|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 4442
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$6,750.43 |
| Max. Negotiated Rate |
$7,087.95 |
| Rate for Payer: BCBS Complete |
$7,087.95
|
| Rate for Payer: Mclaren Medicaid |
$6,750.43
|
| Rate for Payer: Meridian Medicaid |
$7,087.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,750.43
|
| Rate for Payer: UHCCP Medicaid |
$7,087.95
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$11,903.43
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$11,336.60 |
| Max. Negotiated Rate |
$11,903.43 |
| Rate for Payer: BCBS Complete |
$11,903.43
|
| Rate for Payer: Mclaren Medicaid |
$11,336.60
|
| Rate for Payer: Meridian Medicaid |
$11,903.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,336.60
|
| Rate for Payer: UHCCP Medicaid |
$11,903.43
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$20,398.15
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$19,426.81 |
| Max. Negotiated Rate |
$20,398.15 |
| Rate for Payer: BCBS Complete |
$20,398.15
|
| Rate for Payer: Mclaren Medicaid |
$19,426.81
|
| Rate for Payer: Meridian Medicaid |
$20,398.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,426.81
|
| Rate for Payer: UHCCP Medicaid |
$20,398.15
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 1331
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$10,875.41
|
|
|
Service Code
|
APR-DRG 1334
|
| Min. Negotiated Rate |
$10,357.53 |
| Max. Negotiated Rate |
$10,875.41 |
| Rate for Payer: BCBS Complete |
$10,875.41
|
| Rate for Payer: Mclaren Medicaid |
$10,357.53
|
| Rate for Payer: Meridian Medicaid |
$10,875.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,357.53
|
| Rate for Payer: UHCCP Medicaid |
$10,875.41
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 1333
|
| 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: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 1332
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 1362
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 1364
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 1363
|
| Min. Negotiated Rate |
$7,626.44 |
| Max. Negotiated Rate |
$8,007.76 |
| Rate for Payer: BCBS Complete |
$8,007.76
|
| Rate for Payer: Mclaren Medicaid |
$7,626.44
|
| Rate for Payer: Meridian Medicaid |
$8,007.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 1444
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 1443
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,031.90
|
|
|
Service Code
|
APR-DRG 1442
|
| Min. Negotiated Rate |
$4,792.29 |
| Max. Negotiated Rate |
$5,031.90 |
| Rate for Payer: BCBS Complete |
$5,031.90
|
| Rate for Payer: Mclaren Medicaid |
$4,792.29
|
| Rate for Payer: Meridian Medicaid |
$5,031.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.29
|
| Rate for Payer: UHCCP Medicaid |
$5,031.90
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$14,933.39
|
|
|
Service Code
|
APR-DRG 1301
|
| 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: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$23,644.54
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$22,518.61 |
| Max. Negotiated Rate |
$23,644.54 |
| Rate for Payer: BCBS Complete |
$23,644.54
|
| Rate for Payer: Mclaren Medicaid |
$22,518.61
|
| Rate for Payer: Meridian Medicaid |
$23,644.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,518.61
|
| Rate for Payer: UHCCP Medicaid |
$23,644.54
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$26,458.08
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$25,198.17 |
| Max. Negotiated Rate |
$26,458.08 |
| Rate for Payer: BCBS Complete |
$26,458.08
|
| Rate for Payer: Mclaren Medicaid |
$25,198.17
|
| Rate for Payer: Meridian Medicaid |
$26,458.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,198.17
|
| Rate for Payer: UHCCP Medicaid |
$26,458.08
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$18,071.57
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$17,211.02 |
| Max. Negotiated Rate |
$18,071.57 |
| Rate for Payer: BCBS Complete |
$18,071.57
|
| Rate for Payer: Mclaren Medicaid |
$17,211.02
|
| Rate for Payer: Meridian Medicaid |
$18,071.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,211.02
|
| Rate for Payer: UHCCP Medicaid |
$18,071.57
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$12,011.64
|
|
|
Service Code
|
APR-DRG 7614
|
| Min. Negotiated Rate |
$11,439.66 |
| Max. Negotiated Rate |
$12,011.64 |
| Rate for Payer: BCBS Complete |
$12,011.64
|
| Rate for Payer: Mclaren Medicaid |
$11,439.66
|
| Rate for Payer: Meridian Medicaid |
$12,011.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,439.66
|
| Rate for Payer: UHCCP Medicaid |
$12,011.64
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 7611
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 7613
|
| Min. Negotiated Rate |
$6,647.37 |
| Max. Negotiated Rate |
$6,979.74 |
| Rate for Payer: BCBS Complete |
$6,979.74
|
| Rate for Payer: Mclaren Medicaid |
$6,647.37
|
| Rate for Payer: Meridian Medicaid |
$6,979.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,647.37
|
| Rate for Payer: UHCCP Medicaid |
$6,979.74
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 7503
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|