|
MS-DRG 42.00: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$13,404.60
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$8,215.72 |
| Max. Negotiated Rate |
$13,404.60 |
| Rate for Payer: Aetna Medicare |
$8,648.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,810.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,810.16
|
| Rate for Payer: BCBS MAPPO |
$8,648.13
|
| Rate for Payer: BCN Medicare Advantage |
$8,648.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,648.13
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,648.13
|
| Rate for Payer: Mclaren Medicare |
$8,648.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,080.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,945.35
|
| Rate for Payer: PACE Medicare |
$8,215.72
|
| Rate for Payer: PACE SWMI |
$8,648.13
|
| Rate for Payer: PHP Commercial |
$9,512.94
|
| Rate for Payer: PHP Medicare Advantage |
$8,648.13
|
| Rate for Payer: Priority Health Medicare |
$8,648.13
|
| Rate for Payer: Railroad Medicare Medicare |
$8,648.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,648.13
|
| Rate for Payer: UHC Exchange |
$13,404.60
|
| Rate for Payer: UHC Medicare Advantage |
$8,648.13
|
| Rate for Payer: UHCCP DNSP |
$8,648.13
|
| Rate for Payer: VA VA |
$8,648.13
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$27,861.99
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$17,076.71 |
| Max. Negotiated Rate |
$27,861.99 |
| Rate for Payer: Aetna Medicare |
$17,975.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,469.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,469.35
|
| Rate for Payer: BCBS MAPPO |
$17,975.48
|
| Rate for Payer: BCN Medicare Advantage |
$17,975.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,975.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,975.48
|
| Rate for Payer: Mclaren Medicare |
$17,975.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,874.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,671.80
|
| Rate for Payer: PACE Medicare |
$17,076.71
|
| Rate for Payer: PACE SWMI |
$17,975.48
|
| Rate for Payer: PHP Commercial |
$19,773.03
|
| Rate for Payer: PHP Medicare Advantage |
$17,975.48
|
| Rate for Payer: Priority Health Medicare |
$17,975.48
|
| Rate for Payer: Railroad Medicare Medicare |
$17,975.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,975.48
|
| Rate for Payer: UHC Exchange |
$27,861.99
|
| Rate for Payer: UHC Medicare Advantage |
$17,975.48
|
| Rate for Payer: UHCCP DNSP |
$17,975.48
|
| Rate for Payer: VA VA |
$17,975.48
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,176.21
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$11,753.16 |
| Max. Negotiated Rate |
$19,176.21 |
| Rate for Payer: Aetna Medicare |
$12,371.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,464.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,464.69
|
| Rate for Payer: BCBS MAPPO |
$12,371.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,371.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,371.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,371.75
|
| Rate for Payer: Mclaren Medicare |
$12,371.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,990.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,227.51
|
| Rate for Payer: PACE Medicare |
$11,753.16
|
| Rate for Payer: PACE SWMI |
$12,371.75
|
| Rate for Payer: PHP Commercial |
$13,608.92
|
| Rate for Payer: PHP Medicare Advantage |
$12,371.75
|
| Rate for Payer: Priority Health Medicare |
$12,371.75
|
| Rate for Payer: Railroad Medicare Medicare |
$12,371.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,371.75
|
| Rate for Payer: UHC Exchange |
$19,176.21
|
| Rate for Payer: UHC Medicare Advantage |
$12,371.75
|
| Rate for Payer: UHCCP DNSP |
$12,371.75
|
| Rate for Payer: VA VA |
$12,371.75
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$27,745.82
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$17,005.50 |
| Max. Negotiated Rate |
$27,745.82 |
| Rate for Payer: Aetna Medicare |
$17,900.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22,375.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22,375.66
|
| Rate for Payer: BCBS MAPPO |
$17,900.53
|
| Rate for Payer: BCN Medicare Advantage |
$17,900.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,900.53
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,900.53
|
| Rate for Payer: Mclaren Medicare |
$17,900.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18,795.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20,585.61
|
| Rate for Payer: PACE Medicare |
$17,005.50
|
| Rate for Payer: PACE SWMI |
$17,900.53
|
| Rate for Payer: PHP Commercial |
$19,690.58
|
| Rate for Payer: PHP Medicare Advantage |
$17,900.53
|
| Rate for Payer: Priority Health Medicare |
$17,900.53
|
| Rate for Payer: Railroad Medicare Medicare |
$17,900.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,900.53
|
| Rate for Payer: UHC Exchange |
$27,745.82
|
| Rate for Payer: UHC Medicare Advantage |
$17,900.53
|
| Rate for Payer: UHCCP DNSP |
$17,900.53
|
| Rate for Payer: VA VA |
$17,900.53
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,656.42
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$35,337.81 |
| Max. Negotiated Rate |
$57,656.42 |
| Rate for Payer: Aetna Medicare |
$37,197.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,497.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,497.11
|
| Rate for Payer: BCBS MAPPO |
$37,197.69
|
| Rate for Payer: BCN Medicare Advantage |
$37,197.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37,197.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$37,197.69
|
| Rate for Payer: Mclaren Medicare |
$37,197.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39,057.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,777.34
|
| Rate for Payer: PACE Medicare |
$35,337.81
|
| Rate for Payer: PACE SWMI |
$37,197.69
|
| Rate for Payer: PHP Commercial |
$40,917.46
|
| Rate for Payer: PHP Medicare Advantage |
$37,197.69
|
| Rate for Payer: Priority Health Medicare |
$37,197.69
|
| Rate for Payer: Railroad Medicare Medicare |
$37,197.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$37,197.69
|
| Rate for Payer: UHC Exchange |
$57,656.42
|
| Rate for Payer: UHC Medicare Advantage |
$37,197.69
|
| Rate for Payer: UHCCP DNSP |
$37,197.69
|
| Rate for Payer: VA VA |
$37,197.69
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,595.24
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$13,235.79 |
| Max. Negotiated Rate |
$21,595.24 |
| Rate for Payer: Aetna Medicare |
$13,932.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,415.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,415.51
|
| Rate for Payer: BCBS MAPPO |
$13,932.41
|
| Rate for Payer: BCN Medicare Advantage |
$13,932.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,932.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,932.41
|
| Rate for Payer: Mclaren Medicare |
$13,932.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,629.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,022.27
|
| Rate for Payer: PACE Medicare |
$13,235.79
|
| Rate for Payer: PACE SWMI |
$13,932.41
|
| Rate for Payer: PHP Commercial |
$15,325.65
|
| Rate for Payer: PHP Medicare Advantage |
$13,932.41
|
| Rate for Payer: Priority Health Medicare |
$13,932.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13,932.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,932.41
|
| Rate for Payer: UHC Exchange |
$21,595.24
|
| Rate for Payer: UHC Medicare Advantage |
$13,932.41
|
| Rate for Payer: UHCCP DNSP |
$13,932.41
|
| Rate for Payer: VA VA |
$13,932.41
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$30,236.75
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$18,532.20 |
| Max. Negotiated Rate |
$30,236.75 |
| Rate for Payer: Aetna Medicare |
$19,507.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24,384.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24,384.47
|
| Rate for Payer: BCBS MAPPO |
$19,507.58
|
| Rate for Payer: BCN Medicare Advantage |
$19,507.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19,507.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$19,507.58
|
| Rate for Payer: Mclaren Medicare |
$19,507.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20,482.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22,433.72
|
| Rate for Payer: PACE Medicare |
$18,532.20
|
| Rate for Payer: PACE SWMI |
$19,507.58
|
| Rate for Payer: PHP Commercial |
$21,458.34
|
| Rate for Payer: PHP Medicare Advantage |
$19,507.58
|
| Rate for Payer: Priority Health Medicare |
$19,507.58
|
| Rate for Payer: Railroad Medicare Medicare |
$19,507.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$19,507.58
|
| Rate for Payer: UHC Exchange |
$30,236.75
|
| Rate for Payer: UHC Medicare Advantage |
$19,507.58
|
| Rate for Payer: UHCCP DNSP |
$19,507.58
|
| Rate for Payer: VA VA |
$19,507.58
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$57,057.51
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$34,970.74 |
| Max. Negotiated Rate |
$57,057.51 |
| Rate for Payer: Aetna Medicare |
$36,811.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$46,014.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$46,014.12
|
| Rate for Payer: BCBS MAPPO |
$36,811.30
|
| Rate for Payer: BCN Medicare Advantage |
$36,811.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36,811.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$36,811.30
|
| Rate for Payer: Mclaren Medicare |
$36,811.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38,651.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$42,333.00
|
| Rate for Payer: PACE Medicare |
$34,970.74
|
| Rate for Payer: PACE SWMI |
$36,811.30
|
| Rate for Payer: PHP Commercial |
$40,492.43
|
| Rate for Payer: PHP Medicare Advantage |
$36,811.30
|
| Rate for Payer: Priority Health Medicare |
$36,811.30
|
| Rate for Payer: Railroad Medicare Medicare |
$36,811.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$36,811.30
|
| Rate for Payer: UHC Exchange |
$57,057.51
|
| Rate for Payer: UHC Medicare Advantage |
$36,811.30
|
| Rate for Payer: UHCCP DNSP |
$36,811.30
|
| Rate for Payer: VA VA |
$36,811.30
|
|
|
MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$23,577.19
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$14,450.54 |
| Max. Negotiated Rate |
$23,577.19 |
| Rate for Payer: Aetna Medicare |
$15,211.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,013.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,013.86
|
| Rate for Payer: BCBS MAPPO |
$15,211.09
|
| Rate for Payer: BCN Medicare Advantage |
$15,211.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,211.09
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,211.09
|
| Rate for Payer: Mclaren Medicare |
$15,211.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,971.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,492.75
|
| Rate for Payer: PACE Medicare |
$14,450.54
|
| Rate for Payer: PACE SWMI |
$15,211.09
|
| Rate for Payer: PHP Commercial |
$16,732.20
|
| Rate for Payer: PHP Medicare Advantage |
$15,211.09
|
| Rate for Payer: Priority Health Medicare |
$15,211.09
|
| Rate for Payer: Railroad Medicare Medicare |
$15,211.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,211.09
|
| Rate for Payer: UHC Exchange |
$23,577.19
|
| Rate for Payer: UHC Medicare Advantage |
$15,211.09
|
| Rate for Payer: UHCCP DNSP |
$15,211.09
|
| Rate for Payer: VA VA |
$15,211.09
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$25,758.33
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$15,787.37 |
| Max. Negotiated Rate |
$25,758.33 |
| Rate for Payer: Aetna Medicare |
$16,618.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,772.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,772.85
|
| Rate for Payer: BCBS MAPPO |
$16,618.28
|
| Rate for Payer: BCN Medicare Advantage |
$16,618.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,618.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$16,618.28
|
| Rate for Payer: Mclaren Medicare |
$16,618.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,449.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,111.02
|
| Rate for Payer: PACE Medicare |
$15,787.37
|
| Rate for Payer: PACE SWMI |
$16,618.28
|
| Rate for Payer: PHP Commercial |
$18,280.11
|
| Rate for Payer: PHP Medicare Advantage |
$16,618.28
|
| Rate for Payer: Priority Health Medicare |
$16,618.28
|
| Rate for Payer: Railroad Medicare Medicare |
$16,618.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16,618.28
|
| Rate for Payer: UHC Exchange |
$25,758.33
|
| Rate for Payer: UHC Medicare Advantage |
$16,618.28
|
| Rate for Payer: UHCCP DNSP |
$16,618.28
|
| Rate for Payer: VA VA |
$16,618.28
|
|
|
MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,808.43
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$9,689.04 |
| Max. Negotiated Rate |
$15,808.43 |
| Rate for Payer: Aetna Medicare |
$10,198.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,748.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,748.74
|
| Rate for Payer: BCBS MAPPO |
$10,198.99
|
| Rate for Payer: BCN Medicare Advantage |
$10,198.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,198.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,198.99
|
| Rate for Payer: Mclaren Medicare |
$10,198.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,708.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,728.84
|
| Rate for Payer: PACE Medicare |
$9,689.04
|
| Rate for Payer: PACE SWMI |
$10,198.99
|
| Rate for Payer: PHP Commercial |
$11,218.89
|
| Rate for Payer: PHP Medicare Advantage |
$10,198.99
|
| Rate for Payer: Priority Health Medicare |
$10,198.99
|
| Rate for Payer: Railroad Medicare Medicare |
$10,198.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,198.99
|
| Rate for Payer: UHC Exchange |
$15,808.43
|
| Rate for Payer: UHC Medicare Advantage |
$10,198.99
|
| Rate for Payer: UHCCP DNSP |
$10,198.99
|
| Rate for Payer: VA VA |
$10,198.99
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$17,759.96
|
|
|
Service Code
|
MSDRG 768
|
| Min. Negotiated Rate |
$10,885.14 |
| Max. Negotiated Rate |
$17,759.96 |
| Rate for Payer: Aetna Medicare |
$11,458.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,322.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,322.55
|
| Rate for Payer: BCBS MAPPO |
$11,458.04
|
| Rate for Payer: BCN Medicare Advantage |
$11,458.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,458.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,458.04
|
| Rate for Payer: Mclaren Medicare |
$11,458.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,030.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,176.75
|
| Rate for Payer: PACE Medicare |
$10,885.14
|
| Rate for Payer: PACE SWMI |
$11,458.04
|
| Rate for Payer: PHP Commercial |
$12,603.84
|
| Rate for Payer: PHP Medicare Advantage |
$11,458.04
|
| Rate for Payer: Priority Health Medicare |
$11,458.04
|
| Rate for Payer: Railroad Medicare Medicare |
$11,458.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,458.04
|
| Rate for Payer: UHC Exchange |
$17,759.96
|
| Rate for Payer: UHC Medicare Advantage |
$11,458.04
|
| Rate for Payer: UHCCP DNSP |
$11,458.04
|
| Rate for Payer: VA VA |
$11,458.04
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
|
Facility
|
IP
|
$12,605.20
|
|
|
Service Code
|
MSDRG 806
|
| Min. Negotiated Rate |
$7,725.77 |
| Max. Negotiated Rate |
$12,605.20 |
| Rate for Payer: Aetna Medicare |
$8,132.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,165.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,165.49
|
| Rate for Payer: BCBS MAPPO |
$8,132.39
|
| Rate for Payer: BCN Medicare Advantage |
$8,132.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,132.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,132.39
|
| Rate for Payer: Mclaren Medicare |
$8,132.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,539.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,352.25
|
| Rate for Payer: PACE Medicare |
$7,725.77
|
| Rate for Payer: PACE SWMI |
$8,132.39
|
| Rate for Payer: PHP Commercial |
$8,945.63
|
| Rate for Payer: PHP Medicare Advantage |
$8,132.39
|
| Rate for Payer: Priority Health Medicare |
$8,132.39
|
| Rate for Payer: Railroad Medicare Medicare |
$8,132.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$8,132.39
|
| Rate for Payer: UHC Exchange |
$12,605.20
|
| Rate for Payer: UHC Medicare Advantage |
$8,132.39
|
| Rate for Payer: UHCCP DNSP |
$8,132.39
|
| Rate for Payer: VA VA |
$8,132.39
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
|
Facility
|
IP
|
$16,400.38
|
|
|
Service Code
|
MSDRG 805
|
| Min. Negotiated Rate |
$10,051.85 |
| Max. Negotiated Rate |
$16,400.38 |
| Rate for Payer: Aetna Medicare |
$10,580.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,226.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,226.11
|
| Rate for Payer: BCBS MAPPO |
$10,580.89
|
| Rate for Payer: BCN Medicare Advantage |
$10,580.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,580.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,580.89
|
| Rate for Payer: Mclaren Medicare |
$10,580.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,109.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,168.02
|
| Rate for Payer: PACE Medicare |
$10,051.85
|
| Rate for Payer: PACE SWMI |
$10,580.89
|
| Rate for Payer: PHP Commercial |
$11,638.98
|
| Rate for Payer: PHP Medicare Advantage |
$10,580.89
|
| Rate for Payer: Priority Health Medicare |
$10,580.89
|
| Rate for Payer: Railroad Medicare Medicare |
$10,580.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,580.89
|
| Rate for Payer: UHC Exchange |
$16,400.38
|
| Rate for Payer: UHC Medicare Advantage |
$10,580.89
|
| Rate for Payer: UHCCP DNSP |
$10,580.89
|
| Rate for Payer: VA VA |
$10,580.89
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
|
Facility
|
IP
|
$11,411.61
|
|
|
Service Code
|
MSDRG 807
|
| Min. Negotiated Rate |
$6,994.21 |
| Max. Negotiated Rate |
$11,411.61 |
| Rate for Payer: Aetna Medicare |
$7,362.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,202.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,202.91
|
| Rate for Payer: BCBS MAPPO |
$7,362.33
|
| Rate for Payer: BCN Medicare Advantage |
$7,362.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,362.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$7,362.33
|
| Rate for Payer: Mclaren Medicare |
$7,362.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,730.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,466.68
|
| Rate for Payer: PACE Medicare |
$6,994.21
|
| Rate for Payer: PACE SWMI |
$7,362.33
|
| Rate for Payer: PHP Commercial |
$8,098.56
|
| Rate for Payer: PHP Medicare Advantage |
$7,362.33
|
| Rate for Payer: Priority Health Medicare |
$7,362.33
|
| Rate for Payer: Railroad Medicare Medicare |
$7,362.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,362.33
|
| Rate for Payer: UHC Exchange |
$11,411.61
|
| Rate for Payer: UHC Medicare Advantage |
$7,362.33
|
| Rate for Payer: UHCCP DNSP |
$7,362.33
|
| Rate for Payer: VA VA |
$7,362.33
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
|
Facility
|
IP
|
$15,988.23
|
|
|
Service Code
|
MSDRG 797
|
| Min. Negotiated Rate |
$9,799.24 |
| Max. Negotiated Rate |
$15,988.23 |
| Rate for Payer: Aetna Medicare |
$10,314.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,893.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,893.74
|
| Rate for Payer: BCBS MAPPO |
$10,314.99
|
| Rate for Payer: BCN Medicare Advantage |
$10,314.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,314.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,314.99
|
| Rate for Payer: Mclaren Medicare |
$10,314.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,830.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,862.24
|
| Rate for Payer: PACE Medicare |
$9,799.24
|
| Rate for Payer: PACE SWMI |
$10,314.99
|
| Rate for Payer: PHP Commercial |
$11,346.49
|
| Rate for Payer: PHP Medicare Advantage |
$10,314.99
|
| Rate for Payer: Priority Health Medicare |
$10,314.99
|
| Rate for Payer: Railroad Medicare Medicare |
$10,314.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,314.99
|
| Rate for Payer: UHC Exchange |
$15,988.23
|
| Rate for Payer: UHC Medicare Advantage |
$10,314.99
|
| Rate for Payer: UHCCP DNSP |
$10,314.99
|
| Rate for Payer: VA VA |
$10,314.99
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
|
Facility
|
IP
|
$20,253.63
|
|
|
Service Code
|
MSDRG 796
|
| Min. Negotiated Rate |
$12,413.52 |
| Max. Negotiated Rate |
$20,253.63 |
| Rate for Payer: Aetna Medicare |
$13,066.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,333.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,333.58
|
| Rate for Payer: BCBS MAPPO |
$13,066.86
|
| Rate for Payer: BCN Medicare Advantage |
$13,066.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,066.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,066.86
|
| Rate for Payer: Mclaren Medicare |
$13,066.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,720.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,026.89
|
| Rate for Payer: PACE Medicare |
$12,413.52
|
| Rate for Payer: PACE SWMI |
$13,066.86
|
| Rate for Payer: PHP Commercial |
$14,373.55
|
| Rate for Payer: PHP Medicare Advantage |
$13,066.86
|
| Rate for Payer: Priority Health Medicare |
$13,066.86
|
| Rate for Payer: Railroad Medicare Medicare |
$13,066.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$13,066.86
|
| Rate for Payer: UHC Exchange |
$20,253.63
|
| Rate for Payer: UHC Medicare Advantage |
$13,066.86
|
| Rate for Payer: UHCCP DNSP |
$13,066.86
|
| Rate for Payer: VA VA |
$13,066.86
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC
|
Facility
|
IP
|
$15,988.23
|
|
|
Service Code
|
MSDRG 798
|
| Min. Negotiated Rate |
$9,799.24 |
| Max. Negotiated Rate |
$15,988.23 |
| Rate for Payer: Aetna Medicare |
$10,314.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,893.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,893.74
|
| Rate for Payer: BCBS MAPPO |
$10,314.99
|
| Rate for Payer: BCN Medicare Advantage |
$10,314.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,314.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,314.99
|
| Rate for Payer: Mclaren Medicare |
$10,314.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,830.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,862.24
|
| Rate for Payer: PACE Medicare |
$9,799.24
|
| Rate for Payer: PACE SWMI |
$10,314.99
|
| Rate for Payer: PHP Commercial |
$11,346.49
|
| Rate for Payer: PHP Medicare Advantage |
$10,314.99
|
| Rate for Payer: Priority Health Medicare |
$10,314.99
|
| Rate for Payer: Railroad Medicare Medicare |
$10,314.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,314.99
|
| Rate for Payer: UHC Exchange |
$15,988.23
|
| Rate for Payer: UHC Medicare Advantage |
$10,314.99
|
| Rate for Payer: UHCCP DNSP |
$10,314.99
|
| Rate for Payer: VA VA |
$10,314.99
|
|
|
MS-DRG 42.00: VEIN LIGATION AND STRIPPING
|
Facility
|
IP
|
$39,692.91
|
|
|
Service Code
|
MSDRG 263
|
| Min. Negotiated Rate |
$24,327.91 |
| Max. Negotiated Rate |
$39,692.91 |
| Rate for Payer: Aetna Medicare |
$25,608.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32,010.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32,010.41
|
| Rate for Payer: BCBS MAPPO |
$25,608.33
|
| Rate for Payer: BCN Medicare Advantage |
$25,608.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25,608.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$25,608.33
|
| Rate for Payer: Mclaren Medicare |
$25,608.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26,888.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29,449.58
|
| Rate for Payer: PACE Medicare |
$24,327.91
|
| Rate for Payer: PACE SWMI |
$25,608.33
|
| Rate for Payer: PHP Commercial |
$28,169.16
|
| Rate for Payer: PHP Medicare Advantage |
$25,608.33
|
| Rate for Payer: Priority Health Medicare |
$25,608.33
|
| Rate for Payer: Railroad Medicare Medicare |
$25,608.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$25,608.33
|
| Rate for Payer: UHC Exchange |
$39,692.91
|
| Rate for Payer: UHC Medicare Advantage |
$25,608.33
|
| Rate for Payer: UHCCP DNSP |
$25,608.33
|
| Rate for Payer: VA VA |
$25,608.33
|
|
|
MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$32,134.35
|
|
|
Service Code
|
MSDRG 032
|
| Min. Negotiated Rate |
$19,695.25 |
| Max. Negotiated Rate |
$32,134.35 |
| Rate for Payer: Aetna Medicare |
$20,731.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25,914.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25,914.80
|
| Rate for Payer: BCBS MAPPO |
$20,731.84
|
| Rate for Payer: BCN Medicare Advantage |
$20,731.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20,731.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$20,731.84
|
| Rate for Payer: Mclaren Medicare |
$20,731.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21,768.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23,841.62
|
| Rate for Payer: PACE Medicare |
$19,695.25
|
| Rate for Payer: PACE SWMI |
$20,731.84
|
| Rate for Payer: PHP Commercial |
$22,805.02
|
| Rate for Payer: PHP Medicare Advantage |
$20,731.84
|
| Rate for Payer: Priority Health Medicare |
$20,731.84
|
| Rate for Payer: Railroad Medicare Medicare |
$20,731.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$20,731.84
|
| Rate for Payer: UHC Exchange |
$32,134.35
|
| Rate for Payer: UHC Medicare Advantage |
$20,731.84
|
| Rate for Payer: UHCCP DNSP |
$20,731.84
|
| Rate for Payer: VA VA |
$20,731.84
|
|
|
MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$60,556.72
|
|
|
Service Code
|
MSDRG 031
|
| Min. Negotiated Rate |
$37,115.41 |
| Max. Negotiated Rate |
$60,556.72 |
| Rate for Payer: Aetna Medicare |
$39,068.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48,836.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48,836.06
|
| Rate for Payer: BCBS MAPPO |
$39,068.85
|
| Rate for Payer: BCN Medicare Advantage |
$39,068.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39,068.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$39,068.85
|
| Rate for Payer: Mclaren Medicare |
$39,068.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41,022.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44,929.18
|
| Rate for Payer: PACE Medicare |
$37,115.41
|
| Rate for Payer: PACE SWMI |
$39,068.85
|
| Rate for Payer: PHP Commercial |
$42,975.74
|
| Rate for Payer: PHP Medicare Advantage |
$39,068.85
|
| Rate for Payer: Priority Health Medicare |
$39,068.85
|
| Rate for Payer: Railroad Medicare Medicare |
$39,068.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$39,068.85
|
| Rate for Payer: UHC Exchange |
$60,556.72
|
| Rate for Payer: UHC Medicare Advantage |
$39,068.85
|
| Rate for Payer: UHCCP DNSP |
$39,068.85
|
| Rate for Payer: VA VA |
$39,068.85
|
|
|
MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,664.30
|
|
|
Service Code
|
MSDRG 033
|
| Min. Negotiated Rate |
$15,116.83 |
| Max. Negotiated Rate |
$24,664.30 |
| Rate for Payer: Aetna Medicare |
$15,912.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19,890.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19,890.56
|
| Rate for Payer: BCBS MAPPO |
$15,912.45
|
| Rate for Payer: BCN Medicare Advantage |
$15,912.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15,912.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$15,912.45
|
| Rate for Payer: Mclaren Medicare |
$15,912.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16,708.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,299.32
|
| Rate for Payer: PACE Medicare |
$15,116.83
|
| Rate for Payer: PACE SWMI |
$15,912.45
|
| Rate for Payer: PHP Commercial |
$17,503.69
|
| Rate for Payer: PHP Medicare Advantage |
$15,912.45
|
| Rate for Payer: Priority Health Medicare |
$15,912.45
|
| Rate for Payer: Railroad Medicare Medicare |
$15,912.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$15,912.45
|
| Rate for Payer: UHC Exchange |
$24,664.30
|
| Rate for Payer: UHC Medicare Advantage |
$15,912.45
|
| Rate for Payer: UHCCP DNSP |
$15,912.45
|
| Rate for Payer: VA VA |
$15,912.45
|
|
|
MS-DRG 42.00: VIRAL ILLNESS WITH MCC
|
Facility
|
IP
|
$23,010.14
|
|
|
Service Code
|
MSDRG 865
|
| Min. Negotiated Rate |
$14,102.99 |
| Max. Negotiated Rate |
$23,010.14 |
| Rate for Payer: Aetna Medicare |
$14,845.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18,556.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18,556.56
|
| Rate for Payer: BCBS MAPPO |
$14,845.25
|
| Rate for Payer: BCN Medicare Advantage |
$14,845.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,845.25
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,845.25
|
| Rate for Payer: Mclaren Medicare |
$14,845.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,587.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17,072.04
|
| Rate for Payer: PACE Medicare |
$14,102.99
|
| Rate for Payer: PACE SWMI |
$14,845.25
|
| Rate for Payer: PHP Commercial |
$16,329.77
|
| Rate for Payer: PHP Medicare Advantage |
$14,845.25
|
| Rate for Payer: Priority Health Medicare |
$14,845.25
|
| Rate for Payer: Railroad Medicare Medicare |
$14,845.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$14,845.25
|
| Rate for Payer: UHC Exchange |
$23,010.14
|
| Rate for Payer: UHC Medicare Advantage |
$14,845.25
|
| Rate for Payer: UHCCP DNSP |
$14,845.25
|
| Rate for Payer: VA VA |
$14,845.25
|
|
|
MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC
|
Facility
|
IP
|
$14,834.74
|
|
|
Service Code
|
MSDRG 866
|
| Min. Negotiated Rate |
$9,092.26 |
| Max. Negotiated Rate |
$14,834.74 |
| Rate for Payer: Aetna Medicare |
$9,570.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,963.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,963.50
|
| Rate for Payer: BCBS MAPPO |
$9,570.80
|
| Rate for Payer: BCN Medicare Advantage |
$9,570.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,570.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,570.80
|
| Rate for Payer: Mclaren Medicare |
$9,570.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,049.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,006.42
|
| Rate for Payer: PACE Medicare |
$9,092.26
|
| Rate for Payer: PACE SWMI |
$9,570.80
|
| Rate for Payer: PHP Commercial |
$10,527.88
|
| Rate for Payer: PHP Medicare Advantage |
$9,570.80
|
| Rate for Payer: Priority Health Medicare |
$9,570.80
|
| Rate for Payer: Railroad Medicare Medicare |
$9,570.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$9,570.80
|
| Rate for Payer: UHC Exchange |
$14,834.74
|
| Rate for Payer: UHC Medicare Advantage |
$9,570.80
|
| Rate for Payer: UHCCP DNSP |
$9,570.80
|
| Rate for Payer: VA VA |
$9,570.80
|
|
|
MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC
|
Facility
|
IP
|
$26,419.44
|
|
|
Service Code
|
MSDRG 075
|
| Min. Negotiated Rate |
$16,192.56 |
| Max. Negotiated Rate |
$26,419.44 |
| Rate for Payer: Aetna Medicare |
$17,044.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21,306.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21,306.00
|
| Rate for Payer: BCBS MAPPO |
$17,044.80
|
| Rate for Payer: BCN Medicare Advantage |
$17,044.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17,044.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$17,044.80
|
| Rate for Payer: Mclaren Medicare |
$17,044.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,897.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19,601.52
|
| Rate for Payer: PACE Medicare |
$16,192.56
|
| Rate for Payer: PACE SWMI |
$17,044.80
|
| Rate for Payer: PHP Commercial |
$18,749.28
|
| Rate for Payer: PHP Medicare Advantage |
$17,044.80
|
| Rate for Payer: Priority Health Medicare |
$17,044.80
|
| Rate for Payer: Railroad Medicare Medicare |
$17,044.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$17,044.80
|
| Rate for Payer: UHC Exchange |
$26,419.44
|
| Rate for Payer: UHC Medicare Advantage |
$17,044.80
|
| Rate for Payer: UHCCP DNSP |
$17,044.80
|
| Rate for Payer: VA VA |
$17,044.80
|
|
