|
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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$12,119.86
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$11,542.72 |
| Max. Negotiated Rate |
$12,119.86 |
| Rate for Payer: BCBS Complete |
$12,119.86
|
| Rate for Payer: Mclaren Medicaid |
$11,542.72
|
| Rate for Payer: Meridian Medicaid |
$12,119.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,542.72
|
| Rate for Payer: UHCCP Medicaid |
$12,119.86
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$23,860.97
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$22,724.73 |
| Max. Negotiated Rate |
$23,860.97 |
| Rate for Payer: BCBS Complete |
$23,860.97
|
| Rate for Payer: Mclaren Medicaid |
$22,724.73
|
| Rate for Payer: Meridian Medicaid |
$23,860.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,724.73
|
| Rate for Payer: UHCCP Medicaid |
$23,860.97
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,089.89
|
|
|
Service Code
|
APR-DRG 1211
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$14,879.29
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$14,170.75 |
| Max. Negotiated Rate |
$14,879.29 |
| Rate for Payer: BCBS Complete |
$14,879.29
|
| Rate for Payer: Mclaren Medicaid |
$14,170.75
|
| Rate for Payer: Meridian Medicaid |
$14,879.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,170.75
|
| Rate for Payer: UHCCP Medicaid |
$14,879.29
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,349.45 |
| Max. Negotiated Rate |
$3,516.92 |
| Rate for Payer: BCBS Complete |
$3,516.92
|
| Rate for Payer: Mclaren Medicaid |
$3,349.45
|
| Rate for Payer: Meridian Medicaid |
$3,516.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.45
|
| Rate for Payer: UHCCP Medicaid |
$3,516.92
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,172.02
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$9,687.64 |
| Max. Negotiated Rate |
$10,172.02 |
| Rate for Payer: BCBS Complete |
$10,172.02
|
| Rate for Payer: Mclaren Medicaid |
$9,687.64
|
| Rate for Payer: Meridian Medicaid |
$10,172.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,687.64
|
| Rate for Payer: UHCCP Medicaid |
$10,172.02
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,196.16
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,853.49 |
| Max. Negotiated Rate |
$7,196.16 |
| Rate for Payer: BCBS Complete |
$7,196.16
|
| Rate for Payer: Mclaren Medicaid |
$6,853.49
|
| Rate for Payer: Meridian Medicaid |
$7,196.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,853.49
|
| Rate for Payer: UHCCP Medicaid |
$7,196.16
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$12,065.75
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$11,491.19 |
| Max. Negotiated Rate |
$12,065.75 |
| Rate for Payer: BCBS Complete |
$12,065.75
|
| Rate for Payer: Mclaren Medicaid |
$11,491.19
|
| Rate for Payer: Meridian Medicaid |
$12,065.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,491.19
|
| Rate for Payer: UHCCP Medicaid |
$12,065.75
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$14,284.12
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$13,603.92 |
| Max. Negotiated Rate |
$14,284.12 |
| Rate for Payer: BCBS Complete |
$14,284.12
|
| Rate for Payer: Mclaren Medicaid |
$13,603.92
|
| Rate for Payer: Meridian Medicaid |
$14,284.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,603.92
|
| Rate for Payer: UHCCP Medicaid |
$14,284.12
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$18,991.38
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$18,087.03 |
| Max. Negotiated Rate |
$18,991.38 |
| Rate for Payer: BCBS Complete |
$18,991.38
|
| Rate for Payer: Mclaren Medicaid |
$18,087.03
|
| Rate for Payer: Meridian Medicaid |
$18,991.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,087.03
|
| Rate for Payer: UHCCP Medicaid |
$18,991.38
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$8,553.98 |
| Max. Negotiated Rate |
$8,981.68 |
| Rate for Payer: BCBS Complete |
$8,981.68
|
| Rate for Payer: Mclaren Medicaid |
$8,553.98
|
| Rate for Payer: Meridian Medicaid |
$8,981.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,553.98
|
| Rate for Payer: UHCCP Medicaid |
$8,981.68
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 3852
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 3851
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 3642
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,630.96
|
|
|
Service Code
|
APR-DRG 3643
|
| Min. Negotiated Rate |
$9,172.34 |
| Max. Negotiated Rate |
$9,630.96 |
| Rate for Payer: BCBS Complete |
$9,630.96
|
| Rate for Payer: Mclaren Medicaid |
$9,172.34
|
| Rate for Payer: Meridian Medicaid |
$9,630.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,172.34
|
| Rate for Payer: UHCCP Medicaid |
$9,630.96
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$4,946.88 |
| Max. Negotiated Rate |
$5,194.22 |
| Rate for Payer: BCBS Complete |
$5,194.22
|
| Rate for Payer: Mclaren Medicaid |
$4,946.88
|
| Rate for Payer: Meridian Medicaid |
$5,194.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,946.88
|
| Rate for Payer: UHCCP Medicaid |
$5,194.22
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,821.30
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$10,306.00 |
| Max. Negotiated Rate |
$10,821.30 |
| Rate for Payer: BCBS Complete |
$10,821.30
|
| Rate for Payer: Mclaren Medicaid |
$10,306.00
|
| Rate for Payer: Meridian Medicaid |
$10,821.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,306.00
|
| Rate for Payer: UHCCP Medicaid |
$10,821.30
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$20,289.94
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$19,323.75 |
| Max. Negotiated Rate |
$20,289.94 |
| Rate for Payer: BCBS Complete |
$20,289.94
|
| Rate for Payer: Mclaren Medicaid |
$19,323.75
|
| Rate for Payer: Meridian Medicaid |
$20,289.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,323.75
|
| Rate for Payer: UHCCP Medicaid |
$20,289.94
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 2231
|
| Min. Negotiated Rate |
$7,317.26 |
| Max. Negotiated Rate |
$7,683.12 |
| Rate for Payer: BCBS Complete |
$7,683.12
|
| Rate for Payer: Mclaren Medicaid |
$7,317.26
|
| Rate for Payer: Meridian Medicaid |
$7,683.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,317.26
|
| Rate for Payer: UHCCP Medicaid |
$7,683.12
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,145.94
|
|
|
Service Code
|
APR-DRG 2233
|
| Min. Negotiated Rate |
$10,615.18 |
| Max. Negotiated Rate |
$11,145.94 |
| Rate for Payer: BCBS Complete |
$11,145.94
|
| Rate for Payer: Mclaren Medicaid |
$10,615.18
|
| Rate for Payer: Meridian Medicaid |
$11,145.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,615.18
|
| Rate for Payer: UHCCP Medicaid |
$11,145.94
|
|