|
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
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$24,672.56
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$23,497.68 |
| Max. Negotiated Rate |
$24,672.56 |
| Rate for Payer: BCBS Complete |
$24,672.56
|
| Rate for Payer: Mclaren Medicaid |
$23,497.68
|
| Rate for Payer: Meridian Medicaid |
$24,672.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,497.68
|
| Rate for Payer: UHCCP Medicaid |
$24,672.56
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$6,801.96 |
| Max. Negotiated Rate |
$7,142.06 |
| Rate for Payer: BCBS Complete |
$7,142.06
|
| Rate for Payer: Mclaren Medicaid |
$6,801.96
|
| Rate for Payer: Meridian Medicaid |
$7,142.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,801.96
|
| Rate for Payer: UHCCP Medicaid |
$7,142.06
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,595.84 |
| Max. Negotiated Rate |
$6,925.63 |
| Rate for Payer: BCBS Complete |
$6,925.63
|
| Rate for Payer: Mclaren Medicaid |
$6,595.84
|
| Rate for Payer: Meridian Medicaid |
$6,925.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,595.84
|
| Rate for Payer: UHCCP Medicaid |
$6,925.63
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$25,700.59
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$24,476.75 |
| Max. Negotiated Rate |
$25,700.59 |
| Rate for Payer: BCBS Complete |
$25,700.59
|
| Rate for Payer: Mclaren Medicaid |
$24,476.75
|
| Rate for Payer: Meridian Medicaid |
$25,700.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,476.75
|
| Rate for Payer: UHCCP Medicaid |
$25,700.59
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$13,310.20
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$12,676.38 |
| Max. Negotiated Rate |
$13,310.20 |
| Rate for Payer: BCBS Complete |
$13,310.20
|
| Rate for Payer: Mclaren Medicaid |
$12,676.38
|
| Rate for Payer: Meridian Medicaid |
$13,310.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,676.38
|
| Rate for Payer: UHCCP Medicaid |
$13,310.20
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$9,326.93 |
| Max. Negotiated Rate |
$9,793.28 |
| Rate for Payer: BCBS Complete |
$9,793.28
|
| Rate for Payer: Mclaren Medicaid |
$9,326.93
|
| Rate for Payer: Meridian Medicaid |
$9,793.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,326.93
|
| Rate for Payer: UHCCP Medicaid |
$9,793.28
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,907.31
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$15,149.82 |
| Max. Negotiated Rate |
$15,907.31 |
| Rate for Payer: BCBS Complete |
$15,907.31
|
| Rate for Payer: Mclaren Medicaid |
$15,149.82
|
| Rate for Payer: Meridian Medicaid |
$15,907.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.82
|
| Rate for Payer: UHCCP Medicaid |
$15,907.31
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$25,105.42
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$23,909.92 |
| Max. Negotiated Rate |
$25,105.42 |
| Rate for Payer: BCBS Complete |
$25,105.42
|
| Rate for Payer: Mclaren Medicaid |
$23,909.92
|
| Rate for Payer: Meridian Medicaid |
$25,105.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,909.92
|
| Rate for Payer: UHCCP Medicaid |
$25,105.42
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$7,471.85 |
| Max. Negotiated Rate |
$7,845.44 |
| Rate for Payer: BCBS Complete |
$7,845.44
|
| Rate for Payer: Mclaren Medicaid |
$7,471.85
|
| Rate for Payer: Meridian Medicaid |
$7,845.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,471.85
|
| Rate for Payer: UHCCP Medicaid |
$7,845.44
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$21,372.07
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$20,354.35 |
| Max. Negotiated Rate |
$21,372.07 |
| Rate for Payer: BCBS Complete |
$21,372.07
|
| Rate for Payer: Mclaren Medicaid |
$20,354.35
|
| Rate for Payer: Meridian Medicaid |
$21,372.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,354.35
|
| Rate for Payer: UHCCP Medicaid |
$21,372.07
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$10,929.51
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$10,409.06 |
| Max. Negotiated Rate |
$10,929.51 |
| Rate for Payer: BCBS Complete |
$10,929.51
|
| Rate for Payer: Mclaren Medicaid |
$10,409.06
|
| Rate for Payer: Meridian Medicaid |
$10,929.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,409.06
|
| Rate for Payer: UHCCP Medicaid |
$10,929.51
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$14,879.29
|
|
|
Service Code
|
APR-DRG 3093
|
| 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 SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$8,332.40
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$7,935.62 |
| Max. Negotiated Rate |
$8,332.40 |
| Rate for Payer: BCBS Complete |
$8,332.40
|
| Rate for Payer: Mclaren Medicaid |
$7,935.62
|
| Rate for Payer: Meridian Medicaid |
$8,332.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,935.62
|
| Rate for Payer: UHCCP Medicaid |
$8,332.40
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 3852
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.45 |
| Rate for Payer: BCBS Complete |
$3,787.45
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.45
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 3851
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 3853
|
| 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
|
|