|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$26,011.39
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$24,772.75 |
| Max. Negotiated Rate |
$26,011.39 |
| Rate for Payer: BCBS Complete |
$26,011.39
|
| Rate for Payer: Mclaren Medicaid |
$24,772.75
|
| Rate for Payer: Meridian Medicaid |
$26,011.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,772.75
|
| Rate for Payer: UHCCP Medicaid |
$24,772.75
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,667.54
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$20,635.75 |
| Max. Negotiated Rate |
$21,667.54 |
| Rate for Payer: BCBS Complete |
$21,667.54
|
| Rate for Payer: Mclaren Medicaid |
$20,635.75
|
| Rate for Payer: Meridian Medicaid |
$21,667.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,635.75
|
| Rate for Payer: UHCCP Medicaid |
$20,635.75
|
|
|
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
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,306.22
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$17,434.50 |
| Max. Negotiated Rate |
$18,306.22 |
| Rate for Payer: BCBS Complete |
$18,306.22
|
| Rate for Payer: Mclaren Medicaid |
$17,434.50
|
| Rate for Payer: Meridian Medicaid |
$18,306.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,434.50
|
| Rate for Payer: UHCCP Medicaid |
$17,434.50
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,631.26
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$28,220.25 |
| Max. Negotiated Rate |
$29,631.26 |
| Rate for Payer: BCBS Complete |
$29,631.26
|
| Rate for Payer: Mclaren Medicaid |
$28,220.25
|
| Rate for Payer: Meridian Medicaid |
$29,631.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,220.25
|
| Rate for Payer: UHCCP Medicaid |
$28,220.25
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,874.39
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$20,832.75 |
| Max. Negotiated Rate |
$21,874.39 |
| Rate for Payer: BCBS Complete |
$21,874.39
|
| Rate for Payer: Mclaren Medicaid |
$20,832.75
|
| Rate for Payer: Meridian Medicaid |
$21,874.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,832.75
|
| Rate for Payer: UHCCP Medicaid |
$20,832.75
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$41,214.86
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$39,252.25 |
| Max. Negotiated Rate |
$41,214.86 |
| Rate for Payer: BCBS Complete |
$41,214.86
|
| Rate for Payer: Mclaren Medicaid |
$39,252.25
|
| Rate for Payer: Meridian Medicaid |
$41,214.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,252.25
|
| Rate for Payer: UHCCP Medicaid |
$39,252.25
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 2052
|
| 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: CARDIOMYOPATHY
|
Facility
|
IP
|
$5,895.23
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,614.50 |
| Max. Negotiated Rate |
$5,895.23 |
| Rate for Payer: BCBS Complete |
$5,895.23
|
| Rate for Payer: Mclaren Medicaid |
$5,614.50
|
| Rate for Payer: Meridian Medicaid |
$5,895.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,614.50
|
| Rate for Payer: UHCCP Medicaid |
$5,614.50
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,014.76
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$10,490.25 |
| Max. Negotiated Rate |
$11,014.76 |
| Rate for Payer: BCBS Complete |
$11,014.76
|
| Rate for Payer: Mclaren Medicaid |
$10,490.25
|
| Rate for Payer: Meridian Medicaid |
$11,014.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,490.25
|
| Rate for Payer: UHCCP Medicaid |
$10,490.25
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 2051
|
| 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
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 3833
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 3832
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$9,877.09
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$9,406.75 |
| Max. Negotiated Rate |
$9,877.09 |
| Rate for Payer: BCBS Complete |
$9,877.09
|
| Rate for Payer: Mclaren Medicaid |
$9,406.75
|
| Rate for Payer: Meridian Medicaid |
$9,877.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,406.75
|
| Rate for Payer: UHCCP Medicaid |
$9,406.75
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,482.20
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 5401
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 5403
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 5402
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$12,772.99
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$12,164.75 |
| Max. Negotiated Rate |
$12,772.99 |
| Rate for Payer: BCBS Complete |
$12,772.99
|
| Rate for Payer: Mclaren Medicaid |
$12,164.75
|
| Rate for Payer: Meridian Medicaid |
$12,772.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,164.75
|
| Rate for Payer: UHCCP Medicaid |
$12,164.75
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$14,738.06
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$14,036.25 |
| Max. Negotiated Rate |
$14,738.06 |
| Rate for Payer: BCBS Complete |
$14,738.06
|
| Rate for Payer: Mclaren Medicaid |
$14,036.25
|
| Rate for Payer: Meridian Medicaid |
$14,738.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,036.25
|
| Rate for Payer: UHCCP Medicaid |
$14,036.25
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 5391
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,136.32
|
|
|
Service Code
|
APR-DRG 6952
|
| 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: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,220.94
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$13,543.75 |
| Max. Negotiated Rate |
$14,220.94 |
| Rate for Payer: BCBS Complete |
$14,220.94
|
| Rate for Payer: Mclaren Medicaid |
$13,543.75
|
| Rate for Payer: Meridian Medicaid |
$14,220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,543.75
|
| Rate for Payer: UHCCP Medicaid |
$13,543.75
|
|