|
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
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,991.38
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$18,087.03 |
| Max. Negotiated Rate |
$18,991.38 |
| Rate for Payer: BCBS Complete |
$18,991.38
|
| Rate for Payer: Mclaren Medicaid |
$18,087.03
|
| Rate for Payer: Meridian Medicaid |
$18,991.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,087.03
|
| Rate for Payer: UHCCP Medicaid |
$18,991.38
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,997.20
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$23,806.86 |
| Max. Negotiated Rate |
$24,997.20 |
| Rate for Payer: BCBS Complete |
$24,997.20
|
| Rate for Payer: Mclaren Medicaid |
$23,806.86
|
| Rate for Payer: Meridian Medicaid |
$24,997.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,806.86
|
| Rate for Payer: UHCCP Medicaid |
$24,997.20
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,394.27
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$15,613.59 |
| Max. Negotiated Rate |
$16,394.27 |
| Rate for Payer: BCBS Complete |
$16,394.27
|
| Rate for Payer: Mclaren Medicaid |
$15,613.59
|
| Rate for Payer: Meridian Medicaid |
$16,394.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,613.59
|
| Rate for Payer: UHCCP Medicaid |
$16,394.27
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$31,273.56
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$29,784.34 |
| Max. Negotiated Rate |
$31,273.56 |
| Rate for Payer: BCBS Complete |
$31,273.56
|
| Rate for Payer: Mclaren Medicaid |
$29,784.34
|
| Rate for Payer: Meridian Medicaid |
$31,273.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,784.34
|
| Rate for Payer: UHCCP Medicaid |
$31,273.56
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$30,029.11
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$28,599.15 |
| Max. Negotiated Rate |
$30,029.11 |
| Rate for Payer: BCBS Complete |
$30,029.11
|
| Rate for Payer: Mclaren Medicaid |
$28,599.15
|
| Rate for Payer: Meridian Medicaid |
$30,029.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,599.15
|
| Rate for Payer: UHCCP Medicaid |
$30,029.11
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$15,907.31
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$15,149.82 |
| Max. Negotiated Rate |
$15,907.31 |
| Rate for Payer: BCBS Complete |
$15,907.31
|
| Rate for Payer: Mclaren Medicaid |
$15,149.82
|
| Rate for Payer: Meridian Medicaid |
$15,907.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.82
|
| Rate for Payer: UHCCP Medicaid |
$15,907.31
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$12,336.28
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,748.84 |
| Max. Negotiated Rate |
$12,336.28 |
| Rate for Payer: BCBS Complete |
$12,336.28
|
| Rate for Payer: Mclaren Medicaid |
$11,748.84
|
| Rate for Payer: Meridian Medicaid |
$12,336.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,748.84
|
| Rate for Payer: UHCCP Medicaid |
$12,336.28
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$20,668.68
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$19,684.46 |
| Max. Negotiated Rate |
$20,668.68 |
| Rate for Payer: BCBS Complete |
$20,668.68
|
| Rate for Payer: Mclaren Medicaid |
$19,684.46
|
| Rate for Payer: Meridian Medicaid |
$20,668.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,684.46
|
| Rate for Payer: UHCCP Medicaid |
$20,668.68
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$15,799.10
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$15,046.76 |
| Max. Negotiated Rate |
$15,799.10 |
| Rate for Payer: BCBS Complete |
$15,799.10
|
| Rate for Payer: Mclaren Medicaid |
$15,046.76
|
| Rate for Payer: Meridian Medicaid |
$15,799.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,046.76
|
| Rate for Payer: UHCCP Medicaid |
$15,799.10
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$30,137.32
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$28,702.21 |
| Max. Negotiated Rate |
$30,137.32 |
| Rate for Payer: BCBS Complete |
$30,137.32
|
| Rate for Payer: Mclaren Medicaid |
$28,702.21
|
| Rate for Payer: Meridian Medicaid |
$30,137.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,702.21
|
| Rate for Payer: UHCCP Medicaid |
$30,137.32
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,660.92
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$12,058.02 |
| Max. Negotiated Rate |
$12,660.92 |
| Rate for Payer: BCBS Complete |
$12,660.92
|
| Rate for Payer: Mclaren Medicaid |
$12,058.02
|
| Rate for Payer: Meridian Medicaid |
$12,660.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,058.02
|
| Rate for Payer: UHCCP Medicaid |
$12,660.92
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$27,486.10
|
|
|
Service Code
|
APR-DRG 1601
|
| 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: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$82,620.63
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$78,686.31 |
| Max. Negotiated Rate |
$82,620.63 |
| Rate for Payer: BCBS Complete |
$82,620.63
|
| Rate for Payer: Mclaren Medicaid |
$78,686.31
|
| Rate for Payer: Meridian Medicaid |
$82,620.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$78,686.31
|
| Rate for Payer: UHCCP Medicaid |
$82,620.63
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$38,956.68
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$37,101.60 |
| Max. Negotiated Rate |
$38,956.68 |
| Rate for Payer: BCBS Complete |
$38,956.68
|
| Rate for Payer: Mclaren Medicaid |
$37,101.60
|
| Rate for Payer: Meridian Medicaid |
$38,956.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,101.60
|
| Rate for Payer: UHCCP Medicaid |
$38,956.68
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$49,182.81
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$46,840.77 |
| Max. Negotiated Rate |
$49,182.81 |
| Rate for Payer: BCBS Complete |
$49,182.81
|
| Rate for Payer: Mclaren Medicaid |
$46,840.77
|
| Rate for Payer: Meridian Medicaid |
$49,182.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,840.77
|
| Rate for Payer: UHCCP Medicaid |
$49,182.81
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 1353
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 1352
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$3,967.81 |
| Max. Negotiated Rate |
$4,166.20 |
| Rate for Payer: BCBS Complete |
$4,166.20
|
| Rate for Payer: Mclaren Medicaid |
$3,967.81
|
| Rate for Payer: Meridian Medicaid |
$4,166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,967.81
|
| Rate for Payer: UHCCP Medicaid |
$4,166.20
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$22,562.41
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$21,488.01 |
| Max. Negotiated Rate |
$22,562.41 |
| Rate for Payer: BCBS Complete |
$22,562.41
|
| Rate for Payer: Mclaren Medicaid |
$21,488.01
|
| Rate for Payer: Meridian Medicaid |
$22,562.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,488.01
|
| Rate for Payer: UHCCP Medicaid |
$22,562.41
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$16,448.38
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$15,665.12 |
| Max. Negotiated Rate |
$16,448.38 |
| Rate for Payer: BCBS Complete |
$16,448.38
|
| Rate for Payer: Mclaren Medicaid |
$15,665.12
|
| Rate for Payer: Meridian Medicaid |
$16,448.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,665.12
|
| Rate for Payer: UHCCP Medicaid |
$16,448.38
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,687.00
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$11,130.48 |
| Max. Negotiated Rate |
$11,687.00 |
| Rate for Payer: BCBS Complete |
$11,687.00
|
| Rate for Payer: Mclaren Medicaid |
$11,130.48
|
| Rate for Payer: Meridian Medicaid |
$11,687.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,130.48
|
| Rate for Payer: UHCCP Medicaid |
$11,687.00
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$30,191.43
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$28,753.74 |
| Max. Negotiated Rate |
$30,191.43 |
| Rate for Payer: BCBS Complete |
$30,191.43
|
| Rate for Payer: Mclaren Medicaid |
$28,753.74
|
| Rate for Payer: Meridian Medicaid |
$30,191.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,753.74
|
| Rate for Payer: UHCCP Medicaid |
$30,191.43
|
|