|
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
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,879.29
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$14,170.75 |
| Max. Negotiated Rate |
$14,879.29 |
| Rate for Payer: BCBS Complete |
$14,879.29
|
| Rate for Payer: Mclaren Medicaid |
$14,170.75
|
| Rate for Payer: Meridian Medicaid |
$14,879.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,170.75
|
| Rate for Payer: UHCCP Medicaid |
$14,879.29
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,431.58 |
| Max. Negotiated Rate |
$4,653.16 |
| Rate for Payer: BCBS Complete |
$4,653.16
|
| Rate for Payer: Mclaren Medicaid |
$4,431.58
|
| Rate for Payer: Meridian Medicaid |
$4,653.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,431.58
|
| Rate for Payer: UHCCP Medicaid |
$4,653.16
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$3,091.80 |
| Max. Negotiated Rate |
$3,246.39 |
| Rate for Payer: BCBS Complete |
$3,246.39
|
| Rate for Payer: Mclaren Medicaid |
$3,091.80
|
| Rate for Payer: Meridian Medicaid |
$3,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 2032
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 2033
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$101,287.37
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$96,464.16 |
| Max. Negotiated Rate |
$101,287.37 |
| Rate for Payer: BCBS Complete |
$101,287.37
|
| Rate for Payer: Mclaren Medicaid |
$96,464.16
|
| Rate for Payer: Meridian Medicaid |
$101,287.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$96,464.16
|
| Rate for Payer: UHCCP Medicaid |
$101,287.37
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$49,886.19
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$47,510.66 |
| Max. Negotiated Rate |
$49,886.19 |
| Rate for Payer: BCBS Complete |
$49,886.19
|
| Rate for Payer: Mclaren Medicaid |
$47,510.66
|
| Rate for Payer: Meridian Medicaid |
$49,886.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$47,510.66
|
| Rate for Payer: UHCCP Medicaid |
$49,886.19
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$127,420.81
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$121,353.15 |
| Max. Negotiated Rate |
$127,420.81 |
| Rate for Payer: BCBS Complete |
$127,420.81
|
| Rate for Payer: Mclaren Medicaid |
$121,353.15
|
| Rate for Payer: Meridian Medicaid |
$127,420.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$121,353.15
|
| Rate for Payer: UHCCP Medicaid |
$127,420.81
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$171,192.97
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$163,040.92 |
| Max. Negotiated Rate |
$171,192.97 |
| Rate for Payer: BCBS Complete |
$171,192.97
|
| Rate for Payer: Mclaren Medicaid |
$163,040.92
|
| Rate for Payer: Meridian Medicaid |
$171,192.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$163,040.92
|
| Rate for Payer: UHCCP Medicaid |
$171,192.97
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 2632
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$18,720.85
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$17,829.38 |
| Max. Negotiated Rate |
$18,720.85 |
| Rate for Payer: BCBS Complete |
$18,720.85
|
| Rate for Payer: Mclaren Medicaid |
$17,829.38
|
| Rate for Payer: Meridian Medicaid |
$18,720.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,829.38
|
| Rate for Payer: UHCCP Medicaid |
$18,720.85
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$11,091.83
|
|
|
Service Code
|
APR-DRG 2633
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 4702
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 4703
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,524.68
|
|
|
Service Code
|
APR-DRG 4704
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 4701
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 1401
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 1402
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,869.59
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,637.70 |
| Max. Negotiated Rate |
$4,869.59 |
| Rate for Payer: BCBS Complete |
$4,869.59
|
| Rate for Payer: Mclaren Medicaid |
$4,637.70
|
| Rate for Payer: Meridian Medicaid |
$4,869.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,637.70
|
| Rate for Payer: UHCCP Medicaid |
$4,869.59
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 0952
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$18,071.57
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$17,211.02 |
| Max. Negotiated Rate |
$18,071.57 |
| Rate for Payer: BCBS Complete |
$18,071.57
|
| Rate for Payer: Mclaren Medicaid |
$17,211.02
|
| Rate for Payer: Meridian Medicaid |
$18,071.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,211.02
|
| Rate for Payer: UHCCP Medicaid |
$18,071.57
|
|