|
APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 5432
|
| Min. Negotiated Rate |
$3,152.00 |
| Max. Negotiated Rate |
$3,309.60 |
| Rate for Payer: BCBS Complete |
$3,309.60
|
| Rate for Payer: Mclaren Medicaid |
$3,152.00
|
| Rate for Payer: Meridian Medicaid |
$3,309.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,152.00
|
| Rate for Payer: UHCCP Medicaid |
$3,152.00
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 5643
|
| Min. Negotiated Rate |
$4,087.75 |
| Max. Negotiated Rate |
$4,292.14 |
| Rate for Payer: BCBS Complete |
$4,292.14
|
| Rate for Payer: Mclaren Medicaid |
$4,087.75
|
| Rate for Payer: Meridian Medicaid |
$4,292.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,087.75
|
| Rate for Payer: UHCCP Medicaid |
$4,087.75
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,016.79
|
|
|
Service Code
|
APR-DRG 5641
|
| Min. Negotiated Rate |
$1,920.75 |
| Max. Negotiated Rate |
$2,016.79 |
| Rate for Payer: BCBS Complete |
$2,016.79
|
| Rate for Payer: Mclaren Medicaid |
$1,920.75
|
| Rate for Payer: Meridian Medicaid |
$2,016.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,920.75
|
| Rate for Payer: UHCCP Medicaid |
$1,920.75
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 5644
|
| Min. Negotiated Rate |
$8,717.25 |
| Max. Negotiated Rate |
$9,153.11 |
| Rate for Payer: BCBS Complete |
$9,153.11
|
| Rate for Payer: Mclaren Medicaid |
$8,717.25
|
| Rate for Payer: Meridian Medicaid |
$9,153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,717.25
|
| Rate for Payer: UHCCP Medicaid |
$8,717.25
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 5642
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 1932
|
| Min. Negotiated Rate |
$6,501.00 |
| Max. Negotiated Rate |
$6,826.05 |
| Rate for Payer: BCBS Complete |
$6,826.05
|
| Rate for Payer: Mclaren Medicaid |
$6,501.00
|
| Rate for Payer: Meridian Medicaid |
$6,826.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,501.00
|
| Rate for Payer: UHCCP Medicaid |
$6,501.00
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 1931
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.92 |
| Rate for Payer: BCBS Complete |
$6,308.92
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$10,549.35
|
|
|
Service Code
|
APR-DRG 1933
|
| Min. Negotiated Rate |
$10,047.00 |
| Max. Negotiated Rate |
$10,549.35 |
| Rate for Payer: BCBS Complete |
$10,549.35
|
| Rate for Payer: Mclaren Medicaid |
$10,047.00
|
| Rate for Payer: Meridian Medicaid |
$10,549.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,047.00
|
| Rate for Payer: UHCCP Medicaid |
$10,047.00
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$11,325.04
|
|
|
Service Code
|
APR-DRG 1934
|
| Min. Negotiated Rate |
$10,785.75 |
| Max. Negotiated Rate |
$11,325.04 |
| Rate for Payer: BCBS Complete |
$11,325.04
|
| Rate for Payer: Mclaren Medicaid |
$10,785.75
|
| Rate for Payer: Meridian Medicaid |
$11,325.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,785.75
|
| Rate for Payer: UHCCP Medicaid |
$10,785.75
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 7563
|
| Min. Negotiated Rate |
$6,353.25 |
| Max. Negotiated Rate |
$6,670.91 |
| Rate for Payer: BCBS Complete |
$6,670.91
|
| Rate for Payer: Mclaren Medicaid |
$6,353.25
|
| Rate for Payer: Meridian Medicaid |
$6,670.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,353.25
|
| Rate for Payer: UHCCP Medicaid |
$6,353.25
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$11,635.31
|
|
|
Service Code
|
APR-DRG 7564
|
| Min. Negotiated Rate |
$11,081.25 |
| Max. Negotiated Rate |
$11,635.31 |
| Rate for Payer: BCBS Complete |
$11,635.31
|
| Rate for Payer: Mclaren Medicaid |
$11,081.25
|
| Rate for Payer: Meridian Medicaid |
$11,635.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,081.25
|
| Rate for Payer: UHCCP Medicaid |
$11,081.25
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 7562
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 7561
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$3,496.75 |
| Max. Negotiated Rate |
$3,671.59 |
| Rate for Payer: BCBS Complete |
$3,671.59
|
| Rate for Payer: Mclaren Medicaid |
$3,496.75
|
| Rate for Payer: Meridian Medicaid |
$3,671.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.75
|
| Rate for Payer: UHCCP Medicaid |
$3,496.75
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$7,830.75 |
| Max. Negotiated Rate |
$8,222.29 |
| Rate for Payer: BCBS Complete |
$8,222.29
|
| Rate for Payer: Mclaren Medicaid |
$7,830.75
|
| Rate for Payer: Meridian Medicaid |
$8,222.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,830.75
|
| Rate for Payer: UHCCP Medicaid |
$7,830.75
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$13,031.55
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$12,411.00 |
| Max. Negotiated Rate |
$13,031.55 |
| Rate for Payer: BCBS Complete |
$13,031.55
|
| Rate for Payer: Mclaren Medicaid |
$12,411.00
|
| Rate for Payer: Meridian Medicaid |
$13,031.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,411.00
|
| Rate for Payer: UHCCP Medicaid |
$12,411.00
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$6,451.75 |
| Max. Negotiated Rate |
$6,774.34 |
| Rate for Payer: BCBS Complete |
$6,774.34
|
| Rate for Payer: Mclaren Medicaid |
$6,451.75
|
| Rate for Payer: Meridian Medicaid |
$6,774.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,451.75
|
| Rate for Payer: UHCCP Medicaid |
$6,451.75
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.48 |
| Rate for Payer: BCBS Complete |
$2,792.48
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$33,923.40
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$32,308.00 |
| Max. Negotiated Rate |
$33,923.40 |
| Rate for Payer: BCBS Complete |
$33,923.40
|
| Rate for Payer: Mclaren Medicaid |
$32,308.00
|
| Rate for Payer: Meridian Medicaid |
$33,923.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,308.00
|
| Rate for Payer: UHCCP Medicaid |
$32,308.00
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$25,959.68
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$24,723.50 |
| Max. Negotiated Rate |
$25,959.68 |
| Rate for Payer: BCBS Complete |
$25,959.68
|
| Rate for Payer: Mclaren Medicaid |
$24,723.50
|
| Rate for Payer: Meridian Medicaid |
$25,959.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,723.50
|
| Rate for Payer: UHCCP Medicaid |
$24,723.50
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,909.99
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$16,104.75 |
| Max. Negotiated Rate |
$16,909.99 |
| Rate for Payer: BCBS Complete |
$16,909.99
|
| Rate for Payer: Mclaren Medicaid |
$16,104.75
|
| Rate for Payer: Meridian Medicaid |
$16,909.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,104.75
|
| Rate for Payer: UHCCP Medicaid |
$16,104.75
|
|