|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$20,506.36
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$19,529.87 |
| Max. Negotiated Rate |
$20,506.36 |
| Rate for Payer: BCBS Complete |
$20,506.36
|
| Rate for Payer: Mclaren Medicaid |
$19,529.87
|
| Rate for Payer: Meridian Medicaid |
$20,506.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,529.87
|
| Rate for Payer: UHCCP Medicaid |
$20,506.36
|
|
|
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
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,380.69
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,267.32 |
| Max. Negotiated Rate |
$2,380.69 |
| Rate for Payer: BCBS Complete |
$2,380.69
|
| Rate for Payer: Mclaren Medicaid |
$2,267.32
|
| Rate for Payer: Meridian Medicaid |
$2,380.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,267.32
|
| Rate for Payer: UHCCP Medicaid |
$2,380.69
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,719.83 |
| Max. Negotiated Rate |
$6,005.82 |
| Rate for Payer: BCBS Complete |
$6,005.82
|
| Rate for Payer: Mclaren Medicaid |
$5,719.83
|
| Rate for Payer: Meridian Medicaid |
$6,005.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,719.83
|
| Rate for Payer: UHCCP Medicaid |
$6,005.82
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,604.87
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$10,099.88 |
| Max. Negotiated Rate |
$10,604.87 |
| Rate for Payer: BCBS Complete |
$10,604.87
|
| Rate for Payer: Mclaren Medicaid |
$10,099.88
|
| Rate for Payer: Meridian Medicaid |
$10,604.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,099.88
|
| Rate for Payer: UHCCP Medicaid |
$10,604.87
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$19,153.70
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$18,241.62 |
| Max. Negotiated Rate |
$19,153.70 |
| Rate for Payer: BCBS Complete |
$19,153.70
|
| Rate for Payer: Mclaren Medicaid |
$18,241.62
|
| Rate for Payer: Meridian Medicaid |
$19,153.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,241.62
|
| Rate for Payer: UHCCP Medicaid |
$19,153.70
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 3813
|
| 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 SKIN DISORDERS
|
Facility
|
IP
|
$2,488.90
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,370.38 |
| Max. Negotiated Rate |
$2,488.90 |
| Rate for Payer: BCBS Complete |
$2,488.90
|
| Rate for Payer: Mclaren Medicaid |
$2,370.38
|
| Rate for Payer: Meridian Medicaid |
$2,488.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,370.38
|
| Rate for Payer: UHCCP Medicaid |
$2,488.90
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$5,204.53 |
| Max. Negotiated Rate |
$5,464.76 |
| Rate for Payer: BCBS Complete |
$5,464.76
|
| Rate for Payer: Mclaren Medicaid |
$5,204.53
|
| Rate for Payer: Meridian Medicaid |
$5,464.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,204.53
|
| Rate for Payer: UHCCP Medicaid |
$5,464.76
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$27,107.36
|
|
|
Service Code
|
APR-DRG 2304
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 2302
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$17,043.55
|
|
|
Service Code
|
APR-DRG 2303
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 2301
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$10,872.83 |
| Max. Negotiated Rate |
$11,416.47 |
| Rate for Payer: BCBS Complete |
$11,416.47
|
| Rate for Payer: Mclaren Medicaid |
$10,872.83
|
| Rate for Payer: Meridian Medicaid |
$11,416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,872.83
|
| Rate for Payer: UHCCP Medicaid |
$11,416.47
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$26,836.82
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$25,558.88 |
| Max. Negotiated Rate |
$26,836.82 |
| Rate for Payer: BCBS Complete |
$26,836.82
|
| Rate for Payer: Mclaren Medicaid |
$25,558.88
|
| Rate for Payer: Meridian Medicaid |
$26,836.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,558.88
|
| Rate for Payer: UHCCP Medicaid |
$26,836.82
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$16,394.27
|
|
|
Service Code
|
APR-DRG 2203
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 5012
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 5013
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$11,254.15
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$10,718.24 |
| Max. Negotiated Rate |
$11,254.15 |
| Rate for Payer: BCBS Complete |
$11,254.15
|
| Rate for Payer: Mclaren Medicaid |
$10,718.24
|
| Rate for Payer: Meridian Medicaid |
$11,254.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,718.24
|
| Rate for Payer: UHCCP Medicaid |
$11,254.15
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$3,349.45 |
| Max. Negotiated Rate |
$3,516.92 |
| Rate for Payer: BCBS Complete |
$3,516.92
|
| Rate for Payer: Mclaren Medicaid |
$3,349.45
|
| Rate for Payer: Meridian Medicaid |
$3,516.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.45
|
| Rate for Payer: UHCCP Medicaid |
$3,516.92
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$6,338.19 |
| Max. Negotiated Rate |
$6,655.10 |
| Rate for Payer: BCBS Complete |
$6,655.10
|
| Rate for Payer: Mclaren Medicaid |
$6,338.19
|
| Rate for Payer: Meridian Medicaid |
$6,655.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,338.19
|
| Rate for Payer: UHCCP Medicaid |
$6,655.10
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$4,122.40 |
| Max. Negotiated Rate |
$4,328.52 |
| Rate for Payer: BCBS Complete |
$4,328.52
|
| Rate for Payer: Mclaren Medicaid |
$4,122.40
|
| Rate for Payer: Meridian Medicaid |
$4,328.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,122.40
|
| Rate for Payer: UHCCP Medicaid |
$4,328.52
|
|