|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 2002
|
| 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 STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$11,145.94
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$10,615.18 |
| Max. Negotiated Rate |
$11,145.94 |
| Rate for Payer: BCBS Complete |
$11,145.94
|
| Rate for Payer: Mclaren Medicaid |
$10,615.18
|
| Rate for Payer: Meridian Medicaid |
$11,145.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,615.18
|
| Rate for Payer: UHCCP Medicaid |
$11,145.94
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$19,911.19
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$18,963.04 |
| Max. Negotiated Rate |
$19,911.19 |
| Rate for Payer: BCBS Complete |
$19,911.19
|
| Rate for Payer: Mclaren Medicaid |
$18,963.04
|
| Rate for Payer: Meridian Medicaid |
$19,911.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,963.04
|
| Rate for Payer: UHCCP Medicaid |
$19,911.19
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$31,435.88
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$29,938.93 |
| Max. Negotiated Rate |
$31,435.88 |
| Rate for Payer: BCBS Complete |
$31,435.88
|
| Rate for Payer: Mclaren Medicaid |
$29,938.93
|
| Rate for Payer: Meridian Medicaid |
$31,435.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,938.93
|
| Rate for Payer: UHCCP Medicaid |
$31,435.88
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$48,425.32
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$46,119.35 |
| Max. Negotiated Rate |
$48,425.32 |
| Rate for Payer: BCBS Complete |
$48,425.32
|
| Rate for Payer: Mclaren Medicaid |
$46,119.35
|
| Rate for Payer: Meridian Medicaid |
$48,425.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,119.35
|
| Rate for Payer: UHCCP Medicaid |
$48,425.32
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$37,874.55
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$36,071.00 |
| Max. Negotiated Rate |
$37,874.55 |
| Rate for Payer: BCBS Complete |
$37,874.55
|
| Rate for Payer: Mclaren Medicaid |
$36,071.00
|
| Rate for Payer: Meridian Medicaid |
$37,874.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,071.00
|
| Rate for Payer: UHCCP Medicaid |
$37,874.55
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$26,133.44
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$24,888.99 |
| Max. Negotiated Rate |
$26,133.44 |
| Rate for Payer: BCBS Complete |
$26,133.44
|
| Rate for Payer: Mclaren Medicaid |
$24,888.99
|
| Rate for Payer: Meridian Medicaid |
$26,133.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,888.99
|
| Rate for Payer: UHCCP Medicaid |
$26,133.44
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$23,265.80
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$22,157.90 |
| Max. Negotiated Rate |
$23,265.80 |
| Rate for Payer: BCBS Complete |
$23,265.80
|
| Rate for Payer: Mclaren Medicaid |
$22,157.90
|
| Rate for Payer: Meridian Medicaid |
$23,265.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,157.90
|
| Rate for Payer: UHCCP Medicaid |
$23,265.80
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$46,206.95
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$44,006.62 |
| Max. Negotiated Rate |
$46,206.95 |
| Rate for Payer: BCBS Complete |
$46,206.95
|
| Rate for Payer: Mclaren Medicaid |
$44,006.62
|
| Rate for Payer: Meridian Medicaid |
$46,206.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,006.62
|
| Rate for Payer: UHCCP Medicaid |
$46,206.95
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,317.96
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$20,302.82 |
| Max. Negotiated Rate |
$21,317.96 |
| Rate for Payer: BCBS Complete |
$21,317.96
|
| Rate for Payer: Mclaren Medicaid |
$20,302.82
|
| Rate for Payer: Meridian Medicaid |
$21,317.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,302.82
|
| Rate for Payer: UHCCP Medicaid |
$21,317.96
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$31,219.45
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$29,732.81 |
| Max. Negotiated Rate |
$31,219.45 |
| Rate for Payer: BCBS Complete |
$31,219.45
|
| Rate for Payer: Mclaren Medicaid |
$29,732.81
|
| Rate for Payer: Meridian Medicaid |
$31,219.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,732.81
|
| Rate for Payer: UHCCP Medicaid |
$31,219.45
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 2052
|
| Min. Negotiated Rate |
$3,967.81 |
| Max. Negotiated Rate |
$4,166.20 |
| Rate for Payer: BCBS Complete |
$4,166.20
|
| Rate for Payer: Mclaren Medicaid |
$3,967.81
|
| Rate for Payer: Meridian Medicaid |
$4,166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,967.81
|
| Rate for Payer: UHCCP Medicaid |
$4,166.20
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 2051
|
| Min. Negotiated Rate |
$3,194.86 |
| Max. Negotiated Rate |
$3,354.60 |
| Rate for Payer: BCBS Complete |
$3,354.60
|
| Rate for Payer: Mclaren Medicaid |
$3,194.86
|
| Rate for Payer: Meridian Medicaid |
$3,354.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,194.86
|
| Rate for Payer: UHCCP Medicaid |
$3,354.60
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 3833
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 3832
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 3834
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$15,744.99
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$14,995.23 |
| Max. Negotiated Rate |
$15,744.99 |
| Rate for Payer: BCBS Complete |
$15,744.99
|
| Rate for Payer: Mclaren Medicaid |
$14,995.23
|
| Rate for Payer: Meridian Medicaid |
$15,744.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,995.23
|
| Rate for Payer: UHCCP Medicaid |
$15,744.99
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 5402
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 5403
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 5401
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 5391
|
| 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
|
|