|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$8,914.69 |
| Max. Negotiated Rate |
$9,360.42 |
| Rate for Payer: BCBS Complete |
$9,360.42
|
| Rate for Payer: Mclaren Medicaid |
$8,914.69
|
| Rate for Payer: Meridian Medicaid |
$9,360.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.69
|
| Rate for Payer: UHCCP Medicaid |
$9,360.42
|
|
|
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: EATING DISORDERS
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 7591
|
| Min. Negotiated Rate |
$5,204.53 |
| Max. Negotiated Rate |
$5,464.76 |
| Rate for Payer: BCBS Complete |
$5,464.76
|
| Rate for Payer: Mclaren Medicaid |
$5,204.53
|
| Rate for Payer: Meridian Medicaid |
$5,464.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,204.53
|
| Rate for Payer: UHCCP Medicaid |
$5,464.76
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 7592
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 7593
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$19,153.70
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$18,241.62 |
| Max. Negotiated Rate |
$19,153.70 |
| Rate for Payer: BCBS Complete |
$19,153.70
|
| Rate for Payer: Mclaren Medicaid |
$18,241.62
|
| Rate for Payer: Meridian Medicaid |
$19,153.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,241.62
|
| Rate for Payer: UHCCP Medicaid |
$19,153.70
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,899.55
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,630.96
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$9,172.34 |
| Max. Negotiated Rate |
$9,630.96 |
| Rate for Payer: BCBS Complete |
$9,630.96
|
| Rate for Payer: Mclaren Medicaid |
$9,172.34
|
| Rate for Payer: Meridian Medicaid |
$9,630.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,172.34
|
| Rate for Payer: UHCCP Medicaid |
$9,630.96
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$20,019.40
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$19,066.10 |
| Max. Negotiated Rate |
$20,019.40 |
| Rate for Payer: BCBS Complete |
$20,019.40
|
| Rate for Payer: Mclaren Medicaid |
$19,066.10
|
| Rate for Payer: Meridian Medicaid |
$20,019.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,066.10
|
| Rate for Payer: UHCCP Medicaid |
$20,019.40
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,338.22
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$13,655.45 |
| Max. Negotiated Rate |
$14,338.22 |
| Rate for Payer: BCBS Complete |
$14,338.22
|
| Rate for Payer: Mclaren Medicaid |
$13,655.45
|
| Rate for Payer: Meridian Medicaid |
$14,338.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,655.45
|
| Rate for Payer: UHCCP Medicaid |
$14,338.22
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,765.25
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$8,347.86 |
| Max. Negotiated Rate |
$8,765.25 |
| Rate for Payer: BCBS Complete |
$8,765.25
|
| Rate for Payer: Mclaren Medicaid |
$8,347.86
|
| Rate for Payer: Meridian Medicaid |
$8,765.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,347.86
|
| Rate for Payer: UHCCP Medicaid |
$8,765.25
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$12,065.75
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$11,491.19 |
| Max. Negotiated Rate |
$12,065.75 |
| Rate for Payer: BCBS Complete |
$12,065.75
|
| Rate for Payer: Mclaren Medicaid |
$11,491.19
|
| Rate for Payer: Meridian Medicaid |
$12,065.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,491.19
|
| Rate for Payer: UHCCP Medicaid |
$12,065.75
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 3261
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,991.38
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$18,087.03 |
| Max. Negotiated Rate |
$18,991.38 |
| Rate for Payer: BCBS Complete |
$18,991.38
|
| Rate for Payer: Mclaren Medicaid |
$18,087.03
|
| Rate for Payer: Meridian Medicaid |
$18,991.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,087.03
|
| Rate for Payer: UHCCP Medicaid |
$18,991.38
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,496.66
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,996.82 |
| Max. Negotiated Rate |
$10,496.66 |
| Rate for Payer: BCBS Complete |
$10,496.66
|
| Rate for Payer: Mclaren Medicaid |
$9,996.82
|
| Rate for Payer: Meridian Medicaid |
$10,496.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,996.82
|
| Rate for Payer: UHCCP Medicaid |
$10,496.66
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$36,738.31
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$34,988.87 |
| Max. Negotiated Rate |
$36,738.31 |
| Rate for Payer: BCBS Complete |
$36,738.31
|
| Rate for Payer: Mclaren Medicaid |
$34,988.87
|
| Rate for Payer: Meridian Medicaid |
$36,738.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,988.87
|
| Rate for Payer: UHCCP Medicaid |
$36,738.31
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,857.09
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$18,911.51 |
| Max. Negotiated Rate |
$19,857.09 |
| Rate for Payer: BCBS Complete |
$19,857.09
|
| Rate for Payer: Mclaren Medicaid |
$18,911.51
|
| Rate for Payer: Meridian Medicaid |
$19,857.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,911.51
|
| Rate for Payer: UHCCP Medicaid |
$19,857.09
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 9112
|
| 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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 7921
|
| 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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$16,610.70
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$15,819.71 |
| Max. Negotiated Rate |
$16,610.70 |
| Rate for Payer: BCBS Complete |
$16,610.70
|
| Rate for Payer: Mclaren Medicaid |
$15,819.71
|
| Rate for Payer: Meridian Medicaid |
$16,610.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,819.71
|
| Rate for Payer: UHCCP Medicaid |
$16,610.70
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$28,135.38
|
|
|
Service Code
|
APR-DRG 7924
|
| Min. Negotiated Rate |
$26,795.60 |
| Max. Negotiated Rate |
$28,135.38 |
| Rate for Payer: BCBS Complete |
$28,135.38
|
| Rate for Payer: Mclaren Medicaid |
$26,795.60
|
| Rate for Payer: Meridian Medicaid |
$28,135.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,795.60
|
| Rate for Payer: UHCCP Medicaid |
$28,135.38
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 7922
|
| 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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$12,173.96
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$11,594.25 |
| Max. Negotiated Rate |
$12,173.96 |
| Rate for Payer: BCBS Complete |
$12,173.96
|
| Rate for Payer: Mclaren Medicaid |
$11,594.25
|
| Rate for Payer: Meridian Medicaid |
$12,173.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,594.25
|
| Rate for Payer: UHCCP Medicaid |
$12,173.96
|
|
|
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 O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,584.61
|
|
|
Service Code
|
APR-DRG 9503
|
| Min. Negotiated Rate |
$16,747.25 |
| Max. Negotiated Rate |
$17,584.61 |
| Rate for Payer: BCBS Complete |
$17,584.61
|
| Rate for Payer: Mclaren Medicaid |
$16,747.25
|
| Rate for Payer: Meridian Medicaid |
$17,584.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,747.25
|
| Rate for Payer: UHCCP Medicaid |
$17,584.61
|
|