|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,072.75 |
| Max. Negotiated Rate |
$5,326.39 |
| Rate for Payer: BCBS Complete |
$5,326.39
|
| Rate for Payer: Mclaren Medicaid |
$5,072.75
|
| Rate for Payer: Meridian Medicaid |
$5,326.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,072.75
|
| Rate for Payer: UHCCP Medicaid |
$5,072.75
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$89,048.93
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$84,808.50 |
| Max. Negotiated Rate |
$89,048.93 |
| Rate for Payer: BCBS Complete |
$89,048.93
|
| Rate for Payer: Mclaren Medicaid |
$84,808.50
|
| Rate for Payer: Meridian Medicaid |
$89,048.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$84,808.50
|
| Rate for Payer: UHCCP Medicaid |
$84,808.50
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$59,624.51
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$56,785.25 |
| Max. Negotiated Rate |
$59,624.51 |
| Rate for Payer: BCBS Complete |
$59,624.51
|
| Rate for Payer: Mclaren Medicaid |
$56,785.25
|
| Rate for Payer: Meridian Medicaid |
$59,624.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,785.25
|
| Rate for Payer: UHCCP Medicaid |
$56,785.25
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$163,514.92
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$155,728.50 |
| Max. Negotiated Rate |
$163,514.92 |
| Rate for Payer: BCBS Complete |
$163,514.92
|
| Rate for Payer: Mclaren Medicaid |
$155,728.50
|
| Rate for Payer: Meridian Medicaid |
$163,514.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$155,728.50
|
| Rate for Payer: UHCCP Medicaid |
$155,728.50
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$67,433.10
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$64,222.00 |
| Max. Negotiated Rate |
$67,433.10 |
| Rate for Payer: BCBS Complete |
$67,433.10
|
| Rate for Payer: Mclaren Medicaid |
$64,222.00
|
| Rate for Payer: Meridian Medicaid |
$67,433.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$64,222.00
|
| Rate for Payer: UHCCP Medicaid |
$64,222.00
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 1943
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$12,049.01
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$11,475.25 |
| Max. Negotiated Rate |
$12,049.01 |
| Rate for Payer: BCBS Complete |
$12,049.01
|
| Rate for Payer: Mclaren Medicaid |
$11,475.25
|
| Rate for Payer: Meridian Medicaid |
$12,049.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,475.25
|
| Rate for Payer: UHCCP Medicaid |
$11,475.25
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$2,740.76
|
|
|
Service Code
|
APR-DRG 1941
|
| Min. Negotiated Rate |
$2,610.25 |
| Max. Negotiated Rate |
$2,740.76 |
| Rate for Payer: BCBS Complete |
$2,740.76
|
| Rate for Payer: Mclaren Medicaid |
$2,610.25
|
| Rate for Payer: Meridian Medicaid |
$2,740.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,610.25
|
| Rate for Payer: UHCCP Medicaid |
$2,610.25
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 1942
|
| Min. Negotiated Rate |
$3,644.50 |
| Max. Negotiated Rate |
$3,826.72 |
| Rate for Payer: BCBS Complete |
$3,826.72
|
| Rate for Payer: Mclaren Medicaid |
$3,644.50
|
| Rate for Payer: Meridian Medicaid |
$3,826.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,644.50
|
| Rate for Payer: UHCCP Medicaid |
$3,644.50
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$11,842.16
|
|
|
Service Code
|
APR-DRG 8104
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$5,860.75 |
| Max. Negotiated Rate |
$6,153.79 |
| Rate for Payer: BCBS Complete |
$6,153.79
|
| Rate for Payer: Mclaren Medicaid |
$5,860.75
|
| Rate for Payer: Meridian Medicaid |
$6,153.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,860.75
|
| Rate for Payer: UHCCP Medicaid |
$5,860.75
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.47 |
| Rate for Payer: BCBS Complete |
$2,792.47
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 8102
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$12,721.27
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$12,115.50 |
| Max. Negotiated Rate |
$12,721.27 |
| Rate for Payer: BCBS Complete |
$12,721.27
|
| Rate for Payer: Mclaren Medicaid |
$12,115.50
|
| Rate for Payer: Meridian Medicaid |
$12,721.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,115.50
|
| Rate for Payer: UHCCP Medicaid |
$12,115.50
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 2792
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 2793
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$20,064.45
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$19,109.00 |
| Max. Negotiated Rate |
$20,064.45 |
| Rate for Payer: BCBS Complete |
$20,064.45
|
| Rate for Payer: Mclaren Medicaid |
$19,109.00
|
| Rate for Payer: Meridian Medicaid |
$20,064.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,109.00
|
| Rate for Payer: UHCCP Medicaid |
$19,109.00
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$6,308.93
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.93 |
| Rate for Payer: BCBS Complete |
$6,308.93
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$7,338.25 |
| Max. Negotiated Rate |
$7,705.16 |
| Rate for Payer: BCBS Complete |
$7,705.16
|
| Rate for Payer: Mclaren Medicaid |
$7,338.25
|
| Rate for Payer: Meridian Medicaid |
$7,705.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,338.25
|
| Rate for Payer: UHCCP Medicaid |
$7,338.25
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,428.46
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$10,884.25 |
| Max. Negotiated Rate |
$11,428.46 |
| Rate for Payer: BCBS Complete |
$11,428.46
|
| Rate for Payer: Mclaren Medicaid |
$10,884.25
|
| Rate for Payer: Meridian Medicaid |
$11,428.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,884.25
|
| Rate for Payer: UHCCP Medicaid |
$10,884.25
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,791.12
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$8,372.50 |
| Max. Negotiated Rate |
$8,791.12 |
| Rate for Payer: BCBS Complete |
$8,791.12
|
| Rate for Payer: Mclaren Medicaid |
$8,372.50
|
| Rate for Payer: Meridian Medicaid |
$8,791.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,372.50
|
| Rate for Payer: UHCCP Medicaid |
$8,372.50
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$11,169.90
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$10,638.00 |
| Max. Negotiated Rate |
$11,169.90 |
| Rate for Payer: BCBS Complete |
$11,169.90
|
| Rate for Payer: Mclaren Medicaid |
$10,638.00
|
| Rate for Payer: Meridian Medicaid |
$11,169.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,638.00
|
| Rate for Payer: UHCCP Medicaid |
$10,638.00
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 3081
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$16,082.59
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$15,316.75 |
| Max. Negotiated Rate |
$16,082.59 |
| Rate for Payer: BCBS Complete |
$16,082.59
|
| Rate for Payer: Mclaren Medicaid |
$15,316.75
|
| Rate for Payer: Meridian Medicaid |
$16,082.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,316.75
|
| Rate for Payer: UHCCP Medicaid |
$15,316.75
|
|