|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$29,055.19
|
|
|
Service Code
|
APR-DRG 3614
|
| Min. Negotiated Rate |
$27,671.61 |
| Max. Negotiated Rate |
$29,055.19 |
| Rate for Payer: BCBS Complete |
$29,055.19
|
| Rate for Payer: Mclaren Medicaid |
$27,671.61
|
| Rate for Payer: Meridian Medicaid |
$29,055.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,671.61
|
| Rate for Payer: UHCCP Medicaid |
$29,055.19
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$10,821.30
|
|
|
Service Code
|
APR-DRG 3804
|
| Min. Negotiated Rate |
$10,306.00 |
| Max. Negotiated Rate |
$10,821.30 |
| Rate for Payer: BCBS Complete |
$10,821.30
|
| Rate for Payer: Mclaren Medicaid |
$10,306.00
|
| Rate for Payer: Meridian Medicaid |
$10,821.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,306.00
|
| Rate for Payer: UHCCP Medicaid |
$10,821.30
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 3803
|
| Min. Negotiated Rate |
$5,925.95 |
| Max. Negotiated Rate |
$6,222.25 |
| Rate for Payer: BCBS Complete |
$6,222.25
|
| Rate for Payer: Mclaren Medicaid |
$5,925.95
|
| Rate for Payer: Meridian Medicaid |
$6,222.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,925.95
|
| Rate for Payer: UHCCP Medicaid |
$6,222.25
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 3802
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 3801
|
| Min. Negotiated Rate |
$2,988.74 |
| Max. Negotiated Rate |
$3,138.18 |
| Rate for Payer: BCBS Complete |
$3,138.18
|
| Rate for Payer: Mclaren Medicaid |
$2,988.74
|
| Rate for Payer: Meridian Medicaid |
$3,138.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 0401
|
| Min. Negotiated Rate |
$5,565.24 |
| Max. Negotiated Rate |
$5,843.50 |
| Rate for Payer: BCBS Complete |
$5,843.50
|
| Rate for Payer: Mclaren Medicaid |
$5,565.24
|
| Rate for Payer: Meridian Medicaid |
$5,843.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.24
|
| Rate for Payer: UHCCP Medicaid |
$5,843.50
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$10,983.62
|
|
|
Service Code
|
APR-DRG 0403
|
| Min. Negotiated Rate |
$10,460.59 |
| Max. Negotiated Rate |
$10,983.62 |
| Rate for Payer: BCBS Complete |
$10,983.62
|
| Rate for Payer: Mclaren Medicaid |
$10,460.59
|
| Rate for Payer: Meridian Medicaid |
$10,983.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,460.59
|
| Rate for Payer: UHCCP Medicaid |
$10,983.62
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 0402
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$15,420.35
|
|
|
Service Code
|
APR-DRG 0404
|
| Min. Negotiated Rate |
$14,686.05 |
| Max. Negotiated Rate |
$15,420.35 |
| Rate for Payer: BCBS Complete |
$15,420.35
|
| Rate for Payer: Mclaren Medicaid |
$14,686.05
|
| Rate for Payer: Meridian Medicaid |
$15,420.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,686.05
|
| Rate for Payer: UHCCP Medicaid |
$15,420.35
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$26,025.23
|
|
|
Service Code
|
APR-DRG 3214
|
| Min. Negotiated Rate |
$24,785.93 |
| Max. Negotiated Rate |
$26,025.23 |
| Rate for Payer: BCBS Complete |
$26,025.23
|
| Rate for Payer: Mclaren Medicaid |
$24,785.93
|
| Rate for Payer: Meridian Medicaid |
$26,025.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,785.93
|
| Rate for Payer: UHCCP Medicaid |
$26,025.23
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$19,532.45
|
|
|
Service Code
|
APR-DRG 3213
|
| 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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 3211
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$12,444.50
|
|
|
Service Code
|
APR-DRG 3212
|
| Min. Negotiated Rate |
$11,851.90 |
| Max. Negotiated Rate |
$12,444.50 |
| Rate for Payer: BCBS Complete |
$12,444.50
|
| Rate for Payer: Mclaren Medicaid |
$11,851.90
|
| Rate for Payer: Meridian Medicaid |
$12,444.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,851.90
|
| Rate for Payer: UHCCP Medicaid |
$12,444.50
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$30,353.75
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$28,908.33 |
| Max. Negotiated Rate |
$30,353.75 |
| Rate for Payer: BCBS Complete |
$30,353.75
|
| Rate for Payer: Mclaren Medicaid |
$28,908.33
|
| Rate for Payer: Meridian Medicaid |
$30,353.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,908.33
|
| Rate for Payer: UHCCP Medicaid |
$30,353.75
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$20,939.22
|
|
|
Service Code
|
APR-DRG 0233
|
| Min. Negotiated Rate |
$19,942.11 |
| Max. Negotiated Rate |
$20,939.22 |
| Rate for Payer: BCBS Complete |
$20,939.22
|
| Rate for Payer: Mclaren Medicaid |
$19,942.11
|
| Rate for Payer: Meridian Medicaid |
$20,939.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,942.11
|
| Rate for Payer: UHCCP Medicaid |
$20,939.22
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$13,256.09
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$12,624.85 |
| Max. Negotiated Rate |
$13,256.09 |
| Rate for Payer: BCBS Complete |
$13,256.09
|
| Rate for Payer: Mclaren Medicaid |
$12,624.85
|
| Rate for Payer: Meridian Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,624.85
|
| Rate for Payer: UHCCP Medicaid |
$13,256.09
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 0231
|
| Min. Negotiated Rate |
$8,914.69 |
| Max. Negotiated Rate |
$9,360.42 |
| Rate for Payer: BCBS Complete |
$9,360.42
|
| Rate for Payer: Mclaren Medicaid |
$8,914.69
|
| Rate for Payer: Meridian Medicaid |
$9,360.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.69
|
| Rate for Payer: UHCCP Medicaid |
$9,360.42
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$22,832.94
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$21,745.66 |
| Max. Negotiated Rate |
$22,832.94 |
| Rate for Payer: BCBS Complete |
$22,832.94
|
| Rate for Payer: Mclaren Medicaid |
$21,745.66
|
| Rate for Payer: Meridian Medicaid |
$22,832.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,745.66
|
| Rate for Payer: UHCCP Medicaid |
$22,832.94
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 6501
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$14,392.33
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$13,706.98 |
| Max. Negotiated Rate |
$14,392.33 |
| Rate for Payer: BCBS Complete |
$14,392.33
|
| Rate for Payer: Mclaren Medicaid |
$13,706.98
|
| Rate for Payer: Meridian Medicaid |
$14,392.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,706.98
|
| Rate for Payer: UHCCP Medicaid |
$14,392.33
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 6502
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$3,916.28 |
| Max. Negotiated Rate |
$4,112.09 |
| Rate for Payer: BCBS Complete |
$4,112.09
|
| Rate for Payer: Mclaren Medicaid |
$3,916.28
|
| Rate for Payer: Meridian Medicaid |
$4,112.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,440.61
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$8,038.68 |
| Max. Negotiated Rate |
$8,440.61 |
| Rate for Payer: BCBS Complete |
$8,440.61
|
| Rate for Payer: Mclaren Medicaid |
$8,038.68
|
| Rate for Payer: Meridian Medicaid |
$8,440.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,038.68
|
| Rate for Payer: UHCCP Medicaid |
$8,440.61
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 2043
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 2041
|
| 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
|
|