|
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
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 6952
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 2031
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 2033
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$4,343.85
|
|
|
Service Code
|
APR-DRG 2032
|
| Min. Negotiated Rate |
$4,137.00 |
| Max. Negotiated Rate |
$4,343.85 |
| Rate for Payer: BCBS Complete |
$4,343.85
|
| Rate for Payer: Mclaren Medicaid |
$4,137.00
|
| Rate for Payer: Meridian Medicaid |
$4,343.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,137.00
|
| Rate for Payer: UHCCP Medicaid |
$4,137.00
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$130,574.06
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$124,356.25 |
| Max. Negotiated Rate |
$130,574.06 |
| Rate for Payer: BCBS Complete |
$130,574.06
|
| Rate for Payer: Mclaren Medicaid |
$124,356.25
|
| Rate for Payer: Meridian Medicaid |
$130,574.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$124,356.25
|
| Rate for Payer: UHCCP Medicaid |
$124,356.25
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$51,143.66
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$48,708.25 |
| Max. Negotiated Rate |
$51,143.66 |
| Rate for Payer: BCBS Complete |
$51,143.66
|
| Rate for Payer: Mclaren Medicaid |
$48,708.25
|
| Rate for Payer: Meridian Medicaid |
$51,143.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,708.25
|
| Rate for Payer: UHCCP Medicaid |
$48,708.25
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$175,460.51
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$167,105.25 |
| Max. Negotiated Rate |
$175,460.51 |
| Rate for Payer: BCBS Complete |
$175,460.51
|
| Rate for Payer: Mclaren Medicaid |
$167,105.25
|
| Rate for Payer: Meridian Medicaid |
$175,460.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$167,105.25
|
| Rate for Payer: UHCCP Medicaid |
$167,105.25
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$103,786.99
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$98,844.75 |
| Max. Negotiated Rate |
$103,786.99 |
| Rate for Payer: BCBS Complete |
$103,786.99
|
| Rate for Payer: Mclaren Medicaid |
$98,844.75
|
| Rate for Payer: Meridian Medicaid |
$103,786.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$98,844.75
|
| Rate for Payer: UHCCP Medicaid |
$98,844.75
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,377.42
|
|
|
Service Code
|
APR-DRG 2632
|
| Min. Negotiated Rate |
$7,978.50 |
| Max. Negotiated Rate |
$8,377.42 |
| Rate for Payer: BCBS Complete |
$8,377.42
|
| Rate for Payer: Mclaren Medicaid |
$7,978.50
|
| Rate for Payer: Meridian Medicaid |
$8,377.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,978.50
|
| Rate for Payer: UHCCP Medicaid |
$7,978.50
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 2631
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$11,531.89
|
|
|
Service Code
|
APR-DRG 2633
|
| Min. Negotiated Rate |
$10,982.75 |
| Max. Negotiated Rate |
$11,531.89 |
| Rate for Payer: BCBS Complete |
$11,531.89
|
| Rate for Payer: Mclaren Medicaid |
$10,982.75
|
| Rate for Payer: Meridian Medicaid |
$11,531.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,982.75
|
| Rate for Payer: UHCCP Medicaid |
$10,982.75
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$19,392.19
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$18,468.75 |
| Max. Negotiated Rate |
$19,392.19 |
| Rate for Payer: BCBS Complete |
$19,392.19
|
| Rate for Payer: Mclaren Medicaid |
$18,468.75
|
| Rate for Payer: Meridian Medicaid |
$19,392.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,468.75
|
| Rate for Payer: UHCCP Medicaid |
$18,468.75
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 4702
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,945.59
|
|
|
Service Code
|
APR-DRG 4704
|
| Min. Negotiated Rate |
$11,376.75 |
| Max. Negotiated Rate |
$11,945.59 |
| Rate for Payer: BCBS Complete |
$11,945.59
|
| Rate for Payer: Mclaren Medicaid |
$11,376.75
|
| Rate for Payer: Meridian Medicaid |
$11,945.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,376.75
|
| Rate for Payer: UHCCP Medicaid |
$11,376.75
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 4703
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 4701
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,067.15
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$7,683.00 |
| Max. Negotiated Rate |
$8,067.15 |
| Rate for Payer: BCBS Complete |
$8,067.15
|
| Rate for Payer: Mclaren Medicaid |
$7,683.00
|
| Rate for Payer: Meridian Medicaid |
$8,067.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,683.00
|
| Rate for Payer: UHCCP Medicaid |
$7,683.00
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,067.82
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,826.50 |
| Max. Negotiated Rate |
$5,067.82 |
| Rate for Payer: BCBS Complete |
$5,067.82
|
| Rate for Payer: Mclaren Medicaid |
$4,826.50
|
| Rate for Payer: Meridian Medicaid |
$5,067.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,826.50
|
| Rate for Payer: UHCCP Medicaid |
$4,826.50
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 1402
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,516.45
|
|
|
Service Code
|
APR-DRG 1401
|
| Min. Negotiated Rate |
$3,349.00 |
| Max. Negotiated Rate |
$3,516.45 |
| Rate for Payer: BCBS Complete |
$3,516.45
|
| Rate for Payer: Mclaren Medicaid |
$3,349.00
|
| Rate for Payer: Meridian Medicaid |
$3,516.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.00
|
| Rate for Payer: UHCCP Medicaid |
$3,349.00
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$9,101.40
|
|
|
Service Code
|
APR-DRG 0952
|
| Min. Negotiated Rate |
$8,668.00 |
| Max. Negotiated Rate |
$9,101.40 |
| Rate for Payer: BCBS Complete |
$9,101.40
|
| Rate for Payer: Mclaren Medicaid |
$8,668.00
|
| Rate for Payer: Meridian Medicaid |
$9,101.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,668.00
|
| Rate for Payer: UHCCP Medicaid |
$8,668.00
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 0951
|
| Min. Negotiated Rate |
$7,141.25 |
| Max. Negotiated Rate |
$7,498.31 |
| Rate for Payer: BCBS Complete |
$7,498.31
|
| Rate for Payer: Mclaren Medicaid |
$7,141.25
|
| Rate for Payer: Meridian Medicaid |
$7,498.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,141.25
|
| Rate for Payer: UHCCP Medicaid |
$7,141.25
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$20,891.85
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$19,897.00 |
| Max. Negotiated Rate |
$20,891.85 |
| Rate for Payer: BCBS Complete |
$20,891.85
|
| Rate for Payer: Mclaren Medicaid |
$19,897.00
|
| Rate for Payer: Meridian Medicaid |
$20,891.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,897.00
|
| Rate for Payer: UHCCP Medicaid |
$19,897.00
|
|