|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$61,227.60
|
|
|
Service Code
|
APR-DRG 0073
|
| Min. Negotiated Rate |
$58,312.00 |
| Max. Negotiated Rate |
$61,227.60 |
| Rate for Payer: BCBS Complete |
$61,227.60
|
| Rate for Payer: Mclaren Medicaid |
$58,312.00
|
| Rate for Payer: Meridian Medicaid |
$61,227.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$58,312.00
|
| Rate for Payer: UHCCP Medicaid |
$58,312.00
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$43,128.22
|
|
|
Service Code
|
APR-DRG 0072
|
| Min. Negotiated Rate |
$41,074.50 |
| Max. Negotiated Rate |
$43,128.22 |
| Rate for Payer: BCBS Complete |
$43,128.22
|
| Rate for Payer: Mclaren Medicaid |
$41,074.50
|
| Rate for Payer: Meridian Medicaid |
$43,128.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,074.50
|
| Rate for Payer: UHCCP Medicaid |
$41,074.50
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$38,060.40
|
|
|
Service Code
|
APR-DRG 0071
|
| Min. Negotiated Rate |
$36,248.00 |
| Max. Negotiated Rate |
$38,060.40 |
| Rate for Payer: BCBS Complete |
$38,060.40
|
| Rate for Payer: Mclaren Medicaid |
$36,248.00
|
| Rate for Payer: Meridian Medicaid |
$38,060.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,248.00
|
| Rate for Payer: UHCCP Medicaid |
$36,248.00
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 0523
|
| Min. Negotiated Rate |
$5,910.00 |
| Max. Negotiated Rate |
$6,205.50 |
| Rate for Payer: BCBS Complete |
$6,205.50
|
| Rate for Payer: Mclaren Medicaid |
$5,910.00
|
| Rate for Payer: Meridian Medicaid |
$6,205.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,910.00
|
| Rate for Payer: UHCCP Medicaid |
$5,910.00
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 0524
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 0521
|
| 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: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 0522
|
| 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: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 3051
|
| 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: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$7,808.59
|
|
|
Service Code
|
APR-DRG 3052
|
| Min. Negotiated Rate |
$7,436.75 |
| Max. Negotiated Rate |
$7,808.59 |
| Rate for Payer: BCBS Complete |
$7,808.59
|
| Rate for Payer: Mclaren Medicaid |
$7,436.75
|
| Rate for Payer: Meridian Medicaid |
$7,808.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,436.75
|
| Rate for Payer: UHCCP Medicaid |
$7,436.75
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$19,754.17
|
|
|
Service Code
|
APR-DRG 3054
|
| Min. Negotiated Rate |
$18,813.50 |
| Max. Negotiated Rate |
$19,754.17 |
| Rate for Payer: BCBS Complete |
$19,754.17
|
| Rate for Payer: Mclaren Medicaid |
$18,813.50
|
| Rate for Payer: Meridian Medicaid |
$19,754.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,813.50
|
| Rate for Payer: UHCCP Medicaid |
$18,813.50
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$11,997.30
|
|
|
Service Code
|
APR-DRG 3053
|
| 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: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,688.38
|
|
|
Service Code
|
APR-DRG 2262
|
| Min. Negotiated Rate |
$5,417.50 |
| Max. Negotiated Rate |
$5,688.38 |
| Rate for Payer: BCBS Complete |
$5,688.38
|
| Rate for Payer: Mclaren Medicaid |
$5,417.50
|
| Rate for Payer: Meridian Medicaid |
$5,688.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,417.50
|
| Rate for Payer: UHCCP Medicaid |
$5,417.50
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$8,894.55
|
|
|
Service Code
|
APR-DRG 2263
|
| Min. Negotiated Rate |
$8,471.00 |
| Max. Negotiated Rate |
$8,894.55 |
| Rate for Payer: BCBS Complete |
$8,894.55
|
| Rate for Payer: Mclaren Medicaid |
$8,471.00
|
| Rate for Payer: Meridian Medicaid |
$8,894.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,471.00
|
| Rate for Payer: UHCCP Medicaid |
$8,471.00
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 2261
|
| Min. Negotiated Rate |
$4,334.00 |
| Max. Negotiated Rate |
$4,550.70 |
| Rate for Payer: BCBS Complete |
$4,550.70
|
| Rate for Payer: Mclaren Medicaid |
$4,334.00
|
| Rate for Payer: Meridian Medicaid |
$4,550.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,334.00
|
| Rate for Payer: UHCCP Medicaid |
$4,334.00
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 2264
|
| 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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1981
|
| 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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 1983
|
| 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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$8,077.00 |
| Max. Negotiated Rate |
$8,480.85 |
| Rate for Payer: BCBS Complete |
$8,480.85
|
| Rate for Payer: Mclaren Medicaid |
$8,077.00
|
| Rate for Payer: Meridian Medicaid |
$8,480.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,077.00
|
| Rate for Payer: UHCCP Medicaid |
$8,077.00
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,299.75 |
| Max. Negotiated Rate |
$3,464.74 |
| Rate for Payer: BCBS Complete |
$3,464.74
|
| Rate for Payer: Mclaren Medicaid |
$3,299.75
|
| Rate for Payer: Meridian Medicaid |
$3,464.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,299.75
|
| Rate for Payer: UHCCP Medicaid |
$3,299.75
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 0591
|
| 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: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 0593
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$5,998.65
|
|
|
Service Code
|
APR-DRG 0592
|
| 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: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 0594
|
| Min. Negotiated Rate |
$11,672.25 |
| Max. Negotiated Rate |
$12,255.86 |
| Rate for Payer: BCBS Complete |
$12,255.86
|
| Rate for Payer: Mclaren Medicaid |
$11,672.25
|
| Rate for Payer: Meridian Medicaid |
$12,255.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,672.25
|
| Rate for Payer: UHCCP Medicaid |
$11,672.25
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 5472
|
| Min. Negotiated Rate |
$5,220.50 |
| Max. Negotiated Rate |
$5,481.52 |
| Rate for Payer: BCBS Complete |
$5,481.52
|
| Rate for Payer: Mclaren Medicaid |
$5,220.50
|
| Rate for Payer: Meridian Medicaid |
$5,481.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,220.50
|
| Rate for Payer: UHCCP Medicaid |
$5,220.50
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,635.99
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$8,224.75 |
| Max. Negotiated Rate |
$8,635.99 |
| Rate for Payer: BCBS Complete |
$8,635.99
|
| Rate for Payer: Mclaren Medicaid |
$8,224.75
|
| Rate for Payer: Meridian Medicaid |
$8,635.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,224.75
|
| Rate for Payer: UHCCP Medicaid |
$8,224.75
|
|