|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,265.26
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$29,581.94 |
| Max. Negotiated Rate |
$48,265.26 |
| Rate for Payer: Aetna Medicare |
$31,138.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,923.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,923.60
|
| Rate for Payer: BCBS MAPPO |
$31,138.88
|
| Rate for Payer: BCN Medicare Advantage |
$31,138.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,138.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,138.88
|
| Rate for Payer: Mclaren Medicare |
$31,138.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32,695.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,809.71
|
| Rate for Payer: PACE Medicare |
$29,581.94
|
| Rate for Payer: PACE SWMI |
$31,138.88
|
| Rate for Payer: PHP Commercial |
$34,252.77
|
| Rate for Payer: PHP Medicare Advantage |
$31,138.88
|
| Rate for Payer: Priority Health Medicare |
$31,138.88
|
| Rate for Payer: Railroad Medicare Medicare |
$31,138.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,138.88
|
| Rate for Payer: UHC Exchange |
$48,265.26
|
| Rate for Payer: UHC Medicare Advantage |
$31,138.88
|
| Rate for Payer: UHCCP DNSP |
$31,138.88
|
| Rate for Payer: VA VA |
$31,138.88
|
|
|
MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,984.00
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$11,635.35 |
| Max. Negotiated Rate |
$18,984.00 |
| Rate for Payer: Aetna Medicare |
$12,247.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,309.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,309.67
|
| Rate for Payer: BCBS MAPPO |
$12,247.74
|
| Rate for Payer: BCN Medicare Advantage |
$12,247.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,247.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,247.74
|
| Rate for Payer: Mclaren Medicare |
$12,247.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,860.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,084.90
|
| Rate for Payer: PACE Medicare |
$11,635.35
|
| Rate for Payer: PACE SWMI |
$12,247.74
|
| Rate for Payer: PHP Commercial |
$13,472.51
|
| Rate for Payer: PHP Medicare Advantage |
$12,247.74
|
| Rate for Payer: Priority Health Medicare |
$12,247.74
|
| Rate for Payer: Railroad Medicare Medicare |
$12,247.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,247.74
|
| Rate for Payer: UHC Exchange |
$18,984.00
|
| Rate for Payer: UHC Medicare Advantage |
$12,247.74
|
| Rate for Payer: UHCCP DNSP |
$12,247.74
|
| Rate for Payer: VA VA |
$12,247.74
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$33,704.13
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$20,657.37 |
| Max. Negotiated Rate |
$33,704.13 |
| Rate for Payer: Aetna Medicare |
$21,744.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,180.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,180.75
|
| Rate for Payer: BCBS MAPPO |
$21,744.60
|
| Rate for Payer: BCN Medicare Advantage |
$21,744.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,744.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,744.60
|
| Rate for Payer: Mclaren Medicare |
$21,744.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,831.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,006.29
|
| Rate for Payer: PACE Medicare |
$20,657.37
|
| Rate for Payer: PACE SWMI |
$21,744.60
|
| Rate for Payer: PHP Commercial |
$23,919.06
|
| Rate for Payer: PHP Medicare Advantage |
$21,744.60
|
| Rate for Payer: Priority Health Medicare |
$21,744.60
|
| Rate for Payer: Railroad Medicare Medicare |
$21,744.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,744.60
|
| Rate for Payer: UHC Exchange |
$33,704.13
|
| Rate for Payer: UHC Medicare Advantage |
$21,744.60
|
| Rate for Payer: UHCCP DNSP |
$21,744.60
|
| Rate for Payer: VA VA |
$21,744.60
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,169.56
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$35,039.41 |
| Max. Negotiated Rate |
$57,169.56 |
| Rate for Payer: Aetna Medicare |
$36,883.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,104.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,104.49
|
| Rate for Payer: BCBS MAPPO |
$36,883.59
|
| Rate for Payer: BCN Medicare Advantage |
$36,883.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,883.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,883.59
|
| Rate for Payer: Mclaren Medicare |
$36,883.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,727.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,416.13
|
| Rate for Payer: PACE Medicare |
$35,039.41
|
| Rate for Payer: PACE SWMI |
$36,883.59
|
| Rate for Payer: PHP Commercial |
$40,571.95
|
| Rate for Payer: PHP Medicare Advantage |
$36,883.59
|
| Rate for Payer: Priority Health Medicare |
$36,883.59
|
| Rate for Payer: Railroad Medicare Medicare |
$36,883.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,883.59
|
| Rate for Payer: UHC Exchange |
$57,169.56
|
| Rate for Payer: UHC Medicare Advantage |
$36,883.59
|
| Rate for Payer: UHCCP DNSP |
$36,883.59
|
| Rate for Payer: VA VA |
$36,883.59
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,978.35
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$13,470.60 |
| Max. Negotiated Rate |
$21,978.35 |
| Rate for Payer: Aetna Medicare |
$14,179.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,724.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,724.47
|
| Rate for Payer: BCBS MAPPO |
$14,179.58
|
| Rate for Payer: BCN Medicare Advantage |
$14,179.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,179.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,179.58
|
| Rate for Payer: Mclaren Medicare |
$14,179.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,888.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,306.52
|
| Rate for Payer: PACE Medicare |
$13,470.60
|
| Rate for Payer: PACE SWMI |
$14,179.58
|
| Rate for Payer: PHP Commercial |
$15,597.54
|
| Rate for Payer: PHP Medicare Advantage |
$14,179.58
|
| Rate for Payer: Priority Health Medicare |
$14,179.58
|
| Rate for Payer: Railroad Medicare Medicare |
$14,179.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,179.58
|
| Rate for Payer: UHC Exchange |
$21,978.35
|
| Rate for Payer: UHC Medicare Advantage |
$14,179.58
|
| Rate for Payer: UHCCP DNSP |
$14,179.58
|
| Rate for Payer: VA VA |
$14,179.58
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,353.31
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$38,829.44 |
| Max. Negotiated Rate |
$63,353.31 |
| Rate for Payer: Aetna Medicare |
$40,873.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$51,091.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$51,091.38
|
| Rate for Payer: BCBS MAPPO |
$40,873.10
|
| Rate for Payer: BCN Medicare Advantage |
$40,873.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,873.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,873.10
|
| Rate for Payer: Mclaren Medicare |
$40,873.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,916.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47,004.07
|
| Rate for Payer: PACE Medicare |
$38,829.44
|
| Rate for Payer: PACE SWMI |
$40,873.10
|
| Rate for Payer: PHP Commercial |
$44,960.41
|
| Rate for Payer: PHP Medicare Advantage |
$40,873.10
|
| Rate for Payer: Priority Health Medicare |
$40,873.10
|
| Rate for Payer: Railroad Medicare Medicare |
$40,873.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,873.10
|
| Rate for Payer: UHC Exchange |
$63,353.31
|
| Rate for Payer: UHC Medicare Advantage |
$40,873.10
|
| Rate for Payer: UHCCP DNSP |
$40,873.10
|
| Rate for Payer: VA VA |
$40,873.10
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$34,612.83
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$21,214.32 |
| Max. Negotiated Rate |
$34,612.83 |
| Rate for Payer: Aetna Medicare |
$22,330.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,913.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,913.58
|
| Rate for Payer: BCBS MAPPO |
$22,330.86
|
| Rate for Payer: BCN Medicare Advantage |
$22,330.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,330.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,330.86
|
| Rate for Payer: Mclaren Medicare |
$22,330.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,447.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,680.49
|
| Rate for Payer: PACE Medicare |
$21,214.32
|
| Rate for Payer: PACE SWMI |
$22,330.86
|
| Rate for Payer: PHP Commercial |
$24,563.95
|
| Rate for Payer: PHP Medicare Advantage |
$22,330.86
|
| Rate for Payer: Priority Health Medicare |
$22,330.86
|
| Rate for Payer: Railroad Medicare Medicare |
$22,330.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,330.86
|
| Rate for Payer: UHC Exchange |
$34,612.83
|
| Rate for Payer: UHC Medicare Advantage |
$22,330.86
|
| Rate for Payer: UHCCP DNSP |
$22,330.86
|
| Rate for Payer: VA VA |
$22,330.86
|
|
|
MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$10,439.30
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$6,398.28 |
| Max. Negotiated Rate |
$10,439.30 |
| Rate for Payer: Aetna Medicare |
$6,735.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,418.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,418.79
|
| Rate for Payer: BCBS MAPPO |
$6,735.03
|
| Rate for Payer: BCN Medicare Advantage |
$6,735.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,735.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,735.03
|
| Rate for Payer: Mclaren Medicare |
$6,735.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,071.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,745.28
|
| Rate for Payer: PACE Medicare |
$6,398.28
|
| Rate for Payer: PACE SWMI |
$6,735.03
|
| Rate for Payer: PHP Commercial |
$7,408.53
|
| Rate for Payer: PHP Medicare Advantage |
$6,735.03
|
| Rate for Payer: Priority Health Medicare |
$6,735.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6,735.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,735.03
|
| Rate for Payer: UHC Exchange |
$10,439.30
|
| Rate for Payer: UHC Medicare Advantage |
$6,735.03
|
| Rate for Payer: UHCCP DNSP |
$6,735.03
|
| Rate for Payer: VA VA |
$6,735.03
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$38,399.72
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$23,535.31 |
| Max. Negotiated Rate |
$38,399.72 |
| Rate for Payer: Aetna Medicare |
$24,774.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,967.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,967.51
|
| Rate for Payer: BCBS MAPPO |
$24,774.01
|
| Rate for Payer: BCN Medicare Advantage |
$24,774.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,774.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,774.01
|
| Rate for Payer: Mclaren Medicare |
$24,774.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,012.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,490.11
|
| Rate for Payer: PACE Medicare |
$23,535.31
|
| Rate for Payer: PACE SWMI |
$24,774.01
|
| Rate for Payer: PHP Commercial |
$27,251.41
|
| Rate for Payer: PHP Medicare Advantage |
$24,774.01
|
| Rate for Payer: Priority Health Medicare |
$24,774.01
|
| Rate for Payer: Railroad Medicare Medicare |
$24,774.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,774.01
|
| Rate for Payer: UHC Exchange |
$38,399.72
|
| Rate for Payer: UHC Medicare Advantage |
$24,774.01
|
| Rate for Payer: UHCCP DNSP |
$24,774.01
|
| Rate for Payer: VA VA |
$24,774.01
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,432.08
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$12,522.89 |
| Max. Negotiated Rate |
$20,432.08 |
| Rate for Payer: Aetna Medicare |
$13,181.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,477.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,477.49
|
| Rate for Payer: BCBS MAPPO |
$13,181.99
|
| Rate for Payer: BCN Medicare Advantage |
$13,181.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,181.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,181.99
|
| Rate for Payer: Mclaren Medicare |
$13,181.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,841.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,159.29
|
| Rate for Payer: PACE Medicare |
$12,522.89
|
| Rate for Payer: PACE SWMI |
$13,181.99
|
| Rate for Payer: PHP Commercial |
$14,500.19
|
| Rate for Payer: PHP Medicare Advantage |
$13,181.99
|
| Rate for Payer: Priority Health Medicare |
$13,181.99
|
| Rate for Payer: Railroad Medicare Medicare |
$13,181.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,181.99
|
| Rate for Payer: UHC Exchange |
$20,432.08
|
| Rate for Payer: UHC Medicare Advantage |
$13,181.99
|
| Rate for Payer: UHCCP DNSP |
$13,181.99
|
| Rate for Payer: VA VA |
$13,181.99
|
|
|
MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$149,132.18
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$91,403.59 |
| Max. Negotiated Rate |
$149,132.18 |
| Rate for Payer: Aetna Medicare |
$96,214.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120,267.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120,267.89
|
| Rate for Payer: BCBS MAPPO |
$96,214.31
|
| Rate for Payer: BCN Medicare Advantage |
$96,214.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96,214.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$96,214.31
|
| Rate for Payer: Mclaren Medicare |
$96,214.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101,025.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110,646.46
|
| Rate for Payer: PACE Medicare |
$91,403.59
|
| Rate for Payer: PACE SWMI |
$96,214.31
|
| Rate for Payer: PHP Commercial |
$105,835.74
|
| Rate for Payer: PHP Medicare Advantage |
$96,214.31
|
| Rate for Payer: Priority Health Medicare |
$96,214.31
|
| Rate for Payer: Railroad Medicare Medicare |
$96,214.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$96,214.31
|
| Rate for Payer: UHC Exchange |
$149,132.18
|
| Rate for Payer: UHC Medicare Advantage |
$96,214.31
|
| Rate for Payer: UHCCP DNSP |
$96,214.31
|
| Rate for Payer: VA VA |
$96,214.31
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$34,177.16
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$20,947.29 |
| Max. Negotiated Rate |
$34,177.16 |
| Rate for Payer: Aetna Medicare |
$22,049.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,562.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,562.22
|
| Rate for Payer: BCBS MAPPO |
$22,049.78
|
| Rate for Payer: BCN Medicare Advantage |
$22,049.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,049.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,049.78
|
| Rate for Payer: Mclaren Medicare |
$22,049.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,152.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,357.25
|
| Rate for Payer: PACE Medicare |
$20,947.29
|
| Rate for Payer: PACE SWMI |
$22,049.78
|
| Rate for Payer: PHP Commercial |
$24,254.76
|
| Rate for Payer: PHP Medicare Advantage |
$22,049.78
|
| Rate for Payer: Priority Health Medicare |
$22,049.78
|
| Rate for Payer: Railroad Medicare Medicare |
$22,049.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,049.78
|
| Rate for Payer: UHC Exchange |
$34,177.16
|
| Rate for Payer: UHC Medicare Advantage |
$22,049.78
|
| Rate for Payer: UHCCP DNSP |
$22,049.78
|
| Rate for Payer: VA VA |
$22,049.78
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$58,852.79
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$36,071.06 |
| Max. Negotiated Rate |
$58,852.79 |
| Rate for Payer: Aetna Medicare |
$37,969.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$47,461.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$47,461.93
|
| Rate for Payer: BCBS MAPPO |
$37,969.54
|
| Rate for Payer: BCN Medicare Advantage |
$37,969.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,969.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,969.54
|
| Rate for Payer: Mclaren Medicare |
$37,969.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,868.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43,664.97
|
| Rate for Payer: PACE Medicare |
$36,071.06
|
| Rate for Payer: PACE SWMI |
$37,969.54
|
| Rate for Payer: PHP Commercial |
$41,766.49
|
| Rate for Payer: PHP Medicare Advantage |
$37,969.54
|
| Rate for Payer: Priority Health Medicare |
$37,969.54
|
| Rate for Payer: Railroad Medicare Medicare |
$37,969.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,969.54
|
| Rate for Payer: UHC Exchange |
$58,852.79
|
| Rate for Payer: UHC Medicare Advantage |
$37,969.54
|
| Rate for Payer: UHCCP DNSP |
$37,969.54
|
| Rate for Payer: VA VA |
$37,969.54
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,976.92
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$14,695.53 |
| Max. Negotiated Rate |
$23,976.92 |
| Rate for Payer: Aetna Medicare |
$15,468.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,336.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,336.22
|
| Rate for Payer: BCBS MAPPO |
$15,468.98
|
| Rate for Payer: BCN Medicare Advantage |
$15,468.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,468.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,468.98
|
| Rate for Payer: Mclaren Medicare |
$15,468.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,242.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,789.33
|
| Rate for Payer: PACE Medicare |
$14,695.53
|
| Rate for Payer: PACE SWMI |
$15,468.98
|
| Rate for Payer: PHP Commercial |
$17,015.88
|
| Rate for Payer: PHP Medicare Advantage |
$15,468.98
|
| Rate for Payer: Priority Health Medicare |
$15,468.98
|
| Rate for Payer: Railroad Medicare Medicare |
$15,468.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,468.98
|
| Rate for Payer: UHC Exchange |
$23,976.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,468.98
|
| Rate for Payer: UHCCP DNSP |
$15,468.98
|
| Rate for Payer: VA VA |
$15,468.98
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$17,120.97
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$10,493.50 |
| Max. Negotiated Rate |
$17,120.97 |
| Rate for Payer: Aetna Medicare |
$11,045.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,807.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,807.24
|
| Rate for Payer: BCBS MAPPO |
$11,045.79
|
| Rate for Payer: BCN Medicare Advantage |
$11,045.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,045.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,045.79
|
| Rate for Payer: Mclaren Medicare |
$11,045.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,598.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,702.66
|
| Rate for Payer: PACE Medicare |
$10,493.50
|
| Rate for Payer: PACE SWMI |
$11,045.79
|
| Rate for Payer: PHP Commercial |
$12,150.37
|
| Rate for Payer: PHP Medicare Advantage |
$11,045.79
|
| Rate for Payer: Priority Health Medicare |
$11,045.79
|
| Rate for Payer: Railroad Medicare Medicare |
$11,045.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,045.79
|
| Rate for Payer: UHC Exchange |
$17,120.97
|
| Rate for Payer: UHC Medicare Advantage |
$11,045.79
|
| Rate for Payer: UHCCP DNSP |
$11,045.79
|
| Rate for Payer: VA VA |
$11,045.79
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$32,254.69
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$19,769.01 |
| Max. Negotiated Rate |
$32,254.69 |
| Rate for Payer: Aetna Medicare |
$20,809.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26,011.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26,011.85
|
| Rate for Payer: BCBS MAPPO |
$20,809.48
|
| Rate for Payer: BCN Medicare Advantage |
$20,809.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,809.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,809.48
|
| Rate for Payer: Mclaren Medicare |
$20,809.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,849.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,930.90
|
| Rate for Payer: PACE Medicare |
$19,769.01
|
| Rate for Payer: PACE SWMI |
$20,809.48
|
| Rate for Payer: PHP Commercial |
$22,890.43
|
| Rate for Payer: PHP Medicare Advantage |
$20,809.48
|
| Rate for Payer: Priority Health Medicare |
$20,809.48
|
| Rate for Payer: Railroad Medicare Medicare |
$20,809.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,809.48
|
| Rate for Payer: UHC Exchange |
$32,254.69
|
| Rate for Payer: UHC Medicare Advantage |
$20,809.48
|
| Rate for Payer: UHCCP DNSP |
$20,809.48
|
| Rate for Payer: VA VA |
$20,809.48
|
|
|
MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,549.89
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$7,691.86 |
| Max. Negotiated Rate |
$12,549.89 |
| Rate for Payer: Aetna Medicare |
$8,096.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,120.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,120.88
|
| Rate for Payer: BCBS MAPPO |
$8,096.70
|
| Rate for Payer: BCN Medicare Advantage |
$8,096.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,096.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,096.70
|
| Rate for Payer: Mclaren Medicare |
$8,096.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,501.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,311.20
|
| Rate for Payer: PACE Medicare |
$7,691.86
|
| Rate for Payer: PACE SWMI |
$8,096.70
|
| Rate for Payer: PHP Commercial |
$8,906.37
|
| Rate for Payer: PHP Medicare Advantage |
$8,096.70
|
| Rate for Payer: Priority Health Medicare |
$8,096.70
|
| Rate for Payer: Railroad Medicare Medicare |
$8,096.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,096.70
|
| Rate for Payer: UHC Exchange |
$12,549.89
|
| Rate for Payer: UHC Medicare Advantage |
$8,096.70
|
| Rate for Payer: UHCCP DNSP |
$8,096.70
|
| Rate for Payer: VA VA |
$8,096.70
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,963.03
|
|
|
Service Code
|
MSDRG 922
|
| Min. Negotiated Rate |
$15,912.82 |
| Max. Negotiated Rate |
$25,963.03 |
| Rate for Payer: Aetna Medicare |
$16,750.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,937.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,937.92
|
| Rate for Payer: BCBS MAPPO |
$16,750.34
|
| Rate for Payer: BCN Medicare Advantage |
$16,750.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,750.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,750.34
|
| Rate for Payer: Mclaren Medicare |
$16,750.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,587.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,262.89
|
| Rate for Payer: PACE Medicare |
$15,912.82
|
| Rate for Payer: PACE SWMI |
$16,750.34
|
| Rate for Payer: PHP Commercial |
$18,425.37
|
| Rate for Payer: PHP Medicare Advantage |
$16,750.34
|
| Rate for Payer: Priority Health Medicare |
$16,750.34
|
| Rate for Payer: Railroad Medicare Medicare |
$16,750.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,750.34
|
| Rate for Payer: UHC Exchange |
$25,963.03
|
| Rate for Payer: UHC Medicare Advantage |
$16,750.34
|
| Rate for Payer: UHCCP DNSP |
$16,750.34
|
| Rate for Payer: VA VA |
$16,750.34
|
|
|
MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$16,703.28
|
|
|
Service Code
|
MSDRG 923
|
| Min. Negotiated Rate |
$10,237.49 |
| Max. Negotiated Rate |
$16,703.28 |
| Rate for Payer: Aetna Medicare |
$10,776.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,470.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,470.39
|
| Rate for Payer: BCBS MAPPO |
$10,776.31
|
| Rate for Payer: BCN Medicare Advantage |
$10,776.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,776.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,776.31
|
| Rate for Payer: Mclaren Medicare |
$10,776.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,315.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,392.76
|
| Rate for Payer: PACE Medicare |
$10,237.49
|
| Rate for Payer: PACE SWMI |
$10,776.31
|
| Rate for Payer: PHP Commercial |
$11,853.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,776.31
|
| Rate for Payer: Priority Health Medicare |
$10,776.31
|
| Rate for Payer: Railroad Medicare Medicare |
$10,776.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,776.31
|
| Rate for Payer: UHC Exchange |
$16,703.28
|
| Rate for Payer: UHC Medicare Advantage |
$10,776.31
|
| Rate for Payer: UHCCP DNSP |
$10,776.31
|
| Rate for Payer: VA VA |
$10,776.31
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,703.28
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$10,237.49 |
| Max. Negotiated Rate |
$16,703.28 |
| Rate for Payer: Aetna Medicare |
$10,776.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,470.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,470.39
|
| Rate for Payer: BCBS MAPPO |
$10,776.31
|
| Rate for Payer: BCN Medicare Advantage |
$10,776.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,776.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,776.31
|
| Rate for Payer: Mclaren Medicare |
$10,776.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,315.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,392.76
|
| Rate for Payer: PACE Medicare |
$10,237.49
|
| Rate for Payer: PACE SWMI |
$10,776.31
|
| Rate for Payer: PHP Commercial |
$11,853.94
|
| Rate for Payer: PHP Medicare Advantage |
$10,776.31
|
| Rate for Payer: Priority Health Medicare |
$10,776.31
|
| Rate for Payer: Railroad Medicare Medicare |
$10,776.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,776.31
|
| Rate for Payer: UHC Exchange |
$16,703.28
|
| Rate for Payer: UHC Medicare Advantage |
$10,776.31
|
| Rate for Payer: UHCCP DNSP |
$10,776.31
|
| Rate for Payer: VA VA |
$10,776.31
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$25,845.46
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$15,840.77 |
| Max. Negotiated Rate |
$25,845.46 |
| Rate for Payer: Aetna Medicare |
$16,674.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,843.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,843.11
|
| Rate for Payer: BCBS MAPPO |
$16,674.49
|
| Rate for Payer: BCN Medicare Advantage |
$16,674.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,674.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,674.49
|
| Rate for Payer: Mclaren Medicare |
$16,674.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,508.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,175.66
|
| Rate for Payer: PACE Medicare |
$15,840.77
|
| Rate for Payer: PACE SWMI |
$16,674.49
|
| Rate for Payer: PHP Commercial |
$18,341.94
|
| Rate for Payer: PHP Medicare Advantage |
$16,674.49
|
| Rate for Payer: Priority Health Medicare |
$16,674.49
|
| Rate for Payer: Railroad Medicare Medicare |
$16,674.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,674.49
|
| Rate for Payer: UHC Exchange |
$25,845.46
|
| Rate for Payer: UHC Medicare Advantage |
$16,674.49
|
| Rate for Payer: UHCCP DNSP |
$16,674.49
|
| Rate for Payer: VA VA |
$16,674.49
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,198.58
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$7,476.55 |
| Max. Negotiated Rate |
$12,198.58 |
| Rate for Payer: Aetna Medicare |
$7,870.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,837.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,837.56
|
| Rate for Payer: BCBS MAPPO |
$7,870.05
|
| Rate for Payer: BCN Medicare Advantage |
$7,870.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,870.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,870.05
|
| Rate for Payer: Mclaren Medicare |
$7,870.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,263.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,050.56
|
| Rate for Payer: PACE Medicare |
$7,476.55
|
| Rate for Payer: PACE SWMI |
$7,870.05
|
| Rate for Payer: PHP Commercial |
$8,657.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,870.05
|
| Rate for Payer: Priority Health Medicare |
$7,870.05
|
| Rate for Payer: Railroad Medicare Medicare |
$7,870.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,870.05
|
| Rate for Payer: UHC Exchange |
$12,198.58
|
| Rate for Payer: UHC Medicare Advantage |
$7,870.05
|
| Rate for Payer: UHCCP DNSP |
$7,870.05
|
| Rate for Payer: VA VA |
$7,870.05
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$34,524.31
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$21,160.06 |
| Max. Negotiated Rate |
$34,524.31 |
| Rate for Payer: Aetna Medicare |
$22,273.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,842.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,842.19
|
| Rate for Payer: BCBS MAPPO |
$22,273.75
|
| Rate for Payer: BCN Medicare Advantage |
$22,273.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,273.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,273.75
|
| Rate for Payer: Mclaren Medicare |
$22,273.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,387.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,614.81
|
| Rate for Payer: PACE Medicare |
$21,160.06
|
| Rate for Payer: PACE SWMI |
$22,273.75
|
| Rate for Payer: PHP Commercial |
$24,501.12
|
| Rate for Payer: PHP Medicare Advantage |
$22,273.75
|
| Rate for Payer: Priority Health Medicare |
$22,273.75
|
| Rate for Payer: Railroad Medicare Medicare |
$22,273.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,273.75
|
| Rate for Payer: UHC Exchange |
$34,524.31
|
| Rate for Payer: UHC Medicare Advantage |
$22,273.75
|
| Rate for Payer: UHCCP DNSP |
$22,273.75
|
| Rate for Payer: VA VA |
$22,273.75
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$60,542.89
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$37,106.93 |
| Max. Negotiated Rate |
$60,542.89 |
| Rate for Payer: Aetna Medicare |
$39,059.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,824.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,824.91
|
| Rate for Payer: BCBS MAPPO |
$39,059.93
|
| Rate for Payer: BCN Medicare Advantage |
$39,059.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,059.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,059.93
|
| Rate for Payer: Mclaren Medicare |
$39,059.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,012.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,918.92
|
| Rate for Payer: PACE Medicare |
$37,106.93
|
| Rate for Payer: PACE SWMI |
$39,059.93
|
| Rate for Payer: PHP Commercial |
$42,965.92
|
| Rate for Payer: PHP Medicare Advantage |
$39,059.93
|
| Rate for Payer: Priority Health Medicare |
$39,059.93
|
| Rate for Payer: Railroad Medicare Medicare |
$39,059.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,059.93
|
| Rate for Payer: UHC Exchange |
$60,542.89
|
| Rate for Payer: UHC Medicare Advantage |
$39,059.93
|
| Rate for Payer: UHCCP DNSP |
$39,059.93
|
| Rate for Payer: VA VA |
$39,059.93
|
|
|
MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,246.62
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$14,860.83 |
| Max. Negotiated Rate |
$24,246.62 |
| Rate for Payer: Aetna Medicare |
$15,642.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,553.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,553.72
|
| Rate for Payer: BCBS MAPPO |
$15,642.98
|
| Rate for Payer: BCN Medicare Advantage |
$15,642.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,642.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,642.98
|
| Rate for Payer: Mclaren Medicare |
$15,642.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,425.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,989.43
|
| Rate for Payer: PACE Medicare |
$14,860.83
|
| Rate for Payer: PACE SWMI |
$15,642.98
|
| Rate for Payer: PHP Commercial |
$17,207.28
|
| Rate for Payer: PHP Medicare Advantage |
$15,642.98
|
| Rate for Payer: Priority Health Medicare |
$15,642.98
|
| Rate for Payer: Railroad Medicare Medicare |
$15,642.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,642.98
|
| Rate for Payer: UHC Exchange |
$24,246.62
|
| Rate for Payer: UHC Medicare Advantage |
$15,642.98
|
| Rate for Payer: UHCCP DNSP |
$15,642.98
|
| Rate for Payer: VA VA |
$15,642.98
|
|
