|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$70,329.00
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$66,980.00 |
| Max. Negotiated Rate |
$70,329.00 |
| Rate for Payer: BCBS Complete |
$70,329.00
|
| Rate for Payer: Mclaren Medicaid |
$66,980.00
|
| Rate for Payer: Meridian Medicaid |
$70,329.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,980.00
|
| Rate for Payer: UHCCP Medicaid |
$66,980.00
|
|
|
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
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$70,329.00
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$66,980.00 |
| Max. Negotiated Rate |
$70,329.00 |
| Rate for Payer: BCBS Complete |
$70,329.00
|
| Rate for Payer: Mclaren Medicaid |
$66,980.00
|
| Rate for Payer: Meridian Medicaid |
$70,329.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,980.00
|
| Rate for Payer: UHCCP Medicaid |
$66,980.00
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$19,650.75
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$18,715.00 |
| Max. Negotiated Rate |
$19,650.75 |
| Rate for Payer: BCBS Complete |
$19,650.75
|
| Rate for Payer: Mclaren Medicaid |
$18,715.00
|
| Rate for Payer: Meridian Medicaid |
$19,650.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,715.00
|
| Rate for Payer: UHCCP Medicaid |
$18,715.00
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 4231
|
| 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: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 4232
|
| Min. Negotiated Rate |
$4,777.25 |
| Max. Negotiated Rate |
$5,016.11 |
| Rate for Payer: BCBS Complete |
$5,016.11
|
| Rate for Payer: Mclaren Medicaid |
$4,777.25
|
| Rate for Payer: Meridian Medicaid |
$5,016.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,777.25
|
| Rate for Payer: UHCCP Medicaid |
$4,777.25
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,016.79
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$1,920.75 |
| Max. Negotiated Rate |
$2,016.79 |
| Rate for Payer: BCBS Complete |
$2,016.79
|
| Rate for Payer: Mclaren Medicaid |
$1,920.75
|
| Rate for Payer: Meridian Medicaid |
$2,016.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,920.75
|
| Rate for Payer: UHCCP Medicaid |
$1,920.75
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,635.99
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,224.75 |
| Max. Negotiated Rate |
$8,635.99 |
| Rate for Payer: BCBS Complete |
$8,635.99
|
| Rate for Payer: Mclaren Medicaid |
$8,224.75
|
| Rate for Payer: Meridian Medicaid |
$8,635.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,224.75
|
| Rate for Payer: UHCCP Medicaid |
$8,224.75
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,284.75 |
| Max. Negotiated Rate |
$4,498.99 |
| Rate for Payer: BCBS Complete |
$4,498.99
|
| Rate for Payer: Mclaren Medicaid |
$4,284.75
|
| Rate for Payer: Meridian Medicaid |
$4,498.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,284.75
|
| Rate for Payer: UHCCP Medicaid |
$4,284.75
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,255.19
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$14,528.75 |
| Max. Negotiated Rate |
$15,255.19 |
| Rate for Payer: BCBS Complete |
$15,255.19
|
| Rate for Payer: Mclaren Medicaid |
$14,528.75
|
| Rate for Payer: Meridian Medicaid |
$15,255.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,528.75
|
| Rate for Payer: UHCCP Medicaid |
$14,528.75
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 7101
|
| Min. Negotiated Rate |
$6,648.75 |
| Max. Negotiated Rate |
$6,981.19 |
| Rate for Payer: BCBS Complete |
$6,981.19
|
| Rate for Payer: Mclaren Medicaid |
$6,648.75
|
| Rate for Payer: Meridian Medicaid |
$6,981.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,648.75
|
| Rate for Payer: UHCCP Medicaid |
$6,648.75
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$23,477.47
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$22,359.50 |
| Max. Negotiated Rate |
$23,477.47 |
| Rate for Payer: BCBS Complete |
$23,477.47
|
| Rate for Payer: Mclaren Medicaid |
$22,359.50
|
| Rate for Payer: Meridian Medicaid |
$23,477.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,359.50
|
| Rate for Payer: UHCCP Medicaid |
$22,359.50
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 7102
|
| Min. Negotiated Rate |
$9,800.75 |
| Max. Negotiated Rate |
$10,290.79 |
| Rate for Payer: BCBS Complete |
$10,290.79
|
| Rate for Payer: Mclaren Medicaid |
$9,800.75
|
| Rate for Payer: Meridian Medicaid |
$10,290.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,800.75
|
| Rate for Payer: UHCCP Medicaid |
$9,800.75
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$10,539.50 |
| Max. Negotiated Rate |
$11,066.48 |
| Rate for Payer: BCBS Complete |
$11,066.48
|
| Rate for Payer: Mclaren Medicaid |
$10,539.50
|
| Rate for Payer: Meridian Medicaid |
$11,066.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,539.50
|
| Rate for Payer: UHCCP Medicaid |
$10,539.50
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,308.25
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$8,865.00 |
| Max. Negotiated Rate |
$9,308.25 |
| Rate for Payer: BCBS Complete |
$9,308.25
|
| Rate for Payer: Mclaren Medicaid |
$8,865.00
|
| Rate for Payer: Meridian Medicaid |
$9,308.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,865.00
|
| Rate for Payer: UHCCP Medicaid |
$8,865.00
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 2282
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$16,599.71
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$15,809.25 |
| Max. Negotiated Rate |
$16,599.71 |
| Rate for Payer: BCBS Complete |
$16,599.71
|
| Rate for Payer: Mclaren Medicaid |
$15,809.25
|
| Rate for Payer: Meridian Medicaid |
$16,599.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,809.25
|
| Rate for Payer: UHCCP Medicaid |
$15,809.25
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$16,548.00
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$15,760.00 |
| Max. Negotiated Rate |
$16,548.00 |
| Rate for Payer: BCBS Complete |
$16,548.00
|
| Rate for Payer: Mclaren Medicaid |
$15,760.00
|
| Rate for Payer: Meridian Medicaid |
$16,548.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,760.00
|
| Rate for Payer: UHCCP Medicaid |
$15,760.00
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$8,618.75 |
| Max. Negotiated Rate |
$9,049.69 |
| Rate for Payer: BCBS Complete |
$9,049.69
|
| Rate for Payer: Mclaren Medicaid |
$8,618.75
|
| Rate for Payer: Meridian Medicaid |
$9,049.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,618.75
|
| Rate for Payer: UHCCP Medicaid |
$8,618.75
|
|