|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 6634
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,885.68 |
| Max. Negotiated Rate |
$3,029.96 |
| Rate for Payer: BCBS Complete |
$3,029.96
|
| Rate for Payer: Mclaren Medicaid |
$2,885.68
|
| Rate for Payer: Meridian Medicaid |
$3,029.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,885.68
|
| Rate for Payer: UHCCP Medicaid |
$3,029.96
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 3474
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$7,033.85
|
|
|
Service Code
|
APR-DRG 3473
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 3472
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 3471
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$16,773.01
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$15,974.30 |
| Max. Negotiated Rate |
$16,773.01 |
| Rate for Payer: BCBS Complete |
$16,773.01
|
| Rate for Payer: Mclaren Medicaid |
$15,974.30
|
| Rate for Payer: Meridian Medicaid |
$16,773.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,974.30
|
| Rate for Payer: UHCCP Medicaid |
$16,773.01
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$5,951.72
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$5,668.30 |
| Max. Negotiated Rate |
$5,951.72 |
| Rate for Payer: BCBS Complete |
$5,951.72
|
| Rate for Payer: Mclaren Medicaid |
$5,668.30
|
| Rate for Payer: Meridian Medicaid |
$5,951.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,668.30
|
| Rate for Payer: UHCCP Medicaid |
$5,951.72
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$7,832.56 |
| Max. Negotiated Rate |
$8,224.19 |
| Rate for Payer: BCBS Complete |
$8,224.19
|
| Rate for Payer: Mclaren Medicaid |
$7,832.56
|
| Rate for Payer: Meridian Medicaid |
$8,224.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,832.56
|
| Rate for Payer: UHCCP Medicaid |
$8,224.19
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 4453
|
| 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: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$13,959.48
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$13,294.74 |
| Max. Negotiated Rate |
$13,959.48 |
| Rate for Payer: BCBS Complete |
$13,959.48
|
| Rate for Payer: Mclaren Medicaid |
$13,294.74
|
| Rate for Payer: Meridian Medicaid |
$13,959.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,294.74
|
| Rate for Payer: UHCCP Medicaid |
$13,959.48
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$17,638.72
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$16,798.78 |
| Max. Negotiated Rate |
$17,638.72 |
| Rate for Payer: BCBS Complete |
$17,638.72
|
| Rate for Payer: Mclaren Medicaid |
$16,798.78
|
| Rate for Payer: Meridian Medicaid |
$17,638.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,798.78
|
| Rate for Payer: UHCCP Medicaid |
$17,638.72
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$24,077.39
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$22,930.85 |
| Max. Negotiated Rate |
$24,077.39 |
| Rate for Payer: BCBS Complete |
$24,077.39
|
| Rate for Payer: Mclaren Medicaid |
$22,930.85
|
| Rate for Payer: Meridian Medicaid |
$24,077.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,930.85
|
| Rate for Payer: UHCCP Medicaid |
$24,077.39
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$37,928.66
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$36,122.53 |
| Max. Negotiated Rate |
$37,928.66 |
| Rate for Payer: BCBS Complete |
$37,928.66
|
| Rate for Payer: Mclaren Medicaid |
$36,122.53
|
| Rate for Payer: Meridian Medicaid |
$37,928.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,122.53
|
| Rate for Payer: UHCCP Medicaid |
$37,928.66
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 6962
|
| 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: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$15,799.10
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$15,046.76 |
| Max. Negotiated Rate |
$15,799.10 |
| Rate for Payer: BCBS Complete |
$15,799.10
|
| Rate for Payer: Mclaren Medicaid |
$15,046.76
|
| Rate for Payer: Meridian Medicaid |
$15,799.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,046.76
|
| Rate for Payer: UHCCP Medicaid |
$15,799.10
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 6963
|
| 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: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,037.73
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$10,512.12 |
| Max. Negotiated Rate |
$11,037.73 |
| Rate for Payer: BCBS Complete |
$11,037.73
|
| Rate for Payer: Mclaren Medicaid |
$10,512.12
|
| Rate for Payer: Meridian Medicaid |
$11,037.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,512.12
|
| Rate for Payer: UHCCP Medicaid |
$11,037.73
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$7,471.85 |
| Max. Negotiated Rate |
$7,845.44 |
| Rate for Payer: BCBS Complete |
$7,845.44
|
| Rate for Payer: Mclaren Medicaid |
$7,471.85
|
| Rate for Payer: Meridian Medicaid |
$7,845.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,471.85
|
| Rate for Payer: UHCCP Medicaid |
$7,845.44
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$8,502.45 |
| Max. Negotiated Rate |
$8,927.57 |
| Rate for Payer: BCBS Complete |
$8,927.57
|
| Rate for Payer: Mclaren Medicaid |
$8,502.45
|
| Rate for Payer: Meridian Medicaid |
$8,927.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,502.45
|
| Rate for Payer: UHCCP Medicaid |
$8,927.57
|
|