|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$109,320.22
|
|
|
Service Code
|
APR-DRG 0074
|
| Min. Negotiated Rate |
$104,114.50 |
| Max. Negotiated Rate |
$109,320.22 |
| Rate for Payer: BCBS Complete |
$109,320.22
|
| Rate for Payer: Mclaren Medicaid |
$104,114.50
|
| Rate for Payer: Meridian Medicaid |
$109,320.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$104,114.50
|
| Rate for Payer: UHCCP Medicaid |
$104,114.50
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$57,504.30
|
|
|
Service Code
|
APR-DRG 0072
|
| Min. Negotiated Rate |
$54,766.00 |
| Max. Negotiated Rate |
$57,504.30 |
| Rate for Payer: BCBS Complete |
$57,504.30
|
| Rate for Payer: Mclaren Medicaid |
$54,766.00
|
| Rate for Payer: Meridian Medicaid |
$57,504.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$54,766.00
|
| Rate for Payer: UHCCP Medicaid |
$54,766.00
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$51,660.79
|
|
|
Service Code
|
APR-DRG 0071
|
| Min. Negotiated Rate |
$49,200.75 |
| Max. Negotiated Rate |
$51,660.79 |
| Rate for Payer: BCBS Complete |
$51,660.79
|
| Rate for Payer: Mclaren Medicaid |
$49,200.75
|
| Rate for Payer: Meridian Medicaid |
$51,660.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,200.75
|
| Rate for Payer: UHCCP Medicaid |
$49,200.75
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 0521
|
| Min. Negotiated Rate |
$3,398.25 |
| Max. Negotiated Rate |
$3,568.16 |
| Rate for Payer: BCBS Complete |
$3,568.16
|
| Rate for Payer: Mclaren Medicaid |
$3,398.25
|
| Rate for Payer: Meridian Medicaid |
$3,568.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,398.25
|
| Rate for Payer: UHCCP Medicaid |
$3,398.25
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$10,859.62
|
|
|
Service Code
|
APR-DRG 0524
|
| Min. Negotiated Rate |
$10,342.50 |
| Max. Negotiated Rate |
$10,859.62 |
| Rate for Payer: BCBS Complete |
$10,859.62
|
| Rate for Payer: Mclaren Medicaid |
$10,342.50
|
| Rate for Payer: Meridian Medicaid |
$10,859.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,342.50
|
| Rate for Payer: UHCCP Medicaid |
$10,342.50
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 0522
|
| Min. Negotiated Rate |
$4,580.25 |
| Max. Negotiated Rate |
$4,809.26 |
| Rate for Payer: BCBS Complete |
$4,809.26
|
| Rate for Payer: Mclaren Medicaid |
$4,580.25
|
| Rate for Payer: Meridian Medicaid |
$4,809.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,580.25
|
| Rate for Payer: UHCCP Medicaid |
$4,580.25
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 0523
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$13,652.10
|
|
|
Service Code
|
APR-DRG 3053
|
| Min. Negotiated Rate |
$13,002.00 |
| Max. Negotiated Rate |
$13,652.10 |
| Rate for Payer: BCBS Complete |
$13,652.10
|
| Rate for Payer: Mclaren Medicaid |
$13,002.00
|
| Rate for Payer: Meridian Medicaid |
$13,652.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,002.00
|
| Rate for Payer: UHCCP Medicaid |
$13,002.00
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$17,944.24
|
|
|
Service Code
|
APR-DRG 3054
|
| Min. Negotiated Rate |
$17,089.75 |
| Max. Negotiated Rate |
$17,944.24 |
| Rate for Payer: BCBS Complete |
$17,944.24
|
| Rate for Payer: Mclaren Medicaid |
$17,089.75
|
| Rate for Payer: Meridian Medicaid |
$17,944.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,089.75
|
| Rate for Payer: UHCCP Medicaid |
$17,089.75
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 3052
|
| Min. Negotiated Rate |
$8,815.75 |
| Max. Negotiated Rate |
$9,256.54 |
| Rate for Payer: BCBS Complete |
$9,256.54
|
| Rate for Payer: Mclaren Medicaid |
$8,815.75
|
| Rate for Payer: Meridian Medicaid |
$9,256.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,815.75
|
| Rate for Payer: UHCCP Medicaid |
$8,815.75
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 3051
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 2261
|
| Min. Negotiated Rate |
$5,072.75 |
| Max. Negotiated Rate |
$5,326.39 |
| Rate for Payer: BCBS Complete |
$5,326.39
|
| Rate for Payer: Mclaren Medicaid |
$5,072.75
|
| Rate for Payer: Meridian Medicaid |
$5,326.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,072.75
|
| Rate for Payer: UHCCP Medicaid |
$5,072.75
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,998.65
|
|
|
Service Code
|
APR-DRG 2262
|
| Min. Negotiated Rate |
$5,713.00 |
| Max. Negotiated Rate |
$5,998.65 |
| Rate for Payer: BCBS Complete |
$5,998.65
|
| Rate for Payer: Mclaren Medicaid |
$5,713.00
|
| Rate for Payer: Meridian Medicaid |
$5,998.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,713.00
|
| Rate for Payer: UHCCP Medicaid |
$5,713.00
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$16,858.28
|
|
|
Service Code
|
APR-DRG 2264
|
| Min. Negotiated Rate |
$16,055.50 |
| Max. Negotiated Rate |
$16,858.28 |
| Rate for Payer: BCBS Complete |
$16,858.28
|
| Rate for Payer: Mclaren Medicaid |
$16,055.50
|
| Rate for Payer: Meridian Medicaid |
$16,858.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,055.50
|
| Rate for Payer: UHCCP Medicaid |
$16,055.50
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$11,273.32
|
|
|
Service Code
|
APR-DRG 2263
|
| Min. Negotiated Rate |
$10,736.50 |
| Max. Negotiated Rate |
$11,273.32 |
| Rate for Payer: BCBS Complete |
$11,273.32
|
| Rate for Payer: Mclaren Medicaid |
$10,736.50
|
| Rate for Payer: Meridian Medicaid |
$11,273.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,736.50
|
| Rate for Payer: UHCCP Medicaid |
$10,736.50
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$3,940.00 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: BCBS Complete |
$4,137.00
|
| Rate for Payer: Mclaren Medicaid |
$3,940.00
|
| Rate for Payer: Meridian Medicaid |
$4,137.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,940.00
|
| Rate for Payer: UHCCP Medicaid |
$3,940.00
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,637.34
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$2,511.75 |
| Max. Negotiated Rate |
$2,637.34 |
| Rate for Payer: BCBS Complete |
$2,637.34
|
| Rate for Payer: Mclaren Medicaid |
$2,511.75
|
| Rate for Payer: Meridian Medicaid |
$2,637.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,511.75
|
| Rate for Payer: UHCCP Medicaid |
$2,511.75
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,515.78
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.78 |
| Rate for Payer: BCBS Complete |
$6,515.78
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 0594
|
| 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: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$8,997.98
|
|
|
Service Code
|
APR-DRG 0593
|
| 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: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$2,561.00 |
| Max. Negotiated Rate |
$2,689.05 |
| Rate for Payer: BCBS Complete |
$2,689.05
|
| Rate for Payer: Mclaren Medicaid |
$2,561.00
|
| Rate for Payer: Meridian Medicaid |
$2,689.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,561.00
|
| Rate for Payer: UHCCP Medicaid |
$2,561.00
|
|