|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$15,366.25
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$14,634.52 |
| Max. Negotiated Rate |
$15,366.25 |
| Rate for Payer: BCBS Complete |
$15,366.25
|
| Rate for Payer: Mclaren Medicaid |
$14,634.52
|
| Rate for Payer: Meridian Medicaid |
$15,366.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,634.52
|
| Rate for Payer: UHCCP Medicaid |
$15,366.25
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 3411
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 3423
|
| Min. Negotiated Rate |
$6,595.84 |
| Max. Negotiated Rate |
$6,925.63 |
| Rate for Payer: BCBS Complete |
$6,925.63
|
| Rate for Payer: Mclaren Medicaid |
$6,595.84
|
| Rate for Payer: Meridian Medicaid |
$6,925.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,595.84
|
| Rate for Payer: UHCCP Medicaid |
$6,925.63
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 3422
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 3424
|
| Min. Negotiated Rate |
$11,800.37 |
| Max. Negotiated Rate |
$12,390.39 |
| Rate for Payer: BCBS Complete |
$12,390.39
|
| Rate for Payer: Mclaren Medicaid |
$11,800.37
|
| Rate for Payer: Meridian Medicaid |
$12,390.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,800.37
|
| Rate for Payer: UHCCP Medicaid |
$12,390.39
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 3421
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$14,175.90
|
|
|
Service Code
|
APR-DRG 2323
|
| Min. Negotiated Rate |
$13,500.86 |
| Max. Negotiated Rate |
$14,175.90 |
| Rate for Payer: BCBS Complete |
$14,175.90
|
| Rate for Payer: Mclaren Medicaid |
$13,500.86
|
| Rate for Payer: Meridian Medicaid |
$14,175.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,500.86
|
| Rate for Payer: UHCCP Medicaid |
$14,175.90
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$22,778.84
|
|
|
Service Code
|
APR-DRG 2324
|
| Min. Negotiated Rate |
$21,694.13 |
| Max. Negotiated Rate |
$22,778.84 |
| Rate for Payer: BCBS Complete |
$22,778.84
|
| Rate for Payer: Mclaren Medicaid |
$21,694.13
|
| Rate for Payer: Meridian Medicaid |
$22,778.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,694.13
|
| Rate for Payer: UHCCP Medicaid |
$22,778.84
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 2321
|
| Min. Negotiated Rate |
$6,801.96 |
| Max. Negotiated Rate |
$7,142.06 |
| Rate for Payer: BCBS Complete |
$7,142.06
|
| Rate for Payer: Mclaren Medicaid |
$6,801.96
|
| Rate for Payer: Meridian Medicaid |
$7,142.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,801.96
|
| Rate for Payer: UHCCP Medicaid |
$7,142.06
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 2322
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$7,899.55
|
|
|
Service Code
|
APR-DRG 2463
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 2461
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 2464
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 2462
|
| Min. Negotiated Rate |
$5,153.00 |
| Max. Negotiated Rate |
$5,410.65 |
| Rate for Payer: BCBS Complete |
$5,410.65
|
| Rate for Payer: Mclaren Medicaid |
$5,153.00
|
| Rate for Payer: Meridian Medicaid |
$5,410.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,153.00
|
| Rate for Payer: UHCCP Medicaid |
$5,410.65
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$15,690.88
|
|
|
Service Code
|
APR-DRG 8512
|
| Min. Negotiated Rate |
$14,943.70 |
| Max. Negotiated Rate |
$15,690.88 |
| Rate for Payer: BCBS Complete |
$15,690.88
|
| Rate for Payer: Mclaren Medicaid |
$14,943.70
|
| Rate for Payer: Meridian Medicaid |
$15,690.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,943.70
|
| Rate for Payer: UHCCP Medicaid |
$15,690.88
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$50,806.00
|
|
|
Service Code
|
APR-DRG 8514
|
| Min. Negotiated Rate |
$48,386.67 |
| Max. Negotiated Rate |
$50,806.00 |
| Rate for Payer: BCBS Complete |
$50,806.00
|
| Rate for Payer: Mclaren Medicaid |
$48,386.67
|
| Rate for Payer: Meridian Medicaid |
$50,806.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,386.67
|
| Rate for Payer: UHCCP Medicaid |
$50,806.00
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$9,198.10
|
|
|
Service Code
|
APR-DRG 8511
|
| Min. Negotiated Rate |
$8,760.10 |
| Max. Negotiated Rate |
$9,198.10 |
| Rate for Payer: BCBS Complete |
$9,198.10
|
| Rate for Payer: Mclaren Medicaid |
$8,760.10
|
| Rate for Payer: Meridian Medicaid |
$9,198.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,760.10
|
| Rate for Payer: UHCCP Medicaid |
$9,198.10
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$50,806.00
|
|
|
Service Code
|
APR-DRG 8513
|
| Min. Negotiated Rate |
$48,386.67 |
| Max. Negotiated Rate |
$50,806.00 |
| Rate for Payer: BCBS Complete |
$50,806.00
|
| Rate for Payer: Mclaren Medicaid |
$48,386.67
|
| Rate for Payer: Meridian Medicaid |
$50,806.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,386.67
|
| Rate for Payer: UHCCP Medicaid |
$50,806.00
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 4282
|
| 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: GENETIC DISORDERS
|
Facility
|
IP
|
$14,825.18
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$14,119.22 |
| Max. Negotiated Rate |
$14,825.18 |
| Rate for Payer: BCBS Complete |
$14,825.18
|
| Rate for Payer: Mclaren Medicaid |
$14,119.22
|
| Rate for Payer: Meridian Medicaid |
$14,825.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,119.22
|
| Rate for Payer: UHCCP Medicaid |
$14,825.18
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$25,105.42
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$23,909.92 |
| Max. Negotiated Rate |
$25,105.42 |
| Rate for Payer: BCBS Complete |
$25,105.42
|
| Rate for Payer: Mclaren Medicaid |
$23,909.92
|
| Rate for Payer: Meridian Medicaid |
$25,105.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,909.92
|
| Rate for Payer: UHCCP Medicaid |
$25,105.42
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 4281
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$17,584.61
|
|
|
Service Code
|
APR-DRG 3164
|
| 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
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$11,145.94
|
|
|
Service Code
|
APR-DRG 3163
|
| 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
|
|