|
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
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 0262
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,473.44 |
| Max. Negotiated Rate |
$2,597.11 |
| Rate for Payer: BCBS Complete |
$2,597.11
|
| Rate for Payer: Mclaren Medicaid |
$2,473.44
|
| Rate for Payer: Meridian Medicaid |
$2,597.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,473.44
|
| Rate for Payer: UHCCP Medicaid |
$2,597.11
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,009.70
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$9,533.05 |
| Max. Negotiated Rate |
$10,009.70 |
| Rate for Payer: BCBS Complete |
$10,009.70
|
| Rate for Payer: Mclaren Medicaid |
$9,533.05
|
| Rate for Payer: Meridian Medicaid |
$10,009.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,533.05
|
| Rate for Payer: UHCCP Medicaid |
$10,009.70
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,297.92 |
| Max. Negotiated Rate |
$3,462.82 |
| Rate for Payer: BCBS Complete |
$3,462.82
|
| Rate for Payer: Mclaren Medicaid |
$3,297.92
|
| Rate for Payer: Meridian Medicaid |
$3,462.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$28,027.17
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$26,692.54 |
| Max. Negotiated Rate |
$28,027.17 |
| Rate for Payer: BCBS Complete |
$28,027.17
|
| Rate for Payer: Mclaren Medicaid |
$26,692.54
|
| Rate for Payer: Meridian Medicaid |
$28,027.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,692.54
|
| Rate for Payer: UHCCP Medicaid |
$28,027.17
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$13,526.62
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$12,882.50 |
| Max. Negotiated Rate |
$13,526.62 |
| Rate for Payer: BCBS Complete |
$13,526.62
|
| Rate for Payer: Mclaren Medicaid |
$12,882.50
|
| Rate for Payer: Meridian Medicaid |
$13,526.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,882.50
|
| Rate for Payer: UHCCP Medicaid |
$13,526.62
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,847.38
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$9,378.46 |
| Max. Negotiated Rate |
$9,847.38 |
| Rate for Payer: BCBS Complete |
$9,847.38
|
| Rate for Payer: Mclaren Medicaid |
$9,378.46
|
| Rate for Payer: Meridian Medicaid |
$9,847.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,378.46
|
| Rate for Payer: UHCCP Medicaid |
$9,847.38
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$19,694.77
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$18,756.92 |
| Max. Negotiated Rate |
$19,694.77 |
| Rate for Payer: BCBS Complete |
$19,694.77
|
| Rate for Payer: Mclaren Medicaid |
$18,756.92
|
| Rate for Payer: Meridian Medicaid |
$19,694.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,756.92
|
| Rate for Payer: UHCCP Medicaid |
$19,694.77
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$9,069.28 |
| Max. Negotiated Rate |
$9,522.74 |
| Rate for Payer: BCBS Complete |
$9,522.74
|
| Rate for Payer: Mclaren Medicaid |
$9,069.28
|
| Rate for Payer: Meridian Medicaid |
$9,522.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,069.28
|
| Rate for Payer: UHCCP Medicaid |
$9,522.74
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,987.50
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$14,273.81 |
| Max. Negotiated Rate |
$14,987.50 |
| Rate for Payer: BCBS Complete |
$14,987.50
|
| Rate for Payer: Mclaren Medicaid |
$14,273.81
|
| Rate for Payer: Meridian Medicaid |
$14,987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,273.81
|
| Rate for Payer: UHCCP Medicaid |
$14,987.50
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$29,920.89
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$28,496.09 |
| Max. Negotiated Rate |
$29,920.89 |
| Rate for Payer: BCBS Complete |
$29,920.89
|
| Rate for Payer: Mclaren Medicaid |
$28,496.09
|
| Rate for Payer: Meridian Medicaid |
$29,920.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,496.09
|
| Rate for Payer: UHCCP Medicaid |
$29,920.89
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$6,750.43 |
| Max. Negotiated Rate |
$7,087.95 |
| Rate for Payer: BCBS Complete |
$7,087.95
|
| Rate for Payer: Mclaren Medicaid |
$6,750.43
|
| Rate for Payer: Meridian Medicaid |
$7,087.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,750.43
|
| Rate for Payer: UHCCP Medicaid |
$7,087.95
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$17,801.04
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$16,953.37 |
| Max. Negotiated Rate |
$17,801.04 |
| Rate for Payer: BCBS Complete |
$17,801.04
|
| Rate for Payer: Mclaren Medicaid |
$16,953.37
|
| Rate for Payer: Meridian Medicaid |
$17,801.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,953.37
|
| Rate for Payer: UHCCP Medicaid |
$17,801.04
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$11,800.37 |
| Max. Negotiated Rate |
$12,390.39 |
| Rate for Payer: BCBS Complete |
$12,390.39
|
| Rate for Payer: Mclaren Medicaid |
$11,800.37
|
| Rate for Payer: Meridian Medicaid |
$12,390.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,800.37
|
| Rate for Payer: UHCCP Medicaid |
$12,390.39
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$23,752.75
|
|
|
Service Code
|
APR-DRG 0294
|
| 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 PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$9,901.49
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$9,429.99 |
| Max. Negotiated Rate |
$9,901.49 |
| Rate for Payer: BCBS Complete |
$9,901.49
|
| Rate for Payer: Mclaren Medicaid |
$9,429.99
|
| Rate for Payer: Meridian Medicaid |
$9,901.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,429.99
|
| Rate for Payer: UHCCP Medicaid |
$9,901.49
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$21,913.13
|
|
|
Service Code
|
APR-DRG 1824
|
| Min. Negotiated Rate |
$20,869.65 |
| Max. Negotiated Rate |
$21,913.13 |
| Rate for Payer: BCBS Complete |
$21,913.13
|
| Rate for Payer: Mclaren Medicaid |
$20,869.65
|
| Rate for Payer: Meridian Medicaid |
$21,913.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,869.65
|
| Rate for Payer: UHCCP Medicaid |
$21,913.13
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 1821
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,013.58
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$13,346.27 |
| Max. Negotiated Rate |
$14,013.58 |
| Rate for Payer: BCBS Complete |
$14,013.58
|
| Rate for Payer: Mclaren Medicaid |
$13,346.27
|
| Rate for Payer: Meridian Medicaid |
$14,013.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,346.27
|
| Rate for Payer: UHCCP Medicaid |
$14,013.58
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 1391
|
| Min. Negotiated Rate |
$2,473.44 |
| Max. Negotiated Rate |
$2,597.11 |
| Rate for Payer: BCBS Complete |
$2,597.11
|
| Rate for Payer: Mclaren Medicaid |
$2,473.44
|
| Rate for Payer: Meridian Medicaid |
$2,597.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,473.44
|
| Rate for Payer: UHCCP Medicaid |
$2,597.11
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 1393
|
| 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
|
|