|
MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC
|
Facility
|
IP
|
$44,230.80
|
|
|
Service Code
|
MSDRG 570
|
| Min. Negotiated Rate |
$27,109.20 |
| Max. Negotiated Rate |
$44,230.80 |
| Rate for Payer: Aetna Medicare |
$28,536.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,670.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,670.00
|
| Rate for Payer: BCBS MAPPO |
$28,536.00
|
| Rate for Payer: BCN Medicare Advantage |
$28,536.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,536.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$28,536.00
|
| Rate for Payer: Mclaren Medicare |
$28,536.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,962.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,816.40
|
| Rate for Payer: PACE Medicare |
$27,109.20
|
| Rate for Payer: PACE SWMI |
$28,536.00
|
| Rate for Payer: PHP Commercial |
$31,389.60
|
| Rate for Payer: PHP Medicare Advantage |
$28,536.00
|
| Rate for Payer: Priority Health Medicare |
$28,536.00
|
| Rate for Payer: Railroad Medicare Medicare |
$28,536.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$28,536.00
|
| Rate for Payer: UHC Exchange |
$44,230.80
|
| Rate for Payer: UHC Medicare Advantage |
$28,536.00
|
| Rate for Payer: UHCCP DNSP |
$28,536.00
|
| Rate for Payer: VA VA |
$28,536.00
|
|
|
MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$18,397.55
|
|
|
Service Code
|
MSDRG 572
|
| Min. Negotiated Rate |
$11,275.92 |
| Max. Negotiated Rate |
$18,397.55 |
| Rate for Payer: Aetna Medicare |
$11,869.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,836.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,836.74
|
| Rate for Payer: BCBS MAPPO |
$11,869.39
|
| Rate for Payer: BCN Medicare Advantage |
$11,869.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,869.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,869.39
|
| Rate for Payer: Mclaren Medicare |
$11,869.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,462.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,649.80
|
| Rate for Payer: PACE Medicare |
$11,275.92
|
| Rate for Payer: PACE SWMI |
$11,869.39
|
| Rate for Payer: PHP Commercial |
$13,056.33
|
| Rate for Payer: PHP Medicare Advantage |
$11,869.39
|
| Rate for Payer: Priority Health Medicare |
$11,869.39
|
| Rate for Payer: Railroad Medicare Medicare |
$11,869.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,869.39
|
| Rate for Payer: UHC Exchange |
$18,397.55
|
| Rate for Payer: UHC Medicare Advantage |
$11,869.39
|
| Rate for Payer: UHCCP DNSP |
$11,869.39
|
| Rate for Payer: VA VA |
$11,869.39
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$39,425.96
|
|
|
Service Code
|
MSDRG 577
|
| Min. Negotiated Rate |
$24,164.29 |
| Max. Negotiated Rate |
$39,425.96 |
| Rate for Payer: Aetna Medicare |
$25,436.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31,795.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31,795.12
|
| Rate for Payer: BCBS MAPPO |
$25,436.10
|
| Rate for Payer: BCN Medicare Advantage |
$25,436.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,436.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,436.10
|
| Rate for Payer: Mclaren Medicare |
$25,436.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,707.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,251.51
|
| Rate for Payer: PACE Medicare |
$24,164.29
|
| Rate for Payer: PACE SWMI |
$25,436.10
|
| Rate for Payer: PHP Commercial |
$27,979.71
|
| Rate for Payer: PHP Medicare Advantage |
$25,436.10
|
| Rate for Payer: Priority Health Medicare |
$25,436.10
|
| Rate for Payer: Railroad Medicare Medicare |
$25,436.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,436.10
|
| Rate for Payer: UHC Exchange |
$39,425.96
|
| Rate for Payer: UHC Medicare Advantage |
$25,436.10
|
| Rate for Payer: UHCCP DNSP |
$25,436.10
|
| Rate for Payer: VA VA |
$25,436.10
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$77,218.74
|
|
|
Service Code
|
MSDRG 576
|
| Min. Negotiated Rate |
$47,327.61 |
| Max. Negotiated Rate |
$77,218.74 |
| Rate for Payer: Aetna Medicare |
$49,818.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$62,273.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$62,273.18
|
| Rate for Payer: BCBS MAPPO |
$49,818.54
|
| Rate for Payer: BCN Medicare Advantage |
$49,818.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49,818.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$49,818.54
|
| Rate for Payer: Mclaren Medicare |
$49,818.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52,309.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57,291.32
|
| Rate for Payer: PACE Medicare |
$47,327.61
|
| Rate for Payer: PACE SWMI |
$49,818.54
|
| Rate for Payer: PHP Commercial |
$54,800.39
|
| Rate for Payer: PHP Medicare Advantage |
$49,818.54
|
| Rate for Payer: Priority Health Medicare |
$49,818.54
|
| Rate for Payer: Railroad Medicare Medicare |
$49,818.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$49,818.54
|
| Rate for Payer: UHC Exchange |
$77,218.74
|
| Rate for Payer: UHC Medicare Advantage |
$49,818.54
|
| Rate for Payer: UHCCP DNSP |
$49,818.54
|
| Rate for Payer: VA VA |
$49,818.54
|
|
|
MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$25,976.85
|
|
|
Service Code
|
MSDRG 578
|
| Min. Negotiated Rate |
$15,921.30 |
| Max. Negotiated Rate |
$25,976.85 |
| Rate for Payer: Aetna Medicare |
$16,759.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,949.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,949.08
|
| Rate for Payer: BCBS MAPPO |
$16,759.26
|
| Rate for Payer: BCN Medicare Advantage |
$16,759.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,759.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,759.26
|
| Rate for Payer: Mclaren Medicare |
$16,759.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,597.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,273.15
|
| Rate for Payer: PACE Medicare |
$15,921.30
|
| Rate for Payer: PACE SWMI |
$16,759.26
|
| Rate for Payer: PHP Commercial |
$18,435.19
|
| Rate for Payer: PHP Medicare Advantage |
$16,759.26
|
| Rate for Payer: Priority Health Medicare |
$16,759.26
|
| Rate for Payer: Railroad Medicare Medicare |
$16,759.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,759.26
|
| Rate for Payer: UHC Exchange |
$25,976.85
|
| Rate for Payer: UHC Medicare Advantage |
$16,759.26
|
| Rate for Payer: UHCCP DNSP |
$16,759.26
|
| Rate for Payer: VA VA |
$16,759.26
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
|
Facility
|
IP
|
$50,519.68
|
|
|
Service Code
|
MSDRG 574
|
| Min. Negotiated Rate |
$30,963.67 |
| Max. Negotiated Rate |
$50,519.68 |
| Rate for Payer: Aetna Medicare |
$32,593.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$40,741.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$40,741.68
|
| Rate for Payer: BCBS MAPPO |
$32,593.34
|
| Rate for Payer: BCN Medicare Advantage |
$32,593.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32,593.34
|
| Rate for Payer: Humana Choice PPO Medicare |
$32,593.34
|
| Rate for Payer: Mclaren Medicare |
$32,593.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34,223.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37,482.34
|
| Rate for Payer: PACE Medicare |
$30,963.67
|
| Rate for Payer: PACE SWMI |
$32,593.34
|
| Rate for Payer: PHP Commercial |
$35,852.67
|
| Rate for Payer: PHP Medicare Advantage |
$32,593.34
|
| Rate for Payer: Priority Health Medicare |
$32,593.34
|
| Rate for Payer: Railroad Medicare Medicare |
$32,593.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$32,593.34
|
| Rate for Payer: UHC Exchange |
$50,519.68
|
| Rate for Payer: UHC Medicare Advantage |
$32,593.34
|
| Rate for Payer: UHCCP DNSP |
$32,593.34
|
| Rate for Payer: VA VA |
$32,593.34
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
|
Facility
|
IP
|
$87,770.28
|
|
|
Service Code
|
MSDRG 573
|
| Min. Negotiated Rate |
$53,794.69 |
| Max. Negotiated Rate |
$87,770.28 |
| Rate for Payer: Aetna Medicare |
$56,625.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70,782.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70,782.49
|
| Rate for Payer: BCBS MAPPO |
$56,625.99
|
| Rate for Payer: BCN Medicare Advantage |
$56,625.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56,625.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$56,625.99
|
| Rate for Payer: Mclaren Medicare |
$56,625.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59,457.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65,119.89
|
| Rate for Payer: PACE Medicare |
$53,794.69
|
| Rate for Payer: PACE SWMI |
$56,625.99
|
| Rate for Payer: PHP Commercial |
$62,288.59
|
| Rate for Payer: PHP Medicare Advantage |
$56,625.99
|
| Rate for Payer: Priority Health Medicare |
$56,625.99
|
| Rate for Payer: Railroad Medicare Medicare |
$56,625.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$56,625.99
|
| Rate for Payer: UHC Exchange |
$87,770.28
|
| Rate for Payer: UHC Medicare Advantage |
$56,625.99
|
| Rate for Payer: UHCCP DNSP |
$56,625.99
|
| Rate for Payer: VA VA |
$56,625.99
|
|
|
MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,213.24
|
|
|
Service Code
|
MSDRG 575
|
| Min. Negotiated Rate |
$18,517.79 |
| Max. Negotiated Rate |
$30,213.24 |
| Rate for Payer: Aetna Medicare |
$19,492.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,365.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,365.51
|
| Rate for Payer: BCBS MAPPO |
$19,492.41
|
| Rate for Payer: BCN Medicare Advantage |
$19,492.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,492.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,492.41
|
| Rate for Payer: Mclaren Medicare |
$19,492.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,467.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,416.27
|
| Rate for Payer: PACE Medicare |
$18,517.79
|
| Rate for Payer: PACE SWMI |
$19,492.41
|
| Rate for Payer: PHP Commercial |
$21,441.65
|
| Rate for Payer: PHP Medicare Advantage |
$19,492.41
|
| Rate for Payer: Priority Health Medicare |
$19,492.41
|
| Rate for Payer: Railroad Medicare Medicare |
$19,492.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,492.41
|
| Rate for Payer: UHC Exchange |
$30,213.24
|
| Rate for Payer: UHC Medicare Advantage |
$19,492.41
|
| Rate for Payer: UHCCP DNSP |
$19,492.41
|
| Rate for Payer: VA VA |
$19,492.41
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$29,052.83
|
|
|
Service Code
|
MSDRG 623
|
| Min. Negotiated Rate |
$17,806.57 |
| Max. Negotiated Rate |
$29,052.83 |
| Rate for Payer: Aetna Medicare |
$18,743.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,429.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,429.70
|
| Rate for Payer: BCBS MAPPO |
$18,743.76
|
| Rate for Payer: BCN Medicare Advantage |
$18,743.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,743.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,743.76
|
| Rate for Payer: Mclaren Medicare |
$18,743.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,680.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,555.32
|
| Rate for Payer: PACE Medicare |
$17,806.57
|
| Rate for Payer: PACE SWMI |
$18,743.76
|
| Rate for Payer: PHP Commercial |
$20,618.14
|
| Rate for Payer: PHP Medicare Advantage |
$18,743.76
|
| Rate for Payer: Priority Health Medicare |
$18,743.76
|
| Rate for Payer: Railroad Medicare Medicare |
$18,743.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$18,743.76
|
| Rate for Payer: UHC Exchange |
$29,052.83
|
| Rate for Payer: UHC Medicare Advantage |
$18,743.76
|
| Rate for Payer: UHCCP DNSP |
$18,743.76
|
| Rate for Payer: VA VA |
$18,743.76
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$54,352.21
|
|
|
Service Code
|
MSDRG 622
|
| Min. Negotiated Rate |
$33,312.64 |
| Max. Negotiated Rate |
$54,352.21 |
| Rate for Payer: Aetna Medicare |
$35,065.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43,832.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43,832.43
|
| Rate for Payer: BCBS MAPPO |
$35,065.94
|
| Rate for Payer: BCN Medicare Advantage |
$35,065.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35,065.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$35,065.94
|
| Rate for Payer: Mclaren Medicare |
$35,065.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36,819.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40,325.83
|
| Rate for Payer: PACE Medicare |
$33,312.64
|
| Rate for Payer: PACE SWMI |
$35,065.94
|
| Rate for Payer: PHP Commercial |
$38,572.53
|
| Rate for Payer: PHP Medicare Advantage |
$35,065.94
|
| Rate for Payer: Priority Health Medicare |
$35,065.94
|
| Rate for Payer: Railroad Medicare Medicare |
$35,065.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$35,065.94
|
| Rate for Payer: UHC Exchange |
$54,352.21
|
| Rate for Payer: UHC Medicare Advantage |
$35,065.94
|
| Rate for Payer: UHCCP DNSP |
$35,065.94
|
| Rate for Payer: VA VA |
$35,065.94
|
|
|
MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$16,470.92
|
|
|
Service Code
|
MSDRG 624
|
| Min. Negotiated Rate |
$10,095.08 |
| Max. Negotiated Rate |
$16,470.92 |
| Rate for Payer: Aetna Medicare |
$10,626.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,283.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,283.00
|
| Rate for Payer: BCBS MAPPO |
$10,626.40
|
| Rate for Payer: BCN Medicare Advantage |
$10,626.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,626.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,626.40
|
| Rate for Payer: Mclaren Medicare |
$10,626.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,157.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,220.36
|
| Rate for Payer: PACE Medicare |
$10,095.08
|
| Rate for Payer: PACE SWMI |
$10,626.40
|
| Rate for Payer: PHP Commercial |
$11,689.04
|
| Rate for Payer: PHP Medicare Advantage |
$10,626.40
|
| Rate for Payer: Priority Health Medicare |
$10,626.40
|
| Rate for Payer: Railroad Medicare Medicare |
$10,626.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,626.40
|
| Rate for Payer: UHC Exchange |
$16,470.92
|
| Rate for Payer: UHC Medicare Advantage |
$10,626.40
|
| Rate for Payer: UHCCP DNSP |
$10,626.40
|
| Rate for Payer: VA VA |
$10,626.40
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC
|
Facility
|
IP
|
$55,999.45
|
|
|
Service Code
|
MSDRG 904
|
| Min. Negotiated Rate |
$34,322.25 |
| Max. Negotiated Rate |
$55,999.45 |
| Rate for Payer: Aetna Medicare |
$36,128.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$45,160.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$45,160.85
|
| Rate for Payer: BCBS MAPPO |
$36,128.68
|
| Rate for Payer: BCN Medicare Advantage |
$36,128.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,128.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,128.68
|
| Rate for Payer: Mclaren Medicare |
$36,128.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37,935.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41,547.98
|
| Rate for Payer: PACE Medicare |
$34,322.25
|
| Rate for Payer: PACE SWMI |
$36,128.68
|
| Rate for Payer: PHP Commercial |
$39,741.55
|
| Rate for Payer: PHP Medicare Advantage |
$36,128.68
|
| Rate for Payer: Priority Health Medicare |
$36,128.68
|
| Rate for Payer: Railroad Medicare Medicare |
$36,128.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,128.68
|
| Rate for Payer: UHC Exchange |
$55,999.45
|
| Rate for Payer: UHC Medicare Advantage |
$36,128.68
|
| Rate for Payer: UHCCP DNSP |
$36,128.68
|
| Rate for Payer: VA VA |
$36,128.68
|
|
|
MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,393.19
|
|
|
Service Code
|
MSDRG 905
|
| Min. Negotiated Rate |
$15,563.57 |
| Max. Negotiated Rate |
$25,393.19 |
| Rate for Payer: Aetna Medicare |
$16,382.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,478.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,478.38
|
| Rate for Payer: BCBS MAPPO |
$16,382.70
|
| Rate for Payer: BCN Medicare Advantage |
$16,382.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,382.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,382.70
|
| Rate for Payer: Mclaren Medicare |
$16,382.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,201.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,840.10
|
| Rate for Payer: PACE Medicare |
$15,563.57
|
| Rate for Payer: PACE SWMI |
$16,382.70
|
| Rate for Payer: PHP Commercial |
$18,020.97
|
| Rate for Payer: PHP Medicare Advantage |
$16,382.70
|
| Rate for Payer: Priority Health Medicare |
$16,382.70
|
| Rate for Payer: Railroad Medicare Medicare |
$16,382.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,382.70
|
| Rate for Payer: UHC Exchange |
$25,393.19
|
| Rate for Payer: UHC Medicare Advantage |
$16,382.70
|
| Rate for Payer: UHCCP DNSP |
$16,382.70
|
| Rate for Payer: VA VA |
$16,382.70
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH CC
|
Facility
|
IP
|
$19,508.19
|
|
|
Service Code
|
MSDRG 593
|
| Min. Negotiated Rate |
$11,956.63 |
| Max. Negotiated Rate |
$19,508.19 |
| Rate for Payer: Aetna Medicare |
$12,585.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,732.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,732.41
|
| Rate for Payer: BCBS MAPPO |
$12,585.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,585.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,585.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,585.93
|
| Rate for Payer: Mclaren Medicare |
$12,585.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,215.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,473.82
|
| Rate for Payer: PACE Medicare |
$11,956.63
|
| Rate for Payer: PACE SWMI |
$12,585.93
|
| Rate for Payer: PHP Commercial |
$13,844.52
|
| Rate for Payer: PHP Medicare Advantage |
$12,585.93
|
| Rate for Payer: Priority Health Medicare |
$12,585.93
|
| Rate for Payer: Railroad Medicare Medicare |
$12,585.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,585.93
|
| Rate for Payer: UHC Exchange |
$19,508.19
|
| Rate for Payer: UHC Medicare Advantage |
$12,585.93
|
| Rate for Payer: UHCCP DNSP |
$12,585.93
|
| Rate for Payer: VA VA |
$12,585.93
|
|
|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$31,037.56
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$19,023.02 |
| Max. Negotiated Rate |
$31,037.56 |
| Rate for Payer: Aetna Medicare |
$20,024.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,030.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,030.29
|
| Rate for Payer: BCBS MAPPO |
$20,024.23
|
| Rate for Payer: BCN Medicare Advantage |
$20,024.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,024.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,024.23
|
| Rate for Payer: Mclaren Medicare |
$20,024.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,025.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,027.86
|
| Rate for Payer: PACE Medicare |
$19,023.02
|
| Rate for Payer: PACE SWMI |
$20,024.23
|
| Rate for Payer: PHP Commercial |
$22,026.65
|
| Rate for Payer: PHP Medicare Advantage |
$20,024.23
|
| Rate for Payer: Priority Health Medicare |
$20,024.23
|
| Rate for Payer: Railroad Medicare Medicare |
$20,024.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,024.23
|
| Rate for Payer: UHC Exchange |
$31,037.56
|
| Rate for Payer: UHC Medicare Advantage |
$20,024.23
|
| Rate for Payer: UHCCP DNSP |
$20,024.23
|
| Rate for Payer: VA VA |
$20,024.23
|
|
|
MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,335.42
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$8,786.23 |
| Max. Negotiated Rate |
$14,335.42 |
| Rate for Payer: Aetna Medicare |
$9,248.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,560.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,560.83
|
| Rate for Payer: BCBS MAPPO |
$9,248.66
|
| Rate for Payer: BCN Medicare Advantage |
$9,248.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,248.66
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,248.66
|
| Rate for Payer: Mclaren Medicare |
$9,248.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,711.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,635.96
|
| Rate for Payer: PACE Medicare |
$8,786.23
|
| Rate for Payer: PACE SWMI |
$9,248.66
|
| Rate for Payer: PHP Commercial |
$10,173.53
|
| Rate for Payer: PHP Medicare Advantage |
$9,248.66
|
| Rate for Payer: Priority Health Medicare |
$9,248.66
|
| Rate for Payer: Railroad Medicare Medicare |
$9,248.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,248.66
|
| Rate for Payer: UHC Exchange |
$14,335.42
|
| Rate for Payer: UHC Medicare Advantage |
$9,248.66
|
| Rate for Payer: UHCCP DNSP |
$9,248.66
|
| Rate for Payer: VA VA |
$9,248.66
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$27,281.10
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$16,720.67 |
| Max. Negotiated Rate |
$27,281.10 |
| Rate for Payer: Aetna Medicare |
$17,600.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,000.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,000.89
|
| Rate for Payer: BCBS MAPPO |
$17,600.71
|
| Rate for Payer: BCN Medicare Advantage |
$17,600.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,600.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,600.71
|
| Rate for Payer: Mclaren Medicare |
$17,600.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,480.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,240.82
|
| Rate for Payer: PACE Medicare |
$16,720.67
|
| Rate for Payer: PACE SWMI |
$17,600.71
|
| Rate for Payer: PHP Commercial |
$19,360.78
|
| Rate for Payer: PHP Medicare Advantage |
$17,600.71
|
| Rate for Payer: Priority Health Medicare |
$17,600.71
|
| Rate for Payer: Railroad Medicare Medicare |
$17,600.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,600.71
|
| Rate for Payer: UHC Exchange |
$27,281.10
|
| Rate for Payer: UHC Medicare Advantage |
$17,600.71
|
| Rate for Payer: UHCCP DNSP |
$17,600.71
|
| Rate for Payer: VA VA |
$17,600.71
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$46,422.98
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$28,452.79 |
| Max. Negotiated Rate |
$46,422.98 |
| Rate for Payer: Aetna Medicare |
$29,950.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37,437.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37,437.89
|
| Rate for Payer: BCBS MAPPO |
$29,950.31
|
| Rate for Payer: BCN Medicare Advantage |
$29,950.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29,950.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$29,950.31
|
| Rate for Payer: Mclaren Medicare |
$29,950.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,447.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34,442.86
|
| Rate for Payer: PACE Medicare |
$28,452.79
|
| Rate for Payer: PACE SWMI |
$29,950.31
|
| Rate for Payer: PHP Commercial |
$32,945.34
|
| Rate for Payer: PHP Medicare Advantage |
$29,950.31
|
| Rate for Payer: Priority Health Medicare |
$29,950.31
|
| Rate for Payer: Railroad Medicare Medicare |
$29,950.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$29,950.31
|
| Rate for Payer: UHC Exchange |
$46,422.98
|
| Rate for Payer: UHC Medicare Advantage |
$29,950.31
|
| Rate for Payer: UHCCP DNSP |
$29,950.31
|
| Rate for Payer: VA VA |
$29,950.31
|
|
|
MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,921.65
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$13,435.85 |
| Max. Negotiated Rate |
$21,921.65 |
| Rate for Payer: Aetna Medicare |
$14,143.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,678.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,678.75
|
| Rate for Payer: BCBS MAPPO |
$14,143.00
|
| Rate for Payer: BCN Medicare Advantage |
$14,143.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,143.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,143.00
|
| Rate for Payer: Mclaren Medicare |
$14,143.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,850.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,264.45
|
| Rate for Payer: PACE Medicare |
$13,435.85
|
| Rate for Payer: PACE SWMI |
$14,143.00
|
| Rate for Payer: PHP Commercial |
$15,557.30
|
| Rate for Payer: PHP Medicare Advantage |
$14,143.00
|
| Rate for Payer: Priority Health Medicare |
$14,143.00
|
| Rate for Payer: Railroad Medicare Medicare |
$14,143.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,143.00
|
| Rate for Payer: UHC Exchange |
$21,921.65
|
| Rate for Payer: UHC Medicare Advantage |
$14,143.00
|
| Rate for Payer: UHCCP DNSP |
$14,143.00
|
| Rate for Payer: VA VA |
$14,143.00
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$30,431.75
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$18,651.72 |
| Max. Negotiated Rate |
$30,431.75 |
| Rate for Payer: Aetna Medicare |
$19,633.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,541.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,541.74
|
| Rate for Payer: BCBS MAPPO |
$19,633.39
|
| Rate for Payer: BCN Medicare Advantage |
$19,633.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,633.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,633.39
|
| Rate for Payer: Mclaren Medicare |
$19,633.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,615.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,578.40
|
| Rate for Payer: PACE Medicare |
$18,651.72
|
| Rate for Payer: PACE SWMI |
$19,633.39
|
| Rate for Payer: PHP Commercial |
$21,596.73
|
| Rate for Payer: PHP Medicare Advantage |
$19,633.39
|
| Rate for Payer: Priority Health Medicare |
$19,633.39
|
| Rate for Payer: Railroad Medicare Medicare |
$19,633.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,633.39
|
| Rate for Payer: UHC Exchange |
$30,431.75
|
| Rate for Payer: UHC Medicare Advantage |
$19,633.39
|
| Rate for Payer: UHCCP DNSP |
$19,633.39
|
| Rate for Payer: VA VA |
$19,633.39
|
|
|
MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,340.94
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$9,402.51 |
| Max. Negotiated Rate |
$15,340.94 |
| Rate for Payer: Aetna Medicare |
$9,897.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,371.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,371.73
|
| Rate for Payer: BCBS MAPPO |
$9,897.38
|
| Rate for Payer: BCN Medicare Advantage |
$9,897.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,897.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,897.38
|
| Rate for Payer: Mclaren Medicare |
$9,897.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,392.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,381.99
|
| Rate for Payer: PACE Medicare |
$9,402.51
|
| Rate for Payer: PACE SWMI |
$9,897.38
|
| Rate for Payer: PHP Commercial |
$10,887.12
|
| Rate for Payer: PHP Medicare Advantage |
$9,897.38
|
| Rate for Payer: Priority Health Medicare |
$9,897.38
|
| Rate for Payer: Railroad Medicare Medicare |
$9,897.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,897.38
|
| Rate for Payer: UHC Exchange |
$15,340.94
|
| Rate for Payer: UHC Medicare Advantage |
$9,897.38
|
| Rate for Payer: UHCCP DNSP |
$9,897.38
|
| Rate for Payer: VA VA |
$9,897.38
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$81,977.92
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$50,244.53 |
| Max. Negotiated Rate |
$81,977.92 |
| Rate for Payer: Aetna Medicare |
$52,888.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$66,111.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$66,111.23
|
| Rate for Payer: BCBS MAPPO |
$52,888.98
|
| Rate for Payer: BCN Medicare Advantage |
$52,888.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52,888.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$52,888.98
|
| Rate for Payer: Mclaren Medicare |
$52,888.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55,533.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60,822.33
|
| Rate for Payer: PACE Medicare |
$50,244.53
|
| Rate for Payer: PACE SWMI |
$52,888.98
|
| Rate for Payer: PHP Commercial |
$58,177.88
|
| Rate for Payer: PHP Medicare Advantage |
$52,888.98
|
| Rate for Payer: Priority Health Medicare |
$52,888.98
|
| Rate for Payer: Railroad Medicare Medicare |
$52,888.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$52,888.98
|
| Rate for Payer: UHC Exchange |
$81,977.92
|
| Rate for Payer: UHC Medicare Advantage |
$52,888.98
|
| Rate for Payer: UHCCP DNSP |
$52,888.98
|
| Rate for Payer: VA VA |
$52,888.98
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$119,733.36
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$73,384.96 |
| Max. Negotiated Rate |
$119,733.36 |
| Rate for Payer: Aetna Medicare |
$77,247.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96,559.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96,559.16
|
| Rate for Payer: BCBS MAPPO |
$77,247.33
|
| Rate for Payer: BCN Medicare Advantage |
$77,247.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77,247.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$77,247.33
|
| Rate for Payer: Mclaren Medicare |
$77,247.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81,109.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88,834.43
|
| Rate for Payer: PACE Medicare |
$73,384.96
|
| Rate for Payer: PACE SWMI |
$77,247.33
|
| Rate for Payer: PHP Commercial |
$84,972.06
|
| Rate for Payer: PHP Medicare Advantage |
$77,247.33
|
| Rate for Payer: Priority Health Medicare |
$77,247.33
|
| Rate for Payer: Railroad Medicare Medicare |
$77,247.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$77,247.33
|
| Rate for Payer: UHC Exchange |
$119,733.36
|
| Rate for Payer: UHC Medicare Advantage |
$77,247.33
|
| Rate for Payer: UHCCP DNSP |
$77,247.33
|
| Rate for Payer: VA VA |
$77,247.33
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$62,318.76
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$38,195.37 |
| Max. Negotiated Rate |
$62,318.76 |
| Rate for Payer: Aetna Medicare |
$40,205.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$50,257.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$50,257.06
|
| Rate for Payer: BCBS MAPPO |
$40,205.65
|
| Rate for Payer: BCN Medicare Advantage |
$40,205.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40,205.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$40,205.65
|
| Rate for Payer: Mclaren Medicare |
$40,205.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42,215.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46,236.50
|
| Rate for Payer: PACE Medicare |
$38,195.37
|
| Rate for Payer: PACE SWMI |
$40,205.65
|
| Rate for Payer: PHP Commercial |
$44,226.21
|
| Rate for Payer: PHP Medicare Advantage |
$40,205.65
|
| Rate for Payer: Priority Health Medicare |
$40,205.65
|
| Rate for Payer: Railroad Medicare Medicare |
$40,205.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$40,205.65
|
| Rate for Payer: UHC Exchange |
$62,318.76
|
| Rate for Payer: UHC Medicare Advantage |
$40,205.65
|
| Rate for Payer: UHCCP DNSP |
$40,205.65
|
| Rate for Payer: VA VA |
$40,205.65
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$49,023.18
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$30,046.47 |
| Max. Negotiated Rate |
$49,023.18 |
| Rate for Payer: Aetna Medicare |
$31,627.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39,534.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39,534.82
|
| Rate for Payer: BCBS MAPPO |
$31,627.86
|
| Rate for Payer: BCN Medicare Advantage |
$31,627.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31,627.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$31,627.86
|
| Rate for Payer: Mclaren Medicare |
$31,627.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33,209.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36,372.04
|
| Rate for Payer: PACE Medicare |
$30,046.47
|
| Rate for Payer: PACE SWMI |
$31,627.86
|
| Rate for Payer: PHP Commercial |
$34,790.65
|
| Rate for Payer: PHP Medicare Advantage |
$31,627.86
|
| Rate for Payer: Priority Health Medicare |
$31,627.86
|
| Rate for Payer: Railroad Medicare Medicare |
$31,627.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$31,627.86
|
| Rate for Payer: UHC Exchange |
$49,023.18
|
| Rate for Payer: UHC Medicare Advantage |
$31,627.86
|
| Rate for Payer: UHCCP DNSP |
$31,627.86
|
| Rate for Payer: VA VA |
$31,627.86
|
|
