|
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
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 0501
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,933.39
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$14,222.28 |
| Max. Negotiated Rate |
$14,933.39 |
| Rate for Payer: BCBS Complete |
$14,933.39
|
| Rate for Payer: Mclaren Medicaid |
$14,222.28
|
| Rate for Payer: Meridian Medicaid |
$14,933.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,222.28
|
| Rate for Payer: UHCCP Medicaid |
$14,933.39
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$20,885.11
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$19,890.58 |
| Max. Negotiated Rate |
$20,885.11 |
| Rate for Payer: BCBS Complete |
$20,885.11
|
| Rate for Payer: Mclaren Medicaid |
$19,890.58
|
| Rate for Payer: Meridian Medicaid |
$20,885.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,890.58
|
| Rate for Payer: UHCCP Medicaid |
$20,885.11
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,198.10
|
|
|
Service Code
|
APR-DRG 3231
|
| Min. Negotiated Rate |
$8,760.10 |
| Max. Negotiated Rate |
$9,198.10 |
| Rate for Payer: BCBS Complete |
$9,198.10
|
| Rate for Payer: Mclaren Medicaid |
$8,760.10
|
| Rate for Payer: Meridian Medicaid |
$9,198.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,760.10
|
| Rate for Payer: UHCCP Medicaid |
$9,198.10
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$11,091.83
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$10,563.65 |
| Max. Negotiated Rate |
$11,091.83 |
| Rate for Payer: BCBS Complete |
$11,091.83
|
| Rate for Payer: Mclaren Medicaid |
$10,563.65
|
| Rate for Payer: Meridian Medicaid |
$11,091.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,563.65
|
| Rate for Payer: UHCCP Medicaid |
$11,091.83
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$12,173.96
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$11,594.25 |
| Max. Negotiated Rate |
$12,173.96 |
| Rate for Payer: BCBS Complete |
$12,173.96
|
| Rate for Payer: Mclaren Medicaid |
$11,594.25
|
| Rate for Payer: Meridian Medicaid |
$12,173.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,594.25
|
| Rate for Payer: UHCCP Medicaid |
$12,173.96
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$22,778.84
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$21,694.13 |
| Max. Negotiated Rate |
$22,778.84 |
| Rate for Payer: BCBS Complete |
$22,778.84
|
| Rate for Payer: Mclaren Medicaid |
$21,694.13
|
| Rate for Payer: Meridian Medicaid |
$22,778.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,694.13
|
| Rate for Payer: UHCCP Medicaid |
$22,778.84
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,233.89
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$17,365.61 |
| Max. Negotiated Rate |
$18,233.89 |
| Rate for Payer: BCBS Complete |
$18,233.89
|
| Rate for Payer: Mclaren Medicaid |
$17,365.61
|
| Rate for Payer: Meridian Medicaid |
$18,233.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,365.61
|
| Rate for Payer: UHCCP Medicaid |
$18,233.89
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$15,041.61
|
|
|
Service Code
|
APR-DRG 3252
|
| Min. Negotiated Rate |
$14,325.34 |
| Max. Negotiated Rate |
$15,041.61 |
| Rate for Payer: BCBS Complete |
$15,041.61
|
| Rate for Payer: Mclaren Medicaid |
$14,325.34
|
| Rate for Payer: Meridian Medicaid |
$15,041.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,325.34
|
| Rate for Payer: UHCCP Medicaid |
$15,041.61
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,388.45
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$9,893.76 |
| Max. Negotiated Rate |
$10,388.45 |
| Rate for Payer: BCBS Complete |
$10,388.45
|
| Rate for Payer: Mclaren Medicaid |
$9,893.76
|
| Rate for Payer: Meridian Medicaid |
$10,388.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,893.76
|
| Rate for Payer: UHCCP Medicaid |
$10,388.45
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 7941
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$21,588.49
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$20,560.47 |
| Max. Negotiated Rate |
$21,588.49 |
| Rate for Payer: BCBS Complete |
$21,588.49
|
| Rate for Payer: Mclaren Medicaid |
$20,560.47
|
| Rate for Payer: Meridian Medicaid |
$21,588.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,560.47
|
| Rate for Payer: UHCCP Medicaid |
$21,588.49
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,911.19
|
|
|
Service Code
|
APR-DRG 9524
|
| 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
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 9523
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 9521
|
| Min. Negotiated Rate |
$6,029.01 |
| Max. Negotiated Rate |
$6,330.46 |
| Rate for Payer: BCBS Complete |
$6,330.46
|
| Rate for Payer: Mclaren Medicaid |
$6,029.01
|
| Rate for Payer: Meridian Medicaid |
$6,330.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,029.01
|
| Rate for Payer: UHCCP Medicaid |
$6,330.46
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 4261
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 4262
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$10,202.94 |
| Max. Negotiated Rate |
$10,713.09 |
| Rate for Payer: BCBS Complete |
$10,713.09
|
| Rate for Payer: Mclaren Medicaid |
$10,202.94
|
| Rate for Payer: Meridian Medicaid |
$10,713.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,202.94
|
| Rate for Payer: UHCCP Medicaid |
$10,713.09
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 0462
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$5,049.94 |
| Max. Negotiated Rate |
$5,302.44 |
| Rate for Payer: BCBS Complete |
$5,302.44
|
| Rate for Payer: Mclaren Medicaid |
$5,049.94
|
| Rate for Payer: Meridian Medicaid |
$5,302.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,049.94
|
| Rate for Payer: UHCCP Medicaid |
$5,302.44
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$14,608.76
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.76 |
| Rate for Payer: BCBS Complete |
$14,608.76
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.76
|
|