|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$24,456.14
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$23,291.56 |
| Max. Negotiated Rate |
$24,456.14 |
| Rate for Payer: BCBS Complete |
$24,456.14
|
| Rate for Payer: Mclaren Medicaid |
$23,291.56
|
| Rate for Payer: Meridian Medicaid |
$24,456.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,291.56
|
| Rate for Payer: UHCCP Medicaid |
$24,456.14
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$9,017.75 |
| Max. Negotiated Rate |
$9,468.64 |
| Rate for Payer: BCBS Complete |
$9,468.64
|
| Rate for Payer: Mclaren Medicaid |
$9,017.75
|
| Rate for Payer: Meridian Medicaid |
$9,468.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,017.75
|
| Rate for Payer: UHCCP Medicaid |
$9,468.64
|
|
|
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
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,218.37
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,112.73 |
| Max. Negotiated Rate |
$2,218.37 |
| Rate for Payer: BCBS Complete |
$2,218.37
|
| Rate for Payer: Mclaren Medicaid |
$2,112.73
|
| Rate for Payer: Meridian Medicaid |
$2,218.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,112.73
|
| Rate for Payer: UHCCP Medicaid |
$2,218.37
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 8172
|
| 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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$12,444.50
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$11,851.90 |
| Max. Negotiated Rate |
$12,444.50 |
| Rate for Payer: BCBS Complete |
$12,444.50
|
| Rate for Payer: Mclaren Medicaid |
$11,851.90
|
| Rate for Payer: Meridian Medicaid |
$12,444.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,851.90
|
| Rate for Payer: UHCCP Medicaid |
$12,444.50
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$5,822.89 |
| Max. Negotiated Rate |
$6,114.03 |
| Rate for Payer: BCBS Complete |
$6,114.03
|
| Rate for Payer: Mclaren Medicaid |
$5,822.89
|
| Rate for Payer: Meridian Medicaid |
$6,114.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.89
|
| Rate for Payer: UHCCP Medicaid |
$6,114.03
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,586.17 |
| Max. Negotiated Rate |
$4,815.48 |
| Rate for Payer: BCBS Complete |
$4,815.48
|
| Rate for Payer: Mclaren Medicaid |
$4,586.17
|
| Rate for Payer: Meridian Medicaid |
$4,815.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,586.17
|
| Rate for Payer: UHCCP Medicaid |
$4,815.48
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 1421
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$10,821.30 |
| Max. Negotiated Rate |
$11,362.36 |
| Rate for Payer: BCBS Complete |
$11,362.36
|
| Rate for Payer: Mclaren Medicaid |
$10,821.30
|
| Rate for Payer: Meridian Medicaid |
$11,362.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,821.30
|
| Rate for Payer: UHCCP Medicaid |
$11,362.36
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$10,117.92
|
|
|
Service Code
|
APR-DRG 2474
|
| Min. Negotiated Rate |
$9,636.11 |
| Max. Negotiated Rate |
$10,117.92 |
| Rate for Payer: BCBS Complete |
$10,117.92
|
| Rate for Payer: Mclaren Medicaid |
$9,636.11
|
| Rate for Payer: Meridian Medicaid |
$10,117.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,636.11
|
| Rate for Payer: UHCCP Medicaid |
$10,117.92
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,349.45 |
| Max. Negotiated Rate |
$3,516.92 |
| Rate for Payer: BCBS Complete |
$3,516.92
|
| Rate for Payer: Mclaren Medicaid |
$3,349.45
|
| Rate for Payer: Meridian Medicaid |
$3,516.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.45
|
| Rate for Payer: UHCCP Medicaid |
$3,516.92
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,651.22
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$2,524.97 |
| Max. Negotiated Rate |
$2,651.22 |
| Rate for Payer: BCBS Complete |
$2,651.22
|
| Rate for Payer: Mclaren Medicaid |
$2,524.97
|
| Rate for Payer: Meridian Medicaid |
$2,651.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,524.97
|
| Rate for Payer: UHCCP Medicaid |
$2,651.22
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 0443
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 0441
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 0442
|
| Min. Negotiated Rate |
$5,822.89 |
| Max. Negotiated Rate |
$6,114.03 |
| Rate for Payer: BCBS Complete |
$6,114.03
|
| Rate for Payer: Mclaren Medicaid |
$5,822.89
|
| Rate for Payer: Meridian Medicaid |
$6,114.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.89
|
| Rate for Payer: UHCCP Medicaid |
$6,114.03
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$13,310.20
|
|
|
Service Code
|
APR-DRG 0444
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 4631
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 4633
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,170.08
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$7,781.03 |
| Max. Negotiated Rate |
$8,170.08 |
| Rate for Payer: BCBS Complete |
$8,170.08
|
| Rate for Payer: Mclaren Medicaid |
$7,781.03
|
| Rate for Payer: Meridian Medicaid |
$8,170.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.03
|
| Rate for Payer: UHCCP Medicaid |
$8,170.08
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 4632
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,466.70
|
|
|
Service Code
|
APR-DRG 4613
|
| Min. Negotiated Rate |
$7,111.14 |
| Max. Negotiated Rate |
$7,466.70 |
| Rate for Payer: BCBS Complete |
$7,466.70
|
| Rate for Payer: Mclaren Medicaid |
$7,111.14
|
| Rate for Payer: Meridian Medicaid |
$7,466.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,111.14
|
| Rate for Payer: UHCCP Medicaid |
$7,466.70
|
|