|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 8902
|
| Min. Negotiated Rate |
$6,107.00 |
| Max. Negotiated Rate |
$6,412.35 |
| Rate for Payer: BCBS Complete |
$6,412.35
|
| Rate for Payer: Mclaren Medicaid |
$6,107.00
|
| Rate for Payer: Meridian Medicaid |
$6,412.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,107.00
|
| Rate for Payer: UHCCP Medicaid |
$6,107.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$13,703.81
|
|
|
Service Code
|
APR-DRG 8904
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$8,584.28
|
|
|
Service Code
|
APR-DRG 8903
|
| Min. Negotiated Rate |
$8,175.50 |
| Max. Negotiated Rate |
$8,584.28 |
| Rate for Payer: BCBS Complete |
$8,584.28
|
| Rate for Payer: Mclaren Medicaid |
$8,175.50
|
| Rate for Payer: Meridian Medicaid |
$8,584.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,175.50
|
| Rate for Payer: UHCCP Medicaid |
$8,175.50
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$10,342.50
|
|
|
Service Code
|
APR-DRG 8934
|
| Min. Negotiated Rate |
$9,850.00 |
| Max. Negotiated Rate |
$10,342.50 |
| Rate for Payer: BCBS Complete |
$10,342.50
|
| Rate for Payer: Mclaren Medicaid |
$9,850.00
|
| Rate for Payer: Meridian Medicaid |
$10,342.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,850.00
|
| Rate for Payer: UHCCP Medicaid |
$9,850.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 8933
|
| Min. Negotiated Rate |
$5,910.00 |
| Max. Negotiated Rate |
$6,205.50 |
| Rate for Payer: BCBS Complete |
$6,205.50
|
| Rate for Payer: Mclaren Medicaid |
$5,910.00
|
| Rate for Payer: Meridian Medicaid |
$6,205.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,910.00
|
| Rate for Payer: UHCCP Medicaid |
$5,910.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 8932
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,516.45
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,349.00 |
| Max. Negotiated Rate |
$3,516.45 |
| Rate for Payer: BCBS Complete |
$3,516.45
|
| Rate for Payer: Mclaren Medicaid |
$3,349.00
|
| Rate for Payer: Meridian Medicaid |
$3,516.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.00
|
| Rate for Payer: UHCCP Medicaid |
$3,349.00
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 8944
|
| Min. Negotiated Rate |
$6,451.75 |
| Max. Negotiated Rate |
$6,774.34 |
| Rate for Payer: BCBS Complete |
$6,774.34
|
| Rate for Payer: Mclaren Medicaid |
$6,451.75
|
| Rate for Payer: Meridian Medicaid |
$6,774.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,451.75
|
| Rate for Payer: UHCCP Medicaid |
$6,451.75
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 8943
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 8942
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 1991
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 1994
|
| Min. Negotiated Rate |
$9,505.25 |
| Max. Negotiated Rate |
$9,980.51 |
| Rate for Payer: BCBS Complete |
$9,980.51
|
| Rate for Payer: Mclaren Medicaid |
$9,505.25
|
| Rate for Payer: Meridian Medicaid |
$9,980.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,505.25
|
| Rate for Payer: UHCCP Medicaid |
$9,505.25
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 1993
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 1992
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,068.50
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$1,970.00 |
| Max. Negotiated Rate |
$2,068.50 |
| Rate for Payer: BCBS Complete |
$2,068.50
|
| Rate for Payer: Mclaren Medicaid |
$1,970.00
|
| Rate for Payer: Meridian Medicaid |
$2,068.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.00
|
| Rate for Payer: UHCCP Medicaid |
$1,970.00
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,136.32
|
|
|
Service Code
|
APR-DRG 4224
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,740.76
|
|
|
Service Code
|
APR-DRG 4222
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 4223
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$145,105.28
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$138,195.50 |
| Max. Negotiated Rate |
$145,105.28 |
| Rate for Payer: BCBS Complete |
$145,105.28
|
| Rate for Payer: Mclaren Medicaid |
$138,195.50
|
| Rate for Payer: Meridian Medicaid |
$145,105.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$138,195.50
|
| Rate for Payer: UHCCP Medicaid |
$138,195.50
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$66,812.55
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$63,631.00 |
| Max. Negotiated Rate |
$66,812.55 |
| Rate for Payer: BCBS Complete |
$66,812.55
|
| Rate for Payer: Mclaren Medicaid |
$63,631.00
|
| Rate for Payer: Meridian Medicaid |
$66,812.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,631.00
|
| Rate for Payer: UHCCP Medicaid |
$63,631.00
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$87,290.70
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$83,134.00 |
| Max. Negotiated Rate |
$87,290.70 |
| Rate for Payer: BCBS Complete |
$87,290.70
|
| Rate for Payer: Mclaren Medicaid |
$83,134.00
|
| Rate for Payer: Meridian Medicaid |
$87,290.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$83,134.00
|
| Rate for Payer: UHCCP Medicaid |
$83,134.00
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$76,793.06
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$73,136.25 |
| Max. Negotiated Rate |
$76,793.06 |
| Rate for Payer: BCBS Complete |
$76,793.06
|
| Rate for Payer: Mclaren Medicaid |
$73,136.25
|
| Rate for Payer: Meridian Medicaid |
$76,793.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$73,136.25
|
| Rate for Payer: UHCCP Medicaid |
$73,136.25
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|