|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 3842
|
| Min. Negotiated Rate |
$4,586.17 |
| Max. Negotiated Rate |
$4,815.48 |
| Rate for Payer: BCBS Complete |
$4,815.48
|
| Rate for Payer: Mclaren Medicaid |
$4,586.17
|
| Rate for Payer: Meridian Medicaid |
$4,815.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,586.17
|
| Rate for Payer: UHCCP Medicaid |
$4,815.48
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$33,275.50
|
|
|
Service Code
|
APR-DRG 1654
|
| Min. Negotiated Rate |
$31,690.95 |
| Max. Negotiated Rate |
$33,275.50 |
| Rate for Payer: BCBS Complete |
$33,275.50
|
| Rate for Payer: Mclaren Medicaid |
$31,690.95
|
| Rate for Payer: Meridian Medicaid |
$33,275.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,690.95
|
| Rate for Payer: UHCCP Medicaid |
$33,275.50
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,021.35
|
|
|
Service Code
|
APR-DRG 1651
|
| Min. Negotiated Rate |
$20,972.71 |
| Max. Negotiated Rate |
$22,021.35 |
| Rate for Payer: BCBS Complete |
$22,021.35
|
| Rate for Payer: Mclaren Medicaid |
$20,972.71
|
| Rate for Payer: Meridian Medicaid |
$22,021.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,972.71
|
| Rate for Payer: UHCCP Medicaid |
$22,021.35
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,780.78
|
|
|
Service Code
|
APR-DRG 1652
|
| Min. Negotiated Rate |
$23,600.74 |
| Max. Negotiated Rate |
$24,780.78 |
| Rate for Payer: BCBS Complete |
$24,780.78
|
| Rate for Payer: Mclaren Medicaid |
$23,600.74
|
| Rate for Payer: Meridian Medicaid |
$24,780.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,600.74
|
| Rate for Payer: UHCCP Medicaid |
$24,780.78
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,920.89
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$28,496.09 |
| Max. Negotiated Rate |
$29,920.89 |
| Rate for Payer: BCBS Complete |
$29,920.89
|
| Rate for Payer: Mclaren Medicaid |
$28,496.09
|
| Rate for Payer: Meridian Medicaid |
$29,920.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,496.09
|
| Rate for Payer: UHCCP Medicaid |
$29,920.89
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$34,087.10
|
|
|
Service Code
|
APR-DRG 1664
|
| 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: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,263.85
|
|
|
Service Code
|
APR-DRG 1662
|
| Min. Negotiated Rate |
$20,251.29 |
| Max. Negotiated Rate |
$21,263.85 |
| Rate for Payer: BCBS Complete |
$21,263.85
|
| Rate for Payer: Mclaren Medicaid |
$20,251.29
|
| Rate for Payer: Meridian Medicaid |
$21,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,251.29
|
| Rate for Payer: UHCCP Medicaid |
$21,263.85
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,746.93
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$16,901.84 |
| Max. Negotiated Rate |
$17,746.93 |
| Rate for Payer: BCBS Complete |
$17,746.93
|
| Rate for Payer: Mclaren Medicaid |
$16,901.84
|
| Rate for Payer: Meridian Medicaid |
$17,746.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,901.84
|
| Rate for Payer: UHCCP Medicaid |
$17,746.93
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,616.52
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$21,539.54 |
| Max. Negotiated Rate |
$22,616.52 |
| Rate for Payer: BCBS Complete |
$22,616.52
|
| Rate for Payer: Mclaren Medicaid |
$21,539.54
|
| Rate for Payer: Meridian Medicaid |
$22,616.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,539.54
|
| Rate for Payer: UHCCP Medicaid |
$22,616.52
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$26,025.23
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$24,785.93 |
| Max. Negotiated Rate |
$26,025.23 |
| Rate for Payer: BCBS Complete |
$26,025.23
|
| Rate for Payer: Mclaren Medicaid |
$24,785.93
|
| Rate for Payer: Meridian Medicaid |
$26,025.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,785.93
|
| Rate for Payer: UHCCP Medicaid |
$26,025.23
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$31,868.73
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$30,351.17 |
| Max. Negotiated Rate |
$31,868.73 |
| Rate for Payer: BCBS Complete |
$31,868.73
|
| Rate for Payer: Mclaren Medicaid |
$30,351.17
|
| Rate for Payer: Meridian Medicaid |
$31,868.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,351.17
|
| Rate for Payer: UHCCP Medicaid |
$31,868.73
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,716.97
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$14,016.16 |
| Max. Negotiated Rate |
$14,716.97 |
| Rate for Payer: BCBS Complete |
$14,716.97
|
| Rate for Payer: Mclaren Medicaid |
$14,016.16
|
| Rate for Payer: Meridian Medicaid |
$14,716.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,016.16
|
| Rate for Payer: UHCCP Medicaid |
$14,716.97
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,690.88
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$14,943.70 |
| Max. Negotiated Rate |
$15,690.88 |
| Rate for Payer: BCBS Complete |
$15,690.88
|
| Rate for Payer: Mclaren Medicaid |
$14,943.70
|
| Rate for Payer: Meridian Medicaid |
$15,690.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,943.70
|
| Rate for Payer: UHCCP Medicaid |
$15,690.88
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$8,553.98 |
| Max. Negotiated Rate |
$8,981.68 |
| Rate for Payer: BCBS Complete |
$8,981.68
|
| Rate for Payer: Mclaren Medicaid |
$8,553.98
|
| Rate for Payer: Meridian Medicaid |
$8,981.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,553.98
|
| Rate for Payer: UHCCP Medicaid |
$8,981.68
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$12,779.44 |
| Max. Negotiated Rate |
$13,418.41 |
| Rate for Payer: BCBS Complete |
$13,418.41
|
| Rate for Payer: Mclaren Medicaid |
$12,779.44
|
| Rate for Payer: Meridian Medicaid |
$13,418.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,779.44
|
| Rate for Payer: UHCCP Medicaid |
$13,418.41
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 0452
|
| 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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$7,162.67 |
| Max. Negotiated Rate |
$7,520.80 |
| Rate for Payer: BCBS Complete |
$7,520.80
|
| Rate for Payer: Mclaren Medicaid |
$7,162.67
|
| Rate for Payer: Meridian Medicaid |
$7,520.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,162.67
|
| Rate for Payer: UHCCP Medicaid |
$7,520.80
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$12,119.86
|
|
|
Service Code
|
APR-DRG 1312
|
| Min. Negotiated Rate |
$11,542.72 |
| Max. Negotiated Rate |
$12,119.86 |
| Rate for Payer: BCBS Complete |
$12,119.86
|
| Rate for Payer: Mclaren Medicaid |
$11,542.72
|
| Rate for Payer: Meridian Medicaid |
$12,119.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,542.72
|
| Rate for Payer: UHCCP Medicaid |
$12,119.86
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$16,502.48
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$15,716.65 |
| Max. Negotiated Rate |
$16,502.48 |
| Rate for Payer: BCBS Complete |
$16,502.48
|
| Rate for Payer: Mclaren Medicaid |
$15,716.65
|
| Rate for Payer: Meridian Medicaid |
$16,502.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,716.65
|
| Rate for Payer: UHCCP Medicaid |
$16,502.48
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$15,690.88
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$14,943.70 |
| Max. Negotiated Rate |
$15,690.88 |
| Rate for Payer: BCBS Complete |
$15,690.88
|
| Rate for Payer: Mclaren Medicaid |
$14,943.70
|
| Rate for Payer: Meridian Medicaid |
$15,690.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,943.70
|
| Rate for Payer: UHCCP Medicaid |
$15,690.88
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$19,045.49
|
|
|
Service Code
|
APR-DRG 1792
|
| Min. Negotiated Rate |
$18,138.56 |
| Max. Negotiated Rate |
$19,045.49 |
| Rate for Payer: BCBS Complete |
$19,045.49
|
| Rate for Payer: Mclaren Medicaid |
$18,138.56
|
| Rate for Payer: Meridian Medicaid |
$19,045.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,138.56
|
| Rate for Payer: UHCCP Medicaid |
$19,045.49
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$16,123.74
|
|
|
Service Code
|
APR-DRG 1791
|
| Min. Negotiated Rate |
$15,355.94 |
| Max. Negotiated Rate |
$16,123.74 |
| Rate for Payer: BCBS Complete |
$16,123.74
|
| Rate for Payer: Mclaren Medicaid |
$15,355.94
|
| Rate for Payer: Meridian Medicaid |
$16,123.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,355.94
|
| Rate for Payer: UHCCP Medicaid |
$16,123.74
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$23,049.37
|
|
|
Service Code
|
APR-DRG 1793
|
| Min. Negotiated Rate |
$21,951.78 |
| Max. Negotiated Rate |
$23,049.37 |
| Rate for Payer: BCBS Complete |
$23,049.37
|
| Rate for Payer: Mclaren Medicaid |
$21,951.78
|
| Rate for Payer: Meridian Medicaid |
$23,049.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,951.78
|
| Rate for Payer: UHCCP Medicaid |
$23,049.37
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$30,245.53
|
|
|
Service Code
|
APR-DRG 1794
|
| Min. Negotiated Rate |
$28,805.27 |
| Max. Negotiated Rate |
$30,245.53 |
| Rate for Payer: BCBS Complete |
$30,245.53
|
| Rate for Payer: Mclaren Medicaid |
$28,805.27
|
| Rate for Payer: Meridian Medicaid |
$30,245.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,805.27
|
| Rate for Payer: UHCCP Medicaid |
$30,245.53
|
|