|
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
|
$11,795.22
|
|
|
Service Code
|
APR-DRG 0484
|
| Min. Negotiated Rate |
$11,233.54 |
| Max. Negotiated Rate |
$11,795.22 |
| Rate for Payer: BCBS Complete |
$11,795.22
|
| Rate for Payer: Mclaren Medicaid |
$11,233.54
|
| Rate for Payer: Meridian Medicaid |
$11,795.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.54
|
| Rate for Payer: UHCCP Medicaid |
$11,795.22
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 2241
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$20,560.47
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$19,581.40 |
| Max. Negotiated Rate |
$20,560.47 |
| Rate for Payer: BCBS Complete |
$20,560.47
|
| Rate for Payer: Mclaren Medicaid |
$19,581.40
|
| Rate for Payer: Meridian Medicaid |
$20,560.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,581.40
|
| Rate for Payer: UHCCP Medicaid |
$20,560.47
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$8,502.45 |
| Max. Negotiated Rate |
$8,927.57 |
| Rate for Payer: BCBS Complete |
$8,927.57
|
| Rate for Payer: Mclaren Medicaid |
$8,502.45
|
| Rate for Payer: Meridian Medicaid |
$8,927.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,502.45
|
| Rate for Payer: UHCCP Medicaid |
$8,927.57
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$13,418.41
|
|
|
Service Code
|
APR-DRG 2243
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 1701
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$25,375.95
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$24,167.57 |
| Max. Negotiated Rate |
$25,375.95 |
| Rate for Payer: BCBS Complete |
$25,375.95
|
| Rate for Payer: Mclaren Medicaid |
$24,167.57
|
| Rate for Payer: Meridian Medicaid |
$25,375.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,167.57
|
| Rate for Payer: UHCCP Medicaid |
$25,375.95
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,660.92
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$12,058.02 |
| Max. Negotiated Rate |
$12,660.92 |
| Rate for Payer: BCBS Complete |
$12,660.92
|
| Rate for Payer: Mclaren Medicaid |
$12,058.02
|
| Rate for Payer: Meridian Medicaid |
$12,660.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,058.02
|
| Rate for Payer: UHCCP Medicaid |
$12,660.92
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$17,205.87
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$16,386.54 |
| Max. Negotiated Rate |
$17,205.87 |
| Rate for Payer: BCBS Complete |
$17,205.87
|
| Rate for Payer: Mclaren Medicaid |
$16,386.54
|
| Rate for Payer: Meridian Medicaid |
$17,205.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,386.54
|
| Rate for Payer: UHCCP Medicaid |
$17,205.87
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,955.60
|
|
|
Service Code
|
APR-DRG 1712
|
| Min. Negotiated Rate |
$9,481.52 |
| Max. Negotiated Rate |
$9,955.60 |
| Rate for Payer: BCBS Complete |
$9,955.60
|
| Rate for Payer: Mclaren Medicaid |
$9,481.52
|
| Rate for Payer: Meridian Medicaid |
$9,955.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,481.52
|
| Rate for Payer: UHCCP Medicaid |
$9,955.60
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$8,224.19
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$7,832.56 |
| Max. Negotiated Rate |
$8,224.19 |
| Rate for Payer: BCBS Complete |
$8,224.19
|
| Rate for Payer: Mclaren Medicaid |
$7,832.56
|
| Rate for Payer: Meridian Medicaid |
$8,224.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,832.56
|
| Rate for Payer: UHCCP Medicaid |
$8,224.19
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,472.52
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$12,830.97 |
| Max. Negotiated Rate |
$13,472.52 |
| Rate for Payer: BCBS Complete |
$13,472.52
|
| Rate for Payer: Mclaren Medicaid |
$12,830.97
|
| Rate for Payer: Meridian Medicaid |
$13,472.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,830.97
|
| Rate for Payer: UHCCP Medicaid |
$13,472.52
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$20,668.68
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$19,684.46 |
| Max. Negotiated Rate |
$20,668.68 |
| Rate for Payer: BCBS Complete |
$20,668.68
|
| Rate for Payer: Mclaren Medicaid |
$19,684.46
|
| Rate for Payer: Meridian Medicaid |
$20,668.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,684.46
|
| Rate for Payer: UHCCP Medicaid |
$20,668.68
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 7523
|
| 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
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 7522
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,110.15
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$2,009.67 |
| Max. Negotiated Rate |
$2,110.15 |
| Rate for Payer: BCBS Complete |
$2,110.15
|
| Rate for Payer: Mclaren Medicaid |
$2,009.67
|
| Rate for Payer: Meridian Medicaid |
$2,110.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,009.67
|
| Rate for Payer: UHCCP Medicaid |
$2,110.15
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$14,662.86
|
|
|
Service Code
|
APR-DRG 7524
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 8123
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,272.47
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$2,164.26 |
| Max. Negotiated Rate |
$2,272.47 |
| Rate for Payer: BCBS Complete |
$2,272.47
|
| Rate for Payer: Mclaren Medicaid |
$2,164.26
|
| Rate for Payer: Meridian Medicaid |
$2,272.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,164.26
|
| Rate for Payer: UHCCP Medicaid |
$2,272.47
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 8122
|
| Min. Negotiated Rate |
$3,194.86 |
| Max. Negotiated Rate |
$3,354.60 |
| Rate for Payer: BCBS Complete |
$3,354.60
|
| Rate for Payer: Mclaren Medicaid |
$3,194.86
|
| Rate for Payer: Meridian Medicaid |
$3,354.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,194.86
|
| Rate for Payer: UHCCP Medicaid |
$3,354.60
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$10,496.66
|
|
|
Service Code
|
APR-DRG 8124
|
| Min. Negotiated Rate |
$9,996.82 |
| Max. Negotiated Rate |
$10,496.66 |
| Rate for Payer: BCBS Complete |
$10,496.66
|
| Rate for Payer: Mclaren Medicaid |
$9,996.82
|
| Rate for Payer: Meridian Medicaid |
$10,496.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,996.82
|
| Rate for Payer: UHCCP Medicaid |
$10,496.66
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$23,915.07
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$22,776.26 |
| Max. Negotiated Rate |
$23,915.07 |
| Rate for Payer: BCBS Complete |
$23,915.07
|
| Rate for Payer: Mclaren Medicaid |
$22,776.26
|
| Rate for Payer: Meridian Medicaid |
$23,915.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,776.26
|
| Rate for Payer: UHCCP Medicaid |
$23,915.07
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 7112
|
| Min. Negotiated Rate |
$8,399.39 |
| Max. Negotiated Rate |
$8,819.36 |
| Rate for Payer: BCBS Complete |
$8,819.36
|
| Rate for Payer: Mclaren Medicaid |
$8,399.39
|
| Rate for Payer: Meridian Medicaid |
$8,819.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,399.39
|
| Rate for Payer: UHCCP Medicaid |
$8,819.36
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 7111
|
| 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
|
|