|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$14,013.58
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$13,346.27 |
| Max. Negotiated Rate |
$14,013.58 |
| Rate for Payer: BCBS Complete |
$14,013.58
|
| Rate for Payer: Mclaren Medicaid |
$13,346.27
|
| Rate for Payer: Meridian Medicaid |
$14,013.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,346.27
|
| Rate for Payer: UHCCP Medicaid |
$14,013.58
|
|
|
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
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$16,069.63
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$15,304.41 |
| Max. Negotiated Rate |
$16,069.63 |
| Rate for Payer: BCBS Complete |
$16,069.63
|
| Rate for Payer: Mclaren Medicaid |
$15,304.41
|
| Rate for Payer: Meridian Medicaid |
$16,069.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,304.41
|
| Rate for Payer: UHCCP Medicaid |
$16,069.63
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 4421
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$25,917.01
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$24,682.87 |
| Max. Negotiated Rate |
$25,917.01 |
| Rate for Payer: BCBS Complete |
$25,917.01
|
| Rate for Payer: Mclaren Medicaid |
$24,682.87
|
| Rate for Payer: Meridian Medicaid |
$25,917.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,682.87
|
| Rate for Payer: UHCCP Medicaid |
$25,917.01
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,550.77
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$10,048.35 |
| Max. Negotiated Rate |
$10,550.77 |
| Rate for Payer: BCBS Complete |
$10,550.77
|
| Rate for Payer: Mclaren Medicaid |
$10,048.35
|
| Rate for Payer: Meridian Medicaid |
$10,550.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,048.35
|
| Rate for Payer: UHCCP Medicaid |
$10,550.77
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$8,765.25
|
|
|
Service Code
|
APR-DRG 4431
|
| Min. Negotiated Rate |
$8,347.86 |
| Max. Negotiated Rate |
$8,765.25 |
| Rate for Payer: BCBS Complete |
$8,765.25
|
| Rate for Payer: Mclaren Medicaid |
$8,347.86
|
| Rate for Payer: Meridian Medicaid |
$8,765.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,347.86
|
| Rate for Payer: UHCCP Medicaid |
$8,765.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$10,872.83 |
| Max. Negotiated Rate |
$11,416.47 |
| Rate for Payer: BCBS Complete |
$11,416.47
|
| Rate for Payer: Mclaren Medicaid |
$10,872.83
|
| Rate for Payer: Meridian Medicaid |
$11,416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,872.83
|
| Rate for Payer: UHCCP Medicaid |
$11,416.47
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$18,883.17
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$17,983.97 |
| Max. Negotiated Rate |
$18,883.17 |
| Rate for Payer: BCBS Complete |
$18,883.17
|
| Rate for Payer: Mclaren Medicaid |
$17,983.97
|
| Rate for Payer: Meridian Medicaid |
$18,883.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,983.97
|
| Rate for Payer: UHCCP Medicaid |
$18,883.17
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$10,009.70
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$9,533.05 |
| Max. Negotiated Rate |
$10,009.70 |
| Rate for Payer: BCBS Complete |
$10,009.70
|
| Rate for Payer: Mclaren Medicaid |
$9,533.05
|
| Rate for Payer: Meridian Medicaid |
$10,009.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,533.05
|
| Rate for Payer: UHCCP Medicaid |
$10,009.70
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$10,872.83 |
| Max. Negotiated Rate |
$11,416.47 |
| Rate for Payer: BCBS Complete |
$11,416.47
|
| Rate for Payer: Mclaren Medicaid |
$10,872.83
|
| Rate for Payer: Meridian Medicaid |
$11,416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,872.83
|
| Rate for Payer: UHCCP Medicaid |
$11,416.47
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 3131
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$22,832.94
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$21,745.66 |
| Max. Negotiated Rate |
$22,832.94 |
| Rate for Payer: BCBS Complete |
$22,832.94
|
| Rate for Payer: Mclaren Medicaid |
$21,745.66
|
| Rate for Payer: Meridian Medicaid |
$22,832.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,745.66
|
| Rate for Payer: UHCCP Medicaid |
$22,832.94
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$13,851.26
|
|
|
Service Code
|
APR-DRG 3133
|
| Min. Negotiated Rate |
$13,191.68 |
| Max. Negotiated Rate |
$13,851.26 |
| Rate for Payer: BCBS Complete |
$13,851.26
|
| Rate for Payer: Mclaren Medicaid |
$13,191.68
|
| Rate for Payer: Meridian Medicaid |
$13,851.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,191.68
|
| Rate for Payer: UHCCP Medicaid |
$13,851.26
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 1811
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$27,486.10
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$26,177.24 |
| Max. Negotiated Rate |
$27,486.10 |
| Rate for Payer: BCBS Complete |
$27,486.10
|
| Rate for Payer: Mclaren Medicaid |
$26,177.24
|
| Rate for Payer: Meridian Medicaid |
$27,486.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,177.24
|
| Rate for Payer: UHCCP Medicaid |
$27,486.10
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,883.17
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$17,983.97 |
| Max. Negotiated Rate |
$18,883.17 |
| Rate for Payer: BCBS Complete |
$18,883.17
|
| Rate for Payer: Mclaren Medicaid |
$17,983.97
|
| Rate for Payer: Meridian Medicaid |
$18,883.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,983.97
|
| Rate for Payer: UHCCP Medicaid |
$18,883.17
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,121.80
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$13,449.33 |
| Max. Negotiated Rate |
$14,121.80 |
| Rate for Payer: BCBS Complete |
$14,121.80
|
| Rate for Payer: Mclaren Medicaid |
$13,449.33
|
| Rate for Payer: Meridian Medicaid |
$14,121.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,449.33
|
| Rate for Payer: UHCCP Medicaid |
$14,121.80
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 6944
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,951.72
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$5,668.30 |
| Max. Negotiated Rate |
$5,951.72 |
| Rate for Payer: BCBS Complete |
$5,951.72
|
| Rate for Payer: Mclaren Medicaid |
$5,668.30
|
| Rate for Payer: Meridian Medicaid |
$5,951.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,668.30
|
| Rate for Payer: UHCCP Medicaid |
$5,951.72
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$7,162.67 |
| Max. Negotiated Rate |
$7,520.80 |
| Rate for Payer: BCBS Complete |
$7,520.80
|
| Rate for Payer: Mclaren Medicaid |
$7,162.67
|
| Rate for Payer: Meridian Medicaid |
$7,520.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,162.67
|
| Rate for Payer: UHCCP Medicaid |
$7,520.80
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,911.19
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,963.04 |
| Max. Negotiated Rate |
$19,911.19 |
| Rate for Payer: BCBS Complete |
$19,911.19
|
| Rate for Payer: Mclaren Medicaid |
$18,963.04
|
| Rate for Payer: Meridian Medicaid |
$19,911.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,963.04
|
| Rate for Payer: UHCCP Medicaid |
$19,911.19
|
|