|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 2524
|
| 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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$5,462.18 |
| Max. Negotiated Rate |
$5,735.29 |
| Rate for Payer: BCBS Complete |
$5,735.29
|
| Rate for Payer: Mclaren Medicaid |
$5,462.18
|
| Rate for Payer: Meridian Medicaid |
$5,735.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,462.18
|
| Rate for Payer: UHCCP Medicaid |
$5,735.29
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$12,161.08 |
| Max. Negotiated Rate |
$12,769.13 |
| Rate for Payer: BCBS Complete |
$12,769.13
|
| Rate for Payer: Mclaren Medicaid |
$12,161.08
|
| Rate for Payer: Meridian Medicaid |
$12,769.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,161.08
|
| Rate for Payer: UHCCP Medicaid |
$12,769.13
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$6,647.37 |
| Max. Negotiated Rate |
$6,979.74 |
| Rate for Payer: BCBS Complete |
$6,979.74
|
| Rate for Payer: Mclaren Medicaid |
$6,647.37
|
| Rate for Payer: Meridian Medicaid |
$6,979.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,647.37
|
| Rate for Payer: UHCCP Medicaid |
$6,979.74
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 2061
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,194.86 |
| Max. Negotiated Rate |
$3,354.60 |
| Rate for Payer: BCBS Complete |
$3,354.60
|
| Rate for Payer: Mclaren Medicaid |
$3,194.86
|
| Rate for Payer: Meridian Medicaid |
$3,354.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,194.86
|
| Rate for Payer: UHCCP Medicaid |
$3,354.60
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$8,863.16 |
| Max. Negotiated Rate |
$9,306.32 |
| Rate for Payer: BCBS Complete |
$9,306.32
|
| Rate for Payer: Mclaren Medicaid |
$8,863.16
|
| Rate for Payer: Meridian Medicaid |
$9,306.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,863.16
|
| Rate for Payer: UHCCP Medicaid |
$9,306.32
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$5,925.95 |
| Max. Negotiated Rate |
$6,222.25 |
| Rate for Payer: BCBS Complete |
$6,222.25
|
| Rate for Payer: Mclaren Medicaid |
$5,925.95
|
| Rate for Payer: Meridian Medicaid |
$6,222.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,925.95
|
| Rate for Payer: UHCCP Medicaid |
$6,222.25
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 3494
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 5002
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$16,773.02
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$15,974.30 |
| Max. Negotiated Rate |
$16,773.02 |
| Rate for Payer: BCBS Complete |
$16,773.02
|
| Rate for Payer: Mclaren Medicaid |
$15,974.30
|
| Rate for Payer: Meridian Medicaid |
$16,773.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,974.30
|
| Rate for Payer: UHCCP Medicaid |
$16,773.02
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 5003
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 5001
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$10,409.06 |
| Max. Negotiated Rate |
$10,929.51 |
| Rate for Payer: BCBS Complete |
$10,929.51
|
| Rate for Payer: Mclaren Medicaid |
$10,409.06
|
| Rate for Payer: Meridian Medicaid |
$10,929.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,409.06
|
| Rate for Payer: UHCCP Medicaid |
$10,929.51
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$7,358.48
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$7,008.08 |
| Max. Negotiated Rate |
$7,358.48 |
| Rate for Payer: BCBS Complete |
$7,358.48
|
| Rate for Payer: Mclaren Medicaid |
$7,008.08
|
| Rate for Payer: Meridian Medicaid |
$7,358.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,008.08
|
| Rate for Payer: UHCCP Medicaid |
$7,358.48
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 2812
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 3821
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$14,338.22
|
|
|
Service Code
|
APR-DRG 3824
|
| Min. Negotiated Rate |
$13,655.45 |
| Max. Negotiated Rate |
$14,338.22 |
| Rate for Payer: BCBS Complete |
$14,338.22
|
| Rate for Payer: Mclaren Medicaid |
$13,655.45
|
| Rate for Payer: Meridian Medicaid |
$14,338.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,655.45
|
| Rate for Payer: UHCCP Medicaid |
$14,338.22
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$4,998.41 |
| Max. Negotiated Rate |
$5,248.33 |
| Rate for Payer: BCBS Complete |
$5,248.33
|
| Rate for Payer: Mclaren Medicaid |
$4,998.41
|
| Rate for Payer: Meridian Medicaid |
$5,248.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,998.41
|
| Rate for Payer: UHCCP Medicaid |
$5,248.33
|
|