|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 2413
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 2411
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 2414
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$20,776.90
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$19,787.52 |
| Max. Negotiated Rate |
$20,776.90 |
| Rate for Payer: BCBS Complete |
$20,776.90
|
| Rate for Payer: Mclaren Medicaid |
$19,787.52
|
| Rate for Payer: Meridian Medicaid |
$20,776.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,787.52
|
| Rate for Payer: UHCCP Medicaid |
$20,776.90
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$12,444.50
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$11,851.90 |
| Max. Negotiated Rate |
$12,444.50 |
| Rate for Payer: BCBS Complete |
$12,444.50
|
| Rate for Payer: Mclaren Medicaid |
$11,851.90
|
| Rate for Payer: Meridian Medicaid |
$12,444.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,851.90
|
| Rate for Payer: UHCCP Medicaid |
$12,444.50
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$9,847.38
|
|
|
Service Code
|
APR-DRG 1741
|
| Min. Negotiated Rate |
$9,378.46 |
| Max. Negotiated Rate |
$9,847.38 |
| Rate for Payer: BCBS Complete |
$9,847.38
|
| Rate for Payer: Mclaren Medicaid |
$9,378.46
|
| Rate for Payer: Meridian Medicaid |
$9,847.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,378.46
|
| Rate for Payer: UHCCP Medicaid |
$9,847.38
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$14,662.86
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$13,964.63 |
| Max. Negotiated Rate |
$14,662.86 |
| Rate for Payer: BCBS Complete |
$14,662.86
|
| Rate for Payer: Mclaren Medicaid |
$13,964.63
|
| Rate for Payer: Meridian Medicaid |
$14,662.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,964.63
|
| Rate for Payer: UHCCP Medicaid |
$14,662.86
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$11,254.15
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$10,718.24 |
| Max. Negotiated Rate |
$11,254.15 |
| Rate for Payer: BCBS Complete |
$11,254.15
|
| Rate for Payer: Mclaren Medicaid |
$10,718.24
|
| Rate for Payer: Meridian Medicaid |
$11,254.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,718.24
|
| Rate for Payer: UHCCP Medicaid |
$11,254.15
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$17,043.55
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$16,231.95 |
| Max. Negotiated Rate |
$17,043.55 |
| Rate for Payer: BCBS Complete |
$17,043.55
|
| Rate for Payer: Mclaren Medicaid |
$16,231.95
|
| Rate for Payer: Meridian Medicaid |
$17,043.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,231.95
|
| Rate for Payer: UHCCP Medicaid |
$17,043.55
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$23,374.01
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$22,260.96 |
| Max. Negotiated Rate |
$23,374.01 |
| Rate for Payer: BCBS Complete |
$23,374.01
|
| Rate for Payer: Mclaren Medicaid |
$22,260.96
|
| Rate for Payer: Meridian Medicaid |
$23,374.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,260.96
|
| Rate for Payer: UHCCP Medicaid |
$23,374.01
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$14,879.29
|
|
|
Service Code
|
APR-DRG 1752
|
| 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: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,829.06
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$17,932.44 |
| Max. Negotiated Rate |
$18,829.06 |
| Rate for Payer: BCBS Complete |
$18,829.06
|
| Rate for Payer: Mclaren Medicaid |
$17,932.44
|
| Rate for Payer: Meridian Medicaid |
$18,829.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,932.44
|
| Rate for Payer: UHCCP Medicaid |
$18,829.06
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,716.97
|
|
|
Service Code
|
APR-DRG 0302
|
| Min. Negotiated Rate |
$14,016.16 |
| Max. Negotiated Rate |
$14,716.97 |
| Rate for Payer: BCBS Complete |
$14,716.97
|
| Rate for Payer: Mclaren Medicaid |
$14,016.16
|
| Rate for Payer: Meridian Medicaid |
$14,716.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,016.16
|
| Rate for Payer: UHCCP Medicaid |
$14,716.97
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$25,430.06
|
|
|
Service Code
|
APR-DRG 0304
|
| Min. Negotiated Rate |
$24,219.10 |
| Max. Negotiated Rate |
$25,430.06 |
| Rate for Payer: BCBS Complete |
$25,430.06
|
| Rate for Payer: Mclaren Medicaid |
$24,219.10
|
| Rate for Payer: Meridian Medicaid |
$25,430.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,219.10
|
| Rate for Payer: UHCCP Medicaid |
$25,430.06
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$36,900.63
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$35,143.46 |
| Max. Negotiated Rate |
$36,900.63 |
| Rate for Payer: BCBS Complete |
$36,900.63
|
| Rate for Payer: Mclaren Medicaid |
$35,143.46
|
| Rate for Payer: Meridian Medicaid |
$36,900.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,143.46
|
| Rate for Payer: UHCCP Medicaid |
$36,900.63
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$26,782.72
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$25,507.35 |
| Max. Negotiated Rate |
$26,782.72 |
| Rate for Payer: BCBS Complete |
$26,782.72
|
| Rate for Payer: Mclaren Medicaid |
$25,507.35
|
| Rate for Payer: Meridian Medicaid |
$26,782.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,507.35
|
| Rate for Payer: UHCCP Medicaid |
$26,782.72
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$19,802.98
|
|
|
Service Code
|
APR-DRG 1831
|
| Min. Negotiated Rate |
$18,859.98 |
| Max. Negotiated Rate |
$19,802.98 |
| Rate for Payer: BCBS Complete |
$19,802.98
|
| Rate for Payer: Mclaren Medicaid |
$18,859.98
|
| Rate for Payer: Meridian Medicaid |
$19,802.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,859.98
|
| Rate for Payer: UHCCP Medicaid |
$19,802.98
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$21,480.28
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$20,457.41 |
| Max. Negotiated Rate |
$21,480.28 |
| Rate for Payer: BCBS Complete |
$21,480.28
|
| Rate for Payer: Mclaren Medicaid |
$20,457.41
|
| Rate for Payer: Meridian Medicaid |
$21,480.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,457.41
|
| Rate for Payer: UHCCP Medicaid |
$21,480.28
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 1972
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 1974
|
| Min. Negotiated Rate |
$11,285.07 |
| Max. Negotiated Rate |
$11,849.32 |
| Rate for Payer: BCBS Complete |
$11,849.32
|
| Rate for Payer: Mclaren Medicaid |
$11,285.07
|
| Rate for Payer: Meridian Medicaid |
$11,849.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,285.07
|
| Rate for Payer: UHCCP Medicaid |
$11,849.32
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$6,655.10
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$6,338.19 |
| Max. Negotiated Rate |
$6,655.10 |
| Rate for Payer: BCBS Complete |
$6,655.10
|
| Rate for Payer: Mclaren Medicaid |
$6,338.19
|
| Rate for Payer: Meridian Medicaid |
$6,655.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,338.19
|
| Rate for Payer: UHCCP Medicaid |
$6,655.10
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 1971
|
| Min. Negotiated Rate |
$3,091.80 |
| Max. Negotiated Rate |
$3,246.39 |
| Rate for Payer: BCBS Complete |
$3,246.39
|
| Rate for Payer: Mclaren Medicaid |
$3,091.80
|
| Rate for Payer: Meridian Medicaid |
$3,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 0483
|
| Min. Negotiated Rate |
$6,492.78 |
| Max. Negotiated Rate |
$6,817.42 |
| Rate for Payer: BCBS Complete |
$6,817.42
|
| Rate for Payer: Mclaren Medicaid |
$6,492.78
|
| Rate for Payer: Meridian Medicaid |
$6,817.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,492.78
|
| Rate for Payer: UHCCP Medicaid |
$6,817.42
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 0481
|
| 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
|
|