|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$25,700.59
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$24,476.75 |
| Max. Negotiated Rate |
$25,700.59 |
| Rate for Payer: BCBS Complete |
$25,700.59
|
| Rate for Payer: Mclaren Medicaid |
$24,476.75
|
| Rate for Payer: Meridian Medicaid |
$25,700.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,476.75
|
| Rate for Payer: UHCCP Medicaid |
$25,700.59
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$2,473.44 |
| Max. Negotiated Rate |
$2,597.11 |
| Rate for Payer: BCBS Complete |
$2,597.11
|
| Rate for Payer: Mclaren Medicaid |
$2,473.44
|
| Rate for Payer: Meridian Medicaid |
$2,597.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,473.44
|
| Rate for Payer: UHCCP Medicaid |
$2,597.11
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 1962
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 2012
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,543.01
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,421.91 |
| Max. Negotiated Rate |
$2,543.01 |
| Rate for Payer: BCBS Complete |
$2,543.01
|
| Rate for Payer: Mclaren Medicaid |
$2,421.91
|
| Rate for Payer: Meridian Medicaid |
$2,543.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,421.91
|
| Rate for Payer: UHCCP Medicaid |
$2,543.01
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,414.53
|
|
|
Service Code
|
APR-DRG 2014
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 2013
|
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$13,147.88
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$12,521.79 |
| Max. Negotiated Rate |
$13,147.88 |
| Rate for Payer: BCBS Complete |
$13,147.88
|
| Rate for Payer: Mclaren Medicaid |
$12,521.79
|
| Rate for Payer: Meridian Medicaid |
$13,147.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,521.79
|
| Rate for Payer: UHCCP Medicaid |
$13,147.88
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 1912
|
| 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: 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
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$5,204.53 |
| Max. Negotiated Rate |
$5,464.76 |
| Rate for Payer: BCBS Complete |
$5,464.76
|
| Rate for Payer: Mclaren Medicaid |
$5,204.53
|
| Rate for Payer: Meridian Medicaid |
$5,464.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,204.53
|
| Rate for Payer: UHCCP Medicaid |
$5,464.76
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 1923
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$6,956.55 |
| Max. Negotiated Rate |
$7,304.38 |
| Rate for Payer: BCBS Complete |
$7,304.38
|
| Rate for Payer: Mclaren Medicaid |
$6,956.55
|
| Rate for Payer: Meridian Medicaid |
$7,304.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,956.55
|
| Rate for Payer: UHCCP Medicaid |
$7,304.38
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$17,368.19
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$16,541.13 |
| Max. Negotiated Rate |
$17,368.19 |
| Rate for Payer: BCBS Complete |
$17,368.19
|
| Rate for Payer: Mclaren Medicaid |
$16,541.13
|
| Rate for Payer: Meridian Medicaid |
$17,368.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,541.13
|
| Rate for Payer: UHCCP Medicaid |
$17,368.19
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$5,681.18
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,410.65 |
| Max. Negotiated Rate |
$5,681.18 |
| Rate for Payer: BCBS Complete |
$5,681.18
|
| Rate for Payer: Mclaren Medicaid |
$5,410.65
|
| Rate for Payer: Meridian Medicaid |
$5,681.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,410.65
|
| Rate for Payer: UHCCP Medicaid |
$5,681.18
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$13,634.84
|
|
|
Service Code
|
APR-DRG 1773
|
| 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 PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$6,853.49 |
| Max. Negotiated Rate |
$7,196.16 |
| Rate for Payer: BCBS Complete |
$7,196.16
|
| Rate for Payer: Mclaren Medicaid |
$6,853.49
|
| Rate for Payer: Meridian Medicaid |
$7,196.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,853.49
|
| Rate for Payer: UHCCP Medicaid |
$7,196.16
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$19,532.45
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$18,602.33 |
| Max. Negotiated Rate |
$19,532.45 |
| Rate for Payer: BCBS Complete |
$19,532.45
|
| Rate for Payer: Mclaren Medicaid |
$18,602.33
|
| Rate for Payer: Meridian Medicaid |
$19,532.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,602.33
|
| Rate for Payer: UHCCP Medicaid |
$19,532.45
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$10,409.06 |
| Max. Negotiated Rate |
$10,929.51 |
| Rate for Payer: BCBS Complete |
$10,929.51
|
| Rate for Payer: Mclaren Medicaid |
$10,409.06
|
| Rate for Payer: Meridian Medicaid |
$10,929.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,409.06
|
| Rate for Payer: UHCCP Medicaid |
$10,929.51
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$11,800.37 |
| Max. Negotiated Rate |
$12,390.39 |
| Rate for Payer: BCBS Complete |
$12,390.39
|
| Rate for Payer: Mclaren Medicaid |
$11,800.37
|
| Rate for Payer: Meridian Medicaid |
$12,390.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,800.37
|
| Rate for Payer: UHCCP Medicaid |
$12,390.39
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$7,033.85
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.85 |
| Rate for Payer: BCBS Complete |
$7,033.85
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.85
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 2002
|
| 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
|
|