|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$3,916.28 |
| Max. Negotiated Rate |
$4,112.09 |
| Rate for Payer: BCBS Complete |
$4,112.09
|
| Rate for Payer: Mclaren Medicaid |
$3,916.28
|
| Rate for Payer: Meridian Medicaid |
$4,112.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
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 PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 4421
|
| 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 PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 4422
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$13,851.26
|
|
|
Service Code
|
APR-DRG 4423
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$23,049.37
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$21,951.78 |
| Max. Negotiated Rate |
$23,049.37 |
| Rate for Payer: BCBS Complete |
$23,049.37
|
| Rate for Payer: Mclaren Medicaid |
$21,951.78
|
| Rate for Payer: Meridian Medicaid |
$23,049.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,951.78
|
| Rate for Payer: UHCCP Medicaid |
$23,049.37
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$19,694.77
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$18,756.92 |
| Max. Negotiated Rate |
$19,694.77 |
| Rate for Payer: BCBS Complete |
$19,694.77
|
| Rate for Payer: Mclaren Medicaid |
$18,756.92
|
| Rate for Payer: Meridian Medicaid |
$19,694.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,756.92
|
| Rate for Payer: UHCCP Medicaid |
$19,694.77
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 4431
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$8,765.25
|
|
|
Service Code
|
APR-DRG 4432
|
| 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 TRANSPLANT
|
Facility
|
IP
|
$48,208.89
|
|
|
Service Code
|
APR-DRG 4404
|
| Min. Negotiated Rate |
$45,913.23 |
| Max. Negotiated Rate |
$48,208.89 |
| Rate for Payer: BCBS Complete |
$48,208.89
|
| Rate for Payer: Mclaren Medicaid |
$45,913.23
|
| Rate for Payer: Meridian Medicaid |
$48,208.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,913.23
|
| Rate for Payer: UHCCP Medicaid |
$48,208.89
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$32,788.54
|
|
|
Service Code
|
APR-DRG 4403
|
| Min. Negotiated Rate |
$31,227.18 |
| Max. Negotiated Rate |
$32,788.54 |
| Rate for Payer: BCBS Complete |
$32,788.54
|
| Rate for Payer: Mclaren Medicaid |
$31,227.18
|
| Rate for Payer: Meridian Medicaid |
$32,788.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,227.18
|
| Rate for Payer: UHCCP Medicaid |
$32,788.54
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$27,918.95
|
|
|
Service Code
|
APR-DRG 4402
|
| Min. Negotiated Rate |
$26,589.48 |
| Max. Negotiated Rate |
$27,918.95 |
| Rate for Payer: BCBS Complete |
$27,918.95
|
| Rate for Payer: Mclaren Medicaid |
$26,589.48
|
| Rate for Payer: Meridian Medicaid |
$27,918.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,589.48
|
| Rate for Payer: UHCCP Medicaid |
$27,918.95
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$26,133.44
|
|
|
Service Code
|
APR-DRG 4401
|
| Min. Negotiated Rate |
$24,888.99 |
| Max. Negotiated Rate |
$26,133.44 |
| Rate for Payer: BCBS Complete |
$26,133.44
|
| Rate for Payer: Mclaren Medicaid |
$24,888.99
|
| Rate for Payer: Meridian Medicaid |
$26,133.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,888.99
|
| Rate for Payer: UHCCP Medicaid |
$26,133.44
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$14,500.54
|
|
|
Service Code
|
APR-DRG 3133
|
| Min. Negotiated Rate |
$13,810.04 |
| Max. Negotiated Rate |
$14,500.54 |
| Rate for Payer: BCBS Complete |
$14,500.54
|
| Rate for Payer: Mclaren Medicaid |
$13,810.04
|
| Rate for Payer: Meridian Medicaid |
$14,500.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,810.04
|
| Rate for Payer: UHCCP Medicaid |
$14,500.54
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 3131
|
| 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: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$10,226.13
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$9,739.17 |
| Max. Negotiated Rate |
$10,226.13 |
| Rate for Payer: BCBS Complete |
$10,226.13
|
| Rate for Payer: Mclaren Medicaid |
$9,739.17
|
| Rate for Payer: Meridian Medicaid |
$10,226.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,739.17
|
| Rate for Payer: UHCCP Medicaid |
$10,226.13
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$21,480.28
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$20,457.41 |
| Max. Negotiated Rate |
$21,480.28 |
| Rate for Payer: BCBS Complete |
$21,480.28
|
| Rate for Payer: Mclaren Medicaid |
$20,457.41
|
| Rate for Payer: Meridian Medicaid |
$21,480.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,457.41
|
| Rate for Payer: UHCCP Medicaid |
$21,480.28
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$33,546.03
|
|
|
Service Code
|
APR-DRG 0011
|
| Min. Negotiated Rate |
$31,948.60 |
| Max. Negotiated Rate |
$33,546.03 |
| Rate for Payer: BCBS Complete |
$33,546.03
|
| Rate for Payer: Mclaren Medicaid |
$31,948.60
|
| Rate for Payer: Meridian Medicaid |
$33,546.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,948.60
|
| Rate for Payer: UHCCP Medicaid |
$33,546.03
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$49,453.34
|
|
|
Service Code
|
APR-DRG 0013
|
| Min. Negotiated Rate |
$47,098.42 |
| Max. Negotiated Rate |
$49,453.34 |
| Rate for Payer: BCBS Complete |
$49,453.34
|
| Rate for Payer: Mclaren Medicaid |
$47,098.42
|
| Rate for Payer: Meridian Medicaid |
$49,453.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$47,098.42
|
| Rate for Payer: UHCCP Medicaid |
$49,453.34
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$38,199.19
|
|
|
Service Code
|
APR-DRG 0012
|
| Min. Negotiated Rate |
$36,380.18 |
| Max. Negotiated Rate |
$38,199.19 |
| Rate for Payer: BCBS Complete |
$38,199.19
|
| Rate for Payer: Mclaren Medicaid |
$36,380.18
|
| Rate for Payer: Meridian Medicaid |
$38,199.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,380.18
|
| Rate for Payer: UHCCP Medicaid |
$38,199.19
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$95,227.44
|
|
|
Service Code
|
APR-DRG 0014
|
| Min. Negotiated Rate |
$90,692.80 |
| Max. Negotiated Rate |
$95,227.44 |
| Rate for Payer: BCBS Complete |
$95,227.44
|
| Rate for Payer: Mclaren Medicaid |
$90,692.80
|
| Rate for Payer: Meridian Medicaid |
$95,227.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$90,692.80
|
| Rate for Payer: UHCCP Medicaid |
$95,227.44
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,422.29
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$16,592.66 |
| Max. Negotiated Rate |
$17,422.29 |
| Rate for Payer: BCBS Complete |
$17,422.29
|
| Rate for Payer: Mclaren Medicaid |
$16,592.66
|
| Rate for Payer: Meridian Medicaid |
$17,422.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,592.66
|
| Rate for Payer: UHCCP Medicaid |
$17,422.29
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,039.67
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$12,418.73 |
| Max. Negotiated Rate |
$13,039.67 |
| Rate for Payer: BCBS Complete |
$13,039.67
|
| Rate for Payer: Mclaren Medicaid |
$12,418.73
|
| Rate for Payer: Meridian Medicaid |
$13,039.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,418.73
|
| Rate for Payer: UHCCP Medicaid |
$13,039.67
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 1811
|
| 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
|
|