|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$9,847.38
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$9,378.46 |
| Max. Negotiated Rate |
$9,847.38 |
| Rate for Payer: BCBS Complete |
$9,847.38
|
| Rate for Payer: Mclaren Medicaid |
$9,378.46
|
| Rate for Payer: Meridian Medicaid |
$9,847.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,378.46
|
| Rate for Payer: UHCCP Medicaid |
$9,847.38
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$5,307.59 |
| Max. Negotiated Rate |
$5,572.97 |
| Rate for Payer: BCBS Complete |
$5,572.97
|
| Rate for Payer: Mclaren Medicaid |
$5,307.59
|
| Rate for Payer: Meridian Medicaid |
$5,572.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,307.59
|
| Rate for Payer: UHCCP Medicaid |
$5,572.97
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 4261
|
| 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: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 4262
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$7,033.85
|
|
|
Service Code
|
APR-DRG 0463
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.85 |
| Rate for Payer: BCBS Complete |
$7,033.85
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.85
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$12,660.92
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$12,058.02 |
| Max. Negotiated Rate |
$12,660.92 |
| Rate for Payer: BCBS Complete |
$12,660.92
|
| Rate for Payer: Mclaren Medicaid |
$12,058.02
|
| Rate for Payer: Meridian Medicaid |
$12,660.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,058.02
|
| Rate for Payer: UHCCP Medicaid |
$12,660.92
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 0462
|
| Min. Negotiated Rate |
$5,153.00 |
| Max. Negotiated Rate |
$5,410.65 |
| Rate for Payer: BCBS Complete |
$5,410.65
|
| Rate for Payer: Mclaren Medicaid |
$5,153.00
|
| Rate for Payer: Meridian Medicaid |
$5,410.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,153.00
|
| Rate for Payer: UHCCP Medicaid |
$5,410.65
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 0461
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 7623
|
| Min. Negotiated Rate |
$5,925.95 |
| Max. Negotiated Rate |
$6,222.25 |
| Rate for Payer: BCBS Complete |
$6,222.25
|
| Rate for Payer: Mclaren Medicaid |
$5,925.95
|
| Rate for Payer: Meridian Medicaid |
$6,222.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,925.95
|
| Rate for Payer: UHCCP Medicaid |
$6,222.25
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 7624
|
| Min. Negotiated Rate |
$6,853.49 |
| Max. Negotiated Rate |
$7,196.16 |
| Rate for Payer: BCBS Complete |
$7,196.16
|
| Rate for Payer: Mclaren Medicaid |
$6,853.49
|
| Rate for Payer: Meridian Medicaid |
$7,196.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,853.49
|
| Rate for Payer: UHCCP Medicaid |
$7,196.16
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 7622
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$33,329.60
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$31,742.48 |
| Max. Negotiated Rate |
$33,329.60 |
| Rate for Payer: BCBS Complete |
$33,329.60
|
| Rate for Payer: Mclaren Medicaid |
$31,742.48
|
| Rate for Payer: Meridian Medicaid |
$33,329.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,742.48
|
| Rate for Payer: UHCCP Medicaid |
$33,329.60
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$23,428.11
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$22,312.49 |
| Max. Negotiated Rate |
$23,428.11 |
| Rate for Payer: BCBS Complete |
$23,428.11
|
| Rate for Payer: Mclaren Medicaid |
$22,312.49
|
| Rate for Payer: Meridian Medicaid |
$23,428.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,312.49
|
| Rate for Payer: UHCCP Medicaid |
$23,428.11
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$16,989.44
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$16,180.42 |
| Max. Negotiated Rate |
$16,989.44 |
| Rate for Payer: BCBS Complete |
$16,989.44
|
| Rate for Payer: Mclaren Medicaid |
$16,180.42
|
| Rate for Payer: Meridian Medicaid |
$16,989.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,180.42
|
| Rate for Payer: UHCCP Medicaid |
$16,989.44
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$29,109.30
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$27,723.14 |
| Max. Negotiated Rate |
$29,109.30 |
| Rate for Payer: BCBS Complete |
$29,109.30
|
| Rate for Payer: Mclaren Medicaid |
$27,723.14
|
| Rate for Payer: Meridian Medicaid |
$29,109.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,723.14
|
| Rate for Payer: UHCCP Medicaid |
$29,109.30
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$20,073.51
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$19,117.63 |
| Max. Negotiated Rate |
$20,073.51 |
| Rate for Payer: BCBS Complete |
$20,073.51
|
| Rate for Payer: Mclaren Medicaid |
$19,117.63
|
| Rate for Payer: Meridian Medicaid |
$20,073.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,117.63
|
| Rate for Payer: UHCCP Medicaid |
$20,073.51
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$10,875.41
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$10,357.53 |
| Max. Negotiated Rate |
$10,875.41 |
| Rate for Payer: BCBS Complete |
$10,875.41
|
| Rate for Payer: Mclaren Medicaid |
$10,357.53
|
| Rate for Payer: Meridian Medicaid |
$10,875.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,357.53
|
| Rate for Payer: UHCCP Medicaid |
$10,875.41
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,067.69
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$13,397.80 |
| Max. Negotiated Rate |
$14,067.69 |
| Rate for Payer: BCBS Complete |
$14,067.69
|
| Rate for Payer: Mclaren Medicaid |
$13,397.80
|
| Rate for Payer: Meridian Medicaid |
$14,067.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,397.80
|
| Rate for Payer: UHCCP Medicaid |
$14,067.69
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 0242
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,181.72
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$19,220.69 |
| Max. Negotiated Rate |
$20,181.72 |
| Rate for Payer: BCBS Complete |
$20,181.72
|
| Rate for Payer: Mclaren Medicaid |
$19,220.69
|
| Rate for Payer: Meridian Medicaid |
$20,181.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,220.69
|
| Rate for Payer: UHCCP Medicaid |
$20,181.72
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,204.53 |
| Max. Negotiated Rate |
$5,464.76 |
| Rate for Payer: BCBS Complete |
$5,464.76
|
| Rate for Payer: Mclaren Medicaid |
$5,204.53
|
| Rate for Payer: Meridian Medicaid |
$5,464.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,204.53
|
| Rate for Payer: UHCCP Medicaid |
$5,464.76
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|