|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$46,282.69
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$44,078.75 |
| Max. Negotiated Rate |
$46,282.69 |
| Rate for Payer: BCBS Complete |
$46,282.69
|
| Rate for Payer: Mclaren Medicaid |
$44,078.75
|
| Rate for Payer: Meridian Medicaid |
$46,282.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,078.75
|
| Rate for Payer: UHCCP Medicaid |
$44,078.75
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$30,044.96
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$28,614.25 |
| Max. Negotiated Rate |
$30,044.96 |
| Rate for Payer: BCBS Complete |
$30,044.96
|
| Rate for Payer: Mclaren Medicaid |
$28,614.25
|
| Rate for Payer: Meridian Medicaid |
$30,044.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,614.25
|
| Rate for Payer: UHCCP Medicaid |
$28,614.25
|
|
|
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
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,374.72
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$19,404.50 |
| Max. Negotiated Rate |
$20,374.72 |
| Rate for Payer: BCBS Complete |
$20,374.72
|
| Rate for Payer: Mclaren Medicaid |
$19,404.50
|
| Rate for Payer: Meridian Medicaid |
$20,374.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,404.50
|
| Rate for Payer: UHCCP Medicaid |
$19,404.50
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,838.11
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$28,417.25 |
| Max. Negotiated Rate |
$29,838.11 |
| Rate for Payer: BCBS Complete |
$29,838.11
|
| Rate for Payer: Mclaren Medicaid |
$28,417.25
|
| Rate for Payer: Meridian Medicaid |
$29,838.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,417.25
|
| Rate for Payer: UHCCP Medicaid |
$28,417.25
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,236.38
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$21,177.50 |
| Max. Negotiated Rate |
$22,236.38 |
| Rate for Payer: BCBS Complete |
$22,236.38
|
| Rate for Payer: Mclaren Medicaid |
$21,177.50
|
| Rate for Payer: Meridian Medicaid |
$22,236.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,177.50
|
| Rate for Payer: UHCCP Medicaid |
$21,177.50
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$44,162.48
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$42,059.50 |
| Max. Negotiated Rate |
$44,162.48 |
| Rate for Payer: BCBS Complete |
$44,162.48
|
| Rate for Payer: Mclaren Medicaid |
$42,059.50
|
| Rate for Payer: Meridian Medicaid |
$44,162.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,059.50
|
| Rate for Payer: UHCCP Medicaid |
$42,059.50
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 2051
|
| Min. Negotiated Rate |
$3,053.50 |
| Max. Negotiated Rate |
$3,206.18 |
| Rate for Payer: BCBS Complete |
$3,206.18
|
| Rate for Payer: Mclaren Medicaid |
$3,053.50
|
| Rate for Payer: Meridian Medicaid |
$3,206.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,053.50
|
| Rate for Payer: UHCCP Medicaid |
$3,053.50
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 2052
|
| Min. Negotiated Rate |
$3,792.25 |
| Max. Negotiated Rate |
$3,981.86 |
| Rate for Payer: BCBS Complete |
$3,981.86
|
| Rate for Payer: Mclaren Medicaid |
$3,792.25
|
| Rate for Payer: Meridian Medicaid |
$3,981.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,792.25
|
| Rate for Payer: UHCCP Medicaid |
$3,792.25
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 3833
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 3834
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 3832
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 5403
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.92 |
| Rate for Payer: BCBS Complete |
$6,308.92
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 5401
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$15,048.34
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$14,331.75 |
| Max. Negotiated Rate |
$15,048.34 |
| Rate for Payer: BCBS Complete |
$15,048.34
|
| Rate for Payer: Mclaren Medicaid |
$14,331.75
|
| Rate for Payer: Meridian Medicaid |
$15,048.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,331.75
|
| Rate for Payer: UHCCP Medicaid |
$14,331.75
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 5402
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$13,083.26
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$12,460.25 |
| Max. Negotiated Rate |
$13,083.26 |
| Rate for Payer: BCBS Complete |
$13,083.26
|
| Rate for Payer: Mclaren Medicaid |
$12,460.25
|
| Rate for Payer: Meridian Medicaid |
$13,083.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,460.25
|
| Rate for Payer: UHCCP Medicaid |
$12,460.25
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 5391
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 5392
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$6,451.75 |
| Max. Negotiated Rate |
$6,774.34 |
| Rate for Payer: BCBS Complete |
$6,774.34
|
| Rate for Payer: Mclaren Medicaid |
$6,451.75
|
| Rate for Payer: Meridian Medicaid |
$6,774.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,451.75
|
| Rate for Payer: UHCCP Medicaid |
$6,451.75
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$30,510.38
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$29,057.50 |
| Max. Negotiated Rate |
$30,510.38 |
| Rate for Payer: BCBS Complete |
$30,510.38
|
| Rate for Payer: Mclaren Medicaid |
$29,057.50
|
| Rate for Payer: Meridian Medicaid |
$30,510.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,057.50
|
| Rate for Payer: UHCCP Medicaid |
$29,057.50
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$15,462.04
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$14,725.75 |
| Max. Negotiated Rate |
$15,462.04 |
| Rate for Payer: BCBS Complete |
$15,462.04
|
| Rate for Payer: Mclaren Medicaid |
$14,725.75
|
| Rate for Payer: Meridian Medicaid |
$15,462.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,725.75
|
| Rate for Payer: UHCCP Medicaid |
$14,725.75
|
|