|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$11,721.50 |
| Max. Negotiated Rate |
$12,307.58 |
| Rate for Payer: BCBS Complete |
$12,307.58
|
| Rate for Payer: Mclaren Medicaid |
$11,721.50
|
| Rate for Payer: Meridian Medicaid |
$12,307.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,721.50
|
| Rate for Payer: UHCCP Medicaid |
$11,721.50
|
|
|
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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 8172
|
| 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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$11,893.88
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$11,327.50 |
| Max. Negotiated Rate |
$11,893.88 |
| Rate for Payer: BCBS Complete |
$11,893.88
|
| Rate for Payer: Mclaren Medicaid |
$11,327.50
|
| Rate for Payer: Meridian Medicaid |
$11,893.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,327.50
|
| Rate for Payer: UHCCP Medicaid |
$11,327.50
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,120.21
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,019.25 |
| Max. Negotiated Rate |
$2,120.21 |
| Rate for Payer: BCBS Complete |
$2,120.21
|
| Rate for Payer: Mclaren Medicaid |
$2,019.25
|
| Rate for Payer: Meridian Medicaid |
$2,120.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,019.25
|
| Rate for Payer: UHCCP Medicaid |
$2,019.25
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,383.25 |
| Max. Negotiated Rate |
$4,602.41 |
| Rate for Payer: BCBS Complete |
$4,602.41
|
| Rate for Payer: Mclaren Medicaid |
$4,383.25
|
| Rate for Payer: Meridian Medicaid |
$4,602.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,383.25
|
| Rate for Payer: UHCCP Medicaid |
$4,383.25
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 1421
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$10,859.62
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$10,342.50 |
| Max. Negotiated Rate |
$10,859.62 |
| Rate for Payer: BCBS Complete |
$10,859.62
|
| Rate for Payer: Mclaren Medicaid |
$10,342.50
|
| Rate for Payer: Meridian Medicaid |
$10,859.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,342.50
|
| Rate for Payer: UHCCP Medicaid |
$10,342.50
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 2473
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,533.91
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$2,413.25 |
| Max. Negotiated Rate |
$2,533.91 |
| Rate for Payer: BCBS Complete |
$2,533.91
|
| Rate for Payer: Mclaren Medicaid |
$2,413.25
|
| Rate for Payer: Meridian Medicaid |
$2,533.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,413.25
|
| Rate for Payer: UHCCP Medicaid |
$2,413.25
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 2474
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$12,721.27
|
|
|
Service Code
|
APR-DRG 0444
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 0441
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 0442
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.03 |
| Rate for Payer: BCBS Complete |
$3,413.03
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$7,808.59
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$7,436.75 |
| Max. Negotiated Rate |
$7,808.59 |
| Rate for Payer: BCBS Complete |
$7,808.59
|
| Rate for Payer: Mclaren Medicaid |
$7,436.75
|
| Rate for Payer: Meridian Medicaid |
$7,808.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,436.75
|
| Rate for Payer: UHCCP Medicaid |
$7,436.75
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 4631
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 4633
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 4612
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,136.32
|
|
|
Service Code
|
APR-DRG 4613
|
| 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
|
|