|
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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,550.02
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,133.62
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$18,222.50 |
| Max. Negotiated Rate |
$19,133.62 |
| Rate for Payer: BCBS Complete |
$19,133.62
|
| Rate for Payer: Mclaren Medicaid |
$18,222.50
|
| Rate for Payer: Meridian Medicaid |
$19,133.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,222.50
|
| Rate for Payer: UHCCP Medicaid |
$18,222.50
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,703.81
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$13,051.25 |
| Max. Negotiated Rate |
$13,703.81 |
| Rate for Payer: BCBS Complete |
$13,703.81
|
| Rate for Payer: Mclaren Medicaid |
$13,051.25
|
| Rate for Payer: Meridian Medicaid |
$13,703.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,051.25
|
| Rate for Payer: UHCCP Medicaid |
$13,051.25
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,204.82
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$8,766.50 |
| Max. Negotiated Rate |
$9,204.82 |
| Rate for Payer: BCBS Complete |
$9,204.82
|
| Rate for Payer: Mclaren Medicaid |
$8,766.50
|
| Rate for Payer: Meridian Medicaid |
$9,204.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,766.50
|
| Rate for Payer: UHCCP Medicaid |
$8,766.50
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,531.89
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$10,982.75 |
| Max. Negotiated Rate |
$11,531.89 |
| Rate for Payer: BCBS Complete |
$11,531.89
|
| Rate for Payer: Mclaren Medicaid |
$10,982.75
|
| Rate for Payer: Meridian Medicaid |
$11,531.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,982.75
|
| Rate for Payer: UHCCP Medicaid |
$10,982.75
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,377.42
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$7,978.50 |
| Max. Negotiated Rate |
$8,377.42 |
| Rate for Payer: BCBS Complete |
$8,377.42
|
| Rate for Payer: Mclaren Medicaid |
$7,978.50
|
| Rate for Payer: Meridian Medicaid |
$8,377.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,978.50
|
| Rate for Payer: UHCCP Medicaid |
$7,978.50
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 3261
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,151.09
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$17,286.75 |
| Max. Negotiated Rate |
$18,151.09 |
| Rate for Payer: BCBS Complete |
$18,151.09
|
| Rate for Payer: Mclaren Medicaid |
$17,286.75
|
| Rate for Payer: Meridian Medicaid |
$18,151.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,286.75
|
| Rate for Payer: UHCCP Medicaid |
$17,286.75
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 9112
|
| 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: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,032.22
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,554.50 |
| Max. Negotiated Rate |
$10,032.22 |
| Rate for Payer: BCBS Complete |
$10,032.22
|
| Rate for Payer: Mclaren Medicaid |
$9,554.50
|
| Rate for Payer: Meridian Medicaid |
$10,032.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,554.50
|
| Rate for Payer: UHCCP Medicaid |
$9,554.50
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,112.79
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$33,440.75 |
| Max. Negotiated Rate |
$35,112.79 |
| Rate for Payer: BCBS Complete |
$35,112.79
|
| Rate for Payer: Mclaren Medicaid |
$33,440.75
|
| Rate for Payer: Meridian Medicaid |
$35,112.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,440.75
|
| Rate for Payer: UHCCP Medicaid |
$33,440.75
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$18,978.49
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$18,074.75 |
| Max. Negotiated Rate |
$18,978.49 |
| Rate for Payer: BCBS Complete |
$18,978.49
|
| Rate for Payer: Mclaren Medicaid |
$18,074.75
|
| Rate for Payer: Meridian Medicaid |
$18,978.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,074.75
|
| Rate for Payer: UHCCP Medicaid |
$18,074.75
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 7922
|
| 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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$26,890.50
|
|
|
Service Code
|
APR-DRG 7924
|
| Min. Negotiated Rate |
$25,610.00 |
| Max. Negotiated Rate |
$26,890.50 |
| Rate for Payer: BCBS Complete |
$26,890.50
|
| Rate for Payer: Mclaren Medicaid |
$25,610.00
|
| Rate for Payer: Meridian Medicaid |
$26,890.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,610.00
|
| Rate for Payer: UHCCP Medicaid |
$25,610.00
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$15,875.74
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$15,119.75 |
| Max. Negotiated Rate |
$15,875.74 |
| Rate for Payer: BCBS Complete |
$15,875.74
|
| Rate for Payer: Mclaren Medicaid |
$15,119.75
|
| Rate for Payer: Meridian Medicaid |
$15,875.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,119.75
|
| Rate for Payer: UHCCP Medicaid |
$15,119.75
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 7921
|
| 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: 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
|
$26,269.95
|
|
|
Service Code
|
APR-DRG 9504
|
| Min. Negotiated Rate |
$25,019.00 |
| Max. Negotiated Rate |
$26,269.95 |
| Rate for Payer: BCBS Complete |
$26,269.95
|
| Rate for Payer: Mclaren Medicaid |
$25,019.00
|
| Rate for Payer: Meridian Medicaid |
$26,269.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,019.00
|
| Rate for Payer: UHCCP Medicaid |
$25,019.00
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,806.56
|
|
|
Service Code
|
APR-DRG 9503
|
| Min. Negotiated Rate |
$16,006.25 |
| Max. Negotiated Rate |
$16,806.56 |
| Rate for Payer: BCBS Complete |
$16,806.56
|
| Rate for Payer: Mclaren Medicaid |
$16,006.25
|
| Rate for Payer: Meridian Medicaid |
$16,806.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,006.25
|
| Rate for Payer: UHCCP Medicaid |
$16,006.25
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,635.31
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$11,081.25 |
| Max. Negotiated Rate |
$11,635.31 |
| Rate for Payer: BCBS Complete |
$11,635.31
|
| Rate for Payer: Mclaren Medicaid |
$11,081.25
|
| Rate for Payer: Meridian Medicaid |
$11,635.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,081.25
|
| Rate for Payer: UHCCP Medicaid |
$11,081.25
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 8432
|
| 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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 8431
|
| Min. Negotiated Rate |
$3,053.50 |
| Max. Negotiated Rate |
$3,206.18 |
| Rate for Payer: BCBS Complete |
$3,206.18
|
| Rate for Payer: Mclaren Medicaid |
$3,053.50
|
| Rate for Payer: Meridian Medicaid |
$3,206.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,053.50
|
| Rate for Payer: UHCCP Medicaid |
$3,053.50
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$22,753.50
|
|
|
Service Code
|
APR-DRG 8434
|
| Min. Negotiated Rate |
$21,670.00 |
| Max. Negotiated Rate |
$22,753.50 |
| Rate for Payer: BCBS Complete |
$22,753.50
|
| Rate for Payer: Mclaren Medicaid |
$21,670.00
|
| Rate for Payer: Meridian Medicaid |
$22,753.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,670.00
|
| Rate for Payer: UHCCP Medicaid |
$21,670.00
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$15,824.02
|
|
|
Service Code
|
APR-DRG 8433
|
| Min. Negotiated Rate |
$15,070.50 |
| Max. Negotiated Rate |
$15,824.02 |
| Rate for Payer: BCBS Complete |
$15,824.02
|
| Rate for Payer: Mclaren Medicaid |
$15,070.50
|
| Rate for Payer: Meridian Medicaid |
$15,824.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,070.50
|
| Rate for Payer: UHCCP Medicaid |
$15,070.50
|
|