|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$28,784.66
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$27,413.96 |
| Max. Negotiated Rate |
$28,784.66 |
| Rate for Payer: BCBS Complete |
$28,784.66
|
| Rate for Payer: Mclaren Medicaid |
$27,413.96
|
| Rate for Payer: Meridian Medicaid |
$28,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,413.96
|
| Rate for Payer: UHCCP Medicaid |
$28,784.66
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$25,321.84
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$24,116.04 |
| Max. Negotiated Rate |
$25,321.84 |
| Rate for Payer: BCBS Complete |
$25,321.84
|
| Rate for Payer: Mclaren Medicaid |
$24,116.04
|
| Rate for Payer: Meridian Medicaid |
$25,321.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,116.04
|
| Rate for Payer: UHCCP Medicaid |
$25,321.84
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,289.94
|
|
|
Service Code
|
APR-DRG 1662
|
| 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: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,476.40
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$16,644.19 |
| Max. Negotiated Rate |
$17,476.40 |
| Rate for Payer: BCBS Complete |
$17,476.40
|
| Rate for Payer: Mclaren Medicaid |
$16,644.19
|
| Rate for Payer: Meridian Medicaid |
$17,476.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,644.19
|
| Rate for Payer: UHCCP Medicaid |
$17,476.40
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$34,519.95
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$32,876.14 |
| Max. Negotiated Rate |
$34,519.95 |
| Rate for Payer: BCBS Complete |
$34,519.95
|
| Rate for Payer: Mclaren Medicaid |
$32,876.14
|
| Rate for Payer: Meridian Medicaid |
$34,519.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,876.14
|
| Rate for Payer: UHCCP Medicaid |
$34,519.95
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$23,752.75
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$22,621.67 |
| Max. Negotiated Rate |
$23,752.75 |
| Rate for Payer: BCBS Complete |
$23,752.75
|
| Rate for Payer: Mclaren Medicaid |
$22,621.67
|
| Rate for Payer: Meridian Medicaid |
$23,752.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,621.67
|
| Rate for Payer: UHCCP Medicaid |
$23,752.75
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$13,472.52
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$12,830.97 |
| Max. Negotiated Rate |
$13,472.52 |
| Rate for Payer: BCBS Complete |
$13,472.52
|
| Rate for Payer: Mclaren Medicaid |
$12,830.97
|
| Rate for Payer: Meridian Medicaid |
$13,472.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,830.97
|
| Rate for Payer: UHCCP Medicaid |
$13,472.52
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$36,792.42
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$35,040.40 |
| Max. Negotiated Rate |
$36,792.42 |
| Rate for Payer: BCBS Complete |
$36,792.42
|
| Rate for Payer: Mclaren Medicaid |
$35,040.40
|
| Rate for Payer: Meridian Medicaid |
$36,792.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,040.40
|
| Rate for Payer: UHCCP Medicaid |
$36,792.42
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$7,317.26 |
| Max. Negotiated Rate |
$7,683.12 |
| Rate for Payer: BCBS Complete |
$7,683.12
|
| Rate for Payer: Mclaren Medicaid |
$7,317.26
|
| Rate for Payer: Meridian Medicaid |
$7,683.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,317.26
|
| Rate for Payer: UHCCP Medicaid |
$7,683.12
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 0452
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$12,161.08 |
| Max. Negotiated Rate |
$12,769.13 |
| Rate for Payer: BCBS Complete |
$12,769.13
|
| Rate for Payer: Mclaren Medicaid |
$12,161.08
|
| Rate for Payer: Meridian Medicaid |
$12,769.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,161.08
|
| Rate for Payer: UHCCP Medicaid |
$12,769.13
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$15,041.61
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$14,325.34 |
| Max. Negotiated Rate |
$15,041.61 |
| Rate for Payer: BCBS Complete |
$15,041.61
|
| Rate for Payer: Mclaren Medicaid |
$14,325.34
|
| Rate for Payer: Meridian Medicaid |
$15,041.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,325.34
|
| Rate for Payer: UHCCP Medicaid |
$15,041.61
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 1312
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$25,971.12
|
|
|
Service Code
|
APR-DRG 1793
|
| Min. Negotiated Rate |
$24,734.40 |
| Max. Negotiated Rate |
$25,971.12 |
| Rate for Payer: BCBS Complete |
$25,971.12
|
| Rate for Payer: Mclaren Medicaid |
$24,734.40
|
| Rate for Payer: Meridian Medicaid |
$25,971.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,734.40
|
| Rate for Payer: UHCCP Medicaid |
$25,971.12
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$21,426.17
|
|
|
Service Code
|
APR-DRG 1792
|
| Min. Negotiated Rate |
$20,405.88 |
| Max. Negotiated Rate |
$21,426.17 |
| Rate for Payer: BCBS Complete |
$21,426.17
|
| Rate for Payer: Mclaren Medicaid |
$20,405.88
|
| Rate for Payer: Meridian Medicaid |
$21,426.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,405.88
|
| Rate for Payer: UHCCP Medicaid |
$21,426.17
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$34,087.10
|
|
|
Service Code
|
APR-DRG 1794
|
| Min. Negotiated Rate |
$32,463.90 |
| Max. Negotiated Rate |
$34,087.10 |
| Rate for Payer: BCBS Complete |
$34,087.10
|
| Rate for Payer: Mclaren Medicaid |
$32,463.90
|
| Rate for Payer: Meridian Medicaid |
$34,087.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,463.90
|
| Rate for Payer: UHCCP Medicaid |
$34,087.10
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$18,125.68
|
|
|
Service Code
|
APR-DRG 1791
|
| Min. Negotiated Rate |
$17,262.55 |
| Max. Negotiated Rate |
$18,125.68 |
| Rate for Payer: BCBS Complete |
$18,125.68
|
| Rate for Payer: Mclaren Medicaid |
$17,262.55
|
| Rate for Payer: Meridian Medicaid |
$18,125.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,262.55
|
| Rate for Payer: UHCCP Medicaid |
$18,125.68
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 0423
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 0422
|
| 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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 0421
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$14,067.69
|
|
|
Service Code
|
APR-DRG 0424
|
| Min. Negotiated Rate |
$13,397.80 |
| Max. Negotiated Rate |
$14,067.69 |
| Rate for Payer: BCBS Complete |
$14,067.69
|
| Rate for Payer: Mclaren Medicaid |
$13,397.80
|
| Rate for Payer: Meridian Medicaid |
$14,067.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,397.80
|
| Rate for Payer: UHCCP Medicaid |
$14,067.69
|
|