|
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
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 2813
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$10,756.20
|
|
|
Service Code
|
APR-DRG 3824
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$4,580.25 |
| Max. Negotiated Rate |
$4,809.26 |
| Rate for Payer: BCBS Complete |
$4,809.26
|
| Rate for Payer: Mclaren Medicaid |
$4,580.25
|
| Rate for Payer: Meridian Medicaid |
$4,809.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,580.25
|
| Rate for Payer: UHCCP Medicaid |
$4,580.25
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 3821
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 4214
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 4213
|
| Min. Negotiated Rate |
$5,860.75 |
| Max. Negotiated Rate |
$6,153.79 |
| Rate for Payer: BCBS Complete |
$6,153.79
|
| Rate for Payer: Mclaren Medicaid |
$5,860.75
|
| Rate for Payer: Meridian Medicaid |
$6,153.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,860.75
|
| Rate for Payer: UHCCP Medicaid |
$5,860.75
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,561.00 |
| Max. Negotiated Rate |
$2,689.05 |
| Rate for Payer: BCBS Complete |
$2,689.05
|
| Rate for Payer: Mclaren Medicaid |
$2,561.00
|
| Rate for Payer: Meridian Medicaid |
$2,689.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,561.00
|
| Rate for Payer: UHCCP Medicaid |
$2,561.00
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$8,170.57
|
|
|
Service Code
|
APR-DRG 3621
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.57 |
| Rate for Payer: BCBS Complete |
$8,170.57
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$11,672.25 |
| Max. Negotiated Rate |
$12,255.86 |
| Rate for Payer: BCBS Complete |
$12,255.86
|
| Rate for Payer: Mclaren Medicaid |
$11,672.25
|
| Rate for Payer: Meridian Medicaid |
$12,255.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,672.25
|
| Rate for Payer: UHCCP Medicaid |
$11,672.25
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$15,875.74
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$15,119.75 |
| Max. Negotiated Rate |
$15,875.74 |
| Rate for Payer: BCBS Complete |
$15,875.74
|
| Rate for Payer: Mclaren Medicaid |
$15,119.75
|
| Rate for Payer: Meridian Medicaid |
$15,875.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,119.75
|
| Rate for Payer: UHCCP Medicaid |
$15,119.75
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$12,721.27
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$12,115.50 |
| Max. Negotiated Rate |
$12,721.27 |
| Rate for Payer: BCBS Complete |
$12,721.27
|
| Rate for Payer: Mclaren Medicaid |
$12,115.50
|
| Rate for Payer: Meridian Medicaid |
$12,721.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,115.50
|
| Rate for Payer: UHCCP Medicaid |
$12,115.50
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$8,118.86
|
|
|
Service Code
|
APR-DRG 5324
|
| Min. Negotiated Rate |
$7,732.25 |
| Max. Negotiated Rate |
$8,118.86 |
| Rate for Payer: BCBS Complete |
$8,118.86
|
| Rate for Payer: Mclaren Medicaid |
$7,732.25
|
| Rate for Payer: Meridian Medicaid |
$8,118.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,732.25
|
| Rate for Payer: UHCCP Medicaid |
$7,732.25
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 5323
|
| 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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 5321
|
| Min. Negotiated Rate |
$2,561.00 |
| Max. Negotiated Rate |
$2,689.05 |
| Rate for Payer: BCBS Complete |
$2,689.05
|
| Rate for Payer: Mclaren Medicaid |
$2,561.00
|
| Rate for Payer: Meridian Medicaid |
$2,689.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,561.00
|
| Rate for Payer: UHCCP Medicaid |
$2,561.00
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 5322
|
| Min. Negotiated Rate |
$3,398.25 |
| Max. Negotiated Rate |
$3,568.16 |
| Rate for Payer: BCBS Complete |
$3,568.16
|
| Rate for Payer: Mclaren Medicaid |
$3,398.25
|
| Rate for Payer: Meridian Medicaid |
$3,568.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,398.25
|
| Rate for Payer: UHCCP Medicaid |
$3,398.25
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$28,959.00
|
|
|
Service Code
|
APR-DRG 7404
|
| Min. Negotiated Rate |
$27,580.00 |
| Max. Negotiated Rate |
$28,959.00 |
| Rate for Payer: BCBS Complete |
$28,959.00
|
| Rate for Payer: Mclaren Medicaid |
$27,580.00
|
| Rate for Payer: Meridian Medicaid |
$28,959.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,580.00
|
| Rate for Payer: UHCCP Medicaid |
$27,580.00
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 7402
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 7401
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,341.83
|
|
|
Service Code
|
APR-DRG 7403
|
| Min. Negotiated Rate |
$12,706.50 |
| Max. Negotiated Rate |
$13,341.83 |
| Rate for Payer: BCBS Complete |
$13,341.83
|
| Rate for Payer: Mclaren Medicaid |
$12,706.50
|
| Rate for Payer: Meridian Medicaid |
$13,341.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,706.50
|
| Rate for Payer: UHCCP Medicaid |
$12,706.50
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 0541
|
| 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
|
|