|
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
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 3423
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 3422
|
| 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
|
$13,093.77
|
|
|
Service Code
|
APR-DRG 2323
|
| Min. Negotiated Rate |
$12,470.26 |
| Max. Negotiated Rate |
$13,093.77 |
| Rate for Payer: BCBS Complete |
$13,093.77
|
| Rate for Payer: Mclaren Medicaid |
$12,470.26
|
| Rate for Payer: Meridian Medicaid |
$13,093.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,470.26
|
| Rate for Payer: UHCCP Medicaid |
$13,093.77
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$20,993.32
|
|
|
Service Code
|
APR-DRG 2324
|
| Min. Negotiated Rate |
$19,993.64 |
| Max. Negotiated Rate |
$20,993.32 |
| Rate for Payer: BCBS Complete |
$20,993.32
|
| Rate for Payer: Mclaren Medicaid |
$19,993.64
|
| Rate for Payer: Meridian Medicaid |
$20,993.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,993.64
|
| Rate for Payer: UHCCP Medicaid |
$20,993.32
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 2321
|
| Min. Negotiated Rate |
$6,286.66 |
| Max. Negotiated Rate |
$6,600.99 |
| Rate for Payer: BCBS Complete |
$6,600.99
|
| Rate for Payer: Mclaren Medicaid |
$6,286.66
|
| Rate for Payer: Meridian Medicaid |
$6,600.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,286.66
|
| Rate for Payer: UHCCP Medicaid |
$6,600.99
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 2322
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 2464
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 2462
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 2461
|
| Min. Negotiated Rate |
$3,194.86 |
| Max. Negotiated Rate |
$3,354.60 |
| Rate for Payer: BCBS Complete |
$3,354.60
|
| Rate for Payer: Mclaren Medicaid |
$3,194.86
|
| Rate for Payer: Meridian Medicaid |
$3,354.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,194.86
|
| Rate for Payer: UHCCP Medicaid |
$3,354.60
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 2463
|
| 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: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$58,651.45
|
|
|
Service Code
|
APR-DRG 8514
|
| Min. Negotiated Rate |
$55,858.52 |
| Max. Negotiated Rate |
$58,651.45 |
| Rate for Payer: BCBS Complete |
$58,651.45
|
| Rate for Payer: Mclaren Medicaid |
$55,858.52
|
| Rate for Payer: Meridian Medicaid |
$58,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$55,858.52
|
| Rate for Payer: UHCCP Medicaid |
$58,651.45
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$10,604.87
|
|
|
Service Code
|
APR-DRG 8511
|
| Min. Negotiated Rate |
$10,099.88 |
| Max. Negotiated Rate |
$10,604.87 |
| Rate for Payer: BCBS Complete |
$10,604.87
|
| Rate for Payer: Mclaren Medicaid |
$10,099.88
|
| Rate for Payer: Meridian Medicaid |
$10,604.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,099.88
|
| Rate for Payer: UHCCP Medicaid |
$10,604.87
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$18,125.68
|
|
|
Service Code
|
APR-DRG 8512
|
| Min. Negotiated Rate |
$17,262.55 |
| Max. Negotiated Rate |
$18,125.68 |
| Rate for Payer: BCBS Complete |
$18,125.68
|
| Rate for Payer: Mclaren Medicaid |
$17,262.55
|
| Rate for Payer: Meridian Medicaid |
$18,125.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,262.55
|
| Rate for Payer: UHCCP Medicaid |
$18,125.68
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$58,651.45
|
|
|
Service Code
|
APR-DRG 8513
|
| Min. Negotiated Rate |
$55,858.52 |
| Max. Negotiated Rate |
$58,651.45 |
| Rate for Payer: BCBS Complete |
$58,651.45
|
| Rate for Payer: Mclaren Medicaid |
$55,858.52
|
| Rate for Payer: Meridian Medicaid |
$58,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$55,858.52
|
| Rate for Payer: UHCCP Medicaid |
$58,651.45
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$17,097.65
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$16,283.48 |
| Max. Negotiated Rate |
$17,097.65 |
| Rate for Payer: BCBS Complete |
$17,097.65
|
| Rate for Payer: Mclaren Medicaid |
$16,283.48
|
| Rate for Payer: Meridian Medicaid |
$17,097.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,283.48
|
| Rate for Payer: UHCCP Medicaid |
$17,097.65
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 4281
|
| Min. Negotiated Rate |
$3,813.22 |
| Max. Negotiated Rate |
$4,003.88 |
| Rate for Payer: BCBS Complete |
$4,003.88
|
| Rate for Payer: Mclaren Medicaid |
$3,813.22
|
| Rate for Payer: Meridian Medicaid |
$4,003.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$29,001.08
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$27,620.08 |
| Max. Negotiated Rate |
$29,001.08 |
| Rate for Payer: BCBS Complete |
$29,001.08
|
| Rate for Payer: Mclaren Medicaid |
$27,620.08
|
| Rate for Payer: Meridian Medicaid |
$29,001.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,620.08
|
| Rate for Payer: UHCCP Medicaid |
$29,001.08
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$5,925.95 |
| Max. Negotiated Rate |
$6,222.25 |
| Rate for Payer: BCBS Complete |
$6,222.25
|
| Rate for Payer: Mclaren Medicaid |
$5,925.95
|
| Rate for Payer: Meridian Medicaid |
$6,222.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,925.95
|
| Rate for Payer: UHCCP Medicaid |
$6,222.25
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$17,097.65
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$16,283.48 |
| Max. Negotiated Rate |
$17,097.65 |
| Rate for Payer: BCBS Complete |
$17,097.65
|
| Rate for Payer: Mclaren Medicaid |
$16,283.48
|
| Rate for Payer: Meridian Medicaid |
$17,097.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,283.48
|
| Rate for Payer: UHCCP Medicaid |
$17,097.65
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 3162
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 3163
|
| Min. Negotiated Rate |
$10,254.47 |
| Max. Negotiated Rate |
$10,767.19 |
| Rate for Payer: BCBS Complete |
$10,767.19
|
| Rate for Payer: Mclaren Medicaid |
$10,254.47
|
| Rate for Payer: Meridian Medicaid |
$10,767.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,254.47
|
| Rate for Payer: UHCCP Medicaid |
$10,767.19
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 3161
|
| 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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$14,987.50
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$14,273.81 |
| Max. Negotiated Rate |
$14,987.50 |
| Rate for Payer: BCBS Complete |
$14,987.50
|
| Rate for Payer: Mclaren Medicaid |
$14,273.81
|
| Rate for Payer: Meridian Medicaid |
$14,987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,273.81
|
| Rate for Payer: UHCCP Medicaid |
$14,987.50
|
|