|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$25,321.84
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$24,116.04 |
| Max. Negotiated Rate |
$25,321.84 |
| Rate for Payer: BCBS Complete |
$25,321.84
|
| Rate for Payer: Mclaren Medicaid |
$24,116.04
|
| Rate for Payer: Meridian Medicaid |
$25,321.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,116.04
|
| Rate for Payer: UHCCP Medicaid |
$25,321.84
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 6944
|
| 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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$7,574.91 |
| Max. Negotiated Rate |
$7,953.66 |
| Rate for Payer: BCBS Complete |
$7,953.66
|
| Rate for Payer: Mclaren Medicaid |
$7,574.91
|
| Rate for Payer: Meridian Medicaid |
$7,953.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,574.91
|
| Rate for Payer: UHCCP Medicaid |
$7,953.66
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$11,285.07 |
| Max. Negotiated Rate |
$11,849.32 |
| Rate for Payer: BCBS Complete |
$11,849.32
|
| Rate for Payer: Mclaren Medicaid |
$11,285.07
|
| Rate for Payer: Meridian Medicaid |
$11,849.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,285.07
|
| Rate for Payer: UHCCP Medicaid |
$11,849.32
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$20,127.62
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$19,169.16 |
| Max. Negotiated Rate |
$20,127.62 |
| Rate for Payer: BCBS Complete |
$20,127.62
|
| Rate for Payer: Mclaren Medicaid |
$19,169.16
|
| Rate for Payer: Meridian Medicaid |
$20,127.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,169.16
|
| Rate for Payer: UHCCP Medicaid |
$20,127.62
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,513.71 |
| Max. Negotiated Rate |
$5,789.40 |
| Rate for Payer: BCBS Complete |
$5,789.40
|
| Rate for Payer: Mclaren Medicaid |
$5,513.71
|
| Rate for Payer: Meridian Medicaid |
$5,789.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,513.71
|
| Rate for Payer: UHCCP Medicaid |
$5,789.40
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,043.55
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$16,231.95 |
| Max. Negotiated Rate |
$17,043.55 |
| Rate for Payer: BCBS Complete |
$17,043.55
|
| Rate for Payer: Mclaren Medicaid |
$16,231.95
|
| Rate for Payer: Meridian Medicaid |
$17,043.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,231.95
|
| Rate for Payer: UHCCP Medicaid |
$17,043.55
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$21,534.39
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$20,508.94 |
| Max. Negotiated Rate |
$21,534.39 |
| Rate for Payer: BCBS Complete |
$21,534.39
|
| Rate for Payer: Mclaren Medicaid |
$20,508.94
|
| Rate for Payer: Meridian Medicaid |
$21,534.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,508.94
|
| Rate for Payer: UHCCP Medicaid |
$21,534.39
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$30,786.60
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$29,320.57 |
| Max. Negotiated Rate |
$30,786.60 |
| Rate for Payer: BCBS Complete |
$30,786.60
|
| Rate for Payer: Mclaren Medicaid |
$29,320.57
|
| Rate for Payer: Meridian Medicaid |
$30,786.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,320.57
|
| Rate for Payer: UHCCP Medicaid |
$30,786.60
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,284.12
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$13,603.92 |
| Max. Negotiated Rate |
$14,284.12 |
| Rate for Payer: BCBS Complete |
$14,284.12
|
| Rate for Payer: Mclaren Medicaid |
$13,603.92
|
| Rate for Payer: Meridian Medicaid |
$14,284.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,603.92
|
| Rate for Payer: UHCCP Medicaid |
$14,284.12
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$8,399.39 |
| Max. Negotiated Rate |
$8,819.36 |
| Rate for Payer: BCBS Complete |
$8,819.36
|
| Rate for Payer: Mclaren Medicaid |
$8,399.39
|
| Rate for Payer: Meridian Medicaid |
$8,819.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,399.39
|
| Rate for Payer: UHCCP Medicaid |
$8,819.36
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,800.37 |
| Max. Negotiated Rate |
$12,390.39 |
| Rate for Payer: BCBS Complete |
$12,390.39
|
| Rate for Payer: Mclaren Medicaid |
$11,800.37
|
| Rate for Payer: Meridian Medicaid |
$12,390.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,800.37
|
| Rate for Payer: UHCCP Medicaid |
$12,390.39
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$15,203.93
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$14,479.93 |
| Max. Negotiated Rate |
$15,203.93 |
| Rate for Payer: BCBS Complete |
$15,203.93
|
| Rate for Payer: Mclaren Medicaid |
$14,479.93
|
| Rate for Payer: Meridian Medicaid |
$15,203.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.93
|
| Rate for Payer: UHCCP Medicaid |
$15,203.93
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$28,892.87
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$27,517.02 |
| Max. Negotiated Rate |
$28,892.87 |
| Rate for Payer: BCBS Complete |
$28,892.87
|
| Rate for Payer: Mclaren Medicaid |
$27,517.02
|
| Rate for Payer: Meridian Medicaid |
$28,892.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,517.02
|
| Rate for Payer: UHCCP Medicaid |
$28,892.87
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$14,392.33
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$13,706.98 |
| Max. Negotiated Rate |
$14,392.33 |
| Rate for Payer: BCBS Complete |
$14,392.33
|
| Rate for Payer: Mclaren Medicaid |
$13,706.98
|
| Rate for Payer: Meridian Medicaid |
$14,392.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,706.98
|
| Rate for Payer: UHCCP Medicaid |
$14,392.33
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$27,107.36
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$25,816.53 |
| Max. Negotiated Rate |
$27,107.36 |
| Rate for Payer: BCBS Complete |
$27,107.36
|
| Rate for Payer: Mclaren Medicaid |
$25,816.53
|
| Rate for Payer: Meridian Medicaid |
$27,107.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,816.53
|
| Rate for Payer: UHCCP Medicaid |
$27,107.36
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$18,612.64
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$17,726.32 |
| Max. Negotiated Rate |
$18,612.64 |
| Rate for Payer: BCBS Complete |
$18,612.64
|
| Rate for Payer: Mclaren Medicaid |
$17,726.32
|
| Rate for Payer: Meridian Medicaid |
$18,612.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,726.32
|
| Rate for Payer: UHCCP Medicaid |
$18,612.64
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$25,430.06
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$24,219.10 |
| Max. Negotiated Rate |
$25,430.06 |
| Rate for Payer: BCBS Complete |
$25,430.06
|
| Rate for Payer: Mclaren Medicaid |
$24,219.10
|
| Rate for Payer: Meridian Medicaid |
$25,430.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,219.10
|
| Rate for Payer: UHCCP Medicaid |
$25,430.06
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$33,978.88
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$32,360.84 |
| Max. Negotiated Rate |
$33,978.88 |
| Rate for Payer: BCBS Complete |
$33,978.88
|
| Rate for Payer: Mclaren Medicaid |
$32,360.84
|
| Rate for Payer: Meridian Medicaid |
$33,978.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,360.84
|
| Rate for Payer: UHCCP Medicaid |
$33,978.88
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$18,017.46
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$17,159.49 |
| Max. Negotiated Rate |
$18,017.46 |
| Rate for Payer: BCBS Complete |
$18,017.46
|
| Rate for Payer: Mclaren Medicaid |
$17,159.49
|
| Rate for Payer: Meridian Medicaid |
$18,017.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,159.49
|
| Rate for Payer: UHCCP Medicaid |
$18,017.46
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$73,314.31
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$69,823.15 |
| Max. Negotiated Rate |
$73,314.31 |
| Rate for Payer: BCBS Complete |
$73,314.31
|
| Rate for Payer: Mclaren Medicaid |
$69,823.15
|
| Rate for Payer: Meridian Medicaid |
$73,314.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$69,823.15
|
| Rate for Payer: UHCCP Medicaid |
$73,314.31
|
|