|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$4,875.75 |
| Max. Negotiated Rate |
$5,119.54 |
| Rate for Payer: BCBS Complete |
$5,119.54
|
| Rate for Payer: Mclaren Medicaid |
$4,875.75
|
| Rate for Payer: Meridian Medicaid |
$5,119.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,875.75
|
| Rate for Payer: UHCCP Medicaid |
$4,875.75
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$2,482.20
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$2,364.00 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: BCBS Complete |
$2,482.20
|
| Rate for Payer: Mclaren Medicaid |
$2,364.00
|
| Rate for Payer: Meridian Medicaid |
$2,482.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.00
|
| Rate for Payer: UHCCP Medicaid |
$2,364.00
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 1962
|
| 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: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$10,187.36
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$9,702.25 |
| Max. Negotiated Rate |
$10,187.36 |
| Rate for Payer: BCBS Complete |
$10,187.36
|
| Rate for Payer: Mclaren Medicaid |
$9,702.25
|
| Rate for Payer: Meridian Medicaid |
$10,187.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,702.25
|
| Rate for Payer: UHCCP Medicaid |
$9,702.25
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,430.49
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,314.75 |
| Max. Negotiated Rate |
$2,430.49 |
| Rate for Payer: BCBS Complete |
$2,430.49
|
| Rate for Payer: Mclaren Medicaid |
$2,314.75
|
| Rate for Payer: Meridian Medicaid |
$2,430.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,314.75
|
| Rate for Payer: UHCCP Medicaid |
$2,314.75
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 2012
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$4,678.75 |
| Max. Negotiated Rate |
$4,912.69 |
| Rate for Payer: BCBS Complete |
$4,912.69
|
| Rate for Payer: Mclaren Medicaid |
$4,678.75
|
| Rate for Payer: Meridian Medicaid |
$4,912.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,678.75
|
| Rate for Payer: UHCCP Medicaid |
$4,678.75
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$8,997.98
|
|
|
Service Code
|
APR-DRG 2014
|
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,222.96
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$4,974.25 |
| Max. Negotiated Rate |
$5,222.96 |
| Rate for Payer: BCBS Complete |
$5,222.96
|
| Rate for Payer: Mclaren Medicaid |
$4,974.25
|
| Rate for Payer: Meridian Medicaid |
$5,222.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,974.25
|
| Rate for Payer: UHCCP Medicaid |
$4,974.25
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$8,027.75 |
| Max. Negotiated Rate |
$8,429.14 |
| Rate for Payer: BCBS Complete |
$8,429.14
|
| Rate for Payer: Mclaren Medicaid |
$8,027.75
|
| Rate for Payer: Meridian Medicaid |
$8,429.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,027.75
|
| Rate for Payer: UHCCP Medicaid |
$8,027.75
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$12,566.14
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$11,967.75 |
| Max. Negotiated Rate |
$12,566.14 |
| Rate for Payer: BCBS Complete |
$12,566.14
|
| Rate for Payer: Mclaren Medicaid |
$11,967.75
|
| Rate for Payer: Meridian Medicaid |
$12,566.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,967.75
|
| Rate for Payer: UHCCP Medicaid |
$11,967.75
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 1912
|
| 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: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,171.25 |
| Max. Negotiated Rate |
$5,429.81 |
| Rate for Payer: BCBS Complete |
$5,429.81
|
| Rate for Payer: Mclaren Medicaid |
$5,171.25
|
| Rate for Payer: Meridian Medicaid |
$5,429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,171.25
|
| Rate for Payer: UHCCP Medicaid |
$5,171.25
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$10,187.36
|
|
|
Service Code
|
APR-DRG 1923
|
| Min. Negotiated Rate |
$9,702.25 |
| Max. Negotiated Rate |
$10,187.36 |
| Rate for Payer: BCBS Complete |
$10,187.36
|
| Rate for Payer: Mclaren Medicaid |
$9,702.25
|
| Rate for Payer: Meridian Medicaid |
$10,187.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,702.25
|
| Rate for Payer: UHCCP Medicaid |
$9,702.25
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$16,599.71
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$15,809.25 |
| Max. Negotiated Rate |
$16,599.71 |
| Rate for Payer: BCBS Complete |
$16,599.71
|
| Rate for Payer: Mclaren Medicaid |
$15,809.25
|
| Rate for Payer: Meridian Medicaid |
$16,599.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,809.25
|
| Rate for Payer: UHCCP Medicaid |
$15,809.25
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$6,648.75 |
| Max. Negotiated Rate |
$6,981.19 |
| Rate for Payer: BCBS Complete |
$6,981.19
|
| Rate for Payer: Mclaren Medicaid |
$6,648.75
|
| Rate for Payer: Meridian Medicaid |
$6,981.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,648.75
|
| Rate for Payer: UHCCP Medicaid |
$6,648.75
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$13,031.55
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$12,411.00 |
| Max. Negotiated Rate |
$13,031.55 |
| Rate for Payer: BCBS Complete |
$13,031.55
|
| Rate for Payer: Mclaren Medicaid |
$12,411.00
|
| Rate for Payer: Meridian Medicaid |
$13,031.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,411.00
|
| Rate for Payer: UHCCP Medicaid |
$12,411.00
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$6,550.25 |
| Max. Negotiated Rate |
$6,877.76 |
| Rate for Payer: BCBS Complete |
$6,877.76
|
| Rate for Payer: Mclaren Medicaid |
$6,550.25
|
| Rate for Payer: Meridian Medicaid |
$6,877.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,550.25
|
| Rate for Payer: UHCCP Medicaid |
$6,550.25
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,668.21
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$17,779.25 |
| Max. Negotiated Rate |
$18,668.21 |
| Rate for Payer: BCBS Complete |
$18,668.21
|
| Rate for Payer: Mclaren Medicaid |
$17,779.25
|
| Rate for Payer: Meridian Medicaid |
$18,668.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,779.25
|
| Rate for Payer: UHCCP Medicaid |
$17,779.25
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.03 |
| Rate for Payer: BCBS Complete |
$3,413.03
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 2002
|
| 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: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$11,842.16
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$11,278.25 |
| Max. Negotiated Rate |
$11,842.16 |
| Rate for Payer: BCBS Complete |
$11,842.16
|
| Rate for Payer: Mclaren Medicaid |
$11,278.25
|
| Rate for Payer: Meridian Medicaid |
$11,842.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,278.25
|
| Rate for Payer: UHCCP Medicaid |
$11,278.25
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$34,440.53
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$32,800.50 |
| Max. Negotiated Rate |
$34,440.53 |
| Rate for Payer: BCBS Complete |
$34,440.53
|
| Rate for Payer: Mclaren Medicaid |
$32,800.50
|
| Rate for Payer: Meridian Medicaid |
$34,440.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,800.50
|
| Rate for Payer: UHCCP Medicaid |
$32,800.50
|
|