|
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
|
$7,737.23
|
|
|
Service Code
|
APR-DRG 7592
|
| Min. Negotiated Rate |
$7,368.79 |
| Max. Negotiated Rate |
$7,737.23 |
| Rate for Payer: BCBS Complete |
$7,737.23
|
| Rate for Payer: Mclaren Medicaid |
$7,368.79
|
| Rate for Payer: Meridian Medicaid |
$7,737.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,368.79
|
| Rate for Payer: UHCCP Medicaid |
$7,737.23
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 3241
|
| Min. Negotiated Rate |
$6,905.02 |
| Max. Negotiated Rate |
$7,250.27 |
| Rate for Payer: BCBS Complete |
$7,250.27
|
| Rate for Payer: Mclaren Medicaid |
$6,905.02
|
| Rate for Payer: Meridian Medicaid |
$7,250.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,905.02
|
| Rate for Payer: UHCCP Medicaid |
$7,250.27
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,201.99
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$12,573.32 |
| Max. Negotiated Rate |
$13,201.99 |
| Rate for Payer: BCBS Complete |
$13,201.99
|
| Rate for Payer: Mclaren Medicaid |
$12,573.32
|
| Rate for Payer: Meridian Medicaid |
$13,201.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,573.32
|
| Rate for Payer: UHCCP Medicaid |
$13,201.99
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$18,450.32
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$17,571.73 |
| Max. Negotiated Rate |
$18,450.32 |
| Rate for Payer: BCBS Complete |
$18,450.32
|
| Rate for Payer: Mclaren Medicaid |
$17,571.73
|
| Rate for Payer: Meridian Medicaid |
$18,450.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,571.73
|
| Rate for Payer: UHCCP Medicaid |
$18,450.32
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,145.94
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$10,615.18 |
| Max. Negotiated Rate |
$11,145.94 |
| Rate for Payer: BCBS Complete |
$11,145.94
|
| Rate for Payer: Mclaren Medicaid |
$10,615.18
|
| Rate for Payer: Meridian Medicaid |
$11,145.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,615.18
|
| Rate for Payer: UHCCP Medicaid |
$11,145.94
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$17,530.51
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$16,695.72 |
| Max. Negotiated Rate |
$17,530.51 |
| Rate for Payer: BCBS Complete |
$17,530.51
|
| Rate for Payer: Mclaren Medicaid |
$16,695.72
|
| Rate for Payer: Meridian Medicaid |
$17,530.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,695.72
|
| Rate for Payer: UHCCP Medicaid |
$17,530.51
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$7,729.50 |
| Max. Negotiated Rate |
$8,115.98 |
| Rate for Payer: BCBS Complete |
$8,115.98
|
| Rate for Payer: Mclaren Medicaid |
$7,729.50
|
| Rate for Payer: Meridian Medicaid |
$8,115.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,729.50
|
| Rate for Payer: UHCCP Medicaid |
$8,115.98
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 3261
|
| Min. Negotiated Rate |
$6,853.49 |
| Max. Negotiated Rate |
$7,196.16 |
| Rate for Payer: BCBS Complete |
$7,196.16
|
| Rate for Payer: Mclaren Medicaid |
$6,853.49
|
| Rate for Payer: Meridian Medicaid |
$7,196.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,853.49
|
| Rate for Payer: UHCCP Medicaid |
$7,196.16
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$13,201.99
|
|
|
Service Code
|
APR-DRG 9112
|
| Min. Negotiated Rate |
$12,573.32 |
| Max. Negotiated Rate |
$13,201.99 |
| Rate for Payer: BCBS Complete |
$13,201.99
|
| Rate for Payer: Mclaren Medicaid |
$12,573.32
|
| Rate for Payer: Meridian Medicaid |
$13,201.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,573.32
|
| Rate for Payer: UHCCP Medicaid |
$13,201.99
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$20,235.83
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$19,272.22 |
| Max. Negotiated Rate |
$20,235.83 |
| Rate for Payer: BCBS Complete |
$20,235.83
|
| Rate for Payer: Mclaren Medicaid |
$19,272.22
|
| Rate for Payer: Meridian Medicaid |
$20,235.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,272.22
|
| Rate for Payer: UHCCP Medicaid |
$20,235.83
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,117.92
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,636.11 |
| Max. Negotiated Rate |
$10,117.92 |
| Rate for Payer: BCBS Complete |
$10,117.92
|
| Rate for Payer: Mclaren Medicaid |
$9,636.11
|
| Rate for Payer: Meridian Medicaid |
$10,117.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,636.11
|
| Rate for Payer: UHCCP Medicaid |
$10,117.92
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,006.91
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$33,339.91 |
| Max. Negotiated Rate |
$35,006.91 |
| Rate for Payer: BCBS Complete |
$35,006.91
|
| Rate for Payer: Mclaren Medicaid |
$33,339.91
|
| Rate for Payer: Meridian Medicaid |
$35,006.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,339.91
|
| Rate for Payer: UHCCP Medicaid |
$35,006.91
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 7921
|
| Min. Negotiated Rate |
$7,832.56 |
| Max. Negotiated Rate |
$8,224.19 |
| Rate for Payer: BCBS Complete |
$8,224.19
|
| Rate for Payer: Mclaren Medicaid |
$7,832.56
|
| Rate for Payer: Meridian Medicaid |
$8,224.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,832.56
|
| Rate for Payer: UHCCP Medicaid |
$8,224.19
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 7922
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$15,312.14
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$14,582.99 |
| Max. Negotiated Rate |
$15,312.14 |
| Rate for Payer: BCBS Complete |
$15,312.14
|
| Rate for Payer: Mclaren Medicaid |
$14,582.99
|
| Rate for Payer: Meridian Medicaid |
$15,312.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,582.99
|
| Rate for Payer: UHCCP Medicaid |
$15,312.14
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$25,971.12
|
|
|
Service Code
|
APR-DRG 7924
|
| 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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$28,892.87
|
|
|
Service Code
|
APR-DRG 9504
|
| Min. Negotiated Rate |
$27,517.02 |
| Max. Negotiated Rate |
$28,892.87 |
| Rate for Payer: BCBS Complete |
$28,892.87
|
| Rate for Payer: Mclaren Medicaid |
$27,517.02
|
| Rate for Payer: Meridian Medicaid |
$28,892.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,517.02
|
| Rate for Payer: UHCCP Medicaid |
$28,892.87
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,368.19
|
|
|
Service Code
|
APR-DRG 9503
|
| Min. Negotiated Rate |
$16,541.13 |
| Max. Negotiated Rate |
$17,368.19 |
| Rate for Payer: BCBS Complete |
$17,368.19
|
| Rate for Payer: Mclaren Medicaid |
$16,541.13
|
| Rate for Payer: Meridian Medicaid |
$17,368.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,541.13
|
| Rate for Payer: UHCCP Medicaid |
$17,368.19
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 9501
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$10,063.81
|
|
|
Service Code
|
APR-DRG 8433
|
| Min. Negotiated Rate |
$9,584.58 |
| Max. Negotiated Rate |
$10,063.81 |
| Rate for Payer: BCBS Complete |
$10,063.81
|
| Rate for Payer: Mclaren Medicaid |
$9,584.58
|
| Rate for Payer: Meridian Medicaid |
$10,063.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,584.58
|
| Rate for Payer: UHCCP Medicaid |
$10,063.81
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$14,554.65
|
|
|
Service Code
|
APR-DRG 8434
|
| Min. Negotiated Rate |
$13,861.57 |
| Max. Negotiated Rate |
$14,554.65 |
| Rate for Payer: BCBS Complete |
$14,554.65
|
| Rate for Payer: Mclaren Medicaid |
$13,861.57
|
| Rate for Payer: Meridian Medicaid |
$14,554.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,861.57
|
| Rate for Payer: UHCCP Medicaid |
$14,554.65
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 8432
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|