|
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 WITH SKIN GRAFT
|
Facility
|
IP
|
$24,185.61
|
|
|
Service Code
|
APR-DRG 8412
|
| Min. Negotiated Rate |
$23,033.91 |
| Max. Negotiated Rate |
$24,185.61 |
| Rate for Payer: BCBS Complete |
$24,185.61
|
| Rate for Payer: Mclaren Medicaid |
$23,033.91
|
| Rate for Payer: Meridian Medicaid |
$24,185.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,033.91
|
| Rate for Payer: UHCCP Medicaid |
$24,185.61
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$36,954.74
|
|
|
Service Code
|
APR-DRG 8413
|
| Min. Negotiated Rate |
$35,194.99 |
| Max. Negotiated Rate |
$36,954.74 |
| Rate for Payer: BCBS Complete |
$36,954.74
|
| Rate for Payer: Mclaren Medicaid |
$35,194.99
|
| Rate for Payer: Meridian Medicaid |
$36,954.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,194.99
|
| Rate for Payer: UHCCP Medicaid |
$36,954.74
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$113,569.54
|
|
|
Service Code
|
APR-DRG 8414
|
| Min. Negotiated Rate |
$108,161.47 |
| Max. Negotiated Rate |
$113,569.54 |
| Rate for Payer: BCBS Complete |
$113,569.54
|
| Rate for Payer: Mclaren Medicaid |
$108,161.47
|
| Rate for Payer: Meridian Medicaid |
$113,569.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$108,161.47
|
| Rate for Payer: UHCCP Medicaid |
$113,569.54
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$24,185.61
|
|
|
Service Code
|
APR-DRG 8411
|
| Min. Negotiated Rate |
$23,033.91 |
| Max. Negotiated Rate |
$24,185.61 |
| Rate for Payer: BCBS Complete |
$24,185.61
|
| Rate for Payer: Mclaren Medicaid |
$23,033.91
|
| Rate for Payer: Meridian Medicaid |
$24,185.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,033.91
|
| Rate for Payer: UHCCP Medicaid |
$24,185.61
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$24,239.71
|
|
|
Service Code
|
APR-DRG 1781
|
| Min. Negotiated Rate |
$23,085.44 |
| Max. Negotiated Rate |
$24,239.71 |
| Rate for Payer: BCBS Complete |
$24,239.71
|
| Rate for Payer: Mclaren Medicaid |
$23,085.44
|
| Rate for Payer: Meridian Medicaid |
$24,239.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,085.44
|
| Rate for Payer: UHCCP Medicaid |
$24,239.71
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$26,945.04
|
|
|
Service Code
|
APR-DRG 1782
|
| Min. Negotiated Rate |
$25,661.94 |
| Max. Negotiated Rate |
$26,945.04 |
| Rate for Payer: BCBS Complete |
$26,945.04
|
| Rate for Payer: Mclaren Medicaid |
$25,661.94
|
| Rate for Payer: Meridian Medicaid |
$26,945.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,661.94
|
| Rate for Payer: UHCCP Medicaid |
$26,945.04
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$40,958.62
|
|
|
Service Code
|
APR-DRG 1784
|
| Min. Negotiated Rate |
$39,008.21 |
| Max. Negotiated Rate |
$40,958.62 |
| Rate for Payer: BCBS Complete |
$40,958.62
|
| Rate for Payer: Mclaren Medicaid |
$39,008.21
|
| Rate for Payer: Meridian Medicaid |
$40,958.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,008.21
|
| Rate for Payer: UHCCP Medicaid |
$40,958.62
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$33,059.07
|
|
|
Service Code
|
APR-DRG 1783
|
| Min. Negotiated Rate |
$31,484.83 |
| Max. Negotiated Rate |
$33,059.07 |
| Rate for Payer: BCBS Complete |
$33,059.07
|
| Rate for Payer: Mclaren Medicaid |
$31,484.83
|
| Rate for Payer: Meridian Medicaid |
$33,059.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,484.83
|
| Rate for Payer: UHCCP Medicaid |
$33,059.07
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$84,135.61
|
|
|
Service Code
|
APR-DRG 0093
|
| Min. Negotiated Rate |
$80,129.15 |
| Max. Negotiated Rate |
$84,135.61 |
| Rate for Payer: BCBS Complete |
$84,135.61
|
| Rate for Payer: Mclaren Medicaid |
$80,129.15
|
| Rate for Payer: Meridian Medicaid |
$84,135.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$80,129.15
|
| Rate for Payer: UHCCP Medicaid |
$84,135.61
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$30,894.81
|
|
|
Service Code
|
APR-DRG 0091
|
| Min. Negotiated Rate |
$29,423.63 |
| Max. Negotiated Rate |
$30,894.81 |
| Rate for Payer: BCBS Complete |
$30,894.81
|
| Rate for Payer: Mclaren Medicaid |
$29,423.63
|
| Rate for Payer: Meridian Medicaid |
$30,894.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,423.63
|
| Rate for Payer: UHCCP Medicaid |
$30,894.81
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$125,148.33
|
|
|
Service Code
|
APR-DRG 0094
|
| Min. Negotiated Rate |
$119,188.89 |
| Max. Negotiated Rate |
$125,148.33 |
| Rate for Payer: BCBS Complete |
$125,148.33
|
| Rate for Payer: Mclaren Medicaid |
$119,188.89
|
| Rate for Payer: Meridian Medicaid |
$125,148.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$119,188.89
|
| Rate for Payer: UHCCP Medicaid |
$125,148.33
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$42,203.07
|
|
|
Service Code
|
APR-DRG 0092
|
| Min. Negotiated Rate |
$40,193.40 |
| Max. Negotiated Rate |
$42,203.07 |
| Rate for Payer: BCBS Complete |
$42,203.07
|
| Rate for Payer: Mclaren Medicaid |
$40,193.40
|
| Rate for Payer: Meridian Medicaid |
$42,203.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,193.40
|
| Rate for Payer: UHCCP Medicaid |
$42,203.07
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$11,091.83
|
|
|
Service Code
|
APR-DRG 0824
|
| Min. Negotiated Rate |
$10,563.65 |
| Max. Negotiated Rate |
$11,091.83 |
| Rate for Payer: BCBS Complete |
$11,091.83
|
| Rate for Payer: Mclaren Medicaid |
$10,563.65
|
| Rate for Payer: Meridian Medicaid |
$11,091.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,563.65
|
| Rate for Payer: UHCCP Medicaid |
$11,091.83
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 0821
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 0823
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 0822
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0921
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 0922
|
| Min. Negotiated Rate |
$10,202.94 |
| Max. Negotiated Rate |
$10,713.09 |
| Rate for Payer: BCBS Complete |
$10,713.09
|
| Rate for Payer: Mclaren Medicaid |
$10,202.94
|
| Rate for Payer: Meridian Medicaid |
$10,713.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,202.94
|
| Rate for Payer: UHCCP Medicaid |
$10,713.09
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$27,702.53
|
|
|
Service Code
|
APR-DRG 0924
|
| Min. Negotiated Rate |
$26,383.36 |
| Max. Negotiated Rate |
$27,702.53 |
| Rate for Payer: BCBS Complete |
$27,702.53
|
| Rate for Payer: Mclaren Medicaid |
$26,383.36
|
| Rate for Payer: Meridian Medicaid |
$27,702.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,383.36
|
| Rate for Payer: UHCCP Medicaid |
$27,702.53
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,744.99
|
|
|
Service Code
|
APR-DRG 0923
|
| Min. Negotiated Rate |
$14,995.23 |
| Max. Negotiated Rate |
$15,744.99 |
| Rate for Payer: BCBS Complete |
$15,744.99
|
| Rate for Payer: Mclaren Medicaid |
$14,995.23
|
| Rate for Payer: Meridian Medicaid |
$15,744.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,995.23
|
| Rate for Payer: UHCCP Medicaid |
$15,744.99
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 5312
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.45 |
| Rate for Payer: BCBS Complete |
$3,787.45
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.45
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 5313
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$2,867.64
|
|
|
Service Code
|
APR-DRG 5311
|
| 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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 5314
|
| Min. Negotiated Rate |
$11,285.07 |
| Max. Negotiated Rate |
$11,849.32 |
| Rate for Payer: BCBS Complete |
$11,849.32
|
| Rate for Payer: Mclaren Medicaid |
$11,285.07
|
| Rate for Payer: Meridian Medicaid |
$11,849.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,285.07
|
| Rate for Payer: UHCCP Medicaid |
$11,849.32
|
|