|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,049.19
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$7,997.89 |
| Max. Negotiated Rate |
$13,049.19 |
| Rate for Payer: Aetna Medicare |
$8,418.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,523.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,523.54
|
| Rate for Payer: BCBS MAPPO |
$8,418.83
|
| Rate for Payer: BCN Medicare Advantage |
$8,418.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,418.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,418.83
|
| Rate for Payer: Mclaren Medicare |
$8,418.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,839.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,681.65
|
| Rate for Payer: PACE Medicare |
$7,997.89
|
| Rate for Payer: PACE SWMI |
$8,418.83
|
| Rate for Payer: PHP Commercial |
$9,260.71
|
| Rate for Payer: PHP Medicare Advantage |
$8,418.83
|
| Rate for Payer: Priority Health Medicare |
$8,418.83
|
| Rate for Payer: Railroad Medicare Medicare |
$8,418.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,418.83
|
| Rate for Payer: UHC Exchange |
$13,049.19
|
| Rate for Payer: UHC Medicare Advantage |
$8,418.83
|
| Rate for Payer: UHCCP DNSP |
$8,418.83
|
| Rate for Payer: VA VA |
$8,418.83
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$31,680.70
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$19,417.20 |
| Max. Negotiated Rate |
$31,680.70 |
| Rate for Payer: Aetna Medicare |
$20,439.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,548.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,548.95
|
| Rate for Payer: BCBS MAPPO |
$20,439.16
|
| Rate for Payer: BCN Medicare Advantage |
$20,439.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,439.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,439.16
|
| Rate for Payer: Mclaren Medicare |
$20,439.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,461.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,505.03
|
| Rate for Payer: PACE Medicare |
$19,417.20
|
| Rate for Payer: PACE SWMI |
$20,439.16
|
| Rate for Payer: PHP Commercial |
$22,483.08
|
| Rate for Payer: PHP Medicare Advantage |
$20,439.16
|
| Rate for Payer: Priority Health Medicare |
$20,439.16
|
| Rate for Payer: Railroad Medicare Medicare |
$20,439.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,439.16
|
| Rate for Payer: UHC Exchange |
$31,680.70
|
| Rate for Payer: UHC Medicare Advantage |
$20,439.16
|
| Rate for Payer: UHCCP DNSP |
$20,439.16
|
| Rate for Payer: VA VA |
$20,439.16
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,386.47
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$11,882.03 |
| Max. Negotiated Rate |
$19,386.47 |
| Rate for Payer: Aetna Medicare |
$12,507.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,634.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,634.25
|
| Rate for Payer: BCBS MAPPO |
$12,507.40
|
| Rate for Payer: BCN Medicare Advantage |
$12,507.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,507.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,507.40
|
| Rate for Payer: Mclaren Medicare |
$12,507.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,132.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,383.51
|
| Rate for Payer: PACE Medicare |
$11,882.03
|
| Rate for Payer: PACE SWMI |
$12,507.40
|
| Rate for Payer: PHP Commercial |
$13,758.14
|
| Rate for Payer: PHP Medicare Advantage |
$12,507.40
|
| Rate for Payer: Priority Health Medicare |
$12,507.40
|
| Rate for Payer: Railroad Medicare Medicare |
$12,507.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,507.40
|
| Rate for Payer: UHC Exchange |
$19,386.47
|
| Rate for Payer: UHC Medicare Advantage |
$12,507.40
|
| Rate for Payer: UHCCP DNSP |
$12,507.40
|
| Rate for Payer: VA VA |
$12,507.40
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$33,676.48
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$20,640.42 |
| Max. Negotiated Rate |
$33,676.48 |
| Rate for Payer: Aetna Medicare |
$21,726.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,158.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,158.45
|
| Rate for Payer: BCBS MAPPO |
$21,726.76
|
| Rate for Payer: BCN Medicare Advantage |
$21,726.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,726.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,726.76
|
| Rate for Payer: Mclaren Medicare |
$21,726.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,813.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24,985.77
|
| Rate for Payer: PACE Medicare |
$20,640.42
|
| Rate for Payer: PACE SWMI |
$21,726.76
|
| Rate for Payer: PHP Commercial |
$23,899.44
|
| Rate for Payer: PHP Medicare Advantage |
$21,726.76
|
| Rate for Payer: Priority Health Medicare |
$21,726.76
|
| Rate for Payer: Railroad Medicare Medicare |
$21,726.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,726.76
|
| Rate for Payer: UHC Exchange |
$33,676.48
|
| Rate for Payer: UHC Medicare Advantage |
$21,726.76
|
| Rate for Payer: UHCCP DNSP |
$21,726.76
|
| Rate for Payer: VA VA |
$21,726.76
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,362.82
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$14,319.15 |
| Max. Negotiated Rate |
$23,362.82 |
| Rate for Payer: Aetna Medicare |
$15,072.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,840.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,840.99
|
| Rate for Payer: BCBS MAPPO |
$15,072.79
|
| Rate for Payer: BCN Medicare Advantage |
$15,072.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,072.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,072.79
|
| Rate for Payer: Mclaren Medicare |
$15,072.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,826.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,333.71
|
| Rate for Payer: PACE Medicare |
$14,319.15
|
| Rate for Payer: PACE SWMI |
$15,072.79
|
| Rate for Payer: PHP Commercial |
$16,580.07
|
| Rate for Payer: PHP Medicare Advantage |
$15,072.79
|
| Rate for Payer: Priority Health Medicare |
$15,072.79
|
| Rate for Payer: Railroad Medicare Medicare |
$15,072.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,072.79
|
| Rate for Payer: UHC Exchange |
$23,362.82
|
| Rate for Payer: UHC Medicare Advantage |
$15,072.79
|
| Rate for Payer: UHCCP DNSP |
$15,072.79
|
| Rate for Payer: VA VA |
$15,072.79
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,679.95
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$34,739.32 |
| Max. Negotiated Rate |
$56,679.95 |
| Rate for Payer: Aetna Medicare |
$36,567.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,709.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,709.64
|
| Rate for Payer: BCBS MAPPO |
$36,567.71
|
| Rate for Payer: BCN Medicare Advantage |
$36,567.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,567.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,567.71
|
| Rate for Payer: Mclaren Medicare |
$36,567.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,396.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,052.87
|
| Rate for Payer: PACE Medicare |
$34,739.32
|
| Rate for Payer: PACE SWMI |
$36,567.71
|
| Rate for Payer: PHP Commercial |
$40,224.48
|
| Rate for Payer: PHP Medicare Advantage |
$36,567.71
|
| Rate for Payer: Priority Health Medicare |
$36,567.71
|
| Rate for Payer: Railroad Medicare Medicare |
$36,567.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,567.71
|
| Rate for Payer: UHC Exchange |
$56,679.95
|
| Rate for Payer: UHC Medicare Advantage |
$36,567.71
|
| Rate for Payer: UHCCP DNSP |
$36,567.71
|
| Rate for Payer: VA VA |
$36,567.71
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$45,763.25
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$28,048.45 |
| Max. Negotiated Rate |
$45,763.25 |
| Rate for Payer: Aetna Medicare |
$29,524.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36,905.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36,905.85
|
| Rate for Payer: BCBS MAPPO |
$29,524.68
|
| Rate for Payer: BCN Medicare Advantage |
$29,524.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,524.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,524.68
|
| Rate for Payer: Mclaren Medicare |
$29,524.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,000.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33,953.38
|
| Rate for Payer: PACE Medicare |
$28,048.45
|
| Rate for Payer: PACE SWMI |
$29,524.68
|
| Rate for Payer: PHP Commercial |
$32,477.15
|
| Rate for Payer: PHP Medicare Advantage |
$29,524.68
|
| Rate for Payer: Priority Health Medicare |
$29,524.68
|
| Rate for Payer: Railroad Medicare Medicare |
$29,524.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,524.68
|
| Rate for Payer: UHC Exchange |
$45,763.25
|
| Rate for Payer: UHC Medicare Advantage |
$29,524.68
|
| Rate for Payer: UHCCP DNSP |
$29,524.68
|
| Rate for Payer: VA VA |
$29,524.68
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$41,970.84
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$25,724.06 |
| Max. Negotiated Rate |
$41,970.84 |
| Rate for Payer: Aetna Medicare |
$27,077.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33,847.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33,847.45
|
| Rate for Payer: BCBS MAPPO |
$27,077.96
|
| Rate for Payer: BCN Medicare Advantage |
$27,077.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,077.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,077.96
|
| Rate for Payer: Mclaren Medicare |
$27,077.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28,431.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31,139.65
|
| Rate for Payer: PACE Medicare |
$25,724.06
|
| Rate for Payer: PACE SWMI |
$27,077.96
|
| Rate for Payer: PHP Commercial |
$29,785.76
|
| Rate for Payer: PHP Medicare Advantage |
$27,077.96
|
| Rate for Payer: Priority Health Medicare |
$27,077.96
|
| Rate for Payer: Railroad Medicare Medicare |
$27,077.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$27,077.96
|
| Rate for Payer: UHC Exchange |
$41,970.84
|
| Rate for Payer: UHC Medicare Advantage |
$27,077.96
|
| Rate for Payer: UHCCP DNSP |
$27,077.96
|
| Rate for Payer: VA VA |
$27,077.96
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$27,619.98
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$16,928.37 |
| Max. Negotiated Rate |
$27,619.98 |
| Rate for Payer: Aetna Medicare |
$17,819.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,274.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,274.17
|
| Rate for Payer: BCBS MAPPO |
$17,819.34
|
| Rate for Payer: BCN Medicare Advantage |
$17,819.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,819.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,819.34
|
| Rate for Payer: Mclaren Medicare |
$17,819.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,710.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,492.24
|
| Rate for Payer: PACE Medicare |
$16,928.37
|
| Rate for Payer: PACE SWMI |
$17,819.34
|
| Rate for Payer: PHP Commercial |
$19,601.27
|
| Rate for Payer: PHP Medicare Advantage |
$17,819.34
|
| Rate for Payer: Priority Health Medicare |
$17,819.34
|
| Rate for Payer: Railroad Medicare Medicare |
$17,819.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,819.34
|
| Rate for Payer: UHC Exchange |
$27,619.98
|
| Rate for Payer: UHC Medicare Advantage |
$17,819.34
|
| Rate for Payer: UHCCP DNSP |
$17,819.34
|
| Rate for Payer: VA VA |
$17,819.34
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$34,582.41
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$21,195.67 |
| Max. Negotiated Rate |
$34,582.41 |
| Rate for Payer: Aetna Medicare |
$22,311.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,889.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,889.04
|
| Rate for Payer: BCBS MAPPO |
$22,311.23
|
| Rate for Payer: BCN Medicare Advantage |
$22,311.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,311.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$22,311.23
|
| Rate for Payer: Mclaren Medicare |
$22,311.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23,426.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,657.91
|
| Rate for Payer: PACE Medicare |
$21,195.67
|
| Rate for Payer: PACE SWMI |
$22,311.23
|
| Rate for Payer: PHP Commercial |
$24,542.35
|
| Rate for Payer: PHP Medicare Advantage |
$22,311.23
|
| Rate for Payer: Priority Health Medicare |
$22,311.23
|
| Rate for Payer: Railroad Medicare Medicare |
$22,311.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$22,311.23
|
| Rate for Payer: UHC Exchange |
$34,582.41
|
| Rate for Payer: UHC Medicare Advantage |
$22,311.23
|
| Rate for Payer: UHCCP DNSP |
$22,311.23
|
| Rate for Payer: VA VA |
$22,311.23
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$24,209.28
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$14,837.95 |
| Max. Negotiated Rate |
$24,209.28 |
| Rate for Payer: Aetna Medicare |
$15,618.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,523.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,523.61
|
| Rate for Payer: BCBS MAPPO |
$15,618.89
|
| Rate for Payer: BCN Medicare Advantage |
$15,618.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,618.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,618.89
|
| Rate for Payer: Mclaren Medicare |
$15,618.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,399.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,961.72
|
| Rate for Payer: PACE Medicare |
$14,837.95
|
| Rate for Payer: PACE SWMI |
$15,618.89
|
| Rate for Payer: PHP Commercial |
$17,180.78
|
| Rate for Payer: PHP Medicare Advantage |
$15,618.89
|
| Rate for Payer: Priority Health Medicare |
$15,618.89
|
| Rate for Payer: Railroad Medicare Medicare |
$15,618.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,618.89
|
| Rate for Payer: UHC Exchange |
$24,209.28
|
| Rate for Payer: UHC Medicare Advantage |
$15,618.89
|
| Rate for Payer: UHCCP DNSP |
$15,618.89
|
| Rate for Payer: VA VA |
$15,618.89
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$33,830.01
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$20,734.52 |
| Max. Negotiated Rate |
$33,830.01 |
| Rate for Payer: Aetna Medicare |
$21,825.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,282.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,282.26
|
| Rate for Payer: BCBS MAPPO |
$21,825.81
|
| Rate for Payer: BCN Medicare Advantage |
$21,825.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,825.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,825.81
|
| Rate for Payer: Mclaren Medicare |
$21,825.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,917.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,099.68
|
| Rate for Payer: PACE Medicare |
$20,734.52
|
| Rate for Payer: PACE SWMI |
$21,825.81
|
| Rate for Payer: PHP Commercial |
$24,008.39
|
| Rate for Payer: PHP Medicare Advantage |
$21,825.81
|
| Rate for Payer: Priority Health Medicare |
$21,825.81
|
| Rate for Payer: Railroad Medicare Medicare |
$21,825.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,825.81
|
| Rate for Payer: UHC Exchange |
$33,830.01
|
| Rate for Payer: UHC Medicare Advantage |
$21,825.81
|
| Rate for Payer: UHCCP DNSP |
$21,825.81
|
| Rate for Payer: VA VA |
$21,825.81
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,768.52
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$33,567.80 |
| Max. Negotiated Rate |
$54,768.52 |
| Rate for Payer: Aetna Medicare |
$35,334.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44,168.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44,168.16
|
| Rate for Payer: BCBS MAPPO |
$35,334.53
|
| Rate for Payer: BCN Medicare Advantage |
$35,334.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,334.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,334.53
|
| Rate for Payer: Mclaren Medicare |
$35,334.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,101.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,634.71
|
| Rate for Payer: PACE Medicare |
$33,567.80
|
| Rate for Payer: PACE SWMI |
$35,334.53
|
| Rate for Payer: PHP Commercial |
$38,867.98
|
| Rate for Payer: PHP Medicare Advantage |
$35,334.53
|
| Rate for Payer: Priority Health Medicare |
$35,334.53
|
| Rate for Payer: Railroad Medicare Medicare |
$35,334.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,334.53
|
| Rate for Payer: UHC Exchange |
$54,768.52
|
| Rate for Payer: UHC Medicare Advantage |
$35,334.53
|
| Rate for Payer: UHCCP DNSP |
$35,334.53
|
| Rate for Payer: VA VA |
$35,334.53
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,906.29
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$16,490.96 |
| Max. Negotiated Rate |
$26,906.29 |
| Rate for Payer: Aetna Medicare |
$17,358.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,698.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,698.62
|
| Rate for Payer: BCBS MAPPO |
$17,358.90
|
| Rate for Payer: BCN Medicare Advantage |
$17,358.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,358.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,358.90
|
| Rate for Payer: Mclaren Medicare |
$17,358.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,226.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,962.74
|
| Rate for Payer: PACE Medicare |
$16,490.96
|
| Rate for Payer: PACE SWMI |
$17,358.90
|
| Rate for Payer: PHP Commercial |
$19,094.79
|
| Rate for Payer: PHP Medicare Advantage |
$17,358.90
|
| Rate for Payer: Priority Health Medicare |
$17,358.90
|
| Rate for Payer: Railroad Medicare Medicare |
$17,358.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,358.90
|
| Rate for Payer: UHC Exchange |
$26,906.29
|
| Rate for Payer: UHC Medicare Advantage |
$17,358.90
|
| Rate for Payer: UHCCP DNSP |
$17,358.90
|
| Rate for Payer: VA VA |
$17,358.90
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$17,404.50
|
|
|
Service Code
|
MSDRG 300
|
| Min. Negotiated Rate |
$10,667.27 |
| Max. Negotiated Rate |
$17,404.50 |
| Rate for Payer: Aetna Medicare |
$11,228.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,035.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,035.89
|
| Rate for Payer: BCBS MAPPO |
$11,228.71
|
| Rate for Payer: BCN Medicare Advantage |
$11,228.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,228.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,228.71
|
| Rate for Payer: Mclaren Medicare |
$11,228.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,790.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,913.02
|
| Rate for Payer: PACE Medicare |
$10,667.27
|
| Rate for Payer: PACE SWMI |
$11,228.71
|
| Rate for Payer: PHP Commercial |
$12,351.58
|
| Rate for Payer: PHP Medicare Advantage |
$11,228.71
|
| Rate for Payer: Priority Health Medicare |
$11,228.71
|
| Rate for Payer: Railroad Medicare Medicare |
$11,228.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,228.71
|
| Rate for Payer: UHC Exchange |
$17,404.50
|
| Rate for Payer: UHC Medicare Advantage |
$11,228.71
|
| Rate for Payer: UHCCP DNSP |
$11,228.71
|
| Rate for Payer: VA VA |
$11,228.71
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$24,969.96
|
|
|
Service Code
|
MSDRG 299
|
| Min. Negotiated Rate |
$15,304.17 |
| Max. Negotiated Rate |
$24,969.96 |
| Rate for Payer: Aetna Medicare |
$16,109.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,137.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,137.06
|
| Rate for Payer: BCBS MAPPO |
$16,109.65
|
| Rate for Payer: BCN Medicare Advantage |
$16,109.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,109.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,109.65
|
| Rate for Payer: Mclaren Medicare |
$16,109.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,915.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,526.10
|
| Rate for Payer: PACE Medicare |
$15,304.17
|
| Rate for Payer: PACE SWMI |
$16,109.65
|
| Rate for Payer: PHP Commercial |
$17,720.62
|
| Rate for Payer: PHP Medicare Advantage |
$16,109.65
|
| Rate for Payer: Priority Health Medicare |
$16,109.65
|
| Rate for Payer: Railroad Medicare Medicare |
$16,109.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,109.65
|
| Rate for Payer: UHC Exchange |
$24,969.96
|
| Rate for Payer: UHC Medicare Advantage |
$16,109.65
|
| Rate for Payer: UHCCP DNSP |
$16,109.65
|
| Rate for Payer: VA VA |
$16,109.65
|
|
|
MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$12,464.14
|
|
|
Service Code
|
MSDRG 301
|
| Min. Negotiated Rate |
$7,639.31 |
| Max. Negotiated Rate |
$12,464.14 |
| Rate for Payer: Aetna Medicare |
$8,041.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,051.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,051.73
|
| Rate for Payer: BCBS MAPPO |
$8,041.38
|
| Rate for Payer: BCN Medicare Advantage |
$8,041.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,041.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,041.38
|
| Rate for Payer: Mclaren Medicare |
$8,041.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,443.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,247.59
|
| Rate for Payer: PACE Medicare |
$7,639.31
|
| Rate for Payer: PACE SWMI |
$8,041.38
|
| Rate for Payer: PHP Commercial |
$8,845.52
|
| Rate for Payer: PHP Medicare Advantage |
$8,041.38
|
| Rate for Payer: Priority Health Medicare |
$8,041.38
|
| Rate for Payer: Railroad Medicare Medicare |
$8,041.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,041.38
|
| Rate for Payer: UHC Exchange |
$12,464.14
|
| Rate for Payer: UHC Medicare Advantage |
$8,041.38
|
| Rate for Payer: UHCCP DNSP |
$8,041.38
|
| Rate for Payer: VA VA |
$8,041.38
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$31,812.11
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$19,497.74 |
| Max. Negotiated Rate |
$31,812.11 |
| Rate for Payer: Aetna Medicare |
$20,523.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,654.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,654.92
|
| Rate for Payer: BCBS MAPPO |
$20,523.94
|
| Rate for Payer: BCN Medicare Advantage |
$20,523.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,523.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,523.94
|
| Rate for Payer: Mclaren Medicare |
$20,523.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,550.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,602.53
|
| Rate for Payer: PACE Medicare |
$19,497.74
|
| Rate for Payer: PACE SWMI |
$20,523.94
|
| Rate for Payer: PHP Commercial |
$22,576.33
|
| Rate for Payer: PHP Medicare Advantage |
$20,523.94
|
| Rate for Payer: Priority Health Medicare |
$20,523.94
|
| Rate for Payer: Railroad Medicare Medicare |
$20,523.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,523.94
|
| Rate for Payer: UHC Exchange |
$31,812.11
|
| Rate for Payer: UHC Medicare Advantage |
$20,523.94
|
| Rate for Payer: UHCCP DNSP |
$20,523.94
|
| Rate for Payer: VA VA |
$20,523.94
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$52,711.86
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$32,307.27 |
| Max. Negotiated Rate |
$52,711.86 |
| Rate for Payer: Aetna Medicare |
$34,007.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42,509.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42,509.56
|
| Rate for Payer: BCBS MAPPO |
$34,007.65
|
| Rate for Payer: BCN Medicare Advantage |
$34,007.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34,007.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$34,007.65
|
| Rate for Payer: Mclaren Medicare |
$34,007.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35,708.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$39,108.80
|
| Rate for Payer: PACE Medicare |
$32,307.27
|
| Rate for Payer: PACE SWMI |
$34,007.65
|
| Rate for Payer: PHP Commercial |
$37,408.42
|
| Rate for Payer: PHP Medicare Advantage |
$34,007.65
|
| Rate for Payer: Priority Health Medicare |
$34,007.65
|
| Rate for Payer: Railroad Medicare Medicare |
$34,007.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$34,007.65
|
| Rate for Payer: UHC Exchange |
$52,711.86
|
| Rate for Payer: UHC Medicare Advantage |
$34,007.65
|
| Rate for Payer: UHCCP DNSP |
$34,007.65
|
| Rate for Payer: VA VA |
$34,007.65
|
|
|
MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,828.92
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$14,604.83 |
| Max. Negotiated Rate |
$23,828.92 |
| Rate for Payer: Aetna Medicare |
$15,373.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,216.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,216.88
|
| Rate for Payer: BCBS MAPPO |
$15,373.50
|
| Rate for Payer: BCN Medicare Advantage |
$15,373.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,373.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,373.50
|
| Rate for Payer: Mclaren Medicare |
$15,373.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,142.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,679.53
|
| Rate for Payer: PACE Medicare |
$14,604.83
|
| Rate for Payer: PACE SWMI |
$15,373.50
|
| Rate for Payer: PHP Commercial |
$16,910.85
|
| Rate for Payer: PHP Medicare Advantage |
$15,373.50
|
| Rate for Payer: Priority Health Medicare |
$15,373.50
|
| Rate for Payer: Railroad Medicare Medicare |
$15,373.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,373.50
|
| Rate for Payer: UHC Exchange |
$23,828.92
|
| Rate for Payer: UHC Medicare Advantage |
$15,373.50
|
| Rate for Payer: UHCCP DNSP |
$15,373.50
|
| Rate for Payer: VA VA |
$15,373.50
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
|
IP
|
$33,755.34
|
|
|
Service Code
|
MSDRG 243
|
| Min. Negotiated Rate |
$20,688.76 |
| Max. Negotiated Rate |
$33,755.34 |
| Rate for Payer: Aetna Medicare |
$21,777.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27,222.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27,222.05
|
| Rate for Payer: BCBS MAPPO |
$21,777.64
|
| Rate for Payer: BCN Medicare Advantage |
$21,777.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21,777.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$21,777.64
|
| Rate for Payer: Mclaren Medicare |
$21,777.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22,866.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25,044.29
|
| Rate for Payer: PACE Medicare |
$20,688.76
|
| Rate for Payer: PACE SWMI |
$21,777.64
|
| Rate for Payer: PHP Commercial |
$23,955.40
|
| Rate for Payer: PHP Medicare Advantage |
$21,777.64
|
| Rate for Payer: Priority Health Medicare |
$21,777.64
|
| Rate for Payer: Railroad Medicare Medicare |
$21,777.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$21,777.64
|
| Rate for Payer: UHC Exchange |
$33,755.34
|
| Rate for Payer: UHC Medicare Advantage |
$21,777.64
|
| Rate for Payer: UHCCP DNSP |
$21,777.64
|
| Rate for Payer: VA VA |
$21,777.64
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
|
IP
|
$49,511.40
|
|
|
Service Code
|
MSDRG 242
|
| Min. Negotiated Rate |
$30,345.70 |
| Max. Negotiated Rate |
$49,511.40 |
| Rate for Payer: Aetna Medicare |
$31,942.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,928.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,928.55
|
| Rate for Payer: BCBS MAPPO |
$31,942.84
|
| Rate for Payer: BCN Medicare Advantage |
$31,942.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,942.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,942.84
|
| Rate for Payer: Mclaren Medicare |
$31,942.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,539.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,734.27
|
| Rate for Payer: PACE Medicare |
$30,345.70
|
| Rate for Payer: PACE SWMI |
$31,942.84
|
| Rate for Payer: PHP Commercial |
$35,137.12
|
| Rate for Payer: PHP Medicare Advantage |
$31,942.84
|
| Rate for Payer: Priority Health Medicare |
$31,942.84
|
| Rate for Payer: Railroad Medicare Medicare |
$31,942.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,942.84
|
| Rate for Payer: UHC Exchange |
$49,511.40
|
| Rate for Payer: UHC Medicare Advantage |
$31,942.84
|
| Rate for Payer: UHCCP DNSP |
$31,942.84
|
| Rate for Payer: VA VA |
$31,942.84
|
|
|
MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$27,557.73
|
|
|
Service Code
|
MSDRG 244
|
| Min. Negotiated Rate |
$16,890.22 |
| Max. Negotiated Rate |
$27,557.73 |
| Rate for Payer: Aetna Medicare |
$17,779.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,223.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,223.97
|
| Rate for Payer: BCBS MAPPO |
$17,779.18
|
| Rate for Payer: BCN Medicare Advantage |
$17,779.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,779.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,779.18
|
| Rate for Payer: Mclaren Medicare |
$17,779.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,668.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,446.06
|
| Rate for Payer: PACE Medicare |
$16,890.22
|
| Rate for Payer: PACE SWMI |
$17,779.18
|
| Rate for Payer: PHP Commercial |
$19,557.10
|
| Rate for Payer: PHP Medicare Advantage |
$17,779.18
|
| Rate for Payer: Priority Health Medicare |
$17,779.18
|
| Rate for Payer: Railroad Medicare Medicare |
$17,779.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,779.18
|
| Rate for Payer: UHC Exchange |
$27,557.73
|
| Rate for Payer: UHC Medicare Advantage |
$17,779.18
|
| Rate for Payer: UHCCP DNSP |
$17,779.18
|
| Rate for Payer: VA VA |
$17,779.18
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH CC
|
Facility
|
IP
|
$16,483.37
|
|
|
Service Code
|
MSDRG 187
|
| Min. Negotiated Rate |
$10,102.71 |
| Max. Negotiated Rate |
$16,483.37 |
| Rate for Payer: Aetna Medicare |
$10,634.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,293.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,293.04
|
| Rate for Payer: BCBS MAPPO |
$10,634.43
|
| Rate for Payer: BCN Medicare Advantage |
$10,634.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,634.43
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,634.43
|
| Rate for Payer: Mclaren Medicare |
$10,634.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,166.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,229.59
|
| Rate for Payer: PACE Medicare |
$10,102.71
|
| Rate for Payer: PACE SWMI |
$10,634.43
|
| Rate for Payer: PHP Commercial |
$11,697.87
|
| Rate for Payer: PHP Medicare Advantage |
$10,634.43
|
| Rate for Payer: Priority Health Medicare |
$10,634.43
|
| Rate for Payer: Railroad Medicare Medicare |
$10,634.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,634.43
|
| Rate for Payer: UHC Exchange |
$16,483.37
|
| Rate for Payer: UHC Medicare Advantage |
$10,634.43
|
| Rate for Payer: UHCCP DNSP |
$10,634.43
|
| Rate for Payer: VA VA |
$10,634.43
|
|
|
MS-DRG 42.00: PLEURAL EFFUSION WITH MCC
|
Facility
|
IP
|
$24,449.93
|
|
|
Service Code
|
MSDRG 186
|
| Min. Negotiated Rate |
$14,985.44 |
| Max. Negotiated Rate |
$24,449.93 |
| Rate for Payer: Aetna Medicare |
$15,774.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,717.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,717.69
|
| Rate for Payer: BCBS MAPPO |
$15,774.15
|
| Rate for Payer: BCN Medicare Advantage |
$15,774.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,774.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,774.15
|
| Rate for Payer: Mclaren Medicare |
$15,774.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,562.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,140.27
|
| Rate for Payer: PACE Medicare |
$14,985.44
|
| Rate for Payer: PACE SWMI |
$15,774.15
|
| Rate for Payer: PHP Commercial |
$17,351.56
|
| Rate for Payer: PHP Medicare Advantage |
$15,774.15
|
| Rate for Payer: Priority Health Medicare |
$15,774.15
|
| Rate for Payer: Railroad Medicare Medicare |
$15,774.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,774.15
|
| Rate for Payer: UHC Exchange |
$24,449.93
|
| Rate for Payer: UHC Medicare Advantage |
$15,774.15
|
| Rate for Payer: UHCCP DNSP |
$15,774.15
|
| Rate for Payer: VA VA |
$15,774.15
|
|
