|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 2423
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$12,011.64
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$11,439.66 |
| Max. Negotiated Rate |
$12,011.64 |
| Rate for Payer: BCBS Complete |
$12,011.64
|
| Rate for Payer: Mclaren Medicaid |
$11,439.66
|
| Rate for Payer: Meridian Medicaid |
$12,011.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,439.66
|
| Rate for Payer: UHCCP Medicaid |
$12,011.64
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$4,534.64 |
| Max. Negotiated Rate |
$4,761.37 |
| Rate for Payer: BCBS Complete |
$4,761.37
|
| Rate for Payer: Mclaren Medicaid |
$4,534.64
|
| Rate for Payer: Meridian Medicaid |
$4,761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,534.64
|
| Rate for Payer: UHCCP Medicaid |
$4,761.37
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$9,847.38
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$9,378.46 |
| Max. Negotiated Rate |
$9,847.38 |
| Rate for Payer: BCBS Complete |
$9,847.38
|
| Rate for Payer: Mclaren Medicaid |
$9,378.46
|
| Rate for Payer: Meridian Medicaid |
$9,847.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,378.46
|
| Rate for Payer: UHCCP Medicaid |
$9,847.38
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,822.89 |
| Max. Negotiated Rate |
$6,114.03 |
| Rate for Payer: BCBS Complete |
$6,114.03
|
| Rate for Payer: Mclaren Medicaid |
$5,822.89
|
| Rate for Payer: Meridian Medicaid |
$6,114.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.89
|
| Rate for Payer: UHCCP Medicaid |
$6,114.03
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$7,832.56 |
| Max. Negotiated Rate |
$8,224.19 |
| Rate for Payer: BCBS Complete |
$8,224.19
|
| Rate for Payer: Mclaren Medicaid |
$7,832.56
|
| Rate for Payer: Meridian Medicaid |
$8,224.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,832.56
|
| Rate for Payer: UHCCP Medicaid |
$8,224.19
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 6602
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$15,690.88
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$14,943.70 |
| Max. Negotiated Rate |
$15,690.88 |
| Rate for Payer: BCBS Complete |
$15,690.88
|
| Rate for Payer: Mclaren Medicaid |
$14,943.70
|
| Rate for Payer: Meridian Medicaid |
$15,690.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,943.70
|
| Rate for Payer: UHCCP Medicaid |
$15,690.88
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$16,123.74
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$15,355.94 |
| Max. Negotiated Rate |
$16,123.74 |
| Rate for Payer: BCBS Complete |
$16,123.74
|
| Rate for Payer: Mclaren Medicaid |
$15,355.94
|
| Rate for Payer: Meridian Medicaid |
$16,123.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,355.94
|
| Rate for Payer: UHCCP Medicaid |
$16,123.74
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$23,915.07
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$22,776.26 |
| Max. Negotiated Rate |
$23,915.07 |
| Rate for Payer: BCBS Complete |
$23,915.07
|
| Rate for Payer: Mclaren Medicaid |
$22,776.26
|
| Rate for Payer: Meridian Medicaid |
$23,915.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,776.26
|
| Rate for Payer: UHCCP Medicaid |
$23,915.07
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 2311
|
| 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 LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$20,289.94
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$19,323.75 |
| Max. Negotiated Rate |
$20,289.94 |
| Rate for Payer: BCBS Complete |
$20,289.94
|
| Rate for Payer: Mclaren Medicaid |
$19,323.75
|
| Rate for Payer: Meridian Medicaid |
$20,289.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,323.75
|
| Rate for Payer: UHCCP Medicaid |
$20,289.94
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,230.01
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$13,552.39 |
| Max. Negotiated Rate |
$14,230.01 |
| Rate for Payer: BCBS Complete |
$14,230.01
|
| Rate for Payer: Mclaren Medicaid |
$13,552.39
|
| Rate for Payer: Meridian Medicaid |
$14,230.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.39
|
| Rate for Payer: UHCCP Medicaid |
$14,230.01
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$38,469.72
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$36,637.83 |
| Max. Negotiated Rate |
$38,469.72 |
| Rate for Payer: BCBS Complete |
$38,469.72
|
| Rate for Payer: Mclaren Medicaid |
$36,637.83
|
| Rate for Payer: Meridian Medicaid |
$38,469.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,637.83
|
| Rate for Payer: UHCCP Medicaid |
$38,469.72
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$22,021.35
|
|
|
Service Code
|
APR-DRG 2604
|
| 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 PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$18,396.21
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$17,520.20 |
| Max. Negotiated Rate |
$18,396.21 |
| Rate for Payer: BCBS Complete |
$18,396.21
|
| Rate for Payer: Mclaren Medicaid |
$17,520.20
|
| Rate for Payer: Meridian Medicaid |
$18,396.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,520.20
|
| Rate for Payer: UHCCP Medicaid |
$18,396.21
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$12,715.03
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$12,109.55 |
| Max. Negotiated Rate |
$12,715.03 |
| Rate for Payer: BCBS Complete |
$12,715.03
|
| Rate for Payer: Mclaren Medicaid |
$12,109.55
|
| Rate for Payer: Meridian Medicaid |
$12,715.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,109.55
|
| Rate for Payer: UHCCP Medicaid |
$12,715.03
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 2601
|
| 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
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|