|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$10,117.92
|
|
|
Service Code
|
APR-DRG 0973
|
| Min. Negotiated Rate |
$9,636.11 |
| Max. Negotiated Rate |
$10,117.92 |
| Rate for Payer: BCBS Complete |
$10,117.92
|
| Rate for Payer: Mclaren Medicaid |
$9,636.11
|
| Rate for Payer: Meridian Medicaid |
$10,117.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,636.11
|
| Rate for Payer: UHCCP Medicaid |
$10,117.92
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$7,033.84
|
|
|
Service Code
|
APR-DRG 0972
|
| Min. Negotiated Rate |
$6,698.90 |
| Max. Negotiated Rate |
$7,033.84 |
| Rate for Payer: BCBS Complete |
$7,033.84
|
| Rate for Payer: Mclaren Medicaid |
$6,698.90
|
| Rate for Payer: Meridian Medicaid |
$7,033.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.90
|
| Rate for Payer: UHCCP Medicaid |
$7,033.84
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$16,015.52
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$15,252.88 |
| Max. Negotiated Rate |
$16,015.52 |
| Rate for Payer: BCBS Complete |
$16,015.52
|
| Rate for Payer: Mclaren Medicaid |
$15,252.88
|
| Rate for Payer: Meridian Medicaid |
$16,015.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,252.88
|
| Rate for Payer: UHCCP Medicaid |
$16,015.52
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,001.94
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$1,906.61 |
| Max. Negotiated Rate |
$2,001.94 |
| Rate for Payer: BCBS Complete |
$2,001.94
|
| Rate for Payer: Mclaren Medicaid |
$1,906.61
|
| Rate for Payer: Meridian Medicaid |
$2,001.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,906.61
|
| Rate for Payer: UHCCP Medicaid |
$2,001.94
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$6,871.53
|
|
|
Service Code
|
APR-DRG 8163
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 8164
|
| Min. Negotiated Rate |
$10,872.83 |
| Max. Negotiated Rate |
$11,416.47 |
| Rate for Payer: BCBS Complete |
$11,416.47
|
| Rate for Payer: Mclaren Medicaid |
$10,872.83
|
| Rate for Payer: Meridian Medicaid |
$11,416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,872.83
|
| Rate for Payer: UHCCP Medicaid |
$11,416.47
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 8162
|
| Min. Negotiated Rate |
$2,885.68 |
| Max. Negotiated Rate |
$3,029.96 |
| Rate for Payer: BCBS Complete |
$3,029.96
|
| Rate for Payer: Mclaren Medicaid |
$2,885.68
|
| Rate for Payer: Meridian Medicaid |
$3,029.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,885.68
|
| Rate for Payer: UHCCP Medicaid |
$3,029.96
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$29,379.83
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$27,980.79 |
| Max. Negotiated Rate |
$29,379.83 |
| Rate for Payer: BCBS Complete |
$29,379.83
|
| Rate for Payer: Mclaren Medicaid |
$27,980.79
|
| Rate for Payer: Meridian Medicaid |
$29,379.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,980.79
|
| Rate for Payer: UHCCP Medicaid |
$29,379.83
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$97,229.38
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$92,599.41 |
| Max. Negotiated Rate |
$97,229.38 |
| Rate for Payer: BCBS Complete |
$97,229.38
|
| Rate for Payer: Mclaren Medicaid |
$92,599.41
|
| Rate for Payer: Meridian Medicaid |
$97,229.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$92,599.41
|
| Rate for Payer: UHCCP Medicaid |
$97,229.38
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$42,148.96
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$40,141.87 |
| Max. Negotiated Rate |
$42,148.96 |
| Rate for Payer: BCBS Complete |
$42,148.96
|
| Rate for Payer: Mclaren Medicaid |
$40,141.87
|
| Rate for Payer: Meridian Medicaid |
$42,148.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,141.87
|
| Rate for Payer: UHCCP Medicaid |
$42,148.96
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$66,172.25
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$63,021.19 |
| Max. Negotiated Rate |
$66,172.25 |
| Rate for Payer: BCBS Complete |
$66,172.25
|
| Rate for Payer: Mclaren Medicaid |
$63,021.19
|
| Rate for Payer: Meridian Medicaid |
$66,172.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,021.19
|
| Rate for Payer: UHCCP Medicaid |
$66,172.25
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$12,985.56
|
|
|
Service Code
|
APR-DRG 0051
|
| Min. Negotiated Rate |
$12,367.20 |
| Max. Negotiated Rate |
$12,985.56 |
| Rate for Payer: BCBS Complete |
$12,985.56
|
| Rate for Payer: Mclaren Medicaid |
$12,367.20
|
| Rate for Payer: Meridian Medicaid |
$12,985.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,367.20
|
| Rate for Payer: UHCCP Medicaid |
$12,985.56
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$24,780.78
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$23,600.74 |
| Max. Negotiated Rate |
$24,780.78 |
| Rate for Payer: BCBS Complete |
$24,780.78
|
| Rate for Payer: Mclaren Medicaid |
$23,600.74
|
| Rate for Payer: Meridian Medicaid |
$24,780.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,600.74
|
| Rate for Payer: UHCCP Medicaid |
$24,780.78
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$63,575.14
|
|
|
Service Code
|
APR-DRG 0054
|
| Min. Negotiated Rate |
$60,547.75 |
| Max. Negotiated Rate |
$63,575.14 |
| Rate for Payer: BCBS Complete |
$63,575.14
|
| Rate for Payer: Mclaren Medicaid |
$60,547.75
|
| Rate for Payer: Meridian Medicaid |
$63,575.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$60,547.75
|
| Rate for Payer: UHCCP Medicaid |
$63,575.14
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$56,162.55
|
|
|
Service Code
|
APR-DRG 0053
|
| Min. Negotiated Rate |
$53,488.14 |
| Max. Negotiated Rate |
$56,162.55 |
| Rate for Payer: BCBS Complete |
$56,162.55
|
| Rate for Payer: Mclaren Medicaid |
$53,488.14
|
| Rate for Payer: Meridian Medicaid |
$56,162.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$53,488.14
|
| Rate for Payer: UHCCP Medicaid |
$56,162.55
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$5,843.50
|
|
|
Service Code
|
APR-DRG 0473
|
| 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: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 0472
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$9,198.10
|
|
|
Service Code
|
APR-DRG 0474
|
| Min. Negotiated Rate |
$8,760.10 |
| Max. Negotiated Rate |
$9,198.10 |
| Rate for Payer: BCBS Complete |
$9,198.10
|
| Rate for Payer: Mclaren Medicaid |
$8,760.10
|
| Rate for Payer: Meridian Medicaid |
$9,198.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,760.10
|
| Rate for Payer: UHCCP Medicaid |
$9,198.10
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 0471
|
| 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: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$11,362.36
|
|
|
Service Code
|
APR-DRG 4823
|
| Min. Negotiated Rate |
$10,821.30 |
| Max. Negotiated Rate |
$11,362.36 |
| Rate for Payer: BCBS Complete |
$11,362.36
|
| Rate for Payer: Mclaren Medicaid |
$10,821.30
|
| Rate for Payer: Meridian Medicaid |
$11,362.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,821.30
|
| Rate for Payer: UHCCP Medicaid |
$11,362.36
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$6,817.42
|
|
|
Service Code
|
APR-DRG 4822
|
| 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: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 4821
|
| Min. Negotiated Rate |
$4,586.17 |
| Max. Negotiated Rate |
$4,815.48 |
| Rate for Payer: BCBS Complete |
$4,815.48
|
| Rate for Payer: Mclaren Medicaid |
$4,586.17
|
| Rate for Payer: Meridian Medicaid |
$4,815.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,586.17
|
| Rate for Payer: UHCCP Medicaid |
$4,815.48
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$15,528.57
|
|
|
Service Code
|
APR-DRG 4824
|
| Min. Negotiated Rate |
$14,789.11 |
| Max. Negotiated Rate |
$15,528.57 |
| Rate for Payer: BCBS Complete |
$15,528.57
|
| Rate for Payer: Mclaren Medicaid |
$14,789.11
|
| Rate for Payer: Meridian Medicaid |
$15,528.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,789.11
|
| Rate for Payer: UHCCP Medicaid |
$15,528.57
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 4462
|
| Min. Negotiated Rate |
$7,059.61 |
| Max. Negotiated Rate |
$7,412.59 |
| Rate for Payer: BCBS Complete |
$7,412.59
|
| Rate for Payer: Mclaren Medicaid |
$7,059.61
|
| Rate for Payer: Meridian Medicaid |
$7,412.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,059.61
|
| Rate for Payer: UHCCP Medicaid |
$7,412.59
|
|