|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$19,099.59
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$18,190.09 |
| Max. Negotiated Rate |
$19,099.59 |
| Rate for Payer: BCBS Complete |
$19,099.59
|
| Rate for Payer: Mclaren Medicaid |
$18,190.09
|
| Rate for Payer: Meridian Medicaid |
$19,099.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,190.09
|
| Rate for Payer: UHCCP Medicaid |
$19,099.59
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$7,471.85 |
| Max. Negotiated Rate |
$7,845.44 |
| Rate for Payer: BCBS Complete |
$7,845.44
|
| Rate for Payer: Mclaren Medicaid |
$7,471.85
|
| Rate for Payer: Meridian Medicaid |
$7,845.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,471.85
|
| Rate for Payer: UHCCP Medicaid |
$7,845.44
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$11,200.05
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,666.71 |
| Max. Negotiated Rate |
$11,200.05 |
| Rate for Payer: BCBS Complete |
$11,200.05
|
| Rate for Payer: Mclaren Medicaid |
$10,666.71
|
| Rate for Payer: Meridian Medicaid |
$11,200.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,666.71
|
| Rate for Payer: UHCCP Medicaid |
$11,200.05
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$11,795.22
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$11,233.54 |
| Max. Negotiated Rate |
$11,795.22 |
| Rate for Payer: BCBS Complete |
$11,795.22
|
| Rate for Payer: Mclaren Medicaid |
$11,233.54
|
| Rate for Payer: Meridian Medicaid |
$11,795.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.54
|
| Rate for Payer: UHCCP Medicaid |
$11,795.22
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 4272
|
| Min. Negotiated Rate |
$3,813.22 |
| Max. Negotiated Rate |
$4,003.88 |
| Rate for Payer: BCBS Complete |
$4,003.88
|
| Rate for Payer: Mclaren Medicaid |
$3,813.22
|
| Rate for Payer: Meridian Medicaid |
$4,003.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,813.22
|
| Rate for Payer: UHCCP Medicaid |
$4,003.88
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$14,121.80
|
|
|
Service Code
|
APR-DRG 4043
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$24,402.03
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$23,240.03 |
| Max. Negotiated Rate |
$24,402.03 |
| Rate for Payer: BCBS Complete |
$24,402.03
|
| Rate for Payer: Mclaren Medicaid |
$23,240.03
|
| Rate for Payer: Meridian Medicaid |
$24,402.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,240.03
|
| Rate for Payer: UHCCP Medicaid |
$24,402.03
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$8,819.36
|
|
|
Service Code
|
APR-DRG 0973
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$5,572.97
|
|
|
Service Code
|
APR-DRG 0972
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$14,284.12
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$13,603.92 |
| Max. Negotiated Rate |
$14,284.12 |
| Rate for Payer: BCBS Complete |
$14,284.12
|
| Rate for Payer: Mclaren Medicaid |
$13,603.92
|
| Rate for Payer: Meridian Medicaid |
$14,284.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,603.92
|
| Rate for Payer: UHCCP Medicaid |
$14,284.12
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$13,147.88
|
|
|
Service Code
|
APR-DRG 8164
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,651.22
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$2,524.97 |
| Max. Negotiated Rate |
$2,651.22 |
| Rate for Payer: BCBS Complete |
$2,651.22
|
| Rate for Payer: Mclaren Medicaid |
$2,524.97
|
| Rate for Payer: Meridian Medicaid |
$2,651.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,524.97
|
| Rate for Payer: UHCCP Medicaid |
$2,651.22
|
|
|
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
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 8162
|
| 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
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$42,365.39
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$40,347.99 |
| Max. Negotiated Rate |
$42,365.39 |
| Rate for Payer: BCBS Complete |
$42,365.39
|
| Rate for Payer: Mclaren Medicaid |
$40,347.99
|
| Rate for Payer: Meridian Medicaid |
$42,365.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,347.99
|
| Rate for Payer: UHCCP Medicaid |
$42,365.39
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$66,334.57
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$63,175.78 |
| Max. Negotiated Rate |
$66,334.57 |
| Rate for Payer: BCBS Complete |
$66,334.57
|
| Rate for Payer: Mclaren Medicaid |
$63,175.78
|
| Rate for Payer: Meridian Medicaid |
$66,334.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,175.78
|
| Rate for Payer: UHCCP Medicaid |
$66,334.57
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$96,201.36
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$91,620.34 |
| Max. Negotiated Rate |
$96,201.36 |
| Rate for Payer: BCBS Complete |
$96,201.36
|
| Rate for Payer: Mclaren Medicaid |
$91,620.34
|
| Rate for Payer: Meridian Medicaid |
$96,201.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$91,620.34
|
| Rate for Payer: UHCCP Medicaid |
$96,201.36
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$29,325.72
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$27,929.26 |
| Max. Negotiated Rate |
$29,325.72 |
| Rate for Payer: BCBS Complete |
$29,325.72
|
| Rate for Payer: Mclaren Medicaid |
$27,929.26
|
| Rate for Payer: Meridian Medicaid |
$29,325.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,929.26
|
| Rate for Payer: UHCCP Medicaid |
$29,325.72
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$17,043.55
|
|
|
Service Code
|
APR-DRG 0051
|
| Min. Negotiated Rate |
$16,231.95 |
| Max. Negotiated Rate |
$17,043.55 |
| Rate for Payer: BCBS Complete |
$17,043.55
|
| Rate for Payer: Mclaren Medicaid |
$16,231.95
|
| Rate for Payer: Meridian Medicaid |
$17,043.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,231.95
|
| Rate for Payer: UHCCP Medicaid |
$17,043.55
|
|