|
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
|
$18,616.50
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$17,730.00 |
| Max. Negotiated Rate |
$18,616.50 |
| Rate for Payer: BCBS Complete |
$18,616.50
|
| Rate for Payer: Mclaren Medicaid |
$17,730.00
|
| Rate for Payer: Meridian Medicaid |
$18,616.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,730.00
|
| Rate for Payer: UHCCP Medicaid |
$17,730.00
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,721.95
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$9,259.00 |
| Max. Negotiated Rate |
$9,721.95 |
| Rate for Payer: BCBS Complete |
$9,721.95
|
| Rate for Payer: Mclaren Medicaid |
$9,259.00
|
| Rate for Payer: Meridian Medicaid |
$9,721.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,259.00
|
| Rate for Payer: UHCCP Medicaid |
$9,259.00
|
|
|
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
|
$13,238.40
|
|
|
Service Code
|
APR-DRG 2602
|
| 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: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$29,682.97
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$28,269.50 |
| Max. Negotiated Rate |
$29,682.97 |
| Rate for Payer: BCBS Complete |
$29,682.97
|
| Rate for Payer: Mclaren Medicaid |
$28,269.50
|
| Rate for Payer: Meridian Medicaid |
$29,682.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,269.50
|
| Rate for Payer: UHCCP Medicaid |
$28,269.50
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$28,648.72
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$27,284.50 |
| Max. Negotiated Rate |
$28,648.72 |
| Rate for Payer: BCBS Complete |
$28,648.72
|
| Rate for Payer: Mclaren Medicaid |
$27,284.50
|
| Rate for Payer: Meridian Medicaid |
$28,648.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,284.50
|
| Rate for Payer: UHCCP Medicaid |
$27,284.50
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$18,047.66
|
|
|
Service Code
|
APR-DRG 1203
|
| 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: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,997.30
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$11,426.00 |
| Max. Negotiated Rate |
$11,997.30 |
| Rate for Payer: BCBS Complete |
$11,997.30
|
| Rate for Payer: Mclaren Medicaid |
$11,426.00
|
| Rate for Payer: Meridian Medicaid |
$11,997.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,426.00
|
| Rate for Payer: UHCCP Medicaid |
$11,426.00
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,496.75 |
| Max. Negotiated Rate |
$3,671.59 |
| Rate for Payer: BCBS Complete |
$3,671.59
|
| Rate for Payer: Mclaren Medicaid |
$3,496.75
|
| Rate for Payer: Meridian Medicaid |
$3,671.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.75
|
| Rate for Payer: UHCCP Medicaid |
$3,496.75
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,171.25 |
| Max. Negotiated Rate |
$5,429.81 |
| Rate for Payer: BCBS Complete |
$5,429.81
|
| Rate for Payer: Mclaren Medicaid |
$5,171.25
|
| Rate for Payer: Meridian Medicaid |
$5,429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,171.25
|
| Rate for Payer: UHCCP Medicaid |
$5,171.25
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$6,944.25 |
| Max. Negotiated Rate |
$7,291.46 |
| Rate for Payer: BCBS Complete |
$7,291.46
|
| Rate for Payer: Mclaren Medicaid |
$6,944.25
|
| Rate for Payer: Meridian Medicaid |
$7,291.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,944.25
|
| Rate for Payer: UHCCP Medicaid |
$6,944.25
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$4,186.25 |
| Max. Negotiated Rate |
$4,395.56 |
| Rate for Payer: BCBS Complete |
$4,395.56
|
| Rate for Payer: Mclaren Medicaid |
$4,186.25
|
| Rate for Payer: Meridian Medicaid |
$4,395.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.25
|
| Rate for Payer: UHCCP Medicaid |
$4,186.25
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$15,100.05
|
|
|
Service Code
|
APR-DRG 3814
|
| 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 SKIN DISORDERS
|
Facility
|
IP
|
$2,482.20
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,364.00 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: BCBS Complete |
$2,482.20
|
| Rate for Payer: Mclaren Medicaid |
$2,364.00
|
| Rate for Payer: Meridian Medicaid |
$2,482.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.00
|
| Rate for Payer: UHCCP Medicaid |
$2,364.00
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$23,839.46
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$22,704.25 |
| Max. Negotiated Rate |
$23,839.46 |
| Rate for Payer: BCBS Complete |
$23,839.46
|
| Rate for Payer: Mclaren Medicaid |
$22,704.25
|
| Rate for Payer: Meridian Medicaid |
$23,839.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,704.25
|
| Rate for Payer: UHCCP Medicaid |
$22,704.25
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 2302
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$15,048.34
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$14,331.75 |
| Max. Negotiated Rate |
$15,048.34 |
| Rate for Payer: BCBS Complete |
$15,048.34
|
| Rate for Payer: Mclaren Medicaid |
$14,331.75
|
| Rate for Payer: Meridian Medicaid |
$15,048.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,331.75
|
| Rate for Payer: UHCCP Medicaid |
$14,331.75
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$6,308.93
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.93 |
| Rate for Payer: BCBS Complete |
$6,308.93
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$7,963.73
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.73 |
| Rate for Payer: BCBS Complete |
$7,963.73
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$28,183.31
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$26,841.25 |
| Max. Negotiated Rate |
$28,183.31 |
| Rate for Payer: BCBS Complete |
$28,183.31
|
| Rate for Payer: Mclaren Medicaid |
$26,841.25
|
| Rate for Payer: Meridian Medicaid |
$28,183.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,841.25
|
| Rate for Payer: UHCCP Medicaid |
$26,841.25
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$16,806.56
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$16,006.25 |
| Max. Negotiated Rate |
$16,806.56 |
| Rate for Payer: BCBS Complete |
$16,806.56
|
| Rate for Payer: Mclaren Medicaid |
$16,006.25
|
| Rate for Payer: Meridian Medicaid |
$16,806.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,006.25
|
| Rate for Payer: UHCCP Medicaid |
$16,006.25
|
|