|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$12,173.96
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$11,594.25 |
| Max. Negotiated Rate |
$12,173.96 |
| Rate for Payer: BCBS Complete |
$12,173.96
|
| Rate for Payer: Mclaren Medicaid |
$11,594.25
|
| Rate for Payer: Meridian Medicaid |
$12,173.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,594.25
|
| Rate for Payer: UHCCP Medicaid |
$12,173.96
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 1351
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 1352
|
| 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: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,660.92
|
|
|
Service Code
|
APR-DRG 0892
|
| 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 CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$9,223.87 |
| Max. Negotiated Rate |
$9,685.06 |
| Rate for Payer: BCBS Complete |
$9,685.06
|
| Rate for Payer: Mclaren Medicaid |
$9,223.87
|
| Rate for Payer: Meridian Medicaid |
$9,685.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,223.87
|
| Rate for Payer: UHCCP Medicaid |
$9,685.06
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$21,696.71
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$20,663.53 |
| Max. Negotiated Rate |
$21,696.71 |
| Rate for Payer: BCBS Complete |
$21,696.71
|
| Rate for Payer: Mclaren Medicaid |
$20,663.53
|
| Rate for Payer: Meridian Medicaid |
$21,696.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,663.53
|
| Rate for Payer: UHCCP Medicaid |
$21,696.71
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$29,055.19
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$27,671.61 |
| Max. Negotiated Rate |
$29,055.19 |
| Rate for Payer: BCBS Complete |
$29,055.19
|
| Rate for Payer: Mclaren Medicaid |
$27,671.61
|
| Rate for Payer: Meridian Medicaid |
$29,055.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,671.61
|
| Rate for Payer: UHCCP Medicaid |
$29,055.19
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,544.95
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$4,328.52 |
| Max. Negotiated Rate |
$4,544.95 |
| Rate for Payer: BCBS Complete |
$4,544.95
|
| Rate for Payer: Mclaren Medicaid |
$4,328.52
|
| Rate for Payer: Meridian Medicaid |
$4,544.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,328.52
|
| Rate for Payer: UHCCP Medicaid |
$4,544.95
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 2421
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$13,256.09
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$12,624.85 |
| Max. Negotiated Rate |
$13,256.09 |
| Rate for Payer: BCBS Complete |
$13,256.09
|
| Rate for Payer: Mclaren Medicaid |
$12,624.85
|
| Rate for Payer: Meridian Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,624.85
|
| Rate for Payer: UHCCP Medicaid |
$13,256.09
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,977.48 |
| Max. Negotiated Rate |
$6,276.35 |
| Rate for Payer: BCBS Complete |
$6,276.35
|
| Rate for Payer: Mclaren Medicaid |
$5,977.48
|
| Rate for Payer: Meridian Medicaid |
$6,276.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,977.48
|
| Rate for Payer: UHCCP Medicaid |
$6,276.35
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 2484
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$2,885.68 |
| Max. Negotiated Rate |
$3,029.96 |
| Rate for Payer: BCBS Complete |
$3,029.96
|
| Rate for Payer: Mclaren Medicaid |
$2,885.68
|
| Rate for Payer: Meridian Medicaid |
$3,029.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,885.68
|
| Rate for Payer: UHCCP Medicaid |
$3,029.96
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 2482
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$14,392.33
|
|
|
Service Code
|
APR-DRG 6604
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$7,574.91
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$7,214.20 |
| Max. Negotiated Rate |
$7,574.91 |
| Rate for Payer: BCBS Complete |
$7,574.91
|
| Rate for Payer: Mclaren Medicaid |
$7,214.20
|
| Rate for Payer: Meridian Medicaid |
$7,574.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,214.20
|
| Rate for Payer: UHCCP Medicaid |
$7,574.91
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.45 |
| Rate for Payer: BCBS Complete |
$3,787.45
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.45
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 6602
|
| 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: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$7,677.97 |
| Max. Negotiated Rate |
$8,061.87 |
| Rate for Payer: BCBS Complete |
$8,061.87
|
| Rate for Payer: Mclaren Medicaid |
$7,677.97
|
| Rate for Payer: Meridian Medicaid |
$8,061.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,677.97
|
| Rate for Payer: UHCCP Medicaid |
$8,061.87
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$14,825.18
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$14,119.22 |
| Max. Negotiated Rate |
$14,825.18 |
| Rate for Payer: BCBS Complete |
$14,825.18
|
| Rate for Payer: Mclaren Medicaid |
$14,119.22
|
| Rate for Payer: Meridian Medicaid |
$14,825.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,119.22
|
| Rate for Payer: UHCCP Medicaid |
$14,825.18
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$22,021.35
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$20,972.71 |
| Max. Negotiated Rate |
$22,021.35 |
| Rate for Payer: BCBS Complete |
$22,021.35
|
| Rate for Payer: Mclaren Medicaid |
$20,972.71
|
| Rate for Payer: Meridian Medicaid |
$22,021.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,972.71
|
| Rate for Payer: UHCCP Medicaid |
$22,021.35
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$8,502.45 |
| Max. Negotiated Rate |
$8,927.57 |
| Rate for Payer: BCBS Complete |
$8,927.57
|
| Rate for Payer: Mclaren Medicaid |
$8,502.45
|
| Rate for Payer: Meridian Medicaid |
$8,927.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,502.45
|
| Rate for Payer: UHCCP Medicaid |
$8,927.57
|
|