|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 4453
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$12,228.07
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$11,645.78 |
| Max. Negotiated Rate |
$12,228.07 |
| Rate for Payer: BCBS Complete |
$12,228.07
|
| Rate for Payer: Mclaren Medicaid |
$11,645.78
|
| Rate for Payer: Meridian Medicaid |
$12,228.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,645.78
|
| Rate for Payer: UHCCP Medicaid |
$12,228.07
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$22,724.73
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$21,642.60 |
| Max. Negotiated Rate |
$22,724.73 |
| Rate for Payer: BCBS Complete |
$22,724.73
|
| Rate for Payer: Mclaren Medicaid |
$21,642.60
|
| Rate for Payer: Meridian Medicaid |
$22,724.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,642.60
|
| Rate for Payer: UHCCP Medicaid |
$22,724.73
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$10,821.30
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$10,306.00 |
| Max. Negotiated Rate |
$10,821.30 |
| Rate for Payer: BCBS Complete |
$10,821.30
|
| Rate for Payer: Mclaren Medicaid |
$10,306.00
|
| Rate for Payer: Meridian Medicaid |
$10,821.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,306.00
|
| Rate for Payer: UHCCP Medicaid |
$10,821.30
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$15,312.14
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$14,582.99 |
| Max. Negotiated Rate |
$15,312.14 |
| Rate for Payer: BCBS Complete |
$15,312.14
|
| Rate for Payer: Mclaren Medicaid |
$14,582.99
|
| Rate for Payer: Meridian Medicaid |
$15,312.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,582.99
|
| Rate for Payer: UHCCP Medicaid |
$15,312.14
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$41,445.58
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$39,471.98 |
| Max. Negotiated Rate |
$41,445.58 |
| Rate for Payer: BCBS Complete |
$41,445.58
|
| Rate for Payer: Mclaren Medicaid |
$39,471.98
|
| Rate for Payer: Meridian Medicaid |
$41,445.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,471.98
|
| Rate for Payer: UHCCP Medicaid |
$41,445.58
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 6962
|
| Min. Negotiated Rate |
$5,462.18 |
| Max. Negotiated Rate |
$5,735.29 |
| Rate for Payer: BCBS Complete |
$5,735.29
|
| Rate for Payer: Mclaren Medicaid |
$5,462.18
|
| Rate for Payer: Meridian Medicaid |
$5,735.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,462.18
|
| Rate for Payer: UHCCP Medicaid |
$5,735.29
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$8,863.16 |
| Max. Negotiated Rate |
$9,306.32 |
| Rate for Payer: BCBS Complete |
$9,306.32
|
| Rate for Payer: Mclaren Medicaid |
$8,863.16
|
| Rate for Payer: Meridian Medicaid |
$9,306.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,863.16
|
| Rate for Payer: UHCCP Medicaid |
$9,306.32
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$17,151.76
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$16,335.01 |
| Max. Negotiated Rate |
$17,151.76 |
| Rate for Payer: BCBS Complete |
$17,151.76
|
| Rate for Payer: Mclaren Medicaid |
$16,335.01
|
| Rate for Payer: Meridian Medicaid |
$17,151.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,335.01
|
| Rate for Payer: UHCCP Medicaid |
$17,151.76
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 2072
|
| 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 CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,524.68
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$10,975.89 |
| Max. Negotiated Rate |
$11,524.68 |
| Rate for Payer: BCBS Complete |
$11,524.68
|
| Rate for Payer: Mclaren Medicaid |
$10,975.89
|
| Rate for Payer: Meridian Medicaid |
$11,524.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,975.89
|
| Rate for Payer: UHCCP Medicaid |
$11,524.68
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 2071
|
| 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: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$12,282.18
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$11,697.31 |
| Max. Negotiated Rate |
$12,282.18 |
| Rate for Payer: BCBS Complete |
$12,282.18
|
| Rate for Payer: Mclaren Medicaid |
$11,697.31
|
| Rate for Payer: Meridian Medicaid |
$12,282.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,697.31
|
| Rate for Payer: UHCCP Medicaid |
$12,282.18
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,494.72
|
|
|
Service Code
|
APR-DRG 1801
|
| 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: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$19,316.02
|
|
|
Service Code
|
APR-DRG 1804
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 8132
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,955.60
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$9,481.52 |
| Max. Negotiated Rate |
$9,955.60 |
| Rate for Payer: BCBS Complete |
$9,955.60
|
| Rate for Payer: Mclaren Medicaid |
$9,481.52
|
| Rate for Payer: Meridian Medicaid |
$9,955.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,481.52
|
| Rate for Payer: UHCCP Medicaid |
$9,955.60
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,555.57 |
| Max. Negotiated Rate |
$3,733.35 |
| Rate for Payer: BCBS Complete |
$3,733.35
|
| Rate for Payer: Mclaren Medicaid |
$3,555.57
|
| Rate for Payer: Meridian Medicaid |
$3,733.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,555.57
|
| Rate for Payer: UHCCP Medicaid |
$3,733.35
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,851.26
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$13,191.68 |
| Max. Negotiated Rate |
$13,851.26 |
| Rate for Payer: BCBS Complete |
$13,851.26
|
| Rate for Payer: Mclaren Medicaid |
$13,191.68
|
| Rate for Payer: Meridian Medicaid |
$13,851.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,191.68
|
| Rate for Payer: UHCCP Medicaid |
$13,851.26
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$9,326.93 |
| Max. Negotiated Rate |
$9,793.28 |
| Rate for Payer: BCBS Complete |
$9,793.28
|
| Rate for Payer: Mclaren Medicaid |
$9,326.93
|
| Rate for Payer: Meridian Medicaid |
$9,793.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,326.93
|
| Rate for Payer: UHCCP Medicaid |
$9,793.28
|
|