|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$36,792.42
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$35,040.40 |
| Max. Negotiated Rate |
$36,792.42 |
| Rate for Payer: BCBS Complete |
$36,792.42
|
| Rate for Payer: Mclaren Medicaid |
$35,040.40
|
| Rate for Payer: Meridian Medicaid |
$36,792.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,040.40
|
| Rate for Payer: UHCCP Medicaid |
$36,792.42
|
|
|
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
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$20,776.90
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$19,787.52 |
| Max. Negotiated Rate |
$20,776.90 |
| Rate for Payer: BCBS Complete |
$20,776.90
|
| Rate for Payer: Mclaren Medicaid |
$19,787.52
|
| Rate for Payer: Meridian Medicaid |
$20,776.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,787.52
|
| Rate for Payer: UHCCP Medicaid |
$20,776.90
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,434.79
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,318.85 |
| Max. Negotiated Rate |
$2,434.79 |
| Rate for Payer: BCBS Complete |
$2,434.79
|
| Rate for Payer: Mclaren Medicaid |
$2,318.85
|
| Rate for Payer: Meridian Medicaid |
$2,434.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,318.85
|
| Rate for Payer: UHCCP Medicaid |
$2,434.79
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$6,338.19 |
| Max. Negotiated Rate |
$6,655.10 |
| Rate for Payer: BCBS Complete |
$6,655.10
|
| Rate for Payer: Mclaren Medicaid |
$6,338.19
|
| Rate for Payer: Meridian Medicaid |
$6,655.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,338.19
|
| Rate for Payer: UHCCP Medicaid |
$6,655.10
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 8174
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 1421
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,901.49
|
|
|
Service Code
|
APR-DRG 1424
|
| 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
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 2471
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$5,153.00 |
| Max. Negotiated Rate |
$5,410.65 |
| Rate for Payer: BCBS Complete |
$5,410.65
|
| Rate for Payer: Mclaren Medicaid |
$5,153.00
|
| Rate for Payer: Meridian Medicaid |
$5,410.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,153.00
|
| Rate for Payer: UHCCP Medicaid |
$5,410.65
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,787.46
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.46 |
| Rate for Payer: BCBS Complete |
$3,787.46
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.46
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 2474
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 0441
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$7,574.91
|
|
|
Service Code
|
APR-DRG 0442
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 4631
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,679.24
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$3,504.04 |
| Max. Negotiated Rate |
$3,679.24 |
| Rate for Payer: BCBS Complete |
$3,679.24
|
| Rate for Payer: Mclaren Medicaid |
$3,504.04
|
| Rate for Payer: Meridian Medicaid |
$3,679.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,504.04
|
| Rate for Payer: UHCCP Medicaid |
$3,679.24
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$7,317.26 |
| Max. Negotiated Rate |
$7,683.12 |
| Rate for Payer: BCBS Complete |
$7,683.12
|
| Rate for Payer: Mclaren Medicaid |
$7,317.26
|
| Rate for Payer: Meridian Medicaid |
$7,683.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,317.26
|
| Rate for Payer: UHCCP Medicaid |
$7,683.12
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$4,792.29 |
| Max. Negotiated Rate |
$5,031.90 |
| Rate for Payer: BCBS Complete |
$5,031.90
|
| Rate for Payer: Mclaren Medicaid |
$4,792.29
|
| Rate for Payer: Meridian Medicaid |
$5,031.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.29
|
| Rate for Payer: UHCCP Medicaid |
$5,031.90
|
|