|
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: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$14,879.29
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$14,170.75 |
| Max. Negotiated Rate |
$14,879.29 |
| Rate for Payer: BCBS Complete |
$14,879.29
|
| Rate for Payer: Mclaren Medicaid |
$14,170.75
|
| Rate for Payer: Meridian Medicaid |
$14,879.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,170.75
|
| Rate for Payer: UHCCP Medicaid |
$14,879.29
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 0414
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 0501
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$20,614.58
|
|
|
Service Code
|
APR-DRG 0504
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$12,011.64
|
|
|
Service Code
|
APR-DRG 0503
|
| Min. Negotiated Rate |
$11,439.66 |
| Max. Negotiated Rate |
$12,011.64 |
| Rate for Payer: BCBS Complete |
$12,011.64
|
| Rate for Payer: Mclaren Medicaid |
$11,439.66
|
| Rate for Payer: Meridian Medicaid |
$12,011.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,439.66
|
| Rate for Payer: UHCCP Medicaid |
$12,011.64
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$7,899.55
|
|
|
Service Code
|
APR-DRG 0502
|
| Min. Negotiated Rate |
$7,523.38 |
| Max. Negotiated Rate |
$7,899.55 |
| Rate for Payer: BCBS Complete |
$7,899.55
|
| Rate for Payer: Mclaren Medicaid |
$7,523.38
|
| Rate for Payer: Meridian Medicaid |
$7,899.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,523.38
|
| Rate for Payer: UHCCP Medicaid |
$7,899.55
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,494.72
|
|
|
Service Code
|
APR-DRG 3231
|
| 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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,316.02
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$18,396.21 |
| Max. Negotiated Rate |
$19,316.02 |
| Rate for Payer: BCBS Complete |
$19,316.02
|
| Rate for Payer: Mclaren Medicaid |
$18,396.21
|
| Rate for Payer: Meridian Medicaid |
$19,316.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,396.21
|
| Rate for Payer: UHCCP Medicaid |
$19,316.02
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,797.16
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$13,140.15 |
| Max. Negotiated Rate |
$13,797.16 |
| Rate for Payer: BCBS Complete |
$13,797.16
|
| Rate for Payer: Mclaren Medicaid |
$13,140.15
|
| Rate for Payer: Meridian Medicaid |
$13,797.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,140.15
|
| Rate for Payer: UHCCP Medicaid |
$13,797.16
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 3252
|
| 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: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$21,047.43
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$20,045.17 |
| Max. Negotiated Rate |
$21,047.43 |
| Rate for Payer: BCBS Complete |
$21,047.43
|
| Rate for Payer: Mclaren Medicaid |
$20,045.17
|
| Rate for Payer: Meridian Medicaid |
$21,047.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,045.17
|
| Rate for Payer: UHCCP Medicaid |
$21,047.43
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,827.12
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$16,025.83 |
| Max. Negotiated Rate |
$16,827.12 |
| Rate for Payer: BCBS Complete |
$16,827.12
|
| Rate for Payer: Mclaren Medicaid |
$16,025.83
|
| Rate for Payer: Meridian Medicaid |
$16,827.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,025.83
|
| Rate for Payer: UHCCP Medicaid |
$16,827.12
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 7941
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$19,911.19
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$18,963.04 |
| Max. Negotiated Rate |
$19,911.19 |
| Rate for Payer: BCBS Complete |
$19,911.19
|
| Rate for Payer: Mclaren Medicaid |
$18,963.04
|
| Rate for Payer: Meridian Medicaid |
$19,911.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,963.04
|
| Rate for Payer: UHCCP Medicaid |
$19,911.19
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 9523
|
| Min. Negotiated Rate |
$11,285.07 |
| Max. Negotiated Rate |
$11,849.32 |
| Rate for Payer: BCBS Complete |
$11,849.32
|
| Rate for Payer: Mclaren Medicaid |
$11,285.07
|
| Rate for Payer: Meridian Medicaid |
$11,849.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,285.07
|
| Rate for Payer: UHCCP Medicaid |
$11,849.32
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,614.58
|
|
|
Service Code
|
APR-DRG 9524
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 9521
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|