|
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
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,093.77
|
|
|
Service Code
|
APR-DRG 0302
|
| Min. Negotiated Rate |
$12,470.26 |
| Max. Negotiated Rate |
$13,093.77 |
| Rate for Payer: BCBS Complete |
$13,093.77
|
| Rate for Payer: Mclaren Medicaid |
$12,470.26
|
| Rate for Payer: Meridian Medicaid |
$13,093.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,470.26
|
| Rate for Payer: UHCCP Medicaid |
$13,093.77
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$7,629.02
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$7,265.73 |
| Max. Negotiated Rate |
$7,629.02 |
| Rate for Payer: BCBS Complete |
$7,629.02
|
| Rate for Payer: Mclaren Medicaid |
$7,265.73
|
| Rate for Payer: Meridian Medicaid |
$7,629.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,265.73
|
| Rate for Payer: UHCCP Medicaid |
$7,629.02
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$32,788.54
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$31,227.18 |
| Max. Negotiated Rate |
$32,788.54 |
| Rate for Payer: BCBS Complete |
$32,788.54
|
| Rate for Payer: Mclaren Medicaid |
$31,227.18
|
| Rate for Payer: Meridian Medicaid |
$32,788.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,227.18
|
| Rate for Payer: UHCCP Medicaid |
$32,788.54
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$23,806.86
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$22,673.20 |
| Max. Negotiated Rate |
$23,806.86 |
| Rate for Payer: BCBS Complete |
$23,806.86
|
| Rate for Payer: Mclaren Medicaid |
$22,673.20
|
| Rate for Payer: Meridian Medicaid |
$23,806.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,673.20
|
| Rate for Payer: UHCCP Medicaid |
$23,806.86
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$19,099.59
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$18,190.09 |
| Max. Negotiated Rate |
$19,099.59 |
| Rate for Payer: BCBS Complete |
$19,099.59
|
| Rate for Payer: Mclaren Medicaid |
$18,190.09
|
| Rate for Payer: Meridian Medicaid |
$19,099.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,190.09
|
| Rate for Payer: UHCCP Medicaid |
$19,099.59
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$17,584.61
|
|
|
Service Code
|
APR-DRG 1831
|
| Min. Negotiated Rate |
$16,747.25 |
| Max. Negotiated Rate |
$17,584.61 |
| Rate for Payer: BCBS Complete |
$17,584.61
|
| Rate for Payer: Mclaren Medicaid |
$16,747.25
|
| Rate for Payer: Meridian Medicaid |
$17,584.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,747.25
|
| Rate for Payer: UHCCP Medicaid |
$17,584.61
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 1971
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$10,550.77
|
|
|
Service Code
|
APR-DRG 1974
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,761.37
|
|
|
Service Code
|
APR-DRG 1972
|
| Min. Negotiated Rate |
$4,534.64 |
| Max. Negotiated Rate |
$4,761.37 |
| Rate for Payer: BCBS Complete |
$4,761.37
|
| Rate for Payer: Mclaren Medicaid |
$4,534.64
|
| Rate for Payer: Meridian Medicaid |
$4,761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,534.64
|
| Rate for Payer: UHCCP Medicaid |
$4,761.37
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$6,905.02 |
| Max. Negotiated Rate |
$7,250.27 |
| Rate for Payer: BCBS Complete |
$7,250.27
|
| Rate for Payer: Mclaren Medicaid |
$6,905.02
|
| Rate for Payer: Meridian Medicaid |
$7,250.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,905.02
|
| Rate for Payer: UHCCP Medicaid |
$7,250.27
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 0481
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 0482
|
| Min. Negotiated Rate |
$4,843.82 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$5,086.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 0483
|
| Min. Negotiated Rate |
$7,162.67 |
| Max. Negotiated Rate |
$7,520.80 |
| Rate for Payer: BCBS Complete |
$7,520.80
|
| Rate for Payer: Mclaren Medicaid |
$7,162.67
|
| Rate for Payer: Meridian Medicaid |
$7,520.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,162.67
|
| Rate for Payer: UHCCP Medicaid |
$7,520.80
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$12,444.50
|
|
|
Service Code
|
APR-DRG 0484
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,494.72
|
|
|
Service Code
|
APR-DRG 2241
|
| Min. Negotiated Rate |
$8,090.21 |
| Max. Negotiated Rate |
$8,494.72 |
| Rate for Payer: BCBS Complete |
$8,494.72
|
| Rate for Payer: Mclaren Medicaid |
$8,090.21
|
| Rate for Payer: Meridian Medicaid |
$8,494.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,090.21
|
| Rate for Payer: UHCCP Medicaid |
$8,494.72
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$25,862.91
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$24,631.34 |
| Max. Negotiated Rate |
$25,862.91 |
| Rate for Payer: BCBS Complete |
$25,862.91
|
| Rate for Payer: Mclaren Medicaid |
$24,631.34
|
| Rate for Payer: Meridian Medicaid |
$25,862.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,631.34
|
| Rate for Payer: UHCCP Medicaid |
$25,862.91
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 2243
|
| Min. Negotiated Rate |
$13,758.51 |
| Max. Negotiated Rate |
$14,446.44 |
| Rate for Payer: BCBS Complete |
$14,446.44
|
| Rate for Payer: Mclaren Medicaid |
$13,758.51
|
| Rate for Payer: Meridian Medicaid |
$14,446.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,758.51
|
| Rate for Payer: UHCCP Medicaid |
$14,446.44
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$21,804.92
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$20,766.59 |
| Max. Negotiated Rate |
$21,804.92 |
| Rate for Payer: BCBS Complete |
$21,804.92
|
| Rate for Payer: Mclaren Medicaid |
$20,766.59
|
| Rate for Payer: Meridian Medicaid |
$21,804.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,766.59
|
| Rate for Payer: UHCCP Medicaid |
$21,804.92
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$31,976.94
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$30,454.23 |
| Max. Negotiated Rate |
$31,976.94 |
| Rate for Payer: BCBS Complete |
$31,976.94
|
| Rate for Payer: Mclaren Medicaid |
$30,454.23
|
| Rate for Payer: Meridian Medicaid |
$31,976.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,454.23
|
| Rate for Payer: UHCCP Medicaid |
$31,976.94
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$16,015.52
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$15,252.88 |
| Max. Negotiated Rate |
$16,015.52 |
| Rate for Payer: BCBS Complete |
$16,015.52
|
| Rate for Payer: Mclaren Medicaid |
$15,252.88
|
| Rate for Payer: Meridian Medicaid |
$16,015.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,252.88
|
| Rate for Payer: UHCCP Medicaid |
$16,015.52
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,606.81
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$12,006.49 |
| Max. Negotiated Rate |
$12,606.81 |
| Rate for Payer: BCBS Complete |
$12,606.81
|
| Rate for Payer: Mclaren Medicaid |
$12,006.49
|
| Rate for Payer: Meridian Medicaid |
$12,606.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,006.49
|
| Rate for Payer: UHCCP Medicaid |
$12,606.81
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$23,103.48
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$22,003.31 |
| Max. Negotiated Rate |
$23,103.48 |
| Rate for Payer: BCBS Complete |
$23,103.48
|
| Rate for Payer: Mclaren Medicaid |
$22,003.31
|
| Rate for Payer: Meridian Medicaid |
$23,103.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,003.31
|
| Rate for Payer: UHCCP Medicaid |
$23,103.48
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,685.06
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$9,223.87 |
| Max. Negotiated Rate |
$9,685.06 |
| Rate for Payer: BCBS Complete |
$9,685.06
|
| Rate for Payer: Mclaren Medicaid |
$9,223.87
|
| Rate for Payer: Meridian Medicaid |
$9,685.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,223.87
|
| Rate for Payer: UHCCP Medicaid |
$9,685.06
|
|