|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 5303
|
| Min. Negotiated Rate |
$7,162.67 |
| Max. Negotiated Rate |
$7,520.80 |
| Rate for Payer: BCBS Complete |
$7,520.80
|
| Rate for Payer: Mclaren Medicaid |
$7,162.67
|
| Rate for Payer: Meridian Medicaid |
$7,520.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,162.67
|
| Rate for Payer: UHCCP Medicaid |
$7,520.80
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$11,903.43
|
|
|
Service Code
|
APR-DRG 5304
|
| Min. Negotiated Rate |
$11,336.60 |
| Max. Negotiated Rate |
$11,903.43 |
| Rate for Payer: BCBS Complete |
$11,903.43
|
| Rate for Payer: Mclaren Medicaid |
$11,336.60
|
| Rate for Payer: Meridian Medicaid |
$11,903.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,336.60
|
| Rate for Payer: UHCCP Medicaid |
$11,903.43
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 5302
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 5301
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 5142
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 5141
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 5143
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$22,183.67
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$21,127.30 |
| Max. Negotiated Rate |
$22,183.67 |
| Rate for Payer: BCBS Complete |
$22,183.67
|
| Rate for Payer: Mclaren Medicaid |
$21,127.30
|
| Rate for Payer: Meridian Medicaid |
$22,183.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,127.30
|
| Rate for Payer: UHCCP Medicaid |
$22,183.67
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 7222
|
| Min. Negotiated Rate |
$3,297.92 |
| Max. Negotiated Rate |
$3,462.82 |
| Rate for Payer: BCBS Complete |
$3,462.82
|
| Rate for Payer: Mclaren Medicaid |
$3,297.92
|
| Rate for Payer: Meridian Medicaid |
$3,462.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$7,059.61 |
| Max. Negotiated Rate |
$7,412.59 |
| Rate for Payer: BCBS Complete |
$7,412.59
|
| Rate for Payer: Mclaren Medicaid |
$7,059.61
|
| Rate for Payer: Meridian Medicaid |
$7,412.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,059.61
|
| Rate for Payer: UHCCP Medicaid |
$7,412.59
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,534.64 |
| Max. Negotiated Rate |
$4,761.37 |
| Rate for Payer: BCBS Complete |
$4,761.37
|
| Rate for Payer: Mclaren Medicaid |
$4,534.64
|
| Rate for Payer: Meridian Medicaid |
$4,761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,534.64
|
| Rate for Payer: UHCCP Medicaid |
$4,761.37
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,543.01
|
|
|
Service Code
|
APR-DRG 7221
|
| Min. Negotiated Rate |
$2,421.91 |
| Max. Negotiated Rate |
$2,543.01 |
| Rate for Payer: BCBS Complete |
$2,543.01
|
| Rate for Payer: Mclaren Medicaid |
$2,421.91
|
| Rate for Payer: Meridian Medicaid |
$2,543.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,421.91
|
| Rate for Payer: UHCCP Medicaid |
$2,543.01
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$16,935.33
|
|
|
Service Code
|
APR-DRG 3144
|
| Min. Negotiated Rate |
$16,128.89 |
| Max. Negotiated Rate |
$16,935.33 |
| Rate for Payer: BCBS Complete |
$16,935.33
|
| Rate for Payer: Mclaren Medicaid |
$16,128.89
|
| Rate for Payer: Meridian Medicaid |
$16,935.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,128.89
|
| Rate for Payer: UHCCP Medicaid |
$16,935.33
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 3141
|
| Min. Negotiated Rate |
$5,049.94 |
| Max. Negotiated Rate |
$5,302.44 |
| Rate for Payer: BCBS Complete |
$5,302.44
|
| Rate for Payer: Mclaren Medicaid |
$5,049.94
|
| Rate for Payer: Meridian Medicaid |
$5,302.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,049.94
|
| Rate for Payer: UHCCP Medicaid |
$5,302.44
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$10,550.77
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$10,048.35 |
| Max. Negotiated Rate |
$10,550.77 |
| Rate for Payer: BCBS Complete |
$10,550.77
|
| Rate for Payer: Mclaren Medicaid |
$10,048.35
|
| Rate for Payer: Meridian Medicaid |
$10,550.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,048.35
|
| Rate for Payer: UHCCP Medicaid |
$10,550.77
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$7,033.85
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.85 |
| Rate for Payer: BCBS Complete |
$7,033.85
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.85
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 3404
|
| Min. Negotiated Rate |
$7,884.09 |
| Max. Negotiated Rate |
$8,278.29 |
| Rate for Payer: BCBS Complete |
$8,278.29
|
| Rate for Payer: Mclaren Medicaid |
$7,884.09
|
| Rate for Payer: Meridian Medicaid |
$8,278.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.09
|
| Rate for Payer: UHCCP Medicaid |
$8,278.29
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 3401
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 3403
|
| 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: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 3402
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$10,388.45
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$9,893.76 |
| Max. Negotiated Rate |
$10,388.45 |
| Rate for Payer: BCBS Complete |
$10,388.45
|
| Rate for Payer: Mclaren Medicaid |
$9,893.76
|
| Rate for Payer: Meridian Medicaid |
$10,388.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,893.76
|
| Rate for Payer: UHCCP Medicaid |
$10,388.45
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$5,681.18
|
|
|
Service Code
|
APR-DRG 3413
|
| Min. Negotiated Rate |
$5,410.65 |
| Max. Negotiated Rate |
$5,681.18 |
| Rate for Payer: BCBS Complete |
$5,681.18
|
| Rate for Payer: Mclaren Medicaid |
$5,410.65
|
| Rate for Payer: Meridian Medicaid |
$5,681.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,410.65
|
| Rate for Payer: UHCCP Medicaid |
$5,681.18
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 3411
|
| Min. Negotiated Rate |
$2,885.68 |
| Max. Negotiated Rate |
$3,029.96 |
| Rate for Payer: BCBS Complete |
$3,029.96
|
| Rate for Payer: Mclaren Medicaid |
$2,885.68
|
| Rate for Payer: Meridian Medicaid |
$3,029.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,885.68
|
| Rate for Payer: UHCCP Medicaid |
$3,029.96
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$11,037.73
|
|
|
Service Code
|
APR-DRG 3424
|
| Min. Negotiated Rate |
$10,512.12 |
| Max. Negotiated Rate |
$11,037.73 |
| Rate for Payer: BCBS Complete |
$11,037.73
|
| Rate for Payer: Mclaren Medicaid |
$10,512.12
|
| Rate for Payer: Meridian Medicaid |
$11,037.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,512.12
|
| Rate for Payer: UHCCP Medicaid |
$11,037.73
|
|