|
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
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$14,686.35
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$13,987.00 |
| Max. Negotiated Rate |
$14,686.35 |
| Rate for Payer: BCBS Complete |
$14,686.35
|
| Rate for Payer: Mclaren Medicaid |
$13,987.00
|
| Rate for Payer: Meridian Medicaid |
$14,686.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,987.00
|
| Rate for Payer: UHCCP Medicaid |
$13,987.00
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 5663
|
| 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: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,861.65
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,773.00 |
| Max. Negotiated Rate |
$1,861.65 |
| Rate for Payer: BCBS Complete |
$1,861.65
|
| Rate for Payer: Mclaren Medicaid |
$1,773.00
|
| Rate for Payer: Meridian Medicaid |
$1,861.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,773.00
|
| Rate for Payer: UHCCP Medicaid |
$1,773.00
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,637.34
|
|
|
Service Code
|
APR-DRG 5662
|
| 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: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 5664
|
| 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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,998.65
|
|
|
Service Code
|
APR-DRG 2331
|
| 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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$7,338.25 |
| Max. Negotiated Rate |
$7,705.16 |
| Rate for Payer: BCBS Complete |
$7,705.16
|
| Rate for Payer: Mclaren Medicaid |
$7,338.25
|
| Rate for Payer: Meridian Medicaid |
$7,705.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,338.25
|
| Rate for Payer: UHCCP Medicaid |
$7,338.25
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,065.12
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$16,252.50 |
| Max. Negotiated Rate |
$17,065.12 |
| Rate for Payer: BCBS Complete |
$17,065.12
|
| Rate for Payer: Mclaren Medicaid |
$16,252.50
|
| Rate for Payer: Meridian Medicaid |
$17,065.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,252.50
|
| Rate for Payer: UHCCP Medicaid |
$16,252.50
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,859.62
|
|
|
Service Code
|
APR-DRG 2333
|
| 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: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,151.76
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$14,430.25 |
| Max. Negotiated Rate |
$15,151.76 |
| Rate for Payer: BCBS Complete |
$15,151.76
|
| Rate for Payer: Mclaren Medicaid |
$14,430.25
|
| Rate for Payer: Meridian Medicaid |
$15,151.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,430.25
|
| Rate for Payer: UHCCP Medicaid |
$14,430.25
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$9,997.75 |
| Max. Negotiated Rate |
$10,497.64 |
| Rate for Payer: BCBS Complete |
$10,497.64
|
| Rate for Payer: Mclaren Medicaid |
$9,997.75
|
| Rate for Payer: Meridian Medicaid |
$10,497.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,997.75
|
| Rate for Payer: UHCCP Medicaid |
$9,997.75
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 2342
|
| 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: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$5,319.00 |
| Max. Negotiated Rate |
$5,584.95 |
| Rate for Payer: BCBS Complete |
$5,584.95
|
| Rate for Payer: Mclaren Medicaid |
$5,319.00
|
| Rate for Payer: Meridian Medicaid |
$5,584.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,319.00
|
| Rate for Payer: UHCCP Medicaid |
$5,319.00
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$8,997.98
|
|
|
Service Code
|
APR-DRG 1414
|
| 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: ASTHMA
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 1413
|
| Min. Negotiated Rate |
$4,629.50 |
| Max. Negotiated Rate |
$4,860.98 |
| Rate for Payer: BCBS Complete |
$4,860.98
|
| Rate for Payer: Mclaren Medicaid |
$4,629.50
|
| Rate for Payer: Meridian Medicaid |
$4,860.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,629.50
|
| Rate for Payer: UHCCP Medicaid |
$4,629.50
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 1412
|
| Min. Negotiated Rate |
$3,693.75 |
| Max. Negotiated Rate |
$3,878.44 |
| Rate for Payer: BCBS Complete |
$3,878.44
|
| Rate for Payer: Mclaren Medicaid |
$3,693.75
|
| Rate for Payer: Meridian Medicaid |
$3,878.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,693.75
|
| Rate for Payer: UHCCP Medicaid |
$3,693.75
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$19,030.20
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$18,124.00 |
| Max. Negotiated Rate |
$19,030.20 |
| Rate for Payer: BCBS Complete |
$19,030.20
|
| Rate for Payer: Mclaren Medicaid |
$18,124.00
|
| Rate for Payer: Meridian Medicaid |
$19,030.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,124.00
|
| Rate for Payer: UHCCP Medicaid |
$18,124.00
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$24,046.31
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$22,901.25 |
| Max. Negotiated Rate |
$24,046.31 |
| Rate for Payer: BCBS Complete |
$24,046.31
|
| Rate for Payer: Mclaren Medicaid |
$22,901.25
|
| Rate for Payer: Meridian Medicaid |
$24,046.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,901.25
|
| Rate for Payer: UHCCP Medicaid |
$22,901.25
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$49,799.14
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$47,427.75 |
| Max. Negotiated Rate |
$49,799.14 |
| Rate for Payer: BCBS Complete |
$49,799.14
|
| Rate for Payer: Mclaren Medicaid |
$47,427.75
|
| Rate for Payer: Meridian Medicaid |
$49,799.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$47,427.75
|
| Rate for Payer: UHCCP Medicaid |
$47,427.75
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$35,061.08
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$33,391.50 |
| Max. Negotiated Rate |
$35,061.08 |
| Rate for Payer: BCBS Complete |
$35,061.08
|
| Rate for Payer: Mclaren Medicaid |
$33,391.50
|
| Rate for Payer: Meridian Medicaid |
$35,061.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,391.50
|
| Rate for Payer: UHCCP Medicaid |
$33,391.50
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,963.72
|
|
|
Service Code
|
APR-DRG 0491
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.72 |
| Rate for Payer: BCBS Complete |
$7,963.72
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,876.41
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$12,263.25 |
| Max. Negotiated Rate |
$12,876.41 |
| Rate for Payer: BCBS Complete |
$12,876.41
|
| Rate for Payer: Mclaren Medicaid |
$12,263.25
|
| Rate for Payer: Meridian Medicaid |
$12,876.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,263.25
|
| Rate for Payer: UHCCP Medicaid |
$12,263.25
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,013.41
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,203.25 |
| Max. Negotiated Rate |
$17,013.41 |
| Rate for Payer: BCBS Complete |
$17,013.41
|
| Rate for Payer: Mclaren Medicaid |
$16,203.25
|
| Rate for Payer: Meridian Medicaid |
$17,013.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,203.25
|
| Rate for Payer: UHCCP Medicaid |
$16,203.25
|
|