|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$73,584.84
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$70,080.80 |
| Max. Negotiated Rate |
$73,584.84 |
| Rate for Payer: BCBS Complete |
$73,584.84
|
| Rate for Payer: Mclaren Medicaid |
$70,080.80
|
| Rate for Payer: Meridian Medicaid |
$73,584.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$70,080.80
|
| Rate for Payer: UHCCP Medicaid |
$73,584.84
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$99,988.81
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$95,227.44 |
| Max. Negotiated Rate |
$99,988.81 |
| Rate for Payer: BCBS Complete |
$99,988.81
|
| Rate for Payer: Mclaren Medicaid |
$95,227.44
|
| Rate for Payer: Meridian Medicaid |
$99,988.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$95,227.44
|
| Rate for Payer: UHCCP Medicaid |
$99,988.81
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$73,584.84
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$70,080.80 |
| Max. Negotiated Rate |
$73,584.84 |
| Rate for Payer: BCBS Complete |
$73,584.84
|
| Rate for Payer: Mclaren Medicaid |
$70,080.80
|
| Rate for Payer: Meridian Medicaid |
$73,584.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$70,080.80
|
| Rate for Payer: UHCCP Medicaid |
$73,584.84
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$127,691.34
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$121,610.80 |
| Max. Negotiated Rate |
$127,691.34 |
| Rate for Payer: BCBS Complete |
$127,691.34
|
| Rate for Payer: Mclaren Medicaid |
$121,610.80
|
| Rate for Payer: Meridian Medicaid |
$127,691.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$121,610.80
|
| Rate for Payer: UHCCP Medicaid |
$127,691.34
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 4232
|
| Min. Negotiated Rate |
$4,998.41 |
| Max. Negotiated Rate |
$5,248.33 |
| Rate for Payer: BCBS Complete |
$5,248.33
|
| Rate for Payer: Mclaren Medicaid |
$4,998.41
|
| Rate for Payer: Meridian Medicaid |
$5,248.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,998.41
|
| Rate for Payer: UHCCP Medicaid |
$5,248.33
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$20,560.47
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$19,581.40 |
| Max. Negotiated Rate |
$20,560.47 |
| Rate for Payer: BCBS Complete |
$20,560.47
|
| Rate for Payer: Mclaren Medicaid |
$19,581.40
|
| Rate for Payer: Meridian Medicaid |
$20,560.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,581.40
|
| Rate for Payer: UHCCP Medicaid |
$20,560.47
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$7,626.44 |
| Max. Negotiated Rate |
$8,007.76 |
| Rate for Payer: BCBS Complete |
$8,007.76
|
| Rate for Payer: Mclaren Medicaid |
$7,626.44
|
| Rate for Payer: Meridian Medicaid |
$8,007.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$3,555.57 |
| Max. Negotiated Rate |
$3,733.35 |
| Rate for Payer: BCBS Complete |
$3,733.35
|
| Rate for Payer: Mclaren Medicaid |
$3,555.57
|
| Rate for Payer: Meridian Medicaid |
$3,733.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,555.57
|
| Rate for Payer: UHCCP Medicaid |
$3,733.35
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,110.15
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,009.67 |
| Max. Negotiated Rate |
$2,110.15 |
| Rate for Payer: BCBS Complete |
$2,110.15
|
| Rate for Payer: Mclaren Medicaid |
$2,009.67
|
| Rate for Payer: Meridian Medicaid |
$2,110.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,009.67
|
| Rate for Payer: UHCCP Medicaid |
$2,110.15
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,483.11 |
| Max. Negotiated Rate |
$4,707.27 |
| Rate for Payer: BCBS Complete |
$4,707.27
|
| Rate for Payer: Mclaren Medicaid |
$4,483.11
|
| Rate for Payer: Meridian Medicaid |
$4,707.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.11
|
| Rate for Payer: UHCCP Medicaid |
$4,707.27
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,605.51 |
| Max. Negotiated Rate |
$9,035.79 |
| Rate for Payer: BCBS Complete |
$9,035.79
|
| Rate for Payer: Mclaren Medicaid |
$8,605.51
|
| Rate for Payer: Meridian Medicaid |
$9,035.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,605.51
|
| Rate for Payer: UHCCP Medicaid |
$9,035.79
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 7102
|
| 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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,961.42
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$15,201.35 |
| Max. Negotiated Rate |
$15,961.42 |
| Rate for Payer: BCBS Complete |
$15,961.42
|
| Rate for Payer: Mclaren Medicaid |
$15,201.35
|
| Rate for Payer: Meridian Medicaid |
$15,961.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,201.35
|
| Rate for Payer: UHCCP Medicaid |
$15,961.42
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$24,564.35
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$23,394.62 |
| Max. Negotiated Rate |
$24,564.35 |
| Rate for Payer: BCBS Complete |
$24,564.35
|
| Rate for Payer: Mclaren Medicaid |
$23,394.62
|
| Rate for Payer: Meridian Medicaid |
$24,564.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,394.62
|
| Rate for Payer: UHCCP Medicaid |
$24,564.35
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 7101
|
| Min. Negotiated Rate |
$6,956.55 |
| Max. Negotiated Rate |
$7,304.38 |
| Rate for Payer: BCBS Complete |
$7,304.38
|
| Rate for Payer: Mclaren Medicaid |
$6,956.55
|
| Rate for Payer: Meridian Medicaid |
$7,304.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,956.55
|
| Rate for Payer: UHCCP Medicaid |
$7,304.38
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,091.80 |
| Max. Negotiated Rate |
$3,246.39 |
| Rate for Payer: BCBS Complete |
$3,246.39
|
| Rate for Payer: Mclaren Medicaid |
$3,091.80
|
| Rate for Payer: Meridian Medicaid |
$3,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$17,368.19
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$16,541.13 |
| Max. Negotiated Rate |
$17,368.19 |
| Rate for Payer: BCBS Complete |
$17,368.19
|
| Rate for Payer: Mclaren Medicaid |
$16,541.13
|
| Rate for Payer: Meridian Medicaid |
$17,368.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,541.13
|
| Rate for Payer: UHCCP Medicaid |
$17,368.19
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 2282
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,739.17
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$9,275.40 |
| Max. Negotiated Rate |
$9,739.17 |
| Rate for Payer: BCBS Complete |
$9,739.17
|
| Rate for Payer: Mclaren Medicaid |
$9,275.40
|
| Rate for Payer: Meridian Medicaid |
$9,739.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,275.40
|
| Rate for Payer: UHCCP Medicaid |
$9,739.17
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$12,264.14 |
| Max. Negotiated Rate |
$12,877.35 |
| Rate for Payer: BCBS Complete |
$12,877.35
|
| Rate for Payer: Mclaren Medicaid |
$12,264.14
|
| Rate for Payer: Meridian Medicaid |
$12,877.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,264.14
|
| Rate for Payer: UHCCP Medicaid |
$12,877.35
|
|