|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 5201
|
| Min. Negotiated Rate |
$7,059.61 |
| Max. Negotiated Rate |
$7,412.59 |
| Rate for Payer: BCBS Complete |
$7,412.59
|
| Rate for Payer: Mclaren Medicaid |
$7,059.61
|
| Rate for Payer: Meridian Medicaid |
$7,412.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,059.61
|
| Rate for Payer: UHCCP Medicaid |
$7,412.59
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$9,017.75 |
| Max. Negotiated Rate |
$9,468.64 |
| Rate for Payer: BCBS Complete |
$9,468.64
|
| Rate for Payer: Mclaren Medicaid |
$9,017.75
|
| Rate for Payer: Meridian Medicaid |
$9,468.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,017.75
|
| Rate for Payer: UHCCP Medicaid |
$9,468.64
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$27,377.89
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$26,074.18 |
| Max. Negotiated Rate |
$27,377.89 |
| Rate for Payer: BCBS Complete |
$27,377.89
|
| Rate for Payer: Mclaren Medicaid |
$26,074.18
|
| Rate for Payer: Meridian Medicaid |
$27,377.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,074.18
|
| Rate for Payer: UHCCP Medicaid |
$27,377.89
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$14,554.65
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$13,861.57 |
| Max. Negotiated Rate |
$14,554.65 |
| Rate for Payer: BCBS Complete |
$14,554.65
|
| Rate for Payer: Mclaren Medicaid |
$13,861.57
|
| Rate for Payer: Meridian Medicaid |
$14,554.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,861.57
|
| Rate for Payer: UHCCP Medicaid |
$14,554.65
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,688.94
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$13,037.09 |
| Max. Negotiated Rate |
$13,688.94 |
| Rate for Payer: BCBS Complete |
$13,688.94
|
| Rate for Payer: Mclaren Medicaid |
$13,037.09
|
| Rate for Payer: Meridian Medicaid |
$13,688.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,037.09
|
| Rate for Payer: UHCCP Medicaid |
$13,688.94
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$24,618.46
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$23,446.15 |
| Max. Negotiated Rate |
$24,618.46 |
| Rate for Payer: BCBS Complete |
$24,618.46
|
| Rate for Payer: Mclaren Medicaid |
$23,446.15
|
| Rate for Payer: Meridian Medicaid |
$24,618.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,446.15
|
| Rate for Payer: UHCCP Medicaid |
$24,618.46
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 2642
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 2641
|
| 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: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$13,201.99
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$12,573.32 |
| Max. Negotiated Rate |
$13,201.99 |
| Rate for Payer: BCBS Complete |
$13,201.99
|
| Rate for Payer: Mclaren Medicaid |
$12,573.32
|
| Rate for Payer: Meridian Medicaid |
$13,201.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,573.32
|
| Rate for Payer: UHCCP Medicaid |
$13,201.99
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 7242
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 8153
|
| 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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$12,779.44 |
| Max. Negotiated Rate |
$13,418.41 |
| Rate for Payer: BCBS Complete |
$13,418.41
|
| Rate for Payer: Mclaren Medicaid |
$12,779.44
|
| Rate for Payer: Meridian Medicaid |
$13,418.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,779.44
|
| Rate for Payer: UHCCP Medicaid |
$13,418.41
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,488.90
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,370.38 |
| Max. Negotiated Rate |
$2,488.90 |
| Rate for Payer: BCBS Complete |
$2,488.90
|
| Rate for Payer: Mclaren Medicaid |
$2,370.38
|
| Rate for Payer: Meridian Medicaid |
$2,488.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,370.38
|
| Rate for Payer: UHCCP Medicaid |
$2,488.90
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.45 |
| Rate for Payer: BCBS Complete |
$3,787.45
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.45
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 4684
|
| 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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 4683
|
| 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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$23,157.58
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$22,054.84 |
| Max. Negotiated Rate |
$23,157.58 |
| Rate for Payer: BCBS Complete |
$23,157.58
|
| Rate for Payer: Mclaren Medicaid |
$22,054.84
|
| Rate for Payer: Meridian Medicaid |
$23,157.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,054.84
|
| Rate for Payer: UHCCP Medicaid |
$23,157.58
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$13,256.09
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$12,624.85 |
| Max. Negotiated Rate |
$13,256.09 |
| Rate for Payer: BCBS Complete |
$13,256.09
|
| Rate for Payer: Mclaren Medicaid |
$12,624.85
|
| Rate for Payer: Meridian Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,624.85
|
| Rate for Payer: UHCCP Medicaid |
$13,256.09
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 4471
|
| 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: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 4483
|
| 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
|
|