|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 8921
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$7,084.61
|
|
|
Service Code
|
APR-DRG 8923
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 8922
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$11,635.31
|
|
|
Service Code
|
APR-DRG 8924
|
| Min. Negotiated Rate |
$11,081.25 |
| Max. Negotiated Rate |
$11,635.31 |
| Rate for Payer: BCBS Complete |
$11,635.31
|
| Rate for Payer: Mclaren Medicaid |
$11,081.25
|
| Rate for Payer: Meridian Medicaid |
$11,635.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,081.25
|
| Rate for Payer: UHCCP Medicaid |
$11,081.25
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 8903
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$17,685.67
|
|
|
Service Code
|
APR-DRG 8904
|
| Min. Negotiated Rate |
$16,843.50 |
| Max. Negotiated Rate |
$17,685.67 |
| Rate for Payer: BCBS Complete |
$17,685.67
|
| Rate for Payer: Mclaren Medicaid |
$16,843.50
|
| Rate for Payer: Meridian Medicaid |
$17,685.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,843.50
|
| Rate for Payer: UHCCP Medicaid |
$16,843.50
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 8902
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 8932
|
| Min. Negotiated Rate |
$5,122.00 |
| Max. Negotiated Rate |
$5,378.10 |
| Rate for Payer: BCBS Complete |
$5,378.10
|
| Rate for Payer: Mclaren Medicaid |
$5,122.00
|
| Rate for Payer: Meridian Medicaid |
$5,378.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,122.00
|
| Rate for Payer: UHCCP Medicaid |
$5,122.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 8934
|
| 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 MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,515.77
|
|
|
Service Code
|
APR-DRG 8933
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.77 |
| Rate for Payer: BCBS Complete |
$6,515.77
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 8942
|
| 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
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,299.75 |
| Max. Negotiated Rate |
$3,464.74 |
| Rate for Payer: BCBS Complete |
$3,464.74
|
| Rate for Payer: Mclaren Medicaid |
$3,299.75
|
| Rate for Payer: Meridian Medicaid |
$3,464.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,299.75
|
| Rate for Payer: UHCCP Medicaid |
$3,299.75
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$9,618.52
|
|
|
Service Code
|
APR-DRG 8944
|
| Min. Negotiated Rate |
$9,160.50 |
| Max. Negotiated Rate |
$9,618.52 |
| Rate for Payer: BCBS Complete |
$9,618.52
|
| Rate for Payer: Mclaren Medicaid |
$9,160.50
|
| Rate for Payer: Meridian Medicaid |
$9,618.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,160.50
|
| Rate for Payer: UHCCP Medicaid |
$9,160.50
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 8943
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 1993
|
| Min. Negotiated Rate |
$5,122.00 |
| Max. Negotiated Rate |
$5,378.10 |
| Rate for Payer: BCBS Complete |
$5,378.10
|
| Rate for Payer: Mclaren Medicaid |
$5,122.00
|
| Rate for Payer: Meridian Medicaid |
$5,378.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,122.00
|
| Rate for Payer: UHCCP Medicaid |
$5,122.00
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 1992
|
| Min. Negotiated Rate |
$3,398.25 |
| Max. Negotiated Rate |
$3,568.16 |
| Rate for Payer: BCBS Complete |
$3,568.16
|
| Rate for Payer: Mclaren Medicaid |
$3,398.25
|
| Rate for Payer: Meridian Medicaid |
$3,568.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,398.25
|
| Rate for Payer: UHCCP Medicaid |
$3,398.25
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 1994
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 1991
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,275.35
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$2,167.00 |
| Max. Negotiated Rate |
$2,275.35 |
| Rate for Payer: BCBS Complete |
$2,275.35
|
| Rate for Payer: Mclaren Medicaid |
$2,167.00
|
| Rate for Payer: Meridian Medicaid |
$2,275.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.00
|
| Rate for Payer: UHCCP Medicaid |
$2,167.00
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 4222
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,447.27
|
|
|
Service Code
|
APR-DRG 4223
|
| Min. Negotiated Rate |
$4,235.50 |
| Max. Negotiated Rate |
$4,447.27 |
| Rate for Payer: BCBS Complete |
$4,447.27
|
| Rate for Payer: Mclaren Medicaid |
$4,235.50
|
| Rate for Payer: Meridian Medicaid |
$4,447.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,235.50
|
| Rate for Payer: UHCCP Medicaid |
$4,235.50
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 4224
|
| Min. Negotiated Rate |
$6,895.00 |
| Max. Negotiated Rate |
$7,239.75 |
| Rate for Payer: BCBS Complete |
$7,239.75
|
| Rate for Payer: Mclaren Medicaid |
$6,895.00
|
| Rate for Payer: Meridian Medicaid |
$7,239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,895.00
|
| Rate for Payer: UHCCP Medicaid |
$6,895.00
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$122,041.50
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$116,230.00 |
| Max. Negotiated Rate |
$122,041.50 |
| Rate for Payer: BCBS Complete |
$122,041.50
|
| Rate for Payer: Mclaren Medicaid |
$116,230.00
|
| Rate for Payer: Meridian Medicaid |
$122,041.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$116,230.00
|
| Rate for Payer: UHCCP Medicaid |
$116,230.00
|
|