|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 0542
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0544
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 0543
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 0541
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$20,452.26
|
|
|
Service Code
|
APR-DRG 7934
|
| Min. Negotiated Rate |
$19,478.34 |
| Max. Negotiated Rate |
$20,452.26 |
| Rate for Payer: BCBS Complete |
$20,452.26
|
| Rate for Payer: Mclaren Medicaid |
$19,478.34
|
| Rate for Payer: Meridian Medicaid |
$20,452.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,478.34
|
| Rate for Payer: UHCCP Medicaid |
$20,452.26
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,741.11
|
|
|
Service Code
|
APR-DRG 7933
|
| Min. Negotiated Rate |
$11,182.01 |
| Max. Negotiated Rate |
$11,741.11 |
| Rate for Payer: BCBS Complete |
$11,741.11
|
| Rate for Payer: Mclaren Medicaid |
$11,182.01
|
| Rate for Payer: Meridian Medicaid |
$11,741.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,182.01
|
| Rate for Payer: UHCCP Medicaid |
$11,741.11
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 7931
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 7932
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,670.62
|
|
|
Service Code
|
APR-DRG 9514
|
| Min. Negotiated Rate |
$21,591.07 |
| Max. Negotiated Rate |
$22,670.62 |
| Rate for Payer: BCBS Complete |
$22,670.62
|
| Rate for Payer: Mclaren Medicaid |
$21,591.07
|
| Rate for Payer: Meridian Medicaid |
$22,670.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,591.07
|
| Rate for Payer: UHCCP Medicaid |
$22,670.62
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 9512
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 9511
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,688.94
|
|
|
Service Code
|
APR-DRG 9513
|
| Min. Negotiated Rate |
$13,037.09 |
| Max. Negotiated Rate |
$13,688.94 |
| Rate for Payer: BCBS Complete |
$13,688.94
|
| Rate for Payer: Mclaren Medicaid |
$13,037.09
|
| Rate for Payer: Meridian Medicaid |
$13,688.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,037.09
|
| Rate for Payer: UHCCP Medicaid |
$13,688.94
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$42,203.07
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$40,193.40 |
| Max. Negotiated Rate |
$42,203.07 |
| Rate for Payer: BCBS Complete |
$42,203.07
|
| Rate for Payer: Mclaren Medicaid |
$40,193.40
|
| Rate for Payer: Meridian Medicaid |
$42,203.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,193.40
|
| Rate for Payer: UHCCP Medicaid |
$42,203.07
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$20,181.72
|
|
|
Service Code
|
APR-DRG 2991
|
| Min. Negotiated Rate |
$19,220.69 |
| Max. Negotiated Rate |
$20,181.72 |
| Rate for Payer: BCBS Complete |
$20,181.72
|
| Rate for Payer: Mclaren Medicaid |
$19,220.69
|
| Rate for Payer: Meridian Medicaid |
$20,181.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,220.69
|
| Rate for Payer: UHCCP Medicaid |
$20,181.72
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$24,293.82
|
|
|
Service Code
|
APR-DRG 2992
|
| Min. Negotiated Rate |
$23,136.97 |
| Max. Negotiated Rate |
$24,293.82 |
| Rate for Payer: BCBS Complete |
$24,293.82
|
| Rate for Payer: Mclaren Medicaid |
$23,136.97
|
| Rate for Payer: Meridian Medicaid |
$24,293.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,136.97
|
| Rate for Payer: UHCCP Medicaid |
$24,293.82
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$33,004.96
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$31,433.30 |
| Max. Negotiated Rate |
$33,004.96 |
| Rate for Payer: BCBS Complete |
$33,004.96
|
| Rate for Payer: Mclaren Medicaid |
$31,433.30
|
| Rate for Payer: Meridian Medicaid |
$33,004.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,433.30
|
| Rate for Payer: UHCCP Medicaid |
$33,004.96
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$12,552.71
|
|
|
Service Code
|
APR-DRG 0433
|
| Min. Negotiated Rate |
$11,954.96 |
| Max. Negotiated Rate |
$12,552.71 |
| Rate for Payer: BCBS Complete |
$12,552.71
|
| Rate for Payer: Mclaren Medicaid |
$11,954.96
|
| Rate for Payer: Meridian Medicaid |
$12,552.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.96
|
| Rate for Payer: UHCCP Medicaid |
$12,552.71
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$22,291.88
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$21,230.36 |
| Max. Negotiated Rate |
$22,291.88 |
| Rate for Payer: BCBS Complete |
$22,291.88
|
| Rate for Payer: Mclaren Medicaid |
$21,230.36
|
| Rate for Payer: Meridian Medicaid |
$22,291.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,230.36
|
| Rate for Payer: UHCCP Medicaid |
$22,291.88
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$5,513.71 |
| Max. Negotiated Rate |
$5,789.40 |
| Rate for Payer: BCBS Complete |
$5,789.40
|
| Rate for Payer: Mclaren Medicaid |
$5,513.71
|
| Rate for Payer: Meridian Medicaid |
$5,789.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,513.71
|
| Rate for Payer: UHCCP Medicaid |
$5,789.40
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 9302
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 9303
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,869.59
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,637.70 |
| Max. Negotiated Rate |
$4,869.59 |
| Rate for Payer: BCBS Complete |
$4,869.59
|
| Rate for Payer: Mclaren Medicaid |
$4,637.70
|
| Rate for Payer: Meridian Medicaid |
$4,869.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,637.70
|
| Rate for Payer: UHCCP Medicaid |
$4,869.59
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$16,881.23
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$16,077.36 |
| Max. Negotiated Rate |
$16,881.23 |
| Rate for Payer: BCBS Complete |
$16,881.23
|
| Rate for Payer: Mclaren Medicaid |
$16,077.36
|
| Rate for Payer: Meridian Medicaid |
$16,881.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,077.36
|
| Rate for Payer: UHCCP Medicaid |
$16,881.23
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$20,614.58
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$19,632.93 |
| Max. Negotiated Rate |
$20,614.58 |
| Rate for Payer: BCBS Complete |
$20,614.58
|
| Rate for Payer: Mclaren Medicaid |
$19,632.93
|
| Rate for Payer: Meridian Medicaid |
$20,614.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,632.93
|
| Rate for Payer: UHCCP Medicaid |
$20,614.58
|
|