|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$13,688.94
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$13,037.09 |
| Max. Negotiated Rate |
$13,688.94 |
| Rate for Payer: BCBS Complete |
$13,688.94
|
| Rate for Payer: Mclaren Medicaid |
$13,037.09
|
| Rate for Payer: Meridian Medicaid |
$13,688.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,037.09
|
| Rate for Payer: UHCCP Medicaid |
$13,688.94
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 5392
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$6,750.43 |
| Max. Negotiated Rate |
$7,087.95 |
| Rate for Payer: BCBS Complete |
$7,087.95
|
| Rate for Payer: Mclaren Medicaid |
$6,750.43
|
| Rate for Payer: Meridian Medicaid |
$7,087.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,750.43
|
| Rate for Payer: UHCCP Medicaid |
$7,087.95
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 6952
|
| 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: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,177.84
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$15,407.47 |
| Max. Negotiated Rate |
$16,177.84 |
| Rate for Payer: BCBS Complete |
$16,177.84
|
| Rate for Payer: Mclaren Medicaid |
$15,407.47
|
| Rate for Payer: Meridian Medicaid |
$16,177.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,407.47
|
| Rate for Payer: UHCCP Medicaid |
$16,177.84
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$31,922.84
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$30,402.70 |
| Max. Negotiated Rate |
$31,922.84 |
| Rate for Payer: BCBS Complete |
$31,922.84
|
| Rate for Payer: Mclaren Medicaid |
$30,402.70
|
| Rate for Payer: Meridian Medicaid |
$31,922.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,402.70
|
| Rate for Payer: UHCCP Medicaid |
$31,922.84
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 2033
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$4,544.95
|
|
|
Service Code
|
APR-DRG 2032
|
| Min. Negotiated Rate |
$4,328.52 |
| Max. Negotiated Rate |
$4,544.95 |
| Rate for Payer: BCBS Complete |
$4,544.95
|
| Rate for Payer: Mclaren Medicaid |
$4,328.52
|
| Rate for Payer: Meridian Medicaid |
$4,544.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,328.52
|
| Rate for Payer: UHCCP Medicaid |
$4,544.95
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,574.91
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$136,618.91
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$130,113.25 |
| Max. Negotiated Rate |
$136,618.91 |
| Rate for Payer: BCBS Complete |
$136,618.91
|
| Rate for Payer: Mclaren Medicaid |
$130,113.25
|
| Rate for Payer: Meridian Medicaid |
$136,618.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$130,113.25
|
| Rate for Payer: UHCCP Medicaid |
$136,618.91
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$183,583.35
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$174,841.29 |
| Max. Negotiated Rate |
$183,583.35 |
| Rate for Payer: BCBS Complete |
$183,583.35
|
| Rate for Payer: Mclaren Medicaid |
$174,841.29
|
| Rate for Payer: Meridian Medicaid |
$183,583.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$174,841.29
|
| Rate for Payer: UHCCP Medicaid |
$183,583.35
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$53,511.33
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$50,963.17 |
| Max. Negotiated Rate |
$53,511.33 |
| Rate for Payer: BCBS Complete |
$53,511.33
|
| Rate for Payer: Mclaren Medicaid |
$50,963.17
|
| Rate for Payer: Meridian Medicaid |
$53,511.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$50,963.17
|
| Rate for Payer: UHCCP Medicaid |
$53,511.33
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$108,591.75
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$103,420.71 |
| Max. Negotiated Rate |
$108,591.75 |
| Rate for Payer: BCBS Complete |
$108,591.75
|
| Rate for Payer: Mclaren Medicaid |
$103,420.71
|
| Rate for Payer: Meridian Medicaid |
$108,591.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$103,420.71
|
| Rate for Payer: UHCCP Medicaid |
$108,591.75
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,765.25
|
|
|
Service Code
|
APR-DRG 2632
|
| Min. Negotiated Rate |
$8,347.86 |
| Max. Negotiated Rate |
$8,765.25 |
| Rate for Payer: BCBS Complete |
$8,765.25
|
| Rate for Payer: Mclaren Medicaid |
$8,347.86
|
| Rate for Payer: Meridian Medicaid |
$8,765.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,347.86
|
| Rate for Payer: UHCCP Medicaid |
$8,765.25
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$12,065.75
|
|
|
Service Code
|
APR-DRG 2633
|
| Min. Negotiated Rate |
$11,491.19 |
| Max. Negotiated Rate |
$12,065.75 |
| Rate for Payer: BCBS Complete |
$12,065.75
|
| Rate for Payer: Mclaren Medicaid |
$11,491.19
|
| Rate for Payer: Meridian Medicaid |
$12,065.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,491.19
|
| Rate for Payer: UHCCP Medicaid |
$12,065.75
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$6,750.43 |
| Max. Negotiated Rate |
$7,087.95 |
| Rate for Payer: BCBS Complete |
$7,087.95
|
| Rate for Payer: Mclaren Medicaid |
$6,750.43
|
| Rate for Payer: Meridian Medicaid |
$7,087.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,750.43
|
| Rate for Payer: UHCCP Medicaid |
$7,087.95
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$20,289.94
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$19,323.75 |
| Max. Negotiated Rate |
$20,289.94 |
| Rate for Payer: BCBS Complete |
$20,289.94
|
| Rate for Payer: Mclaren Medicaid |
$19,323.75
|
| Rate for Payer: Meridian Medicaid |
$20,289.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,323.75
|
| Rate for Payer: UHCCP Medicaid |
$20,289.94
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 4703
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$12,498.60
|
|
|
Service Code
|
APR-DRG 4704
|
| Min. Negotiated Rate |
$11,903.43 |
| Max. Negotiated Rate |
$12,498.60 |
| Rate for Payer: BCBS Complete |
$12,498.60
|
| Rate for Payer: Mclaren Medicaid |
$11,903.43
|
| Rate for Payer: Meridian Medicaid |
$12,498.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,903.43
|
| Rate for Payer: UHCCP Medicaid |
$12,498.60
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 4702
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 4701
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,440.61
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$8,038.68 |
| Max. Negotiated Rate |
$8,440.61 |
| Rate for Payer: BCBS Complete |
$8,440.61
|
| Rate for Payer: Mclaren Medicaid |
$8,038.68
|
| Rate for Payer: Meridian Medicaid |
$8,440.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,038.68
|
| Rate for Payer: UHCCP Medicaid |
$8,440.61
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$5,049.94 |
| Max. Negotiated Rate |
$5,302.44 |
| Rate for Payer: BCBS Complete |
$5,302.44
|
| Rate for Payer: Mclaren Medicaid |
$5,049.94
|
| Rate for Payer: Meridian Medicaid |
$5,302.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,049.94
|
| Rate for Payer: UHCCP Medicaid |
$5,302.44
|
|