|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$4,431.58 |
| Max. Negotiated Rate |
$4,653.16 |
| Rate for Payer: BCBS Complete |
$4,653.16
|
| Rate for Payer: Mclaren Medicaid |
$4,431.58
|
| Rate for Payer: Meridian Medicaid |
$4,653.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,431.58
|
| Rate for Payer: UHCCP Medicaid |
$4,653.16
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
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
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 2811
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 3822
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$11,254.15
|
|
|
Service Code
|
APR-DRG 3824
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 3821
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 4213
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 4214
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$3,916.28 |
| Max. Negotiated Rate |
$4,112.09 |
| Rate for Payer: BCBS Complete |
$4,112.09
|
| Rate for Payer: Mclaren Medicaid |
$3,916.28
|
| Rate for Payer: Meridian Medicaid |
$4,112.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$16,610.70
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$15,819.71 |
| Max. Negotiated Rate |
$16,610.70 |
| Rate for Payer: BCBS Complete |
$16,610.70
|
| Rate for Payer: Mclaren Medicaid |
$15,819.71
|
| Rate for Payer: Meridian Medicaid |
$16,610.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,819.71
|
| Rate for Payer: UHCCP Medicaid |
$16,610.70
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 3621
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$13,310.20
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$12,676.38 |
| Max. Negotiated Rate |
$13,310.20 |
| Rate for Payer: BCBS Complete |
$13,310.20
|
| Rate for Payer: Mclaren Medicaid |
$12,676.38
|
| Rate for Payer: Meridian Medicaid |
$13,310.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,676.38
|
| Rate for Payer: UHCCP Medicaid |
$13,310.20
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 5323
|
| 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
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$8,494.72
|
|
|
Service Code
|
APR-DRG 5324
|
| Min. Negotiated Rate |
$8,090.21 |
| Max. Negotiated Rate |
$8,494.72 |
| Rate for Payer: BCBS Complete |
$8,494.72
|
| Rate for Payer: Mclaren Medicaid |
$8,090.21
|
| Rate for Payer: Meridian Medicaid |
$8,494.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,090.21
|
| Rate for Payer: UHCCP Medicaid |
$8,494.72
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 5321
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 5322
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 7402
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$30,299.64
|
|
|
Service Code
|
APR-DRG 7404
|
| Min. Negotiated Rate |
$28,856.80 |
| Max. Negotiated Rate |
$30,299.64 |
| Rate for Payer: BCBS Complete |
$30,299.64
|
| Rate for Payer: Mclaren Medicaid |
$28,856.80
|
| Rate for Payer: Meridian Medicaid |
$30,299.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,856.80
|
| Rate for Payer: UHCCP Medicaid |
$30,299.64
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 7401
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,959.48
|
|
|
Service Code
|
APR-DRG 7403
|
| Min. Negotiated Rate |
$13,294.74 |
| Max. Negotiated Rate |
$13,959.48 |
| Rate for Payer: BCBS Complete |
$13,959.48
|
| Rate for Payer: Mclaren Medicaid |
$13,294.74
|
| Rate for Payer: Meridian Medicaid |
$13,959.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,294.74
|
| Rate for Payer: UHCCP Medicaid |
$13,959.48
|
|