|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,670.62
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$21,591.07 |
| Max. Negotiated Rate |
$22,670.62 |
| Rate for Payer: BCBS Complete |
$22,670.62
|
| Rate for Payer: Mclaren Medicaid |
$21,591.07
|
| Rate for Payer: Meridian Medicaid |
$22,670.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,591.07
|
| Rate for Payer: UHCCP Medicaid |
$22,670.62
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$27,215.57
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$25,919.59 |
| Max. Negotiated Rate |
$27,215.57 |
| Rate for Payer: BCBS Complete |
$27,215.57
|
| Rate for Payer: Mclaren Medicaid |
$25,919.59
|
| Rate for Payer: Meridian Medicaid |
$27,215.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,919.59
|
| Rate for Payer: UHCCP Medicaid |
$27,215.57
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$49,236.92
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$46,892.30 |
| Max. Negotiated Rate |
$49,236.92 |
| Rate for Payer: BCBS Complete |
$49,236.92
|
| Rate for Payer: Mclaren Medicaid |
$46,892.30
|
| Rate for Payer: Meridian Medicaid |
$49,236.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,892.30
|
| Rate for Payer: UHCCP Medicaid |
$49,236.92
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$36,034.93
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$34,318.98 |
| Max. Negotiated Rate |
$36,034.93 |
| Rate for Payer: BCBS Complete |
$36,034.93
|
| Rate for Payer: Mclaren Medicaid |
$34,318.98
|
| Rate for Payer: Meridian Medicaid |
$36,034.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,318.98
|
| Rate for Payer: UHCCP Medicaid |
$36,034.93
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,153.70
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$18,241.62 |
| Max. Negotiated Rate |
$19,153.70 |
| Rate for Payer: BCBS Complete |
$19,153.70
|
| Rate for Payer: Mclaren Medicaid |
$18,241.62
|
| Rate for Payer: Meridian Medicaid |
$19,153.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,241.62
|
| Rate for Payer: UHCCP Medicaid |
$19,153.70
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,887.05
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$21,797.19 |
| Max. Negotiated Rate |
$22,887.05 |
| Rate for Payer: BCBS Complete |
$22,887.05
|
| Rate for Payer: Mclaren Medicaid |
$21,797.19
|
| Rate for Payer: Meridian Medicaid |
$22,887.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,797.19
|
| Rate for Payer: UHCCP Medicaid |
$22,887.05
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$31,003.02
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$29,526.69 |
| Max. Negotiated Rate |
$31,003.02 |
| Rate for Payer: BCBS Complete |
$31,003.02
|
| Rate for Payer: Mclaren Medicaid |
$29,526.69
|
| Rate for Payer: Meridian Medicaid |
$31,003.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,526.69
|
| Rate for Payer: UHCCP Medicaid |
$31,003.02
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$43,122.88
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$41,069.41 |
| Max. Negotiated Rate |
$43,122.88 |
| Rate for Payer: BCBS Complete |
$43,122.88
|
| Rate for Payer: Mclaren Medicaid |
$41,069.41
|
| Rate for Payer: Meridian Medicaid |
$43,122.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,069.41
|
| Rate for Payer: UHCCP Medicaid |
$43,122.88
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,524.68
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$10,975.89 |
| Max. Negotiated Rate |
$11,524.68 |
| Rate for Payer: BCBS Complete |
$11,524.68
|
| Rate for Payer: Mclaren Medicaid |
$10,975.89
|
| Rate for Payer: Meridian Medicaid |
$11,524.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,975.89
|
| Rate for Payer: UHCCP Medicaid |
$11,524.68
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 2051
|
| 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: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 2052
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 3833
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 3832
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 5402
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 5403
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 5401
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$13,364.31
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$13,364.31 |
| Rate for Payer: BCBS Complete |
$13,364.31
|
| Rate for Payer: Mclaren Medicaid |
$12,727.91
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,727.91
|
| Rate for Payer: UHCCP Medicaid |
$13,364.31
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$4,112.09 |
| Rate for Payer: BCBS Complete |
$4,112.09
|
| Rate for Payer: Mclaren Medicaid |
$3,916.28
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 5391
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$15,420.35
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$15,420.35 |
| Rate for Payer: BCBS Complete |
$15,420.35
|
| Rate for Payer: Mclaren Medicaid |
$14,686.05
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,686.05
|
| Rate for Payer: UHCCP Medicaid |
$15,420.35
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$29,433.94
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$28,032.32 |
| Max. Negotiated Rate |
$29,433.94 |
| Rate for Payer: BCBS Complete |
$29,433.94
|
| Rate for Payer: Mclaren Medicaid |
$28,032.32
|
| Rate for Payer: Meridian Medicaid |
$29,433.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,032.32
|
| Rate for Payer: UHCCP Medicaid |
$29,433.94
|
|