|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 3162
|
| 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: 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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,719.83 |
| Max. Negotiated Rate |
$6,005.82 |
| Rate for Payer: BCBS Complete |
$6,005.82
|
| Rate for Payer: Mclaren Medicaid |
$5,719.83
|
| Rate for Payer: Meridian Medicaid |
$6,005.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,719.83
|
| Rate for Payer: UHCCP Medicaid |
$6,005.82
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$3,967.81 |
| Max. Negotiated Rate |
$4,166.20 |
| Rate for Payer: BCBS Complete |
$4,166.20
|
| Rate for Payer: Mclaren Medicaid |
$3,967.81
|
| Rate for Payer: Meridian Medicaid |
$4,166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,967.81
|
| Rate for Payer: UHCCP Medicaid |
$4,166.20
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$9,847.38
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$9,378.46 |
| Max. Negotiated Rate |
$9,847.38 |
| Rate for Payer: BCBS Complete |
$9,847.38
|
| Rate for Payer: Mclaren Medicaid |
$9,378.46
|
| Rate for Payer: Meridian Medicaid |
$9,847.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,378.46
|
| Rate for Payer: UHCCP Medicaid |
$9,847.38
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$13,851.26
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$13,191.68 |
| Max. Negotiated Rate |
$13,851.26 |
| Rate for Payer: BCBS Complete |
$13,851.26
|
| Rate for Payer: Mclaren Medicaid |
$13,191.68
|
| Rate for Payer: Meridian Medicaid |
$13,851.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,191.68
|
| Rate for Payer: UHCCP Medicaid |
$13,851.26
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1941
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 1943
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 1942
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$7,033.84
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.84 |
| Rate for Payer: BCBS Complete |
$7,033.84
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.84
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 8104
|
| Min. Negotiated Rate |
$12,779.44 |
| Max. Negotiated Rate |
$13,418.41 |
| Rate for Payer: BCBS Complete |
$13,418.41
|
| Rate for Payer: Mclaren Medicaid |
$12,779.44
|
| Rate for Payer: Meridian Medicaid |
$13,418.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,779.44
|
| Rate for Payer: UHCCP Medicaid |
$13,418.41
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 2792
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 2793
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$15,203.93
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$14,479.93 |
| Max. Negotiated Rate |
$15,203.93 |
| Rate for Payer: BCBS Complete |
$15,203.93
|
| Rate for Payer: Mclaren Medicaid |
$14,479.93
|
| Rate for Payer: Meridian Medicaid |
$15,203.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.93
|
| Rate for Payer: UHCCP Medicaid |
$15,203.93
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$18,937.28
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$18,035.50 |
| Max. Negotiated Rate |
$18,937.28 |
| Rate for Payer: BCBS Complete |
$18,937.28
|
| Rate for Payer: Mclaren Medicaid |
$18,035.50
|
| Rate for Payer: Meridian Medicaid |
$18,937.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,035.50
|
| Rate for Payer: UHCCP Medicaid |
$18,937.28
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$10,172.02
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$9,687.64 |
| Max. Negotiated Rate |
$10,172.02 |
| Rate for Payer: BCBS Complete |
$10,172.02
|
| Rate for Payer: Mclaren Medicaid |
$9,687.64
|
| Rate for Payer: Meridian Medicaid |
$10,172.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,687.64
|
| Rate for Payer: UHCCP Medicaid |
$10,172.02
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,741.11
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$11,182.01 |
| Max. Negotiated Rate |
$11,741.11 |
| Rate for Payer: BCBS Complete |
$11,741.11
|
| Rate for Payer: Mclaren Medicaid |
$11,182.01
|
| Rate for Payer: Meridian Medicaid |
$11,741.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,182.01
|
| Rate for Payer: UHCCP Medicaid |
$11,741.11
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$8,332.40
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$7,935.62 |
| Max. Negotiated Rate |
$8,332.40 |
| Rate for Payer: BCBS Complete |
$8,332.40
|
| Rate for Payer: Mclaren Medicaid |
$7,935.62
|
| Rate for Payer: Meridian Medicaid |
$8,332.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,935.62
|
| Rate for Payer: UHCCP Medicaid |
$8,332.40
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$21,967.24
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$20,921.18 |
| Max. Negotiated Rate |
$21,967.24 |
| Rate for Payer: BCBS Complete |
$21,967.24
|
| Rate for Payer: Mclaren Medicaid |
$20,921.18
|
| Rate for Payer: Meridian Medicaid |
$21,967.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,921.18
|
| Rate for Payer: UHCCP Medicaid |
$21,967.24
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$10,172.02
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$9,687.64 |
| Max. Negotiated Rate |
$10,172.02 |
| Rate for Payer: BCBS Complete |
$10,172.02
|
| Rate for Payer: Mclaren Medicaid |
$9,687.64
|
| Rate for Payer: Meridian Medicaid |
$10,172.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,687.64
|
| Rate for Payer: UHCCP Medicaid |
$10,172.02
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$12,161.08 |
| Max. Negotiated Rate |
$12,769.13 |
| Rate for Payer: BCBS Complete |
$12,769.13
|
| Rate for Payer: Mclaren Medicaid |
$12,161.08
|
| Rate for Payer: Meridian Medicaid |
$12,769.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,161.08
|
| Rate for Payer: UHCCP Medicaid |
$12,769.13
|
|