|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 4422
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$10,911.34
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$10,391.75 |
| Max. Negotiated Rate |
$10,911.34 |
| Rate for Payer: BCBS Complete |
$10,911.34
|
| Rate for Payer: Mclaren Medicaid |
$10,391.75
|
| Rate for Payer: Meridian Medicaid |
$10,911.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,391.75
|
| Rate for Payer: UHCCP Medicaid |
$10,391.75
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$9,566.81
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$9,111.25 |
| Max. Negotiated Rate |
$9,566.81 |
| Rate for Payer: BCBS Complete |
$9,566.81
|
| Rate for Payer: Mclaren Medicaid |
$9,111.25
|
| Rate for Payer: Meridian Medicaid |
$9,566.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,111.25
|
| Rate for Payer: UHCCP Medicaid |
$9,111.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$18,047.66
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$17,188.25 |
| Max. Negotiated Rate |
$18,047.66 |
| Rate for Payer: BCBS Complete |
$18,047.66
|
| Rate for Payer: Mclaren Medicaid |
$17,188.25
|
| Rate for Payer: Meridian Medicaid |
$18,047.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,188.25
|
| Rate for Payer: UHCCP Medicaid |
$17,188.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$8,377.42
|
|
|
Service Code
|
APR-DRG 4431
|
| 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: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$10,911.34
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$10,391.75 |
| Max. Negotiated Rate |
$10,911.34 |
| Rate for Payer: BCBS Complete |
$10,911.34
|
| Rate for Payer: Mclaren Medicaid |
$10,391.75
|
| Rate for Payer: Meridian Medicaid |
$10,911.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,391.75
|
| Rate for Payer: UHCCP Medicaid |
$10,391.75
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$13,238.40
|
|
|
Service Code
|
APR-DRG 3133
|
| 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: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$21,822.68
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$20,783.50 |
| Max. Negotiated Rate |
$21,822.68 |
| Rate for Payer: BCBS Complete |
$21,822.68
|
| Rate for Payer: Mclaren Medicaid |
$20,783.50
|
| Rate for Payer: Meridian Medicaid |
$21,822.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,783.50
|
| Rate for Payer: UHCCP Medicaid |
$20,783.50
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 3131
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,047.66
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$17,188.25 |
| Max. Negotiated Rate |
$18,047.66 |
| Rate for Payer: BCBS Complete |
$18,047.66
|
| Rate for Payer: Mclaren Medicaid |
$17,188.25
|
| Rate for Payer: Meridian Medicaid |
$18,047.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,188.25
|
| Rate for Payer: UHCCP Medicaid |
$17,188.25
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 1811
|
| Min. Negotiated Rate |
$9,357.50 |
| Max. Negotiated Rate |
$9,825.38 |
| Rate for Payer: BCBS Complete |
$9,825.38
|
| Rate for Payer: Mclaren Medicaid |
$9,357.50
|
| Rate for Payer: Meridian Medicaid |
$9,825.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,357.50
|
| Rate for Payer: UHCCP Medicaid |
$9,357.50
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$26,269.95
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$25,019.00 |
| Max. Negotiated Rate |
$26,269.95 |
| Rate for Payer: BCBS Complete |
$26,269.95
|
| Rate for Payer: Mclaren Medicaid |
$25,019.00
|
| Rate for Payer: Meridian Medicaid |
$26,269.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,019.00
|
| Rate for Payer: UHCCP Medicaid |
$25,019.00
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,496.96
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$12,854.25 |
| Max. Negotiated Rate |
$13,496.96 |
| Rate for Payer: BCBS Complete |
$13,496.96
|
| Rate for Payer: Mclaren Medicaid |
$12,854.25
|
| Rate for Payer: Meridian Medicaid |
$13,496.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,854.25
|
| Rate for Payer: UHCCP Medicaid |
$12,854.25
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$6,845.75 |
| Max. Negotiated Rate |
$7,188.04 |
| Rate for Payer: BCBS Complete |
$7,188.04
|
| Rate for Payer: Mclaren Medicaid |
$6,845.75
|
| Rate for Payer: Meridian Medicaid |
$7,188.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,845.75
|
| Rate for Payer: UHCCP Medicaid |
$6,845.75
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,688.38
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$5,417.50 |
| Max. Negotiated Rate |
$5,688.38 |
| Rate for Payer: BCBS Complete |
$5,688.38
|
| Rate for Payer: Mclaren Medicaid |
$5,417.50
|
| Rate for Payer: Meridian Medicaid |
$5,688.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,417.50
|
| Rate for Payer: UHCCP Medicaid |
$5,417.50
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 6944
|
| Min. Negotiated Rate |
$9,997.75 |
| Max. Negotiated Rate |
$10,497.64 |
| Rate for Payer: BCBS Complete |
$10,497.64
|
| Rate for Payer: Mclaren Medicaid |
$9,997.75
|
| Rate for Payer: Meridian Medicaid |
$10,497.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,997.75
|
| Rate for Payer: UHCCP Medicaid |
$9,997.75
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,030.20
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,124.00 |
| Max. Negotiated Rate |
$19,030.20 |
| Rate for Payer: BCBS Complete |
$19,030.20
|
| Rate for Payer: Mclaren Medicaid |
$18,124.00
|
| Rate for Payer: Meridian Medicaid |
$19,030.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,124.00
|
| Rate for Payer: UHCCP Medicaid |
$18,124.00
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,895.22
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,614.50 |
| Max. Negotiated Rate |
$5,895.22 |
| Rate for Payer: BCBS Complete |
$5,895.22
|
| Rate for Payer: Mclaren Medicaid |
$5,614.50
|
| Rate for Payer: Meridian Medicaid |
$5,895.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,614.50
|
| Rate for Payer: UHCCP Medicaid |
$5,614.50
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,376.08
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$13,691.50 |
| Max. Negotiated Rate |
$14,376.08 |
| Rate for Payer: BCBS Complete |
$14,376.08
|
| Rate for Payer: Mclaren Medicaid |
$13,691.50
|
| Rate for Payer: Meridian Medicaid |
$14,376.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,691.50
|
| Rate for Payer: UHCCP Medicaid |
$13,691.50
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,891.18
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$22,753.50 |
| Max. Negotiated Rate |
$23,891.18 |
| Rate for Payer: BCBS Complete |
$23,891.18
|
| Rate for Payer: Mclaren Medicaid |
$22,753.50
|
| Rate for Payer: Meridian Medicaid |
$23,891.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,753.50
|
| Rate for Payer: UHCCP Medicaid |
$22,753.50
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$29,889.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$28,466.50 |
| Max. Negotiated Rate |
$29,889.82 |
| Rate for Payer: BCBS Complete |
$29,889.82
|
| Rate for Payer: Mclaren Medicaid |
$28,466.50
|
| Rate for Payer: Meridian Medicaid |
$29,889.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,466.50
|
| Rate for Payer: UHCCP Medicaid |
$28,466.50
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,668.89
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$14,922.75 |
| Max. Negotiated Rate |
$15,668.89 |
| Rate for Payer: BCBS Complete |
$15,668.89
|
| Rate for Payer: Mclaren Medicaid |
$14,922.75
|
| Rate for Payer: Meridian Medicaid |
$15,668.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,922.75
|
| Rate for Payer: UHCCP Medicaid |
$14,922.75
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,151.09
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$17,286.75 |
| Max. Negotiated Rate |
$18,151.09 |
| Rate for Payer: BCBS Complete |
$18,151.09
|
| Rate for Payer: Mclaren Medicaid |
$17,286.75
|
| Rate for Payer: Meridian Medicaid |
$18,151.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,286.75
|
| Rate for Payer: UHCCP Medicaid |
$17,286.75
|
|