|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
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 SKIN DISORDERS
|
Facility
|
IP
|
$5,222.96
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$4,974.25 |
| Max. Negotiated Rate |
$5,222.96 |
| Rate for Payer: BCBS Complete |
$5,222.96
|
| Rate for Payer: Mclaren Medicaid |
$4,974.25
|
| Rate for Payer: Meridian Medicaid |
$5,222.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,974.25
|
| Rate for Payer: UHCCP Medicaid |
$4,974.25
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,378.78
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,265.50 |
| Max. Negotiated Rate |
$2,378.78 |
| Rate for Payer: BCBS Complete |
$2,378.78
|
| Rate for Payer: Mclaren Medicaid |
$2,265.50
|
| Rate for Payer: Meridian Medicaid |
$2,378.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,265.50
|
| Rate for Payer: UHCCP Medicaid |
$2,265.50
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 3813
|
| 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 SKIN DISORDERS
|
Facility
|
IP
|
$18,306.22
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$17,434.50 |
| Max. Negotiated Rate |
$18,306.22 |
| Rate for Payer: BCBS Complete |
$18,306.22
|
| Rate for Payer: Mclaren Medicaid |
$17,434.50
|
| Rate for Payer: Meridian Medicaid |
$18,306.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,434.50
|
| Rate for Payer: UHCCP Medicaid |
$17,434.50
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 2301
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$25,907.96
|
|
|
Service Code
|
APR-DRG 2304
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 2302
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$16,289.44
|
|
|
Service Code
|
APR-DRG 2303
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,911.34
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$10,391.75 |
| Max. Negotiated Rate |
$10,911.34 |
| Rate for Payer: BCBS Complete |
$10,911.34
|
| Rate for Payer: Mclaren Medicaid |
$10,391.75
|
| Rate for Payer: Meridian Medicaid |
$10,911.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,391.75
|
| Rate for Payer: UHCCP Medicaid |
$10,391.75
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$25,649.40
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$24,428.00 |
| Max. Negotiated Rate |
$25,649.40 |
| Rate for Payer: BCBS Complete |
$25,649.40
|
| Rate for Payer: Mclaren Medicaid |
$24,428.00
|
| Rate for Payer: Meridian Medicaid |
$25,649.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,428.00
|
| Rate for Payer: UHCCP Medicaid |
$24,428.00
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$8,717.25 |
| Max. Negotiated Rate |
$9,153.11 |
| Rate for Payer: BCBS Complete |
$9,153.11
|
| Rate for Payer: Mclaren Medicaid |
$8,717.25
|
| Rate for Payer: Meridian Medicaid |
$9,153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,717.25
|
| Rate for Payer: UHCCP Medicaid |
$8,717.25
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$15,668.89
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$14,922.75 |
| Max. Negotiated Rate |
$15,668.89 |
| Rate for Payer: BCBS Complete |
$15,668.89
|
| Rate for Payer: Mclaren Medicaid |
$14,922.75
|
| Rate for Payer: Meridian Medicaid |
$15,668.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,922.75
|
| Rate for Payer: UHCCP Medicaid |
$14,922.75
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 5012
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$10,756.20
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$10,244.00 |
| Max. Negotiated Rate |
$10,756.20 |
| Rate for Payer: BCBS Complete |
$10,756.20
|
| Rate for Payer: Mclaren Medicaid |
$10,244.00
|
| Rate for Payer: Meridian Medicaid |
$10,756.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,244.00
|
| Rate for Payer: UHCCP Medicaid |
$10,244.00
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 5013
|
| 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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,360.64
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$6,057.75 |
| Max. Negotiated Rate |
$6,360.64 |
| Rate for Payer: BCBS Complete |
$6,360.64
|
| Rate for Payer: Mclaren Medicaid |
$6,057.75
|
| Rate for Payer: Meridian Medicaid |
$6,360.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,057.75
|
| Rate for Payer: UHCCP Medicaid |
$6,057.75
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$5,220.50 |
| Max. Negotiated Rate |
$5,481.52 |
| Rate for Payer: BCBS Complete |
$5,481.52
|
| Rate for Payer: Mclaren Medicaid |
$5,220.50
|
| Rate for Payer: Meridian Medicaid |
$5,481.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,220.50
|
| Rate for Payer: UHCCP Medicaid |
$5,220.50
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 2524
|
| 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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$3,940.00 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: BCBS Complete |
$4,137.00
|
| Rate for Payer: Mclaren Medicaid |
$3,940.00
|
| Rate for Payer: Meridian Medicaid |
$4,137.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,940.00
|
| Rate for Payer: UHCCP Medicaid |
$3,940.00
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$6,353.25 |
| Max. Negotiated Rate |
$6,670.91 |
| Rate for Payer: BCBS Complete |
$6,670.91
|
| Rate for Payer: Mclaren Medicaid |
$6,353.25
|
| Rate for Payer: Meridian Medicaid |
$6,670.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,353.25
|
| Rate for Payer: UHCCP Medicaid |
$6,353.25
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,204.15
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$11,623.00 |
| Max. Negotiated Rate |
$12,204.15 |
| Rate for Payer: BCBS Complete |
$12,204.15
|
| Rate for Payer: Mclaren Medicaid |
$11,623.00
|
| Rate for Payer: Meridian Medicaid |
$12,204.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.00
|
| Rate for Payer: UHCCP Medicaid |
$11,623.00
|
|