|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$22,941.16
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$21,848.72 |
| Max. Negotiated Rate |
$22,941.16 |
| Rate for Payer: BCBS Complete |
$22,941.16
|
| Rate for Payer: Mclaren Medicaid |
$21,848.72
|
| Rate for Payer: Meridian Medicaid |
$22,941.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,848.72
|
| Rate for Payer: UHCCP Medicaid |
$22,941.16
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$7,162.67 |
| Max. Negotiated Rate |
$7,520.80 |
| Rate for Payer: BCBS Complete |
$7,520.80
|
| Rate for Payer: Mclaren Medicaid |
$7,162.67
|
| Rate for Payer: Meridian Medicaid |
$7,520.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,162.67
|
| Rate for Payer: UHCCP Medicaid |
$7,520.80
|
|
|
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
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$22,616.52
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$21,539.54 |
| Max. Negotiated Rate |
$22,616.52 |
| Rate for Payer: BCBS Complete |
$22,616.52
|
| Rate for Payer: Mclaren Medicaid |
$21,539.54
|
| Rate for Payer: Meridian Medicaid |
$22,616.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,539.54
|
| Rate for Payer: UHCCP Medicaid |
$22,616.52
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 0911
|
| 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 MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$33,870.67
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$32,257.78 |
| Max. Negotiated Rate |
$33,870.67 |
| Rate for Payer: BCBS Complete |
$33,870.67
|
| Rate for Payer: Mclaren Medicaid |
$32,257.78
|
| Rate for Payer: Meridian Medicaid |
$33,870.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,257.78
|
| Rate for Payer: UHCCP Medicaid |
$33,870.67
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$15,149.82
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$14,428.40 |
| Max. Negotiated Rate |
$15,149.82 |
| Rate for Payer: BCBS Complete |
$15,149.82
|
| Rate for Payer: Mclaren Medicaid |
$14,428.40
|
| Rate for Payer: Meridian Medicaid |
$15,149.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,428.40
|
| Rate for Payer: UHCCP Medicaid |
$15,149.82
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,985.56
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$12,367.20 |
| Max. Negotiated Rate |
$12,985.56 |
| Rate for Payer: BCBS Complete |
$12,985.56
|
| Rate for Payer: Mclaren Medicaid |
$12,367.20
|
| Rate for Payer: Meridian Medicaid |
$12,985.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,367.20
|
| Rate for Payer: UHCCP Medicaid |
$12,985.56
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$23,752.75
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$22,621.67 |
| Max. Negotiated Rate |
$23,752.75 |
| Rate for Payer: BCBS Complete |
$23,752.75
|
| Rate for Payer: Mclaren Medicaid |
$22,621.67
|
| Rate for Payer: Meridian Medicaid |
$23,752.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,621.67
|
| Rate for Payer: UHCCP Medicaid |
$23,752.75
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$6,286.66 |
| Max. Negotiated Rate |
$6,600.99 |
| Rate for Payer: BCBS Complete |
$6,600.99
|
| Rate for Payer: Mclaren Medicaid |
$6,286.66
|
| Rate for Payer: Meridian Medicaid |
$6,600.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,286.66
|
| Rate for Payer: UHCCP Medicaid |
$6,600.99
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,115.98
|
|
|
Service Code
|
APR-DRG 4842
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$10,821.30 |
| Max. Negotiated Rate |
$11,362.36 |
| Rate for Payer: BCBS Complete |
$11,362.36
|
| Rate for Payer: Mclaren Medicaid |
$10,821.30
|
| Rate for Payer: Meridian Medicaid |
$11,362.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,821.30
|
| Rate for Payer: UHCCP Medicaid |
$11,362.36
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 7602
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$5,307.59 |
| Max. Negotiated Rate |
$5,572.97 |
| Rate for Payer: BCBS Complete |
$5,572.97
|
| Rate for Payer: Mclaren Medicaid |
$5,307.59
|
| Rate for Payer: Meridian Medicaid |
$5,572.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,307.59
|
| Rate for Payer: UHCCP Medicaid |
$5,572.97
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 3511
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$10,388.45
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$9,893.76 |
| Max. Negotiated Rate |
$10,388.45 |
| Rate for Payer: BCBS Complete |
$10,388.45
|
| Rate for Payer: Mclaren Medicaid |
$9,893.76
|
| Rate for Payer: Meridian Medicaid |
$10,388.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,893.76
|
| Rate for Payer: UHCCP Medicaid |
$10,388.45
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,813.22 |
| Max. Negotiated Rate |
$4,003.88 |
| Rate for Payer: BCBS Complete |
$4,003.88
|
| Rate for Payer: Mclaren Medicaid |
$3,813.22
|
| Rate for Payer: Meridian Medicaid |
$4,003.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 3202
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$13,093.77
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$12,470.26 |
| Max. Negotiated Rate |
$13,093.77 |
| Rate for Payer: BCBS Complete |
$13,093.77
|
| Rate for Payer: Mclaren Medicaid |
$12,470.26
|
| Rate for Payer: Meridian Medicaid |
$13,093.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,470.26
|
| Rate for Payer: UHCCP Medicaid |
$13,093.77
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$19,965.30
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$19,014.57 |
| Max. Negotiated Rate |
$19,965.30 |
| Rate for Payer: BCBS Complete |
$19,965.30
|
| Rate for Payer: Mclaren Medicaid |
$19,014.57
|
| Rate for Payer: Meridian Medicaid |
$19,965.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,014.57
|
| Rate for Payer: UHCCP Medicaid |
$19,965.30
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$15,095.71
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$14,376.87 |
| Max. Negotiated Rate |
$15,095.71 |
| Rate for Payer: BCBS Complete |
$15,095.71
|
| Rate for Payer: Mclaren Medicaid |
$14,376.87
|
| Rate for Payer: Meridian Medicaid |
$15,095.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,376.87
|
| Rate for Payer: UHCCP Medicaid |
$15,095.71
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$23,644.54
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$22,518.61 |
| Max. Negotiated Rate |
$23,644.54 |
| Rate for Payer: BCBS Complete |
$23,644.54
|
| Rate for Payer: Mclaren Medicaid |
$22,518.61
|
| Rate for Payer: Meridian Medicaid |
$23,644.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,518.61
|
| Rate for Payer: UHCCP Medicaid |
$23,644.54
|
|