|
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
|
$21,155.64
|
|
|
Service Code
|
APR-DRG 5134
|
| Min. Negotiated Rate |
$20,148.23 |
| Max. Negotiated Rate |
$21,155.64 |
| Rate for Payer: BCBS Complete |
$21,155.64
|
| Rate for Payer: Mclaren Medicaid |
$20,148.23
|
| Rate for Payer: Meridian Medicaid |
$21,155.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,148.23
|
| Rate for Payer: UHCCP Medicaid |
$21,155.64
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$7,737.23
|
|
|
Service Code
|
APR-DRG 5121
|
| Min. Negotiated Rate |
$7,368.79 |
| Max. Negotiated Rate |
$7,737.23 |
| Rate for Payer: BCBS Complete |
$7,737.23
|
| Rate for Payer: Mclaren Medicaid |
$7,368.79
|
| Rate for Payer: Meridian Medicaid |
$7,737.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,368.79
|
| Rate for Payer: UHCCP Medicaid |
$7,737.23
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 5122
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$25,105.42
|
|
|
Service Code
|
APR-DRG 5124
|
| Min. Negotiated Rate |
$23,909.92 |
| Max. Negotiated Rate |
$25,105.42 |
| Rate for Payer: BCBS Complete |
$25,105.42
|
| Rate for Payer: Mclaren Medicaid |
$23,909.92
|
| Rate for Payer: Meridian Medicaid |
$25,105.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,909.92
|
| Rate for Payer: UHCCP Medicaid |
$25,105.42
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$14,662.86
|
|
|
Service Code
|
APR-DRG 5123
|
| Min. Negotiated Rate |
$13,964.63 |
| Max. Negotiated Rate |
$14,662.86 |
| Rate for Payer: BCBS Complete |
$14,662.86
|
| Rate for Payer: Mclaren Medicaid |
$13,964.63
|
| Rate for Payer: Meridian Medicaid |
$14,662.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,964.63
|
| Rate for Payer: UHCCP Medicaid |
$14,662.86
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$26,241.65
|
|
|
Service Code
|
APR-DRG 5114
|
| Min. Negotiated Rate |
$24,992.05 |
| Max. Negotiated Rate |
$26,241.65 |
| Rate for Payer: BCBS Complete |
$26,241.65
|
| Rate for Payer: Mclaren Medicaid |
$24,992.05
|
| Rate for Payer: Meridian Medicaid |
$26,241.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,992.05
|
| Rate for Payer: UHCCP Medicaid |
$26,241.65
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$14,338.22
|
|
|
Service Code
|
APR-DRG 5113
|
| Min. Negotiated Rate |
$13,655.45 |
| Max. Negotiated Rate |
$14,338.22 |
| Rate for Payer: BCBS Complete |
$14,338.22
|
| Rate for Payer: Mclaren Medicaid |
$13,655.45
|
| Rate for Payer: Meridian Medicaid |
$14,338.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,655.45
|
| Rate for Payer: UHCCP Medicaid |
$14,338.22
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$7,737.23
|
|
|
Service Code
|
APR-DRG 5111
|
| Min. Negotiated Rate |
$7,368.79 |
| Max. Negotiated Rate |
$7,737.23 |
| Rate for Payer: BCBS Complete |
$7,737.23
|
| Rate for Payer: Mclaren Medicaid |
$7,368.79
|
| Rate for Payer: Meridian Medicaid |
$7,737.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,368.79
|
| Rate for Payer: UHCCP Medicaid |
$7,737.23
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 5112
|
| 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: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 5603
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$3,246.39 |
| Rate for Payer: BCBS Complete |
$3,246.39
|
| Rate for Payer: Mclaren Medicaid |
$3,091.80
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,100.00
|
|
|
Service Code
|
APR-DRG 5601
|
| Min. Negotiated Rate |
$1,752.02 |
| Max. Negotiated Rate |
$2,100.00 |
| Rate for Payer: BCBS Complete |
$1,839.62
|
| Rate for Payer: Mclaren Medicaid |
$1,752.02
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,752.02
|
| Rate for Payer: UHCCP Medicaid |
$1,839.62
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$6,492.78
|
|
|
Service Code
|
APR-DRG 5604
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$6,492.78 |
| Rate for Payer: BCBS Complete |
$6,492.78
|
| Rate for Payer: Mclaren Medicaid |
$6,183.60
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,183.60
|
| Rate for Payer: UHCCP Medicaid |
$6,492.78
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,164.26
|
|
|
Service Code
|
APR-DRG 5602
|
| Min. Negotiated Rate |
$2,061.20 |
| Max. Negotiated Rate |
$2,164.26 |
| Rate for Payer: BCBS Complete |
$2,164.26
|
| Rate for Payer: Mclaren Medicaid |
$2,061.20
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,061.20
|
| Rate for Payer: UHCCP Medicaid |
$2,164.26
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$13,364.31
|
|
|
Service Code
|
APR-DRG 5424
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$13,364.31 |
| Rate for Payer: BCBS Complete |
$13,364.31
|
| Rate for Payer: Mclaren Medicaid |
$12,727.91
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,727.91
|
| Rate for Payer: UHCCP Medicaid |
$13,364.31
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,597.11
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$2,597.11 |
| Rate for Payer: BCBS Complete |
$2,597.11
|
| Rate for Payer: Mclaren Medicaid |
$2,473.44
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,473.44
|
| Rate for Payer: UHCCP Medicaid |
$2,597.11
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,869.59
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$4,869.59 |
| Rate for Payer: BCBS Complete |
$4,869.59
|
| Rate for Payer: Mclaren Medicaid |
$4,637.70
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,637.70
|
| Rate for Payer: UHCCP Medicaid |
$4,869.59
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,110.15
|
|
|
Service Code
|
APR-DRG 5421
|
| Min. Negotiated Rate |
$2,009.67 |
| Max. Negotiated Rate |
$2,110.15 |
| Rate for Payer: BCBS Complete |
$2,110.15
|
| Rate for Payer: Mclaren Medicaid |
$2,009.67
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,009.67
|
| Rate for Payer: UHCCP Medicaid |
$2,110.15
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,086.01
|
|
|
Service Code
|
APR-DRG 5413
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$5,086.01 |
| Rate for Payer: BCBS Complete |
$5,086.01
|
| Rate for Payer: Mclaren Medicaid |
$4,843.82
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,843.82
|
| Rate for Payer: UHCCP Medicaid |
$5,086.01
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 5414
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$9,326.93 |
| Max. Negotiated Rate |
$9,793.28 |
| Rate for Payer: BCBS Complete |
$9,793.28
|
| Rate for Payer: Mclaren Medicaid |
$9,326.93
|
| Rate for Payer: Meridian Medicaid |
$9,793.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,326.93
|
| Rate for Payer: UHCCP Medicaid |
$9,793.28
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$14,392.33
|
|
|
Service Code
|
APR-DRG 0223
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 0221
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|