|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$45,124.82
|
|
|
Service Code
|
APR-DRG 0072
|
| Min. Negotiated Rate |
$42,976.02 |
| Max. Negotiated Rate |
$45,124.82 |
| Rate for Payer: BCBS Complete |
$45,124.82
|
| Rate for Payer: Mclaren Medicaid |
$42,976.02
|
| Rate for Payer: Meridian Medicaid |
$45,124.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,976.02
|
| Rate for Payer: UHCCP Medicaid |
$45,124.82
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$39,822.38
|
|
|
Service Code
|
APR-DRG 0071
|
| Min. Negotiated Rate |
$37,926.08 |
| Max. Negotiated Rate |
$39,822.38 |
| Rate for Payer: BCBS Complete |
$39,822.38
|
| Rate for Payer: Mclaren Medicaid |
$37,926.08
|
| Rate for Payer: Meridian Medicaid |
$39,822.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,926.08
|
| Rate for Payer: UHCCP Medicaid |
$39,822.38
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$100,746.30
|
|
|
Service Code
|
APR-DRG 0074
|
| Min. Negotiated Rate |
$95,948.86 |
| Max. Negotiated Rate |
$100,746.30 |
| Rate for Payer: BCBS Complete |
$100,746.30
|
| Rate for Payer: Mclaren Medicaid |
$95,948.86
|
| Rate for Payer: Meridian Medicaid |
$100,746.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$95,948.86
|
| Rate for Payer: UHCCP Medicaid |
$100,746.30
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$64,062.10
|
|
|
Service Code
|
APR-DRG 0073
|
| Min. Negotiated Rate |
$61,011.52 |
| Max. Negotiated Rate |
$64,062.10 |
| Rate for Payer: BCBS Complete |
$64,062.10
|
| Rate for Payer: Mclaren Medicaid |
$61,011.52
|
| Rate for Payer: Meridian Medicaid |
$64,062.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$61,011.52
|
| Rate for Payer: UHCCP Medicaid |
$64,062.10
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 0524
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 0521
|
| Min. Negotiated Rate |
$3,297.92 |
| Max. Negotiated Rate |
$3,462.82 |
| Rate for Payer: BCBS Complete |
$3,462.82
|
| Rate for Payer: Mclaren Medicaid |
$3,297.92
|
| Rate for Payer: Meridian Medicaid |
$3,462.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 0523
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 0522
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,170.08
|
|
|
Service Code
|
APR-DRG 3052
|
| Min. Negotiated Rate |
$7,781.03 |
| Max. Negotiated Rate |
$8,170.08 |
| Rate for Payer: BCBS Complete |
$8,170.08
|
| Rate for Payer: Mclaren Medicaid |
$7,781.03
|
| Rate for Payer: Meridian Medicaid |
$8,170.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.03
|
| Rate for Payer: UHCCP Medicaid |
$8,170.08
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$12,552.71
|
|
|
Service Code
|
APR-DRG 3053
|
| Min. Negotiated Rate |
$11,954.96 |
| Max. Negotiated Rate |
$12,552.71 |
| Rate for Payer: BCBS Complete |
$12,552.71
|
| Rate for Payer: Mclaren Medicaid |
$11,954.96
|
| Rate for Payer: Meridian Medicaid |
$12,552.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.96
|
| Rate for Payer: UHCCP Medicaid |
$12,552.71
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 3051
|
| Min. Negotiated Rate |
$5,719.83 |
| Max. Negotiated Rate |
$6,005.82 |
| Rate for Payer: BCBS Complete |
$6,005.82
|
| Rate for Payer: Mclaren Medicaid |
$5,719.83
|
| Rate for Payer: Meridian Medicaid |
$6,005.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,719.83
|
| Rate for Payer: UHCCP Medicaid |
$6,005.82
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$20,668.68
|
|
|
Service Code
|
APR-DRG 3054
|
| Min. Negotiated Rate |
$19,684.46 |
| Max. Negotiated Rate |
$20,668.68 |
| Rate for Payer: BCBS Complete |
$20,668.68
|
| Rate for Payer: Mclaren Medicaid |
$19,684.46
|
| Rate for Payer: Meridian Medicaid |
$20,668.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,684.46
|
| Rate for Payer: UHCCP Medicaid |
$20,668.68
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,951.72
|
|
|
Service Code
|
APR-DRG 2262
|
| Min. Negotiated Rate |
$5,668.30 |
| Max. Negotiated Rate |
$5,951.72 |
| Rate for Payer: BCBS Complete |
$5,951.72
|
| Rate for Payer: Mclaren Medicaid |
$5,668.30
|
| Rate for Payer: Meridian Medicaid |
$5,951.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,668.30
|
| Rate for Payer: UHCCP Medicaid |
$5,951.72
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 2261
|
| Min. Negotiated Rate |
$4,534.64 |
| Max. Negotiated Rate |
$4,761.37 |
| Rate for Payer: BCBS Complete |
$4,761.37
|
| Rate for Payer: Mclaren Medicaid |
$4,534.64
|
| Rate for Payer: Meridian Medicaid |
$4,761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,534.64
|
| Rate for Payer: UHCCP Medicaid |
$4,761.37
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 2263
|
| Min. Negotiated Rate |
$8,863.16 |
| Max. Negotiated Rate |
$9,306.32 |
| Rate for Payer: BCBS Complete |
$9,306.32
|
| Rate for Payer: Mclaren Medicaid |
$8,863.16
|
| Rate for Payer: Meridian Medicaid |
$9,306.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,863.16
|
| Rate for Payer: UHCCP Medicaid |
$9,306.32
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 2264
|
| Min. Negotiated Rate |
$13,243.21 |
| Max. Negotiated Rate |
$13,905.37 |
| Rate for Payer: BCBS Complete |
$13,905.37
|
| Rate for Payer: Mclaren Medicaid |
$13,243.21
|
| Rate for Payer: Meridian Medicaid |
$13,905.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,243.21
|
| Rate for Payer: UHCCP Medicaid |
$13,905.37
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$4,586.17 |
| Max. Negotiated Rate |
$4,815.48 |
| Rate for Payer: BCBS Complete |
$4,815.48
|
| Rate for Payer: Mclaren Medicaid |
$4,586.17
|
| Rate for Payer: Meridian Medicaid |
$4,815.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,586.17
|
| Rate for Payer: UHCCP Medicaid |
$4,815.48
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 0594
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$5,977.48 |
| Max. Negotiated Rate |
$6,276.35 |
| Rate for Payer: BCBS Complete |
$6,276.35
|
| Rate for Payer: Mclaren Medicaid |
$5,977.48
|
| Rate for Payer: Meridian Medicaid |
$6,276.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,977.48
|
| Rate for Payer: UHCCP Medicaid |
$6,276.35
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 0593
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$8,605.51 |
| Max. Negotiated Rate |
$9,035.79 |
| Rate for Payer: BCBS Complete |
$9,035.79
|
| Rate for Payer: Mclaren Medicaid |
$8,605.51
|
| Rate for Payer: Meridian Medicaid |
$9,035.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,605.51
|
| Rate for Payer: UHCCP Medicaid |
$9,035.79
|
|