|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 2842
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 2843
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 2844
|
| Min. Negotiated Rate |
$8,605.51 |
| Max. Negotiated Rate |
$9,035.79 |
| Rate for Payer: BCBS Complete |
$9,035.79
|
| Rate for Payer: Mclaren Medicaid |
$8,605.51
|
| Rate for Payer: Meridian Medicaid |
$9,035.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,605.51
|
| Rate for Payer: UHCCP Medicaid |
$9,035.79
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 2822
|
| Min. Negotiated Rate |
$4,122.40 |
| Max. Negotiated Rate |
$4,328.52 |
| Rate for Payer: BCBS Complete |
$4,328.52
|
| Rate for Payer: Mclaren Medicaid |
$4,122.40
|
| Rate for Payer: Meridian Medicaid |
$4,328.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,122.40
|
| Rate for Payer: UHCCP Medicaid |
$4,328.52
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 2821
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 2823
|
| Min. Negotiated Rate |
$5,977.48 |
| Max. Negotiated Rate |
$6,276.35 |
| Rate for Payer: BCBS Complete |
$6,276.35
|
| Rate for Payer: Mclaren Medicaid |
$5,977.48
|
| Rate for Payer: Meridian Medicaid |
$6,276.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,977.48
|
| Rate for Payer: UHCCP Medicaid |
$6,276.35
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 2443
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 2442
|
| Min. Negotiated Rate |
$3,916.28 |
| 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 |
$4,112.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 2444
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 2441
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$29,866.79
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$28,444.56 |
| Max. Negotiated Rate |
$29,866.79 |
| Rate for Payer: BCBS Complete |
$29,866.79
|
| Rate for Payer: Mclaren Medicaid |
$28,444.56
|
| Rate for Payer: Meridian Medicaid |
$29,866.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,444.56
|
| Rate for Payer: UHCCP Medicaid |
$29,866.79
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 3041
|
| Min. Negotiated Rate |
$12,264.14 |
| Max. Negotiated Rate |
$12,877.35 |
| Rate for Payer: BCBS Complete |
$12,877.35
|
| Rate for Payer: Mclaren Medicaid |
$12,264.14
|
| Rate for Payer: Meridian Medicaid |
$12,877.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,264.14
|
| Rate for Payer: UHCCP Medicaid |
$12,877.35
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$16,502.48
|
|
|
Service Code
|
APR-DRG 3042
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,023.29
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$22,879.32 |
| Max. Negotiated Rate |
$24,023.29 |
| Rate for Payer: BCBS Complete |
$24,023.29
|
| Rate for Payer: Mclaren Medicaid |
$22,879.32
|
| Rate for Payer: Meridian Medicaid |
$24,023.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,879.32
|
| Rate for Payer: UHCCP Medicaid |
$24,023.29
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$22,941.16
|
|
|
Service Code
|
APR-DRG 3031
|
| Min. Negotiated Rate |
$21,848.72 |
| Max. Negotiated Rate |
$22,941.16 |
| Rate for Payer: BCBS Complete |
$22,941.16
|
| Rate for Payer: Mclaren Medicaid |
$21,848.72
|
| Rate for Payer: Meridian Medicaid |
$22,941.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,848.72
|
| Rate for Payer: UHCCP Medicaid |
$22,941.16
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$53,781.86
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$51,220.82 |
| Max. Negotiated Rate |
$53,781.86 |
| Rate for Payer: BCBS Complete |
$53,781.86
|
| Rate for Payer: Mclaren Medicaid |
$51,220.82
|
| Rate for Payer: Meridian Medicaid |
$53,781.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$51,220.82
|
| Rate for Payer: UHCCP Medicaid |
$53,781.86
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$37,279.38
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$35,504.17 |
| Max. Negotiated Rate |
$37,279.38 |
| Rate for Payer: BCBS Complete |
$37,279.38
|
| Rate for Payer: Mclaren Medicaid |
$35,504.17
|
| Rate for Payer: Meridian Medicaid |
$37,279.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,504.17
|
| Rate for Payer: UHCCP Medicaid |
$37,279.38
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,943.10
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$23,755.33 |
| Max. Negotiated Rate |
$24,943.10 |
| Rate for Payer: BCBS Complete |
$24,943.10
|
| Rate for Payer: Mclaren Medicaid |
$23,755.33
|
| Rate for Payer: Meridian Medicaid |
$24,943.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,755.33
|
| Rate for Payer: UHCCP Medicaid |
$24,943.10
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,839.62
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,752.02 |
| Max. Negotiated Rate |
$1,839.62 |
| Rate for Payer: BCBS Complete |
$1,839.62
|
| Rate for Payer: Mclaren Medicaid |
$1,752.02
|
| Rate for Payer: Meridian Medicaid |
$1,839.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,752.02
|
| Rate for Payer: UHCCP Medicaid |
$1,839.62
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,218.37
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,112.73 |
| Max. Negotiated Rate |
$2,218.37 |
| Rate for Payer: BCBS Complete |
$2,218.37
|
| Rate for Payer: Mclaren Medicaid |
$2,112.73
|
| Rate for Payer: Meridian Medicaid |
$2,218.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,112.73
|
| Rate for Payer: UHCCP Medicaid |
$2,218.37
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 7704
|
| Min. Negotiated Rate |
$8,502.45 |
| Max. Negotiated Rate |
$8,927.57 |
| Rate for Payer: BCBS Complete |
$8,927.57
|
| Rate for Payer: Mclaren Medicaid |
$8,502.45
|
| Rate for Payer: Meridian Medicaid |
$8,927.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,502.45
|
| Rate for Payer: UHCCP Medicaid |
$8,927.57
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 7703
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 1101
|
| 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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 1102
|
| Min. Negotiated Rate |
$5,462.18 |
| Max. Negotiated Rate |
$5,735.29 |
| Rate for Payer: BCBS Complete |
$5,735.29
|
| Rate for Payer: Mclaren Medicaid |
$5,462.18
|
| Rate for Payer: Meridian Medicaid |
$5,735.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,462.18
|
| Rate for Payer: UHCCP Medicaid |
$5,735.29
|
|