|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,657.04
|
|
|
Service Code
|
APR-DRG 8614
|
| Min. Negotiated Rate |
$8,244.80 |
| Max. Negotiated Rate |
$8,657.04 |
| Rate for Payer: BCBS Complete |
$8,657.04
|
| Rate for Payer: Mclaren Medicaid |
$8,244.80
|
| Rate for Payer: Meridian Medicaid |
$8,657.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,244.80
|
| Rate for Payer: UHCCP Medicaid |
$8,657.04
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 8611
|
| Min. Negotiated Rate |
$2,473.44 |
| Max. Negotiated Rate |
$2,597.11 |
| Rate for Payer: BCBS Complete |
$2,597.11
|
| Rate for Payer: Mclaren Medicaid |
$2,473.44
|
| Rate for Payer: Meridian Medicaid |
$2,597.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,473.44
|
| Rate for Payer: UHCCP Medicaid |
$2,597.11
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$14,933.39
|
|
|
Service Code
|
APR-DRG 3002
|
| 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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$19,478.34
|
|
|
Service Code
|
APR-DRG 3003
|
| Min. Negotiated Rate |
$18,550.80 |
| Max. Negotiated Rate |
$19,478.34 |
| Rate for Payer: BCBS Complete |
$19,478.34
|
| Rate for Payer: Mclaren Medicaid |
$18,550.80
|
| Rate for Payer: Meridian Medicaid |
$19,478.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,550.80
|
| Rate for Payer: UHCCP Medicaid |
$19,478.34
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$13,147.88
|
|
|
Service Code
|
APR-DRG 3001
|
| Min. Negotiated Rate |
$12,521.79 |
| Max. Negotiated Rate |
$13,147.88 |
| Rate for Payer: BCBS Complete |
$13,147.88
|
| Rate for Payer: Mclaren Medicaid |
$12,521.79
|
| Rate for Payer: Meridian Medicaid |
$13,147.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,521.79
|
| Rate for Payer: UHCCP Medicaid |
$13,147.88
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$27,918.95
|
|
|
Service Code
|
APR-DRG 3004
|
| Min. Negotiated Rate |
$26,589.48 |
| Max. Negotiated Rate |
$27,918.95 |
| Rate for Payer: BCBS Complete |
$27,918.95
|
| Rate for Payer: Mclaren Medicaid |
$26,589.48
|
| Rate for Payer: Meridian Medicaid |
$27,918.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,589.48
|
| Rate for Payer: UHCCP Medicaid |
$27,918.95
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$19,532.45
|
|
|
Service Code
|
APR-DRG 3123
|
| Min. Negotiated Rate |
$18,602.33 |
| Max. Negotiated Rate |
$19,532.45 |
| Rate for Payer: BCBS Complete |
$19,532.45
|
| Rate for Payer: Mclaren Medicaid |
$18,602.33
|
| Rate for Payer: Meridian Medicaid |
$19,532.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,602.33
|
| Rate for Payer: UHCCP Medicaid |
$19,532.45
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$14,446.44
|
|
|
Service Code
|
APR-DRG 3122
|
| 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: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$10,172.02
|
|
|
Service Code
|
APR-DRG 3121
|
| Min. Negotiated Rate |
$9,687.64 |
| Max. Negotiated Rate |
$10,172.02 |
| Rate for Payer: BCBS Complete |
$10,172.02
|
| Rate for Payer: Mclaren Medicaid |
$9,687.64
|
| Rate for Payer: Meridian Medicaid |
$10,172.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,687.64
|
| Rate for Payer: UHCCP Medicaid |
$10,172.02
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$31,435.88
|
|
|
Service Code
|
APR-DRG 3124
|
| Min. Negotiated Rate |
$29,938.93 |
| Max. Negotiated Rate |
$31,435.88 |
| Rate for Payer: BCBS Complete |
$31,435.88
|
| Rate for Payer: Mclaren Medicaid |
$29,938.93
|
| Rate for Payer: Meridian Medicaid |
$31,435.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,938.93
|
| Rate for Payer: UHCCP Medicaid |
$31,435.88
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$15,853.20
|
|
|
Service Code
|
APR-DRG 3612
|
| Min. Negotiated Rate |
$15,098.29 |
| Max. Negotiated Rate |
$15,853.20 |
| Rate for Payer: BCBS Complete |
$15,853.20
|
| Rate for Payer: Mclaren Medicaid |
$15,098.29
|
| Rate for Payer: Meridian Medicaid |
$15,853.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,098.29
|
| Rate for Payer: UHCCP Medicaid |
$15,853.20
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$31,273.56
|
|
|
Service Code
|
APR-DRG 3614
|
| Min. Negotiated Rate |
$29,784.34 |
| Max. Negotiated Rate |
$31,273.56 |
| Rate for Payer: BCBS Complete |
$31,273.56
|
| Rate for Payer: Mclaren Medicaid |
$29,784.34
|
| Rate for Payer: Meridian Medicaid |
$31,273.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,784.34
|
| Rate for Payer: UHCCP Medicaid |
$31,273.56
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 3611
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$17,584.61
|
|
|
Service Code
|
APR-DRG 3613
|
| 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: SKIN ULCERS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 3803
|
| 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: SKIN ULCERS
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 3801
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 3802
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$7,520.80
|
|
|
Service Code
|
APR-DRG 3804
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$9,955.60
|
|
|
Service Code
|
APR-DRG 0403
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 0402
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 0401
|
| Min. Negotiated Rate |
$6,544.31 |
| Max. Negotiated Rate |
$6,871.53 |
| Rate for Payer: BCBS Complete |
$6,871.53
|
| Rate for Payer: Mclaren Medicaid |
$6,544.31
|
| Rate for Payer: Meridian Medicaid |
$6,871.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,544.31
|
| Rate for Payer: UHCCP Medicaid |
$6,871.53
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$13,688.94
|
|
|
Service Code
|
APR-DRG 0404
|
| Min. Negotiated Rate |
$13,037.09 |
| Max. Negotiated Rate |
$13,688.94 |
| Rate for Payer: BCBS Complete |
$13,688.94
|
| Rate for Payer: Mclaren Medicaid |
$13,037.09
|
| Rate for Payer: Meridian Medicaid |
$13,688.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,037.09
|
| Rate for Payer: UHCCP Medicaid |
$13,688.94
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$12,606.81
|
|
|
Service Code
|
APR-DRG 3212
|
| 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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 3211
|
| Min. Negotiated Rate |
$9,069.28 |
| Max. Negotiated Rate |
$9,522.74 |
| Rate for Payer: BCBS Complete |
$9,522.74
|
| Rate for Payer: Mclaren Medicaid |
$9,069.28
|
| Rate for Payer: Meridian Medicaid |
$9,522.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,069.28
|
| Rate for Payer: UHCCP Medicaid |
$9,522.74
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$20,668.68
|
|
|
Service Code
|
APR-DRG 3213
|
| 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
|
|