|
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
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$2,988.74 |
| Max. Negotiated Rate |
$3,138.18 |
| Rate for Payer: BCBS Complete |
$3,138.18
|
| Rate for Payer: Mclaren Medicaid |
$2,988.74
|
| Rate for Payer: Meridian Medicaid |
$3,138.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$17,314.08
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$16,489.60 |
| Max. Negotiated Rate |
$17,314.08 |
| Rate for Payer: BCBS Complete |
$17,314.08
|
| Rate for Payer: Mclaren Medicaid |
$16,489.60
|
| Rate for Payer: Meridian Medicaid |
$17,314.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,489.60
|
| Rate for Payer: UHCCP Medicaid |
$17,314.08
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 5664
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,380.69
|
|
|
Service Code
|
APR-DRG 5662
|
| Min. Negotiated Rate |
$2,267.32 |
| Max. Negotiated Rate |
$2,380.69 |
| Rate for Payer: BCBS Complete |
$2,380.69
|
| Rate for Payer: Mclaren Medicaid |
$2,267.32
|
| Rate for Payer: Meridian Medicaid |
$2,380.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,267.32
|
| Rate for Payer: UHCCP Medicaid |
$2,380.69
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,623.19
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,545.90 |
| Max. Negotiated Rate |
$1,623.19 |
| Rate for Payer: BCBS Complete |
$1,623.19
|
| Rate for Payer: Mclaren Medicaid |
$1,545.90
|
| Rate for Payer: Meridian Medicaid |
$1,623.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,545.90
|
| Rate for Payer: UHCCP Medicaid |
$1,623.19
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,466.70
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$7,111.14 |
| Max. Negotiated Rate |
$7,466.70 |
| Rate for Payer: BCBS Complete |
$7,466.70
|
| Rate for Payer: Mclaren Medicaid |
$7,111.14
|
| Rate for Payer: Meridian Medicaid |
$7,466.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,111.14
|
| Rate for Payer: UHCCP Medicaid |
$7,466.70
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,448.38
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$15,665.12 |
| Max. Negotiated Rate |
$16,448.38 |
| Rate for Payer: BCBS Complete |
$16,448.38
|
| Rate for Payer: Mclaren Medicaid |
$15,665.12
|
| Rate for Payer: Meridian Medicaid |
$16,448.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,665.12
|
| Rate for Payer: UHCCP Medicaid |
$16,448.38
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 2331
|
| Min. Negotiated Rate |
$5,513.71 |
| Max. Negotiated Rate |
$5,789.40 |
| Rate for Payer: BCBS Complete |
$5,789.40
|
| Rate for Payer: Mclaren Medicaid |
$5,513.71
|
| Rate for Payer: Meridian Medicaid |
$5,789.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,513.71
|
| Rate for Payer: UHCCP Medicaid |
$5,789.40
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,496.66
|
|
|
Service Code
|
APR-DRG 2333
|
| Min. Negotiated Rate |
$9,996.82 |
| Max. Negotiated Rate |
$10,496.66 |
| Rate for Payer: BCBS Complete |
$10,496.66
|
| Rate for Payer: Mclaren Medicaid |
$9,996.82
|
| Rate for Payer: Meridian Medicaid |
$10,496.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,996.82
|
| Rate for Payer: UHCCP Medicaid |
$10,496.66
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$14,608.75
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.75 |
| Rate for Payer: BCBS Complete |
$14,608.75
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.75
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,286.66 |
| Max. Negotiated Rate |
$6,600.99 |
| Rate for Payer: BCBS Complete |
$6,600.99
|
| Rate for Payer: Mclaren Medicaid |
$6,286.66
|
| Rate for Payer: Meridian Medicaid |
$6,600.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,286.66
|
| Rate for Payer: UHCCP Medicaid |
$6,600.99
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$5,153.00 |
| Max. Negotiated Rate |
$5,410.65 |
| Rate for Payer: BCBS Complete |
$5,410.65
|
| Rate for Payer: Mclaren Medicaid |
$5,153.00
|
| Rate for Payer: Meridian Medicaid |
$5,410.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,153.00
|
| Rate for Payer: UHCCP Medicaid |
$5,410.65
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,117.92
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$9,636.11 |
| Max. Negotiated Rate |
$10,117.92 |
| Rate for Payer: BCBS Complete |
$10,117.92
|
| Rate for Payer: Mclaren Medicaid |
$9,636.11
|
| Rate for Payer: Meridian Medicaid |
$10,117.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,636.11
|
| Rate for Payer: UHCCP Medicaid |
$10,117.92
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 1413
|
| 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: ASTHMA
|
Facility
|
IP
|
$2,434.79
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,318.85 |
| Max. Negotiated Rate |
$2,434.79 |
| Rate for Payer: BCBS Complete |
$2,434.79
|
| Rate for Payer: Mclaren Medicaid |
$2,318.85
|
| Rate for Payer: Meridian Medicaid |
$2,434.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,318.85
|
| Rate for Payer: UHCCP Medicaid |
$2,434.79
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$7,729.50 |
| Max. Negotiated Rate |
$8,115.98 |
| Rate for Payer: BCBS Complete |
$8,115.98
|
| Rate for Payer: Mclaren Medicaid |
$7,729.50
|
| Rate for Payer: Meridian Medicaid |
$8,115.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,729.50
|
| Rate for Payer: UHCCP Medicaid |
$8,115.98
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 1412
|
| Min. Negotiated Rate |
$3,349.45 |
| Max. Negotiated Rate |
$3,516.92 |
| Rate for Payer: BCBS Complete |
$3,516.92
|
| Rate for Payer: Mclaren Medicaid |
$3,349.45
|
| Rate for Payer: Meridian Medicaid |
$3,516.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.45
|
| Rate for Payer: UHCCP Medicaid |
$3,516.92
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$24,726.67
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$23,549.21 |
| Max. Negotiated Rate |
$24,726.67 |
| Rate for Payer: BCBS Complete |
$24,726.67
|
| Rate for Payer: Mclaren Medicaid |
$23,549.21
|
| Rate for Payer: Meridian Medicaid |
$24,726.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,549.21
|
| Rate for Payer: UHCCP Medicaid |
$24,726.67
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$31,544.09
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$30,041.99 |
| Max. Negotiated Rate |
$31,544.09 |
| Rate for Payer: BCBS Complete |
$31,544.09
|
| Rate for Payer: Mclaren Medicaid |
$30,041.99
|
| Rate for Payer: Meridian Medicaid |
$31,544.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,041.99
|
| Rate for Payer: UHCCP Medicaid |
$31,544.09
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$20,885.11
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$19,890.58 |
| Max. Negotiated Rate |
$20,885.11 |
| Rate for Payer: BCBS Complete |
$20,885.11
|
| Rate for Payer: Mclaren Medicaid |
$19,890.58
|
| Rate for Payer: Meridian Medicaid |
$20,885.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,890.58
|
| Rate for Payer: UHCCP Medicaid |
$20,885.11
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$44,800.18
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$42,666.84 |
| Max. Negotiated Rate |
$44,800.18 |
| Rate for Payer: BCBS Complete |
$44,800.18
|
| Rate for Payer: Mclaren Medicaid |
$42,666.84
|
| Rate for Payer: Meridian Medicaid |
$44,800.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,666.84
|
| Rate for Payer: UHCCP Medicaid |
$44,800.18
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,746.93
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,901.84 |
| Max. Negotiated Rate |
$17,746.93 |
| Rate for Payer: BCBS Complete |
$17,746.93
|
| Rate for Payer: Mclaren Medicaid |
$16,901.84
|
| Rate for Payer: Meridian Medicaid |
$17,746.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,901.84
|
| Rate for Payer: UHCCP Medicaid |
$17,746.93
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|