|
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
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$8,894.55
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$8,471.00 |
| Max. Negotiated Rate |
$8,894.55 |
| Rate for Payer: BCBS Complete |
$8,894.55
|
| Rate for Payer: Mclaren Medicaid |
$8,471.00
|
| Rate for Payer: Meridian Medicaid |
$8,894.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,471.00
|
| Rate for Payer: UHCCP Medicaid |
$8,471.00
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$5,910.00 |
| Max. Negotiated Rate |
$6,205.50 |
| Rate for Payer: BCBS Complete |
$6,205.50
|
| Rate for Payer: Mclaren Medicaid |
$5,910.00
|
| Rate for Payer: Meridian Medicaid |
$6,205.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,910.00
|
| Rate for Payer: UHCCP Medicaid |
$5,910.00
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,053.50 |
| Max. Negotiated Rate |
$3,206.18 |
| Rate for Payer: BCBS Complete |
$3,206.18
|
| Rate for Payer: Mclaren Medicaid |
$3,053.50
|
| Rate for Payer: Meridian Medicaid |
$3,206.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,053.50
|
| Rate for Payer: UHCCP Medicaid |
$3,053.50
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$5,663.75 |
| Max. Negotiated Rate |
$5,946.94 |
| Rate for Payer: BCBS Complete |
$5,946.94
|
| Rate for Payer: Mclaren Medicaid |
$5,663.75
|
| Rate for Payer: Meridian Medicaid |
$5,946.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,663.75
|
| Rate for Payer: UHCCP Medicaid |
$5,663.75
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,911.34
|
|
|
Service Code
|
APR-DRG 3494
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$16,030.88
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$15,267.50 |
| Max. Negotiated Rate |
$16,030.88 |
| Rate for Payer: BCBS Complete |
$16,030.88
|
| Rate for Payer: Mclaren Medicaid |
$15,267.50
|
| Rate for Payer: Meridian Medicaid |
$16,030.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,267.50
|
| Rate for Payer: UHCCP Medicaid |
$15,267.50
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 5001
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 5002
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,187.36
|
|
|
Service Code
|
APR-DRG 5003
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$7,032.90
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$6,698.00 |
| Max. Negotiated Rate |
$7,032.90 |
| Rate for Payer: BCBS Complete |
$7,032.90
|
| Rate for Payer: Mclaren Medicaid |
$6,698.00
|
| Rate for Payer: Meridian Medicaid |
$7,032.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,698.00
|
| Rate for Payer: UHCCP Medicaid |
$6,698.00
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 2812
|
| Min. Negotiated Rate |
$5,122.00 |
| Max. Negotiated Rate |
$5,378.10 |
| Rate for Payer: BCBS Complete |
$5,378.10
|
| Rate for Payer: Mclaren Medicaid |
$5,122.00
|
| Rate for Payer: Meridian Medicaid |
$5,378.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,122.00
|
| Rate for Payer: UHCCP Medicaid |
$5,122.00
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 3821
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$4,777.25 |
| Max. Negotiated Rate |
$5,016.11 |
| Rate for Payer: BCBS Complete |
$5,016.11
|
| Rate for Payer: Mclaren Medicaid |
$4,777.25
|
| Rate for Payer: Meridian Medicaid |
$5,016.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,777.25
|
| Rate for Payer: UHCCP Medicaid |
$4,777.25
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$13,703.81
|
|
|
Service Code
|
APR-DRG 3824
|
| Min. Negotiated Rate |
$13,051.25 |
| Max. Negotiated Rate |
$13,703.81 |
| Rate for Payer: BCBS Complete |
$13,703.81
|
| Rate for Payer: Mclaren Medicaid |
$13,051.25
|
| Rate for Payer: Meridian Medicaid |
$13,703.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,051.25
|
| Rate for Payer: UHCCP Medicaid |
$13,051.25
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,637.34
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,511.75 |
| Max. Negotiated Rate |
$2,637.34 |
| Rate for Payer: BCBS Complete |
$2,637.34
|
| Rate for Payer: Mclaren Medicaid |
$2,511.75
|
| Rate for Payer: Meridian Medicaid |
$2,637.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,511.75
|
| Rate for Payer: UHCCP Medicaid |
$2,511.75
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 4213
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$9,618.52
|
|
|
Service Code
|
APR-DRG 4214
|
| Min. Negotiated Rate |
$9,160.50 |
| Max. Negotiated Rate |
$9,618.52 |
| Rate for Payer: BCBS Complete |
$9,618.52
|
| Rate for Payer: Mclaren Medicaid |
$9,160.50
|
| Rate for Payer: Meridian Medicaid |
$9,618.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,160.50
|
| Rate for Payer: UHCCP Medicaid |
$9,160.50
|
|