad Medicare Medicare |
$17,760.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,760.44
|
| Rate for Payer: UHC Exchange |
$27,528.68
|
| Rate for Payer: UHC Medicare Advantage |
$17,760.44
|
| Rate for Payer: UHCCP DNSP |
$17,760.44
|
| Rate for Payer: VA VA |
$17,760.44
|
|
|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$23,014.26
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$14,105.51 |
| Max. Negotiated Rate |
$23,014.26 |
| Rate for Payer: Aetna Medicare |
$14,847.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,559.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,559.89
|
| Rate for Payer: BCBS MAPPO |
$14,847.91
|
| Rate for Payer: BCN Medicare Advantage |
$14,847.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,847.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,847.91
|
| Rate for Payer: Mclaren Medicare |
$14,847.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,590.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,075.10
|
| Rate for Payer: PACE Medicare |
$14,105.51
|
| Rate for Payer: PACE SWMI |
$14,847.91
|
| Rate for Payer: PHP Commercial |
$16,332.70
|
| Rate for Payer: PHP Medicare Advantage |
$14,847.91
|
| Rate for Payer: Priority Health Medicare |
$14,847.91
|
| Rate for Payer: Railroad Medicare Medicare |
$14,847.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,847.91
|
| Rate for Payer: UHC Exchange |
$23,014.26
|
| Rate for Payer: UHC Medicare Advantage |
$14,847.91
|
| Rate for Payer: UHCCP DNSP |
$14,847.91
|
| Rate for Payer: VA VA |
$14,847.91
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$23,331.00
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$14,299.65 |
| Max. Negotiated Rate |
$23,331.00 |
| Rate for Payer: Aetna Medicare |
$15,052.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,815.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,815.33
|
| Rate for Payer: BCBS MAPPO |
$15,052.26
|
| Rate for Payer: BCN Medicare Advantage |
$15,052.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,052.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,052.26
|
| Rate for Payer: Mclaren Medicare |
$15,052.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,804.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,310.10
|
| Rate for Payer: PACE Medicare |
$14,299.65
|
| Rate for Payer: PACE SWMI |
$15,052.26
|
| Rate for Payer: PHP Commercial |
$16,557.49
|
| Rate for Payer: PHP Medicare Advantage |
$15,052.26
|
| Rate for Payer: Priority Health Medicare |
$15,052.26
|
| Rate for Payer: Railroad Medicare Medicare |
$15,052.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,052.26
|
| Rate for Payer: UHC Exchange |
$23,331.00
|
| Rate for Payer: UHC Medicare Advantage |
$15,052.26
|
| Rate for Payer: UHCCP DNSP |
$15,052.26
|
| Rate for Payer: VA VA |
$15,052.26
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$17,686.63
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$10,840.19 |
| Max. Negotiated Rate |
$17,686.63 |
| Rate for Payer: Aetna Medicare |
$11,410.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,263.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,263.41
|
| Rate for Payer: BCBS MAPPO |
$11,410.73
|
| Rate for Payer: BCN Medicare Advantage |
$11,410.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,410.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,410.73
|
| Rate for Payer: Mclaren Medicare |
$11,410.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,981.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,122.34
|
| Rate for Payer: PACE Medicare |
$10,840.19
|
| Rate for Payer: PACE SWMI |
$11,410.73
|
| Rate for Payer: PHP Commercial |
$12,551.80
|
| Rate for Payer: PHP Medicare Advantage |
$11,410.73
|
| Rate for Payer: Priority Health Medicare |
$11,410.73
|
| Rate for Payer: Railroad Medicare Medicare |
$11,410.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,410.73
|
| Rate for Payer: UHC Exchange |
$17,686.63
|
| Rate for Payer: UHC Medicare Advantage |
$11,410.73
|
| Rate for Payer: UHCCP DNSP |
$11,410.73
|
| Rate for Payer: VA VA |
$11,410.73
|
|
|
MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$13,706.12
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$8,400.53 |
| Max. Negotiated Rate |
$13,706.12 |
| Rate for Payer: Aetna Medicare |
$8,842.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,053.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,053.33
|
| Rate for Payer: BCBS MAPPO |
$8,842.66
|
| Rate for Payer: BCN Medicare Advantage |
$8,842.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,842.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,842.66
|
| Rate for Payer: Mclaren Medicare |
$8,842.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,284.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,169.06
|
| Rate for Payer: PACE Medicare |
$8,400.53
|
| Rate for Payer: PACE SWMI |
$8,842.66
|
| Rate for Payer: PHP Commercial |
$9,726.93
|
| Rate for Payer: PHP Medicare Advantage |
$8,842.66
|
| Rate for Payer: Priority Health Medicare |
$8,842.66
|
| Rate for Payer: Railroad Medicare Medicare |
$8,842.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,842.66
|
| Rate for Payer: UHC Exchange |
$13,706.12
|
| Rate for Payer: UHC Medicare Advantage |
$8,842.66
|
| Rate for Payer: UHCCP DNSP |
$8,842.66
|
| Rate for Payer: VA VA |
$8,842.66
|
|
|
MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$15,902.46
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$9,746.67 |
| Max. Negotiated Rate |
$15,902.46 |
| Rate for Payer: Aetna Medicare |
$10,259.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,824.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,824.56
|
| Rate for Payer: BCBS MAPPO |
$10,259.65
|
| Rate for Payer: BCN Medicare Advantage |
$10,259.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,259.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,259.65
|
| Rate for Payer: Mclaren Medicare |
$10,259.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,772.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,798.60
|
| Rate for Payer: PACE Medicare |
$9,746.67
|
| Rate for Payer: PACE SWMI |
$10,259.65
|
| Rate for Payer: PHP Commercial |
$11,285.61
|
| Rate for Payer: PHP Medicare Advantage |
$10,259.65
|
| Rate for Payer: Priority Health Medicare |
$10,259.65
|
| Rate for Payer: Railroad Medicare Medicare |
$10,259.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,259.65
|
| Rate for Payer: UHC Exchange |
$15,902.46
|
| Rate for Payer: UHC Medicare Advantage |
$10,259.65
|
| Rate for Payer: UHCCP DNSP |
$10,259.65
|
| Rate for Payer: VA VA |
$10,259.65
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$32,600.44
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$19,980.91 |
| Max. Negotiated Rate |
$32,600.44 |
| Rate for Payer: Aetna Medicare |
$21,032.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,290.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,290.67
|
| Rate for Payer: BCBS MAPPO |
$21,032.54
|
| Rate for Payer: BCN Medicare Advantage |
$21,032.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,032.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,032.54
|
| Rate for Payer: Mclaren Medicare |
$21,032.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,084.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,187.42
|
| Rate for Payer: PACE Medicare |
$19,980.91
|
| Rate for Payer: PACE SWMI |
$21,032.54
|
| Rate for Payer: PHP Commercial |
$23,135.79
|
| Rate for Payer: PHP Medicare Advantage |
$21,032.54
|
| Rate for Payer: Priority Health Medicare |
$21,032.54
|
| Rate for Payer: Railroad Medicare Medicare |
$21,032.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,032.54
|
| Rate for Payer: UHC Exchange |
$32,600.44
|
| Rate for Payer: UHC Medicare Advantage |
$21,032.54
|
| Rate for Payer: UHCCP DNSP |
$21,032.54
|
| Rate for Payer: VA VA |
$21,032.54
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$52,175.23
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$31,978.37 |
| Max. Negotiated Rate |
$52,175.23 |
| Rate for Payer: Aetna Medicare |
$33,661.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,076.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,076.80
|
| Rate for Payer: BCBS MAPPO |
$33,661.44
|
| Rate for Payer: BCN Medicare Advantage |
$33,661.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33,661.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$33,661.44
|
| Rate for Payer: Mclaren Medicare |
$33,661.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,344.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38,710.66
|
| Rate for Payer: PACE Medicare |
$31,978.37
|
| Rate for Payer: PACE SWMI |
$33,661.44
|
| Rate for Payer: PHP Commercial |
$37,027.58
|
| Rate for Payer: PHP Medicare Advantage |
$33,661.44
|
| Rate for Payer: Priority Health Medicare |
$33,661.44
|
| Rate for Payer: Railroad Medicare Medicare |
$33,661.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$33,661.44
|
| Rate for Payer: UHC Exchange |
$52,175.23
|
| Rate for Payer: UHC Medicare Advantage |
$33,661.44
|
| Rate for Payer: UHCCP DNSP |
$33,661.44
|
| Rate for Payer: VA VA |
$33,661.44
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$21,867.71
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$13,402.79 |
| Max. Negotiated Rate |
$21,867.71 |
| Rate for Payer: Aetna Medicare |
$14,108.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,635.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,635.25
|
| Rate for Payer: BCBS MAPPO |
$14,108.20
|
| Rate for Payer: BCN Medicare Advantage |
$14,108.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,108.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,108.20
|
| Rate for Payer: Mclaren Medicare |
$14,108.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,813.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,224.43
|
| Rate for Payer: PACE Medicare |
$13,402.79
|
| Rate for Payer: PACE SWMI |
$14,108.20
|
| Rate for Payer: PHP Commercial |
$15,519.02
|
| Rate for Payer: PHP Medicare Advantage |
$14,108.20
|
| Rate for Payer: Priority Health Medicare |
$14,108.20
|
| Rate for Payer: Railroad Medicare Medicare |
$14,108.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,108.20
|
| Rate for Payer: UHC Exchange |
$21,867.71
|
| Rate for Payer: UHC Medicare Advantage |
$14,108.20
|
| Rate for Payer: UHCCP DNSP |
$14,108.20
|
| Rate for Payer: VA VA |
$14,108.20
|
|
|
MS-DRG 42.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$32,975.26
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$20,210.64 |
| Max. Negotiated Rate |
$32,975.26 |
| Rate for Payer: Aetna Medicare |
$21,274.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,592.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,592.95
|
| Rate for Payer: BCBS MAPPO |
$21,274.36
|
| Rate for Payer: BCN Medicare Advantage |
$21,274.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,274.36
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,274.36
|
| Rate for Payer: Mclaren Medicare |
$21,274.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,338.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,465.51
|
| Rate for Payer: PACE Medicare |
$20,210.64
|
| Rate for Payer: PACE SWMI |
$21,274.36
|
| Rate for Payer: PHP Commercial |
$23,401.80
|
| Rate for Payer: PHP Medicare Advantage |
$21,274.36
|
| Rate for Payer: Priority Health Medicare |
$21,274.36
|
| Rate for Payer: Railroad Medicare Medicare |
$21,274.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,274.36
|
| Rate for Payer: UHC Exchange |
$32,975.26
|
| Rate for Payer: UHC Medicare Advantage |
$21,274.36
|
| Rate for Payer: UHCCP DNSP |
$21,274.36
|
| Rate for Payer: VA VA |
$21,274.36
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$26,330.94
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$16,138.32 |
| Max. Negotiated Rate |
$26,330.94 |
| Rate for Payer: Aetna Medicare |
$16,987.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,234.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,234.62
|
| Rate for Payer: BCBS MAPPO |
$16,987.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,987.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,987.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,987.70
|
| Rate for Payer: Mclaren Medicare |
$16,987.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,837.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,535.85
|
| Rate for Payer: PACE Medicare |
$16,138.32
|
| Rate for Payer: PACE SWMI |
$16,987.70
|
| Rate for Payer: PHP Commercial |
$18,686.47
|
| Rate for Payer: PHP Medicare Advantage |
$16,987.70
|
| Rate for Payer: Priority Health Medicare |
$16,987.70
|
| Rate for Payer: Railroad Medicare Medicare |
$16,987.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,987.70
|
| Rate for Payer: UHC Exchange |
$26,330.94
|
| Rate for Payer: UHC Medicare Advantage |
$16,987.70
|
| Rate for Payer: UHCCP DNSP |
$16,987.70
|
| Rate for Payer: VA VA |
$16,987.70
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$51,042.49
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$31,284.11 |
| Max. Negotiated Rate |
$51,042.49 |
| Rate for Payer: Aetna Medicare |
$32,930.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,163.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,163.30
|
| Rate for Payer: BCBS MAPPO |
$32,930.64
|
| Rate for Payer: BCN Medicare Advantage |
$32,930.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,930.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,930.64
|
| Rate for Payer: Mclaren Medicare |
$32,930.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,577.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,870.24
|
| Rate for Payer: PACE Medicare |
$31,284.11
|
| Rate for Payer: PACE SWMI |
$32,930.64
|
| Rate for Payer: PHP Commercial |
$36,223.70
|
| Rate for Payer: PHP Medicare Advantage |
$32,930.64
|
| Rate for Payer: Priority Health Medicare |
$32,930.64
|
| Rate for Payer: Railroad Medicare Medicare |
$32,930.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,930.64
|
| Rate for Payer: UHC Exchange |
$51,042.49
|
| Rate for Payer: UHC Medicare Advantage |
$32,930.64
|
| Rate for Payer: UHCCP DNSP |
$32,930.64
|
| Rate for Payer: VA VA |
$32,930.64
|
|
|
MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,578.73
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$11,386.97 |
| Max. Negotiated Rate |
$18,578.73 |
| Rate for Payer: Aetna Medicare |
$11,986.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,982.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,982.85
|
| Rate for Payer: BCBS MAPPO |
$11,986.28
|
| Rate for Payer: BCN Medicare Advantage |
$11,986.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,986.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,986.28
|
| Rate for Payer: Mclaren Medicare |
$11,986.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,585.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,784.22
|
| Rate for Payer: PACE Medicare |
$11,386.97
|
| Rate for Payer: PACE SWMI |
$11,986.28
|
| Rate for Payer: PHP Commercial |
$13,184.91
|
| Rate for Payer: PHP Medicare Advantage |
$11,986.28
|
| Rate for Payer: Priority Health Medicare |
$11,986.28
|
| Rate for Payer: Railroad Medicare Medicare |
$11,986.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,986.28
|
| Rate for Payer: UHC Exchange |
$18,578.73
|
| Rate for Payer: UHC Medicare Advantage |
$11,986.28
|
| Rate for Payer: UHCCP DNSP |
$11,986.28
|
| Rate for Payer: VA VA |
$11,986.28
|
|
