|
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
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 9121
|
| 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: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,716.97
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$14,016.16 |
| Max. Negotiated Rate |
$14,716.97 |
| Rate for Payer: BCBS Complete |
$14,716.97
|
| Rate for Payer: Mclaren Medicaid |
$14,016.16
|
| Rate for Payer: Meridian Medicaid |
$14,716.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,016.16
|
| Rate for Payer: UHCCP Medicaid |
$14,716.97
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 3433
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 3434
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 3432
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 3431
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$13,201.99
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$12,573.32 |
| Max. Negotiated Rate |
$13,201.99 |
| Rate for Payer: BCBS Complete |
$13,201.99
|
| Rate for Payer: Mclaren Medicaid |
$12,573.32
|
| Rate for Payer: Meridian Medicaid |
$13,201.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,573.32
|
| Rate for Payer: UHCCP Medicaid |
$13,201.99
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$6,905.02 |
| Max. Negotiated Rate |
$7,250.27 |
| Rate for Payer: BCBS Complete |
$7,250.27
|
| Rate for Payer: Mclaren Medicaid |
$6,905.02
|
| Rate for Payer: Meridian Medicaid |
$7,250.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,905.02
|
| Rate for Payer: UHCCP Medicaid |
$7,250.27
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$25,592.37
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$24,373.69 |
| Max. Negotiated Rate |
$25,592.37 |
| Rate for Payer: BCBS Complete |
$25,592.37
|
| Rate for Payer: Mclaren Medicaid |
$24,373.69
|
| Rate for Payer: Meridian Medicaid |
$25,592.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,373.69
|
| Rate for Payer: UHCCP Medicaid |
$25,592.37
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$49,994.41
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$47,613.72 |
| Max. Negotiated Rate |
$49,994.41 |
| Rate for Payer: BCBS Complete |
$49,994.41
|
| Rate for Payer: Mclaren Medicaid |
$47,613.72
|
| Rate for Payer: Meridian Medicaid |
$49,994.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$47,613.72
|
| Rate for Payer: UHCCP Medicaid |
$49,994.41
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$26,890.93
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$25,610.41 |
| Max. Negotiated Rate |
$26,890.93 |
| Rate for Payer: BCBS Complete |
$26,890.93
|
| Rate for Payer: Mclaren Medicaid |
$25,610.41
|
| Rate for Payer: Meridian Medicaid |
$26,890.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,610.41
|
| Rate for Payer: UHCCP Medicaid |
$26,890.93
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 6031
|
| 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: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$58,164.49
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$55,394.75 |
| Max. Negotiated Rate |
$58,164.49 |
| Rate for Payer: BCBS Complete |
$58,164.49
|
| Rate for Payer: Mclaren Medicaid |
$55,394.75
|
| Rate for Payer: Meridian Medicaid |
$58,164.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$55,394.75
|
| Rate for Payer: UHCCP Medicaid |
$58,164.49
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$32,950.86
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$31,381.77 |
| Max. Negotiated Rate |
$32,950.86 |
| Rate for Payer: BCBS Complete |
$32,950.86
|
| Rate for Payer: Mclaren Medicaid |
$31,381.77
|
| Rate for Payer: Meridian Medicaid |
$32,950.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,381.77
|
| Rate for Payer: UHCCP Medicaid |
$32,950.86
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$79,536.55
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$75,749.10 |
| Max. Negotiated Rate |
$79,536.55 |
| Rate for Payer: BCBS Complete |
$79,536.55
|
| Rate for Payer: Mclaren Medicaid |
$75,749.10
|
| Rate for Payer: Meridian Medicaid |
$79,536.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$75,749.10
|
| Rate for Payer: UHCCP Medicaid |
$79,536.55
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$55,242.74
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$52,612.13 |
| Max. Negotiated Rate |
$55,242.74 |
| Rate for Payer: BCBS Complete |
$55,242.74
|
| Rate for Payer: Mclaren Medicaid |
$52,612.13
|
| Rate for Payer: Meridian Medicaid |
$55,242.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$52,612.13
|
| Rate for Payer: UHCCP Medicaid |
$55,242.74
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$44,150.90
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$42,048.48 |
| Max. Negotiated Rate |
$44,150.90 |
| Rate for Payer: BCBS Complete |
$44,150.90
|
| Rate for Payer: Mclaren Medicaid |
$42,048.48
|
| Rate for Payer: Meridian Medicaid |
$44,150.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,048.48
|
| Rate for Payer: UHCCP Medicaid |
$44,150.90
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$32,896.75
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$31,330.24 |
| Max. Negotiated Rate |
$32,896.75 |
| Rate for Payer: BCBS Complete |
$32,896.75
|
| Rate for Payer: Mclaren Medicaid |
$31,330.24
|
| Rate for Payer: Meridian Medicaid |
$32,896.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,330.24
|
| Rate for Payer: UHCCP Medicaid |
$32,896.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$12,065.75
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$11,491.19 |
| Max. Negotiated Rate |
$12,065.75 |
| Rate for Payer: BCBS Complete |
$12,065.75
|
| Rate for Payer: Mclaren Medicaid |
$11,491.19
|
| Rate for Payer: Meridian Medicaid |
$12,065.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,491.19
|
| Rate for Payer: UHCCP Medicaid |
$12,065.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$35,061.01
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$33,391.44 |
| Max. Negotiated Rate |
$35,061.01 |
| Rate for Payer: BCBS Complete |
$35,061.01
|
| Rate for Payer: Mclaren Medicaid |
$33,391.44
|
| Rate for Payer: Meridian Medicaid |
$35,061.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,391.44
|
| Rate for Payer: UHCCP Medicaid |
$35,061.01
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$20,939.22
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$19,942.11 |
| Max. Negotiated Rate |
$20,939.22 |
| Rate for Payer: BCBS Complete |
$20,939.22
|
| Rate for Payer: Mclaren Medicaid |
$19,942.11
|
| Rate for Payer: Meridian Medicaid |
$20,939.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,942.11
|
| Rate for Payer: UHCCP Medicaid |
$20,939.22
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$30,245.53
|
|
|
Service Code
|
APR-DRG 6083
|
| Min. Negotiated Rate |
$28,805.27 |
| Max. Negotiated Rate |
$30,245.53 |
| Rate for Payer: BCBS Complete |
$30,245.53
|
| Rate for Payer: Mclaren Medicaid |
$28,805.27
|
| Rate for Payer: Meridian Medicaid |
$30,245.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,805.27
|
| Rate for Payer: UHCCP Medicaid |
$30,245.53
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$22,508.30
|
|
|
Service Code
|
APR-DRG 6071
|
| Min. Negotiated Rate |
$21,436.48 |
| Max. Negotiated Rate |
$22,508.30 |
| Rate for Payer: BCBS Complete |
$22,508.30
|
| Rate for Payer: Mclaren Medicaid |
$21,436.48
|
| Rate for Payer: Meridian Medicaid |
$22,508.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,436.48
|
| Rate for Payer: UHCCP Medicaid |
$22,508.30
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$31,489.98
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$29,990.46 |
| Max. Negotiated Rate |
$31,489.98 |
| Rate for Payer: BCBS Complete |
$31,489.98
|
| Rate for Payer: Mclaren Medicaid |
$29,990.46
|
| Rate for Payer: Meridian Medicaid |
$31,489.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,990.46
|
| Rate for Payer: UHCCP Medicaid |
$31,489.98
|
|