|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$22,562.41
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$21,488.01 |
| Max. Negotiated Rate |
$22,562.41 |
| Rate for Payer: BCBS Complete |
$22,562.41
|
| Rate for Payer: Mclaren Medicaid |
$21,488.01
|
| Rate for Payer: Meridian Medicaid |
$22,562.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,488.01
|
| Rate for Payer: UHCCP Medicaid |
$22,562.41
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7,033.84
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.84 |
| Rate for Payer: BCBS Complete |
$7,033.84
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.84
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$12,264.14 |
| Max. Negotiated Rate |
$12,877.35 |
| Rate for Payer: BCBS Complete |
$12,877.35
|
| Rate for Payer: Mclaren Medicaid |
$12,264.14
|
| Rate for Payer: Meridian Medicaid |
$12,877.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,264.14
|
| Rate for Payer: UHCCP Medicaid |
$12,877.35
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$62,601.22
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$59,620.21 |
| Max. Negotiated Rate |
$62,601.22 |
| Rate for Payer: BCBS Complete |
$62,601.22
|
| Rate for Payer: Mclaren Medicaid |
$59,620.21
|
| Rate for Payer: Meridian Medicaid |
$62,601.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,620.21
|
| Rate for Payer: UHCCP Medicaid |
$62,601.22
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$35,818.50
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$34,112.86 |
| Max. Negotiated Rate |
$35,818.50 |
| Rate for Payer: BCBS Complete |
$35,818.50
|
| Rate for Payer: Mclaren Medicaid |
$34,112.86
|
| Rate for Payer: Meridian Medicaid |
$35,818.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,112.86
|
| Rate for Payer: UHCCP Medicaid |
$35,818.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 6031
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$26,512.18
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$25,249.70 |
| Max. Negotiated Rate |
$26,512.18 |
| Rate for Payer: BCBS Complete |
$26,512.18
|
| Rate for Payer: Mclaren Medicaid |
$25,249.70
|
| Rate for Payer: Meridian Medicaid |
$26,512.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,249.70
|
| Rate for Payer: UHCCP Medicaid |
$26,512.18
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$38,415.62
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$36,586.30 |
| Max. Negotiated Rate |
$38,415.62 |
| Rate for Payer: BCBS Complete |
$38,415.62
|
| Rate for Payer: Mclaren Medicaid |
$36,586.30
|
| Rate for Payer: Meridian Medicaid |
$38,415.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,586.30
|
| Rate for Payer: UHCCP Medicaid |
$38,415.62
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$55,675.59
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$53,024.37 |
| Max. Negotiated Rate |
$55,675.59 |
| Rate for Payer: BCBS Complete |
$55,675.59
|
| Rate for Payer: Mclaren Medicaid |
$53,024.37
|
| Rate for Payer: Meridian Medicaid |
$55,675.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$53,024.37
|
| Rate for Payer: UHCCP Medicaid |
$55,675.59
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$30,786.60
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$29,320.57 |
| Max. Negotiated Rate |
$30,786.60 |
| Rate for Payer: BCBS Complete |
$30,786.60
|
| Rate for Payer: Mclaren Medicaid |
$29,320.57
|
| Rate for Payer: Meridian Medicaid |
$30,786.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,320.57
|
| Rate for Payer: UHCCP Medicaid |
$30,786.60
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$27,053.25
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$25,765.00 |
| Max. Negotiated Rate |
$27,053.25 |
| Rate for Payer: BCBS Complete |
$27,053.25
|
| Rate for Payer: Mclaren Medicaid |
$25,765.00
|
| Rate for Payer: Meridian Medicaid |
$27,053.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,765.00
|
| Rate for Payer: UHCCP Medicaid |
$27,053.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$15,528.57
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$14,789.11 |
| Max. Negotiated Rate |
$15,528.57 |
| Rate for Payer: BCBS Complete |
$15,528.57
|
| Rate for Payer: Mclaren Medicaid |
$14,789.11
|
| Rate for Payer: Meridian Medicaid |
$15,528.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,789.11
|
| Rate for Payer: UHCCP Medicaid |
$15,528.57
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$8,553.98 |
| Max. Negotiated Rate |
$8,981.68 |
| Rate for Payer: BCBS Complete |
$8,981.68
|
| Rate for Payer: Mclaren Medicaid |
$8,553.98
|
| Rate for Payer: Meridian Medicaid |
$8,981.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,553.98
|
| Rate for Payer: UHCCP Medicaid |
$8,981.68
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$22,508.30
|
|
|
Service Code
|
APR-DRG 6083
|
| 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 OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$26,079.33
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$24,837.46 |
| Max. Negotiated Rate |
$26,079.33 |
| Rate for Payer: BCBS Complete |
$26,079.33
|
| Rate for Payer: Mclaren Medicaid |
$24,837.46
|
| Rate for Payer: Meridian Medicaid |
$26,079.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,837.46
|
| Rate for Payer: UHCCP Medicaid |
$26,079.33
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$15,095.71
|
|
|
Service Code
|
APR-DRG 6071
|
| Min. Negotiated Rate |
$14,376.87 |
| Max. Negotiated Rate |
$15,095.71 |
| Rate for Payer: BCBS Complete |
$15,095.71
|
| Rate for Payer: Mclaren Medicaid |
$14,376.87
|
| Rate for Payer: Meridian Medicaid |
$15,095.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,376.87
|
| Rate for Payer: UHCCP Medicaid |
$15,095.71
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$28,243.59
|
|
|
Service Code
|
APR-DRG 6073
|
| Min. Negotiated Rate |
$26,898.66 |
| Max. Negotiated Rate |
$28,243.59 |
| Rate for Payer: BCBS Complete |
$28,243.59
|
| Rate for Payer: Mclaren Medicaid |
$26,898.66
|
| Rate for Payer: Meridian Medicaid |
$28,243.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,898.66
|
| Rate for Payer: UHCCP Medicaid |
$28,243.59
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$41,716.11
|
|
|
Service Code
|
APR-DRG 6074
|
| Min. Negotiated Rate |
$39,729.63 |
| Max. Negotiated Rate |
$41,716.11 |
| Rate for Payer: BCBS Complete |
$41,716.11
|
| Rate for Payer: Mclaren Medicaid |
$39,729.63
|
| Rate for Payer: Meridian Medicaid |
$41,716.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,729.63
|
| Rate for Payer: UHCCP Medicaid |
$41,716.11
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$21,317.96
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$20,302.82 |
| Max. Negotiated Rate |
$21,317.96 |
| Rate for Payer: BCBS Complete |
$21,317.96
|
| Rate for Payer: Mclaren Medicaid |
$20,302.82
|
| Rate for Payer: Meridian Medicaid |
$21,317.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,302.82
|
| Rate for Payer: UHCCP Medicaid |
$21,317.96
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$27,161.46
|
|
|
Service Code
|
APR-DRG 6133
|
| Min. Negotiated Rate |
$25,868.06 |
| Max. Negotiated Rate |
$27,161.46 |
| Rate for Payer: BCBS Complete |
$27,161.46
|
| Rate for Payer: Mclaren Medicaid |
$25,868.06
|
| Rate for Payer: Meridian Medicaid |
$27,161.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,868.06
|
| Rate for Payer: UHCCP Medicaid |
$27,161.46
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$55,459.16
|
|
|
Service Code
|
APR-DRG 6134
|
| Min. Negotiated Rate |
$52,818.25 |
| Max. Negotiated Rate |
$55,459.16 |
| Rate for Payer: BCBS Complete |
$55,459.16
|
| Rate for Payer: Mclaren Medicaid |
$52,818.25
|
| Rate for Payer: Meridian Medicaid |
$55,459.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$52,818.25
|
| Rate for Payer: UHCCP Medicaid |
$55,459.16
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 6131
|
| Min. Negotiated Rate |
$4,483.11 |
| Max. Negotiated Rate |
$4,707.27 |
| Rate for Payer: BCBS Complete |
$4,707.27
|
| Rate for Payer: Mclaren Medicaid |
$4,483.11
|
| Rate for Payer: Meridian Medicaid |
$4,707.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.11
|
| Rate for Payer: UHCCP Medicaid |
$4,707.27
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$17,530.51
|
|
|
Service Code
|
APR-DRG 6132
|
| Min. Negotiated Rate |
$16,695.72 |
| Max. Negotiated Rate |
$17,530.51 |
| Rate for Payer: BCBS Complete |
$17,530.51
|
| Rate for Payer: Mclaren Medicaid |
$16,695.72
|
| Rate for Payer: Meridian Medicaid |
$17,530.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,695.72
|
| Rate for Payer: UHCCP Medicaid |
$17,530.51
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$13,526.62
|
|
|
Service Code
|
APR-DRG 6112
|
| Min. Negotiated Rate |
$12,882.50 |
| Max. Negotiated Rate |
$13,526.62 |
| Rate for Payer: BCBS Complete |
$13,526.62
|
| Rate for Payer: Mclaren Medicaid |
$12,882.50
|
| Rate for Payer: Meridian Medicaid |
$13,526.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,882.50
|
| Rate for Payer: UHCCP Medicaid |
$13,526.62
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$17,151.76
|
|
|
Service Code
|
APR-DRG 6113
|
| Min. Negotiated Rate |
$16,335.01 |
| Max. Negotiated Rate |
$17,151.76 |
| Rate for Payer: BCBS Complete |
$17,151.76
|
| Rate for Payer: Mclaren Medicaid |
$16,335.01
|
| Rate for Payer: Meridian Medicaid |
$17,151.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,335.01
|
| Rate for Payer: UHCCP Medicaid |
$17,151.76
|
|