|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1341
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$10,713.09
|
|
|
Service Code
|
APR-DRG 1344
|
| Min. Negotiated Rate |
$10,202.94 |
| Max. Negotiated Rate |
$10,713.09 |
| Rate for Payer: BCBS Complete |
$10,713.09
|
| Rate for Payer: Mclaren Medicaid |
$10,202.94
|
| Rate for Payer: Meridian Medicaid |
$10,713.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,202.94
|
| Rate for Payer: UHCCP Medicaid |
$10,713.09
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$3,967.81 |
| Max. Negotiated Rate |
$4,166.20 |
| Rate for Payer: BCBS Complete |
$4,166.20
|
| Rate for Payer: Mclaren Medicaid |
$3,967.81
|
| Rate for Payer: Meridian Medicaid |
$4,166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,967.81
|
| Rate for Payer: UHCCP Medicaid |
$4,166.20
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,600.99
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,286.66 |
| Max. Negotiated Rate |
$6,600.99 |
| Rate for Payer: BCBS Complete |
$6,600.99
|
| Rate for Payer: Mclaren Medicaid |
$6,286.66
|
| Rate for Payer: Meridian Medicaid |
$6,600.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,286.66
|
| Rate for Payer: UHCCP Medicaid |
$6,600.99
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$9,739.17
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$9,275.40 |
| Max. Negotiated Rate |
$9,739.17 |
| Rate for Payer: BCBS Complete |
$9,739.17
|
| Rate for Payer: Mclaren Medicaid |
$9,275.40
|
| Rate for Payer: Meridian Medicaid |
$9,739.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,275.40
|
| Rate for Payer: UHCCP Medicaid |
$9,739.17
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$17,638.72
|
|
|
Service Code
|
APR-DRG 6924
|
| Min. Negotiated Rate |
$16,798.78 |
| Max. Negotiated Rate |
$17,638.72 |
| Rate for Payer: BCBS Complete |
$17,638.72
|
| Rate for Payer: Mclaren Medicaid |
$16,798.78
|
| Rate for Payer: Meridian Medicaid |
$17,638.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,798.78
|
| Rate for Payer: UHCCP Medicaid |
$17,638.72
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$14,067.69
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$13,397.80 |
| Max. Negotiated Rate |
$14,067.69 |
| Rate for Payer: BCBS Complete |
$14,067.69
|
| Rate for Payer: Mclaren Medicaid |
$13,397.80
|
| Rate for Payer: Meridian Medicaid |
$14,067.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,397.80
|
| Rate for Payer: UHCCP Medicaid |
$14,067.69
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$13,039.67
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$12,418.73 |
| Max. Negotiated Rate |
$13,039.67 |
| Rate for Payer: BCBS Complete |
$13,039.67
|
| Rate for Payer: Mclaren Medicaid |
$12,418.73
|
| Rate for Payer: Meridian Medicaid |
$13,039.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,418.73
|
| Rate for Payer: UHCCP Medicaid |
$13,039.67
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$10,496.66
|
|
|
Service Code
|
APR-DRG 8603
|
| 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: REHABILITATION
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$5,822.89 |
| Max. Negotiated Rate |
$6,114.03 |
| Rate for Payer: BCBS Complete |
$6,114.03
|
| Rate for Payer: Mclaren Medicaid |
$5,822.89
|
| Rate for Payer: Meridian Medicaid |
$6,114.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.89
|
| Rate for Payer: UHCCP Medicaid |
$6,114.03
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$7,574.91 |
| Max. Negotiated Rate |
$7,953.66 |
| Rate for Payer: BCBS Complete |
$7,953.66
|
| Rate for Payer: Mclaren Medicaid |
$7,574.91
|
| Rate for Payer: Meridian Medicaid |
$7,953.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,574.91
|
| Rate for Payer: UHCCP Medicaid |
$7,953.66
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 4443
|
| 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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$6,595.84 |
| Max. Negotiated Rate |
$6,925.63 |
| Rate for Payer: BCBS Complete |
$6,925.63
|
| Rate for Payer: Mclaren Medicaid |
$6,595.84
|
| Rate for Payer: Meridian Medicaid |
$6,925.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,595.84
|
| Rate for Payer: UHCCP Medicaid |
$6,925.63
|
|
|
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
|
$21,696.71
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$20,663.53 |
| Max. Negotiated Rate |
$21,696.71 |
| Rate for Payer: BCBS Complete |
$21,696.71
|
| Rate for Payer: Mclaren Medicaid |
$20,663.53
|
| Rate for Payer: Meridian Medicaid |
$21,696.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,663.53
|
| Rate for Payer: UHCCP Medicaid |
$21,696.71
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 1331
|
| 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: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 1332
|
| Min. Negotiated Rate |
$4,122.40 |
| Max. Negotiated Rate |
$4,328.52 |
| Rate for Payer: BCBS Complete |
$4,328.52
|
| Rate for Payer: Mclaren Medicaid |
$4,122.40
|
| Rate for Payer: Meridian Medicaid |
$4,328.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,122.40
|
| Rate for Payer: UHCCP Medicaid |
$4,328.52
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 1334
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 1333
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 1364
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 1362
|
| Min. Negotiated Rate |
$4,998.41 |
| Max. Negotiated Rate |
$5,248.33 |
| Rate for Payer: BCBS Complete |
$5,248.33
|
| Rate for Payer: Mclaren Medicaid |
$4,998.41
|
| Rate for Payer: Meridian Medicaid |
$5,248.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,998.41
|
| Rate for Payer: UHCCP Medicaid |
$5,248.33
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 1363
|
| Min. Negotiated Rate |
$6,956.55 |
| Max. Negotiated Rate |
$7,304.38 |
| Rate for Payer: BCBS Complete |
$7,304.38
|
| Rate for Payer: Mclaren Medicaid |
$6,956.55
|
| Rate for Payer: Meridian Medicaid |
$7,304.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,956.55
|
| Rate for Payer: UHCCP Medicaid |
$7,304.38
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 1442
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|