|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$50,236.17
|
|
|
Service Code
|
MSDRG 271
|
| Min. Negotiated Rate |
$30,789.91 |
| Max. Negotiated Rate |
$50,236.17 |
| Rate for Payer: Aetna Medicare |
$32,410.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,513.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,513.04
|
| Rate for Payer: BCBS MAPPO |
$32,410.43
|
| Rate for Payer: BCN Medicare Advantage |
$32,410.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,410.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,410.43
|
| Rate for Payer: Mclaren Medicare |
$32,410.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,030.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,271.99
|
| Rate for Payer: PACE Medicare |
$30,789.91
|
| Rate for Payer: PACE SWMI |
$32,410.43
|
| Rate for Payer: PHP Commercial |
$35,651.47
|
| Rate for Payer: PHP Medicare Advantage |
$32,410.43
|
| Rate for Payer: Priority Health Medicare |
$32,410.43
|
| Rate for Payer: Railroad Medicare Medicare |
$32,410.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,410.43
|
| Rate for Payer: UHC Exchange |
$50,236.17
|
| Rate for Payer: UHC Medicare Advantage |
$32,410.43
|
| Rate for Payer: UHCCP DNSP |
$32,410.43
|
| Rate for Payer: VA VA |
$32,410.43
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$73,590.90
|
|
|
Service Code
|
MSDRG 270
|
| Min. Negotiated Rate |
$45,104.10 |
| Max. Negotiated Rate |
$73,590.90 |
| Rate for Payer: Aetna Medicare |
$47,478.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59,347.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59,347.50
|
| Rate for Payer: BCBS MAPPO |
$47,478.00
|
| Rate for Payer: BCN Medicare Advantage |
$47,478.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,478.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$47,478.00
|
| Rate for Payer: Mclaren Medicare |
$47,478.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,851.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,599.70
|
| Rate for Payer: PACE Medicare |
$45,104.10
|
| Rate for Payer: PACE SWMI |
$47,478.00
|
| Rate for Payer: PHP Commercial |
$52,225.80
|
| Rate for Payer: PHP Medicare Advantage |
$47,478.00
|
| Rate for Payer: Priority Health Medicare |
$47,478.00
|
| Rate for Payer: Railroad Medicare Medicare |
$47,478.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,478.00
|
| Rate for Payer: UHC Exchange |
$73,590.90
|
| Rate for Payer: UHC Medicare Advantage |
$47,478.00
|
| Rate for Payer: UHCCP DNSP |
$47,478.00
|
| Rate for Payer: VA VA |
$47,478.00
|
|
|
MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,204.73
|
|
|
Service Code
|
MSDRG 272
|
| Min. Negotiated Rate |
$22,802.90 |
| Max. Negotiated Rate |
$37,204.73 |
| Rate for Payer: Aetna Medicare |
$24,003.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,003.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,003.81
|
| Rate for Payer: BCBS MAPPO |
$24,003.05
|
| Rate for Payer: BCN Medicare Advantage |
$24,003.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,003.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,003.05
|
| Rate for Payer: Mclaren Medicare |
$24,003.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,203.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,603.51
|
| Rate for Payer: PACE Medicare |
$22,802.90
|
| Rate for Payer: PACE SWMI |
$24,003.05
|
| Rate for Payer: PHP Commercial |
$26,403.35
|
| Rate for Payer: PHP Medicare Advantage |
$24,003.05
|
| Rate for Payer: Priority Health Medicare |
$24,003.05
|
| Rate for Payer: Railroad Medicare Medicare |
$24,003.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$24,003.05
|
| Rate for Payer: UHC Exchange |
$37,204.73
|
| Rate for Payer: UHC Medicare Advantage |
$24,003.05
|
| Rate for Payer: UHCCP DNSP |
$24,003.05
|
| Rate for Payer: VA VA |
$24,003.05
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
|
IP
|
$17,823.59
|
|
|
Service Code
|
MSDRG 729
|
| Min. Negotiated Rate |
$10,924.14 |
| Max. Negotiated Rate |
$17,823.59 |
| Rate for Payer: Aetna Medicare |
$11,499.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,373.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,373.86
|
| Rate for Payer: BCBS MAPPO |
$11,499.09
|
| Rate for Payer: BCN Medicare Advantage |
$11,499.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,499.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,499.09
|
| Rate for Payer: Mclaren Medicare |
$11,499.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,074.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,223.95
|
| Rate for Payer: PACE Medicare |
$10,924.14
|
| Rate for Payer: PACE SWMI |
$11,499.09
|
| Rate for Payer: PHP Commercial |
$12,649.00
|
| Rate for Payer: PHP Medicare Advantage |
$11,499.09
|
| Rate for Payer: Priority Health Medicare |
$11,499.09
|
| Rate for Payer: Railroad Medicare Medicare |
$11,499.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,499.09
|
| Rate for Payer: UHC Exchange |
$17,823.59
|
| Rate for Payer: UHC Medicare Advantage |
$11,499.09
|
| Rate for Payer: UHCCP DNSP |
$11,499.09
|
| Rate for Payer: VA VA |
$11,499.09
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,991.14
|
|
|
Service Code
|
MSDRG 730
|
| Min. Negotiated Rate |
$6,736.51 |
| Max. Negotiated Rate |
$10,991.14 |
| Rate for Payer: Aetna Medicare |
$7,091.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,863.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,863.83
|
| Rate for Payer: BCBS MAPPO |
$7,091.06
|
| Rate for Payer: BCN Medicare Advantage |
$7,091.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,091.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,091.06
|
| Rate for Payer: Mclaren Medicare |
$7,091.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,445.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,154.72
|
| Rate for Payer: PACE Medicare |
$6,736.51
|
| Rate for Payer: PACE SWMI |
$7,091.06
|
| Rate for Payer: PHP Commercial |
$7,800.17
|
| Rate for Payer: PHP Medicare Advantage |
$7,091.06
|
| Rate for Payer: Priority Health Medicare |
$7,091.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7,091.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,091.06
|
| Rate for Payer: UHC Exchange |
$10,991.14
|
| Rate for Payer: UHC Medicare Advantage |
$7,091.06
|
| Rate for Payer: UHCCP DNSP |
$7,091.06
|
| Rate for Payer: VA VA |
$7,091.06
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$28,260.34
|
|
|
Service Code
|
MSDRG 717
|
| Min. Negotiated Rate |
$17,320.86 |
| Max. Negotiated Rate |
$28,260.34 |
| Rate for Payer: Aetna Medicare |
$18,232.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,790.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,790.60
|
| Rate for Payer: BCBS MAPPO |
$18,232.48
|
| Rate for Payer: BCN Medicare Advantage |
$18,232.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,232.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,232.48
|
| Rate for Payer: Mclaren Medicare |
$18,232.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,144.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,967.35
|
| Rate for Payer: PACE Medicare |
$17,320.86
|
| Rate for Payer: PACE SWMI |
$18,232.48
|
| Rate for Payer: PHP Commercial |
$20,055.73
|
| Rate for Payer: PHP Medicare Advantage |
$18,232.48
|
| Rate for Payer: Priority Health Medicare |
$18,232.48
|
| Rate for Payer: Railroad Medicare Medicare |
$18,232.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,232.48
|
| Rate for Payer: UHC Exchange |
$28,260.34
|
| Rate for Payer: UHC Medicare Advantage |
$18,232.48
|
| Rate for Payer: UHCCP DNSP |
$18,232.48
|
| Rate for Payer: VA VA |
$18,232.48
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,635.42
|
|
|
Service Code
|
MSDRG 718
|
| Min. Negotiated Rate |
$12,034.61 |
| Max. Negotiated Rate |
$19,635.42 |
| Rate for Payer: Aetna Medicare |
$12,668.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,835.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,835.01
|
| Rate for Payer: BCBS MAPPO |
$12,668.01
|
| Rate for Payer: BCN Medicare Advantage |
$12,668.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,668.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,668.01
|
| Rate for Payer: Mclaren Medicare |
$12,668.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,301.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,568.21
|
| Rate for Payer: PACE Medicare |
$12,034.61
|
| Rate for Payer: PACE SWMI |
$12,668.01
|
| Rate for Payer: PHP Commercial |
$13,934.81
|
| Rate for Payer: PHP Medicare Advantage |
$12,668.01
|
| Rate for Payer: Priority Health Medicare |
$12,668.01
|
| Rate for Payer: Railroad Medicare Medicare |
$12,668.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,668.01
|
| Rate for Payer: UHC Exchange |
$19,635.42
|
| Rate for Payer: UHC Medicare Advantage |
$12,668.01
|
| Rate for Payer: UHCCP DNSP |
$12,668.01
|
| Rate for Payer: VA VA |
$12,668.01
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$33,831.40
|
|
|
Service Code
|
MSDRG 715
|
| Min. Negotiated Rate |
$20,735.37 |
| Max. Negotiated Rate |
$33,831.40 |
| Rate for Payer: Aetna Medicare |
$21,826.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,283.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,283.39
|
| Rate for Payer: BCBS MAPPO |
$21,826.71
|
| Rate for Payer: BCN Medicare Advantage |
$21,826.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,826.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,826.71
|
| Rate for Payer: Mclaren Medicare |
$21,826.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,918.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,100.72
|
| Rate for Payer: PACE Medicare |
$20,735.37
|
| Rate for Payer: PACE SWMI |
$21,826.71
|
| Rate for Payer: PHP Commercial |
$24,009.38
|
| Rate for Payer: PHP Medicare Advantage |
$21,826.71
|
| Rate for Payer: Priority Health Medicare |
$21,826.71
|
| Rate for Payer: Railroad Medicare Medicare |
$21,826.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,826.71
|
| Rate for Payer: UHC Exchange |
$33,831.40
|
| Rate for Payer: UHC Medicare Advantage |
$21,826.71
|
| Rate for Payer: UHCCP DNSP |
$21,826.71
|
| Rate for Payer: VA VA |
$21,826.71
|
|
|
MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$22,227.31
|
|
|
Service Code
|
MSDRG 716
|
| Min. Negotiated Rate |
$13,623.19 |
| Max. Negotiated Rate |
$22,227.31 |
| Rate for Payer: Aetna Medicare |
$14,340.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,925.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,925.25
|
| Rate for Payer: BCBS MAPPO |
$14,340.20
|
| Rate for Payer: BCN Medicare Advantage |
$14,340.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,340.20
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,340.20
|
| Rate for Payer: Mclaren Medicare |
$14,340.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,057.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,491.23
|
| Rate for Payer: PACE Medicare |
$13,623.19
|
| Rate for Payer: PACE SWMI |
$14,340.20
|
| Rate for Payer: PHP Commercial |
$15,774.22
|
| Rate for Payer: PHP Medicare Advantage |
$14,340.20
|
| Rate for Payer: Priority Health Medicare |
$14,340.20
|
| Rate for Payer: Railroad Medicare Medicare |
$14,340.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,340.20
|
| Rate for Payer: UHC Exchange |
$22,227.31
|
| Rate for Payer: UHC Medicare Advantage |
$14,340.20
|
| Rate for Payer: UHCCP DNSP |
$14,340.20
|
| Rate for Payer: VA VA |
$14,340.20
|
|
|
MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$19,047.61
|
|
|
Service Code
|
MSDRG 887
|
| Min. Negotiated Rate |
$11,674.34 |
| Max. Negotiated Rate |
$19,047.61 |
| Rate for Payer: Aetna Medicare |
$12,288.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,360.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,360.98
|
| Rate for Payer: BCBS MAPPO |
$12,288.78
|
| Rate for Payer: BCN Medicare Advantage |
$12,288.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,288.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,288.78
|
| Rate for Payer: Mclaren Medicare |
$12,288.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,903.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,132.10
|
| Rate for Payer: PACE Medicare |
$11,674.34
|
| Rate for Payer: PACE SWMI |
$12,288.78
|
| Rate for Payer: PHP Commercial |
$13,517.66
|
| Rate for Payer: PHP Medicare Advantage |
$12,288.78
|
| Rate for Payer: Priority Health Medicare |
$12,288.78
|
| Rate for Payer: Railroad Medicare Medicare |
$12,288.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,288.78
|
| Rate for Payer: UHC Exchange |
$19,047.61
|
| Rate for Payer: UHC Medicare Advantage |
$12,288.78
|
| Rate for Payer: UHCCP DNSP |
$12,288.78
|
| Rate for Payer: VA VA |
$12,288.78
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$23,344.84
|
|
|
Service Code
|
MSDRG 964
|
| Min. Negotiated Rate |
$14,308.13 |
| Max. Negotiated Rate |
$23,344.84 |
| Rate for Payer: Aetna Medicare |
$15,061.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,826.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,826.49
|
| Rate for Payer: BCBS MAPPO |
$15,061.19
|
| Rate for Payer: BCN Medicare Advantage |
$15,061.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,061.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,061.19
|
| Rate for Payer: Mclaren Medicare |
$15,061.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,814.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,320.37
|
| Rate for Payer: PACE Medicare |
$14,308.13
|
| Rate for Payer: PACE SWMI |
$15,061.19
|
| Rate for Payer: PHP Commercial |
$16,567.31
|
| Rate for Payer: PHP Medicare Advantage |
$15,061.19
|
| Rate for Payer: Priority Health Medicare |
$15,061.19
|
| Rate for Payer: Railroad Medicare Medicare |
$15,061.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,061.19
|
| Rate for Payer: UHC Exchange |
$23,344.84
|
| Rate for Payer: UHC Medicare Advantage |
$15,061.19
|
| Rate for Payer: UHCCP DNSP |
$15,061.19
|
| Rate for Payer: VA VA |
$15,061.19
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$40,171.44
|
|
|
Service Code
|
MSDRG 963
|
| Min. Negotiated Rate |
$24,621.21 |
| Max. Negotiated Rate |
$40,171.44 |
| Rate for Payer: Aetna Medicare |
$25,917.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,396.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,396.33
|
| Rate for Payer: BCBS MAPPO |
$25,917.06
|
| Rate for Payer: BCN Medicare Advantage |
$25,917.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,917.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,917.06
|
| Rate for Payer: Mclaren Medicare |
$25,917.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27,212.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,804.62
|
| Rate for Payer: PACE Medicare |
$24,621.21
|
| Rate for Payer: PACE SWMI |
$25,917.06
|
| Rate for Payer: PHP Commercial |
$28,508.77
|
| Rate for Payer: PHP Medicare Advantage |
$25,917.06
|
| Rate for Payer: Priority Health Medicare |
$25,917.06
|
| Rate for Payer: Railroad Medicare Medicare |
$25,917.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,917.06
|
| Rate for Payer: UHC Exchange |
$40,171.44
|
| Rate for Payer: UHC Medicare Advantage |
$25,917.06
|
| Rate for Payer: UHCCP DNSP |
$25,917.06
|
| Rate for Payer: VA VA |
$25,917.06
|
|
|
MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$15,219.23
|
|
|
Service Code
|
MSDRG 965
|
| Min. Negotiated Rate |
$9,327.92 |
| Max. Negotiated Rate |
$15,219.23 |
| Rate for Payer: Aetna Medicare |
$9,818.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,273.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,273.58
|
| Rate for Payer: BCBS MAPPO |
$9,818.86
|
| Rate for Payer: BCN Medicare Advantage |
$9,818.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,818.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,818.86
|
| Rate for Payer: Mclaren Medicare |
$9,818.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,309.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,291.69
|
| Rate for Payer: PACE Medicare |
$9,327.92
|
| Rate for Payer: PACE SWMI |
$9,818.86
|
| Rate for Payer: PHP Commercial |
$10,800.75
|
| Rate for Payer: PHP Medicare Advantage |
$9,818.86
|
| Rate for Payer: Priority Health Medicare |
$9,818.86
|
| Rate for Payer: Railroad Medicare Medicare |
$9,818.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,818.86
|
| Rate for Payer: UHC Exchange |
$15,219.23
|
| Rate for Payer: UHC Medicare Advantage |
$9,818.86
|
| Rate for Payer: UHCCP DNSP |
$9,818.86
|
| Rate for Payer: VA VA |
$9,818.86
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$16,700.52
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$10,235.80 |
| Max. Negotiated Rate |
$16,700.52 |
| Rate for Payer: Aetna Medicare |
$10,774.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,468.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,468.16
|
| Rate for Payer: BCBS MAPPO |
$10,774.53
|
| Rate for Payer: BCN Medicare Advantage |
$10,774.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,774.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,774.53
|
| Rate for Payer: Mclaren Medicare |
$10,774.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,313.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,390.71
|
| Rate for Payer: PACE Medicare |
$10,235.80
|
| Rate for Payer: PACE SWMI |
$10,774.53
|
| Rate for Payer: PHP Commercial |
$11,851.98
|
| Rate for Payer: PHP Medicare Advantage |
$10,774.53
|
| Rate for Payer: Priority Health Medicare |
$10,774.53
|
| Rate for Payer: Railroad Medicare Medicare |
$10,774.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,774.53
|
| Rate for Payer: UHC Exchange |
$16,700.52
|
| Rate for Payer: UHC Medicare Advantage |
$10,774.53
|
| Rate for Payer: UHCCP DNSP |
$10,774.53
|
| Rate for Payer: VA VA |
$10,774.53
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$24,300.56
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$14,893.89 |
| Max. Negotiated Rate |
$24,300.56 |
| Rate for Payer: Aetna Medicare |
$15,677.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,597.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,597.22
|
| Rate for Payer: BCBS MAPPO |
$15,677.78
|
| Rate for Payer: BCN Medicare Advantage |
$15,677.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,677.78
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,677.78
|
| Rate for Payer: Mclaren Medicare |
$15,677.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,461.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,029.45
|
| Rate for Payer: PACE Medicare |
$14,893.89
|
| Rate for Payer: PACE SWMI |
$15,677.78
|
| Rate for Payer: PHP Commercial |
$17,245.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,677.78
|
| Rate for Payer: Priority Health Medicare |
$15,677.78
|
| Rate for Payer: Railroad Medicare Medicare |
$15,677.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,677.78
|
| Rate for Payer: UHC Exchange |
$24,300.56
|
| Rate for Payer: UHC Medicare Advantage |
$15,677.78
|
| Rate for Payer: UHCCP DNSP |
$15,677.78
|
| Rate for Payer: VA VA |
$15,677.78
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$12,944.03
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$7,933.44 |
| Max. Negotiated Rate |
$12,944.03 |
| Rate for Payer: Aetna Medicare |
$8,350.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,438.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,438.74
|
| Rate for Payer: BCBS MAPPO |
$8,350.99
|
| Rate for Payer: BCN Medicare Advantage |
$8,350.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,350.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,350.99
|
| Rate for Payer: Mclaren Medicare |
$8,350.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,768.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,603.64
|
| Rate for Payer: PACE Medicare |
$7,933.44
|
| Rate for Payer: PACE SWMI |
$8,350.99
|
| Rate for Payer: PHP Commercial |
$9,186.09
|
| Rate for Payer: PHP Medicare Advantage |
$8,350.99
|
| Rate for Payer: Priority Health Medicare |
$8,350.99
|
| Rate for Payer: Railroad Medicare Medicare |
$8,350.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,350.99
|
| Rate for Payer: UHC Exchange |
$12,944.03
|
| Rate for Payer: UHC Medicare Advantage |
$8,350.99
|
| Rate for Payer: UHCCP DNSP |
$8,350.99
|
| Rate for Payer: VA VA |
$8,350.99
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$30,420.70
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$18,644.95 |
| Max. Negotiated Rate |
$30,420.70 |
| Rate for Payer: Aetna Medicare |
$19,626.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,532.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,532.83
|
| Rate for Payer: BCBS MAPPO |
$19,626.26
|
| Rate for Payer: BCN Medicare Advantage |
$19,626.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,626.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,626.26
|
| Rate for Payer: Mclaren Medicare |
$19,626.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,607.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,570.20
|
| Rate for Payer: PACE Medicare |
$18,644.95
|
| Rate for Payer: PACE SWMI |
$19,626.26
|
| Rate for Payer: PHP Commercial |
$21,588.89
|
| Rate for Payer: PHP Medicare Advantage |
$19,626.26
|
| Rate for Payer: Priority Health Medicare |
$19,626.26
|
| Rate for Payer: Railroad Medicare Medicare |
$19,626.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,626.26
|
| Rate for Payer: UHC Exchange |
$30,420.70
|
| Rate for Payer: UHC Medicare Advantage |
$19,626.26
|
| Rate for Payer: UHCCP DNSP |
$19,626.26
|
| Rate for Payer: VA VA |
$19,626.26
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$45,367.66
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$27,805.99 |
| Max. Negotiated Rate |
$45,367.66 |
| Rate for Payer: Aetna Medicare |
$29,269.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,586.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,586.82
|
| Rate for Payer: BCBS MAPPO |
$29,269.46
|
| Rate for Payer: BCN Medicare Advantage |
$29,269.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,269.46
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,269.46
|
| Rate for Payer: Mclaren Medicare |
$29,269.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,732.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,659.88
|
| Rate for Payer: PACE Medicare |
$27,805.99
|
| Rate for Payer: PACE SWMI |
$29,269.46
|
| Rate for Payer: PHP Commercial |
$32,196.41
|
| Rate for Payer: PHP Medicare Advantage |
$29,269.46
|
| Rate for Payer: Priority Health Medicare |
$29,269.46
|
| Rate for Payer: Railroad Medicare Medicare |
$29,269.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,269.46
|
| Rate for Payer: UHC Exchange |
$45,367.66
|
| Rate for Payer: UHC Medicare Advantage |
$29,269.46
|
| Rate for Payer: UHCCP DNSP |
$29,269.46
|
| Rate for Payer: VA VA |
$29,269.46
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,242.50
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$14,245.40 |
| Max. Negotiated Rate |
$23,242.50 |
| Rate for Payer: Aetna Medicare |
$14,995.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,743.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,743.95
|
| Rate for Payer: BCBS MAPPO |
$14,995.16
|
| Rate for Payer: BCN Medicare Advantage |
$14,995.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,995.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,995.16
|
| Rate for Payer: Mclaren Medicare |
$14,995.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,744.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,244.43
|
| Rate for Payer: PACE Medicare |
$14,245.40
|
| Rate for Payer: PACE SWMI |
$14,995.16
|
| Rate for Payer: PHP Commercial |
$16,494.68
|
| Rate for Payer: PHP Medicare Advantage |
$14,995.16
|
| Rate for Payer: Priority Health Medicare |
$14,995.16
|
| Rate for Payer: Railroad Medicare Medicare |
$14,995.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,995.16
|
| Rate for Payer: UHC Exchange |
$23,242.50
|
| Rate for Payer: UHC Medicare Advantage |
$14,995.16
|
| Rate for Payer: UHCCP DNSP |
$14,995.16
|
| Rate for Payer: VA VA |
$14,995.16
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$19,127.82
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$11,723.50 |
| Max. Negotiated Rate |
$19,127.82 |
| Rate for Payer: Aetna Medicare |
$12,340.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,425.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,425.66
|
| Rate for Payer: BCBS MAPPO |
$12,340.53
|
| Rate for Payer: BCN Medicare Advantage |
$12,340.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,340.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,340.53
|
| Rate for Payer: Mclaren Medicare |
$12,340.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,957.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,191.61
|
| Rate for Payer: PACE Medicare |
$11,723.50
|
| Rate for Payer: PACE SWMI |
$12,340.53
|
| Rate for Payer: PHP Commercial |
$13,574.58
|
| Rate for Payer: PHP Medicare Advantage |
$12,340.53
|
| Rate for Payer: Priority Health Medicare |
$12,340.53
|
| Rate for Payer: Railroad Medicare Medicare |
$12,340.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,340.53
|
| Rate for Payer: UHC Exchange |
$19,127.82
|
| Rate for Payer: UHC Medicare Advantage |
$12,340.53
|
| Rate for Payer: UHCCP DNSP |
$12,340.53
|
| Rate for Payer: VA VA |
$12,340.53
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$28,783.13
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$17,641.27 |
| Max. Negotiated Rate |
$28,783.13 |
| Rate for Payer: Aetna Medicare |
$18,569.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,212.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,212.20
|
| Rate for Payer: BCBS MAPPO |
$18,569.76
|
| Rate for Payer: BCN Medicare Advantage |
$18,569.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,569.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,569.76
|
| Rate for Payer: Mclaren Medicare |
$18,569.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,498.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,355.22
|
| Rate for Payer: PACE Medicare |
$17,641.27
|
| Rate for Payer: PACE SWMI |
$18,569.76
|
| Rate for Payer: PHP Commercial |
$20,426.74
|
| Rate for Payer: PHP Medicare Advantage |
$18,569.76
|
| Rate for Payer: Priority Health Medicare |
$18,569.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,569.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,569.76
|
| Rate for Payer: UHC Exchange |
$28,783.13
|
| Rate for Payer: UHC Medicare Advantage |
$18,569.76
|
| Rate for Payer: UHCCP DNSP |
$18,569.76
|
| Rate for Payer: VA VA |
$18,569.76
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$14,170.86
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$8,685.37 |
| Max. Negotiated Rate |
$14,170.86 |
| Rate for Payer: Aetna Medicare |
$9,142.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,428.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,428.11
|
| Rate for Payer: BCBS MAPPO |
$9,142.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,142.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,142.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,142.49
|
| Rate for Payer: Mclaren Medicare |
$9,142.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,599.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,513.86
|
| Rate for Payer: PACE Medicare |
$8,685.37
|
| Rate for Payer: PACE SWMI |
$9,142.49
|
| Rate for Payer: PHP Commercial |
$10,056.74
|
| Rate for Payer: PHP Medicare Advantage |
$9,142.49
|
| Rate for Payer: Priority Health Medicare |
$9,142.49
|
| Rate for Payer: Railroad Medicare Medicare |
$9,142.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,142.49
|
| Rate for Payer: UHC Exchange |
$14,170.86
|
| Rate for Payer: UHC Medicare Advantage |
$9,142.49
|
| Rate for Payer: UHCCP DNSP |
$9,142.49
|
| Rate for Payer: VA VA |
$9,142.49
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$30,495.38
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$18,690.72 |
| Max. Negotiated Rate |
$30,495.38 |
| Rate for Payer: Aetna Medicare |
$19,674.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,593.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,593.05
|
| Rate for Payer: BCBS MAPPO |
$19,674.44
|
| Rate for Payer: BCN Medicare Advantage |
$19,674.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,674.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,674.44
|
| Rate for Payer: Mclaren Medicare |
$19,674.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,658.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,625.61
|
| Rate for Payer: PACE Medicare |
$18,690.72
|
| Rate for Payer: PACE SWMI |
$19,674.44
|
| Rate for Payer: PHP Commercial |
$21,641.88
|
| Rate for Payer: PHP Medicare Advantage |
$19,674.44
|
| Rate for Payer: Priority Health Medicare |
$19,674.44
|
| Rate for Payer: Railroad Medicare Medicare |
$19,674.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,674.44
|
| Rate for Payer: UHC Exchange |
$30,495.38
|
| Rate for Payer: UHC Medicare Advantage |
$19,674.44
|
| Rate for Payer: UHCCP DNSP |
$19,674.44
|
| Rate for Payer: VA VA |
$19,674.44
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$57,695.12
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$35,361.53 |
| Max. Negotiated Rate |
$57,695.12 |
| Rate for Payer: Aetna Medicare |
$37,222.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,528.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,528.32
|
| Rate for Payer: BCBS MAPPO |
$37,222.66
|
| Rate for Payer: BCN Medicare Advantage |
$37,222.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,222.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,222.66
|
| Rate for Payer: Mclaren Medicare |
$37,222.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,083.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,806.06
|
| Rate for Payer: PACE Medicare |
$35,361.53
|
| Rate for Payer: PACE SWMI |
$37,222.66
|
| Rate for Payer: PHP Commercial |
$40,944.93
|
| Rate for Payer: PHP Medicare Advantage |
$37,222.66
|
| Rate for Payer: Priority Health Medicare |
$37,222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$37,222.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,222.66
|
| Rate for Payer: UHC Exchange |
$57,695.12
|
| Rate for Payer: UHC Medicare Advantage |
$37,222.66
|
| Rate for Payer: UHCCP DNSP |
$37,222.66
|
| Rate for Payer: VA VA |
$37,222.66
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,138.86
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$12,343.17 |
| Max. Negotiated Rate |
$20,138.86 |
| Rate for Payer: Aetna Medicare |
$12,992.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,241.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,241.01
|
| Rate for Payer: BCBS MAPPO |
$12,992.81
|
| Rate for Payer: BCN Medicare Advantage |
$12,992.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,992.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,992.81
|
| Rate for Payer: Mclaren Medicare |
$12,992.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,642.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,941.73
|
| Rate for Payer: PACE Medicare |
$12,343.17
|
| Rate for Payer: PACE SWMI |
$12,992.81
|
| Rate for Payer: PHP Commercial |
$14,292.09
|
| Rate for Payer: PHP Medicare Advantage |
$12,992.81
|
| Rate for Payer: Priority Health Medicare |
$12,992.81
|
| Rate for Payer: Railroad Medicare Medicare |
$12,992.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,992.81
|
| Rate for Payer: UHC Exchange |
$20,138.86
|
| Rate for Payer: UHC Medicare Advantage |
$12,992.81
|
| Rate for Payer: UHCCP DNSP |
$12,992.81
|
| Rate for Payer: VA VA |
$12,992.81
|
|
