|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$32,409.79
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$30,866.47 |
| Max. Negotiated Rate |
$32,409.79 |
| Rate for Payer: BCBS Complete |
$32,409.79
|
| Rate for Payer: Mclaren Medicaid |
$30,866.47
|
| Rate for Payer: Meridian Medicaid |
$32,409.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,866.47
|
| Rate for Payer: UHCCP Medicaid |
$32,409.79
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$48,641.74
|
|
|
Service Code
|
APR-DRG 0053
|
| Min. Negotiated Rate |
$46,325.47 |
| Max. Negotiated Rate |
$48,641.74 |
| Rate for Payer: BCBS Complete |
$48,641.74
|
| Rate for Payer: Mclaren Medicaid |
$46,325.47
|
| Rate for Payer: Meridian Medicaid |
$48,641.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,325.47
|
| Rate for Payer: UHCCP Medicaid |
$48,641.74
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$66,983.85
|
|
|
Service Code
|
APR-DRG 0054
|
| Min. Negotiated Rate |
$63,794.14 |
| Max. Negotiated Rate |
$66,983.85 |
| Rate for Payer: BCBS Complete |
$66,983.85
|
| Rate for Payer: Mclaren Medicaid |
$63,794.14
|
| Rate for Payer: Meridian Medicaid |
$66,983.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,794.14
|
| Rate for Payer: UHCCP Medicaid |
$66,983.85
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 0472
|
| 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: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$9,306.32
|
|
|
Service Code
|
APR-DRG 0474
|
| 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: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 0473
|
| Min. Negotiated Rate |
$5,462.18 |
| Max. Negotiated Rate |
$5,735.29 |
| Rate for Payer: BCBS Complete |
$5,735.29
|
| Rate for Payer: Mclaren Medicaid |
$5,462.18
|
| Rate for Payer: Meridian Medicaid |
$5,735.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,462.18
|
| Rate for Payer: UHCCP Medicaid |
$5,735.29
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,003.88
|
|
|
Service Code
|
APR-DRG 0471
|
| 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: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 4821
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 4823
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 4822
|
| 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: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$14,175.90
|
|
|
Service Code
|
APR-DRG 4824
|
| 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: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 4461
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$16,069.63
|
|
|
Service Code
|
APR-DRG 4464
|
| Min. Negotiated Rate |
$15,304.41 |
| Max. Negotiated Rate |
$16,069.63 |
| Rate for Payer: BCBS Complete |
$16,069.63
|
| Rate for Payer: Mclaren Medicaid |
$15,304.41
|
| Rate for Payer: Meridian Medicaid |
$16,069.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,304.41
|
| Rate for Payer: UHCCP Medicaid |
$16,069.63
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$10,063.81
|
|
|
Service Code
|
APR-DRG 4463
|
| Min. Negotiated Rate |
$9,584.58 |
| Max. Negotiated Rate |
$10,063.81 |
| Rate for Payer: BCBS Complete |
$10,063.81
|
| Rate for Payer: Mclaren Medicaid |
$9,584.58
|
| Rate for Payer: Meridian Medicaid |
$10,063.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,584.58
|
| Rate for Payer: UHCCP Medicaid |
$10,063.81
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 4462
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 4653
|
| 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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 4652
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$11,254.15
|
|
|
Service Code
|
APR-DRG 4654
|
| Min. Negotiated Rate |
$10,718.24 |
| Max. Negotiated Rate |
$11,254.15 |
| Rate for Payer: BCBS Complete |
$11,254.15
|
| Rate for Payer: Mclaren Medicaid |
$10,718.24
|
| Rate for Payer: Meridian Medicaid |
$11,254.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,718.24
|
| Rate for Payer: UHCCP Medicaid |
$11,254.15
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 4651
|
| Min. Negotiated Rate |
$3,297.92 |
| Max. Negotiated Rate |
$3,462.82 |
| Rate for Payer: BCBS Complete |
$3,462.82
|
| Rate for Payer: Mclaren Medicaid |
$3,297.92
|
| Rate for Payer: Meridian Medicaid |
$3,462.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$21,263.85
|
|
|
Service Code
|
APR-DRG 5194
|
| Min. Negotiated Rate |
$20,251.29 |
| Max. Negotiated Rate |
$21,263.85 |
| Rate for Payer: BCBS Complete |
$21,263.85
|
| Rate for Payer: Mclaren Medicaid |
$20,251.29
|
| Rate for Payer: Meridian Medicaid |
$21,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,251.29
|
| Rate for Payer: UHCCP Medicaid |
$21,263.85
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 5192
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 5193
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 5191
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 5131
|
| Min. Negotiated Rate |
$5,513.71 |
| Max. Negotiated Rate |
$5,789.40 |
| Rate for Payer: BCBS Complete |
$5,789.40
|
| Rate for Payer: Mclaren Medicaid |
$5,513.71
|
| Rate for Payer: Meridian Medicaid |
$5,789.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,513.71
|
| Rate for Payer: UHCCP Medicaid |
$5,789.40
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 5132
|
| Min. Negotiated Rate |
$6,801.96 |
| Max. Negotiated Rate |
$7,142.06 |
| Rate for Payer: BCBS Complete |
$7,142.06
|
| Rate for Payer: Mclaren Medicaid |
$6,801.96
|
| Rate for Payer: Meridian Medicaid |
$7,142.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,801.96
|
| Rate for Payer: UHCCP Medicaid |
$7,142.06
|
|