|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
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
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,635.31
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$11,081.25 |
| Max. Negotiated Rate |
$11,635.31 |
| Rate for Payer: BCBS Complete |
$11,635.31
|
| Rate for Payer: Mclaren Medicaid |
$11,081.25
|
| Rate for Payer: Meridian Medicaid |
$11,635.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,081.25
|
| Rate for Payer: UHCCP Medicaid |
$11,081.25
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$20,736.71
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$19,749.25 |
| Max. Negotiated Rate |
$20,736.71 |
| Rate for Payer: BCBS Complete |
$20,736.71
|
| Rate for Payer: Mclaren Medicaid |
$19,749.25
|
| Rate for Payer: Meridian Medicaid |
$20,736.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,749.25
|
| Rate for Payer: UHCCP Medicaid |
$19,749.25
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$27,769.61
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$26,447.25 |
| Max. Negotiated Rate |
$27,769.61 |
| Rate for Payer: BCBS Complete |
$27,769.61
|
| Rate for Payer: Mclaren Medicaid |
$26,447.25
|
| Rate for Payer: Meridian Medicaid |
$27,769.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,447.25
|
| Rate for Payer: UHCCP Medicaid |
$26,447.25
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$8,815.75 |
| Max. Negotiated Rate |
$9,256.54 |
| Rate for Payer: BCBS Complete |
$9,256.54
|
| Rate for Payer: Mclaren Medicaid |
$8,815.75
|
| Rate for Payer: Meridian Medicaid |
$9,256.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,815.75
|
| Rate for Payer: UHCCP Medicaid |
$8,815.75
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,100.73
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$11,524.50 |
| Max. Negotiated Rate |
$12,100.73 |
| Rate for Payer: BCBS Complete |
$12,100.73
|
| Rate for Payer: Mclaren Medicaid |
$11,524.50
|
| Rate for Payer: Meridian Medicaid |
$12,100.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,524.50
|
| Rate for Payer: UHCCP Medicaid |
$11,524.50
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 2421
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,515.77
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.77 |
| Rate for Payer: BCBS Complete |
$6,515.77
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$12,669.56
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$12,066.25 |
| Max. Negotiated Rate |
$12,669.56 |
| Rate for Payer: BCBS Complete |
$12,669.56
|
| Rate for Payer: Mclaren Medicaid |
$12,066.25
|
| Rate for Payer: Meridian Medicaid |
$12,669.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,066.25
|
| Rate for Payer: UHCCP Medicaid |
$12,066.25
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,343.85
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$4,137.00 |
| Max. Negotiated Rate |
$4,343.85 |
| Rate for Payer: BCBS Complete |
$4,343.85
|
| Rate for Payer: Mclaren Medicaid |
$4,137.00
|
| Rate for Payer: Meridian Medicaid |
$4,343.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,137.00
|
| Rate for Payer: UHCCP Medicaid |
$4,137.00
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,998.65
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,713.00 |
| Max. Negotiated Rate |
$5,998.65 |
| Rate for Payer: BCBS Complete |
$5,998.65
|
| Rate for Payer: Mclaren Medicaid |
$5,713.00
|
| Rate for Payer: Meridian Medicaid |
$5,998.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,713.00
|
| Rate for Payer: UHCCP Medicaid |
$5,713.00
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 2482
|
| 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 GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 2484
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,447.50 |
| Max. Negotiated Rate |
$3,619.88 |
| Rate for Payer: BCBS Complete |
$3,619.88
|
| Rate for Payer: Mclaren Medicaid |
$3,447.50
|
| Rate for Payer: Meridian Medicaid |
$3,619.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,447.50
|
| Rate for Payer: UHCCP Medicaid |
$3,447.50
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$13,755.52
|
|
|
Service Code
|
APR-DRG 6604
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 6602
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$6,895.00 |
| Max. Negotiated Rate |
$7,239.75 |
| Rate for Payer: BCBS Complete |
$7,239.75
|
| Rate for Payer: Mclaren Medicaid |
$6,895.00
|
| Rate for Payer: Meridian Medicaid |
$7,239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,895.00
|
| Rate for Payer: UHCCP Medicaid |
$6,895.00
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,877.09
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$9,406.75 |
| Max. Negotiated Rate |
$9,877.09 |
| Rate for Payer: BCBS Complete |
$9,877.09
|
| Rate for Payer: Mclaren Medicaid |
$9,406.75
|
| Rate for Payer: Meridian Medicaid |
$9,877.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,406.75
|
| Rate for Payer: UHCCP Medicaid |
$9,406.75
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$21,046.99
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$20,044.75 |
| Max. Negotiated Rate |
$21,046.99 |
| Rate for Payer: BCBS Complete |
$21,046.99
|
| Rate for Payer: Mclaren Medicaid |
$20,044.75
|
| Rate for Payer: Meridian Medicaid |
$21,046.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,044.75
|
| Rate for Payer: UHCCP Medicaid |
$20,044.75
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$14,169.23
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$13,494.50 |
| Max. Negotiated Rate |
$14,169.23 |
| Rate for Payer: BCBS Complete |
$14,169.23
|
| Rate for Payer: Mclaren Medicaid |
$13,494.50
|
| Rate for Payer: Meridian Medicaid |
$14,169.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,494.50
|
| Rate for Payer: UHCCP Medicaid |
$13,494.50
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$7,338.25 |
| Max. Negotiated Rate |
$7,705.16 |
| Rate for Payer: BCBS Complete |
$7,705.16
|
| Rate for Payer: Mclaren Medicaid |
$7,338.25
|
| Rate for Payer: Meridian Medicaid |
$7,705.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,338.25
|
| Rate for Payer: UHCCP Medicaid |
$7,338.25
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,738.74
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$11,179.75 |
| Max. Negotiated Rate |
$11,738.74 |
| Rate for Payer: BCBS Complete |
$11,738.74
|
| Rate for Payer: Mclaren Medicaid |
$11,179.75
|
| Rate for Payer: Meridian Medicaid |
$11,738.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,179.75
|
| Rate for Payer: UHCCP Medicaid |
$11,179.75
|
|