|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$69,905.60
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$66,576.76 |
| Max. Negotiated Rate |
$69,905.60 |
| Rate for Payer: BCBS Complete |
$69,905.60
|
| Rate for Payer: Mclaren Medicaid |
$66,576.76
|
| Rate for Payer: Meridian Medicaid |
$69,905.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,576.76
|
| Rate for Payer: UHCCP Medicaid |
$69,905.60
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$151,822.84
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$144,593.18 |
| Max. Negotiated Rate |
$151,822.84 |
| Rate for Payer: BCBS Complete |
$151,822.84
|
| Rate for Payer: Mclaren Medicaid |
$144,593.18
|
| Rate for Payer: Meridian Medicaid |
$151,822.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$144,593.18
|
| Rate for Payer: UHCCP Medicaid |
$151,822.84
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$91,331.77
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$86,982.64 |
| Max. Negotiated Rate |
$91,331.77 |
| Rate for Payer: BCBS Complete |
$91,331.77
|
| Rate for Payer: Mclaren Medicaid |
$86,982.64
|
| Rate for Payer: Meridian Medicaid |
$91,331.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$86,982.64
|
| Rate for Payer: UHCCP Medicaid |
$91,331.77
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$80,348.15
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$76,522.05 |
| Max. Negotiated Rate |
$80,348.15 |
| Rate for Payer: BCBS Complete |
$80,348.15
|
| Rate for Payer: Mclaren Medicaid |
$76,522.05
|
| Rate for Payer: Meridian Medicaid |
$80,348.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$76,522.05
|
| Rate for Payer: UHCCP Medicaid |
$80,348.15
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$2,988.74 |
| Max. Negotiated Rate |
$3,138.18 |
| Rate for Payer: BCBS Complete |
$3,138.18
|
| Rate for Payer: Mclaren Medicaid |
$2,988.74
|
| Rate for Payer: Meridian Medicaid |
$3,138.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 4232
|
| 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: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$18,720.85
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$17,829.38 |
| Max. Negotiated Rate |
$18,720.85 |
| Rate for Payer: BCBS Complete |
$18,720.85
|
| Rate for Payer: Mclaren Medicaid |
$17,829.38
|
| Rate for Payer: Meridian Medicaid |
$18,720.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,829.38
|
| Rate for Payer: UHCCP Medicaid |
$18,720.85
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,326.58
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,215.79 |
| Max. Negotiated Rate |
$2,326.58 |
| Rate for Payer: BCBS Complete |
$2,326.58
|
| Rate for Payer: Mclaren Medicaid |
$2,215.79
|
| Rate for Payer: Meridian Medicaid |
$2,326.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,215.79
|
| Rate for Payer: UHCCP Medicaid |
$2,326.58
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,399.39 |
| Max. Negotiated Rate |
$8,819.36 |
| Rate for Payer: BCBS Complete |
$8,819.36
|
| Rate for Payer: Mclaren Medicaid |
$8,399.39
|
| Rate for Payer: Meridian Medicaid |
$8,819.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,399.39
|
| Rate for Payer: UHCCP Medicaid |
$8,819.36
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 7102
|
| Min. Negotiated Rate |
$7,884.09 |
| Max. Negotiated Rate |
$8,278.29 |
| Rate for Payer: BCBS Complete |
$8,278.29
|
| Rate for Payer: Mclaren Medicaid |
$7,884.09
|
| Rate for Payer: Meridian Medicaid |
$8,278.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.09
|
| Rate for Payer: UHCCP Medicaid |
$8,278.29
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,965.30
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$19,014.57 |
| Max. Negotiated Rate |
$19,965.30 |
| Rate for Payer: BCBS Complete |
$19,965.30
|
| Rate for Payer: Mclaren Medicaid |
$19,014.57
|
| Rate for Payer: Meridian Medicaid |
$19,965.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,014.57
|
| Rate for Payer: UHCCP Medicaid |
$19,965.30
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,574.91
|
|
|
Service Code
|
APR-DRG 7101
|
| Min. Negotiated Rate |
$7,214.20 |
| Max. Negotiated Rate |
$7,574.91 |
| Rate for Payer: BCBS Complete |
$7,574.91
|
| Rate for Payer: Mclaren Medicaid |
$7,214.20
|
| Rate for Payer: Meridian Medicaid |
$7,574.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,214.20
|
| Rate for Payer: UHCCP Medicaid |
$7,574.91
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,797.16
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$13,140.15 |
| Max. Negotiated Rate |
$13,797.16 |
| Rate for Payer: BCBS Complete |
$13,797.16
|
| Rate for Payer: Mclaren Medicaid |
$13,140.15
|
| Rate for Payer: Meridian Medicaid |
$13,797.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,140.15
|
| Rate for Payer: UHCCP Medicaid |
$13,797.16
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$7,033.84
|
|
|
Service Code
|
APR-DRG 2453
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$10,409.06 |
| Max. Negotiated Rate |
$10,929.51 |
| Rate for Payer: BCBS Complete |
$10,929.51
|
| Rate for Payer: Mclaren Medicaid |
$10,409.06
|
| Rate for Payer: Meridian Medicaid |
$10,929.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,409.06
|
| Rate for Payer: UHCCP Medicaid |
$10,929.51
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$10,496.66
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$9,996.82 |
| Max. Negotiated Rate |
$10,496.66 |
| Rate for Payer: BCBS Complete |
$10,496.66
|
| Rate for Payer: Mclaren Medicaid |
$9,996.82
|
| Rate for Payer: Meridian Medicaid |
$10,496.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,996.82
|
| Rate for Payer: UHCCP Medicaid |
$10,496.66
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$18,774.96
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$17,880.91 |
| Max. Negotiated Rate |
$18,774.96 |
| Rate for Payer: BCBS Complete |
$18,774.96
|
| Rate for Payer: Mclaren Medicaid |
$17,880.91
|
| Rate for Payer: Meridian Medicaid |
$18,774.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,880.91
|
| Rate for Payer: UHCCP Medicaid |
$18,774.96
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 2282
|
| Min. Negotiated Rate |
$8,657.04 |
| Max. Negotiated Rate |
$9,089.89 |
| Rate for Payer: BCBS Complete |
$9,089.89
|
| Rate for Payer: Mclaren Medicaid |
$8,657.04
|
| Rate for Payer: Meridian Medicaid |
$9,089.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,657.04
|
| Rate for Payer: UHCCP Medicaid |
$9,089.89
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,901.49
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$9,429.99 |
| Max. Negotiated Rate |
$9,901.49 |
| Rate for Payer: BCBS Complete |
$9,901.49
|
| Rate for Payer: Mclaren Medicaid |
$9,429.99
|
| Rate for Payer: Meridian Medicaid |
$9,901.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,429.99
|
| Rate for Payer: UHCCP Medicaid |
$9,901.49
|
|