|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,664.80
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$15,871.24 |
| Max. Negotiated Rate |
$16,664.80 |
| Rate for Payer: BCBS Complete |
$16,664.80
|
| Rate for Payer: Mclaren Medicaid |
$15,871.24
|
| Rate for Payer: Meridian Medicaid |
$16,664.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,871.24
|
| Rate for Payer: UHCCP Medicaid |
$16,664.80
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,544.95
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$4,328.52 |
| Max. Negotiated Rate |
$4,544.95 |
| Rate for Payer: BCBS Complete |
$4,544.95
|
| Rate for Payer: Mclaren Medicaid |
$4,328.52
|
| Rate for Payer: Meridian Medicaid |
$4,544.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,328.52
|
| Rate for Payer: UHCCP Medicaid |
$4,544.95
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 3642
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,901.49
|
|
|
Service Code
|
APR-DRG 3643
|
| 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 SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$20,885.11
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$19,890.58 |
| Max. Negotiated Rate |
$20,885.11 |
| Rate for Payer: BCBS Complete |
$20,885.11
|
| Rate for Payer: Mclaren Medicaid |
$19,890.58
|
| Rate for Payer: Meridian Medicaid |
$20,885.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,890.58
|
| Rate for Payer: UHCCP Medicaid |
$20,885.11
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$7,884.09 |
| Max. Negotiated Rate |
$8,278.29 |
| Rate for Payer: BCBS Complete |
$8,278.29
|
| Rate for Payer: Mclaren Medicaid |
$7,884.09
|
| Rate for Payer: Meridian Medicaid |
$8,278.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.09
|
| Rate for Payer: UHCCP Medicaid |
$8,278.29
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 2231
|
| Min. Negotiated Rate |
$6,183.60 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$6,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 2233
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$21,859.03
|
|
|
Service Code
|
APR-DRG 2224
|
| Min. Negotiated Rate |
$20,818.12 |
| Max. Negotiated Rate |
$21,859.03 |
| Rate for Payer: BCBS Complete |
$21,859.03
|
| Rate for Payer: Mclaren Medicaid |
$20,818.12
|
| Rate for Payer: Meridian Medicaid |
$21,859.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,818.12
|
| Rate for Payer: UHCCP Medicaid |
$21,859.03
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,877.35
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$12,264.14 |
| Max. Negotiated Rate |
$12,877.35 |
| Rate for Payer: BCBS Complete |
$12,877.35
|
| Rate for Payer: Mclaren Medicaid |
$12,264.14
|
| Rate for Payer: Meridian Medicaid |
$12,877.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,264.14
|
| Rate for Payer: UHCCP Medicaid |
$12,877.35
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$7,677.97 |
| Max. Negotiated Rate |
$8,061.87 |
| Rate for Payer: BCBS Complete |
$8,061.87
|
| Rate for Payer: Mclaren Medicaid |
$7,677.97
|
| Rate for Payer: Meridian Medicaid |
$8,061.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,677.97
|
| Rate for Payer: UHCCP Medicaid |
$8,061.87
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$47,938.36
|
|
|
Service Code
|
APR-DRG 0063
|
| Min. Negotiated Rate |
$45,655.58 |
| Max. Negotiated Rate |
$47,938.36 |
| Rate for Payer: BCBS Complete |
$47,938.36
|
| Rate for Payer: Mclaren Medicaid |
$45,655.58
|
| Rate for Payer: Meridian Medicaid |
$47,938.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,655.58
|
| Rate for Payer: UHCCP Medicaid |
$47,938.36
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$41,337.37
|
|
|
Service Code
|
APR-DRG 0062
|
| Min. Negotiated Rate |
$39,368.92 |
| Max. Negotiated Rate |
$41,337.37 |
| Rate for Payer: BCBS Complete |
$41,337.37
|
| Rate for Payer: Mclaren Medicaid |
$39,368.92
|
| Rate for Payer: Meridian Medicaid |
$41,337.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,368.92
|
| Rate for Payer: UHCCP Medicaid |
$41,337.37
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$28,730.55
|
|
|
Service Code
|
APR-DRG 0061
|
| Min. Negotiated Rate |
$27,362.43 |
| Max. Negotiated Rate |
$28,730.55 |
| Rate for Payer: BCBS Complete |
$28,730.55
|
| Rate for Payer: Mclaren Medicaid |
$27,362.43
|
| Rate for Payer: Meridian Medicaid |
$28,730.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,362.43
|
| Rate for Payer: UHCCP Medicaid |
$28,730.55
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$62,222.47
|
|
|
Service Code
|
APR-DRG 0064
|
| Min. Negotiated Rate |
$59,259.50 |
| Max. Negotiated Rate |
$62,222.47 |
| Rate for Payer: BCBS Complete |
$62,222.47
|
| Rate for Payer: Mclaren Medicaid |
$59,259.50
|
| Rate for Payer: Meridian Medicaid |
$62,222.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,259.50
|
| Rate for Payer: UHCCP Medicaid |
$62,222.47
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$13,743.05
|
|
|
Service Code
|
APR-DRG 8444
|
| Min. Negotiated Rate |
$13,088.62 |
| Max. Negotiated Rate |
$13,743.05 |
| Rate for Payer: BCBS Complete |
$13,743.05
|
| Rate for Payer: Mclaren Medicaid |
$13,088.62
|
| Rate for Payer: Meridian Medicaid |
$13,743.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,088.62
|
| Rate for Payer: UHCCP Medicaid |
$13,743.05
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 8441
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 8443
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 8442
|
| 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: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$21,588.49
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$20,560.47 |
| Max. Negotiated Rate |
$21,588.49 |
| Rate for Payer: BCBS Complete |
$21,588.49
|
| Rate for Payer: Mclaren Medicaid |
$20,560.47
|
| Rate for Payer: Meridian Medicaid |
$21,588.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,560.47
|
| Rate for Payer: UHCCP Medicaid |
$21,588.49
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$12,336.28
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$11,748.84 |
| Max. Negotiated Rate |
$12,336.28 |
| Rate for Payer: BCBS Complete |
$12,336.28
|
| Rate for Payer: Mclaren Medicaid |
$11,748.84
|
| Rate for Payer: Meridian Medicaid |
$12,336.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,748.84
|
| Rate for Payer: UHCCP Medicaid |
$12,336.28
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,170.08
|
|
|
Service Code
|
APR-DRG 4832
|
| Min. Negotiated Rate |
$7,781.03 |
| Max. Negotiated Rate |
$8,170.08 |
| Rate for Payer: BCBS Complete |
$8,170.08
|
| Rate for Payer: Mclaren Medicaid |
$7,781.03
|
| Rate for Payer: Meridian Medicaid |
$8,170.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.03
|
| Rate for Payer: UHCCP Medicaid |
$8,170.08
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 2412
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|