|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 3221
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 3222
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$9,955.60
|
|
|
Service Code
|
APR-DRG 3152
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 3151
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$13,472.52
|
|
|
Service Code
|
APR-DRG 3153
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$21,047.43
|
|
|
Service Code
|
APR-DRG 3154
|
| Min. Negotiated Rate |
$20,045.17 |
| Max. Negotiated Rate |
$21,047.43 |
| Rate for Payer: BCBS Complete |
$21,047.43
|
| Rate for Payer: Mclaren Medicaid |
$20,045.17
|
| Rate for Payer: Meridian Medicaid |
$21,047.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,045.17
|
| Rate for Payer: UHCCP Medicaid |
$21,047.43
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,544.95
|
|
|
Service Code
|
APR-DRG 6622
|
| Min. Negotiated Rate |
$4,328.52 |
| Max. Negotiated Rate |
$4,544.95 |
| Rate for Payer: BCBS Complete |
$4,544.95
|
| Rate for Payer: Mclaren Medicaid |
$4,328.52
|
| Rate for Payer: Meridian Medicaid |
$4,544.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,328.52
|
| Rate for Payer: UHCCP Medicaid |
$4,544.95
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$13,147.88
|
|
|
Service Code
|
APR-DRG 6624
|
| 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: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 6623
|
| Min. Negotiated Rate |
$6,905.02 |
| Max. Negotiated Rate |
$7,250.27 |
| Rate for Payer: BCBS Complete |
$7,250.27
|
| Rate for Payer: Mclaren Medicaid |
$6,905.02
|
| Rate for Payer: Meridian Medicaid |
$7,250.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,905.02
|
| Rate for Payer: UHCCP Medicaid |
$7,250.27
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 6621
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 8614
|
| Min. Negotiated Rate |
$8,605.51 |
| Max. Negotiated Rate |
$9,035.79 |
| Rate for Payer: BCBS Complete |
$9,035.79
|
| Rate for Payer: Mclaren Medicaid |
$8,605.51
|
| Rate for Payer: Meridian Medicaid |
$9,035.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,605.51
|
| Rate for Payer: UHCCP Medicaid |
$9,035.79
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,787.45
|
|
|
Service Code
|
APR-DRG 8612
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.45 |
| Rate for Payer: BCBS Complete |
$3,787.45
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.45
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 8613
|
| 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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,867.64
|
|
|
Service Code
|
APR-DRG 8611
|
| Min. Negotiated Rate |
$2,731.09 |
| Max. Negotiated Rate |
$2,867.64 |
| Rate for Payer: BCBS Complete |
$2,867.64
|
| Rate for Payer: Mclaren Medicaid |
$2,731.09
|
| Rate for Payer: Meridian Medicaid |
$2,867.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,731.09
|
| Rate for Payer: UHCCP Medicaid |
$2,867.64
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$15,203.93
|
|
|
Service Code
|
APR-DRG 3001
|
| Min. Negotiated Rate |
$14,479.93 |
| Max. Negotiated Rate |
$15,203.93 |
| Rate for Payer: BCBS Complete |
$15,203.93
|
| Rate for Payer: Mclaren Medicaid |
$14,479.93
|
| Rate for Payer: Meridian Medicaid |
$15,203.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.93
|
| Rate for Payer: UHCCP Medicaid |
$15,203.93
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$22,508.30
|
|
|
Service Code
|
APR-DRG 3003
|
| Min. Negotiated Rate |
$21,436.48 |
| Max. Negotiated Rate |
$22,508.30 |
| Rate for Payer: BCBS Complete |
$22,508.30
|
| Rate for Payer: Mclaren Medicaid |
$21,436.48
|
| Rate for Payer: Meridian Medicaid |
$22,508.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,436.48
|
| Rate for Payer: UHCCP Medicaid |
$22,508.30
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$17,259.97
|
|
|
Service Code
|
APR-DRG 3002
|
| Min. Negotiated Rate |
$16,438.07 |
| Max. Negotiated Rate |
$17,259.97 |
| Rate for Payer: BCBS Complete |
$17,259.97
|
| Rate for Payer: Mclaren Medicaid |
$16,438.07
|
| Rate for Payer: Meridian Medicaid |
$17,259.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,438.07
|
| Rate for Payer: UHCCP Medicaid |
$17,259.97
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$32,193.37
|
|
|
Service Code
|
APR-DRG 3004
|
| Min. Negotiated Rate |
$30,660.35 |
| Max. Negotiated Rate |
$32,193.37 |
| Rate for Payer: BCBS Complete |
$32,193.37
|
| Rate for Payer: Mclaren Medicaid |
$30,660.35
|
| Rate for Payer: Meridian Medicaid |
$32,193.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,660.35
|
| Rate for Payer: UHCCP Medicaid |
$32,193.37
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$18,342.10
|
|
|
Service Code
|
APR-DRG 3123
|
| Min. Negotiated Rate |
$17,468.67 |
| Max. Negotiated Rate |
$18,342.10 |
| Rate for Payer: BCBS Complete |
$18,342.10
|
| Rate for Payer: Mclaren Medicaid |
$17,468.67
|
| Rate for Payer: Meridian Medicaid |
$18,342.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,468.67
|
| Rate for Payer: UHCCP Medicaid |
$18,342.10
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 3122
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$29,866.79
|
|
|
Service Code
|
APR-DRG 3124
|
| Min. Negotiated Rate |
$28,444.56 |
| Max. Negotiated Rate |
$29,866.79 |
| Rate for Payer: BCBS Complete |
$29,866.79
|
| Rate for Payer: Mclaren Medicaid |
$28,444.56
|
| Rate for Payer: Meridian Medicaid |
$29,866.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,444.56
|
| Rate for Payer: UHCCP Medicaid |
$29,866.79
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,332.40
|
|
|
Service Code
|
APR-DRG 3121
|
| Min. Negotiated Rate |
$7,935.62 |
| Max. Negotiated Rate |
$8,332.40 |
| Rate for Payer: BCBS Complete |
$8,332.40
|
| Rate for Payer: Mclaren Medicaid |
$7,935.62
|
| Rate for Payer: Meridian Medicaid |
$8,332.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,935.62
|
| Rate for Payer: UHCCP Medicaid |
$8,332.40
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 3611
|
| 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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$16,340.16
|
|
|
Service Code
|
APR-DRG 3613
|
| Min. Negotiated Rate |
$15,562.06 |
| Max. Negotiated Rate |
$16,340.16 |
| Rate for Payer: BCBS Complete |
$16,340.16
|
| Rate for Payer: Mclaren Medicaid |
$15,562.06
|
| Rate for Payer: Meridian Medicaid |
$16,340.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,562.06
|
| Rate for Payer: UHCCP Medicaid |
$16,340.16
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$11,849.32
|
|
|
Service Code
|
APR-DRG 3612
|
| 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
|
|