|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 2822
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$13,600.39
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$12,952.75 |
| Max. Negotiated Rate |
$13,600.39 |
| Rate for Payer: BCBS Complete |
$13,600.39
|
| Rate for Payer: Mclaren Medicaid |
$12,952.75
|
| Rate for Payer: Meridian Medicaid |
$13,600.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,952.75
|
| Rate for Payer: UHCCP Medicaid |
$12,952.75
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 2442
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 2444
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$5,895.23
|
|
|
Service Code
|
APR-DRG 2443
|
| 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: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$2,740.76
|
|
|
Service Code
|
APR-DRG 2441
|
| Min. Negotiated Rate |
$2,610.25 |
| Max. Negotiated Rate |
$2,740.76 |
| Rate for Payer: BCBS Complete |
$2,740.76
|
| Rate for Payer: Mclaren Medicaid |
$2,610.25
|
| Rate for Payer: Meridian Medicaid |
$2,740.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,610.25
|
| Rate for Payer: UHCCP Medicaid |
$2,610.25
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$17,478.83
|
|
|
Service Code
|
APR-DRG 3042
|
| Min. Negotiated Rate |
$16,646.50 |
| Max. Negotiated Rate |
$17,478.83 |
| Rate for Payer: BCBS Complete |
$17,478.83
|
| Rate for Payer: Mclaren Medicaid |
$16,646.50
|
| Rate for Payer: Meridian Medicaid |
$17,478.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,646.50
|
| Rate for Payer: UHCCP Medicaid |
$16,646.50
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$33,044.29
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$31,470.75 |
| Max. Negotiated Rate |
$33,044.29 |
| Rate for Payer: BCBS Complete |
$33,044.29
|
| Rate for Payer: Mclaren Medicaid |
$31,470.75
|
| Rate for Payer: Meridian Medicaid |
$33,044.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,470.75
|
| Rate for Payer: UHCCP Medicaid |
$31,470.75
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 3041
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,356.59
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$23,196.75 |
| Max. Negotiated Rate |
$24,356.59 |
| Rate for Payer: BCBS Complete |
$24,356.59
|
| Rate for Payer: Mclaren Medicaid |
$23,196.75
|
| Rate for Payer: Meridian Medicaid |
$24,356.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,196.75
|
| Rate for Payer: UHCCP Medicaid |
$23,196.75
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$23,632.61
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$22,507.25 |
| Max. Negotiated Rate |
$23,632.61 |
| Rate for Payer: BCBS Complete |
$23,632.61
|
| Rate for Payer: Mclaren Medicaid |
$22,507.25
|
| Rate for Payer: Meridian Medicaid |
$23,632.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,507.25
|
| Rate for Payer: UHCCP Medicaid |
$22,507.25
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$32,527.16
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$30,978.25 |
| Max. Negotiated Rate |
$32,527.16 |
| Rate for Payer: BCBS Complete |
$32,527.16
|
| Rate for Payer: Mclaren Medicaid |
$30,978.25
|
| Rate for Payer: Meridian Medicaid |
$32,527.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,978.25
|
| Rate for Payer: UHCCP Medicaid |
$30,978.25
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$20,478.15
|
|
|
Service Code
|
APR-DRG 3031
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$46,851.53
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$44,620.50 |
| Max. Negotiated Rate |
$46,851.53 |
| Rate for Payer: BCBS Complete |
$46,851.53
|
| Rate for Payer: Mclaren Medicaid |
$44,620.50
|
| Rate for Payer: Meridian Medicaid |
$46,851.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,620.50
|
| Rate for Payer: UHCCP Medicaid |
$44,620.50
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 7704
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 7703
|
| 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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,447.95
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,379.00 |
| Max. Negotiated Rate |
$1,447.95 |
| Rate for Payer: BCBS Complete |
$1,447.95
|
| Rate for Payer: Mclaren Medicaid |
$1,379.00
|
| Rate for Payer: Meridian Medicaid |
$1,447.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,379.00
|
| Rate for Payer: UHCCP Medicaid |
$1,379.00
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,275.35
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,167.00 |
| Max. Negotiated Rate |
$2,275.35 |
| Rate for Payer: BCBS Complete |
$2,275.35
|
| Rate for Payer: Mclaren Medicaid |
$2,167.00
|
| Rate for Payer: Meridian Medicaid |
$2,275.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.00
|
| Rate for Payer: UHCCP Medicaid |
$2,167.00
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 1101
|
| 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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 1102
|
| Min. Negotiated Rate |
$5,220.50 |
| Max. Negotiated Rate |
$5,481.52 |
| Rate for Payer: BCBS Complete |
$5,481.52
|
| Rate for Payer: Mclaren Medicaid |
$5,220.50
|
| Rate for Payer: Meridian Medicaid |
$5,481.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,220.50
|
| Rate for Payer: UHCCP Medicaid |
$5,220.50
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$7,550.02
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$7,190.50 |
| Max. Negotiated Rate |
$7,550.02 |
| Rate for Payer: BCBS Complete |
$7,550.02
|
| Rate for Payer: Mclaren Medicaid |
$7,190.50
|
| Rate for Payer: Meridian Medicaid |
$7,550.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,190.50
|
| Rate for Payer: UHCCP Medicaid |
$7,190.50
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$12,928.12
|
|
|
Service Code
|
APR-DRG 1104
|
| Min. Negotiated Rate |
$12,312.50 |
| Max. Negotiated Rate |
$12,928.12 |
| Rate for Payer: BCBS Complete |
$12,928.12
|
| Rate for Payer: Mclaren Medicaid |
$12,312.50
|
| Rate for Payer: Meridian Medicaid |
$12,928.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,312.50
|
| Rate for Payer: UHCCP Medicaid |
$12,312.50
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 7593
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$17,530.54
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$16,695.75 |
| Max. Negotiated Rate |
$17,530.54 |
| Rate for Payer: BCBS Complete |
$17,530.54
|
| Rate for Payer: Mclaren Medicaid |
$16,695.75
|
| Rate for Payer: Meridian Medicaid |
$17,530.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,695.75
|
| Rate for Payer: UHCCP Medicaid |
$16,695.75
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 7591
|
| Min. Negotiated Rate |
$5,269.75 |
| Max. Negotiated Rate |
$5,533.24 |
| Rate for Payer: BCBS Complete |
$5,533.24
|
| Rate for Payer: Mclaren Medicaid |
$5,269.75
|
| Rate for Payer: Meridian Medicaid |
$5,533.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,269.75
|
| Rate for Payer: UHCCP Medicaid |
$5,269.75
|
|