|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$13,959.48
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$13,294.74 |
| Max. Negotiated Rate |
$13,959.48 |
| Rate for Payer: BCBS Complete |
$13,959.48
|
| Rate for Payer: Mclaren Medicaid |
$13,294.74
|
| Rate for Payer: Meridian Medicaid |
$13,959.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,294.74
|
| Rate for Payer: UHCCP Medicaid |
$13,959.48
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$23,752.75
|
|
|
Service Code
|
APR-DRG 2224
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$4,792.29 |
| Max. Negotiated Rate |
$5,031.90 |
| Rate for Payer: BCBS Complete |
$5,031.90
|
| Rate for Payer: Mclaren Medicaid |
$4,792.29
|
| Rate for Payer: Meridian Medicaid |
$5,031.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.29
|
| Rate for Payer: UHCCP Medicaid |
$5,031.90
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 8443
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$10,388.45
|
|
|
Service Code
|
APR-DRG 8444
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 8441
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 8442
|
| 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: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 4832
|
| 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: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$12,779.44 |
| Max. Negotiated Rate |
$13,418.41 |
| Rate for Payer: BCBS Complete |
$13,418.41
|
| Rate for Payer: Mclaren Medicaid |
$12,779.44
|
| Rate for Payer: Meridian Medicaid |
$13,418.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,779.44
|
| Rate for Payer: UHCCP Medicaid |
$13,418.41
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$23,428.11
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$22,312.49 |
| Max. Negotiated Rate |
$23,428.11 |
| Rate for Payer: BCBS Complete |
$23,428.11
|
| Rate for Payer: Mclaren Medicaid |
$22,312.49
|
| Rate for Payer: Meridian Medicaid |
$23,428.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,312.49
|
| Rate for Payer: UHCCP Medicaid |
$23,428.11
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 2411
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$13,039.67
|
|
|
Service Code
|
APR-DRG 2414
|
| Min. Negotiated Rate |
$12,418.73 |
| Max. Negotiated Rate |
$13,039.67 |
| Rate for Payer: BCBS Complete |
$13,039.67
|
| Rate for Payer: Mclaren Medicaid |
$12,418.73
|
| Rate for Payer: Meridian Medicaid |
$13,039.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,418.73
|
| Rate for Payer: UHCCP Medicaid |
$13,039.67
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 2412
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 2413
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$20,939.22
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$19,942.11 |
| Max. Negotiated Rate |
$20,939.22 |
| Rate for Payer: BCBS Complete |
$20,939.22
|
| Rate for Payer: Mclaren Medicaid |
$19,942.11
|
| Rate for Payer: Meridian Medicaid |
$20,939.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,942.11
|
| Rate for Payer: UHCCP Medicaid |
$20,939.22
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$13,147.88
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$12,521.79 |
| Max. Negotiated Rate |
$13,147.88 |
| Rate for Payer: BCBS Complete |
$13,147.88
|
| Rate for Payer: Mclaren Medicaid |
$12,521.79
|
| Rate for Payer: Meridian Medicaid |
$13,147.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,521.79
|
| Rate for Payer: UHCCP Medicaid |
$13,147.88
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$14,554.65
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$13,861.57 |
| Max. Negotiated Rate |
$14,554.65 |
| Rate for Payer: BCBS Complete |
$14,554.65
|
| Rate for Payer: Mclaren Medicaid |
$13,861.57
|
| Rate for Payer: Meridian Medicaid |
$14,554.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,861.57
|
| Rate for Payer: UHCCP Medicaid |
$14,554.65
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$10,550.77
|
|
|
Service Code
|
APR-DRG 1741
|
| Min. Negotiated Rate |
$10,048.35 |
| Max. Negotiated Rate |
$10,550.77 |
| Rate for Payer: BCBS Complete |
$10,550.77
|
| Rate for Payer: Mclaren Medicaid |
$10,048.35
|
| Rate for Payer: Meridian Medicaid |
$10,550.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,048.35
|
| Rate for Payer: UHCCP Medicaid |
$10,550.77
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$9,198.10
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$8,760.10 |
| Max. Negotiated Rate |
$9,198.10 |
| Rate for Payer: BCBS Complete |
$9,198.10
|
| Rate for Payer: Mclaren Medicaid |
$8,760.10
|
| Rate for Payer: Meridian Medicaid |
$9,198.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,760.10
|
| Rate for Payer: UHCCP Medicaid |
$9,198.10
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$23,428.11
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$22,312.49 |
| Max. Negotiated Rate |
$23,428.11 |
| Rate for Payer: BCBS Complete |
$23,428.11
|
| Rate for Payer: Mclaren Medicaid |
$22,312.49
|
| Rate for Payer: Meridian Medicaid |
$23,428.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,312.49
|
| Rate for Payer: UHCCP Medicaid |
$23,428.11
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$12,390.39
|
|
|
Service Code
|
APR-DRG 1752
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$14,933.39
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$14,222.28 |
| Max. Negotiated Rate |
$14,933.39 |
| Rate for Payer: BCBS Complete |
$14,933.39
|
| Rate for Payer: Mclaren Medicaid |
$14,222.28
|
| Rate for Payer: Meridian Medicaid |
$14,933.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,222.28
|
| Rate for Payer: UHCCP Medicaid |
$14,933.39
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,773.02
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$15,974.30 |
| Max. Negotiated Rate |
$16,773.02 |
| Rate for Payer: BCBS Complete |
$16,773.02
|
| Rate for Payer: Mclaren Medicaid |
$15,974.30
|
| Rate for Payer: Meridian Medicaid |
$16,773.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,974.30
|
| Rate for Payer: UHCCP Medicaid |
$16,773.02
|
|