|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,615.82
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$20,586.50 |
| Max. Negotiated Rate |
$21,615.82 |
| Rate for Payer: BCBS Complete |
$21,615.82
|
| Rate for Payer: Mclaren Medicaid |
$20,586.50
|
| Rate for Payer: Meridian Medicaid |
$21,615.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,586.50
|
| Rate for Payer: UHCCP Medicaid |
$20,586.50
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,323.01
|
|
|
Service Code
|
APR-DRG 1662
|
| Min. Negotiated Rate |
$19,355.25 |
| Max. Negotiated Rate |
$20,323.01 |
| Rate for Payer: BCBS Complete |
$20,323.01
|
| Rate for Payer: Mclaren Medicaid |
$19,355.25
|
| Rate for Payer: Meridian Medicaid |
$20,323.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,355.25
|
| Rate for Payer: UHCCP Medicaid |
$19,355.25
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,961.70
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$16,154.00 |
| Max. Negotiated Rate |
$16,961.70 |
| Rate for Payer: BCBS Complete |
$16,961.70
|
| Rate for Payer: Mclaren Medicaid |
$16,154.00
|
| Rate for Payer: Meridian Medicaid |
$16,961.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,154.00
|
| Rate for Payer: UHCCP Medicaid |
$16,154.00
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$32,578.88
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$31,027.50 |
| Max. Negotiated Rate |
$32,578.88 |
| Rate for Payer: BCBS Complete |
$32,578.88
|
| Rate for Payer: Mclaren Medicaid |
$31,027.50
|
| Rate for Payer: Meridian Medicaid |
$32,578.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,027.50
|
| Rate for Payer: UHCCP Medicaid |
$31,027.50
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$24,873.71
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$23,689.25 |
| Max. Negotiated Rate |
$24,873.71 |
| Rate for Payer: BCBS Complete |
$24,873.71
|
| Rate for Payer: Mclaren Medicaid |
$23,689.25
|
| Rate for Payer: Meridian Medicaid |
$24,873.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,689.25
|
| Rate for Payer: UHCCP Medicaid |
$23,689.25
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,065.80
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$13,396.00 |
| Max. Negotiated Rate |
$14,065.80 |
| Rate for Payer: BCBS Complete |
$14,065.80
|
| Rate for Payer: Mclaren Medicaid |
$13,396.00
|
| Rate for Payer: Meridian Medicaid |
$14,065.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,396.00
|
| Rate for Payer: UHCCP Medicaid |
$13,396.00
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,458.66
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$29,008.25 |
| Max. Negotiated Rate |
$30,458.66 |
| Rate for Payer: BCBS Complete |
$30,458.66
|
| Rate for Payer: Mclaren Medicaid |
$29,008.25
|
| Rate for Payer: Meridian Medicaid |
$30,458.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,008.25
|
| Rate for Payer: UHCCP Medicaid |
$29,008.25
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,996.62
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$14,282.50 |
| Max. Negotiated Rate |
$14,996.62 |
| Rate for Payer: BCBS Complete |
$14,996.62
|
| Rate for Payer: Mclaren Medicaid |
$14,282.50
|
| Rate for Payer: Meridian Medicaid |
$14,996.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,282.50
|
| Rate for Payer: UHCCP Medicaid |
$14,282.50
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$4,531.00 |
| Max. Negotiated Rate |
$4,757.55 |
| Rate for Payer: BCBS Complete |
$4,757.55
|
| Rate for Payer: Mclaren Medicaid |
$4,531.00
|
| Rate for Payer: Meridian Medicaid |
$4,757.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,531.00
|
| Rate for Payer: UHCCP Medicaid |
$4,531.00
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$12,214.00 |
| Max. Negotiated Rate |
$12,824.70 |
| Rate for Payer: BCBS Complete |
$12,824.70
|
| Rate for Payer: Mclaren Medicaid |
$12,214.00
|
| Rate for Payer: Meridian Medicaid |
$12,824.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,214.00
|
| Rate for Payer: UHCCP Medicaid |
$12,214.00
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$8,584.28
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$8,175.50 |
| Max. Negotiated Rate |
$8,584.28 |
| Rate for Payer: BCBS Complete |
$8,584.28
|
| Rate for Payer: Mclaren Medicaid |
$8,175.50
|
| Rate for Payer: Meridian Medicaid |
$8,584.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,175.50
|
| Rate for Payer: UHCCP Medicaid |
$8,175.50
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 0452
|
| 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: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$6,845.75 |
| Max. Negotiated Rate |
$7,188.04 |
| Rate for Payer: BCBS Complete |
$7,188.04
|
| Rate for Payer: Mclaren Medicaid |
$6,845.75
|
| Rate for Payer: Meridian Medicaid |
$7,188.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,845.75
|
| Rate for Payer: UHCCP Medicaid |
$6,845.75
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$14,996.62
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$14,282.50 |
| Max. Negotiated Rate |
$14,996.62 |
| Rate for Payer: BCBS Complete |
$14,996.62
|
| Rate for Payer: Mclaren Medicaid |
$14,282.50
|
| Rate for Payer: Meridian Medicaid |
$14,996.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,282.50
|
| Rate for Payer: UHCCP Medicaid |
$14,282.50
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$15,772.31
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$15,021.25 |
| Max. Negotiated Rate |
$15,772.31 |
| Rate for Payer: BCBS Complete |
$15,772.31
|
| Rate for Payer: Mclaren Medicaid |
$15,021.25
|
| Rate for Payer: Meridian Medicaid |
$15,772.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,021.25
|
| Rate for Payer: UHCCP Medicaid |
$15,021.25
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$11,583.60
|
|
|
Service Code
|
APR-DRG 1312
|
| Min. Negotiated Rate |
$11,032.00 |
| Max. Negotiated Rate |
$11,583.60 |
| Rate for Payer: BCBS Complete |
$11,583.60
|
| Rate for Payer: Mclaren Medicaid |
$11,032.00
|
| Rate for Payer: Meridian Medicaid |
$11,583.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,032.00
|
| Rate for Payer: UHCCP Medicaid |
$11,032.00
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$18,202.80
|
|
|
Service Code
|
APR-DRG 1792
|
| Min. Negotiated Rate |
$17,336.00 |
| Max. Negotiated Rate |
$18,202.80 |
| Rate for Payer: BCBS Complete |
$18,202.80
|
| Rate for Payer: Mclaren Medicaid |
$17,336.00
|
| Rate for Payer: Meridian Medicaid |
$18,202.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,336.00
|
| Rate for Payer: UHCCP Medicaid |
$17,336.00
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$15,410.32
|
|
|
Service Code
|
APR-DRG 1791
|
| Min. Negotiated Rate |
$14,676.50 |
| Max. Negotiated Rate |
$15,410.32 |
| Rate for Payer: BCBS Complete |
$15,410.32
|
| Rate for Payer: Mclaren Medicaid |
$14,676.50
|
| Rate for Payer: Meridian Medicaid |
$15,410.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,676.50
|
| Rate for Payer: UHCCP Medicaid |
$14,676.50
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$28,907.29
|
|
|
Service Code
|
APR-DRG 1794
|
| Min. Negotiated Rate |
$27,530.75 |
| Max. Negotiated Rate |
$28,907.29 |
| Rate for Payer: BCBS Complete |
$28,907.29
|
| Rate for Payer: Mclaren Medicaid |
$27,530.75
|
| Rate for Payer: Meridian Medicaid |
$28,907.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,530.75
|
| Rate for Payer: UHCCP Medicaid |
$27,530.75
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$22,029.52
|
|
|
Service Code
|
APR-DRG 1793
|
| Min. Negotiated Rate |
$20,980.50 |
| Max. Negotiated Rate |
$22,029.52 |
| Rate for Payer: BCBS Complete |
$22,029.52
|
| Rate for Payer: Mclaren Medicaid |
$20,980.50
|
| Rate for Payer: Meridian Medicaid |
$22,029.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,980.50
|
| Rate for Payer: UHCCP Medicaid |
$20,980.50
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 0422
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$8,170.58
|
|
|
Service Code
|
APR-DRG 0423
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.58 |
| Rate for Payer: BCBS Complete |
$8,170.58
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 0424
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 0421
|
| 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: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$15,772.31
|
|
|
Service Code
|
APR-DRG 1144
|
| Min. Negotiated Rate |
$15,021.25 |
| Max. Negotiated Rate |
$15,772.31 |
| Rate for Payer: BCBS Complete |
$15,772.31
|
| Rate for Payer: Mclaren Medicaid |
$15,021.25
|
| Rate for Payer: Meridian Medicaid |
$15,772.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,021.25
|
| Rate for Payer: UHCCP Medicaid |
$15,021.25
|
|