|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$17,892.52
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$17,040.50 |
| Max. Negotiated Rate |
$17,892.52 |
| Rate for Payer: BCBS Complete |
$17,892.52
|
| Rate for Payer: Mclaren Medicaid |
$17,040.50
|
| Rate for Payer: Meridian Medicaid |
$17,892.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,040.50
|
| Rate for Payer: UHCCP Medicaid |
$17,040.50
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 4232
|
| 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: 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
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,223.64
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,117.75 |
| Max. Negotiated Rate |
$2,223.64 |
| Rate for Payer: BCBS Complete |
$2,223.64
|
| Rate for Payer: Mclaren Medicaid |
$2,117.75
|
| Rate for Payer: Meridian Medicaid |
$2,223.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,117.75
|
| Rate for Payer: UHCCP Medicaid |
$2,117.75
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,027.75 |
| Max. Negotiated Rate |
$8,429.14 |
| Rate for Payer: BCBS Complete |
$8,429.14
|
| Rate for Payer: Mclaren Medicaid |
$8,027.75
|
| Rate for Payer: Meridian Medicaid |
$8,429.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,027.75
|
| Rate for Payer: UHCCP Medicaid |
$8,027.75
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,912.01
|
|
|
Service Code
|
APR-DRG 7102
|
| Min. Negotiated Rate |
$7,535.25 |
| Max. Negotiated Rate |
$7,912.01 |
| Rate for Payer: BCBS Complete |
$7,912.01
|
| Rate for Payer: Mclaren Medicaid |
$7,535.25
|
| Rate for Payer: Meridian Medicaid |
$7,912.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,535.25
|
| Rate for Payer: UHCCP Medicaid |
$7,535.25
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,186.69
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$12,558.75 |
| Max. Negotiated Rate |
$13,186.69 |
| Rate for Payer: BCBS Complete |
$13,186.69
|
| Rate for Payer: Mclaren Medicaid |
$12,558.75
|
| Rate for Payer: Meridian Medicaid |
$13,186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,558.75
|
| Rate for Payer: UHCCP Medicaid |
$12,558.75
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 7101
|
| 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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,081.91
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$18,173.25 |
| Max. Negotiated Rate |
$19,081.91 |
| Rate for Payer: BCBS Complete |
$19,081.91
|
| Rate for Payer: Mclaren Medicaid |
$18,173.25
|
| Rate for Payer: Meridian Medicaid |
$19,081.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,173.25
|
| Rate for Payer: UHCCP Medicaid |
$18,173.25
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 2453
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$10,032.22
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$9,554.50 |
| Max. Negotiated Rate |
$10,032.22 |
| Rate for Payer: BCBS Complete |
$10,032.22
|
| Rate for Payer: Mclaren Medicaid |
$9,554.50
|
| Rate for Payer: Meridian Medicaid |
$10,032.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,554.50
|
| Rate for Payer: UHCCP Medicaid |
$9,554.50
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 2282
|
| Min. Negotiated Rate |
$8,274.00 |
| Max. Negotiated Rate |
$8,687.70 |
| Rate for Payer: BCBS Complete |
$8,687.70
|
| Rate for Payer: Mclaren Medicaid |
$8,274.00
|
| Rate for Payer: Meridian Medicaid |
$8,687.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,274.00
|
| Rate for Payer: UHCCP Medicaid |
$8,274.00
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$17,944.24
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$17,089.75 |
| Max. Negotiated Rate |
$17,944.24 |
| Rate for Payer: BCBS Complete |
$17,944.24
|
| Rate for Payer: Mclaren Medicaid |
$17,089.75
|
| Rate for Payer: Meridian Medicaid |
$17,944.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,089.75
|
| Rate for Payer: UHCCP Medicaid |
$17,089.75
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$24,304.88
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$23,147.50 |
| Max. Negotiated Rate |
$24,304.88 |
| Rate for Payer: BCBS Complete |
$24,304.88
|
| Rate for Payer: Mclaren Medicaid |
$23,147.50
|
| Rate for Payer: Meridian Medicaid |
$24,304.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,147.50
|
| Rate for Payer: UHCCP Medicaid |
$23,147.50
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,463.39
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$9,012.75 |
| Max. Negotiated Rate |
$9,463.39 |
| Rate for Payer: BCBS Complete |
$9,463.39
|
| Rate for Payer: Mclaren Medicaid |
$9,012.75
|
| Rate for Payer: Meridian Medicaid |
$9,463.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,012.75
|
| Rate for Payer: UHCCP Medicaid |
$9,012.75
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$19,857.60
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$18,912.00 |
| Max. Negotiated Rate |
$19,857.60 |
| Rate for Payer: BCBS Complete |
$19,857.60
|
| Rate for Payer: Mclaren Medicaid |
$18,912.00
|
| Rate for Payer: Meridian Medicaid |
$19,857.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,912.00
|
| Rate for Payer: UHCCP Medicaid |
$18,912.00
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$35,164.50
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$33,490.00 |
| Max. Negotiated Rate |
$35,164.50 |
| Rate for Payer: BCBS Complete |
$35,164.50
|
| Rate for Payer: Mclaren Medicaid |
$33,490.00
|
| Rate for Payer: Meridian Medicaid |
$35,164.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,490.00
|
| Rate for Payer: UHCCP Medicaid |
$33,490.00
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 8174
|
| 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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,413.02
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.02 |
| Rate for Payer: BCBS Complete |
$3,413.02
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|