|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,155.64
|
|
|
Service Code
|
APR-DRG 9514
|
| Min. Negotiated Rate |
$20,148.23 |
| Max. Negotiated Rate |
$21,155.64 |
| Rate for Payer: BCBS Complete |
$21,155.64
|
| Rate for Payer: Mclaren Medicaid |
$20,148.23
|
| Rate for Payer: Meridian Medicaid |
$21,155.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,148.23
|
| Rate for Payer: UHCCP Medicaid |
$21,155.64
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,739.17
|
|
|
Service Code
|
APR-DRG 9512
|
| Min. Negotiated Rate |
$9,275.40 |
| Max. Negotiated Rate |
$9,739.17 |
| Rate for Payer: BCBS Complete |
$9,739.17
|
| Rate for Payer: Mclaren Medicaid |
$9,275.40
|
| Rate for Payer: Meridian Medicaid |
$9,739.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,275.40
|
| Rate for Payer: UHCCP Medicaid |
$9,739.17
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 9511
|
| Min. Negotiated Rate |
$7,059.61 |
| Max. Negotiated Rate |
$7,412.59 |
| Rate for Payer: BCBS Complete |
$7,412.59
|
| Rate for Payer: Mclaren Medicaid |
$7,059.61
|
| Rate for Payer: Meridian Medicaid |
$7,412.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,059.61
|
| Rate for Payer: UHCCP Medicaid |
$7,412.59
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,256.09
|
|
|
Service Code
|
APR-DRG 9513
|
| Min. Negotiated Rate |
$12,624.85 |
| Max. Negotiated Rate |
$13,256.09 |
| Rate for Payer: BCBS Complete |
$13,256.09
|
| Rate for Payer: Mclaren Medicaid |
$12,624.85
|
| Rate for Payer: Meridian Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,624.85
|
| Rate for Payer: UHCCP Medicaid |
$13,256.09
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$21,047.43
|
|
|
Service Code
|
APR-DRG 2992
|
| Min. Negotiated Rate |
$20,045.17 |
| Max. Negotiated Rate |
$21,047.43 |
| Rate for Payer: BCBS Complete |
$21,047.43
|
| Rate for Payer: Mclaren Medicaid |
$20,045.17
|
| Rate for Payer: Meridian Medicaid |
$21,047.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,045.17
|
| Rate for Payer: UHCCP Medicaid |
$21,047.43
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$36,575.99
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$34,834.28 |
| Max. Negotiated Rate |
$36,575.99 |
| Rate for Payer: BCBS Complete |
$36,575.99
|
| Rate for Payer: Mclaren Medicaid |
$34,834.28
|
| Rate for Payer: Meridian Medicaid |
$36,575.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,834.28
|
| Rate for Payer: UHCCP Medicaid |
$36,575.99
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$28,568.23
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$27,207.84 |
| Max. Negotiated Rate |
$28,568.23 |
| Rate for Payer: BCBS Complete |
$28,568.23
|
| Rate for Payer: Mclaren Medicaid |
$27,207.84
|
| Rate for Payer: Meridian Medicaid |
$28,568.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,207.84
|
| Rate for Payer: UHCCP Medicaid |
$28,568.23
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$17,476.40
|
|
|
Service Code
|
APR-DRG 2991
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$12,715.03
|
|
|
Service Code
|
APR-DRG 0433
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$24,780.78
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$23,600.74 |
| Max. Negotiated Rate |
$24,780.78 |
| Rate for Payer: BCBS Complete |
$24,780.78
|
| Rate for Payer: Mclaren Medicaid |
$23,600.74
|
| Rate for Payer: Meridian Medicaid |
$24,780.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,600.74
|
| Rate for Payer: UHCCP Medicaid |
$24,780.78
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$13,243.21 |
| Max. Negotiated Rate |
$13,905.37 |
| Rate for Payer: BCBS Complete |
$13,905.37
|
| Rate for Payer: Mclaren Medicaid |
$13,243.21
|
| Rate for Payer: Meridian Medicaid |
$13,905.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,243.21
|
| Rate for Payer: UHCCP Medicaid |
$13,905.37
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 9303
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$5,681.18
|
|
|
Service Code
|
APR-DRG 9302
|
| Min. Negotiated Rate |
$5,410.65 |
| Max. Negotiated Rate |
$5,681.18 |
| Rate for Payer: BCBS Complete |
$5,681.18
|
| Rate for Payer: Mclaren Medicaid |
$5,410.65
|
| Rate for Payer: Meridian Medicaid |
$5,681.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,410.65
|
| Rate for Payer: UHCCP Medicaid |
$5,681.18
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,687.00
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$11,130.48 |
| Max. Negotiated Rate |
$11,687.00 |
| Rate for Payer: BCBS Complete |
$11,687.00
|
| Rate for Payer: Mclaren Medicaid |
$11,130.48
|
| Rate for Payer: Meridian Medicaid |
$11,687.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,130.48
|
| Rate for Payer: UHCCP Medicaid |
$11,687.00
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$31,760.52
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$30,248.11 |
| Max. Negotiated Rate |
$31,760.52 |
| Rate for Payer: BCBS Complete |
$31,760.52
|
| Rate for Payer: Mclaren Medicaid |
$30,248.11
|
| Rate for Payer: Meridian Medicaid |
$31,760.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,248.11
|
| Rate for Payer: UHCCP Medicaid |
$31,760.52
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,744.99
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$14,995.23 |
| Max. Negotiated Rate |
$15,744.99 |
| Rate for Payer: BCBS Complete |
$15,744.99
|
| Rate for Payer: Mclaren Medicaid |
$14,995.23
|
| Rate for Payer: Meridian Medicaid |
$15,744.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,995.23
|
| Rate for Payer: UHCCP Medicaid |
$15,744.99
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$20,885.11
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$19,890.58 |
| Max. Negotiated Rate |
$20,885.11 |
| Rate for Payer: BCBS Complete |
$20,885.11
|
| Rate for Payer: Mclaren Medicaid |
$19,890.58
|
| Rate for Payer: Meridian Medicaid |
$20,885.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,890.58
|
| Rate for Payer: UHCCP Medicaid |
$20,885.11
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$15,907.31
|
|
|
Service Code
|
APR-DRG 3434
|
| Min. Negotiated Rate |
$15,149.82 |
| Max. Negotiated Rate |
$15,907.31 |
| Rate for Payer: BCBS Complete |
$15,907.31
|
| Rate for Payer: Mclaren Medicaid |
$15,149.82
|
| Rate for Payer: Meridian Medicaid |
$15,907.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.82
|
| Rate for Payer: UHCCP Medicaid |
$15,907.31
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 3431
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$10,009.70
|
|
|
Service Code
|
APR-DRG 3433
|
| Min. Negotiated Rate |
$9,533.05 |
| Max. Negotiated Rate |
$10,009.70 |
| Rate for Payer: BCBS Complete |
$10,009.70
|
| Rate for Payer: Mclaren Medicaid |
$9,533.05
|
| Rate for Payer: Meridian Medicaid |
$10,009.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,533.05
|
| Rate for Payer: UHCCP Medicaid |
$10,009.70
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$48,317.10
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$46,016.29 |
| Max. Negotiated Rate |
$48,317.10 |
| Rate for Payer: BCBS Complete |
$48,317.10
|
| Rate for Payer: Mclaren Medicaid |
$46,016.29
|
| Rate for Payer: Meridian Medicaid |
$48,317.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,016.29
|
| Rate for Payer: UHCCP Medicaid |
$48,317.10
|
|