|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$8,765.25
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$8,347.86 |
| Max. Negotiated Rate |
$8,765.25 |
| Rate for Payer: BCBS Complete |
$8,765.25
|
| Rate for Payer: Mclaren Medicaid |
$8,347.86
|
| Rate for Payer: Meridian Medicaid |
$8,765.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,347.86
|
| Rate for Payer: UHCCP Medicaid |
$8,765.25
|
|
|
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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,252.21
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$8,811.63 |
| Max. Negotiated Rate |
$9,252.21 |
| Rate for Payer: BCBS Complete |
$9,252.21
|
| Rate for Payer: Mclaren Medicaid |
$8,811.63
|
| Rate for Payer: Meridian Medicaid |
$9,252.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,811.63
|
| Rate for Payer: UHCCP Medicaid |
$9,252.21
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,741.11
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$11,182.01 |
| Max. Negotiated Rate |
$11,741.11 |
| Rate for Payer: BCBS Complete |
$11,741.11
|
| Rate for Payer: Mclaren Medicaid |
$11,182.01
|
| Rate for Payer: Meridian Medicaid |
$11,741.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,182.01
|
| Rate for Payer: UHCCP Medicaid |
$11,741.11
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$28,892.87
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$27,517.02 |
| Max. Negotiated Rate |
$28,892.87 |
| Rate for Payer: BCBS Complete |
$28,892.87
|
| Rate for Payer: Mclaren Medicaid |
$27,517.02
|
| Rate for Payer: Meridian Medicaid |
$28,892.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,517.02
|
| Rate for Payer: UHCCP Medicaid |
$28,892.87
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,175.90
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$13,500.86 |
| Max. Negotiated Rate |
$14,175.90 |
| Rate for Payer: BCBS Complete |
$14,175.90
|
| Rate for Payer: Mclaren Medicaid |
$13,500.86
|
| Rate for Payer: Meridian Medicaid |
$14,175.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,500.86
|
| Rate for Payer: UHCCP Medicaid |
$14,175.90
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$15,474.46
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$14,737.58 |
| Max. Negotiated Rate |
$15,474.46 |
| Rate for Payer: BCBS Complete |
$15,474.46
|
| Rate for Payer: Mclaren Medicaid |
$14,737.58
|
| Rate for Payer: Meridian Medicaid |
$15,474.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,737.58
|
| Rate for Payer: UHCCP Medicaid |
$15,474.46
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$17,368.19
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$16,541.13 |
| Max. Negotiated Rate |
$17,368.19 |
| Rate for Payer: BCBS Complete |
$17,368.19
|
| Rate for Payer: Mclaren Medicaid |
$16,541.13
|
| Rate for Payer: Meridian Medicaid |
$17,368.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,541.13
|
| Rate for Payer: UHCCP Medicaid |
$17,368.19
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$21,101.54
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$20,096.70 |
| Max. Negotiated Rate |
$21,101.54 |
| Rate for Payer: BCBS Complete |
$21,101.54
|
| Rate for Payer: Mclaren Medicaid |
$20,096.70
|
| Rate for Payer: Meridian Medicaid |
$21,101.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,096.70
|
| Rate for Payer: UHCCP Medicaid |
$21,101.54
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,993.32
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$19,993.64 |
| Max. Negotiated Rate |
$20,993.32 |
| Rate for Payer: BCBS Complete |
$20,993.32
|
| Rate for Payer: Mclaren Medicaid |
$19,993.64
|
| Rate for Payer: Meridian Medicaid |
$20,993.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,993.64
|
| Rate for Payer: UHCCP Medicaid |
$20,993.32
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$23,752.75
|
|
|
Service Code
|
APR-DRG 1824
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,903.43
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$11,336.60 |
| Max. Negotiated Rate |
$11,903.43 |
| Rate for Payer: BCBS Complete |
$11,903.43
|
| Rate for Payer: Mclaren Medicaid |
$11,336.60
|
| Rate for Payer: Meridian Medicaid |
$11,903.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,336.60
|
| Rate for Payer: UHCCP Medicaid |
$11,903.43
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$15,258.03
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$14,531.46 |
| Max. Negotiated Rate |
$15,258.03 |
| Rate for Payer: BCBS Complete |
$15,258.03
|
| Rate for Payer: Mclaren Medicaid |
$14,531.46
|
| Rate for Payer: Meridian Medicaid |
$15,258.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,531.46
|
| Rate for Payer: UHCCP Medicaid |
$15,258.03
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 1821
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$5,719.83 |
| Max. Negotiated Rate |
$6,005.82 |
| Rate for Payer: BCBS Complete |
$6,005.82
|
| Rate for Payer: Mclaren Medicaid |
$5,719.83
|
| Rate for Payer: Meridian Medicaid |
$6,005.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,719.83
|
| Rate for Payer: UHCCP Medicaid |
$6,005.82
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$8,386.51
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$7,987.15 |
| Max. Negotiated Rate |
$8,386.51 |
| Rate for Payer: BCBS Complete |
$8,386.51
|
| Rate for Payer: Mclaren Medicaid |
$7,987.15
|
| Rate for Payer: Meridian Medicaid |
$8,386.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,987.15
|
| Rate for Payer: UHCCP Medicaid |
$8,386.51
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 4052
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$26,241.65
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$24,992.05 |
| Max. Negotiated Rate |
$26,241.65 |
| Rate for Payer: BCBS Complete |
$26,241.65
|
| Rate for Payer: Mclaren Medicaid |
$24,992.05
|
| Rate for Payer: Meridian Medicaid |
$26,241.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,992.05
|
| Rate for Payer: UHCCP Medicaid |
$26,241.65
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$13,797.16
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$13,140.15 |
| Max. Negotiated Rate |
$13,797.16 |
| Rate for Payer: BCBS Complete |
$13,797.16
|
| Rate for Payer: Mclaren Medicaid |
$13,140.15
|
| Rate for Payer: Meridian Medicaid |
$13,797.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,140.15
|
| Rate for Payer: UHCCP Medicaid |
$13,797.16
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 4051
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$15,149.82
|
|
|
Service Code
|
APR-DRG 6513
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$29,109.30
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$27,723.14 |
| Max. Negotiated Rate |
$29,109.30 |
| Rate for Payer: BCBS Complete |
$29,109.30
|
| Rate for Payer: Mclaren Medicaid |
$27,723.14
|
| Rate for Payer: Meridian Medicaid |
$29,109.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,723.14
|
| Rate for Payer: UHCCP Medicaid |
$29,109.30
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 6512
|
| 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
|
|