|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,201.45
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$23,049.00 |
| Max. Negotiated Rate |
$24,201.45 |
| Rate for Payer: BCBS Complete |
$24,201.45
|
| Rate for Payer: Mclaren Medicaid |
$23,049.00
|
| Rate for Payer: Meridian Medicaid |
$24,201.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,049.00
|
| Rate for Payer: UHCCP Medicaid |
$23,049.00
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,392.19
|
|
|
Service Code
|
APR-DRG 1662
|
| 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: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,703.14
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$15,907.75 |
| Max. Negotiated Rate |
$16,703.14 |
| Rate for Payer: BCBS Complete |
$16,703.14
|
| Rate for Payer: Mclaren Medicaid |
$15,907.75
|
| Rate for Payer: Meridian Medicaid |
$16,703.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,907.75
|
| Rate for Payer: UHCCP Medicaid |
$15,907.75
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$32,992.57
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$31,421.50 |
| Max. Negotiated Rate |
$32,992.57 |
| Rate for Payer: BCBS Complete |
$32,992.57
|
| Rate for Payer: Mclaren Medicaid |
$31,421.50
|
| Rate for Payer: Meridian Medicaid |
$32,992.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,421.50
|
| Rate for Payer: UHCCP Medicaid |
$31,421.50
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,164.50
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$33,490.00 |
| Max. Negotiated Rate |
$35,164.50 |
| Rate for Payer: BCBS Complete |
$35,164.50
|
| Rate for Payer: Mclaren Medicaid |
$33,490.00
|
| Rate for Payer: Meridian Medicaid |
$35,164.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,490.00
|
| Rate for Payer: UHCCP Medicaid |
$33,490.00
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,876.41
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$12,263.25 |
| Max. Negotiated Rate |
$12,876.41 |
| Rate for Payer: BCBS Complete |
$12,876.41
|
| Rate for Payer: Mclaren Medicaid |
$12,263.25
|
| Rate for Payer: Meridian Medicaid |
$12,876.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,263.25
|
| Rate for Payer: UHCCP Medicaid |
$12,263.25
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$13,807.24
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$13,149.75 |
| Max. Negotiated Rate |
$13,807.24 |
| Rate for Payer: BCBS Complete |
$13,807.24
|
| Rate for Payer: Mclaren Medicaid |
$13,149.75
|
| Rate for Payer: Meridian Medicaid |
$13,807.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,149.75
|
| Rate for Payer: UHCCP Medicaid |
$13,149.75
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$22,701.79
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$21,620.75 |
| Max. Negotiated Rate |
$22,701.79 |
| Rate for Payer: BCBS Complete |
$22,701.79
|
| Rate for Payer: Mclaren Medicaid |
$21,620.75
|
| Rate for Payer: Meridian Medicaid |
$22,701.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,620.75
|
| Rate for Payer: UHCCP Medicaid |
$21,620.75
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$12,204.15
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$11,623.00 |
| Max. Negotiated Rate |
$12,204.15 |
| Rate for Payer: BCBS Complete |
$12,204.15
|
| Rate for Payer: Mclaren Medicaid |
$11,623.00
|
| Rate for Payer: Meridian Medicaid |
$12,204.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.00
|
| Rate for Payer: UHCCP Medicaid |
$11,623.00
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 0452
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$6,993.50 |
| Max. Negotiated Rate |
$7,343.18 |
| Rate for Payer: BCBS Complete |
$7,343.18
|
| Rate for Payer: Mclaren Medicaid |
$6,993.50
|
| Rate for Payer: Meridian Medicaid |
$7,343.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,993.50
|
| Rate for Payer: UHCCP Medicaid |
$6,993.50
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$11,672.25 |
| Max. Negotiated Rate |
$12,255.86 |
| Rate for Payer: BCBS Complete |
$12,255.86
|
| Rate for Payer: Mclaren Medicaid |
$11,672.25
|
| Rate for Payer: Meridian Medicaid |
$12,255.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,672.25
|
| Rate for Payer: UHCCP Medicaid |
$11,672.25
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$14,376.08
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$13,691.50 |
| Max. Negotiated Rate |
$14,376.08 |
| Rate for Payer: BCBS Complete |
$14,376.08
|
| Rate for Payer: Mclaren Medicaid |
$13,691.50
|
| Rate for Payer: Meridian Medicaid |
$14,376.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,691.50
|
| Rate for Payer: UHCCP Medicaid |
$13,691.50
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 1312
|
| Min. Negotiated Rate |
$8,717.25 |
| Max. Negotiated Rate |
$9,153.11 |
| Rate for Payer: BCBS Complete |
$9,153.11
|
| Rate for Payer: Mclaren Medicaid |
$8,717.25
|
| Rate for Payer: Meridian Medicaid |
$9,153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,717.25
|
| Rate for Payer: UHCCP Medicaid |
$8,717.25
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$5,319.00 |
| Max. Negotiated Rate |
$5,584.95 |
| Rate for Payer: BCBS Complete |
$5,584.95
|
| Rate for Payer: Mclaren Medicaid |
$5,319.00
|
| Rate for Payer: Meridian Medicaid |
$5,584.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,319.00
|
| Rate for Payer: UHCCP Medicaid |
$5,319.00
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$20,478.15
|
|
|
Service Code
|
APR-DRG 1792
|
| Min. Negotiated Rate |
$19,503.00 |
| Max. Negotiated Rate |
$20,478.15 |
| Rate for Payer: BCBS Complete |
$20,478.15
|
| Rate for Payer: Mclaren Medicaid |
$19,503.00
|
| Rate for Payer: Meridian Medicaid |
$20,478.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,503.00
|
| Rate for Payer: UHCCP Medicaid |
$19,503.00
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$24,822.00
|
|
|
Service Code
|
APR-DRG 1793
|
| Min. Negotiated Rate |
$23,640.00 |
| Max. Negotiated Rate |
$24,822.00 |
| Rate for Payer: BCBS Complete |
$24,822.00
|
| Rate for Payer: Mclaren Medicaid |
$23,640.00
|
| Rate for Payer: Meridian Medicaid |
$24,822.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,640.00
|
| Rate for Payer: UHCCP Medicaid |
$23,640.00
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$32,578.88
|
|
|
Service Code
|
APR-DRG 1794
|
| 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: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$17,323.69
|
|
|
Service Code
|
APR-DRG 1791
|
| Min. Negotiated Rate |
$16,498.75 |
| Max. Negotiated Rate |
$17,323.69 |
| Rate for Payer: BCBS Complete |
$17,323.69
|
| Rate for Payer: Mclaren Medicaid |
$16,498.75
|
| Rate for Payer: Meridian Medicaid |
$17,323.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,498.75
|
| Rate for Payer: UHCCP Medicaid |
$16,498.75
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 0422
|
| 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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 0421
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 0423
|
| Min. Negotiated Rate |
$6,944.25 |
| Max. Negotiated Rate |
$7,291.46 |
| Rate for Payer: BCBS Complete |
$7,291.46
|
| Rate for Payer: Mclaren Medicaid |
$6,944.25
|
| Rate for Payer: Meridian Medicaid |
$7,291.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,944.25
|
| Rate for Payer: UHCCP Medicaid |
$6,944.25
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$13,445.25
|
|
|
Service Code
|
APR-DRG 0424
|
| Min. Negotiated Rate |
$12,805.00 |
| Max. Negotiated Rate |
$13,445.25 |
| Rate for Payer: BCBS Complete |
$13,445.25
|
| Rate for Payer: Mclaren Medicaid |
$12,805.00
|
| Rate for Payer: Meridian Medicaid |
$13,445.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,805.00
|
| Rate for Payer: UHCCP Medicaid |
$12,805.00
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 1142
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|