|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$13,890.08
|
|
|
Service Code
|
MSDRG 819
|
| Min. Negotiated Rate |
$8,513.27 |
| Max. Negotiated Rate |
$13,890.08 |
| Rate for Payer: Aetna Medicare |
$8,961.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,201.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,201.67
|
| Rate for Payer: BCBS MAPPO |
$8,961.34
|
| Rate for Payer: BCN Medicare Advantage |
$8,961.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,961.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,961.34
|
| Rate for Payer: Mclaren Medicare |
$8,961.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,409.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,305.54
|
| Rate for Payer: PACE Medicare |
$8,513.27
|
| Rate for Payer: PACE SWMI |
$8,961.34
|
| Rate for Payer: PHP Commercial |
$9,857.47
|
| Rate for Payer: PHP Medicare Advantage |
$8,961.34
|
| Rate for Payer: Priority Health Medicare |
$8,961.34
|
| Rate for Payer: Railroad Medicare Medicare |
$8,961.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,961.34
|
| Rate for Payer: UHC Exchange |
$13,890.08
|
| Rate for Payer: UHC Medicare Advantage |
$8,961.34
|
| Rate for Payer: UHCCP DNSP |
$8,961.34
|
| Rate for Payer: VA VA |
$8,961.34
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$12,934.36
|
|
|
Service Code
|
MSDRG 832
|
| Min. Negotiated Rate |
$7,927.51 |
| Max. Negotiated Rate |
$12,934.36 |
| Rate for Payer: Aetna Medicare |
$8,344.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,430.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,430.94
|
| Rate for Payer: BCBS MAPPO |
$8,344.75
|
| Rate for Payer: BCN Medicare Advantage |
$8,344.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,344.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,344.75
|
| Rate for Payer: Mclaren Medicare |
$8,344.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,761.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,596.46
|
| Rate for Payer: PACE Medicare |
$7,927.51
|
| Rate for Payer: PACE SWMI |
$8,344.75
|
| Rate for Payer: PHP Commercial |
$9,179.23
|
| Rate for Payer: PHP Medicare Advantage |
$8,344.75
|
| Rate for Payer: Priority Health Medicare |
$8,344.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8,344.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,344.75
|
| Rate for Payer: UHC Exchange |
$12,934.36
|
| Rate for Payer: UHC Medicare Advantage |
$8,344.75
|
| Rate for Payer: UHCCP DNSP |
$8,344.75
|
| Rate for Payer: VA VA |
$8,344.75
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$18,516.50
|
|
|
Service Code
|
MSDRG 831
|
| Min. Negotiated Rate |
$11,348.82 |
| Max. Negotiated Rate |
$18,516.50 |
| Rate for Payer: Aetna Medicare |
$11,946.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,932.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,932.66
|
| Rate for Payer: BCBS MAPPO |
$11,946.13
|
| Rate for Payer: BCN Medicare Advantage |
$11,946.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,946.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,946.13
|
| Rate for Payer: Mclaren Medicare |
$11,946.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,543.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,738.05
|
| Rate for Payer: PACE Medicare |
$11,348.82
|
| Rate for Payer: PACE SWMI |
$11,946.13
|
| Rate for Payer: PHP Commercial |
$13,140.74
|
| Rate for Payer: PHP Medicare Advantage |
$11,946.13
|
| Rate for Payer: Priority Health Medicare |
$11,946.13
|
| Rate for Payer: Railroad Medicare Medicare |
$11,946.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,946.13
|
| Rate for Payer: UHC Exchange |
$18,516.50
|
| Rate for Payer: UHC Medicare Advantage |
$11,946.13
|
| Rate for Payer: UHCCP DNSP |
$11,946.13
|
| Rate for Payer: VA VA |
$11,946.13
|
|
|
MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,786.47
|
|
|
Service Code
|
MSDRG 833
|
| Min. Negotiated Rate |
$5,998.16 |
| Max. Negotiated Rate |
$9,786.47 |
| Rate for Payer: Aetna Medicare |
$6,313.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,892.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,892.31
|
| Rate for Payer: BCBS MAPPO |
$6,313.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,313.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,313.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,313.85
|
| Rate for Payer: Mclaren Medicare |
$6,313.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,629.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,260.93
|
| Rate for Payer: PACE Medicare |
$5,998.16
|
| Rate for Payer: PACE SWMI |
$6,313.85
|
| Rate for Payer: PHP Commercial |
$6,945.23
|
| Rate for Payer: PHP Medicare Advantage |
$6,313.85
|
| Rate for Payer: Priority Health Medicare |
$6,313.85
|
| Rate for Payer: Railroad Medicare Medicare |
$6,313.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,313.85
|
| Rate for Payer: UHC Exchange |
$9,786.47
|
| Rate for Payer: UHC Medicare Advantage |
$6,313.85
|
| Rate for Payer: UHCCP DNSP |
$6,313.85
|
| Rate for Payer: VA VA |
$6,313.85
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$71,520.43
|
|
|
Service Code
|
MSDRG 228
|
| Min. Negotiated Rate |
$43,835.10 |
| Max. Negotiated Rate |
$71,520.43 |
| Rate for Payer: Aetna Medicare |
$46,142.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57,677.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57,677.76
|
| Rate for Payer: BCBS MAPPO |
$46,142.21
|
| Rate for Payer: BCN Medicare Advantage |
$46,142.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46,142.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$46,142.21
|
| Rate for Payer: Mclaren Medicare |
$46,142.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48,449.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$53,063.54
|
| Rate for Payer: PACE Medicare |
$43,835.10
|
| Rate for Payer: PACE SWMI |
$46,142.21
|
| Rate for Payer: PHP Commercial |
$50,756.43
|
| Rate for Payer: PHP Medicare Advantage |
$46,142.21
|
| Rate for Payer: Priority Health Medicare |
$46,142.21
|
| Rate for Payer: Railroad Medicare Medicare |
$46,142.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$46,142.21
|
| Rate for Payer: UHC Exchange |
$71,520.43
|
| Rate for Payer: UHC Medicare Advantage |
$46,142.21
|
| Rate for Payer: UHCCP DNSP |
$46,142.21
|
| Rate for Payer: VA VA |
$46,142.21
|
|
|
MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$45,559.94
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$27,923.83 |
| Max. Negotiated Rate |
$45,559.94 |
| Rate for Payer: Aetna Medicare |
$29,393.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,741.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,741.89
|
| Rate for Payer: BCBS MAPPO |
$29,393.51
|
| Rate for Payer: BCN Medicare Advantage |
$29,393.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,393.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,393.51
|
| Rate for Payer: Mclaren Medicare |
$29,393.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,863.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,802.54
|
| Rate for Payer: PACE Medicare |
$27,923.83
|
| Rate for Payer: PACE SWMI |
$29,393.51
|
| Rate for Payer: PHP Commercial |
$32,332.86
|
| Rate for Payer: PHP Medicare Advantage |
$29,393.51
|
| Rate for Payer: Priority Health Medicare |
$29,393.51
|
| Rate for Payer: Railroad Medicare Medicare |
$29,393.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,393.51
|
| Rate for Payer: UHC Exchange |
$45,559.94
|
| Rate for Payer: UHC Medicare Advantage |
$29,393.51
|
| Rate for Payer: UHCCP DNSP |
$29,393.51
|
| Rate for Payer: VA VA |
$29,393.51
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,906.63
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$9,749.22 |
| Max. Negotiated Rate |
$15,906.63 |
| Rate for Payer: Aetna Medicare |
$10,262.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,827.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,827.92
|
| Rate for Payer: BCBS MAPPO |
$10,262.34
|
| Rate for Payer: BCN Medicare Advantage |
$10,262.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,262.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,262.34
|
| Rate for Payer: Mclaren Medicare |
$10,262.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,775.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,801.69
|
| Rate for Payer: PACE Medicare |
$9,749.22
|
| Rate for Payer: PACE SWMI |
$10,262.34
|
| Rate for Payer: PHP Commercial |
$11,288.57
|
| Rate for Payer: PHP Medicare Advantage |
$10,262.34
|
| Rate for Payer: Priority Health Medicare |
$10,262.34
|
| Rate for Payer: Railroad Medicare Medicare |
$10,262.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,262.34
|
| Rate for Payer: UHC Exchange |
$15,906.63
|
| Rate for Payer: UHC Medicare Advantage |
$10,262.34
|
| Rate for Payer: UHCCP DNSP |
$10,262.34
|
| Rate for Payer: VA VA |
$10,262.34
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$32,381.92
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$19,846.98 |
| Max. Negotiated Rate |
$32,381.92 |
| Rate for Payer: Aetna Medicare |
$20,891.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,114.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,114.45
|
| Rate for Payer: BCBS MAPPO |
$20,891.56
|
| Rate for Payer: BCN Medicare Advantage |
$20,891.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,891.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,891.56
|
| Rate for Payer: Mclaren Medicare |
$20,891.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,936.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,025.29
|
| Rate for Payer: PACE Medicare |
$19,846.98
|
| Rate for Payer: PACE SWMI |
$20,891.56
|
| Rate for Payer: PHP Commercial |
$22,980.72
|
| Rate for Payer: PHP Medicare Advantage |
$20,891.56
|
| Rate for Payer: Priority Health Medicare |
$20,891.56
|
| Rate for Payer: Railroad Medicare Medicare |
$20,891.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,891.56
|
| Rate for Payer: UHC Exchange |
$32,381.92
|
| Rate for Payer: UHC Medicare Advantage |
$20,891.56
|
| Rate for Payer: UHCCP DNSP |
$20,891.56
|
| Rate for Payer: VA VA |
$20,891.56
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,039.53
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$7,379.07 |
| Max. Negotiated Rate |
$12,039.53 |
| Rate for Payer: Aetna Medicare |
$7,767.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,709.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,709.30
|
| Rate for Payer: BCBS MAPPO |
$7,767.44
|
| Rate for Payer: BCN Medicare Advantage |
$7,767.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,767.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,767.44
|
| Rate for Payer: Mclaren Medicare |
$7,767.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,155.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,932.56
|
| Rate for Payer: PACE Medicare |
$7,379.07
|
| Rate for Payer: PACE SWMI |
$7,767.44
|
| Rate for Payer: PHP Commercial |
$8,544.18
|
| Rate for Payer: PHP Medicare Advantage |
$7,767.44
|
| Rate for Payer: Priority Health Medicare |
$7,767.44
|
| Rate for Payer: Railroad Medicare Medicare |
$7,767.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,767.44
|
| Rate for Payer: UHC Exchange |
$12,039.53
|
| Rate for Payer: UHC Medicare Advantage |
$7,767.44
|
| Rate for Payer: UHCCP DNSP |
$7,767.44
|
| Rate for Payer: VA VA |
$7,767.44
|
|
|
MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$50,937.39
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$31,219.69 |
| Max. Negotiated Rate |
$50,937.39 |
| Rate for Payer: Aetna Medicare |
$32,862.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41,078.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41,078.54
|
| Rate for Payer: BCBS MAPPO |
$32,862.83
|
| Rate for Payer: BCN Medicare Advantage |
$32,862.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,862.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,862.83
|
| Rate for Payer: Mclaren Medicare |
$32,862.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,505.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,792.25
|
| Rate for Payer: PACE Medicare |
$31,219.69
|
| Rate for Payer: PACE SWMI |
$32,862.83
|
| Rate for Payer: PHP Commercial |
$36,149.11
|
| Rate for Payer: PHP Medicare Advantage |
$32,862.83
|
| Rate for Payer: Priority Health Medicare |
$32,862.83
|
| Rate for Payer: Railroad Medicare Medicare |
$32,862.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,862.83
|
| Rate for Payer: UHC Exchange |
$50,937.39
|
| Rate for Payer: UHC Medicare Advantage |
$32,862.83
|
| Rate for Payer: UHCCP DNSP |
$32,862.83
|
| Rate for Payer: VA VA |
$32,862.83
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,616.16
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$9,571.19 |
| Max. Negotiated Rate |
$15,616.16 |
| Rate for Payer: Aetna Medicare |
$10,074.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,593.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,593.67
|
| Rate for Payer: BCBS MAPPO |
$10,074.94
|
| Rate for Payer: BCN Medicare Advantage |
$10,074.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,074.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,074.94
|
| Rate for Payer: Mclaren Medicare |
$10,074.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,578.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,586.18
|
| Rate for Payer: PACE Medicare |
$9,571.19
|
| Rate for Payer: PACE SWMI |
$10,074.94
|
| Rate for Payer: PHP Commercial |
$11,082.43
|
| Rate for Payer: PHP Medicare Advantage |
$10,074.94
|
| Rate for Payer: Priority Health Medicare |
$10,074.94
|
| Rate for Payer: Railroad Medicare Medicare |
$10,074.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,074.94
|
| Rate for Payer: UHC Exchange |
$15,616.16
|
| Rate for Payer: UHC Medicare Advantage |
$10,074.94
|
| Rate for Payer: UHCCP DNSP |
$10,074.94
|
| Rate for Payer: VA VA |
$10,074.94
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,501.06
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$15,629.68 |
| Max. Negotiated Rate |
$25,501.06 |
| Rate for Payer: Aetna Medicare |
$16,452.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,565.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,565.38
|
| Rate for Payer: BCBS MAPPO |
$16,452.30
|
| Rate for Payer: BCN Medicare Advantage |
$16,452.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,452.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,452.30
|
| Rate for Payer: Mclaren Medicare |
$16,452.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,274.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,920.15
|
| Rate for Payer: PACE Medicare |
$15,629.68
|
| Rate for Payer: PACE SWMI |
$16,452.30
|
| Rate for Payer: PHP Commercial |
$18,097.53
|
| Rate for Payer: PHP Medicare Advantage |
$16,452.30
|
| Rate for Payer: Priority Health Medicare |
$16,452.30
|
| Rate for Payer: Railroad Medicare Medicare |
$16,452.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,452.30
|
| Rate for Payer: UHC Exchange |
$25,501.06
|
| Rate for Payer: UHC Medicare Advantage |
$16,452.30
|
| Rate for Payer: UHCCP DNSP |
$16,452.30
|
| Rate for Payer: VA VA |
$16,452.30
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,399.17
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$6,986.59 |
| Max. Negotiated Rate |
$11,399.17 |
| Rate for Payer: Aetna Medicare |
$7,354.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,192.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,192.88
|
| Rate for Payer: BCBS MAPPO |
$7,354.30
|
| Rate for Payer: BCN Medicare Advantage |
$7,354.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,354.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,354.30
|
| Rate for Payer: Mclaren Medicare |
$7,354.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,722.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,457.44
|
| Rate for Payer: PACE Medicare |
$6,986.59
|
| Rate for Payer: PACE SWMI |
$7,354.30
|
| Rate for Payer: PHP Commercial |
$8,089.73
|
| Rate for Payer: PHP Medicare Advantage |
$7,354.30
|
| Rate for Payer: Priority Health Medicare |
$7,354.30
|
| Rate for Payer: Railroad Medicare Medicare |
$7,354.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,354.30
|
| Rate for Payer: UHC Exchange |
$11,399.17
|
| Rate for Payer: UHC Medicare Advantage |
$7,354.30
|
| Rate for Payer: UHCCP DNSP |
$7,354.30
|
| Rate for Payer: VA VA |
$7,354.30
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,744.28
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$20,681.97 |
| Max. Negotiated Rate |
$33,744.28 |
| Rate for Payer: Aetna Medicare |
$21,770.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,213.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,213.12
|
| Rate for Payer: BCBS MAPPO |
$21,770.50
|
| Rate for Payer: BCN Medicare Advantage |
$21,770.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,770.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,770.50
|
| Rate for Payer: Mclaren Medicare |
$21,770.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,859.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,036.08
|
| Rate for Payer: PACE Medicare |
$20,681.97
|
| Rate for Payer: PACE SWMI |
$21,770.50
|
| Rate for Payer: PHP Commercial |
$23,947.55
|
| Rate for Payer: PHP Medicare Advantage |
$21,770.50
|
| Rate for Payer: Priority Health Medicare |
$21,770.50
|
| Rate for Payer: Railroad Medicare Medicare |
$21,770.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,770.50
|
| Rate for Payer: UHC Exchange |
$33,744.28
|
| Rate for Payer: UHC Medicare Advantage |
$21,770.50
|
| Rate for Payer: UHCCP DNSP |
$21,770.50
|
| Rate for Payer: VA VA |
$21,770.50
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$61,595.43
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$37,752.04 |
| Max. Negotiated Rate |
$61,595.43 |
| Rate for Payer: Aetna Medicare |
$39,738.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49,673.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49,673.74
|
| Rate for Payer: BCBS MAPPO |
$39,738.99
|
| Rate for Payer: BCN Medicare Advantage |
$39,738.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,738.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,738.99
|
| Rate for Payer: Mclaren Medicare |
$39,738.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,725.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45,699.84
|
| Rate for Payer: PACE Medicare |
$37,752.04
|
| Rate for Payer: PACE SWMI |
$39,738.99
|
| Rate for Payer: PHP Commercial |
$43,712.89
|
| Rate for Payer: PHP Medicare Advantage |
$39,738.99
|
| Rate for Payer: Priority Health Medicare |
$39,738.99
|
| Rate for Payer: Railroad Medicare Medicare |
$39,738.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,738.99
|
| Rate for Payer: UHC Exchange |
$61,595.43
|
| Rate for Payer: UHC Medicare Advantage |
$39,738.99
|
| Rate for Payer: UHCCP DNSP |
$39,738.99
|
| Rate for Payer: VA VA |
$39,738.99
|
|
|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,339.38
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$13,078.97 |
| Max. Negotiated Rate |
$21,339.38 |
| Rate for Payer: Aetna Medicare |
$13,767.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,209.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,209.17
|
| Rate for Payer: BCBS MAPPO |
$13,767.34
|
| Rate for Payer: BCN Medicare Advantage |
$13,767.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,767.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,767.34
|
| Rate for Payer: Mclaren Medicare |
$13,767.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,455.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,832.44
|
| Rate for Payer: PACE Medicare |
$13,078.97
|
| Rate for Payer: PACE SWMI |
$13,767.34
|
| Rate for Payer: PHP Commercial |
$15,144.07
|
| Rate for Payer: PHP Medicare Advantage |
$13,767.34
|
| Rate for Payer: Priority Health Medicare |
$13,767.34
|
| Rate for Payer: Railroad Medicare Medicare |
$13,767.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,767.34
|
| Rate for Payer: UHC Exchange |
$21,339.38
|
| Rate for Payer: UHC Medicare Advantage |
$13,767.34
|
| Rate for Payer: UHCCP DNSP |
$13,767.34
|
| Rate for Payer: VA VA |
$13,767.34
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$17,239.94
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$10,566.41 |
| Max. Negotiated Rate |
$17,239.94 |
| Rate for Payer: Aetna Medicare |
$11,122.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,903.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,903.17
|
| Rate for Payer: BCBS MAPPO |
$11,122.54
|
| Rate for Payer: BCN Medicare Advantage |
$11,122.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,122.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,122.54
|
| Rate for Payer: Mclaren Medicare |
$11,122.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,678.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,790.92
|
| Rate for Payer: PACE Medicare |
$10,566.41
|
| Rate for Payer: PACE SWMI |
$11,122.54
|
| Rate for Payer: PHP Commercial |
$12,234.79
|
| Rate for Payer: PHP Medicare Advantage |
$11,122.54
|
| Rate for Payer: Priority Health Medicare |
$11,122.54
|
| Rate for Payer: Railroad Medicare Medicare |
$11,122.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,122.54
|
| Rate for Payer: UHC Exchange |
$17,239.94
|
| Rate for Payer: UHC Medicare Advantage |
$11,122.54
|
| Rate for Payer: UHCCP DNSP |
$11,122.54
|
| Rate for Payer: VA VA |
$11,122.54
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$27,809.42
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$17,044.48 |
| Max. Negotiated Rate |
$27,809.42 |
| Rate for Payer: Aetna Medicare |
$17,941.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,426.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,426.95
|
| Rate for Payer: BCBS MAPPO |
$17,941.56
|
| Rate for Payer: BCN Medicare Advantage |
$17,941.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,941.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,941.56
|
| Rate for Payer: Mclaren Medicare |
$17,941.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,838.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,632.79
|
| Rate for Payer: PACE Medicare |
$17,044.48
|
| Rate for Payer: PACE SWMI |
$17,941.56
|
| Rate for Payer: PHP Commercial |
$19,735.72
|
| Rate for Payer: PHP Medicare Advantage |
$17,941.56
|
| Rate for Payer: Priority Health Medicare |
$17,941.56
|
| Rate for Payer: Railroad Medicare Medicare |
$17,941.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,941.56
|
| Rate for Payer: UHC Exchange |
$27,809.42
|
| Rate for Payer: UHC Medicare Advantage |
$17,941.56
|
| Rate for Payer: UHCCP DNSP |
$17,941.56
|
| Rate for Payer: VA VA |
$17,941.56
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$13,513.89
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$8,282.71 |
| Max. Negotiated Rate |
$13,513.89 |
| Rate for Payer: Aetna Medicare |
$8,718.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,898.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,898.30
|
| Rate for Payer: BCBS MAPPO |
$8,718.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,718.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,718.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,718.64
|
| Rate for Payer: Mclaren Medicare |
$8,718.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,154.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,026.44
|
| Rate for Payer: PACE Medicare |
$8,282.71
|
| Rate for Payer: PACE SWMI |
$8,718.64
|
| Rate for Payer: PHP Commercial |
$9,590.50
|
| Rate for Payer: PHP Medicare Advantage |
$8,718.64
|
| Rate for Payer: Priority Health Medicare |
$8,718.64
|
| Rate for Payer: Railroad Medicare Medicare |
$8,718.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,718.64
|
| Rate for Payer: UHC Exchange |
$13,513.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,718.64
|
| Rate for Payer: UHCCP DNSP |
$8,718.64
|
| Rate for Payer: VA VA |
$8,718.64
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$20,631.24
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$12,644.96 |
| Max. Negotiated Rate |
$20,631.24 |
| Rate for Payer: Aetna Medicare |
$13,310.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,638.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,638.10
|
| Rate for Payer: BCBS MAPPO |
$13,310.48
|
| Rate for Payer: BCN Medicare Advantage |
$13,310.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,310.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,310.48
|
| Rate for Payer: Mclaren Medicare |
$13,310.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,976.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,307.05
|
| Rate for Payer: PACE Medicare |
$12,644.96
|
| Rate for Payer: PACE SWMI |
$13,310.48
|
| Rate for Payer: PHP Commercial |
$14,641.53
|
| Rate for Payer: PHP Medicare Advantage |
$13,310.48
|
| Rate for Payer: Priority Health Medicare |
$13,310.48
|
| Rate for Payer: Railroad Medicare Medicare |
$13,310.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,310.48
|
| Rate for Payer: UHC Exchange |
$20,631.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,310.48
|
| Rate for Payer: UHCCP DNSP |
$13,310.48
|
| Rate for Payer: VA VA |
$13,310.48
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$14,017.32
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$8,591.26 |
| Max. Negotiated Rate |
$14,017.32 |
| Rate for Payer: Aetna Medicare |
$9,043.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,304.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,304.29
|
| Rate for Payer: BCBS MAPPO |
$9,043.43
|
| Rate for Payer: BCN Medicare Advantage |
$9,043.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,043.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,043.43
|
| Rate for Payer: Mclaren Medicare |
$9,043.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,495.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,399.94
|
| Rate for Payer: PACE Medicare |
$8,591.26
|
| Rate for Payer: PACE SWMI |
$9,043.43
|
| Rate for Payer: PHP Commercial |
$9,947.77
|
| Rate for Payer: PHP Medicare Advantage |
$9,043.43
|
| Rate for Payer: Priority Health Medicare |
$9,043.43
|
| Rate for Payer: Railroad Medicare Medicare |
$9,043.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,043.43
|
| Rate for Payer: UHC Exchange |
$14,017.32
|
| Rate for Payer: UHC Medicare Advantage |
$9,043.43
|
| Rate for Payer: UHCCP DNSP |
$9,043.43
|
| Rate for Payer: VA VA |
$9,043.43
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$15,509.67
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$9,505.93 |
| Max. Negotiated Rate |
$15,509.67 |
| Rate for Payer: Aetna Medicare |
$10,006.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,507.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,507.80
|
| Rate for Payer: BCBS MAPPO |
$10,006.24
|
| Rate for Payer: BCN Medicare Advantage |
$10,006.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,006.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,006.24
|
| Rate for Payer: Mclaren Medicare |
$10,006.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,506.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,507.18
|
| Rate for Payer: PACE Medicare |
$9,505.93
|
| Rate for Payer: PACE SWMI |
$10,006.24
|
| Rate for Payer: PHP Commercial |
$11,006.86
|
| Rate for Payer: PHP Medicare Advantage |
$10,006.24
|
| Rate for Payer: Priority Health Medicare |
$10,006.24
|
| Rate for Payer: Railroad Medicare Medicare |
$10,006.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,006.24
|
| Rate for Payer: UHC Exchange |
$15,509.67
|
| Rate for Payer: UHC Medicare Advantage |
$10,006.24
|
| Rate for Payer: UHCCP DNSP |
$10,006.24
|
| Rate for Payer: VA VA |
$10,006.24
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,090.30
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$15,377.93 |
| Max. Negotiated Rate |
$25,090.30 |
| Rate for Payer: Aetna Medicare |
$16,187.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,234.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,234.11
|
| Rate for Payer: BCBS MAPPO |
$16,187.29
|
| Rate for Payer: BCN Medicare Advantage |
$16,187.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,187.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,187.29
|
| Rate for Payer: Mclaren Medicare |
$16,187.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,996.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,615.38
|
| Rate for Payer: PACE Medicare |
$15,377.93
|
| Rate for Payer: PACE SWMI |
$16,187.29
|
| Rate for Payer: PHP Commercial |
$17,806.02
|
| Rate for Payer: PHP Medicare Advantage |
$16,187.29
|
| Rate for Payer: Priority Health Medicare |
$16,187.29
|
| Rate for Payer: Railroad Medicare Medicare |
$16,187.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,187.29
|
| Rate for Payer: UHC Exchange |
$25,090.30
|
| Rate for Payer: UHC Medicare Advantage |
$16,187.29
|
| Rate for Payer: UHCCP DNSP |
$16,187.29
|
| Rate for Payer: VA VA |
$16,187.29
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$11,897.04
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$7,291.73 |
| Max. Negotiated Rate |
$11,897.04 |
| Rate for Payer: Aetna Medicare |
$7,675.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,594.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,594.39
|
| Rate for Payer: BCBS MAPPO |
$7,675.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,675.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,675.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,675.51
|
| Rate for Payer: Mclaren Medicare |
$7,675.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,059.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,826.84
|
| Rate for Payer: PACE Medicare |
$7,291.73
|
| Rate for Payer: PACE SWMI |
$7,675.51
|
| Rate for Payer: PHP Commercial |
$8,443.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,675.51
|
| Rate for Payer: Priority Health Medicare |
$7,675.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,675.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,675.51
|
| Rate for Payer: UHC Exchange |
$11,897.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,675.51
|
| Rate for Payer: UHCCP DNSP |
$7,675.51
|
| Rate for Payer: VA VA |
$7,675.51
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$26,893.83
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$16,483.32 |
| Max. Negotiated Rate |
$26,893.83 |
| Rate for Payer: Aetna Medicare |
$17,350.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,688.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,688.58
|
| Rate for Payer: BCBS MAPPO |
$17,350.86
|
| Rate for Payer: BCN Medicare Advantage |
$17,350.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,350.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,350.86
|
| Rate for Payer: Mclaren Medicare |
$17,350.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,218.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,953.49
|
| Rate for Payer: PACE Medicare |
$16,483.32
|
| Rate for Payer: PACE SWMI |
$17,350.86
|
| Rate for Payer: PHP Commercial |
$19,085.95
|
| Rate for Payer: PHP Medicare Advantage |
$17,350.86
|
| Rate for Payer: Priority Health Medicare |
$17,350.86
|
| Rate for Payer: Railroad Medicare Medicare |
$17,350.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,350.86
|
| Rate for Payer: UHC Exchange |
$26,893.83
|
| Rate for Payer: UHC Medicare Advantage |
$17,350.86
|
| Rate for Payer: UHCCP DNSP |
$17,350.86
|
| Rate for Payer: VA VA |
$17,350.86
|
|
