|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,787.46
|
|
|
Service Code
|
APR-DRG 5603
|
| Min. Negotiated Rate |
$3,607.10 |
| Max. Negotiated Rate |
$3,787.46 |
| Rate for Payer: BCBS Complete |
$3,787.46
|
| Rate for Payer: Mclaren Medicaid |
$3,607.10
|
| Rate for Payer: Meridian Medicaid |
$3,787.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,607.10
|
| Rate for Payer: UHCCP Medicaid |
$3,787.46
|
|
|
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
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 5421
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 5424
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 5413
|
| 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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$3,091.80 |
| 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 |
$3,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 5414
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,981.68
|
|
|
Service Code
|
APR-DRG 0223
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0221
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$21,859.03
|
|
|
Service Code
|
APR-DRG 0224
|
| Min. Negotiated Rate |
$20,818.12 |
| Max. Negotiated Rate |
$21,859.03 |
| Rate for Payer: BCBS Complete |
$21,859.03
|
| Rate for Payer: Mclaren Medicaid |
$20,818.12
|
| Rate for Payer: Meridian Medicaid |
$21,859.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,818.12
|
| Rate for Payer: UHCCP Medicaid |
$21,859.03
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$19,153.70
|
|
|
Service Code
|
APR-DRG 3103
|
| Min. Negotiated Rate |
$18,241.62 |
| Max. Negotiated Rate |
$19,153.70 |
| Rate for Payer: BCBS Complete |
$19,153.70
|
| Rate for Payer: Mclaren Medicaid |
$18,241.62
|
| Rate for Payer: Meridian Medicaid |
$19,153.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,241.62
|
| Rate for Payer: UHCCP Medicaid |
$19,153.70
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 3102
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$27,161.46
|
|
|
Service Code
|
APR-DRG 3104
|
| Min. Negotiated Rate |
$25,868.06 |
| Max. Negotiated Rate |
$27,161.46 |
| Rate for Payer: BCBS Complete |
$27,161.46
|
| Rate for Payer: Mclaren Medicaid |
$25,868.06
|
| Rate for Payer: Meridian Medicaid |
$27,161.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,868.06
|
| Rate for Payer: UHCCP Medicaid |
$27,161.46
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 3101
|
| Min. Negotiated Rate |
$7,626.44 |
| Max. Negotiated Rate |
$8,007.76 |
| Rate for Payer: BCBS Complete |
$8,007.76
|
| Rate for Payer: Mclaren Medicaid |
$7,626.44
|
| Rate for Payer: Meridian Medicaid |
$8,007.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 1112
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 1113
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$9,414.53
|
|
|
Service Code
|
APR-DRG 1114
|
| Min. Negotiated Rate |
$8,966.22 |
| Max. Negotiated Rate |
$9,414.53 |
| Rate for Payer: BCBS Complete |
$9,414.53
|
| Rate for Payer: Mclaren Medicaid |
$8,966.22
|
| Rate for Payer: Meridian Medicaid |
$9,414.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,966.22
|
| Rate for Payer: UHCCP Medicaid |
$9,414.53
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 1111
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 7234
|
| 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
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$5,735.29
|
|
|
Service Code
|
APR-DRG 7233
|
| 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: VIRAL ILLNESS
|
Facility
|
IP
|
$2,651.22
|
|
|
Service Code
|
APR-DRG 7231
|
| 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
|
|