|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$115,246.84
|
|
|
Service Code
|
APR-DRG 5934
|
| Min. Negotiated Rate |
$109,758.90 |
| Max. Negotiated Rate |
$115,246.84 |
| Rate for Payer: BCBS Complete |
$115,246.84
|
| Rate for Payer: Mclaren Medicaid |
$109,758.90
|
| Rate for Payer: Meridian Medicaid |
$115,246.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$109,758.90
|
| Rate for Payer: UHCCP Medicaid |
$115,246.84
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$83,756.86
|
|
|
Service Code
|
APR-DRG 5933
|
| Min. Negotiated Rate |
$79,768.44 |
| Max. Negotiated Rate |
$83,756.86 |
| Rate for Payer: BCBS Complete |
$83,756.86
|
| Rate for Payer: Mclaren Medicaid |
$79,768.44
|
| Rate for Payer: Meridian Medicaid |
$83,756.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$79,768.44
|
| Rate for Payer: UHCCP Medicaid |
$83,756.86
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$53,944.18
|
|
|
Service Code
|
APR-DRG 5932
|
| Min. Negotiated Rate |
$51,375.41 |
| Max. Negotiated Rate |
$53,944.18 |
| Rate for Payer: BCBS Complete |
$53,944.18
|
| Rate for Payer: Mclaren Medicaid |
$51,375.41
|
| Rate for Payer: Meridian Medicaid |
$53,944.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$51,375.41
|
| Rate for Payer: UHCCP Medicaid |
$53,944.18
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$1,028.02
|
|
|
Service Code
|
APR-DRG 5812
|
| Min. Negotiated Rate |
$979.07 |
| Max. Negotiated Rate |
$1,028.02 |
| Rate for Payer: BCBS Complete |
$1,028.02
|
| Rate for Payer: Mclaren Medicaid |
$979.07
|
| Rate for Payer: Meridian Medicaid |
$1,028.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$979.07
|
| Rate for Payer: UHCCP Medicaid |
$1,028.02
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$649.28
|
|
|
Service Code
|
APR-DRG 5811
|
| Min. Negotiated Rate |
$618.36 |
| Max. Negotiated Rate |
$649.28 |
| Rate for Payer: BCBS Complete |
$649.28
|
| Rate for Payer: Mclaren Medicaid |
$618.36
|
| Rate for Payer: Meridian Medicaid |
$649.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.36
|
| Rate for Payer: UHCCP Medicaid |
$649.28
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$2,218.37
|
|
|
Service Code
|
APR-DRG 5813
|
| Min. Negotiated Rate |
$2,112.73 |
| Max. Negotiated Rate |
$2,218.37 |
| Rate for Payer: BCBS Complete |
$2,218.37
|
| Rate for Payer: Mclaren Medicaid |
$2,112.73
|
| Rate for Payer: Meridian Medicaid |
$2,218.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,112.73
|
| Rate for Payer: UHCCP Medicaid |
$2,218.37
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 5814
|
| Min. Negotiated Rate |
$10,254.47 |
| Max. Negotiated Rate |
$10,767.19 |
| Rate for Payer: BCBS Complete |
$10,767.19
|
| Rate for Payer: Mclaren Medicaid |
$10,254.47
|
| Rate for Payer: Meridian Medicaid |
$10,767.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,254.47
|
| Rate for Payer: UHCCP Medicaid |
$10,767.19
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 5804
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,785.51
|
|
|
Service Code
|
APR-DRG 5801
|
| 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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 5803
|
| Min. Negotiated Rate |
$4,946.88 |
| Max. Negotiated Rate |
$5,194.22 |
| Rate for Payer: BCBS Complete |
$5,194.22
|
| Rate for Payer: Mclaren Medicaid |
$4,946.88
|
| Rate for Payer: Meridian Medicaid |
$5,194.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,946.88
|
| Rate for Payer: UHCCP Medicaid |
$5,194.22
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 5802
|
| Min. Negotiated Rate |
$2,576.50 |
| Max. Negotiated Rate |
$2,705.32 |
| Rate for Payer: BCBS Complete |
$2,705.32
|
| Rate for Payer: Mclaren Medicaid |
$2,576.50
|
| Rate for Payer: Meridian Medicaid |
$2,705.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,576.50
|
| Rate for Payer: UHCCP Medicaid |
$2,705.32
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$92,846.75
|
|
|
Service Code
|
APR-DRG 5831
|
| Min. Negotiated Rate |
$88,425.48 |
| Max. Negotiated Rate |
$92,846.75 |
| Rate for Payer: BCBS Complete |
$92,846.75
|
| Rate for Payer: Mclaren Medicaid |
$88,425.48
|
| Rate for Payer: Meridian Medicaid |
$92,846.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$88,425.48
|
| Rate for Payer: UHCCP Medicaid |
$92,846.75
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$103,451.63
|
|
|
Service Code
|
APR-DRG 5832
|
| Min. Negotiated Rate |
$98,525.36 |
| Max. Negotiated Rate |
$103,451.63 |
| Rate for Payer: BCBS Complete |
$103,451.63
|
| Rate for Payer: Mclaren Medicaid |
$98,525.36
|
| Rate for Payer: Meridian Medicaid |
$103,451.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$98,525.36
|
| Rate for Payer: UHCCP Medicaid |
$103,451.63
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$186,613.32
|
|
|
Service Code
|
APR-DRG 5833
|
| Min. Negotiated Rate |
$177,726.97 |
| Max. Negotiated Rate |
$186,613.32 |
| Rate for Payer: BCBS Complete |
$186,613.32
|
| Rate for Payer: Mclaren Medicaid |
$177,726.97
|
| Rate for Payer: Meridian Medicaid |
$186,613.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$177,726.97
|
| Rate for Payer: UHCCP Medicaid |
$186,613.32
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$327,723.07
|
|
|
Service Code
|
APR-DRG 5834
|
| Min. Negotiated Rate |
$312,117.21 |
| Max. Negotiated Rate |
$327,723.07 |
| Rate for Payer: BCBS Complete |
$327,723.07
|
| Rate for Payer: Mclaren Medicaid |
$312,117.21
|
| Rate for Payer: Meridian Medicaid |
$327,723.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$312,117.21
|
| Rate for Payer: UHCCP Medicaid |
$327,723.07
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 4623
|
| 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: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 4621
|
| Min. Negotiated Rate |
$2,988.74 |
| Max. Negotiated Rate |
$3,138.18 |
| Rate for Payer: BCBS Complete |
$3,138.18
|
| Rate for Payer: Mclaren Medicaid |
$2,988.74
|
| Rate for Payer: Meridian Medicaid |
$3,138.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$18,991.38
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$18,087.03 |
| Max. Negotiated Rate |
$18,991.38 |
| Rate for Payer: BCBS Complete |
$18,991.38
|
| Rate for Payer: Mclaren Medicaid |
$18,087.03
|
| Rate for Payer: Meridian Medicaid |
$18,991.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,087.03
|
| Rate for Payer: UHCCP Medicaid |
$18,991.38
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 4622
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$10,009.70
|
|
|
Service Code
|
APR-DRG 0414
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 0411
|
| Min. Negotiated Rate |
$4,534.64 |
| Max. Negotiated Rate |
$4,761.37 |
| Rate for Payer: BCBS Complete |
$4,761.37
|
| Rate for Payer: Mclaren Medicaid |
$4,534.64
|
| Rate for Payer: Meridian Medicaid |
$4,761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,534.64
|
| Rate for Payer: UHCCP Medicaid |
$4,761.37
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$7,729.50 |
| Max. Negotiated Rate |
$8,115.98 |
| Rate for Payer: BCBS Complete |
$8,115.98
|
| Rate for Payer: Mclaren Medicaid |
$7,729.50
|
| Rate for Payer: Meridian Medicaid |
$8,115.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,729.50
|
| Rate for Payer: UHCCP Medicaid |
$8,115.98
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$29,596.26
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$28,186.91 |
| Max. Negotiated Rate |
$29,596.26 |
| Rate for Payer: BCBS Complete |
$29,596.26
|
| Rate for Payer: Mclaren Medicaid |
$28,186.91
|
| Rate for Payer: Meridian Medicaid |
$29,596.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,186.91
|
| Rate for Payer: UHCCP Medicaid |
$29,596.26
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0502
|
| 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
|
|