|
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
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$21,534.39
|
|
|
Service Code
|
APR-DRG 0233
|
| Min. Negotiated Rate |
$20,508.94 |
| Max. Negotiated Rate |
$21,534.39 |
| Rate for Payer: BCBS Complete |
$21,534.39
|
| Rate for Payer: Mclaren Medicaid |
$20,508.94
|
| Rate for Payer: Meridian Medicaid |
$21,534.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,508.94
|
| Rate for Payer: UHCCP Medicaid |
$21,534.39
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 0231
|
| Min. Negotiated Rate |
$8,863.16 |
| Max. Negotiated Rate |
$9,306.32 |
| Rate for Payer: BCBS Complete |
$9,306.32
|
| Rate for Payer: Mclaren Medicaid |
$8,863.16
|
| Rate for Payer: Meridian Medicaid |
$9,306.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,863.16
|
| Rate for Payer: UHCCP Medicaid |
$9,306.32
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$14,121.80
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$13,449.33 |
| Max. Negotiated Rate |
$14,121.80 |
| Rate for Payer: BCBS Complete |
$14,121.80
|
| Rate for Payer: Mclaren Medicaid |
$13,449.33
|
| Rate for Payer: Meridian Medicaid |
$14,121.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,449.33
|
| Rate for Payer: UHCCP Medicaid |
$14,121.80
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$26,566.29
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$25,301.23 |
| Max. Negotiated Rate |
$26,566.29 |
| Rate for Payer: BCBS Complete |
$26,566.29
|
| Rate for Payer: Mclaren Medicaid |
$25,301.23
|
| Rate for Payer: Meridian Medicaid |
$26,566.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,301.23
|
| Rate for Payer: UHCCP Medicaid |
$26,566.29
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$12,552.71
|
|
|
Service Code
|
APR-DRG 6502
|
| Min. Negotiated Rate |
$11,954.96 |
| Max. Negotiated Rate |
$12,552.71 |
| Rate for Payer: BCBS Complete |
$12,552.71
|
| Rate for Payer: Mclaren Medicaid |
$11,954.96
|
| Rate for Payer: Meridian Medicaid |
$12,552.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.96
|
| Rate for Payer: UHCCP Medicaid |
$12,552.71
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 6501
|
| Min. Negotiated Rate |
$8,399.39 |
| Max. Negotiated Rate |
$8,819.36 |
| Rate for Payer: BCBS Complete |
$8,819.36
|
| Rate for Payer: Mclaren Medicaid |
$8,399.39
|
| Rate for Payer: Meridian Medicaid |
$8,819.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,399.39
|
| Rate for Payer: UHCCP Medicaid |
$8,819.36
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$21,696.71
|
|
|
Service Code
|
APR-DRG 6504
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$14,825.18
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$14,119.22 |
| Max. Negotiated Rate |
$14,825.18 |
| Rate for Payer: BCBS Complete |
$14,825.18
|
| Rate for Payer: Mclaren Medicaid |
$14,119.22
|
| Rate for Payer: Meridian Medicaid |
$14,825.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,119.22
|
| Rate for Payer: UHCCP Medicaid |
$14,825.18
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$8,553.98 |
| Max. Negotiated Rate |
$8,981.68 |
| Rate for Payer: BCBS Complete |
$8,981.68
|
| Rate for Payer: Mclaren Medicaid |
$8,553.98
|
| Rate for Payer: Meridian Medicaid |
$8,981.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,553.98
|
| Rate for Payer: UHCCP Medicaid |
$8,981.68
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$5,307.59 |
| Max. Negotiated Rate |
$5,572.97 |
| Rate for Payer: BCBS Complete |
$5,572.97
|
| Rate for Payer: Mclaren Medicaid |
$5,307.59
|
| Rate for Payer: Meridian Medicaid |
$5,572.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,307.59
|
| Rate for Payer: UHCCP Medicaid |
$5,572.97
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$4,431.58 |
| Max. Negotiated Rate |
$4,653.16 |
| Rate for Payer: BCBS Complete |
$4,653.16
|
| Rate for Payer: Mclaren Medicaid |
$4,431.58
|
| Rate for Payer: Meridian Medicaid |
$4,653.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,431.58
|
| Rate for Payer: UHCCP Medicaid |
$4,653.16
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 2041
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$18,233.89
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$17,365.61 |
| Max. Negotiated Rate |
$18,233.89 |
| Rate for Payer: BCBS Complete |
$18,233.89
|
| Rate for Payer: Mclaren Medicaid |
$17,365.61
|
| Rate for Payer: Meridian Medicaid |
$18,233.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,365.61
|
| Rate for Payer: UHCCP Medicaid |
$18,233.89
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,304.38
|
|
|
Service Code
|
APR-DRG 3171
|
| 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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$9,630.96
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$9,172.34 |
| Max. Negotiated Rate |
$9,630.96 |
| Rate for Payer: BCBS Complete |
$9,630.96
|
| Rate for Payer: Mclaren Medicaid |
$9,172.34
|
| Rate for Payer: Meridian Medicaid |
$9,630.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,172.34
|
| Rate for Payer: UHCCP Medicaid |
$9,630.96
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 4272
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$12,769.13
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$12,161.08 |
| Max. Negotiated Rate |
$12,769.13 |
| Rate for Payer: BCBS Complete |
$12,769.13
|
| Rate for Payer: Mclaren Medicaid |
$12,161.08
|
| Rate for Payer: Meridian Medicaid |
$12,769.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,161.08
|
| Rate for Payer: UHCCP Medicaid |
$12,769.13
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 4273
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$9,790.70 |
| Max. Negotiated Rate |
$10,280.24 |
| Rate for Payer: BCBS Complete |
$10,280.24
|
| Rate for Payer: Mclaren Medicaid |
$9,790.70
|
| Rate for Payer: Meridian Medicaid |
$10,280.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
| Rate for Payer: UHCCP Medicaid |
$10,280.24
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,979.74
|
|
|
Service Code
|
APR-DRG 4041
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$11,903.43
|
|
|
Service Code
|
APR-DRG 4043
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$20,452.26
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$19,478.34 |
| Max. Negotiated Rate |
$20,452.26 |
| Rate for Payer: BCBS Complete |
$20,452.26
|
| Rate for Payer: Mclaren Medicaid |
$19,478.34
|
| Rate for Payer: Meridian Medicaid |
$20,452.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,478.34
|
| Rate for Payer: UHCCP Medicaid |
$20,452.26
|
|