|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$4,946.88 |
| Max. Negotiated Rate |
$5,194.22 |
| Rate for Payer: BCBS Complete |
$5,194.22
|
| Rate for Payer: Mclaren Medicaid |
$4,946.88
|
| Rate for Payer: Meridian Medicaid |
$5,194.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,946.88
|
| Rate for Payer: UHCCP Medicaid |
$5,194.22
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 4213
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,063.81
|
|
|
Service Code
|
APR-DRG 4214
|
| Min. Negotiated Rate |
$9,584.58 |
| Max. Negotiated Rate |
$10,063.81 |
| Rate for Payer: BCBS Complete |
$10,063.81
|
| Rate for Payer: Mclaren Medicaid |
$9,584.58
|
| Rate for Payer: Meridian Medicaid |
$10,063.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,584.58
|
| Rate for Payer: UHCCP Medicaid |
$10,063.81
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$10,604.87
|
|
|
Service Code
|
APR-DRG 3621
|
| 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: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$17,476.40
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$16,644.19 |
| Max. Negotiated Rate |
$17,476.40 |
| Rate for Payer: BCBS Complete |
$17,476.40
|
| Rate for Payer: Mclaren Medicaid |
$16,644.19
|
| Rate for Payer: Meridian Medicaid |
$17,476.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,644.19
|
| Rate for Payer: UHCCP Medicaid |
$17,476.40
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$14,608.76
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.76 |
| Rate for Payer: BCBS Complete |
$14,608.76
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.76
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$14,175.90
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$13,500.86 |
| Max. Negotiated Rate |
$14,175.90 |
| Rate for Payer: BCBS Complete |
$14,175.90
|
| Rate for Payer: Mclaren Medicaid |
$13,500.86
|
| Rate for Payer: Meridian Medicaid |
$14,175.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,500.86
|
| Rate for Payer: UHCCP Medicaid |
$14,175.90
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 5324
|
| Min. Negotiated Rate |
$9,069.28 |
| Max. Negotiated Rate |
$9,522.74 |
| Rate for Payer: BCBS Complete |
$9,522.74
|
| Rate for Payer: Mclaren Medicaid |
$9,069.28
|
| Rate for Payer: Meridian Medicaid |
$9,522.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,069.28
|
| Rate for Payer: UHCCP Medicaid |
$9,522.74
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,110.15
|
|
|
Service Code
|
APR-DRG 5321
|
| Min. Negotiated Rate |
$2,009.67 |
| Max. Negotiated Rate |
$2,110.15 |
| Rate for Payer: BCBS Complete |
$2,110.15
|
| Rate for Payer: Mclaren Medicaid |
$2,009.67
|
| Rate for Payer: Meridian Medicaid |
$2,110.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,009.67
|
| Rate for Payer: UHCCP Medicaid |
$2,110.15
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 5323
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 5322
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$30,516.07
|
|
|
Service Code
|
APR-DRG 7404
|
| Min. Negotiated Rate |
$29,062.92 |
| Max. Negotiated Rate |
$30,516.07 |
| Rate for Payer: BCBS Complete |
$30,516.07
|
| Rate for Payer: Mclaren Medicaid |
$29,062.92
|
| Rate for Payer: Meridian Medicaid |
$30,516.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,062.92
|
| Rate for Payer: UHCCP Medicaid |
$30,516.07
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 7402
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 7401
|
| Min. Negotiated Rate |
$4,946.88 |
| Max. Negotiated Rate |
$5,194.22 |
| Rate for Payer: BCBS Complete |
$5,194.22
|
| Rate for Payer: Mclaren Medicaid |
$4,946.88
|
| Rate for Payer: Meridian Medicaid |
$5,194.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,946.88
|
| Rate for Payer: UHCCP Medicaid |
$5,194.22
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,312.14
|
|
|
Service Code
|
APR-DRG 7403
|
| Min. Negotiated Rate |
$14,582.99 |
| Max. Negotiated Rate |
$15,312.14 |
| Rate for Payer: BCBS Complete |
$15,312.14
|
| Rate for Payer: Mclaren Medicaid |
$14,582.99
|
| Rate for Payer: Meridian Medicaid |
$15,312.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,582.99
|
| Rate for Payer: UHCCP Medicaid |
$15,312.14
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 0543
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 0544
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 0541
|
| Min. Negotiated Rate |
$3,813.22 |
| Max. Negotiated Rate |
$4,003.88 |
| Rate for Payer: BCBS Complete |
$4,003.88
|
| Rate for Payer: Mclaren Medicaid |
$3,813.22
|
| Rate for Payer: Meridian Medicaid |
$4,003.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 0542
|
| Min. Negotiated Rate |
$4,792.29 |
| Max. Negotiated Rate |
$5,031.90 |
| Rate for Payer: BCBS Complete |
$5,031.90
|
| Rate for Payer: Mclaren Medicaid |
$4,792.29
|
| Rate for Payer: Meridian Medicaid |
$5,031.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.29
|
| Rate for Payer: UHCCP Medicaid |
$5,031.90
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$22,237.77
|
|
|
Service Code
|
APR-DRG 7934
|
| Min. Negotiated Rate |
$21,178.83 |
| Max. Negotiated Rate |
$22,237.77 |
| Rate for Payer: BCBS Complete |
$22,237.77
|
| Rate for Payer: Mclaren Medicaid |
$21,178.83
|
| Rate for Payer: Meridian Medicaid |
$22,237.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,178.83
|
| Rate for Payer: UHCCP Medicaid |
$22,237.77
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 7933
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 7932
|
| 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
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 7931
|
| 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
|
|