|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
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
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$4,334.00 |
| Max. Negotiated Rate |
$4,550.70 |
| Rate for Payer: BCBS Complete |
$4,550.70
|
| Rate for Payer: Mclaren Medicaid |
$4,334.00
|
| Rate for Payer: Meridian Medicaid |
$4,550.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,334.00
|
| Rate for Payer: UHCCP Medicaid |
$4,334.00
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$14,996.62
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$14,282.50 |
| Max. Negotiated Rate |
$14,996.62 |
| Rate for Payer: BCBS Complete |
$14,996.62
|
| Rate for Payer: Mclaren Medicaid |
$14,282.50
|
| Rate for Payer: Meridian Medicaid |
$14,996.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,282.50
|
| Rate for Payer: UHCCP Medicaid |
$14,282.50
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$7,860.30
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$7,486.00 |
| Max. Negotiated Rate |
$7,860.30 |
| Rate for Payer: BCBS Complete |
$7,860.30
|
| Rate for Payer: Mclaren Medicaid |
$7,486.00
|
| Rate for Payer: Meridian Medicaid |
$7,860.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,486.00
|
| Rate for Payer: UHCCP Medicaid |
$7,486.00
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 6602
|
| 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 LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 2311
|
| 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 LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$15,410.32
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$14,676.50 |
| Max. Negotiated Rate |
$15,410.32 |
| Rate for Payer: BCBS Complete |
$15,410.32
|
| Rate for Payer: Mclaren Medicaid |
$14,676.50
|
| Rate for Payer: Meridian Medicaid |
$15,410.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,676.50
|
| Rate for Payer: UHCCP Medicaid |
$14,676.50
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$22,856.92
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$21,768.50 |
| Max. Negotiated Rate |
$22,856.92 |
| Rate for Payer: BCBS Complete |
$22,856.92
|
| Rate for Payer: Mclaren Medicaid |
$21,768.50
|
| Rate for Payer: Meridian Medicaid |
$22,856.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,768.50
|
| Rate for Payer: UHCCP Medicaid |
$21,768.50
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$19,392.19
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$18,468.75 |
| Max. Negotiated Rate |
$19,392.19 |
| Rate for Payer: BCBS Complete |
$19,392.19
|
| Rate for Payer: Mclaren Medicaid |
$18,468.75
|
| Rate for Payer: Meridian Medicaid |
$19,392.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,468.75
|
| Rate for Payer: UHCCP Medicaid |
$18,468.75
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$9,505.25 |
| Max. Negotiated Rate |
$9,980.51 |
| Rate for Payer: BCBS Complete |
$9,980.51
|
| Rate for Payer: Mclaren Medicaid |
$9,505.25
|
| Rate for Payer: Meridian Medicaid |
$9,980.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,505.25
|
| Rate for Payer: UHCCP Medicaid |
$9,505.25
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,600.39
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$12,952.75 |
| Max. Negotiated Rate |
$13,600.39 |
| Rate for Payer: BCBS Complete |
$13,600.39
|
| Rate for Payer: Mclaren Medicaid |
$12,952.75
|
| Rate for Payer: Meridian Medicaid |
$13,600.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,952.75
|
| Rate for Payer: UHCCP Medicaid |
$12,952.75
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$36,767.59
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$35,016.75 |
| Max. Negotiated Rate |
$36,767.59 |
| Rate for Payer: BCBS Complete |
$36,767.59
|
| Rate for Payer: Mclaren Medicaid |
$35,016.75
|
| Rate for Payer: Meridian Medicaid |
$36,767.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,016.75
|
| Rate for Payer: UHCCP Medicaid |
$35,016.75
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$12,152.44
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$11,573.75 |
| Max. Negotiated Rate |
$12,152.44 |
| Rate for Payer: BCBS Complete |
$12,152.44
|
| Rate for Payer: Mclaren Medicaid |
$11,573.75
|
| Rate for Payer: Meridian Medicaid |
$12,152.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,573.75
|
| Rate for Payer: UHCCP Medicaid |
$11,573.75
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 2601
|
| 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: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$17,582.25
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$16,745.00 |
| Max. Negotiated Rate |
$17,582.25 |
| Rate for Payer: BCBS Complete |
$17,582.25
|
| Rate for Payer: Mclaren Medicaid |
$16,745.00
|
| Rate for Payer: Meridian Medicaid |
$17,582.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,745.00
|
| Rate for Payer: UHCCP Medicaid |
$16,745.00
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$21,046.99
|
|
|
Service Code
|
APR-DRG 2604
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,187.36
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$9,702.25 |
| Max. Negotiated Rate |
$10,187.36 |
| Rate for Payer: BCBS Complete |
$10,187.36
|
| Rate for Payer: Mclaren Medicaid |
$9,702.25
|
| Rate for Payer: Meridian Medicaid |
$10,187.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,702.25
|
| Rate for Payer: UHCCP Medicaid |
$9,702.25
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$13,807.24
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$13,149.75 |
| Max. Negotiated Rate |
$13,807.24 |
| Rate for Payer: BCBS Complete |
$13,807.24
|
| Rate for Payer: Mclaren Medicaid |
$13,149.75
|
| Rate for Payer: Meridian Medicaid |
$13,807.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,149.75
|
| Rate for Payer: UHCCP Medicaid |
$13,149.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$19,599.04
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$18,665.75 |
| Max. Negotiated Rate |
$19,599.04 |
| Rate for Payer: BCBS Complete |
$19,599.04
|
| Rate for Payer: Mclaren Medicaid |
$18,665.75
|
| Rate for Payer: Meridian Medicaid |
$19,599.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,665.75
|
| Rate for Payer: UHCCP Medicaid |
$18,665.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$27,666.19
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$26,348.75 |
| Max. Negotiated Rate |
$27,666.19 |
| Rate for Payer: BCBS Complete |
$27,666.19
|
| Rate for Payer: Mclaren Medicaid |
$26,348.75
|
| Rate for Payer: Meridian Medicaid |
$27,666.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,348.75
|
| Rate for Payer: UHCCP Medicaid |
$26,348.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,275.35
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,167.00 |
| Max. Negotiated Rate |
$2,275.35 |
| Rate for Payer: BCBS Complete |
$2,275.35
|
| Rate for Payer: Mclaren Medicaid |
$2,167.00
|
| Rate for Payer: Meridian Medicaid |
$2,275.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.00
|
| Rate for Payer: UHCCP Medicaid |
$2,167.00
|
|