|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$26,403.97
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$25,146.64 |
| Max. Negotiated Rate |
$26,403.97 |
| Rate for Payer: BCBS Complete |
$26,403.97
|
| Rate for Payer: Mclaren Medicaid |
$25,146.64
|
| Rate for Payer: Meridian Medicaid |
$26,403.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,146.64
|
| Rate for Payer: UHCCP Medicaid |
$26,403.97
|
|
|
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
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$8,657.04 |
| Max. Negotiated Rate |
$9,089.89 |
| Rate for Payer: BCBS Complete |
$9,089.89
|
| Rate for Payer: Mclaren Medicaid |
$8,657.04
|
| Rate for Payer: Meridian Medicaid |
$9,089.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,657.04
|
| Rate for Payer: UHCCP Medicaid |
$9,089.89
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$4,431.58 |
| Max. Negotiated Rate |
$4,653.16 |
| Rate for Payer: BCBS Complete |
$4,653.16
|
| Rate for Payer: Mclaren Medicaid |
$4,431.58
|
| Rate for Payer: Meridian Medicaid |
$4,653.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,431.58
|
| Rate for Payer: UHCCP Medicaid |
$4,653.16
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 7602
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,488.90
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$12,264.14 |
| Max. Negotiated Rate |
$12,877.35 |
| Rate for Payer: BCBS Complete |
$12,877.35
|
| Rate for Payer: Mclaren Medicaid |
$12,264.14
|
| Rate for Payer: Meridian Medicaid |
$12,877.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,264.14
|
| Rate for Payer: UHCCP Medicaid |
$12,877.35
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$20,506.36
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$19,529.87 |
| Max. Negotiated Rate |
$20,506.36 |
| Rate for Payer: BCBS Complete |
$20,506.36
|
| Rate for Payer: Mclaren Medicaid |
$19,529.87
|
| Rate for Payer: Meridian Medicaid |
$20,506.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,529.87
|
| Rate for Payer: UHCCP Medicaid |
$20,506.36
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$10,226.13
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$9,739.17 |
| Max. Negotiated Rate |
$10,226.13 |
| Rate for Payer: BCBS Complete |
$10,226.13
|
| Rate for Payer: Mclaren Medicaid |
$9,739.17
|
| Rate for Payer: Meridian Medicaid |
$10,226.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,739.17
|
| Rate for Payer: UHCCP Medicaid |
$10,226.13
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,201.99
|
|
|
Service Code
|
APR-DRG 0263
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$17,692.83
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$16,850.31 |
| Max. Negotiated Rate |
$17,692.83 |
| Rate for Payer: BCBS Complete |
$17,692.83
|
| Rate for Payer: Mclaren Medicaid |
$16,850.31
|
| Rate for Payer: Meridian Medicaid |
$17,692.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,850.31
|
| Rate for Payer: UHCCP Medicaid |
$17,692.83
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 0261
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,228.07
|
|
|
Service Code
|
APR-DRG 0262
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 4254
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 4251
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$24,888.99
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$23,703.80 |
| Max. Negotiated Rate |
$24,888.99 |
| Rate for Payer: BCBS Complete |
$24,888.99
|
| Rate for Payer: Mclaren Medicaid |
$23,703.80
|
| Rate for Payer: Meridian Medicaid |
$24,888.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,703.80
|
| Rate for Payer: UHCCP Medicaid |
$24,888.99
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$12,011.64
|
|
|
Service Code
|
APR-DRG 0272
|
| 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
|
|