|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$183,150.50
|
|
|
Service Code
|
APR-DRG 5884
|
| Min. Negotiated Rate |
$174,429.05 |
| Max. Negotiated Rate |
$183,150.50 |
| Rate for Payer: BCBS Complete |
$183,150.50
|
| Rate for Payer: Mclaren Medicaid |
$174,429.05
|
| Rate for Payer: Meridian Medicaid |
$183,150.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$174,429.05
|
| Rate for Payer: UHCCP Medicaid |
$183,150.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,785.51
|
|
|
Service Code
|
APR-DRG 6262
|
| Min. Negotiated Rate |
$1,700.49 |
| Max. Negotiated Rate |
$1,785.51 |
| Rate for Payer: BCBS Complete |
$1,785.51
|
| Rate for Payer: Mclaren Medicaid |
$1,700.49
|
| Rate for Payer: Meridian Medicaid |
$1,785.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,700.49
|
| Rate for Payer: UHCCP Medicaid |
$1,785.51
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 6263
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 6264
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$811.60
|
|
|
Service Code
|
APR-DRG 6261
|
| Min. Negotiated Rate |
$772.95 |
| Max. Negotiated Rate |
$811.60 |
| Rate for Payer: BCBS Complete |
$811.60
|
| Rate for Payer: Mclaren Medicaid |
$772.95
|
| Rate for Payer: Meridian Medicaid |
$811.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.95
|
| Rate for Payer: UHCCP Medicaid |
$811.60
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$21,209.75
|
|
|
Service Code
|
APR-DRG 6233
|
| Min. Negotiated Rate |
$20,199.76 |
| Max. Negotiated Rate |
$21,209.75 |
| Rate for Payer: BCBS Complete |
$21,209.75
|
| Rate for Payer: Mclaren Medicaid |
$20,199.76
|
| Rate for Payer: Meridian Medicaid |
$21,209.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,199.76
|
| Rate for Payer: UHCCP Medicaid |
$21,209.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 6231
|
| 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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 6232
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$28,243.59
|
|
|
Service Code
|
APR-DRG 6234
|
| 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 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$9,955.60
|
|
|
Service Code
|
APR-DRG 6212
|
| Min. Negotiated Rate |
$9,481.52 |
| Max. Negotiated Rate |
$9,955.60 |
| Rate for Payer: BCBS Complete |
$9,955.60
|
| Rate for Payer: Mclaren Medicaid |
$9,481.52
|
| Rate for Payer: Meridian Medicaid |
$9,955.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,481.52
|
| Rate for Payer: UHCCP Medicaid |
$9,955.60
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$19,857.09
|
|
|
Service Code
|
APR-DRG 6213
|
| Min. Negotiated Rate |
$18,911.51 |
| Max. Negotiated Rate |
$19,857.09 |
| Rate for Payer: BCBS Complete |
$19,857.09
|
| Rate for Payer: Mclaren Medicaid |
$18,911.51
|
| Rate for Payer: Meridian Medicaid |
$19,857.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,911.51
|
| Rate for Payer: UHCCP Medicaid |
$19,857.09
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 6211
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$39,497.75
|
|
|
Service Code
|
APR-DRG 6214
|
| Min. Negotiated Rate |
$37,616.90 |
| Max. Negotiated Rate |
$39,497.75 |
| Rate for Payer: BCBS Complete |
$39,497.75
|
| Rate for Payer: Mclaren Medicaid |
$37,616.90
|
| Rate for Payer: Meridian Medicaid |
$39,497.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,616.90
|
| Rate for Payer: UHCCP Medicaid |
$39,497.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$16,069.63
|
|
|
Service Code
|
APR-DRG 6253
|
| Min. Negotiated Rate |
$15,304.41 |
| Max. Negotiated Rate |
$16,069.63 |
| Rate for Payer: BCBS Complete |
$16,069.63
|
| Rate for Payer: Mclaren Medicaid |
$15,304.41
|
| Rate for Payer: Meridian Medicaid |
$16,069.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,304.41
|
| Rate for Payer: UHCCP Medicaid |
$16,069.63
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$35,006.91
|
|
|
Service Code
|
APR-DRG 6254
|
| Min. Negotiated Rate |
$33,339.91 |
| Max. Negotiated Rate |
$35,006.91 |
| Rate for Payer: BCBS Complete |
$35,006.91
|
| Rate for Payer: Mclaren Medicaid |
$33,339.91
|
| Rate for Payer: Meridian Medicaid |
$35,006.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,339.91
|
| Rate for Payer: UHCCP Medicaid |
$35,006.91
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 6252
|
| Min. Negotiated Rate |
$9,223.87 |
| Max. Negotiated Rate |
$9,685.06 |
| Rate for Payer: BCBS Complete |
$9,685.06
|
| Rate for Payer: Mclaren Medicaid |
$9,223.87
|
| Rate for Payer: Meridian Medicaid |
$9,685.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,223.87
|
| Rate for Payer: UHCCP Medicaid |
$9,685.06
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 6251
|
| Min. Negotiated Rate |
$6,338.19 |
| Max. Negotiated Rate |
$6,655.10 |
| Rate for Payer: BCBS Complete |
$6,655.10
|
| Rate for Payer: Mclaren Medicaid |
$6,338.19
|
| Rate for Payer: Meridian Medicaid |
$6,655.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,338.19
|
| Rate for Payer: UHCCP Medicaid |
$6,655.10
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$8,494.72
|
|
|
Service Code
|
APR-DRG 6221
|
| 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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$17,530.51
|
|
|
Service Code
|
APR-DRG 6223
|
| 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 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$26,133.44
|
|
|
Service Code
|
APR-DRG 6224
|
| Min. Negotiated Rate |
$24,888.99 |
| Max. Negotiated Rate |
$26,133.44 |
| Rate for Payer: BCBS Complete |
$26,133.44
|
| Rate for Payer: Mclaren Medicaid |
$24,888.99
|
| Rate for Payer: Meridian Medicaid |
$26,133.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,888.99
|
| Rate for Payer: UHCCP Medicaid |
$26,133.44
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$12,282.18
|
|
|
Service Code
|
APR-DRG 6222
|
| Min. Negotiated Rate |
$11,697.31 |
| Max. Negotiated Rate |
$12,282.18 |
| Rate for Payer: BCBS Complete |
$12,282.18
|
| Rate for Payer: Mclaren Medicaid |
$11,697.31
|
| Rate for Payer: Meridian Medicaid |
$12,282.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,697.31
|
| Rate for Payer: UHCCP Medicaid |
$12,282.18
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$595.17
|
|
|
Service Code
|
APR-DRG 6401
|
| Min. Negotiated Rate |
$566.83 |
| Max. Negotiated Rate |
$595.17 |
| Rate for Payer: BCBS Complete |
$595.17
|
| Rate for Payer: Mclaren Medicaid |
$566.83
|
| Rate for Payer: Meridian Medicaid |
$595.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$566.83
|
| Rate for Payer: UHCCP Medicaid |
$595.17
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$2,001.94
|
|
|
Service Code
|
APR-DRG 6403
|
| Min. Negotiated Rate |
$1,906.61 |
| Max. Negotiated Rate |
$2,001.94 |
| Rate for Payer: BCBS Complete |
$2,001.94
|
| Rate for Payer: Mclaren Medicaid |
$1,906.61
|
| Rate for Payer: Meridian Medicaid |
$2,001.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,906.61
|
| Rate for Payer: UHCCP Medicaid |
$2,001.94
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$11,145.94
|
|
|
Service Code
|
APR-DRG 6404
|
| Min. Negotiated Rate |
$10,615.18 |
| Max. Negotiated Rate |
$11,145.94 |
| Rate for Payer: BCBS Complete |
$11,145.94
|
| Rate for Payer: Mclaren Medicaid |
$10,615.18
|
| Rate for Payer: Meridian Medicaid |
$11,145.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,615.18
|
| Rate for Payer: UHCCP Medicaid |
$11,145.94
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$919.81
|
|
|
Service Code
|
APR-DRG 6402
|
| Min. Negotiated Rate |
$876.01 |
| Max. Negotiated Rate |
$919.81 |
| Rate for Payer: BCBS Complete |
$919.81
|
| Rate for Payer: Mclaren Medicaid |
$876.01
|
| Rate for Payer: Meridian Medicaid |
$919.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$876.01
|
| Rate for Payer: UHCCP Medicaid |
$919.81
|
|