|
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
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$20,831.00
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$19,839.05 |
| Max. Negotiated Rate |
$20,831.00 |
| Rate for Payer: BCBS Complete |
$20,831.00
|
| Rate for Payer: Mclaren Medicaid |
$19,839.05
|
| Rate for Payer: Meridian Medicaid |
$20,831.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,839.05
|
| Rate for Payer: UHCCP Medicaid |
$20,831.00
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 8131
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 8132
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$21,750.81
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$20,715.06 |
| Max. Negotiated Rate |
$21,750.81 |
| Rate for Payer: BCBS Complete |
$21,750.81
|
| Rate for Payer: Mclaren Medicaid |
$20,715.06
|
| Rate for Payer: Meridian Medicaid |
$21,750.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,715.06
|
| Rate for Payer: UHCCP Medicaid |
$21,750.81
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$12,934.03 |
| Max. Negotiated Rate |
$13,580.73 |
| Rate for Payer: BCBS Complete |
$13,580.73
|
| Rate for Payer: Mclaren Medicaid |
$12,934.03
|
| Rate for Payer: Meridian Medicaid |
$13,580.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,934.03
|
| Rate for Payer: UHCCP Medicaid |
$13,580.73
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 2541
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$10,254.47 |
| Max. Negotiated Rate |
$10,767.19 |
| Rate for Payer: BCBS Complete |
$10,767.19
|
| Rate for Payer: Mclaren Medicaid |
$10,254.47
|
| Rate for Payer: Meridian Medicaid |
$10,767.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,254.47
|
| Rate for Payer: UHCCP Medicaid |
$10,767.19
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,011.64
|
|
|
Service Code
|
APR-DRG 0584
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 0583
|
| 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
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 0581
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 2832
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$12,606.81
|
|
|
Service Code
|
APR-DRG 2834
|
| Min. Negotiated Rate |
$12,006.49 |
| Max. Negotiated Rate |
$12,606.81 |
| Rate for Payer: BCBS Complete |
$12,606.81
|
| Rate for Payer: Mclaren Medicaid |
$12,006.49
|
| Rate for Payer: Meridian Medicaid |
$12,606.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,006.49
|
| Rate for Payer: UHCCP Medicaid |
$12,606.81
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 7762
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 7764
|
| 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
|
|