|
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
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$16,556.59
|
|
|
Service Code
|
APR-DRG 4464
|
| Min. Negotiated Rate |
$15,768.18 |
| Max. Negotiated Rate |
$16,556.59 |
| Rate for Payer: BCBS Complete |
$16,556.59
|
| Rate for Payer: Mclaren Medicaid |
$15,768.18
|
| Rate for Payer: Meridian Medicaid |
$16,556.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,768.18
|
| Rate for Payer: UHCCP Medicaid |
$16,556.59
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 4461
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$11,091.83
|
|
|
Service Code
|
APR-DRG 4654
|
| Min. Negotiated Rate |
$10,563.65 |
| Max. Negotiated Rate |
$11,091.83 |
| Rate for Payer: BCBS Complete |
$11,091.83
|
| Rate for Payer: Mclaren Medicaid |
$10,563.65
|
| Rate for Payer: Meridian Medicaid |
$11,091.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,563.65
|
| Rate for Payer: UHCCP Medicaid |
$11,091.83
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 4652
|
| 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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 4653
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 4651
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 5191
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$23,374.01
|
|
|
Service Code
|
APR-DRG 5194
|
| Min. Negotiated Rate |
$22,260.96 |
| Max. Negotiated Rate |
$23,374.01 |
| Rate for Payer: BCBS Complete |
$23,374.01
|
| Rate for Payer: Mclaren Medicaid |
$22,260.96
|
| Rate for Payer: Meridian Medicaid |
$23,374.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,260.96
|
| Rate for Payer: UHCCP Medicaid |
$23,374.01
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$14,013.58
|
|
|
Service Code
|
APR-DRG 5193
|
| Min. Negotiated Rate |
$13,346.27 |
| Max. Negotiated Rate |
$14,013.58 |
| Rate for Payer: BCBS Complete |
$14,013.58
|
| Rate for Payer: Mclaren Medicaid |
$13,346.27
|
| Rate for Payer: Meridian Medicaid |
$14,013.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,346.27
|
| Rate for Payer: UHCCP Medicaid |
$14,013.58
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 5192
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$26,458.08
|
|
|
Service Code
|
APR-DRG 5134
|
| Min. Negotiated Rate |
$25,198.17 |
| Max. Negotiated Rate |
$26,458.08 |
| Rate for Payer: BCBS Complete |
$26,458.08
|
| Rate for Payer: Mclaren Medicaid |
$25,198.17
|
| Rate for Payer: Meridian Medicaid |
$26,458.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,198.17
|
| Rate for Payer: UHCCP Medicaid |
$26,458.08
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$9,252.21
|
|
|
Service Code
|
APR-DRG 5132
|
| Min. Negotiated Rate |
$8,811.63 |
| Max. Negotiated Rate |
$9,252.21 |
| Rate for Payer: BCBS Complete |
$9,252.21
|
| Rate for Payer: Mclaren Medicaid |
$8,811.63
|
| Rate for Payer: Meridian Medicaid |
$9,252.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,811.63
|
| Rate for Payer: UHCCP Medicaid |
$9,252.21
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$7,358.48
|
|
|
Service Code
|
APR-DRG 5131
|
| Min. Negotiated Rate |
$7,008.08 |
| Max. Negotiated Rate |
$7,358.48 |
| Rate for Payer: BCBS Complete |
$7,358.48
|
| Rate for Payer: Mclaren Medicaid |
$7,008.08
|
| Rate for Payer: Meridian Medicaid |
$7,358.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,008.08
|
| Rate for Payer: UHCCP Medicaid |
$7,358.48
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$14,825.18
|
|
|
Service Code
|
APR-DRG 5133
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 5121
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$25,646.48
|
|
|
Service Code
|
APR-DRG 5124
|
| Min. Negotiated Rate |
$24,425.22 |
| Max. Negotiated Rate |
$25,646.48 |
| Rate for Payer: BCBS Complete |
$25,646.48
|
| Rate for Payer: Mclaren Medicaid |
$24,425.22
|
| Rate for Payer: Meridian Medicaid |
$25,646.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,425.22
|
| Rate for Payer: UHCCP Medicaid |
$25,646.48
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 5122
|
| Min. Negotiated Rate |
$10,254.47 |
| Max. Negotiated Rate |
$10,767.19 |
| Rate for Payer: BCBS Complete |
$10,767.19
|
| Rate for Payer: Mclaren Medicaid |
$10,254.47
|
| Rate for Payer: Meridian Medicaid |
$10,767.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,254.47
|
| Rate for Payer: UHCCP Medicaid |
$10,767.19
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$15,366.25
|
|
|
Service Code
|
APR-DRG 5123
|
| Min. Negotiated Rate |
$14,634.52 |
| Max. Negotiated Rate |
$15,366.25 |
| Rate for Payer: BCBS Complete |
$15,366.25
|
| Rate for Payer: Mclaren Medicaid |
$14,634.52
|
| Rate for Payer: Meridian Medicaid |
$15,366.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,634.52
|
| Rate for Payer: UHCCP Medicaid |
$15,366.25
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,280.24
|
|
|
Service Code
|
APR-DRG 5112
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 5111
|
| Min. Negotiated Rate |
$7,317.26 |
| Max. Negotiated Rate |
$7,683.12 |
| Rate for Payer: BCBS Complete |
$7,683.12
|
| Rate for Payer: Mclaren Medicaid |
$7,317.26
|
| Rate for Payer: Meridian Medicaid |
$7,683.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,317.26
|
| Rate for Payer: UHCCP Medicaid |
$7,683.12
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$26,025.23
|
|
|
Service Code
|
APR-DRG 5114
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$14,175.90
|
|
|
Service Code
|
APR-DRG 5113
|
| Min. Negotiated Rate |
$13,500.86 |
| Max. Negotiated Rate |
$14,175.90 |
| Rate for Payer: BCBS Complete |
$14,175.90
|
| Rate for Payer: Mclaren Medicaid |
$13,500.86
|
| Rate for Payer: Meridian Medicaid |
$14,175.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,500.86
|
| Rate for Payer: UHCCP Medicaid |
$14,175.90
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 5604
|
| Min. Negotiated Rate |
$7,884.09 |
| Max. Negotiated Rate |
$8,278.29 |
| Rate for Payer: BCBS Complete |
$8,278.29
|
| Rate for Payer: Mclaren Medicaid |
$7,884.09
|
| Rate for Payer: Meridian Medicaid |
$8,278.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.09
|
| Rate for Payer: UHCCP Medicaid |
$8,278.29
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 5602
|
| Min. Negotiated Rate |
$2,576.50 |
| Max. Negotiated Rate |
$2,705.32 |
| Rate for Payer: BCBS Complete |
$2,705.32
|
| Rate for Payer: Mclaren Medicaid |
$2,576.50
|
| Rate for Payer: Meridian Medicaid |
$2,705.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,576.50
|
| Rate for Payer: UHCCP Medicaid |
$2,705.32
|
|