|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 5303
|
| Min. Negotiated Rate |
$6,845.75 |
| Max. Negotiated Rate |
$7,188.04 |
| Rate for Payer: BCBS Complete |
$7,188.04
|
| Rate for Payer: Mclaren Medicaid |
$6,845.75
|
| Rate for Payer: Meridian Medicaid |
$7,188.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,845.75
|
| Rate for Payer: UHCCP Medicaid |
$6,845.75
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 5301
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 5302
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$8,170.57
|
|
|
Service Code
|
APR-DRG 5142
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.57 |
| Rate for Payer: BCBS Complete |
$8,170.57
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 5141
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$21,202.12
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$20,192.50 |
| Max. Negotiated Rate |
$21,202.12 |
| Rate for Payer: BCBS Complete |
$21,202.12
|
| Rate for Payer: Mclaren Medicaid |
$20,192.50
|
| Rate for Payer: Meridian Medicaid |
$21,202.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,192.50
|
| Rate for Payer: UHCCP Medicaid |
$20,192.50
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 5143
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$7,084.61
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$6,747.25 |
| Max. Negotiated Rate |
$7,084.61 |
| Rate for Payer: BCBS Complete |
$7,084.61
|
| Rate for Payer: Mclaren Medicaid |
$6,747.25
|
| Rate for Payer: Meridian Medicaid |
$7,084.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,747.25
|
| Rate for Payer: UHCCP Medicaid |
$6,747.25
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,334.00 |
| Max. Negotiated Rate |
$4,550.70 |
| Rate for Payer: BCBS Complete |
$4,550.70
|
| Rate for Payer: Mclaren Medicaid |
$4,334.00
|
| Rate for Payer: Meridian Medicaid |
$4,550.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,334.00
|
| Rate for Payer: UHCCP Medicaid |
$4,334.00
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 7222
|
| Min. Negotiated Rate |
$3,152.00 |
| Max. Negotiated Rate |
$3,309.60 |
| Rate for Payer: BCBS Complete |
$3,309.60
|
| Rate for Payer: Mclaren Medicaid |
$3,152.00
|
| Rate for Payer: Meridian Medicaid |
$3,309.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,152.00
|
| Rate for Payer: UHCCP Medicaid |
$3,152.00
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,430.49
|
|
|
Service Code
|
APR-DRG 7221
|
| Min. Negotiated Rate |
$2,314.75 |
| Max. Negotiated Rate |
$2,430.49 |
| Rate for Payer: BCBS Complete |
$2,430.49
|
| Rate for Payer: Mclaren Medicaid |
$2,314.75
|
| Rate for Payer: Meridian Medicaid |
$2,430.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,314.75
|
| Rate for Payer: UHCCP Medicaid |
$2,314.75
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$9,603.75 |
| Max. Negotiated Rate |
$10,083.94 |
| Rate for Payer: BCBS Complete |
$10,083.94
|
| Rate for Payer: Mclaren Medicaid |
$9,603.75
|
| Rate for Payer: Meridian Medicaid |
$10,083.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,603.75
|
| Rate for Payer: UHCCP Medicaid |
$9,603.75
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$16,186.01
|
|
|
Service Code
|
APR-DRG 3144
|
| Min. Negotiated Rate |
$15,415.25 |
| Max. Negotiated Rate |
$16,186.01 |
| Rate for Payer: BCBS Complete |
$16,186.01
|
| Rate for Payer: Mclaren Medicaid |
$15,415.25
|
| Rate for Payer: Meridian Medicaid |
$16,186.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,415.25
|
| Rate for Payer: UHCCP Medicaid |
$15,415.25
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$5,067.82
|
|
|
Service Code
|
APR-DRG 3141
|
| Min. Negotiated Rate |
$4,826.50 |
| Max. Negotiated Rate |
$5,067.82 |
| Rate for Payer: BCBS Complete |
$5,067.82
|
| Rate for Payer: Mclaren Medicaid |
$4,826.50
|
| Rate for Payer: Meridian Medicaid |
$5,067.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,826.50
|
| Rate for Payer: UHCCP Medicaid |
$4,826.50
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$7,912.01
|
|
|
Service Code
|
APR-DRG 3404
|
| Min. Negotiated Rate |
$7,535.25 |
| Max. Negotiated Rate |
$7,912.01 |
| Rate for Payer: BCBS Complete |
$7,912.01
|
| Rate for Payer: Mclaren Medicaid |
$7,535.25
|
| Rate for Payer: Meridian Medicaid |
$7,912.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,535.25
|
| Rate for Payer: UHCCP Medicaid |
$7,535.25
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 3401
|
| Min. Negotiated Rate |
$2,561.00 |
| Max. Negotiated Rate |
$2,689.05 |
| Rate for Payer: BCBS Complete |
$2,689.05
|
| Rate for Payer: Mclaren Medicaid |
$2,561.00
|
| Rate for Payer: Meridian Medicaid |
$2,689.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,561.00
|
| Rate for Payer: UHCCP Medicaid |
$2,561.00
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 3403
|
| Min. Negotiated Rate |
$4,875.75 |
| Max. Negotiated Rate |
$5,119.54 |
| Rate for Payer: BCBS Complete |
$5,119.54
|
| Rate for Payer: Mclaren Medicaid |
$4,875.75
|
| Rate for Payer: Meridian Medicaid |
$5,119.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,875.75
|
| Rate for Payer: UHCCP Medicaid |
$4,875.75
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 3402
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.03 |
| Rate for Payer: BCBS Complete |
$3,413.03
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$3,496.75 |
| Max. Negotiated Rate |
$3,671.59 |
| Rate for Payer: BCBS Complete |
$3,671.59
|
| Rate for Payer: Mclaren Medicaid |
$3,496.75
|
| Rate for Payer: Meridian Medicaid |
$3,671.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.75
|
| Rate for Payer: UHCCP Medicaid |
$3,496.75
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$9,456.00 |
| Max. Negotiated Rate |
$9,928.80 |
| Rate for Payer: BCBS Complete |
$9,928.80
|
| Rate for Payer: Mclaren Medicaid |
$9,456.00
|
| Rate for Payer: Meridian Medicaid |
$9,928.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,456.00
|
| Rate for Payer: UHCCP Medicaid |
$9,456.00
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 3413
|
| Min. Negotiated Rate |
$5,171.25 |
| Max. Negotiated Rate |
$5,429.81 |
| Rate for Payer: BCBS Complete |
$5,429.81
|
| Rate for Payer: Mclaren Medicaid |
$5,171.25
|
| Rate for Payer: Meridian Medicaid |
$5,429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,171.25
|
| Rate for Payer: UHCCP Medicaid |
$5,171.25
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 3411
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 3421
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 3422
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|