|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 5482
|
| Min. Negotiated Rate |
$5,049.94 |
| Max. Negotiated Rate |
$5,302.44 |
| Rate for Payer: BCBS Complete |
$5,302.44
|
| Rate for Payer: Mclaren Medicaid |
$5,049.94
|
| Rate for Payer: Meridian Medicaid |
$5,302.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,049.94
|
| Rate for Payer: UHCCP Medicaid |
$5,302.44
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$25,484.16
|
|
|
Service Code
|
APR-DRG 4034
|
| Min. Negotiated Rate |
$24,270.63 |
| Max. Negotiated Rate |
$25,484.16 |
| Rate for Payer: BCBS Complete |
$25,484.16
|
| Rate for Payer: Mclaren Medicaid |
$24,270.63
|
| Rate for Payer: Meridian Medicaid |
$25,484.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,270.63
|
| Rate for Payer: UHCCP Medicaid |
$25,484.16
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$12,985.56
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$12,367.20 |
| Max. Negotiated Rate |
$12,985.56 |
| Rate for Payer: BCBS Complete |
$12,985.56
|
| Rate for Payer: Mclaren Medicaid |
$12,367.20
|
| Rate for Payer: Meridian Medicaid |
$12,985.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,367.20
|
| Rate for Payer: UHCCP Medicaid |
$12,985.56
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 4032
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$14,933.39
|
|
|
Service Code
|
APR-DRG 8502
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 8501
|
| Min. Negotiated Rate |
$7,471.85 |
| Max. Negotiated Rate |
$7,845.44 |
| Rate for Payer: BCBS Complete |
$7,845.44
|
| Rate for Payer: Mclaren Medicaid |
$7,471.85
|
| Rate for Payer: Meridian Medicaid |
$7,845.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,471.85
|
| Rate for Payer: UHCCP Medicaid |
$7,845.44
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$25,267.74
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$24,064.51 |
| Max. Negotiated Rate |
$25,267.74 |
| Rate for Payer: BCBS Complete |
$25,267.74
|
| Rate for Payer: Mclaren Medicaid |
$24,064.51
|
| Rate for Payer: Meridian Medicaid |
$25,267.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,064.51
|
| Rate for Payer: UHCCP Medicaid |
$25,267.74
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$45,611.78
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$43,439.79 |
| Max. Negotiated Rate |
$45,611.78 |
| Rate for Payer: BCBS Complete |
$45,611.78
|
| Rate for Payer: Mclaren Medicaid |
$43,439.79
|
| Rate for Payer: Meridian Medicaid |
$45,611.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,439.79
|
| Rate for Payer: UHCCP Medicaid |
$45,611.78
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$12,444.50
|
|
|
Service Code
|
APR-DRG 4853
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 4852
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 4851
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$20,506.36
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$19,529.87 |
| Max. Negotiated Rate |
$20,506.36 |
| Rate for Payer: BCBS Complete |
$20,506.36
|
| Rate for Payer: Mclaren Medicaid |
$19,529.87
|
| Rate for Payer: Meridian Medicaid |
$20,506.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,529.87
|
| Rate for Payer: UHCCP Medicaid |
$20,506.36
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$10,226.13
|
|
|
Service Code
|
APR-DRG 1344
|
| Min. Negotiated Rate |
$9,739.17 |
| Max. Negotiated Rate |
$10,226.13 |
| Rate for Payer: BCBS Complete |
$10,226.13
|
| Rate for Payer: Mclaren Medicaid |
$9,739.17
|
| Rate for Payer: Meridian Medicaid |
$10,226.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,739.17
|
| Rate for Payer: UHCCP Medicaid |
$10,226.13
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 1341
|
| 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: RADIOTHERAPY
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$12,934.03 |
| Max. Negotiated Rate |
$13,580.73 |
| Rate for Payer: BCBS Complete |
$13,580.73
|
| Rate for Payer: Mclaren Medicaid |
$12,934.03
|
| Rate for Payer: Meridian Medicaid |
$13,580.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,934.03
|
| Rate for Payer: UHCCP Medicaid |
$13,580.73
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$10,658.98
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$10,151.41 |
| Max. Negotiated Rate |
$10,658.98 |
| Rate for Payer: BCBS Complete |
$10,658.98
|
| Rate for Payer: Mclaren Medicaid |
$10,151.41
|
| Rate for Payer: Meridian Medicaid |
$10,658.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,151.41
|
| Rate for Payer: UHCCP Medicaid |
$10,658.98
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$4,483.11 |
| Max. Negotiated Rate |
$4,707.27 |
| Rate for Payer: BCBS Complete |
$4,707.27
|
| Rate for Payer: Mclaren Medicaid |
$4,483.11
|
| Rate for Payer: Meridian Medicaid |
$4,707.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.11
|
| Rate for Payer: UHCCP Medicaid |
$4,707.27
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$17,043.55
|
|
|
Service Code
|
APR-DRG 6924
|
| 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: REHABILITATION
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 8603
|
| 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: REHABILITATION
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$13,243.21 |
| Max. Negotiated Rate |
$13,905.37 |
| Rate for Payer: BCBS Complete |
$13,905.37
|
| Rate for Payer: Mclaren Medicaid |
$13,243.21
|
| Rate for Payer: Meridian Medicaid |
$13,905.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,243.21
|
| Rate for Payer: UHCCP Medicaid |
$13,905.37
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$11,741.11
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$11,182.01 |
| Max. Negotiated Rate |
$11,741.11 |
| Rate for Payer: BCBS Complete |
$11,741.11
|
| Rate for Payer: Mclaren Medicaid |
$11,182.01
|
| Rate for Payer: Meridian Medicaid |
$11,741.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,182.01
|
| Rate for Payer: UHCCP Medicaid |
$11,741.11
|
|