|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$15,827.79
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$9,700.91 |
| Max. Negotiated Rate |
$15,827.79 |
| Rate for Payer: Aetna Medicare |
$10,211.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,764.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,764.35
|
| Rate for Payer: BCBS MAPPO |
$10,211.48
|
| Rate for Payer: BCN Medicare Advantage |
$10,211.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,211.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,211.48
|
| Rate for Payer: Mclaren Medicare |
$10,211.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,722.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,743.20
|
| Rate for Payer: PACE Medicare |
$9,700.91
|
| Rate for Payer: PACE SWMI |
$10,211.48
|
| Rate for Payer: PHP Commercial |
$11,232.63
|
| Rate for Payer: PHP Medicare Advantage |
$10,211.48
|
| Rate for Payer: Priority Health Medicare |
$10,211.48
|
| Rate for Payer: Railroad Medicare Medicare |
$10,211.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,211.48
|
| Rate for Payer: UHC Exchange |
$15,827.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,211.48
|
| Rate for Payer: UHCCP DNSP |
$10,211.48
|
| Rate for Payer: VA VA |
$10,211.48
|
|
|
MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,888.81
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$6,673.79 |
| Max. Negotiated Rate |
$10,888.81 |
| Rate for Payer: Aetna Medicare |
$7,025.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,781.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,781.30
|
| Rate for Payer: BCBS MAPPO |
$7,025.04
|
| Rate for Payer: BCN Medicare Advantage |
$7,025.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,025.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,025.04
|
| Rate for Payer: Mclaren Medicare |
$7,025.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,376.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,078.80
|
| Rate for Payer: PACE Medicare |
$6,673.79
|
| Rate for Payer: PACE SWMI |
$7,025.04
|
| Rate for Payer: PHP Commercial |
$7,727.54
|
| Rate for Payer: PHP Medicare Advantage |
$7,025.04
|
| Rate for Payer: Priority Health Medicare |
$7,025.04
|
| Rate for Payer: Railroad Medicare Medicare |
$7,025.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,025.04
|
| Rate for Payer: UHC Exchange |
$10,888.81
|
| Rate for Payer: UHC Medicare Advantage |
$7,025.04
|
| Rate for Payer: UHCCP DNSP |
$7,025.04
|
| Rate for Payer: VA VA |
$7,025.04
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$17,173.52
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$10,525.71 |
| Max. Negotiated Rate |
$17,173.52 |
| Rate for Payer: Aetna Medicare |
$11,079.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,849.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,849.61
|
| Rate for Payer: BCBS MAPPO |
$11,079.69
|
| Rate for Payer: BCN Medicare Advantage |
$11,079.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,079.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,079.69
|
| Rate for Payer: Mclaren Medicare |
$11,079.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,633.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,741.64
|
| Rate for Payer: PACE Medicare |
$10,525.71
|
| Rate for Payer: PACE SWMI |
$11,079.69
|
| Rate for Payer: PHP Commercial |
$12,187.66
|
| Rate for Payer: PHP Medicare Advantage |
$11,079.69
|
| Rate for Payer: Priority Health Medicare |
$11,079.69
|
| Rate for Payer: Railroad Medicare Medicare |
$11,079.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,079.69
|
| Rate for Payer: UHC Exchange |
$17,173.52
|
| Rate for Payer: UHC Medicare Advantage |
$11,079.69
|
| Rate for Payer: UHCCP DNSP |
$11,079.69
|
| Rate for Payer: VA VA |
$11,079.69
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$26,646.27
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$16,331.58 |
| Max. Negotiated Rate |
$26,646.27 |
| Rate for Payer: Aetna Medicare |
$17,191.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,488.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,488.92
|
| Rate for Payer: BCBS MAPPO |
$17,191.14
|
| Rate for Payer: BCN Medicare Advantage |
$17,191.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,191.14
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,191.14
|
| Rate for Payer: Mclaren Medicare |
$17,191.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,050.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,769.81
|
| Rate for Payer: PACE Medicare |
$16,331.58
|
| Rate for Payer: PACE SWMI |
$17,191.14
|
| Rate for Payer: PHP Commercial |
$18,910.25
|
| Rate for Payer: PHP Medicare Advantage |
$17,191.14
|
| Rate for Payer: Priority Health Medicare |
$17,191.14
|
| Rate for Payer: Railroad Medicare Medicare |
$17,191.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,191.14
|
| Rate for Payer: UHC Exchange |
$26,646.27
|
| Rate for Payer: UHC Medicare Advantage |
$17,191.14
|
| Rate for Payer: UHCCP DNSP |
$17,191.14
|
| Rate for Payer: VA VA |
$17,191.14
|
|
|
MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,973.10
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$7,951.25 |
| Max. Negotiated Rate |
$12,973.10 |
| Rate for Payer: Aetna Medicare |
$8,369.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,462.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,462.17
|
| Rate for Payer: BCBS MAPPO |
$8,369.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,369.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,369.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,369.74
|
| Rate for Payer: Mclaren Medicare |
$8,369.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,788.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,625.20
|
| Rate for Payer: PACE Medicare |
$7,951.25
|
| Rate for Payer: PACE SWMI |
$8,369.74
|
| Rate for Payer: PHP Commercial |
$9,206.71
|
| Rate for Payer: PHP Medicare Advantage |
$8,369.74
|
| Rate for Payer: Priority Health Medicare |
$8,369.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,369.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,369.74
|
| Rate for Payer: UHC Exchange |
$12,973.10
|
| Rate for Payer: UHC Medicare Advantage |
$8,369.74
|
| Rate for Payer: UHCCP DNSP |
$8,369.74
|
| Rate for Payer: VA VA |
$8,369.74
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$22,719.68
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$13,924.97 |
| Max. Negotiated Rate |
$22,719.68 |
| Rate for Payer: Aetna Medicare |
$14,657.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,322.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,322.33
|
| Rate for Payer: BCBS MAPPO |
$14,657.86
|
| Rate for Payer: BCN Medicare Advantage |
$14,657.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,657.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,657.86
|
| Rate for Payer: Mclaren Medicare |
$14,657.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,390.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,856.54
|
| Rate for Payer: PACE Medicare |
$13,924.97
|
| Rate for Payer: PACE SWMI |
$14,657.86
|
| Rate for Payer: PHP Commercial |
$16,123.65
|
| Rate for Payer: PHP Medicare Advantage |
$14,657.86
|
| Rate for Payer: Priority Health Medicare |
$14,657.86
|
| Rate for Payer: Railroad Medicare Medicare |
$14,657.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,657.86
|
| Rate for Payer: UHC Exchange |
$22,719.68
|
| Rate for Payer: UHC Medicare Advantage |
$14,657.86
|
| Rate for Payer: UHCCP DNSP |
$14,657.86
|
| Rate for Payer: VA VA |
$14,657.86
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$14,789.09
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$9,064.28 |
| Max. Negotiated Rate |
$14,789.09 |
| Rate for Payer: Aetna Medicare |
$9,541.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,926.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,926.69
|
| Rate for Payer: BCBS MAPPO |
$9,541.35
|
| Rate for Payer: BCN Medicare Advantage |
$9,541.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,541.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,541.35
|
| Rate for Payer: Mclaren Medicare |
$9,541.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,018.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,972.55
|
| Rate for Payer: PACE Medicare |
$9,064.28
|
| Rate for Payer: PACE SWMI |
$9,541.35
|
| Rate for Payer: PHP Commercial |
$10,495.49
|
| Rate for Payer: PHP Medicare Advantage |
$9,541.35
|
| Rate for Payer: Priority Health Medicare |
$9,541.35
|
| Rate for Payer: Railroad Medicare Medicare |
$9,541.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,541.35
|
| Rate for Payer: UHC Exchange |
$14,789.09
|
| Rate for Payer: UHC Medicare Advantage |
$9,541.35
|
| Rate for Payer: UHCCP DNSP |
$9,541.35
|
| Rate for Payer: VA VA |
$9,541.35
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$30,090.15
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$18,442.35 |
| Max. Negotiated Rate |
$30,090.15 |
| Rate for Payer: Aetna Medicare |
$19,413.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,266.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,266.25
|
| Rate for Payer: BCBS MAPPO |
$19,413.00
|
| Rate for Payer: BCN Medicare Advantage |
$19,413.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,413.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,413.00
|
| Rate for Payer: Mclaren Medicare |
$19,413.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,383.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,324.95
|
| Rate for Payer: PACE Medicare |
$18,442.35
|
| Rate for Payer: PACE SWMI |
$19,413.00
|
| Rate for Payer: PHP Commercial |
$21,354.30
|
| Rate for Payer: PHP Medicare Advantage |
$19,413.00
|
| Rate for Payer: Priority Health Medicare |
$19,413.00
|
| Rate for Payer: Railroad Medicare Medicare |
$19,413.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,413.00
|
| Rate for Payer: UHC Exchange |
$30,090.15
|
| Rate for Payer: UHC Medicare Advantage |
$19,413.00
|
| Rate for Payer: UHCCP DNSP |
$19,413.00
|
| Rate for Payer: VA VA |
$19,413.00
|
|
|
MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$15,111.34
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$9,261.79 |
| Max. Negotiated Rate |
$15,111.34 |
| Rate for Payer: Aetna Medicare |
$9,749.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,186.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,186.56
|
| Rate for Payer: BCBS MAPPO |
$9,749.25
|
| Rate for Payer: BCN Medicare Advantage |
$9,749.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,749.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,749.25
|
| Rate for Payer: Mclaren Medicare |
$9,749.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,236.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,211.64
|
| Rate for Payer: PACE Medicare |
$9,261.79
|
| Rate for Payer: PACE SWMI |
$9,749.25
|
| Rate for Payer: PHP Commercial |
$10,724.17
|
| Rate for Payer: PHP Medicare Advantage |
$9,749.25
|
| Rate for Payer: Priority Health Medicare |
$9,749.25
|
| Rate for Payer: Railroad Medicare Medicare |
$9,749.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,749.25
|
| Rate for Payer: UHC Exchange |
$15,111.34
|
| Rate for Payer: UHC Medicare Advantage |
$9,749.25
|
| Rate for Payer: UHCCP DNSP |
$9,749.25
|
| Rate for Payer: VA VA |
$9,749.25
|
|
|
MS-DRG 42.00: NORMAL NEWBORN
|
Facility
|
IP
|
$5,360.60
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$3,285.53 |
| Max. Negotiated Rate |
$5,360.60 |
| Rate for Payer: Aetna Medicare |
$3,458.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,323.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,323.06
|
| Rate for Payer: BCBS MAPPO |
$3,458.45
|
| Rate for Payer: BCN Medicare Advantage |
$3,458.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,458.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,458.45
|
| Rate for Payer: Mclaren Medicare |
$3,458.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,631.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,977.22
|
| Rate for Payer: PACE Medicare |
$3,285.53
|
| Rate for Payer: PACE SWMI |
$3,458.45
|
| Rate for Payer: PHP Commercial |
$3,804.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,458.45
|
| Rate for Payer: Priority Health Medicare |
$3,458.45
|
| Rate for Payer: Railroad Medicare Medicare |
$3,458.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,458.45
|
| Rate for Payer: UHC Exchange |
$5,360.60
|
| Rate for Payer: UHC Medicare Advantage |
$3,458.45
|
| Rate for Payer: UHCCP DNSP |
$3,458.45
|
| Rate for Payer: VA VA |
$3,458.45
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$33,807.89
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$20,720.96 |
| Max. Negotiated Rate |
$33,807.89 |
| Rate for Payer: Aetna Medicare |
$21,811.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,264.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,264.42
|
| Rate for Payer: BCBS MAPPO |
$21,811.54
|
| Rate for Payer: BCN Medicare Advantage |
$21,811.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,811.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,811.54
|
| Rate for Payer: Mclaren Medicare |
$21,811.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,902.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,083.27
|
| Rate for Payer: PACE Medicare |
$20,720.96
|
| Rate for Payer: PACE SWMI |
$21,811.54
|
| Rate for Payer: PHP Commercial |
$23,992.69
|
| Rate for Payer: PHP Medicare Advantage |
$21,811.54
|
| Rate for Payer: Priority Health Medicare |
$21,811.54
|
| Rate for Payer: Railroad Medicare Medicare |
$21,811.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,811.54
|
| Rate for Payer: UHC Exchange |
$33,807.89
|
| Rate for Payer: UHC Medicare Advantage |
$21,811.54
|
| Rate for Payer: UHCCP DNSP |
$21,811.54
|
| Rate for Payer: VA VA |
$21,811.54
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,946.64
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$11,612.46 |
| Max. Negotiated Rate |
$18,946.64 |
| Rate for Payer: Aetna Medicare |
$12,223.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,279.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,279.55
|
| Rate for Payer: BCBS MAPPO |
$12,223.64
|
| Rate for Payer: BCN Medicare Advantage |
$12,223.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,223.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,223.64
|
| Rate for Payer: Mclaren Medicare |
$12,223.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,834.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,057.19
|
| Rate for Payer: PACE Medicare |
$11,612.46
|
| Rate for Payer: PACE SWMI |
$12,223.64
|
| Rate for Payer: PHP Commercial |
$13,446.00
|
| Rate for Payer: PHP Medicare Advantage |
$12,223.64
|
| Rate for Payer: Priority Health Medicare |
$12,223.64
|
| Rate for Payer: Railroad Medicare Medicare |
$12,223.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,223.64
|
| Rate for Payer: UHC Exchange |
$18,946.64
|
| Rate for Payer: UHC Medicare Advantage |
$12,223.64
|
| Rate for Payer: UHCCP DNSP |
$12,223.64
|
| Rate for Payer: VA VA |
$12,223.64
|
|
|
MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$25,697.45
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$15,750.05 |
| Max. Negotiated Rate |
$25,697.45 |
| Rate for Payer: Aetna Medicare |
$16,579.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,723.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,723.75
|
| Rate for Payer: BCBS MAPPO |
$16,579.00
|
| Rate for Payer: BCN Medicare Advantage |
$16,579.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,579.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,579.00
|
| Rate for Payer: Mclaren Medicare |
$16,579.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,407.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,065.85
|
| Rate for Payer: PACE Medicare |
$15,750.05
|
| Rate for Payer: PACE SWMI |
$16,579.00
|
| Rate for Payer: PHP Commercial |
$18,236.90
|
| Rate for Payer: PHP Medicare Advantage |
$16,579.00
|
| Rate for Payer: Priority Health Medicare |
$16,579.00
|
| Rate for Payer: Railroad Medicare Medicare |
$16,579.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,579.00
|
| Rate for Payer: UHC Exchange |
$25,697.45
|
| Rate for Payer: UHC Medicare Advantage |
$16,579.00
|
| Rate for Payer: UHCCP DNSP |
$16,579.00
|
| Rate for Payer: VA VA |
$16,579.00
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$24,685.07
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$15,129.56 |
| Max. Negotiated Rate |
$24,685.07 |
| Rate for Payer: Aetna Medicare |
$15,925.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,907.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,907.31
|
| Rate for Payer: BCBS MAPPO |
$15,925.85
|
| Rate for Payer: BCN Medicare Advantage |
$15,925.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,925.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,925.85
|
| Rate for Payer: Mclaren Medicare |
$15,925.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,722.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,314.73
|
| Rate for Payer: PACE Medicare |
$15,129.56
|
| Rate for Payer: PACE SWMI |
$15,925.85
|
| Rate for Payer: PHP Commercial |
$17,518.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,925.85
|
| Rate for Payer: Priority Health Medicare |
$15,925.85
|
| Rate for Payer: Railroad Medicare Medicare |
$15,925.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,925.85
|
| Rate for Payer: UHC Exchange |
$24,685.07
|
| Rate for Payer: UHC Medicare Advantage |
$15,925.85
|
| Rate for Payer: UHCCP DNSP |
$15,925.85
|
| Rate for Payer: VA VA |
$15,925.85
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$40,306.97
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$24,704.28 |
| Max. Negotiated Rate |
$40,306.97 |
| Rate for Payer: Aetna Medicare |
$26,004.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,505.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,505.62
|
| Rate for Payer: BCBS MAPPO |
$26,004.50
|
| Rate for Payer: BCN Medicare Advantage |
$26,004.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26,004.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$26,004.50
|
| Rate for Payer: Mclaren Medicare |
$26,004.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,304.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,905.17
|
| Rate for Payer: PACE Medicare |
$24,704.28
|
| Rate for Payer: PACE SWMI |
$26,004.50
|
| Rate for Payer: PHP Commercial |
$28,604.95
|
| Rate for Payer: PHP Medicare Advantage |
$26,004.50
|
| Rate for Payer: Priority Health Medicare |
$26,004.50
|
| Rate for Payer: Railroad Medicare Medicare |
$26,004.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$26,004.50
|
| Rate for Payer: UHC Exchange |
$40,306.97
|
| Rate for Payer: UHC Medicare Advantage |
$26,004.50
|
| Rate for Payer: UHCCP DNSP |
$26,004.50
|
| Rate for Payer: VA VA |
$26,004.50
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$22,815.13
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$13,983.47 |
| Max. Negotiated Rate |
$22,815.13 |
| Rate for Payer: Aetna Medicare |
$14,719.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,399.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,399.30
|
| Rate for Payer: BCBS MAPPO |
$14,719.44
|
| Rate for Payer: BCN Medicare Advantage |
$14,719.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,719.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,719.44
|
| Rate for Payer: Mclaren Medicare |
$14,719.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,455.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,927.36
|
| Rate for Payer: PACE Medicare |
$13,983.47
|
| Rate for Payer: PACE SWMI |
$14,719.44
|
| Rate for Payer: PHP Commercial |
$16,191.38
|
| Rate for Payer: PHP Medicare Advantage |
$14,719.44
|
| Rate for Payer: Priority Health Medicare |
$14,719.44
|
| Rate for Payer: Railroad Medicare Medicare |
$14,719.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,719.44
|
| Rate for Payer: UHC Exchange |
$22,815.13
|
| Rate for Payer: UHC Medicare Advantage |
$14,719.44
|
| Rate for Payer: UHCCP DNSP |
$14,719.44
|
| Rate for Payer: VA VA |
$14,719.44
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$31,799.65
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$19,490.10 |
| Max. Negotiated Rate |
$31,799.65 |
| Rate for Payer: Aetna Medicare |
$20,515.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,644.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,644.88
|
| Rate for Payer: BCBS MAPPO |
$20,515.90
|
| Rate for Payer: BCN Medicare Advantage |
$20,515.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,515.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,515.90
|
| Rate for Payer: Mclaren Medicare |
$20,515.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,541.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,593.28
|
| Rate for Payer: PACE Medicare |
$19,490.10
|
| Rate for Payer: PACE SWMI |
$20,515.90
|
| Rate for Payer: PHP Commercial |
$22,567.49
|
| Rate for Payer: PHP Medicare Advantage |
$20,515.90
|
| Rate for Payer: Priority Health Medicare |
$20,515.90
|
| Rate for Payer: Railroad Medicare Medicare |
$20,515.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,515.90
|
| Rate for Payer: UHC Exchange |
$31,799.65
|
| Rate for Payer: UHC Medicare Advantage |
$20,515.90
|
| Rate for Payer: UHCCP DNSP |
$20,515.90
|
| Rate for Payer: VA VA |
$20,515.90
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$46,496.30
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$28,497.73 |
| Max. Negotiated Rate |
$46,496.30 |
| Rate for Payer: Aetna Medicare |
$29,997.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,497.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,497.01
|
| Rate for Payer: BCBS MAPPO |
$29,997.61
|
| Rate for Payer: BCN Medicare Advantage |
$29,997.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,997.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,997.61
|
| Rate for Payer: Mclaren Medicare |
$29,997.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,497.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,497.25
|
| Rate for Payer: PACE Medicare |
$28,497.73
|
| Rate for Payer: PACE SWMI |
$29,997.61
|
| Rate for Payer: PHP Commercial |
$32,997.37
|
| Rate for Payer: PHP Medicare Advantage |
$29,997.61
|
| Rate for Payer: Priority Health Medicare |
$29,997.61
|
| Rate for Payer: Railroad Medicare Medicare |
$29,997.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,997.61
|
| Rate for Payer: UHC Exchange |
$46,496.30
|
| Rate for Payer: UHC Medicare Advantage |
$29,997.61
|
| Rate for Payer: UHCCP DNSP |
$29,997.61
|
| Rate for Payer: VA VA |
$29,997.61
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,626.82
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$18,158.38 |
| Max. Negotiated Rate |
$29,626.82 |
| Rate for Payer: Aetna Medicare |
$19,114.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,892.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,892.60
|
| Rate for Payer: BCBS MAPPO |
$19,114.08
|
| Rate for Payer: BCN Medicare Advantage |
$19,114.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,114.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,114.08
|
| Rate for Payer: Mclaren Medicare |
$19,114.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,069.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,981.19
|
| Rate for Payer: PACE Medicare |
$18,158.38
|
| Rate for Payer: PACE SWMI |
$19,114.08
|
| Rate for Payer: PHP Commercial |
$21,025.49
|
| Rate for Payer: PHP Medicare Advantage |
$19,114.08
|
| Rate for Payer: Priority Health Medicare |
$19,114.08
|
| Rate for Payer: Railroad Medicare Medicare |
$19,114.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,114.08
|
| Rate for Payer: UHC Exchange |
$29,626.82
|
| Rate for Payer: UHC Medicare Advantage |
$19,114.08
|
| Rate for Payer: UHCCP DNSP |
$19,114.08
|
| Rate for Payer: VA VA |
$19,114.08
|
|
|
MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$56,946.86
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$34,902.91 |
| Max. Negotiated Rate |
$56,946.86 |
| Rate for Payer: Aetna Medicare |
$36,739.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,924.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,924.89
|
| Rate for Payer: BCBS MAPPO |
$36,739.91
|
| Rate for Payer: BCN Medicare Advantage |
$36,739.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,739.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,739.91
|
| Rate for Payer: Mclaren Medicare |
$36,739.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,576.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,250.90
|
| Rate for Payer: PACE Medicare |
$34,902.91
|
| Rate for Payer: PACE SWMI |
$36,739.91
|
| Rate for Payer: PHP Commercial |
$40,413.90
|
| Rate for Payer: PHP Medicare Advantage |
$36,739.91
|
| Rate for Payer: Priority Health Medicare |
$36,739.91
|
| Rate for Payer: Railroad Medicare Medicare |
$36,739.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,739.91
|
| Rate for Payer: UHC Exchange |
$56,946.86
|
| Rate for Payer: UHC Medicare Advantage |
$36,739.91
|
| Rate for Payer: UHCCP DNSP |
$36,739.91
|
| Rate for Payer: VA VA |
$36,739.91
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$20,495.71
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$12,561.89 |
| Max. Negotiated Rate |
$20,495.71 |
| Rate for Payer: Aetna Medicare |
$13,223.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,528.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,528.80
|
| Rate for Payer: BCBS MAPPO |
$13,223.04
|
| Rate for Payer: BCN Medicare Advantage |
$13,223.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,223.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,223.04
|
| Rate for Payer: Mclaren Medicare |
$13,223.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,884.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,206.50
|
| Rate for Payer: PACE Medicare |
$12,561.89
|
| Rate for Payer: PACE SWMI |
$13,223.04
|
| Rate for Payer: PHP Commercial |
$14,545.34
|
| Rate for Payer: PHP Medicare Advantage |
$13,223.04
|
| Rate for Payer: Priority Health Medicare |
$13,223.04
|
| Rate for Payer: Railroad Medicare Medicare |
$13,223.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,223.04
|
| Rate for Payer: UHC Exchange |
$20,495.71
|
| Rate for Payer: UHC Medicare Advantage |
$13,223.04
|
| Rate for Payer: UHCCP DNSP |
$13,223.04
|
| Rate for Payer: VA VA |
$13,223.04
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$30,568.71
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$18,735.66 |
| Max. Negotiated Rate |
$30,568.71 |
| Rate for Payer: Aetna Medicare |
$19,721.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,652.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,652.19
|
| Rate for Payer: BCBS MAPPO |
$19,721.75
|
| Rate for Payer: BCN Medicare Advantage |
$19,721.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,721.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,721.75
|
| Rate for Payer: Mclaren Medicare |
$19,721.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,707.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,680.01
|
| Rate for Payer: PACE Medicare |
$18,735.66
|
| Rate for Payer: PACE SWMI |
$19,721.75
|
| Rate for Payer: PHP Commercial |
$21,693.92
|
| Rate for Payer: PHP Medicare Advantage |
$19,721.75
|
| Rate for Payer: Priority Health Medicare |
$19,721.75
|
| Rate for Payer: Railroad Medicare Medicare |
$19,721.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,721.75
|
| Rate for Payer: UHC Exchange |
$30,568.71
|
| Rate for Payer: UHC Medicare Advantage |
$19,721.75
|
| Rate for Payer: UHCCP DNSP |
$19,721.75
|
| Rate for Payer: VA VA |
$19,721.75
|
|
|
MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,697.80
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$9,008.33 |
| Max. Negotiated Rate |
$14,697.80 |
| Rate for Payer: Aetna Medicare |
$9,482.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,853.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,853.06
|
| Rate for Payer: BCBS MAPPO |
$9,482.45
|
| Rate for Payer: BCN Medicare Advantage |
$9,482.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,482.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,482.45
|
| Rate for Payer: Mclaren Medicare |
$9,482.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,956.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,904.82
|
| Rate for Payer: PACE Medicare |
$9,008.33
|
| Rate for Payer: PACE SWMI |
$9,482.45
|
| Rate for Payer: PHP Commercial |
$10,430.69
|
| Rate for Payer: PHP Medicare Advantage |
$9,482.45
|
| Rate for Payer: Priority Health Medicare |
$9,482.45
|
| Rate for Payer: Railroad Medicare Medicare |
$9,482.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,482.45
|
| Rate for Payer: UHC Exchange |
$14,697.80
|
| Rate for Payer: UHC Medicare Advantage |
$9,482.45
|
| Rate for Payer: UHCCP DNSP |
$9,482.45
|
| Rate for Payer: VA VA |
$9,482.45
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$20,411.31
|
|
|
Service Code
|
MSDRG 818
|
| Min. Negotiated Rate |
$12,510.16 |
| Max. Negotiated Rate |
$20,411.31 |
| Rate for Payer: Aetna Medicare |
$13,168.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,460.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,460.74
|
| Rate for Payer: BCBS MAPPO |
$13,168.59
|
| Rate for Payer: BCN Medicare Advantage |
$13,168.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,168.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,168.59
|
| Rate for Payer: Mclaren Medicare |
$13,168.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,827.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,143.88
|
| Rate for Payer: PACE Medicare |
$12,510.16
|
| Rate for Payer: PACE SWMI |
$13,168.59
|
| Rate for Payer: PHP Commercial |
$14,485.45
|
| Rate for Payer: PHP Medicare Advantage |
$13,168.59
|
| Rate for Payer: Priority Health Medicare |
$13,168.59
|
| Rate for Payer: Railroad Medicare Medicare |
$13,168.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,168.59
|
| Rate for Payer: UHC Exchange |
$20,411.31
|
| Rate for Payer: UHC Medicare Advantage |
$13,168.59
|
| Rate for Payer: UHCCP DNSP |
$13,168.59
|
| Rate for Payer: VA VA |
$13,168.59
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$37,659.78
|
|
|
Service Code
|
MSDRG 817
|
| Min. Negotiated Rate |
$23,081.80 |
| Max. Negotiated Rate |
$37,659.78 |
| Rate for Payer: Aetna Medicare |
$24,296.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,370.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,370.79
|
| Rate for Payer: BCBS MAPPO |
$24,296.63
|
| Rate for Payer: BCN Medicare Advantage |
$24,296.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,296.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,296.63
|
| Rate for Payer: Mclaren Medicare |
$24,296.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,511.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,941.12
|
| Rate for Payer: PACE Medicare |
$23,081.80
|
| Rate for Payer: PACE SWMI |
$24,296.63
|
| Rate for Payer: PHP Commercial |
$26,726.29
|
| Rate for Payer: PHP Medicare Advantage |
$24,296.63
|
| Rate for Payer: Priority Health Medicare |
$24,296.63
|
| Rate for Payer: Railroad Medicare Medicare |
$24,296.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,296.63
|
| Rate for Payer: UHC Exchange |
$37,659.78
|
| Rate for Payer: UHC Medicare Advantage |
$24,296.63
|
| Rate for Payer: UHCCP DNSP |
$24,296.63
|
| Rate for Payer: VA VA |
$24,296.63
|
|
