|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$1,569.09
|
|
|
Service Code
|
APR-DRG 8111
|
| Min. Negotiated Rate |
$1,494.37 |
| Max. Negotiated Rate |
$1,569.09 |
| Rate for Payer: BCBS Complete |
$1,569.09
|
| Rate for Payer: Mclaren Medicaid |
$1,494.37
|
| Rate for Payer: Meridian Medicaid |
$1,569.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,494.37
|
| Rate for Payer: UHCCP Medicaid |
$1,569.09
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 8114
|
| Min. Negotiated Rate |
$9,017.75 |
| Max. Negotiated Rate |
$9,468.64 |
| Rate for Payer: BCBS Complete |
$9,468.64
|
| Rate for Payer: Mclaren Medicaid |
$9,017.75
|
| Rate for Payer: Meridian Medicaid |
$9,468.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,017.75
|
| Rate for Payer: UHCCP Medicaid |
$9,468.64
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 8113
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,272.47
|
|
|
Service Code
|
APR-DRG 8112
|
| Min. Negotiated Rate |
$2,164.26 |
| Max. Negotiated Rate |
$2,272.47 |
| Rate for Payer: BCBS Complete |
$2,272.47
|
| Rate for Payer: Mclaren Medicaid |
$2,164.26
|
| Rate for Payer: Meridian Medicaid |
$2,272.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,164.26
|
| Rate for Payer: UHCCP Medicaid |
$2,272.47
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$54,052.39
|
|
|
Service Code
|
APR-DRG 0071
|
| Min. Negotiated Rate |
$51,478.47 |
| Max. Negotiated Rate |
$54,052.39 |
| Rate for Payer: BCBS Complete |
$54,052.39
|
| Rate for Payer: Mclaren Medicaid |
$51,478.47
|
| Rate for Payer: Meridian Medicaid |
$54,052.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$51,478.47
|
| Rate for Payer: UHCCP Medicaid |
$54,052.39
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$114,381.14
|
|
|
Service Code
|
APR-DRG 0074
|
| Min. Negotiated Rate |
$108,934.42 |
| Max. Negotiated Rate |
$114,381.14 |
| Rate for Payer: BCBS Complete |
$114,381.14
|
| Rate for Payer: Mclaren Medicaid |
$108,934.42
|
| Rate for Payer: Meridian Medicaid |
$114,381.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$108,934.42
|
| Rate for Payer: UHCCP Medicaid |
$114,381.14
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$60,815.71
|
|
|
Service Code
|
APR-DRG 0073
|
| Min. Negotiated Rate |
$57,919.72 |
| Max. Negotiated Rate |
$60,815.71 |
| Rate for Payer: BCBS Complete |
$60,815.71
|
| Rate for Payer: Mclaren Medicaid |
$57,919.72
|
| Rate for Payer: Meridian Medicaid |
$60,815.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,919.72
|
| Rate for Payer: UHCCP Medicaid |
$60,815.71
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$60,166.43
|
|
|
Service Code
|
APR-DRG 0072
|
| Min. Negotiated Rate |
$57,301.36 |
| Max. Negotiated Rate |
$60,166.43 |
| Rate for Payer: BCBS Complete |
$60,166.43
|
| Rate for Payer: Mclaren Medicaid |
$57,301.36
|
| Rate for Payer: Meridian Medicaid |
$60,166.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,301.36
|
| Rate for Payer: UHCCP Medicaid |
$60,166.43
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 0523
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 0524
|
| Min. Negotiated Rate |
$10,821.30 |
| Max. Negotiated Rate |
$11,362.36 |
| Rate for Payer: BCBS Complete |
$11,362.36
|
| Rate for Payer: Mclaren Medicaid |
$10,821.30
|
| Rate for Payer: Meridian Medicaid |
$11,362.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,821.30
|
| Rate for Payer: UHCCP Medicaid |
$11,362.36
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 0522
|
| Min. Negotiated Rate |
$4,792.29 |
| Max. Negotiated Rate |
$5,031.90 |
| Rate for Payer: BCBS Complete |
$5,031.90
|
| Rate for Payer: Mclaren Medicaid |
$4,792.29
|
| Rate for Payer: Meridian Medicaid |
$5,031.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.29
|
| Rate for Payer: UHCCP Medicaid |
$5,031.90
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 0521
|
| Min. Negotiated Rate |
$3,555.57 |
| Max. Negotiated Rate |
$3,733.35 |
| Rate for Payer: BCBS Complete |
$3,733.35
|
| Rate for Payer: Mclaren Medicaid |
$3,555.57
|
| Rate for Payer: Meridian Medicaid |
$3,733.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,555.57
|
| Rate for Payer: UHCCP Medicaid |
$3,733.35
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 3051
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$14,284.12
|
|
|
Service Code
|
APR-DRG 3053
|
| Min. Negotiated Rate |
$13,603.92 |
| Max. Negotiated Rate |
$14,284.12 |
| Rate for Payer: BCBS Complete |
$14,284.12
|
| Rate for Payer: Mclaren Medicaid |
$13,603.92
|
| Rate for Payer: Meridian Medicaid |
$14,284.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,603.92
|
| Rate for Payer: UHCCP Medicaid |
$14,284.12
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 3052
|
| Min. Negotiated Rate |
$9,223.87 |
| Max. Negotiated Rate |
$9,685.06 |
| Rate for Payer: BCBS Complete |
$9,685.06
|
| Rate for Payer: Mclaren Medicaid |
$9,223.87
|
| Rate for Payer: Meridian Medicaid |
$9,685.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,223.87
|
| Rate for Payer: UHCCP Medicaid |
$9,685.06
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$18,774.96
|
|
|
Service Code
|
APR-DRG 3054
|
| Min. Negotiated Rate |
$17,880.91 |
| Max. Negotiated Rate |
$18,774.96 |
| Rate for Payer: BCBS Complete |
$18,774.96
|
| Rate for Payer: Mclaren Medicaid |
$17,880.91
|
| Rate for Payer: Meridian Medicaid |
$18,774.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,880.91
|
| Rate for Payer: UHCCP Medicaid |
$18,774.96
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 2262
|
| 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: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$17,638.72
|
|
|
Service Code
|
APR-DRG 2264
|
| Min. Negotiated Rate |
$16,798.78 |
| Max. Negotiated Rate |
$17,638.72 |
| Rate for Payer: BCBS Complete |
$17,638.72
|
| Rate for Payer: Mclaren Medicaid |
$16,798.78
|
| Rate for Payer: Meridian Medicaid |
$17,638.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,798.78
|
| Rate for Payer: UHCCP Medicaid |
$17,638.72
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 2261
|
| Min. Negotiated Rate |
$5,307.59 |
| Max. Negotiated Rate |
$5,572.97 |
| Rate for Payer: BCBS Complete |
$5,572.97
|
| Rate for Payer: Mclaren Medicaid |
$5,307.59
|
| Rate for Payer: Meridian Medicaid |
$5,572.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,307.59
|
| Rate for Payer: UHCCP Medicaid |
$5,572.97
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$11,795.22
|
|
|
Service Code
|
APR-DRG 2263
|
| Min. Negotiated Rate |
$11,233.54 |
| Max. Negotiated Rate |
$11,795.22 |
| Rate for Payer: BCBS Complete |
$11,795.22
|
| Rate for Payer: Mclaren Medicaid |
$11,233.54
|
| Rate for Payer: Meridian Medicaid |
$11,795.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.54
|
| Rate for Payer: UHCCP Medicaid |
$11,795.22
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$7,626.44 |
| Max. Negotiated Rate |
$8,007.76 |
| Rate for Payer: BCBS Complete |
$8,007.76
|
| Rate for Payer: Mclaren Medicaid |
$7,626.44
|
| Rate for Payer: Meridian Medicaid |
$8,007.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$4,122.40 |
| Max. Negotiated Rate |
$4,328.52 |
| Rate for Payer: BCBS Complete |
$4,328.52
|
| Rate for Payer: Mclaren Medicaid |
$4,122.40
|
| Rate for Payer: Meridian Medicaid |
$4,328.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,122.40
|
| Rate for Payer: UHCCP Medicaid |
$4,328.52
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 0594
|
| 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
|
|