|
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
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,307.59 |
| Max. Negotiated Rate |
$5,572.97 |
| Rate for Payer: BCBS Complete |
$5,572.97
|
| Rate for Payer: Mclaren Medicaid |
$5,307.59
|
| Rate for Payer: Meridian Medicaid |
$5,572.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,307.59
|
| Rate for Payer: UHCCP Medicaid |
$5,572.97
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$93,171.39
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$88,734.66 |
| Max. Negotiated Rate |
$93,171.39 |
| Rate for Payer: BCBS Complete |
$93,171.39
|
| Rate for Payer: Mclaren Medicaid |
$88,734.66
|
| Rate for Payer: Meridian Medicaid |
$93,171.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$88,734.66
|
| Rate for Payer: UHCCP Medicaid |
$93,171.39
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$171,084.75
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$162,937.86 |
| Max. Negotiated Rate |
$171,084.75 |
| Rate for Payer: BCBS Complete |
$171,084.75
|
| Rate for Payer: Mclaren Medicaid |
$162,937.86
|
| Rate for Payer: Meridian Medicaid |
$171,084.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$162,937.86
|
| Rate for Payer: UHCCP Medicaid |
$171,084.75
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$70,554.88
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$67,195.12 |
| Max. Negotiated Rate |
$70,554.88 |
| Rate for Payer: BCBS Complete |
$70,554.88
|
| Rate for Payer: Mclaren Medicaid |
$67,195.12
|
| Rate for Payer: Meridian Medicaid |
$70,554.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$67,195.12
|
| Rate for Payer: UHCCP Medicaid |
$70,554.88
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$62,384.79
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$59,414.09 |
| Max. Negotiated Rate |
$62,384.79 |
| Rate for Payer: BCBS Complete |
$62,384.79
|
| Rate for Payer: Mclaren Medicaid |
$59,414.09
|
| Rate for Payer: Meridian Medicaid |
$62,384.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,414.09
|
| Rate for Payer: UHCCP Medicaid |
$62,384.79
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 1942
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$12,606.81
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$12,006.49 |
| Max. Negotiated Rate |
$12,606.81 |
| Rate for Payer: BCBS Complete |
$12,606.81
|
| Rate for Payer: Mclaren Medicaid |
$12,006.49
|
| Rate for Payer: Meridian Medicaid |
$12,606.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,006.49
|
| Rate for Payer: UHCCP Medicaid |
$12,606.81
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$2,867.64
|
|
|
Service Code
|
APR-DRG 1941
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 1943
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 8104
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$13,310.20
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$12,676.38 |
| Max. Negotiated Rate |
$13,310.20 |
| Rate for Payer: BCBS Complete |
$13,310.20
|
| Rate for Payer: Mclaren Medicaid |
$12,676.38
|
| Rate for Payer: Meridian Medicaid |
$13,310.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,676.38
|
| Rate for Payer: UHCCP Medicaid |
$13,310.20
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 2793
|
| Min. Negotiated Rate |
$6,647.37 |
| Max. Negotiated Rate |
$6,979.74 |
| Rate for Payer: BCBS Complete |
$6,979.74
|
| Rate for Payer: Mclaren Medicaid |
$6,647.37
|
| Rate for Payer: Meridian Medicaid |
$6,979.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,647.37
|
| Rate for Payer: UHCCP Medicaid |
$6,979.74
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 2792
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$7,677.97 |
| Max. Negotiated Rate |
$8,061.87 |
| Rate for Payer: BCBS Complete |
$8,061.87
|
| Rate for Payer: Mclaren Medicaid |
$7,677.97
|
| Rate for Payer: Meridian Medicaid |
$8,061.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,677.97
|
| Rate for Payer: UHCCP Medicaid |
$8,061.87
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 2271
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$20,993.32
|
|
|
Service Code
|
APR-DRG 2274
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$16,827.12
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$16,025.83 |
| Max. Negotiated Rate |
$16,827.12 |
| Rate for Payer: BCBS Complete |
$16,827.12
|
| Rate for Payer: Mclaren Medicaid |
$16,025.83
|
| Rate for Payer: Meridian Medicaid |
$16,827.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,025.83
|
| Rate for Payer: UHCCP Medicaid |
$16,827.12
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,198.10
|
|
|
Service Code
|
APR-DRG 3082
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 3081
|
| 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
|
|