|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 5471
|
| 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: 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
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,551.38
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,477.50 |
| Max. Negotiated Rate |
$1,551.38 |
| Rate for Payer: BCBS Complete |
$1,551.38
|
| Rate for Payer: Mclaren Medicaid |
$1,477.50
|
| Rate for Payer: Meridian Medicaid |
$1,551.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,477.50
|
| Rate for Payer: UHCCP Medicaid |
$1,477.50
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,275.35
|
|
|
Service Code
|
APR-DRG 5662
|
| Min. Negotiated Rate |
$2,167.00 |
| Max. Negotiated Rate |
$2,275.35 |
| Rate for Payer: BCBS Complete |
$2,275.35
|
| Rate for Payer: Mclaren Medicaid |
$2,167.00
|
| Rate for Payer: Meridian Medicaid |
$2,275.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.00
|
| Rate for Payer: UHCCP Medicaid |
$2,167.00
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 5664
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 2331
|
| Min. Negotiated Rate |
$5,269.75 |
| Max. Negotiated Rate |
$5,533.24 |
| Rate for Payer: BCBS Complete |
$5,533.24
|
| Rate for Payer: Mclaren Medicaid |
$5,269.75
|
| Rate for Payer: Meridian Medicaid |
$5,533.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,269.75
|
| Rate for Payer: UHCCP Medicaid |
$5,269.75
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,032.23
|
|
|
Service Code
|
APR-DRG 2333
|
| Min. Negotiated Rate |
$9,554.50 |
| Max. Negotiated Rate |
$10,032.23 |
| Rate for Payer: BCBS Complete |
$10,032.23
|
| Rate for Payer: Mclaren Medicaid |
$9,554.50
|
| Rate for Payer: Meridian Medicaid |
$10,032.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,554.50
|
| Rate for Payer: UHCCP Medicaid |
$9,554.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,136.32
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$6,796.50 |
| Max. Negotiated Rate |
$7,136.32 |
| Rate for Payer: BCBS Complete |
$7,136.32
|
| Rate for Payer: Mclaren Medicaid |
$6,796.50
|
| Rate for Payer: Meridian Medicaid |
$7,136.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,796.50
|
| Rate for Payer: UHCCP Medicaid |
$6,796.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,720.60
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$14,972.00 |
| Max. Negotiated Rate |
$15,720.60 |
| Rate for Payer: BCBS Complete |
$15,720.60
|
| Rate for Payer: Mclaren Medicaid |
$14,972.00
|
| Rate for Payer: Meridian Medicaid |
$15,720.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,972.00
|
| Rate for Payer: UHCCP Medicaid |
$14,972.00
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$4,925.00 |
| Max. Negotiated Rate |
$5,171.25 |
| Rate for Payer: BCBS Complete |
$5,171.25
|
| Rate for Payer: Mclaren Medicaid |
$4,925.00
|
| Rate for Payer: Meridian Medicaid |
$5,171.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,925.00
|
| Rate for Payer: UHCCP Medicaid |
$4,925.00
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,308.93
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.93 |
| Rate for Payer: BCBS Complete |
$6,308.93
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,962.38
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$13,297.50 |
| Max. Negotiated Rate |
$13,962.38 |
| Rate for Payer: BCBS Complete |
$13,962.38
|
| Rate for Payer: Mclaren Medicaid |
$13,297.50
|
| Rate for Payer: Meridian Medicaid |
$13,962.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,297.50
|
| Rate for Payer: UHCCP Medicaid |
$13,297.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 1413
|
| 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: ASTHMA
|
Facility
|
IP
|
$2,327.06
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,216.25 |
| Max. Negotiated Rate |
$2,327.06 |
| Rate for Payer: BCBS Complete |
$2,327.06
|
| Rate for Payer: Mclaren Medicaid |
$2,216.25
|
| Rate for Payer: Meridian Medicaid |
$2,327.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,216.25
|
| Rate for Payer: UHCCP Medicaid |
$2,216.25
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$7,387.50 |
| Max. Negotiated Rate |
$7,756.88 |
| Rate for Payer: BCBS Complete |
$7,756.88
|
| Rate for Payer: Mclaren Medicaid |
$7,387.50
|
| Rate for Payer: Meridian Medicaid |
$7,756.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,387.50
|
| Rate for Payer: UHCCP Medicaid |
$7,387.50
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 1412
|
| 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: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$23,632.61
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$22,507.25 |
| Max. Negotiated Rate |
$23,632.61 |
| Rate for Payer: BCBS Complete |
$23,632.61
|
| Rate for Payer: Mclaren Medicaid |
$22,507.25
|
| Rate for Payer: Meridian Medicaid |
$23,632.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,507.25
|
| Rate for Payer: UHCCP Medicaid |
$22,507.25
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$19,961.03
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$19,010.50 |
| Max. Negotiated Rate |
$19,961.03 |
| Rate for Payer: BCBS Complete |
$19,961.03
|
| Rate for Payer: Mclaren Medicaid |
$19,010.50
|
| Rate for Payer: Meridian Medicaid |
$19,961.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,010.50
|
| Rate for Payer: UHCCP Medicaid |
$19,010.50
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$30,148.39
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$28,712.75 |
| Max. Negotiated Rate |
$30,148.39 |
| Rate for Payer: BCBS Complete |
$30,148.39
|
| Rate for Payer: Mclaren Medicaid |
$28,712.75
|
| Rate for Payer: Meridian Medicaid |
$30,148.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,712.75
|
| Rate for Payer: UHCCP Medicaid |
$28,712.75
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$42,817.95
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$40,779.00 |
| Max. Negotiated Rate |
$42,817.95 |
| Rate for Payer: BCBS Complete |
$42,817.95
|
| Rate for Payer: Mclaren Medicaid |
$40,779.00
|
| Rate for Payer: Meridian Medicaid |
$42,817.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,779.00
|
| Rate for Payer: UHCCP Medicaid |
$40,779.00
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 0491
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$16,961.70
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,154.00 |
| Max. Negotiated Rate |
$16,961.70 |
| Rate for Payer: BCBS Complete |
$16,961.70
|
| Rate for Payer: Mclaren Medicaid |
$16,154.00
|
| Rate for Payer: Meridian Medicaid |
$16,961.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,154.00
|
| Rate for Payer: UHCCP Medicaid |
$16,154.00
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|