|
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$38,129.18
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$36,313.51 |
| Max. Negotiated Rate |
$38,129.18 |
| Rate for Payer: BCBS Complete |
$38,129.18
|
| Rate for Payer: Mclaren Medicaid |
$36,313.51
|
| Rate for Payer: Meridian Medicaid |
$38,129.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,313.51
|
| Rate for Payer: UHC Medicaid |
$36,313.51
|
| Rate for Payer: UHCCP Medicaid |
$36,313.51
|
|
|
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,657.20
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$10,149.71 |
| Max. Negotiated Rate |
$10,657.20 |
| Rate for Payer: BCBS Complete |
$10,657.20
|
| Rate for Payer: Mclaren Medicaid |
$10,149.71
|
| Rate for Payer: Meridian Medicaid |
$10,657.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,149.71
|
| Rate for Payer: UHC Medicaid |
$10,149.71
|
| Rate for Payer: UHCCP Medicaid |
$10,149.71
|
|
|
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$18,466.45
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$17,587.09 |
| Max. Negotiated Rate |
$18,466.45 |
| Rate for Payer: BCBS Complete |
$18,466.45
|
| Rate for Payer: Mclaren Medicaid |
$17,587.09
|
| Rate for Payer: Meridian Medicaid |
$18,466.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,587.09
|
| Rate for Payer: UHC Medicaid |
$17,587.09
|
| Rate for Payer: UHCCP Medicaid |
$17,587.09
|
|
|
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$15,627.44
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$14,883.28 |
| Max. Negotiated Rate |
$15,627.44 |
| Rate for Payer: BCBS Complete |
$15,627.44
|
| Rate for Payer: Mclaren Medicaid |
$14,883.28
|
| Rate for Payer: Meridian Medicaid |
$15,627.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,883.28
|
| Rate for Payer: UHC Medicaid |
$14,883.28
|
| Rate for Payer: UHCCP Medicaid |
$14,883.28
|
|
|
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$26,644.84
|
|
|
Service Code
|
APR-DRG 7924
|
| Min. Negotiated Rate |
$25,376.04 |
| Max. Negotiated Rate |
$26,644.84 |
| Rate for Payer: BCBS Complete |
$26,644.84
|
| Rate for Payer: Mclaren Medicaid |
$25,376.04
|
| Rate for Payer: Meridian Medicaid |
$26,644.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,376.04
|
| Rate for Payer: UHC Medicaid |
$25,376.04
|
| Rate for Payer: UHCCP Medicaid |
$25,376.04
|
|
|
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,676.36
|
|
|
Service Code
|
APR-DRG 7921
|
| Min. Negotiated Rate |
$8,263.20 |
| Max. Negotiated Rate |
$8,676.36 |
| Rate for Payer: BCBS Complete |
$8,676.36
|
| Rate for Payer: Mclaren Medicaid |
$8,263.20
|
| Rate for Payer: Meridian Medicaid |
$8,676.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,263.20
|
| Rate for Payer: UHC Medicaid |
$8,263.20
|
| Rate for Payer: UHCCP Medicaid |
$8,263.20
|
|
|
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,956.40
|
|
|
Service Code
|
APR-DRG 7922
|
| Min. Negotiated Rate |
$10,434.67 |
| Max. Negotiated Rate |
$10,956.40 |
| Rate for Payer: BCBS Complete |
$10,956.40
|
| Rate for Payer: Mclaren Medicaid |
$10,434.67
|
| Rate for Payer: Meridian Medicaid |
$10,956.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,434.67
|
| Rate for Payer: UHC Medicaid |
$10,434.67
|
| Rate for Payer: UHCCP Medicaid |
$10,434.67
|
|
|
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$26,825.20
|
|
|
Service Code
|
APR-DRG 9504
|
| Min. Negotiated Rate |
$25,547.81 |
| Max. Negotiated Rate |
$26,825.20 |
| Rate for Payer: BCBS Complete |
$26,825.20
|
| Rate for Payer: Mclaren Medicaid |
$25,547.81
|
| Rate for Payer: Meridian Medicaid |
$26,825.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,547.81
|
| Rate for Payer: UHC Medicaid |
$25,547.81
|
| Rate for Payer: UHCCP Medicaid |
$25,547.81
|
|
|
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,917.85
|
|
|
Service Code
|
APR-DRG 9503
|
| Min. Negotiated Rate |
$16,112.24 |
| Max. Negotiated Rate |
$16,917.85 |
| Rate for Payer: BCBS Complete |
$16,917.85
|
| Rate for Payer: Mclaren Medicaid |
$16,112.24
|
| Rate for Payer: Meridian Medicaid |
$16,917.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,112.24
|
| Rate for Payer: UHC Medicaid |
$16,112.24
|
| Rate for Payer: UHCCP Medicaid |
$16,112.24
|
|
|
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,308.27
|
|
|
Service Code
|
APR-DRG 9501
|
| Min. Negotiated Rate |
$7,912.64 |
| Max. Negotiated Rate |
$8,308.27 |
| Rate for Payer: BCBS Complete |
$8,308.27
|
| Rate for Payer: Mclaren Medicaid |
$7,912.64
|
| Rate for Payer: Meridian Medicaid |
$8,308.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,912.64
|
| Rate for Payer: UHC Medicaid |
$7,912.64
|
| Rate for Payer: UHCCP Medicaid |
$7,912.64
|
|
|
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,737.80
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$11,178.86 |
| Max. Negotiated Rate |
$11,737.80 |
| Rate for Payer: BCBS Complete |
$11,737.80
|
| Rate for Payer: Mclaren Medicaid |
$11,178.86
|
| Rate for Payer: Meridian Medicaid |
$11,737.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,178.86
|
| Rate for Payer: UHC Medicaid |
$11,178.86
|
| Rate for Payer: UHCCP Medicaid |
$11,178.86
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$16,377.81
|
|
|
Service Code
|
APR-DRG 8433
|
| Min. Negotiated Rate |
$15,597.92 |
| Max. Negotiated Rate |
$16,377.81 |
| Rate for Payer: BCBS Complete |
$16,377.81
|
| Rate for Payer: Mclaren Medicaid |
$15,597.92
|
| Rate for Payer: Meridian Medicaid |
$16,377.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,597.92
|
| Rate for Payer: UHC Medicaid |
$15,597.92
|
| Rate for Payer: UHCCP Medicaid |
$15,597.92
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,558.89
|
|
|
Service Code
|
APR-DRG 8431
|
| Min. Negotiated Rate |
$3,389.41 |
| Max. Negotiated Rate |
$3,558.89 |
| Rate for Payer: BCBS Complete |
$3,558.89
|
| Rate for Payer: Mclaren Medicaid |
$3,389.41
|
| Rate for Payer: Meridian Medicaid |
$3,558.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,389.41
|
| Rate for Payer: UHC Medicaid |
$3,389.41
|
| Rate for Payer: UHCCP Medicaid |
$3,389.41
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,457.17
|
|
|
Service Code
|
APR-DRG 8432
|
| Min. Negotiated Rate |
$5,197.30 |
| Max. Negotiated Rate |
$5,457.17 |
| Rate for Payer: BCBS Complete |
$5,457.17
|
| Rate for Payer: Mclaren Medicaid |
$5,197.30
|
| Rate for Payer: Meridian Medicaid |
$5,457.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,197.30
|
| Rate for Payer: UHC Medicaid |
$5,197.30
|
| Rate for Payer: UHCCP Medicaid |
$5,197.30
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$24,553.57
|
|
|
Service Code
|
APR-DRG 8434
|
| Min. Negotiated Rate |
$23,384.36 |
| Max. Negotiated Rate |
$24,553.57 |
| Rate for Payer: BCBS Complete |
$24,553.57
|
| Rate for Payer: Mclaren Medicaid |
$23,384.36
|
| Rate for Payer: Meridian Medicaid |
$24,553.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,384.36
|
| Rate for Payer: UHC Medicaid |
$23,384.36
|
| Rate for Payer: UHCCP Medicaid |
$23,384.36
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$135,024.14
|
|
|
Service Code
|
APR-DRG 8414
|
| Min. Negotiated Rate |
$128,594.42 |
| Max. Negotiated Rate |
$135,024.14 |
| Rate for Payer: BCBS Complete |
$135,024.14
|
| Rate for Payer: Mclaren Medicaid |
$128,594.42
|
| Rate for Payer: Meridian Medicaid |
$135,024.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$128,594.42
|
| Rate for Payer: UHC Medicaid |
$128,594.42
|
| Rate for Payer: UHCCP Medicaid |
$128,594.42
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$48,949.92
|
|
|
Service Code
|
APR-DRG 8413
|
| Min. Negotiated Rate |
$46,618.97 |
| Max. Negotiated Rate |
$48,949.92 |
| Rate for Payer: BCBS Complete |
$48,949.92
|
| Rate for Payer: Mclaren Medicaid |
$46,618.97
|
| Rate for Payer: Meridian Medicaid |
$48,949.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,618.97
|
| Rate for Payer: UHC Medicaid |
$46,618.97
|
| Rate for Payer: UHCCP Medicaid |
$46,618.97
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$30,157.45
|
|
|
Service Code
|
APR-DRG 8411
|
| Min. Negotiated Rate |
$28,721.38 |
| Max. Negotiated Rate |
$30,157.45 |
| Rate for Payer: BCBS Complete |
$30,157.45
|
| Rate for Payer: Mclaren Medicaid |
$28,721.38
|
| Rate for Payer: Meridian Medicaid |
$30,157.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,721.38
|
| Rate for Payer: UHC Medicaid |
$28,721.38
|
| Rate for Payer: UHCCP Medicaid |
$28,721.38
|
|
|
EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$32,174.57
|
|
|
Service Code
|
APR-DRG 8412
|
| Min. Negotiated Rate |
$30,642.45 |
| Max. Negotiated Rate |
$32,174.57 |
| Rate for Payer: BCBS Complete |
$32,174.57
|
| Rate for Payer: Mclaren Medicaid |
$30,642.45
|
| Rate for Payer: Meridian Medicaid |
$32,174.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,642.45
|
| Rate for Payer: UHC Medicaid |
$30,642.45
|
| Rate for Payer: UHCCP Medicaid |
$30,642.45
|
|
|
EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$21,347.00
|
|
|
Service Code
|
APR-DRG 1781
|
| Min. Negotiated Rate |
$20,330.48 |
| Max. Negotiated Rate |
$21,347.00 |
| Rate for Payer: BCBS Complete |
$21,347.00
|
| Rate for Payer: Mclaren Medicaid |
$20,330.48
|
| Rate for Payer: Meridian Medicaid |
$21,347.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,330.48
|
| Rate for Payer: UHC Medicaid |
$20,330.48
|
| Rate for Payer: UHCCP Medicaid |
$20,330.48
|
|
|
EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$28,912.26
|
|
|
Service Code
|
APR-DRG 1783
|
| Min. Negotiated Rate |
$27,535.49 |
| Max. Negotiated Rate |
$28,912.26 |
| Rate for Payer: BCBS Complete |
$28,912.26
|
| Rate for Payer: Mclaren Medicaid |
$27,535.49
|
| Rate for Payer: Meridian Medicaid |
$28,912.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,535.49
|
| Rate for Payer: UHC Medicaid |
$27,535.49
|
| Rate for Payer: UHCCP Medicaid |
$27,535.49
|
|
|
EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$23,680.15
|
|
|
Service Code
|
APR-DRG 1782
|
| Min. Negotiated Rate |
$22,552.53 |
| Max. Negotiated Rate |
$23,680.15 |
| Rate for Payer: BCBS Complete |
$23,680.15
|
| Rate for Payer: Mclaren Medicaid |
$22,552.53
|
| Rate for Payer: Meridian Medicaid |
$23,680.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,552.53
|
| Rate for Payer: UHC Medicaid |
$22,552.53
|
| Rate for Payer: UHCCP Medicaid |
$22,552.53
|
|
|
EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$37,553.39
|
|
|
Service Code
|
APR-DRG 1784
|
| Min. Negotiated Rate |
$35,765.13 |
| Max. Negotiated Rate |
$37,553.39 |
| Rate for Payer: BCBS Complete |
$37,553.39
|
| Rate for Payer: Mclaren Medicaid |
$35,765.13
|
| Rate for Payer: Meridian Medicaid |
$37,553.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,765.13
|
| Rate for Payer: UHC Medicaid |
$35,765.13
|
| Rate for Payer: UHCCP Medicaid |
$35,765.13
|
|
|
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$34,877.92
|
|
|
Service Code
|
APR-DRG 0092
|
| Min. Negotiated Rate |
$33,217.06 |
| Max. Negotiated Rate |
$34,877.92 |
| Rate for Payer: BCBS Complete |
$34,877.92
|
| Rate for Payer: Mclaren Medicaid |
$33,217.06
|
| Rate for Payer: Meridian Medicaid |
$34,877.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,217.06
|
| Rate for Payer: UHC Medicaid |
$33,217.06
|
| Rate for Payer: UHCCP Medicaid |
$33,217.06
|
|
|
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$70,114.45
|
|
|
Service Code
|
APR-DRG 0093
|
| Min. Negotiated Rate |
$66,775.67 |
| Max. Negotiated Rate |
$70,114.45 |
| Rate for Payer: BCBS Complete |
$70,114.45
|
| Rate for Payer: Mclaren Medicaid |
$66,775.67
|
| Rate for Payer: Meridian Medicaid |
$70,114.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,775.67
|
| Rate for Payer: UHC Medicaid |
$66,775.67
|
| Rate for Payer: UHCCP Medicaid |
$66,775.67
|
|