|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 7242
|
| 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: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$13,851.26
|
|
|
Service Code
|
APR-DRG 7244
|
| 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 INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,164.26
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,061.20 |
| Max. Negotiated Rate |
$2,164.26 |
| Rate for Payer: BCBS Complete |
$2,164.26
|
| Rate for Payer: Mclaren Medicaid |
$2,061.20
|
| Rate for Payer: Meridian Medicaid |
$2,164.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,061.20
|
| Rate for Payer: UHCCP Medicaid |
$2,164.26
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$12,161.08 |
| Max. Negotiated Rate |
$12,769.13 |
| Rate for Payer: BCBS Complete |
$12,769.13
|
| Rate for Payer: Mclaren Medicaid |
$12,161.08
|
| Rate for Payer: Meridian Medicaid |
$12,769.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,161.08
|
| Rate for Payer: UHCCP Medicaid |
$12,769.13
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$7,729.50 |
| Max. Negotiated Rate |
$8,115.98 |
| Rate for Payer: BCBS Complete |
$8,115.98
|
| Rate for Payer: Mclaren Medicaid |
$7,729.50
|
| Rate for Payer: Meridian Medicaid |
$8,115.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,729.50
|
| Rate for Payer: UHCCP Medicaid |
$8,115.98
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$4,483.11 |
| Max. Negotiated Rate |
$4,707.27 |
| Rate for Payer: BCBS Complete |
$4,707.27
|
| Rate for Payer: Mclaren Medicaid |
$4,483.11
|
| Rate for Payer: Meridian Medicaid |
$4,707.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.11
|
| Rate for Payer: UHCCP Medicaid |
$4,707.27
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 4683
|
| 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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$8,914.69 |
| Max. Negotiated Rate |
$9,360.42 |
| Rate for Payer: BCBS Complete |
$9,360.42
|
| Rate for Payer: Mclaren Medicaid |
$8,914.69
|
| Rate for Payer: Meridian Medicaid |
$9,360.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.69
|
| Rate for Payer: UHCCP Medicaid |
$9,360.42
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 4471
|
| 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: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 4473
|
| 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
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$9,223.87 |
| Max. Negotiated Rate |
$9,685.06 |
| Rate for Payer: BCBS Complete |
$9,685.06
|
| Rate for Payer: Mclaren Medicaid |
$9,223.87
|
| Rate for Payer: Meridian Medicaid |
$9,685.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,223.87
|
| Rate for Payer: UHCCP Medicaid |
$9,685.06
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$20,831.00
|
|
|
Service Code
|
APR-DRG 4474
|
| 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 KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,739.17
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$9,275.40 |
| Max. Negotiated Rate |
$9,739.17 |
| Rate for Payer: BCBS Complete |
$9,739.17
|
| Rate for Payer: Mclaren Medicaid |
$9,275.40
|
| Rate for Payer: Meridian Medicaid |
$9,739.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,275.40
|
| Rate for Payer: UHCCP Medicaid |
$9,739.17
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 4481
|
| 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 KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$11,795.22
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$11,233.54 |
| Max. Negotiated Rate |
$11,795.22 |
| Rate for Payer: BCBS Complete |
$11,795.22
|
| Rate for Payer: Mclaren Medicaid |
$11,233.54
|
| Rate for Payer: Meridian Medicaid |
$11,795.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.54
|
| Rate for Payer: UHCCP Medicaid |
$11,795.22
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$19,857.09
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$18,911.51 |
| Max. Negotiated Rate |
$19,857.09 |
| Rate for Payer: BCBS Complete |
$19,857.09
|
| Rate for Payer: Mclaren Medicaid |
$18,911.51
|
| Rate for Payer: Meridian Medicaid |
$19,857.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,911.51
|
| Rate for Payer: UHCCP Medicaid |
$19,857.09
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$29,001.08
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$27,620.08 |
| Max. Negotiated Rate |
$29,001.08 |
| Rate for Payer: BCBS Complete |
$29,001.08
|
| Rate for Payer: Mclaren Medicaid |
$27,620.08
|
| Rate for Payer: Meridian Medicaid |
$29,001.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,620.08
|
| Rate for Payer: UHCCP Medicaid |
$29,001.08
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$13,364.31
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$12,727.91 |
| Max. Negotiated Rate |
$13,364.31 |
| Rate for Payer: BCBS Complete |
$13,364.31
|
| Rate for Payer: Mclaren Medicaid |
$12,727.91
|
| Rate for Payer: Meridian Medicaid |
$13,364.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,727.91
|
| Rate for Payer: UHCCP Medicaid |
$13,364.31
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$40,688.09
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$38,750.56 |
| Max. Negotiated Rate |
$40,688.09 |
| Rate for Payer: BCBS Complete |
$40,688.09
|
| Rate for Payer: Mclaren Medicaid |
$38,750.56
|
| Rate for Payer: Meridian Medicaid |
$40,688.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,750.56
|
| Rate for Payer: UHCCP Medicaid |
$40,688.09
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$39,064.89
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$37,204.66 |
| Max. Negotiated Rate |
$39,064.89 |
| Rate for Payer: BCBS Complete |
$39,064.89
|
| Rate for Payer: Mclaren Medicaid |
$37,204.66
|
| Rate for Payer: Meridian Medicaid |
$39,064.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,204.66
|
| Rate for Payer: UHCCP Medicaid |
$39,064.89
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,440.61
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$8,038.68 |
| Max. Negotiated Rate |
$8,440.61 |
| Rate for Payer: BCBS Complete |
$8,440.61
|
| Rate for Payer: Mclaren Medicaid |
$8,038.68
|
| Rate for Payer: Meridian Medicaid |
$8,440.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,038.68
|
| Rate for Payer: UHCCP Medicaid |
$8,440.61
|
|