|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$9,069.28 |
| Max. Negotiated Rate |
$9,522.74 |
| Rate for Payer: BCBS Complete |
$9,522.74
|
| Rate for Payer: Mclaren Medicaid |
$9,069.28
|
| Rate for Payer: Meridian Medicaid |
$9,522.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,069.28
|
| Rate for Payer: UHCCP Medicaid |
$9,522.74
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$23,482.22
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$22,364.02 |
| Max. Negotiated Rate |
$23,482.22 |
| Rate for Payer: BCBS Complete |
$23,482.22
|
| Rate for Payer: Mclaren Medicaid |
$22,364.02
|
| Rate for Payer: Meridian Medicaid |
$23,482.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,364.02
|
| Rate for Payer: UHCCP Medicaid |
$23,482.22
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$18,450.32
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$17,571.73 |
| Max. Negotiated Rate |
$18,450.32 |
| Rate for Payer: BCBS Complete |
$18,450.32
|
| Rate for Payer: Mclaren Medicaid |
$17,571.73
|
| Rate for Payer: Meridian Medicaid |
$18,450.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,571.73
|
| Rate for Payer: UHCCP Medicaid |
$18,450.32
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$87,003.25
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$82,860.24 |
| Max. Negotiated Rate |
$87,003.25 |
| Rate for Payer: BCBS Complete |
$87,003.25
|
| Rate for Payer: Mclaren Medicaid |
$82,860.24
|
| Rate for Payer: Meridian Medicaid |
$87,003.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$82,860.24
|
| Rate for Payer: UHCCP Medicaid |
$87,003.25
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$7,574.91
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$7,214.20 |
| Max. Negotiated Rate |
$7,574.91 |
| Rate for Payer: BCBS Complete |
$7,574.91
|
| Rate for Payer: Mclaren Medicaid |
$7,214.20
|
| Rate for Payer: Meridian Medicaid |
$7,574.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,214.20
|
| Rate for Payer: UHCCP Medicaid |
$7,574.91
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$13,634.84
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$12,985.56 |
| Max. Negotiated Rate |
$13,634.84 |
| Rate for Payer: BCBS Complete |
$13,634.84
|
| Rate for Payer: Mclaren Medicaid |
$12,985.56
|
| Rate for Payer: Meridian Medicaid |
$13,634.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,985.56
|
| Rate for Payer: UHCCP Medicaid |
$13,634.84
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$1,893.73
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$1,803.55 |
| Max. Negotiated Rate |
$1,893.73 |
| Rate for Payer: BCBS Complete |
$1,893.73
|
| Rate for Payer: Mclaren Medicaid |
$1,803.55
|
| Rate for Payer: Meridian Medicaid |
$1,893.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,803.55
|
| Rate for Payer: UHCCP Medicaid |
$1,893.73
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 2014
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$3,813.22 |
| Max. Negotiated Rate |
$4,003.88 |
| Rate for Payer: BCBS Complete |
$4,003.88
|
| Rate for Payer: Mclaren Medicaid |
$3,813.22
|
| Rate for Payer: Meridian Medicaid |
$4,003.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 1911
|
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$11,091.83
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$10,563.65 |
| Max. Negotiated Rate |
$11,091.83 |
| Rate for Payer: BCBS Complete |
$11,091.83
|
| Rate for Payer: Mclaren Medicaid |
$10,563.65
|
| Rate for Payer: Meridian Medicaid |
$11,091.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,563.65
|
| Rate for Payer: UHCCP Medicaid |
$11,091.83
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$8,399.39 |
| Max. Negotiated Rate |
$8,819.36 |
| Rate for Payer: BCBS Complete |
$8,819.36
|
| Rate for Payer: Mclaren Medicaid |
$8,399.39
|
| Rate for Payer: Meridian Medicaid |
$8,819.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,399.39
|
| Rate for Payer: UHCCP Medicaid |
$8,819.36
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$6,029.01 |
| Max. Negotiated Rate |
$6,330.46 |
| Rate for Payer: BCBS Complete |
$6,330.46
|
| Rate for Payer: Mclaren Medicaid |
$6,029.01
|
| Rate for Payer: Meridian Medicaid |
$6,330.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,029.01
|
| Rate for Payer: UHCCP Medicaid |
$6,330.46
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$16,610.70
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$15,819.71 |
| Max. Negotiated Rate |
$16,610.70 |
| Rate for Payer: BCBS Complete |
$16,610.70
|
| Rate for Payer: Mclaren Medicaid |
$15,819.71
|
| Rate for Payer: Meridian Medicaid |
$16,610.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,819.71
|
| Rate for Payer: UHCCP Medicaid |
$16,610.70
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$10,117.92
|
|
|
Service Code
|
APR-DRG 1923
|
| 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: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 1922
|
| 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: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,993.32
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$19,993.64 |
| Max. Negotiated Rate |
$20,993.32 |
| Rate for Payer: BCBS Complete |
$20,993.32
|
| Rate for Payer: Mclaren Medicaid |
$19,993.64
|
| Rate for Payer: Meridian Medicaid |
$20,993.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,993.64
|
| Rate for Payer: UHCCP Medicaid |
$20,993.32
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$7,832.56 |
| Max. Negotiated Rate |
$8,224.19 |
| Rate for Payer: BCBS Complete |
$8,224.19
|
| Rate for Payer: Mclaren Medicaid |
$7,832.56
|
| Rate for Payer: Meridian Medicaid |
$8,224.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,832.56
|
| Rate for Payer: UHCCP Medicaid |
$8,224.19
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$16,556.59
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$15,768.18 |
| Max. Negotiated Rate |
$16,556.59 |
| Rate for Payer: BCBS Complete |
$16,556.59
|
| Rate for Payer: Mclaren Medicaid |
$15,768.18
|
| Rate for Payer: Meridian Medicaid |
$16,556.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,768.18
|
| Rate for Payer: UHCCP Medicaid |
$16,556.59
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|