|
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 PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$22,029.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$20,980.50 |
| Max. Negotiated Rate |
$22,029.53 |
| Rate for Payer: BCBS Complete |
$22,029.53
|
| Rate for Payer: Mclaren Medicaid |
$20,980.50
|
| Rate for Payer: Meridian Medicaid |
$22,029.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,980.50
|
| Rate for Payer: UHCCP Medicaid |
$20,980.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,635.99
|
|
|
Service Code
|
APR-DRG 4422
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$13,238.40
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$12,608.00 |
| Max. Negotiated Rate |
$13,238.40 |
| Rate for Payer: BCBS Complete |
$13,238.40
|
| Rate for Payer: Mclaren Medicaid |
$12,608.00
|
| Rate for Payer: Meridian Medicaid |
$13,238.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,608.00
|
| Rate for Payer: UHCCP Medicaid |
$12,608.00
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 4421
|
| Min. Negotiated Rate |
$6,993.50 |
| Max. Negotiated Rate |
$7,343.18 |
| Rate for Payer: BCBS Complete |
$7,343.18
|
| Rate for Payer: Mclaren Medicaid |
$6,993.50
|
| Rate for Payer: Meridian Medicaid |
$7,343.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,993.50
|
| Rate for Payer: UHCCP Medicaid |
$6,993.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$8,377.42
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$7,978.50 |
| Max. Negotiated Rate |
$8,377.42 |
| Rate for Payer: BCBS Complete |
$8,377.42
|
| Rate for Payer: Mclaren Medicaid |
$7,978.50
|
| Rate for Payer: Meridian Medicaid |
$8,377.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,978.50
|
| Rate for Payer: UHCCP Medicaid |
$7,978.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$11,428.46
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$10,884.25 |
| Max. Negotiated Rate |
$11,428.46 |
| Rate for Payer: BCBS Complete |
$11,428.46
|
| Rate for Payer: Mclaren Medicaid |
$10,884.25
|
| Rate for Payer: Meridian Medicaid |
$11,428.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,884.25
|
| Rate for Payer: UHCCP Medicaid |
$10,884.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 4431
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$18,823.35
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$17,927.00 |
| Max. Negotiated Rate |
$18,823.35 |
| Rate for Payer: BCBS Complete |
$18,823.35
|
| Rate for Payer: Mclaren Medicaid |
$17,927.00
|
| Rate for Payer: Meridian Medicaid |
$18,823.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,927.00
|
| Rate for Payer: UHCCP Medicaid |
$17,927.00
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$24,977.14
|
|
|
Service Code
|
APR-DRG 4401
|
| Min. Negotiated Rate |
$23,787.75 |
| Max. Negotiated Rate |
$24,977.14 |
| Rate for Payer: BCBS Complete |
$24,977.14
|
| Rate for Payer: Mclaren Medicaid |
$23,787.75
|
| Rate for Payer: Meridian Medicaid |
$24,977.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,787.75
|
| Rate for Payer: UHCCP Medicaid |
$23,787.75
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$26,683.65
|
|
|
Service Code
|
APR-DRG 4402
|
| Min. Negotiated Rate |
$25,413.00 |
| Max. Negotiated Rate |
$26,683.65 |
| Rate for Payer: BCBS Complete |
$26,683.65
|
| Rate for Payer: Mclaren Medicaid |
$25,413.00
|
| Rate for Payer: Meridian Medicaid |
$26,683.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,413.00
|
| Rate for Payer: UHCCP Medicaid |
$25,413.00
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$46,075.84
|
|
|
Service Code
|
APR-DRG 4404
|
| Min. Negotiated Rate |
$43,881.75 |
| Max. Negotiated Rate |
$46,075.84 |
| Rate for Payer: BCBS Complete |
$46,075.84
|
| Rate for Payer: Mclaren Medicaid |
$43,881.75
|
| Rate for Payer: Meridian Medicaid |
$46,075.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,881.75
|
| Rate for Payer: UHCCP Medicaid |
$43,881.75
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$31,337.78
|
|
|
Service Code
|
APR-DRG 4403
|
| Min. Negotiated Rate |
$29,845.50 |
| Max. Negotiated Rate |
$31,337.78 |
| Rate for Payer: BCBS Complete |
$31,337.78
|
| Rate for Payer: Mclaren Medicaid |
$29,845.50
|
| Rate for Payer: Meridian Medicaid |
$31,337.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,845.50
|
| Rate for Payer: UHCCP Medicaid |
$29,845.50
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$9,773.66
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$9,308.25 |
| Max. Negotiated Rate |
$9,773.66 |
| Rate for Payer: BCBS Complete |
$9,773.66
|
| Rate for Payer: Mclaren Medicaid |
$9,308.25
|
| Rate for Payer: Meridian Medicaid |
$9,773.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,308.25
|
| Rate for Payer: UHCCP Medicaid |
$9,308.25
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$13,858.95
|
|
|
Service Code
|
APR-DRG 3133
|
| Min. Negotiated Rate |
$13,199.00 |
| Max. Negotiated Rate |
$13,858.95 |
| Rate for Payer: BCBS Complete |
$13,858.95
|
| Rate for Payer: Mclaren Medicaid |
$13,199.00
|
| Rate for Payer: Meridian Medicaid |
$13,858.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,199.00
|
| Rate for Payer: UHCCP Medicaid |
$13,199.00
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 3131
|
| Min. Negotiated Rate |
$6,993.50 |
| Max. Negotiated Rate |
$7,343.18 |
| Rate for Payer: BCBS Complete |
$7,343.18
|
| Rate for Payer: Mclaren Medicaid |
$6,993.50
|
| Rate for Payer: Meridian Medicaid |
$7,343.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,993.50
|
| Rate for Payer: UHCCP Medicaid |
$6,993.50
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$20,529.86
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$19,552.25 |
| Max. Negotiated Rate |
$20,529.86 |
| Rate for Payer: BCBS Complete |
$20,529.86
|
| Rate for Payer: Mclaren Medicaid |
$19,552.25
|
| Rate for Payer: Meridian Medicaid |
$20,529.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,552.25
|
| Rate for Payer: UHCCP Medicaid |
$19,552.25
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$36,509.03
|
|
|
Service Code
|
APR-DRG 0012
|
| Min. Negotiated Rate |
$34,770.50 |
| Max. Negotiated Rate |
$36,509.03 |
| Rate for Payer: BCBS Complete |
$36,509.03
|
| Rate for Payer: Mclaren Medicaid |
$34,770.50
|
| Rate for Payer: Meridian Medicaid |
$36,509.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,770.50
|
| Rate for Payer: UHCCP Medicaid |
$34,770.50
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$32,061.75
|
|
|
Service Code
|
APR-DRG 0011
|
| Min. Negotiated Rate |
$30,535.00 |
| Max. Negotiated Rate |
$32,061.75 |
| Rate for Payer: BCBS Complete |
$32,061.75
|
| Rate for Payer: Mclaren Medicaid |
$30,535.00
|
| Rate for Payer: Meridian Medicaid |
$32,061.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,535.00
|
| Rate for Payer: UHCCP Medicaid |
$30,535.00
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$47,265.22
|
|
|
Service Code
|
APR-DRG 0013
|
| Min. Negotiated Rate |
$45,014.50 |
| Max. Negotiated Rate |
$47,265.22 |
| Rate for Payer: BCBS Complete |
$47,265.22
|
| Rate for Payer: Mclaren Medicaid |
$45,014.50
|
| Rate for Payer: Meridian Medicaid |
$47,265.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,014.50
|
| Rate for Payer: UHCCP Medicaid |
$45,014.50
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$91,014.00
|
|
|
Service Code
|
APR-DRG 0014
|
| Min. Negotiated Rate |
$86,680.00 |
| Max. Negotiated Rate |
$91,014.00 |
| Rate for Payer: BCBS Complete |
$91,014.00
|
| Rate for Payer: Mclaren Medicaid |
$86,680.00
|
| Rate for Payer: Meridian Medicaid |
$91,014.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$86,680.00
|
| Rate for Payer: UHCCP Medicaid |
$86,680.00
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,201.45
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$23,049.00 |
| Max. Negotiated Rate |
$24,201.45 |
| Rate for Payer: BCBS Complete |
$24,201.45
|
| Rate for Payer: Mclaren Medicaid |
$23,049.00
|
| Rate for Payer: Meridian Medicaid |
$24,201.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,049.00
|
| Rate for Payer: UHCCP Medicaid |
$23,049.00
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 1811
|
| 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
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,651.42
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$15,858.50 |
| Max. Negotiated Rate |
$16,651.42 |
| Rate for Payer: BCBS Complete |
$16,651.42
|
| Rate for Payer: Mclaren Medicaid |
$15,858.50
|
| Rate for Payer: Meridian Medicaid |
$16,651.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,858.50
|
| Rate for Payer: UHCCP Medicaid |
$15,858.50
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,462.71
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$11,869.25 |
| Max. Negotiated Rate |
$12,462.71 |
| Rate for Payer: BCBS Complete |
$12,462.71
|
| Rate for Payer: Mclaren Medicaid |
$11,869.25
|
| Rate for Payer: Meridian Medicaid |
$12,462.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,869.25
|
| Rate for Payer: UHCCP Medicaid |
$11,869.25
|
|