|
APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 5432
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$1,809.94
|
|
|
Service Code
|
APR-DRG 5641
|
| Min. Negotiated Rate |
$1,723.75 |
| Max. Negotiated Rate |
$1,809.94 |
| Rate for Payer: BCBS Complete |
$1,809.94
|
| Rate for Payer: Mclaren Medicaid |
$1,723.75
|
| Rate for Payer: Meridian Medicaid |
$1,809.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,723.75
|
| Rate for Payer: UHCCP Medicaid |
$1,723.75
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,533.91
|
|
|
Service Code
|
APR-DRG 5642
|
| Min. Negotiated Rate |
$2,413.25 |
| Max. Negotiated Rate |
$2,533.91 |
| Rate for Payer: BCBS Complete |
$2,533.91
|
| Rate for Payer: Mclaren Medicaid |
$2,413.25
|
| Rate for Payer: Meridian Medicaid |
$2,533.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,413.25
|
| Rate for Payer: UHCCP Medicaid |
$2,413.25
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$9,204.83
|
|
|
Service Code
|
APR-DRG 5644
|
| Min. Negotiated Rate |
$8,766.50 |
| Max. Negotiated Rate |
$9,204.83 |
| Rate for Payer: BCBS Complete |
$9,204.83
|
| Rate for Payer: Mclaren Medicaid |
$8,766.50
|
| Rate for Payer: Meridian Medicaid |
$9,204.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,766.50
|
| Rate for Payer: UHCCP Medicaid |
$8,766.50
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,240.43
|
|
|
Service Code
|
APR-DRG 5643
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.43 |
| Rate for Payer: BCBS Complete |
$4,240.43
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 1932
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 1931
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 1934
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$8,584.27
|
|
|
Service Code
|
APR-DRG 1933
|
| Min. Negotiated Rate |
$8,175.50 |
| Max. Negotiated Rate |
$8,584.27 |
| Rate for Payer: BCBS Complete |
$8,584.27
|
| Rate for Payer: Mclaren Medicaid |
$8,175.50
|
| Rate for Payer: Meridian Medicaid |
$8,584.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,175.50
|
| Rate for Payer: UHCCP Medicaid |
$8,175.50
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 7562
|
| Min. Negotiated Rate |
$3,447.50 |
| Max. Negotiated Rate |
$3,619.88 |
| Rate for Payer: BCBS Complete |
$3,619.88
|
| Rate for Payer: Mclaren Medicaid |
$3,447.50
|
| Rate for Payer: Meridian Medicaid |
$3,619.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,447.50
|
| Rate for Payer: UHCCP Medicaid |
$3,447.50
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$5,067.82
|
|
|
Service Code
|
APR-DRG 7563
|
| Min. Negotiated Rate |
$4,826.50 |
| Max. Negotiated Rate |
$5,067.82 |
| Rate for Payer: BCBS Complete |
$5,067.82
|
| Rate for Payer: Mclaren Medicaid |
$4,826.50
|
| Rate for Payer: Meridian Medicaid |
$5,067.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,826.50
|
| Rate for Payer: UHCCP Medicaid |
$4,826.50
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$8,997.98
|
|
|
Service Code
|
APR-DRG 7564
|
| Min. Negotiated Rate |
$8,569.50 |
| Max. Negotiated Rate |
$8,997.98 |
| Rate for Payer: BCBS Complete |
$8,997.98
|
| Rate for Payer: Mclaren Medicaid |
$8,569.50
|
| Rate for Payer: Meridian Medicaid |
$8,997.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,569.50
|
| Rate for Payer: UHCCP Medicaid |
$8,569.50
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$2,378.78
|
|
|
Service Code
|
APR-DRG 7561
|
| Min. Negotiated Rate |
$2,265.50 |
| Max. Negotiated Rate |
$2,378.78 |
| Rate for Payer: BCBS Complete |
$2,378.78
|
| Rate for Payer: Mclaren Medicaid |
$2,265.50
|
| Rate for Payer: Meridian Medicaid |
$2,378.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,265.50
|
| Rate for Payer: UHCCP Medicaid |
$2,265.50
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$4,383.25 |
| Max. Negotiated Rate |
$4,602.41 |
| Rate for Payer: BCBS Complete |
$4,602.41
|
| Rate for Payer: Mclaren Medicaid |
$4,383.25
|
| Rate for Payer: Meridian Medicaid |
$4,602.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,383.25
|
| Rate for Payer: UHCCP Medicaid |
$4,383.25
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$7,550.02
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$7,190.50 |
| Max. Negotiated Rate |
$7,550.02 |
| Rate for Payer: BCBS Complete |
$7,550.02
|
| Rate for Payer: Mclaren Medicaid |
$7,190.50
|
| Rate for Payer: Meridian Medicaid |
$7,550.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,190.50
|
| Rate for Payer: UHCCP Medicaid |
$7,190.50
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,740.76
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$2,610.25 |
| Max. Negotiated Rate |
$2,740.76 |
| Rate for Payer: BCBS Complete |
$2,740.76
|
| Rate for Payer: Mclaren Medicaid |
$2,610.25
|
| Rate for Payer: Meridian Medicaid |
$2,740.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,610.25
|
| Rate for Payer: UHCCP Medicaid |
$2,610.25
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$11,997.30
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$11,426.00 |
| Max. Negotiated Rate |
$11,997.30 |
| Rate for Payer: BCBS Complete |
$11,997.30
|
| Rate for Payer: Mclaren Medicaid |
$11,426.00
|
| Rate for Payer: Meridian Medicaid |
$11,997.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,426.00
|
| Rate for Payer: UHCCP Medicaid |
$11,426.00
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,585.62
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,462.50 |
| Max. Negotiated Rate |
$2,585.62 |
| Rate for Payer: BCBS Complete |
$2,585.62
|
| Rate for Payer: Mclaren Medicaid |
$2,462.50
|
| Rate for Payer: Meridian Medicaid |
$2,585.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,462.50
|
| Rate for Payer: UHCCP Medicaid |
$2,462.50
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$3,447.50 |
| Max. Negotiated Rate |
$3,619.88 |
| Rate for Payer: BCBS Complete |
$3,619.88
|
| Rate for Payer: Mclaren Medicaid |
$3,447.50
|
| Rate for Payer: Meridian Medicaid |
$3,619.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,447.50
|
| Rate for Payer: UHCCP Medicaid |
$3,447.50
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$20,633.29
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$19,650.75 |
| Max. Negotiated Rate |
$20,633.29 |
| Rate for Payer: BCBS Complete |
$20,633.29
|
| Rate for Payer: Mclaren Medicaid |
$19,650.75
|
| Rate for Payer: Meridian Medicaid |
$20,633.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,650.75
|
| Rate for Payer: UHCCP Medicaid |
$19,650.75
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$12,657.25 |
| Max. Negotiated Rate |
$13,290.11 |
| Rate for Payer: BCBS Complete |
$13,290.11
|
| Rate for Payer: Mclaren Medicaid |
$12,657.25
|
| Rate for Payer: Meridian Medicaid |
$13,290.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,657.25
|
| Rate for Payer: UHCCP Medicaid |
$12,657.25
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$30,562.09
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$29,106.75 |
| Max. Negotiated Rate |
$30,562.09 |
| Rate for Payer: BCBS Complete |
$30,562.09
|
| Rate for Payer: Mclaren Medicaid |
$29,106.75
|
| Rate for Payer: Meridian Medicaid |
$30,562.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,106.75
|
| Rate for Payer: UHCCP Medicaid |
$29,106.75
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,394.89
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$7,042.75 |
| Max. Negotiated Rate |
$7,394.89 |
| Rate for Payer: BCBS Complete |
$7,394.89
|
| Rate for Payer: Mclaren Medicaid |
$7,042.75
|
| Rate for Payer: Meridian Medicaid |
$7,394.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,042.75
|
| Rate for Payer: UHCCP Medicaid |
$7,042.75
|
|