|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 2822
|
| Min. Negotiated Rate |
$3,940.00 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: BCBS Complete |
$4,137.00
|
| Rate for Payer: Mclaren Medicaid |
$3,940.00
|
| Rate for Payer: Meridian Medicaid |
$4,137.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,940.00
|
| Rate for Payer: UHCCP Medicaid |
$3,940.00
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$11,770.75 |
| Max. Negotiated Rate |
$12,359.29 |
| Rate for Payer: BCBS Complete |
$12,359.29
|
| Rate for Payer: Mclaren Medicaid |
$11,770.75
|
| Rate for Payer: Meridian Medicaid |
$12,359.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,770.75
|
| Rate for Payer: UHCCP Medicaid |
$11,770.75
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 2442
|
| 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: 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
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 2443
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 2441
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$28,545.30
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$27,186.00 |
| Max. Negotiated Rate |
$28,545.30 |
| Rate for Payer: BCBS Complete |
$28,545.30
|
| Rate for Payer: Mclaren Medicaid |
$27,186.00
|
| Rate for Payer: Meridian Medicaid |
$28,545.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,186.00
|
| Rate for Payer: UHCCP Medicaid |
$27,186.00
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 3041
|
| Min. Negotiated Rate |
$11,721.50 |
| Max. Negotiated Rate |
$12,307.58 |
| Rate for Payer: BCBS Complete |
$12,307.58
|
| Rate for Payer: Mclaren Medicaid |
$11,721.50
|
| Rate for Payer: Meridian Medicaid |
$12,307.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,721.50
|
| Rate for Payer: UHCCP Medicaid |
$11,721.50
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$15,772.31
|
|
|
Service Code
|
APR-DRG 3042
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$22,960.35
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$21,867.00 |
| Max. Negotiated Rate |
$22,960.35 |
| Rate for Payer: BCBS Complete |
$22,960.35
|
| Rate for Payer: Mclaren Medicaid |
$21,867.00
|
| Rate for Payer: Meridian Medicaid |
$22,960.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,867.00
|
| Rate for Payer: UHCCP Medicaid |
$21,867.00
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$23,839.46
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$22,704.25 |
| Max. Negotiated Rate |
$23,839.46 |
| Rate for Payer: BCBS Complete |
$23,839.46
|
| Rate for Payer: Mclaren Medicaid |
$22,704.25
|
| Rate for Payer: Meridian Medicaid |
$23,839.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,704.25
|
| Rate for Payer: UHCCP Medicaid |
$22,704.25
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$21,926.10
|
|
|
Service Code
|
APR-DRG 3031
|
| Min. Negotiated Rate |
$20,882.00 |
| Max. Negotiated Rate |
$21,926.10 |
| Rate for Payer: BCBS Complete |
$21,926.10
|
| Rate for Payer: Mclaren Medicaid |
$20,882.00
|
| Rate for Payer: Meridian Medicaid |
$21,926.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,882.00
|
| Rate for Payer: UHCCP Medicaid |
$20,882.00
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$51,402.22
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$48,954.50 |
| Max. Negotiated Rate |
$51,402.22 |
| Rate for Payer: BCBS Complete |
$51,402.22
|
| Rate for Payer: Mclaren Medicaid |
$48,954.50
|
| Rate for Payer: Meridian Medicaid |
$51,402.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,954.50
|
| Rate for Payer: UHCCP Medicaid |
$48,954.50
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$35,629.91
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$33,933.25 |
| Max. Negotiated Rate |
$35,629.91 |
| Rate for Payer: BCBS Complete |
$35,629.91
|
| Rate for Payer: Mclaren Medicaid |
$33,933.25
|
| Rate for Payer: Meridian Medicaid |
$35,629.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,933.25
|
| Rate for Payer: UHCCP Medicaid |
$33,933.25
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 7704
|
| 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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 7703
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,758.22
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,674.50 |
| Max. Negotiated Rate |
$1,758.22 |
| Rate for Payer: BCBS Complete |
$1,758.22
|
| Rate for Payer: Mclaren Medicaid |
$1,674.50
|
| Rate for Payer: Meridian Medicaid |
$1,758.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,674.50
|
| Rate for Payer: UHCCP Medicaid |
$1,674.50
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,120.21
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,019.25 |
| Max. Negotiated Rate |
$2,120.21 |
| Rate for Payer: BCBS Complete |
$2,120.21
|
| Rate for Payer: Mclaren Medicaid |
$2,019.25
|
| Rate for Payer: Meridian Medicaid |
$2,120.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,019.25
|
| Rate for Payer: UHCCP Medicaid |
$2,019.25
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 1104
|
| Min. Negotiated Rate |
$11,770.75 |
| Max. Negotiated Rate |
$12,359.29 |
| Rate for Payer: BCBS Complete |
$12,359.29
|
| Rate for Payer: Mclaren Medicaid |
$11,770.75
|
| Rate for Payer: Meridian Medicaid |
$12,359.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,770.75
|
| Rate for Payer: UHCCP Medicaid |
$11,770.75
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 1101
|
| 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: 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
|
$8,946.26
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$8,520.25 |
| Max. Negotiated Rate |
$8,946.26 |
| Rate for Payer: BCBS Complete |
$8,946.26
|
| Rate for Payer: Mclaren Medicaid |
$8,520.25
|
| Rate for Payer: Meridian Medicaid |
$8,946.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,520.25
|
| Rate for Payer: UHCCP Medicaid |
$8,520.25
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 7592
|
| Min. Negotiated Rate |
$6,599.50 |
| Max. Negotiated Rate |
$6,929.48 |
| Rate for Payer: BCBS Complete |
$6,929.48
|
| Rate for Payer: Mclaren Medicaid |
$6,599.50
|
| Rate for Payer: Meridian Medicaid |
$6,929.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,599.50
|
| Rate for Payer: UHCCP Medicaid |
$6,599.50
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$5,222.96
|
|
|
Service Code
|
APR-DRG 7591
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 7593
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|