|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,447.27
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,235.50 |
| Max. Negotiated Rate |
$4,447.27 |
| Rate for Payer: BCBS Complete |
$4,447.27
|
| Rate for Payer: Mclaren Medicaid |
$4,235.50
|
| Rate for Payer: Meridian Medicaid |
$4,447.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,235.50
|
| Rate for Payer: UHCCP Medicaid |
$4,235.50
|
|
|
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
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 2033
|
| Min. Negotiated Rate |
$4,087.75 |
| Max. Negotiated Rate |
$4,292.14 |
| Rate for Payer: BCBS Complete |
$4,292.14
|
| Rate for Payer: Mclaren Medicaid |
$4,087.75
|
| Rate for Payer: Meridian Medicaid |
$4,292.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,087.75
|
| Rate for Payer: UHCCP Medicaid |
$4,087.75
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 2032
|
| 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: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$96,805.80
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$92,196.00 |
| Max. Negotiated Rate |
$96,805.80 |
| Rate for Payer: BCBS Complete |
$96,805.80
|
| Rate for Payer: Mclaren Medicaid |
$92,196.00
|
| Rate for Payer: Meridian Medicaid |
$96,805.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$92,196.00
|
| Rate for Payer: UHCCP Medicaid |
$92,196.00
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$121,782.94
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$115,983.75 |
| Max. Negotiated Rate |
$121,782.94 |
| Rate for Payer: BCBS Complete |
$121,782.94
|
| Rate for Payer: Mclaren Medicaid |
$115,983.75
|
| Rate for Payer: Meridian Medicaid |
$121,782.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$115,983.75
|
| Rate for Payer: UHCCP Medicaid |
$115,983.75
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$163,618.35
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$155,827.00 |
| Max. Negotiated Rate |
$163,618.35 |
| Rate for Payer: BCBS Complete |
$163,618.35
|
| Rate for Payer: Mclaren Medicaid |
$155,827.00
|
| Rate for Payer: Meridian Medicaid |
$163,618.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$155,827.00
|
| Rate for Payer: UHCCP Medicaid |
$155,827.00
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$47,678.93
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$45,408.50 |
| Max. Negotiated Rate |
$47,678.93 |
| Rate for Payer: BCBS Complete |
$47,678.93
|
| Rate for Payer: Mclaren Medicaid |
$45,408.50
|
| Rate for Payer: Meridian Medicaid |
$47,678.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,408.50
|
| Rate for Payer: UHCCP Medicaid |
$45,408.50
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$10,601.06
|
|
|
Service Code
|
APR-DRG 2633
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 2632
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$17,892.53
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$17,040.50 |
| Max. Negotiated Rate |
$17,892.53 |
| Rate for Payer: BCBS Complete |
$17,892.53
|
| Rate for Payer: Mclaren Medicaid |
$17,040.50
|
| Rate for Payer: Meridian Medicaid |
$17,892.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,040.50
|
| Rate for Payer: UHCCP Medicaid |
$17,040.50
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 4702
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 4701
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.47 |
| Rate for Payer: BCBS Complete |
$2,792.47
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,014.76
|
|
|
Service Code
|
APR-DRG 4704
|
| 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: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,050.36
|
|
|
Service Code
|
APR-DRG 4703
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 1402
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$7,830.75 |
| Max. Negotiated Rate |
$8,222.29 |
| Rate for Payer: BCBS Complete |
$8,222.29
|
| Rate for Payer: Mclaren Medicaid |
$7,830.75
|
| Rate for Payer: Meridian Medicaid |
$8,222.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,830.75
|
| Rate for Payer: UHCCP Medicaid |
$7,830.75
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,654.12
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,432.50 |
| Max. Negotiated Rate |
$4,654.12 |
| Rate for Payer: BCBS Complete |
$4,654.12
|
| Rate for Payer: Mclaren Medicaid |
$4,432.50
|
| Rate for Payer: Meridian Medicaid |
$4,654.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,432.50
|
| Rate for Payer: UHCCP Medicaid |
$4,432.50
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 1401
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.47 |
| Rate for Payer: BCBS Complete |
$2,792.47
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$17,271.97
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$16,449.50 |
| Max. Negotiated Rate |
$17,271.97 |
| Rate for Payer: BCBS Complete |
$17,271.97
|
| Rate for Payer: Mclaren Medicaid |
$16,449.50
|
| Rate for Payer: Meridian Medicaid |
$17,271.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,449.50
|
| Rate for Payer: UHCCP Medicaid |
$16,449.50
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$5,222.96
|
|
|
Service Code
|
APR-DRG 0952
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 0951
|
| 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
|
|