|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$4,678.75 |
| Max. Negotiated Rate |
$4,912.69 |
| Rate for Payer: BCBS Complete |
$4,912.69
|
| Rate for Payer: Mclaren Medicaid |
$4,678.75
|
| Rate for Payer: Meridian Medicaid |
$4,912.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,678.75
|
| Rate for Payer: UHCCP Medicaid |
$4,678.75
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 6944
|
| 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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,237.05
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,321.00 |
| Max. Negotiated Rate |
$19,237.05 |
| Rate for Payer: BCBS Complete |
$19,237.05
|
| Rate for Payer: Mclaren Medicaid |
$18,321.00
|
| Rate for Payer: Meridian Medicaid |
$19,237.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,321.00
|
| Rate for Payer: UHCCP Medicaid |
$18,321.00
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,325.04
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$10,785.75 |
| Max. Negotiated Rate |
$11,325.04 |
| Rate for Payer: BCBS Complete |
$11,325.04
|
| Rate for Payer: Mclaren Medicaid |
$10,785.75
|
| Rate for Payer: Meridian Medicaid |
$11,325.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,785.75
|
| Rate for Payer: UHCCP Medicaid |
$10,785.75
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$7,239.75 |
| Max. Negotiated Rate |
$7,601.74 |
| Rate for Payer: BCBS Complete |
$7,601.74
|
| Rate for Payer: Mclaren Medicaid |
$7,239.75
|
| Rate for Payer: Meridian Medicaid |
$7,601.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,239.75
|
| Rate for Payer: UHCCP Medicaid |
$7,239.75
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,269.75 |
| Max. Negotiated Rate |
$5,533.24 |
| Rate for Payer: BCBS Complete |
$5,533.24
|
| Rate for Payer: Mclaren Medicaid |
$5,269.75
|
| Rate for Payer: Meridian Medicaid |
$5,533.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,269.75
|
| Rate for Payer: UHCCP Medicaid |
$5,269.75
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$29,424.41
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$28,023.25 |
| Max. Negotiated Rate |
$29,424.41 |
| Rate for Payer: BCBS Complete |
$29,424.41
|
| Rate for Payer: Mclaren Medicaid |
$28,023.25
|
| Rate for Payer: Meridian Medicaid |
$29,424.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,023.25
|
| Rate for Payer: UHCCP Medicaid |
$28,023.25
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,289.44
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$15,513.75 |
| Max. Negotiated Rate |
$16,289.44 |
| Rate for Payer: BCBS Complete |
$16,289.44
|
| Rate for Payer: Mclaren Medicaid |
$15,513.75
|
| Rate for Payer: Meridian Medicaid |
$16,289.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,513.75
|
| Rate for Payer: UHCCP Medicaid |
$15,513.75
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,581.58
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$19,601.50 |
| Max. Negotiated Rate |
$20,581.58 |
| Rate for Payer: BCBS Complete |
$20,581.58
|
| Rate for Payer: Mclaren Medicaid |
$19,601.50
|
| Rate for Payer: Meridian Medicaid |
$20,581.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,601.50
|
| Rate for Payer: UHCCP Medicaid |
$19,601.50
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,652.10
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$13,002.00 |
| Max. Negotiated Rate |
$13,652.10 |
| Rate for Payer: BCBS Complete |
$13,652.10
|
| Rate for Payer: Mclaren Medicaid |
$13,002.00
|
| Rate for Payer: Meridian Medicaid |
$13,652.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,002.00
|
| Rate for Payer: UHCCP Medicaid |
$13,002.00
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$11,842.16
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,278.25 |
| Max. Negotiated Rate |
$11,842.16 |
| Rate for Payer: BCBS Complete |
$11,842.16
|
| Rate for Payer: Mclaren Medicaid |
$11,278.25
|
| Rate for Payer: Meridian Medicaid |
$11,842.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,278.25
|
| Rate for Payer: UHCCP Medicaid |
$11,278.25
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 2611
|
| 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: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$27,614.47
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$26,299.50 |
| Max. Negotiated Rate |
$27,614.47 |
| Rate for Payer: BCBS Complete |
$27,614.47
|
| Rate for Payer: Mclaren Medicaid |
$26,299.50
|
| Rate for Payer: Meridian Medicaid |
$27,614.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,299.50
|
| Rate for Payer: UHCCP Medicaid |
$26,299.50
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$14,531.21
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$13,839.25 |
| Max. Negotiated Rate |
$14,531.21 |
| Rate for Payer: BCBS Complete |
$14,531.21
|
| Rate for Payer: Mclaren Medicaid |
$13,839.25
|
| Rate for Payer: Meridian Medicaid |
$14,531.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,839.25
|
| Rate for Payer: UHCCP Medicaid |
$13,839.25
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,755.52
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$13,100.50 |
| Max. Negotiated Rate |
$13,755.52 |
| Rate for Payer: BCBS Complete |
$13,755.52
|
| Rate for Payer: Mclaren Medicaid |
$13,100.50
|
| Rate for Payer: Meridian Medicaid |
$13,755.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,100.50
|
| Rate for Payer: UHCCP Medicaid |
$13,100.50
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$25,907.96
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$24,674.25 |
| Max. Negotiated Rate |
$25,907.96 |
| Rate for Payer: BCBS Complete |
$25,907.96
|
| Rate for Payer: Mclaren Medicaid |
$24,674.25
|
| Rate for Payer: Meridian Medicaid |
$25,907.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,674.25
|
| Rate for Payer: UHCCP Medicaid |
$24,674.25
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$10,539.50 |
| Max. Negotiated Rate |
$11,066.48 |
| Rate for Payer: BCBS Complete |
$11,066.48
|
| Rate for Payer: Mclaren Medicaid |
$10,539.50
|
| Rate for Payer: Meridian Medicaid |
$11,066.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,539.50
|
| Rate for Payer: UHCCP Medicaid |
$10,539.50
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$17,789.10
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$16,942.00 |
| Max. Negotiated Rate |
$17,789.10 |
| Rate for Payer: BCBS Complete |
$17,789.10
|
| Rate for Payer: Mclaren Medicaid |
$16,942.00
|
| Rate for Payer: Meridian Medicaid |
$17,789.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,942.00
|
| Rate for Payer: UHCCP Medicaid |
$16,942.00
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$32,475.45
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$30,929.00 |
| Max. Negotiated Rate |
$32,475.45 |
| Rate for Payer: BCBS Complete |
$32,475.45
|
| Rate for Payer: Mclaren Medicaid |
$30,929.00
|
| Rate for Payer: Meridian Medicaid |
$32,475.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,929.00
|
| Rate for Payer: UHCCP Medicaid |
$30,929.00
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$17,220.26
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$16,400.25 |
| Max. Negotiated Rate |
$17,220.26 |
| Rate for Payer: BCBS Complete |
$17,220.26
|
| Rate for Payer: Mclaren Medicaid |
$16,400.25
|
| Rate for Payer: Meridian Medicaid |
$17,220.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,400.25
|
| Rate for Payer: UHCCP Medicaid |
$16,400.25
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$24,304.88
|
|
|
Service Code
|
APR-DRG 1602
|
| 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: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$70,070.44
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$66,733.75 |
| Max. Negotiated Rate |
$70,070.44 |
| Rate for Payer: BCBS Complete |
$70,070.44
|
| Rate for Payer: Mclaren Medicaid |
$66,733.75
|
| Rate for Payer: Meridian Medicaid |
$70,070.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,733.75
|
| Rate for Payer: UHCCP Medicaid |
$66,733.75
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 1352
|
| 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
|
|