|
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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$8,077.00 |
| Max. Negotiated Rate |
$8,480.85 |
| Rate for Payer: BCBS Complete |
$8,480.85
|
| Rate for Payer: Mclaren Medicaid |
$8,077.00
|
| Rate for Payer: Meridian Medicaid |
$8,480.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,077.00
|
| Rate for Payer: UHCCP Medicaid |
$8,077.00
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$17,633.96
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$16,794.25 |
| Max. Negotiated Rate |
$17,633.96 |
| Rate for Payer: BCBS Complete |
$17,633.96
|
| Rate for Payer: Mclaren Medicaid |
$16,794.25
|
| Rate for Payer: Meridian Medicaid |
$17,633.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,794.25
|
| Rate for Payer: UHCCP Medicaid |
$16,794.25
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$7,387.50 |
| Max. Negotiated Rate |
$7,756.88 |
| Rate for Payer: BCBS Complete |
$7,756.88
|
| Rate for Payer: Mclaren Medicaid |
$7,387.50
|
| Rate for Payer: Meridian Medicaid |
$7,756.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,387.50
|
| Rate for Payer: UHCCP Medicaid |
$7,387.50
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 3261
|
| 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: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$10,652.77
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.77 |
| Rate for Payer: BCBS Complete |
$10,652.77
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,754.85
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$15,957.00 |
| Max. Negotiated Rate |
$16,754.85 |
| Rate for Payer: BCBS Complete |
$16,754.85
|
| Rate for Payer: Mclaren Medicaid |
$15,957.00
|
| Rate for Payer: Meridian Medicaid |
$16,754.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,957.00
|
| Rate for Payer: UHCCP Medicaid |
$15,957.00
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,340.47
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$18,419.50 |
| Max. Negotiated Rate |
$19,340.47 |
| Rate for Payer: BCBS Complete |
$19,340.47
|
| Rate for Payer: Mclaren Medicaid |
$18,419.50
|
| Rate for Payer: Meridian Medicaid |
$19,340.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,419.50
|
| Rate for Payer: UHCCP Medicaid |
$18,419.50
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 9112
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$33,457.99
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$31,864.75 |
| Max. Negotiated Rate |
$33,457.99 |
| Rate for Payer: BCBS Complete |
$33,457.99
|
| Rate for Payer: Mclaren Medicaid |
$31,864.75
|
| Rate for Payer: Meridian Medicaid |
$33,457.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,864.75
|
| Rate for Payer: UHCCP Medicaid |
$31,864.75
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,860.30
|
|
|
Service Code
|
APR-DRG 7921
|
| Min. Negotiated Rate |
$7,486.00 |
| Max. Negotiated Rate |
$7,860.30 |
| Rate for Payer: BCBS Complete |
$7,860.30
|
| Rate for Payer: Mclaren Medicaid |
$7,486.00
|
| Rate for Payer: Meridian Medicaid |
$7,860.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,486.00
|
| Rate for Payer: UHCCP Medicaid |
$7,486.00
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$14,634.64
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$13,937.75 |
| Max. Negotiated Rate |
$14,634.64 |
| Rate for Payer: BCBS Complete |
$14,634.64
|
| Rate for Payer: Mclaren Medicaid |
$13,937.75
|
| Rate for Payer: Meridian Medicaid |
$14,634.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,937.75
|
| Rate for Payer: UHCCP Medicaid |
$13,937.75
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 7922
|
| Min. Negotiated Rate |
$9,505.25 |
| Max. Negotiated Rate |
$9,980.51 |
| Rate for Payer: BCBS Complete |
$9,980.51
|
| Rate for Payer: Mclaren Medicaid |
$9,505.25
|
| Rate for Payer: Meridian Medicaid |
$9,980.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,505.25
|
| Rate for Payer: UHCCP Medicaid |
$9,505.25
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$24,822.00
|
|
|
Service Code
|
APR-DRG 7924
|
| 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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 9501
|
| 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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$27,614.47
|
|
|
Service Code
|
APR-DRG 9504
|
| Min. Negotiated Rate |
$26,299.50 |
| Max. Negotiated Rate |
$27,614.47 |
| Rate for Payer: BCBS Complete |
$27,614.47
|
| Rate for Payer: Mclaren Medicaid |
$26,299.50
|
| Rate for Payer: Meridian Medicaid |
$27,614.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,299.50
|
| Rate for Payer: UHCCP Medicaid |
$26,299.50
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,599.71
|
|
|
Service Code
|
APR-DRG 9503
|
| Min. Negotiated Rate |
$15,809.25 |
| Max. Negotiated Rate |
$16,599.71 |
| Rate for Payer: BCBS Complete |
$16,599.71
|
| Rate for Payer: Mclaren Medicaid |
$15,809.25
|
| Rate for Payer: Meridian Medicaid |
$16,599.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,809.25
|
| Rate for Payer: UHCCP Medicaid |
$15,809.25
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$9,618.52
|
|
|
Service Code
|
APR-DRG 8433
|
| Min. Negotiated Rate |
$9,160.50 |
| Max. Negotiated Rate |
$9,618.52 |
| Rate for Payer: BCBS Complete |
$9,618.52
|
| Rate for Payer: Mclaren Medicaid |
$9,160.50
|
| Rate for Payer: Meridian Medicaid |
$9,618.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,160.50
|
| Rate for Payer: UHCCP Medicaid |
$9,160.50
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 8431
|
| 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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 8432
|
| 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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$13,910.66
|
|
|
Service Code
|
APR-DRG 8434
|
| Min. Negotiated Rate |
$13,248.25 |
| Max. Negotiated Rate |
$13,910.66 |
| Rate for Payer: BCBS Complete |
$13,910.66
|
| Rate for Payer: Mclaren Medicaid |
$13,248.25
|
| Rate for Payer: Meridian Medicaid |
$13,910.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,248.25
|
| Rate for Payer: UHCCP Medicaid |
$13,248.25
|
|