|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$25,537.04
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$15,651.73 |
| Max. Negotiated Rate |
$25,537.04 |
| Rate for Payer: Aetna Medicare |
$16,475.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,594.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,594.39
|
| Rate for Payer: BCBS MAPPO |
$16,475.51
|
| Rate for Payer: BCN Medicare Advantage |
$16,475.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,475.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,475.51
|
| Rate for Payer: Mclaren Medicare |
$16,475.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,299.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,946.84
|
| Rate for Payer: PACE Medicare |
$15,651.73
|
| Rate for Payer: PACE SWMI |
$16,475.51
|
| Rate for Payer: PHP Commercial |
$18,123.06
|
| Rate for Payer: PHP Medicare Advantage |
$16,475.51
|
| Rate for Payer: Priority Health Medicare |
$16,475.51
|
| Rate for Payer: Railroad Medicare Medicare |
$16,475.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,475.51
|
| Rate for Payer: UHC Exchange |
$25,537.04
|
| Rate for Payer: UHC Medicare Advantage |
$16,475.51
|
| Rate for Payer: UHCCP DNSP |
$16,475.51
|
| Rate for Payer: VA VA |
$16,475.51
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$22,055.82
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$13,518.08 |
| Max. Negotiated Rate |
$22,055.82 |
| Rate for Payer: Aetna Medicare |
$14,229.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,786.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,786.95
|
| Rate for Payer: BCBS MAPPO |
$14,229.56
|
| Rate for Payer: BCN Medicare Advantage |
$14,229.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,229.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,229.56
|
| Rate for Payer: Mclaren Medicare |
$14,229.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,941.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,363.99
|
| Rate for Payer: PACE Medicare |
$13,518.08
|
| Rate for Payer: PACE SWMI |
$14,229.56
|
| Rate for Payer: PHP Commercial |
$15,652.52
|
| Rate for Payer: PHP Medicare Advantage |
$14,229.56
|
| Rate for Payer: Priority Health Medicare |
$14,229.56
|
| Rate for Payer: Railroad Medicare Medicare |
$14,229.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,229.56
|
| Rate for Payer: UHC Exchange |
$22,055.82
|
| Rate for Payer: UHC Medicare Advantage |
$14,229.56
|
| Rate for Payer: UHCCP DNSP |
$14,229.56
|
| Rate for Payer: VA VA |
$14,229.56
|
|
|
MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$15,361.68
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$9,415.22 |
| Max. Negotiated Rate |
$15,361.68 |
| Rate for Payer: Aetna Medicare |
$9,910.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,388.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,388.45
|
| Rate for Payer: BCBS MAPPO |
$9,910.76
|
| Rate for Payer: BCN Medicare Advantage |
$9,910.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,910.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,910.76
|
| Rate for Payer: Mclaren Medicare |
$9,910.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,406.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,397.37
|
| Rate for Payer: PACE Medicare |
$9,415.22
|
| Rate for Payer: PACE SWMI |
$9,910.76
|
| Rate for Payer: PHP Commercial |
$10,901.84
|
| Rate for Payer: PHP Medicare Advantage |
$9,910.76
|
| Rate for Payer: Priority Health Medicare |
$9,910.76
|
| Rate for Payer: Railroad Medicare Medicare |
$9,910.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,910.76
|
| Rate for Payer: UHC Exchange |
$15,361.68
|
| Rate for Payer: UHC Medicare Advantage |
$9,910.76
|
| Rate for Payer: UHCCP DNSP |
$9,910.76
|
| Rate for Payer: VA VA |
$9,910.76
|
|
|
MS-DRG 42.00: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$23,709.98
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$14,531.92 |
| Max. Negotiated Rate |
$23,709.98 |
| Rate for Payer: Aetna Medicare |
$15,296.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,120.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,120.95
|
| Rate for Payer: BCBS MAPPO |
$15,296.76
|
| Rate for Payer: BCN Medicare Advantage |
$15,296.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,296.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,296.76
|
| Rate for Payer: Mclaren Medicare |
$15,296.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,061.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,591.27
|
| Rate for Payer: PACE Medicare |
$14,531.92
|
| Rate for Payer: PACE SWMI |
$15,296.76
|
| Rate for Payer: PHP Commercial |
$16,826.44
|
| Rate for Payer: PHP Medicare Advantage |
$15,296.76
|
| Rate for Payer: Priority Health Medicare |
$15,296.76
|
| Rate for Payer: Railroad Medicare Medicare |
$15,296.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,296.76
|
| Rate for Payer: UHC Exchange |
$23,709.98
|
| Rate for Payer: UHC Medicare Advantage |
$15,296.76
|
| Rate for Payer: UHCCP DNSP |
$15,296.76
|
| Rate for Payer: VA VA |
$15,296.76
|
|
|
MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$18,039.35
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$11,056.38 |
| Max. Negotiated Rate |
$18,039.35 |
| Rate for Payer: Aetna Medicare |
$11,638.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,547.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,547.86
|
| Rate for Payer: BCBS MAPPO |
$11,638.29
|
| Rate for Payer: BCN Medicare Advantage |
$11,638.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,638.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,638.29
|
| Rate for Payer: Mclaren Medicare |
$11,638.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,220.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,384.03
|
| Rate for Payer: PACE Medicare |
$11,056.38
|
| Rate for Payer: PACE SWMI |
$11,638.29
|
| Rate for Payer: PHP Commercial |
$12,802.12
|
| Rate for Payer: PHP Medicare Advantage |
$11,638.29
|
| Rate for Payer: Priority Health Medicare |
$11,638.29
|
| Rate for Payer: Railroad Medicare Medicare |
$11,638.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,638.29
|
| Rate for Payer: UHC Exchange |
$18,039.35
|
| Rate for Payer: UHC Medicare Advantage |
$11,638.29
|
| Rate for Payer: UHCCP DNSP |
$11,638.29
|
| Rate for Payer: VA VA |
$11,638.29
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$14,891.44
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$9,127.01 |
| Max. Negotiated Rate |
$14,891.44 |
| Rate for Payer: Aetna Medicare |
$9,607.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,009.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,009.23
|
| Rate for Payer: BCBS MAPPO |
$9,607.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,607.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,607.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,607.38
|
| Rate for Payer: Mclaren Medicare |
$9,607.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,087.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,048.49
|
| Rate for Payer: PACE Medicare |
$9,127.01
|
| Rate for Payer: PACE SWMI |
$9,607.38
|
| Rate for Payer: PHP Commercial |
$10,568.12
|
| Rate for Payer: PHP Medicare Advantage |
$9,607.38
|
| Rate for Payer: Priority Health Medicare |
$9,607.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,607.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,607.38
|
| Rate for Payer: UHC Exchange |
$14,891.44
|
| Rate for Payer: UHC Medicare Advantage |
$9,607.38
|
| Rate for Payer: UHCCP DNSP |
$9,607.38
|
| Rate for Payer: VA VA |
$9,607.38
|
|
|
MS-DRG 42.00: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$23,369.74
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$14,323.39 |
| Max. Negotiated Rate |
$23,369.74 |
| Rate for Payer: Aetna Medicare |
$15,077.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,846.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,846.56
|
| Rate for Payer: BCBS MAPPO |
$15,077.25
|
| Rate for Payer: BCN Medicare Advantage |
$15,077.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,077.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,077.25
|
| Rate for Payer: Mclaren Medicare |
$15,077.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,831.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,338.84
|
| Rate for Payer: PACE Medicare |
$14,323.39
|
| Rate for Payer: PACE SWMI |
$15,077.25
|
| Rate for Payer: PHP Commercial |
$16,584.97
|
| Rate for Payer: PHP Medicare Advantage |
$15,077.25
|
| Rate for Payer: Priority Health Medicare |
$15,077.25
|
| Rate for Payer: Railroad Medicare Medicare |
$15,077.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,077.25
|
| Rate for Payer: UHC Exchange |
$23,369.74
|
| Rate for Payer: UHC Medicare Advantage |
$15,077.25
|
| Rate for Payer: UHCCP DNSP |
$15,077.25
|
| Rate for Payer: VA VA |
$15,077.25
|
|
|
MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$10,998.04
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$6,740.73 |
| Max. Negotiated Rate |
$10,998.04 |
| Rate for Payer: Aetna Medicare |
$7,095.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,869.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,869.39
|
| Rate for Payer: BCBS MAPPO |
$7,095.51
|
| Rate for Payer: BCN Medicare Advantage |
$7,095.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,095.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,095.51
|
| Rate for Payer: Mclaren Medicare |
$7,095.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,450.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,159.84
|
| Rate for Payer: PACE Medicare |
$6,740.73
|
| Rate for Payer: PACE SWMI |
$7,095.51
|
| Rate for Payer: PHP Commercial |
$7,805.06
|
| Rate for Payer: PHP Medicare Advantage |
$7,095.51
|
| Rate for Payer: Priority Health Medicare |
$7,095.51
|
| Rate for Payer: Railroad Medicare Medicare |
$7,095.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,095.51
|
| Rate for Payer: UHC Exchange |
$10,998.04
|
| Rate for Payer: UHC Medicare Advantage |
$7,095.51
|
| Rate for Payer: UHCCP DNSP |
$7,095.51
|
| Rate for Payer: VA VA |
$7,095.51
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$16,318.79
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$10,001.84 |
| Max. Negotiated Rate |
$16,318.79 |
| Rate for Payer: Aetna Medicare |
$10,528.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,160.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,160.31
|
| Rate for Payer: BCBS MAPPO |
$10,528.25
|
| Rate for Payer: BCN Medicare Advantage |
$10,528.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,528.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,528.25
|
| Rate for Payer: Mclaren Medicare |
$10,528.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,054.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,107.49
|
| Rate for Payer: PACE Medicare |
$10,001.84
|
| Rate for Payer: PACE SWMI |
$10,528.25
|
| Rate for Payer: PHP Commercial |
$11,581.08
|
| Rate for Payer: PHP Medicare Advantage |
$10,528.25
|
| Rate for Payer: Priority Health Medicare |
$10,528.25
|
| Rate for Payer: Railroad Medicare Medicare |
$10,528.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,528.25
|
| Rate for Payer: UHC Exchange |
$16,318.79
|
| Rate for Payer: UHC Medicare Advantage |
$10,528.25
|
| Rate for Payer: UHCCP DNSP |
$10,528.25
|
| Rate for Payer: VA VA |
$10,528.25
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$24,954.77
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$15,294.86 |
| Max. Negotiated Rate |
$24,954.77 |
| Rate for Payer: Aetna Medicare |
$16,099.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,124.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,124.81
|
| Rate for Payer: BCBS MAPPO |
$16,099.85
|
| Rate for Payer: BCN Medicare Advantage |
$16,099.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,099.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,099.85
|
| Rate for Payer: Mclaren Medicare |
$16,099.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,904.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,514.83
|
| Rate for Payer: PACE Medicare |
$15,294.86
|
| Rate for Payer: PACE SWMI |
$16,099.85
|
| Rate for Payer: PHP Commercial |
$17,709.83
|
| Rate for Payer: PHP Medicare Advantage |
$16,099.85
|
| Rate for Payer: Priority Health Medicare |
$16,099.85
|
| Rate for Payer: Railroad Medicare Medicare |
$16,099.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,099.85
|
| Rate for Payer: UHC Exchange |
$24,954.77
|
| Rate for Payer: UHC Medicare Advantage |
$16,099.85
|
| Rate for Payer: UHCCP DNSP |
$16,099.85
|
| Rate for Payer: VA VA |
$16,099.85
|
|
|
MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,242.80
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$8,116.55 |
| Max. Negotiated Rate |
$13,242.80 |
| Rate for Payer: Aetna Medicare |
$8,543.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,679.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,679.67
|
| Rate for Payer: BCBS MAPPO |
$8,543.74
|
| Rate for Payer: BCN Medicare Advantage |
$8,543.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,543.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,543.74
|
| Rate for Payer: Mclaren Medicare |
$8,543.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,970.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,825.30
|
| Rate for Payer: PACE Medicare |
$8,116.55
|
| Rate for Payer: PACE SWMI |
$8,543.74
|
| Rate for Payer: PHP Commercial |
$9,398.11
|
| Rate for Payer: PHP Medicare Advantage |
$8,543.74
|
| Rate for Payer: Priority Health Medicare |
$8,543.74
|
| Rate for Payer: Railroad Medicare Medicare |
$8,543.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,543.74
|
| Rate for Payer: UHC Exchange |
$13,242.80
|
| Rate for Payer: UHC Medicare Advantage |
$8,543.74
|
| Rate for Payer: UHCCP DNSP |
$8,543.74
|
| Rate for Payer: VA VA |
$8,543.74
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$17,953.57
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$11,003.80 |
| Max. Negotiated Rate |
$17,953.57 |
| Rate for Payer: Aetna Medicare |
$11,582.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,478.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,478.69
|
| Rate for Payer: BCBS MAPPO |
$11,582.95
|
| Rate for Payer: BCN Medicare Advantage |
$11,582.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,582.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,582.95
|
| Rate for Payer: Mclaren Medicare |
$11,582.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,162.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,320.39
|
| Rate for Payer: PACE Medicare |
$11,003.80
|
| Rate for Payer: PACE SWMI |
$11,582.95
|
| Rate for Payer: PHP Commercial |
$12,741.25
|
| Rate for Payer: PHP Medicare Advantage |
$11,582.95
|
| Rate for Payer: Priority Health Medicare |
$11,582.95
|
| Rate for Payer: Railroad Medicare Medicare |
$11,582.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,582.95
|
| Rate for Payer: UHC Exchange |
$17,953.57
|
| Rate for Payer: UHC Medicare Advantage |
$11,582.95
|
| Rate for Payer: UHCCP DNSP |
$11,582.95
|
| Rate for Payer: VA VA |
$11,582.95
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$26,770.75
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$16,407.88 |
| Max. Negotiated Rate |
$26,770.75 |
| Rate for Payer: Aetna Medicare |
$17,271.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,589.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,589.31
|
| Rate for Payer: BCBS MAPPO |
$17,271.45
|
| Rate for Payer: BCN Medicare Advantage |
$17,271.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,271.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,271.45
|
| Rate for Payer: Mclaren Medicare |
$17,271.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,135.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,862.17
|
| Rate for Payer: PACE Medicare |
$16,407.88
|
| Rate for Payer: PACE SWMI |
$17,271.45
|
| Rate for Payer: PHP Commercial |
$18,998.60
|
| Rate for Payer: PHP Medicare Advantage |
$17,271.45
|
| Rate for Payer: Priority Health Medicare |
$17,271.45
|
| Rate for Payer: Railroad Medicare Medicare |
$17,271.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,271.45
|
| Rate for Payer: UHC Exchange |
$26,770.75
|
| Rate for Payer: UHC Medicare Advantage |
$17,271.45
|
| Rate for Payer: UHCCP DNSP |
$17,271.45
|
| Rate for Payer: VA VA |
$17,271.45
|
|
|
MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,180.55
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$8,691.30 |
| Max. Negotiated Rate |
$14,180.55 |
| Rate for Payer: Aetna Medicare |
$9,148.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,435.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,435.92
|
| Rate for Payer: BCBS MAPPO |
$9,148.74
|
| Rate for Payer: BCN Medicare Advantage |
$9,148.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,148.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,148.74
|
| Rate for Payer: Mclaren Medicare |
$9,148.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,606.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,521.05
|
| Rate for Payer: PACE Medicare |
$8,691.30
|
| Rate for Payer: PACE SWMI |
$9,148.74
|
| Rate for Payer: PHP Commercial |
$10,063.61
|
| Rate for Payer: PHP Medicare Advantage |
$9,148.74
|
| Rate for Payer: Priority Health Medicare |
$9,148.74
|
| Rate for Payer: Railroad Medicare Medicare |
$9,148.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,148.74
|
| Rate for Payer: UHC Exchange |
$14,180.55
|
| Rate for Payer: UHC Medicare Advantage |
$9,148.74
|
| Rate for Payer: UHCCP DNSP |
$9,148.74
|
| Rate for Payer: VA VA |
$9,148.74
|
|
|
MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$13,814.00
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$8,466.65 |
| Max. Negotiated Rate |
$13,814.00 |
| Rate for Payer: Aetna Medicare |
$8,912.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,140.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,140.33
|
| Rate for Payer: BCBS MAPPO |
$8,912.26
|
| Rate for Payer: BCN Medicare Advantage |
$8,912.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,912.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,912.26
|
| Rate for Payer: Mclaren Medicare |
$8,912.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,357.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,249.10
|
| Rate for Payer: PACE Medicare |
$8,466.65
|
| Rate for Payer: PACE SWMI |
$8,912.26
|
| Rate for Payer: PHP Commercial |
$9,803.49
|
| Rate for Payer: PHP Medicare Advantage |
$8,912.26
|
| Rate for Payer: Priority Health Medicare |
$8,912.26
|
| Rate for Payer: Railroad Medicare Medicare |
$8,912.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,912.26
|
| Rate for Payer: UHC Exchange |
$13,814.00
|
| Rate for Payer: UHC Medicare Advantage |
$8,912.26
|
| Rate for Payer: UHCCP DNSP |
$8,912.26
|
| Rate for Payer: VA VA |
$8,912.26
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$39,716.41
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$24,342.32 |
| Max. Negotiated Rate |
$39,716.41 |
| Rate for Payer: Aetna Medicare |
$25,623.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,029.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,029.36
|
| Rate for Payer: BCBS MAPPO |
$25,623.49
|
| Rate for Payer: BCN Medicare Advantage |
$25,623.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,623.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,623.49
|
| Rate for Payer: Mclaren Medicare |
$25,623.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,904.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,467.01
|
| Rate for Payer: PACE Medicare |
$24,342.32
|
| Rate for Payer: PACE SWMI |
$25,623.49
|
| Rate for Payer: PHP Commercial |
$28,185.84
|
| Rate for Payer: PHP Medicare Advantage |
$25,623.49
|
| Rate for Payer: Priority Health Medicare |
$25,623.49
|
| Rate for Payer: Railroad Medicare Medicare |
$25,623.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,623.49
|
| Rate for Payer: UHC Exchange |
$39,716.41
|
| Rate for Payer: UHC Medicare Advantage |
$25,623.49
|
| Rate for Payer: UHCCP DNSP |
$25,623.49
|
| Rate for Payer: VA VA |
$25,623.49
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$92,044.02
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$56,414.08 |
| Max. Negotiated Rate |
$92,044.02 |
| Rate for Payer: Aetna Medicare |
$59,383.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$74,229.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$74,229.05
|
| Rate for Payer: BCBS MAPPO |
$59,383.24
|
| Rate for Payer: BCN Medicare Advantage |
$59,383.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59,383.24
|
| Rate for Payer: Humana Choice PPO Medicare |
$59,383.24
|
| Rate for Payer: Mclaren Medicare |
$59,383.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62,352.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68,290.73
|
| Rate for Payer: PACE Medicare |
$56,414.08
|
| Rate for Payer: PACE SWMI |
$59,383.24
|
| Rate for Payer: PHP Commercial |
$65,321.56
|
| Rate for Payer: PHP Medicare Advantage |
$59,383.24
|
| Rate for Payer: Priority Health Medicare |
$59,383.24
|
| Rate for Payer: Railroad Medicare Medicare |
$59,383.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$59,383.24
|
| Rate for Payer: UHC Exchange |
$92,044.02
|
| Rate for Payer: UHC Medicare Advantage |
$59,383.24
|
| Rate for Payer: UHCCP DNSP |
$59,383.24
|
| Rate for Payer: VA VA |
$59,383.24
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$16,650.70
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$10,205.27 |
| Max. Negotiated Rate |
$16,650.70 |
| Rate for Payer: Aetna Medicare |
$10,742.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,427.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,427.99
|
| Rate for Payer: BCBS MAPPO |
$10,742.39
|
| Rate for Payer: BCN Medicare Advantage |
$10,742.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,742.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,742.39
|
| Rate for Payer: Mclaren Medicare |
$10,742.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,279.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,353.75
|
| Rate for Payer: PACE Medicare |
$10,205.27
|
| Rate for Payer: PACE SWMI |
$10,742.39
|
| Rate for Payer: PHP Commercial |
$11,816.63
|
| Rate for Payer: PHP Medicare Advantage |
$10,742.39
|
| Rate for Payer: Priority Health Medicare |
$10,742.39
|
| Rate for Payer: Railroad Medicare Medicare |
$10,742.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,742.39
|
| Rate for Payer: UHC Exchange |
$16,650.70
|
| Rate for Payer: UHC Medicare Advantage |
$10,742.39
|
| Rate for Payer: UHCCP DNSP |
$10,742.39
|
| Rate for Payer: VA VA |
$10,742.39
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$31,510.57
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$19,312.93 |
| Max. Negotiated Rate |
$31,510.57 |
| Rate for Payer: Aetna Medicare |
$20,329.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,411.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,411.75
|
| Rate for Payer: BCBS MAPPO |
$20,329.40
|
| Rate for Payer: BCN Medicare Advantage |
$20,329.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,329.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,329.40
|
| Rate for Payer: Mclaren Medicare |
$20,329.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,345.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,378.81
|
| Rate for Payer: PACE Medicare |
$19,312.93
|
| Rate for Payer: PACE SWMI |
$20,329.40
|
| Rate for Payer: PHP Commercial |
$22,362.34
|
| Rate for Payer: PHP Medicare Advantage |
$20,329.40
|
| Rate for Payer: Priority Health Medicare |
$20,329.40
|
| Rate for Payer: Railroad Medicare Medicare |
$20,329.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,329.40
|
| Rate for Payer: UHC Exchange |
$31,510.57
|
| Rate for Payer: UHC Medicare Advantage |
$20,329.40
|
| Rate for Payer: UHCCP DNSP |
$20,329.40
|
| Rate for Payer: VA VA |
$20,329.40
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$11,717.27
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$7,181.55 |
| Max. Negotiated Rate |
$11,717.27 |
| Rate for Payer: Aetna Medicare |
$7,559.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,449.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,449.41
|
| Rate for Payer: BCBS MAPPO |
$7,559.53
|
| Rate for Payer: BCN Medicare Advantage |
$7,559.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,559.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,559.53
|
| Rate for Payer: Mclaren Medicare |
$7,559.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,937.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,693.46
|
| Rate for Payer: PACE Medicare |
$7,181.55
|
| Rate for Payer: PACE SWMI |
$7,559.53
|
| Rate for Payer: PHP Commercial |
$8,315.48
|
| Rate for Payer: PHP Medicare Advantage |
$7,559.53
|
| Rate for Payer: Priority Health Medicare |
$7,559.53
|
| Rate for Payer: Railroad Medicare Medicare |
$7,559.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,559.53
|
| Rate for Payer: UHC Exchange |
$11,717.27
|
| Rate for Payer: UHC Medicare Advantage |
$7,559.53
|
| Rate for Payer: UHCCP DNSP |
$7,559.53
|
| Rate for Payer: VA VA |
$7,559.53
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$49,970.61
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$30,627.15 |
| Max. Negotiated Rate |
$49,970.61 |
| Rate for Payer: Aetna Medicare |
$32,239.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,298.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,298.88
|
| Rate for Payer: BCBS MAPPO |
$32,239.10
|
| Rate for Payer: BCN Medicare Advantage |
$32,239.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,239.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,239.10
|
| Rate for Payer: Mclaren Medicare |
$32,239.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,851.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,074.96
|
| Rate for Payer: PACE Medicare |
$30,627.15
|
| Rate for Payer: PACE SWMI |
$32,239.10
|
| Rate for Payer: PHP Commercial |
$35,463.01
|
| Rate for Payer: PHP Medicare Advantage |
$32,239.10
|
| Rate for Payer: Priority Health Medicare |
$32,239.10
|
| Rate for Payer: Railroad Medicare Medicare |
$32,239.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,239.10
|
| Rate for Payer: UHC Exchange |
$49,970.61
|
| Rate for Payer: UHC Medicare Advantage |
$32,239.10
|
| Rate for Payer: UHCCP DNSP |
$32,239.10
|
| Rate for Payer: VA VA |
$32,239.10
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$73,059.79
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$44,778.58 |
| Max. Negotiated Rate |
$73,059.79 |
| Rate for Payer: Aetna Medicare |
$47,135.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$58,919.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$58,919.19
|
| Rate for Payer: BCBS MAPPO |
$47,135.35
|
| Rate for Payer: BCN Medicare Advantage |
$47,135.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47,135.35
|
| Rate for Payer: Humana Choice PPO Medicare |
$47,135.35
|
| Rate for Payer: Mclaren Medicare |
$47,135.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49,492.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54,205.65
|
| Rate for Payer: PACE Medicare |
$44,778.58
|
| Rate for Payer: PACE SWMI |
$47,135.35
|
| Rate for Payer: PHP Commercial |
$51,848.89
|
| Rate for Payer: PHP Medicare Advantage |
$47,135.35
|
| Rate for Payer: Priority Health Medicare |
$47,135.35
|
| Rate for Payer: Railroad Medicare Medicare |
$47,135.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$47,135.35
|
| Rate for Payer: UHC Exchange |
$73,059.79
|
| Rate for Payer: UHC Medicare Advantage |
$47,135.35
|
| Rate for Payer: UHCCP DNSP |
$47,135.35
|
| Rate for Payer: VA VA |
$47,135.35
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$38,879.64
|
|
|
Service Code
|
MSDRG 468
|
| Min. Negotiated Rate |
$23,829.46 |
| Max. Negotiated Rate |
$38,879.64 |
| Rate for Payer: Aetna Medicare |
$25,083.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,354.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,354.55
|
| Rate for Payer: BCBS MAPPO |
$25,083.64
|
| Rate for Payer: BCN Medicare Advantage |
$25,083.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,083.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,083.64
|
| Rate for Payer: Mclaren Medicare |
$25,083.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,337.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,846.19
|
| Rate for Payer: PACE Medicare |
$23,829.46
|
| Rate for Payer: PACE SWMI |
$25,083.64
|
| Rate for Payer: PHP Commercial |
$27,592.00
|
| Rate for Payer: PHP Medicare Advantage |
$25,083.64
|
| Rate for Payer: Priority Health Medicare |
$25,083.64
|
| Rate for Payer: Railroad Medicare Medicare |
$25,083.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,083.64
|
| Rate for Payer: UHC Exchange |
$38,879.64
|
| Rate for Payer: UHC Medicare Advantage |
$25,083.64
|
| Rate for Payer: UHCCP DNSP |
$25,083.64
|
| Rate for Payer: VA VA |
$25,083.64
|
|
|
MS-DRG 42.00: SALIVARY GLAND PROCEDURES
|
Facility
|
IP
|
$21,586.94
|
|
|
Service Code
|
MSDRG 139
|
| Min. Negotiated Rate |
$13,230.71 |
| Max. Negotiated Rate |
$21,586.94 |
| Rate for Payer: Aetna Medicare |
$13,927.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,408.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,408.83
|
| Rate for Payer: BCBS MAPPO |
$13,927.06
|
| Rate for Payer: BCN Medicare Advantage |
$13,927.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,927.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,927.06
|
| Rate for Payer: Mclaren Medicare |
$13,927.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,623.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,016.12
|
| Rate for Payer: PACE Medicare |
$13,230.71
|
| Rate for Payer: PACE SWMI |
$13,927.06
|
| Rate for Payer: PHP Commercial |
$15,319.77
|
| Rate for Payer: PHP Medicare Advantage |
$13,927.06
|
| Rate for Payer: Priority Health Medicare |
$13,927.06
|
| Rate for Payer: Railroad Medicare Medicare |
$13,927.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,927.06
|
| Rate for Payer: UHC Exchange |
$21,586.94
|
| Rate for Payer: UHC Medicare Advantage |
$13,927.06
|
| Rate for Payer: UHCCP DNSP |
$13,927.06
|
| Rate for Payer: VA VA |
$13,927.06
|
|
|
MS-DRG 42.00: SEIZURES WITH MCC
|
Facility
|
IP
|
$30,055.58
|
|
|
Service Code
|
MSDRG 100
|
| Min. Negotiated Rate |
$18,421.17 |
| Max. Negotiated Rate |
$30,055.58 |
| Rate for Payer: Aetna Medicare |
$19,390.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,238.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,238.38
|
| Rate for Payer: BCBS MAPPO |
$19,390.70
|
| Rate for Payer: BCN Medicare Advantage |
$19,390.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,390.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,390.70
|
| Rate for Payer: Mclaren Medicare |
$19,390.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,360.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,299.31
|
| Rate for Payer: PACE Medicare |
$18,421.17
|
| Rate for Payer: PACE SWMI |
$19,390.70
|
| Rate for Payer: PHP Commercial |
$21,329.77
|
| Rate for Payer: PHP Medicare Advantage |
$19,390.70
|
| Rate for Payer: Priority Health Medicare |
$19,390.70
|
| Rate for Payer: Railroad Medicare Medicare |
$19,390.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,390.70
|
| Rate for Payer: UHC Exchange |
$30,055.58
|
| Rate for Payer: UHC Medicare Advantage |
$19,390.70
|
| Rate for Payer: UHCCP DNSP |
$19,390.70
|
| Rate for Payer: VA VA |
$19,390.70
|
|
