|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$3,792.25 |
| Max. Negotiated Rate |
$3,981.86 |
| Rate for Payer: BCBS Complete |
$3,981.86
|
| Rate for Payer: Mclaren Medicaid |
$3,792.25
|
| Rate for Payer: Meridian Medicaid |
$3,981.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,792.25
|
| Rate for Payer: UHCCP Medicaid |
$3,792.25
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 1943
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 1942
|
| 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
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1941
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 1944
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 8104
|
| Min. Negotiated Rate |
$12,214.00 |
| Max. Negotiated Rate |
$12,824.70 |
| Rate for Payer: BCBS Complete |
$12,824.70
|
| Rate for Payer: Mclaren Medicaid |
$12,214.00
|
| Rate for Payer: Meridian Medicaid |
$12,824.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,214.00
|
| Rate for Payer: UHCCP Medicaid |
$12,214.00
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 8103
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$14,531.21
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$13,839.25 |
| Max. Negotiated Rate |
$14,531.21 |
| Rate for Payer: BCBS Complete |
$14,531.21
|
| Rate for Payer: Mclaren Medicaid |
$13,839.25
|
| Rate for Payer: Meridian Medicaid |
$14,531.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,839.25
|
| Rate for Payer: UHCCP Medicaid |
$13,839.25
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 2793
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.92 |
| Rate for Payer: BCBS Complete |
$6,308.92
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 2792
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$7,963.72
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.72 |
| Rate for Payer: BCBS Complete |
$7,963.72
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$9,721.95
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$9,259.00 |
| Max. Negotiated Rate |
$9,721.95 |
| Rate for Payer: BCBS Complete |
$9,721.95
|
| Rate for Payer: Mclaren Medicaid |
$9,259.00
|
| Rate for Payer: Meridian Medicaid |
$9,721.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,259.00
|
| Rate for Payer: UHCCP Medicaid |
$9,259.00
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,221.61
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$10,687.25 |
| Max. Negotiated Rate |
$11,221.61 |
| Rate for Payer: BCBS Complete |
$11,221.61
|
| Rate for Payer: Mclaren Medicaid |
$10,687.25
|
| Rate for Payer: Meridian Medicaid |
$11,221.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,687.25
|
| Rate for Payer: UHCCP Medicaid |
$10,687.25
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$18,099.38
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$17,237.50 |
| Max. Negotiated Rate |
$18,099.38 |
| Rate for Payer: BCBS Complete |
$18,099.38
|
| Rate for Payer: Mclaren Medicaid |
$17,237.50
|
| Rate for Payer: Meridian Medicaid |
$18,099.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,237.50
|
| Rate for Payer: UHCCP Medicaid |
$17,237.50
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$12,204.15
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$11,623.00 |
| Max. Negotiated Rate |
$12,204.15 |
| Rate for Payer: BCBS Complete |
$12,204.15
|
| Rate for Payer: Mclaren Medicaid |
$11,623.00
|
| Rate for Payer: Meridian Medicaid |
$12,204.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.00
|
| Rate for Payer: UHCCP Medicaid |
$11,623.00
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,550.02
|
|
|
Service Code
|
APR-DRG 3081
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,721.95
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$9,259.00 |
| Max. Negotiated Rate |
$9,721.95 |
| Rate for Payer: BCBS Complete |
$9,721.95
|
| Rate for Payer: Mclaren Medicaid |
$9,259.00
|
| Rate for Payer: Meridian Medicaid |
$9,721.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,259.00
|
| Rate for Payer: UHCCP Medicaid |
$9,259.00
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$20,995.28
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$19,995.50 |
| Max. Negotiated Rate |
$20,995.28 |
| Rate for Payer: BCBS Complete |
$20,995.28
|
| Rate for Payer: Mclaren Medicaid |
$19,995.50
|
| Rate for Payer: Meridian Medicaid |
$20,995.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,995.50
|
| Rate for Payer: UHCCP Medicaid |
$19,995.50
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 8921
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 8923
|
| Min. Negotiated Rate |
$6,501.00 |
| Max. Negotiated Rate |
$6,826.05 |
| Rate for Payer: BCBS Complete |
$6,826.05
|
| Rate for Payer: Mclaren Medicaid |
$6,501.00
|
| Rate for Payer: Meridian Medicaid |
$6,826.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,501.00
|
| Rate for Payer: UHCCP Medicaid |
$6,501.00
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 8924
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 8922
|
| 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
|
|