|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$14,230.01
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$13,552.39 |
| Max. Negotiated Rate |
$14,230.01 |
| Rate for Payer: BCBS Complete |
$14,230.01
|
| Rate for Payer: Mclaren Medicaid |
$13,552.39
|
| Rate for Payer: Meridian Medicaid |
$14,230.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.39
|
| Rate for Payer: UHCCP Medicaid |
$14,230.01
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 2823
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 2822
|
| 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
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 2443
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 2442
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$2,867.64
|
|
|
Service Code
|
APR-DRG 2441
|
| Min. Negotiated Rate |
$2,731.09 |
| Max. Negotiated Rate |
$2,867.64 |
| Rate for Payer: BCBS Complete |
$2,867.64
|
| Rate for Payer: Mclaren Medicaid |
$2,731.09
|
| Rate for Payer: Meridian Medicaid |
$2,867.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,731.09
|
| Rate for Payer: UHCCP Medicaid |
$2,867.64
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$18,288.00
|
|
|
Service Code
|
APR-DRG 3042
|
| Min. Negotiated Rate |
$17,417.14 |
| Max. Negotiated Rate |
$18,288.00 |
| Rate for Payer: BCBS Complete |
$18,288.00
|
| Rate for Payer: Mclaren Medicaid |
$17,417.14
|
| Rate for Payer: Meridian Medicaid |
$18,288.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,417.14
|
| Rate for Payer: UHCCP Medicaid |
$18,288.00
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$34,574.05
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$32,927.67 |
| Max. Negotiated Rate |
$34,574.05 |
| Rate for Payer: BCBS Complete |
$34,574.05
|
| Rate for Payer: Mclaren Medicaid |
$32,927.67
|
| Rate for Payer: Meridian Medicaid |
$34,574.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,927.67
|
| Rate for Payer: UHCCP Medicaid |
$34,574.05
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$25,484.16
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$24,270.63 |
| Max. Negotiated Rate |
$25,484.16 |
| Rate for Payer: BCBS Complete |
$25,484.16
|
| Rate for Payer: Mclaren Medicaid |
$24,270.63
|
| Rate for Payer: Meridian Medicaid |
$25,484.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,270.63
|
| Rate for Payer: UHCCP Medicaid |
$25,484.16
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 3041
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,726.67
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$23,549.21 |
| Max. Negotiated Rate |
$24,726.67 |
| Rate for Payer: BCBS Complete |
$24,726.67
|
| Rate for Payer: Mclaren Medicaid |
$23,549.21
|
| Rate for Payer: Meridian Medicaid |
$24,726.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,549.21
|
| Rate for Payer: UHCCP Medicaid |
$24,726.67
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$49,020.49
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$46,686.18 |
| Max. Negotiated Rate |
$49,020.49 |
| Rate for Payer: BCBS Complete |
$49,020.49
|
| Rate for Payer: Mclaren Medicaid |
$46,686.18
|
| Rate for Payer: Meridian Medicaid |
$49,020.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,686.18
|
| Rate for Payer: UHCCP Medicaid |
$49,020.49
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$21,426.17
|
|
|
Service Code
|
APR-DRG 3031
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$34,032.99
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$32,412.37 |
| Max. Negotiated Rate |
$34,032.99 |
| Rate for Payer: BCBS Complete |
$34,032.99
|
| Rate for Payer: Mclaren Medicaid |
$32,412.37
|
| Rate for Payer: Meridian Medicaid |
$34,032.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,412.37
|
| Rate for Payer: UHCCP Medicaid |
$34,032.99
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 7704
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,380.69
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,267.32 |
| Max. Negotiated Rate |
$2,380.69 |
| Rate for Payer: BCBS Complete |
$2,380.69
|
| Rate for Payer: Mclaren Medicaid |
$2,267.32
|
| Rate for Payer: Meridian Medicaid |
$2,380.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,267.32
|
| Rate for Payer: UHCCP Medicaid |
$2,380.69
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,514.98
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,442.84 |
| Max. Negotiated Rate |
$1,514.98 |
| Rate for Payer: BCBS Complete |
$1,514.98
|
| Rate for Payer: Mclaren Medicaid |
$1,442.84
|
| Rate for Payer: Meridian Medicaid |
$1,514.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,442.84
|
| Rate for Payer: UHCCP Medicaid |
$1,514.98
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 7703
|
| 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: 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
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$13,526.62
|
|
|
Service Code
|
APR-DRG 1104
|
| Min. Negotiated Rate |
$12,882.50 |
| Max. Negotiated Rate |
$13,526.62 |
| Rate for Payer: BCBS Complete |
$13,526.62
|
| Rate for Payer: Mclaren Medicaid |
$12,882.50
|
| Rate for Payer: Meridian Medicaid |
$13,526.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,882.50
|
| Rate for Payer: UHCCP Medicaid |
$13,526.62
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$7,899.55
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$7,523.38 |
| Max. Negotiated Rate |
$7,899.55 |
| Rate for Payer: BCBS Complete |
$7,899.55
|
| Rate for Payer: Mclaren Medicaid |
$7,523.38
|
| Rate for Payer: Meridian Medicaid |
$7,899.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,523.38
|
| Rate for Payer: UHCCP Medicaid |
$7,899.55
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 1101
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$18,342.10
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$17,468.67 |
| Max. Negotiated Rate |
$18,342.10 |
| Rate for Payer: BCBS Complete |
$18,342.10
|
| Rate for Payer: Mclaren Medicaid |
$17,468.67
|
| Rate for Payer: Meridian Medicaid |
$18,342.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,468.67
|
| Rate for Payer: UHCCP Medicaid |
$18,342.10
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 7593
|
| Min. Negotiated Rate |
$10,409.06 |
| Max. Negotiated Rate |
$10,929.51 |
| Rate for Payer: BCBS Complete |
$10,929.51
|
| Rate for Payer: Mclaren Medicaid |
$10,409.06
|
| Rate for Payer: Meridian Medicaid |
$10,929.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,409.06
|
| Rate for Payer: UHCCP Medicaid |
$10,929.51
|
|