|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,447.28
|
|
|
Service Code
|
APR-DRG 5301
|
| Min. Negotiated Rate |
$4,235.50 |
| Max. Negotiated Rate |
$4,447.28 |
| Rate for Payer: BCBS Complete |
$4,447.28
|
| Rate for Payer: Mclaren Medicaid |
$4,235.50
|
| Rate for Payer: Meridian Medicaid |
$4,447.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,235.50
|
| Rate for Payer: UHCCP Medicaid |
$4,235.50
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 5304
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 5302
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 5141
|
| Min. Negotiated Rate |
$6,353.25 |
| Max. Negotiated Rate |
$6,670.91 |
| Rate for Payer: BCBS Complete |
$6,670.91
|
| Rate for Payer: Mclaren Medicaid |
$6,353.25
|
| Rate for Payer: Meridian Medicaid |
$6,670.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,353.25
|
| Rate for Payer: UHCCP Medicaid |
$6,353.25
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$10,135.65
|
|
|
Service Code
|
APR-DRG 5142
|
| Min. Negotiated Rate |
$9,653.00 |
| Max. Negotiated Rate |
$10,135.65 |
| Rate for Payer: BCBS Complete |
$10,135.65
|
| Rate for Payer: Mclaren Medicaid |
$9,653.00
|
| Rate for Payer: Meridian Medicaid |
$10,135.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,653.00
|
| Rate for Payer: UHCCP Medicaid |
$9,653.00
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$23,270.62
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$22,162.50 |
| Max. Negotiated Rate |
$23,270.62 |
| Rate for Payer: BCBS Complete |
$23,270.62
|
| Rate for Payer: Mclaren Medicaid |
$22,162.50
|
| Rate for Payer: Meridian Medicaid |
$23,270.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,162.50
|
| Rate for Payer: UHCCP Medicaid |
$22,162.50
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 5143
|
| Min. Negotiated Rate |
$10,539.50 |
| Max. Negotiated Rate |
$11,066.48 |
| Rate for Payer: BCBS Complete |
$11,066.48
|
| Rate for Payer: Mclaren Medicaid |
$10,539.50
|
| Rate for Payer: Meridian Medicaid |
$11,066.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,539.50
|
| Rate for Payer: UHCCP Medicaid |
$10,539.50
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 7222
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.48 |
| Rate for Payer: BCBS Complete |
$2,792.48
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$9,101.40
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$8,668.00 |
| Max. Negotiated Rate |
$9,101.40 |
| Rate for Payer: BCBS Complete |
$9,101.40
|
| Rate for Payer: Mclaren Medicaid |
$8,668.00
|
| Rate for Payer: Meridian Medicaid |
$9,101.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,668.00
|
| Rate for Payer: UHCCP Medicaid |
$8,668.00
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,482.20
|
|
|
Service Code
|
APR-DRG 7221
|
| Min. Negotiated Rate |
$2,364.00 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: BCBS Complete |
$2,482.20
|
| Rate for Payer: Mclaren Medicaid |
$2,364.00
|
| Rate for Payer: Meridian Medicaid |
$2,482.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.00
|
| Rate for Payer: UHCCP Medicaid |
$2,364.00
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,186.25 |
| Max. Negotiated Rate |
$4,395.56 |
| Rate for Payer: BCBS Complete |
$4,395.56
|
| Rate for Payer: Mclaren Medicaid |
$4,186.25
|
| Rate for Payer: Meridian Medicaid |
$4,395.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.25
|
| Rate for Payer: UHCCP Medicaid |
$4,186.25
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 3141
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$8,067.15
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$7,683.00 |
| Max. Negotiated Rate |
$8,067.15 |
| Rate for Payer: BCBS Complete |
$8,067.15
|
| Rate for Payer: Mclaren Medicaid |
$7,683.00
|
| Rate for Payer: Meridian Medicaid |
$8,067.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,683.00
|
| Rate for Payer: UHCCP Medicaid |
$7,683.00
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$14,789.78
|
|
|
Service Code
|
APR-DRG 3144
|
| Min. Negotiated Rate |
$14,085.50 |
| Max. Negotiated Rate |
$14,789.78 |
| Rate for Payer: BCBS Complete |
$14,789.78
|
| Rate for Payer: Mclaren Medicaid |
$14,085.50
|
| Rate for Payer: Meridian Medicaid |
$14,789.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,085.50
|
| Rate for Payer: UHCCP Medicaid |
$14,085.50
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 3401
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$7,136.32
|
|
|
Service Code
|
APR-DRG 3403
|
| Min. Negotiated Rate |
$6,796.50 |
| Max. Negotiated Rate |
$7,136.32 |
| Rate for Payer: BCBS Complete |
$7,136.32
|
| Rate for Payer: Mclaren Medicaid |
$6,796.50
|
| Rate for Payer: Meridian Medicaid |
$7,136.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,796.50
|
| Rate for Payer: UHCCP Medicaid |
$6,796.50
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 3402
|
| 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: FRACTURE OF FEMUR
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 3404
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.78 |
| Rate for Payer: BCBS Complete |
$10,652.78
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 3411
|
| Min. Negotiated Rate |
$2,708.75 |
| Max. Negotiated Rate |
$2,844.19 |
| Rate for Payer: BCBS Complete |
$2,844.19
|
| Rate for Payer: Mclaren Medicaid |
$2,708.75
|
| Rate for Payer: Meridian Medicaid |
$2,844.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,708.75
|
| Rate for Payer: UHCCP Medicaid |
$2,708.75
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$14,686.35
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$13,987.00 |
| Max. Negotiated Rate |
$14,686.35 |
| Rate for Payer: BCBS Complete |
$14,686.35
|
| Rate for Payer: Mclaren Medicaid |
$13,987.00
|
| Rate for Payer: Meridian Medicaid |
$14,686.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,987.00
|
| Rate for Payer: UHCCP Medicaid |
$13,987.00
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 3413
|
| 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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$11,842.16
|
|
|
Service Code
|
APR-DRG 3424
|
| Min. Negotiated Rate |
$11,278.25 |
| Max. Negotiated Rate |
$11,842.16 |
| Rate for Payer: BCBS Complete |
$11,842.16
|
| Rate for Payer: Mclaren Medicaid |
$11,278.25
|
| Rate for Payer: Meridian Medicaid |
$11,842.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,278.25
|
| Rate for Payer: UHCCP Medicaid |
$11,278.25
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 3423
|
| Min. Negotiated Rate |
$6,304.00 |
| Max. Negotiated Rate |
$6,619.20 |
| Rate for Payer: BCBS Complete |
$6,619.20
|
| Rate for Payer: Mclaren Medicaid |
$6,304.00
|
| Rate for Payer: Meridian Medicaid |
$6,619.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,304.00
|
| Rate for Payer: UHCCP Medicaid |
$6,304.00
|
|