|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$11,790.45
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,229.00 |
| Max. Negotiated Rate |
$11,790.45 |
| Rate for Payer: BCBS Complete |
$11,790.45
|
| Rate for Payer: Mclaren Medicaid |
$11,229.00
|
| Rate for Payer: Meridian Medicaid |
$11,790.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,229.00
|
| Rate for Payer: UHCCP Medicaid |
$11,229.00
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$28,700.44
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$27,333.75 |
| Max. Negotiated Rate |
$28,700.44 |
| Rate for Payer: BCBS Complete |
$28,700.44
|
| Rate for Payer: Mclaren Medicaid |
$27,333.75
|
| Rate for Payer: Meridian Medicaid |
$28,700.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,333.75
|
| Rate for Payer: UHCCP Medicaid |
$27,333.75
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$15,203.48
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$14,479.50 |
| Max. Negotiated Rate |
$15,203.48 |
| Rate for Payer: BCBS Complete |
$15,203.48
|
| Rate for Payer: Mclaren Medicaid |
$14,479.50
|
| Rate for Payer: Meridian Medicaid |
$15,203.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.50
|
| Rate for Payer: UHCCP Medicaid |
$14,479.50
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$19,754.18
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$18,813.50 |
| Max. Negotiated Rate |
$19,754.18 |
| Rate for Payer: BCBS Complete |
$19,754.18
|
| Rate for Payer: Mclaren Medicaid |
$18,813.50
|
| Rate for Payer: Meridian Medicaid |
$19,754.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,813.50
|
| Rate for Payer: UHCCP Medicaid |
$18,813.50
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$28,803.86
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$27,432.25 |
| Max. Negotiated Rate |
$28,803.86 |
| Rate for Payer: BCBS Complete |
$28,803.86
|
| Rate for Payer: Mclaren Medicaid |
$27,432.25
|
| Rate for Payer: Meridian Medicaid |
$28,803.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,432.25
|
| Rate for Payer: UHCCP Medicaid |
$27,432.25
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,100.72
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$11,524.50 |
| Max. Negotiated Rate |
$12,100.72 |
| Rate for Payer: BCBS Complete |
$12,100.72
|
| Rate for Payer: Mclaren Medicaid |
$11,524.50
|
| Rate for Payer: Meridian Medicaid |
$12,100.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,524.50
|
| Rate for Payer: UHCCP Medicaid |
$11,524.50
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$15,100.05
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$14,381.00 |
| Max. Negotiated Rate |
$15,100.05 |
| Rate for Payer: BCBS Complete |
$15,100.05
|
| Rate for Payer: Mclaren Medicaid |
$14,381.00
|
| Rate for Payer: Meridian Medicaid |
$15,100.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,381.00
|
| Rate for Payer: UHCCP Medicaid |
$14,381.00
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$37,233.00
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$35,460.00 |
| Max. Negotiated Rate |
$37,233.00 |
| Rate for Payer: BCBS Complete |
$37,233.00
|
| Rate for Payer: Mclaren Medicaid |
$35,460.00
|
| Rate for Payer: Meridian Medicaid |
$37,233.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,460.00
|
| Rate for Payer: UHCCP Medicaid |
$35,460.00
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$47,006.66
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$44,768.25 |
| Max. Negotiated Rate |
$47,006.66 |
| Rate for Payer: BCBS Complete |
$47,006.66
|
| Rate for Payer: Mclaren Medicaid |
$44,768.25
|
| Rate for Payer: Meridian Medicaid |
$47,006.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,768.25
|
| Rate for Payer: UHCCP Medicaid |
$44,768.25
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$26,269.95
|
|
|
Service Code
|
APR-DRG 1601
|
| 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: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$78,964.99
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$75,204.75 |
| Max. Negotiated Rate |
$78,964.99 |
| Rate for Payer: BCBS Complete |
$78,964.99
|
| Rate for Payer: Mclaren Medicaid |
$75,204.75
|
| Rate for Payer: Meridian Medicaid |
$78,964.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$75,204.75
|
| Rate for Payer: UHCCP Medicaid |
$75,204.75
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 1352
|
| Min. Negotiated Rate |
$4,629.50 |
| Max. Negotiated Rate |
$4,860.98 |
| Rate for Payer: BCBS Complete |
$4,860.98
|
| Rate for Payer: Mclaren Medicaid |
$4,629.50
|
| Rate for Payer: Meridian Medicaid |
$4,860.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,629.50
|
| Rate for Payer: UHCCP Medicaid |
$4,629.50
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$3,792.25 |
| Max. Negotiated Rate |
$3,981.86 |
| Rate for Payer: BCBS Complete |
$3,981.86
|
| Rate for Payer: Mclaren Medicaid |
$3,792.25
|
| Rate for Payer: Meridian Medicaid |
$3,981.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,792.25
|
| Rate for Payer: UHCCP Medicaid |
$3,792.25
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 1353
|
| 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: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,169.90
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$10,638.00 |
| Max. Negotiated Rate |
$11,169.90 |
| Rate for Payer: BCBS Complete |
$11,169.90
|
| Rate for Payer: Mclaren Medicaid |
$10,638.00
|
| Rate for Payer: Meridian Medicaid |
$11,169.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,638.00
|
| Rate for Payer: UHCCP Medicaid |
$10,638.00
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,720.60
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$14,972.00 |
| Max. Negotiated Rate |
$15,720.60 |
| Rate for Payer: BCBS Complete |
$15,720.60
|
| Rate for Payer: Mclaren Medicaid |
$14,972.00
|
| Rate for Payer: Meridian Medicaid |
$15,720.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,972.00
|
| Rate for Payer: UHCCP Medicaid |
$14,972.00
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$28,855.58
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$27,481.50 |
| Max. Negotiated Rate |
$28,855.58 |
| Rate for Payer: BCBS Complete |
$28,855.58
|
| Rate for Payer: Mclaren Medicaid |
$27,481.50
|
| Rate for Payer: Meridian Medicaid |
$28,855.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,481.50
|
| Rate for Payer: UHCCP Medicaid |
$27,481.50
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$21,564.11
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$20,537.25 |
| Max. Negotiated Rate |
$21,564.11 |
| Rate for Payer: BCBS Complete |
$21,564.11
|
| Rate for Payer: Mclaren Medicaid |
$20,537.25
|
| Rate for Payer: Meridian Medicaid |
$21,564.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,537.25
|
| Rate for Payer: UHCCP Medicaid |
$20,537.25
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,480.18
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$10,933.50 |
| Max. Negotiated Rate |
$11,480.18 |
| Rate for Payer: BCBS Complete |
$11,480.18
|
| Rate for Payer: Mclaren Medicaid |
$10,933.50
|
| Rate for Payer: Meridian Medicaid |
$11,480.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,933.50
|
| Rate for Payer: UHCCP Medicaid |
$10,933.50
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 2423
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$9,411.68
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$8,963.50 |
| Max. Negotiated Rate |
$9,411.68 |
| Rate for Payer: BCBS Complete |
$9,411.68
|
| Rate for Payer: Mclaren Medicaid |
$8,963.50
|
| Rate for Payer: Meridian Medicaid |
$9,411.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,963.50
|
| Rate for Payer: UHCCP Medicaid |
$8,963.50
|
|