|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$1,809.94
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$1,723.75 |
| Max. Negotiated Rate |
$1,809.94 |
| Rate for Payer: BCBS Complete |
$1,809.94
|
| Rate for Payer: Mclaren Medicaid |
$1,723.75
|
| Rate for Payer: Meridian Medicaid |
$1,809.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,723.75
|
| Rate for Payer: UHCCP Medicaid |
$1,723.75
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$13,031.55
|
|
|
Service Code
|
APR-DRG 1964
|
| 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 ARREST AND SHOCK
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$3,102.75 |
| Max. Negotiated Rate |
$3,257.89 |
| Rate for Payer: BCBS Complete |
$3,257.89
|
| Rate for Payer: Mclaren Medicaid |
$3,102.75
|
| Rate for Payer: Meridian Medicaid |
$3,257.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,102.75
|
| Rate for Payer: UHCCP Medicaid |
$3,102.75
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$6,895.00 |
| Max. Negotiated Rate |
$7,239.75 |
| Rate for Payer: BCBS Complete |
$7,239.75
|
| Rate for Payer: Mclaren Medicaid |
$6,895.00
|
| Rate for Payer: Meridian Medicaid |
$7,239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,895.00
|
| Rate for Payer: UHCCP Medicaid |
$6,895.00
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$3,644.50 |
| Max. Negotiated Rate |
$3,826.72 |
| Rate for Payer: BCBS Complete |
$3,826.72
|
| Rate for Payer: Mclaren Medicaid |
$3,644.50
|
| Rate for Payer: Meridian Medicaid |
$3,826.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,644.50
|
| Rate for Payer: UHCCP Medicaid |
$3,644.50
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,708.75 |
| Max. Negotiated Rate |
$2,844.19 |
| Rate for Payer: BCBS Complete |
$2,844.19
|
| Rate for Payer: Mclaren Medicaid |
$2,708.75
|
| Rate for Payer: Meridian Medicaid |
$2,844.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,708.75
|
| Rate for Payer: UHCCP Medicaid |
$2,708.75
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 2014
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$5,122.00 |
| Max. Negotiated Rate |
$5,378.10 |
| Rate for Payer: BCBS Complete |
$5,378.10
|
| Rate for Payer: Mclaren Medicaid |
$5,122.00
|
| Rate for Payer: Meridian Medicaid |
$5,378.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,122.00
|
| Rate for Payer: UHCCP Medicaid |
$5,122.00
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$10,601.06
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$10,096.25 |
| Max. Negotiated Rate |
$10,601.06 |
| Rate for Payer: BCBS Complete |
$10,601.06
|
| Rate for Payer: Mclaren Medicaid |
$10,096.25
|
| Rate for Payer: Meridian Medicaid |
$10,601.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,096.25
|
| Rate for Payer: UHCCP Medicaid |
$10,096.25
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 1911
|
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,050.36
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$5,762.25 |
| Max. Negotiated Rate |
$6,050.36 |
| Rate for Payer: BCBS Complete |
$6,050.36
|
| Rate for Payer: Mclaren Medicaid |
$5,762.25
|
| Rate for Payer: Meridian Medicaid |
$6,050.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,762.25
|
| Rate for Payer: UHCCP Medicaid |
$5,762.25
|
|
|
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 OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 1922
|
| 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: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$15,875.74
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$15,119.75 |
| Max. Negotiated Rate |
$15,875.74 |
| Rate for Payer: BCBS Complete |
$15,875.74
|
| Rate for Payer: Mclaren Medicaid |
$15,119.75
|
| Rate for Payer: Meridian Medicaid |
$15,875.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,119.75
|
| Rate for Payer: UHCCP Medicaid |
$15,119.75
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,860.75 |
| Max. Negotiated Rate |
$6,153.79 |
| Rate for Payer: BCBS Complete |
$6,153.79
|
| Rate for Payer: Mclaren Medicaid |
$5,860.75
|
| Rate for Payer: Meridian Medicaid |
$6,153.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,860.75
|
| Rate for Payer: UHCCP Medicaid |
$5,860.75
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 1923
|
| 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: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$11,428.46
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$10,884.25 |
| Max. Negotiated Rate |
$11,428.46 |
| Rate for Payer: BCBS Complete |
$11,428.46
|
| Rate for Payer: Mclaren Medicaid |
$10,884.25
|
| Rate for Payer: Meridian Medicaid |
$11,428.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,884.25
|
| Rate for Payer: UHCCP Medicaid |
$10,884.25
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,860.30
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$7,486.00 |
| Max. Negotiated Rate |
$7,860.30 |
| Rate for Payer: BCBS Complete |
$7,860.30
|
| Rate for Payer: Mclaren Medicaid |
$7,486.00
|
| Rate for Payer: Meridian Medicaid |
$7,860.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,486.00
|
| Rate for Payer: UHCCP Medicaid |
$7,486.00
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$15,824.02
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$15,070.50 |
| Max. Negotiated Rate |
$15,824.02 |
| Rate for Payer: BCBS Complete |
$15,824.02
|
| Rate for Payer: Mclaren Medicaid |
$15,070.50
|
| Rate for Payer: Meridian Medicaid |
$15,824.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,070.50
|
| Rate for Payer: UHCCP Medicaid |
$15,070.50
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,064.45
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$19,109.00 |
| Max. Negotiated Rate |
$20,064.45 |
| Rate for Payer: BCBS Complete |
$20,064.45
|
| Rate for Payer: Mclaren Medicaid |
$19,109.00
|
| Rate for Payer: Meridian Medicaid |
$20,064.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,109.00
|
| Rate for Payer: UHCCP Medicaid |
$19,109.00
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 2001
|
| 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: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 2002
|
| 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 STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$19,030.20
|
|
|
Service Code
|
APR-DRG 2004
|
| 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: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.78 |
| Rate for Payer: BCBS Complete |
$10,652.78
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$36,198.75
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$34,475.00 |
| Max. Negotiated Rate |
$36,198.75 |
| Rate for Payer: BCBS Complete |
$36,198.75
|
| Rate for Payer: Mclaren Medicaid |
$34,475.00
|
| Rate for Payer: Meridian Medicaid |
$36,198.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,475.00
|
| Rate for Payer: UHCCP Medicaid |
$34,475.00
|
|