|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
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
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,366.25
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$14,634.52 |
| Max. Negotiated Rate |
$15,366.25 |
| Rate for Payer: BCBS Complete |
$15,366.25
|
| Rate for Payer: Mclaren Medicaid |
$14,634.52
|
| Rate for Payer: Meridian Medicaid |
$15,366.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,634.52
|
| Rate for Payer: UHCCP Medicaid |
$15,366.25
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 5473
|
| 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: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 5472
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 5664
|
| 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: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 5662
|
| 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: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,947.83
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,855.08 |
| Max. Negotiated Rate |
$1,947.83 |
| Rate for Payer: BCBS Complete |
$1,947.83
|
| Rate for Payer: Mclaren Medicaid |
$1,855.08
|
| Rate for Payer: Meridian Medicaid |
$1,947.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,855.08
|
| Rate for Payer: UHCCP Medicaid |
$1,947.83
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$7,677.97 |
| Max. Negotiated Rate |
$8,061.87 |
| Rate for Payer: BCBS Complete |
$8,061.87
|
| Rate for Payer: Mclaren Medicaid |
$7,677.97
|
| Rate for Payer: Meridian Medicaid |
$8,061.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,677.97
|
| Rate for Payer: UHCCP Medicaid |
$8,061.87
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 2333
|
| 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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,855.14
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$17,004.90 |
| Max. Negotiated Rate |
$17,855.14 |
| Rate for Payer: BCBS Complete |
$17,855.14
|
| Rate for Payer: Mclaren Medicaid |
$17,004.90
|
| Rate for Payer: Meridian Medicaid |
$17,855.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,004.90
|
| Rate for Payer: UHCCP Medicaid |
$17,855.14
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 2331
|
| 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: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,853.20
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$15,098.29 |
| Max. Negotiated Rate |
$15,853.20 |
| Rate for Payer: BCBS Complete |
$15,853.20
|
| Rate for Payer: Mclaren Medicaid |
$15,098.29
|
| Rate for Payer: Meridian Medicaid |
$15,853.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,098.29
|
| Rate for Payer: UHCCP Medicaid |
$15,853.20
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,801.96 |
| Max. Negotiated Rate |
$7,142.06 |
| Rate for Payer: BCBS Complete |
$7,142.06
|
| Rate for Payer: Mclaren Medicaid |
$6,801.96
|
| Rate for Payer: Meridian Medicaid |
$7,142.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,801.96
|
| Rate for Payer: UHCCP Medicaid |
$7,142.06
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 1413
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$9,414.53
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$8,966.22 |
| Max. Negotiated Rate |
$9,414.53 |
| Rate for Payer: BCBS Complete |
$9,414.53
|
| Rate for Payer: Mclaren Medicaid |
$8,966.22
|
| Rate for Payer: Meridian Medicaid |
$9,414.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,966.22
|
| Rate for Payer: UHCCP Medicaid |
$9,414.53
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 1412
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$52,104.56
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$49,623.39 |
| Max. Negotiated Rate |
$52,104.56 |
| Rate for Payer: BCBS Complete |
$52,104.56
|
| Rate for Payer: Mclaren Medicaid |
$49,623.39
|
| Rate for Payer: Meridian Medicaid |
$52,104.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,623.39
|
| Rate for Payer: UHCCP Medicaid |
$52,104.56
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$25,159.52
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$23,961.45 |
| Max. Negotiated Rate |
$25,159.52 |
| Rate for Payer: BCBS Complete |
$25,159.52
|
| Rate for Payer: Mclaren Medicaid |
$23,961.45
|
| Rate for Payer: Meridian Medicaid |
$25,159.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,961.45
|
| Rate for Payer: UHCCP Medicaid |
$25,159.52
|
|