|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$16,703.14
|
|
|
Service Code
|
APR-DRG 2991
|
| Min. Negotiated Rate |
$15,907.75 |
| Max. Negotiated Rate |
$16,703.14 |
| Rate for Payer: BCBS Complete |
$16,703.14
|
| Rate for Payer: Mclaren Medicaid |
$15,907.75
|
| Rate for Payer: Meridian Medicaid |
$16,703.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,907.75
|
| Rate for Payer: UHCCP Medicaid |
$15,907.75
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$27,304.20
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$26,004.00 |
| Max. Negotiated Rate |
$27,304.20 |
| Rate for Payer: BCBS Complete |
$27,304.20
|
| Rate for Payer: Mclaren Medicaid |
$26,004.00
|
| Rate for Payer: Meridian Medicaid |
$27,304.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,004.00
|
| Rate for Payer: UHCCP Medicaid |
$26,004.00
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$34,957.65
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$33,293.00 |
| Max. Negotiated Rate |
$34,957.65 |
| Rate for Payer: BCBS Complete |
$34,957.65
|
| Rate for Payer: Mclaren Medicaid |
$33,293.00
|
| Rate for Payer: Meridian Medicaid |
$34,957.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,293.00
|
| Rate for Payer: UHCCP Medicaid |
$33,293.00
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$12,152.44
|
|
|
Service Code
|
APR-DRG 0433
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$23,684.32
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$22,556.50 |
| Max. Negotiated Rate |
$23,684.32 |
| Rate for Payer: BCBS Complete |
$23,684.32
|
| Rate for Payer: Mclaren Medicaid |
$22,556.50
|
| Rate for Payer: Meridian Medicaid |
$23,684.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,556.50
|
| Rate for Payer: UHCCP Medicaid |
$22,556.50
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$4,875.75 |
| Max. Negotiated Rate |
$5,119.54 |
| Rate for Payer: BCBS Complete |
$5,119.54
|
| Rate for Payer: Mclaren Medicaid |
$4,875.75
|
| Rate for Payer: Meridian Medicaid |
$5,119.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,875.75
|
| Rate for Payer: UHCCP Medicaid |
$4,875.75
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$12,657.25 |
| Max. Negotiated Rate |
$13,290.11 |
| Rate for Payer: BCBS Complete |
$13,290.11
|
| Rate for Payer: Mclaren Medicaid |
$12,657.25
|
| Rate for Payer: Meridian Medicaid |
$13,290.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,657.25
|
| Rate for Payer: UHCCP Medicaid |
$12,657.25
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 9302
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 9303
|
| Min. Negotiated Rate |
$9,357.50 |
| Max. Negotiated Rate |
$9,825.38 |
| Rate for Payer: BCBS Complete |
$9,825.38
|
| Rate for Payer: Mclaren Medicaid |
$9,357.50
|
| Rate for Payer: Meridian Medicaid |
$9,825.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,357.50
|
| Rate for Payer: UHCCP Medicaid |
$9,357.50
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,087.75 |
| Max. Negotiated Rate |
$4,292.14 |
| Rate for Payer: BCBS Complete |
$4,292.14
|
| Rate for Payer: Mclaren Medicaid |
$4,087.75
|
| Rate for Payer: Meridian Medicaid |
$4,292.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,087.75
|
| Rate for Payer: UHCCP Medicaid |
$4,087.75
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,961.02
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$19,010.50 |
| Max. Negotiated Rate |
$19,961.02 |
| Rate for Payer: BCBS Complete |
$19,961.02
|
| Rate for Payer: Mclaren Medicaid |
$19,010.50
|
| Rate for Payer: Meridian Medicaid |
$19,961.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,010.50
|
| Rate for Payer: UHCCP Medicaid |
$19,010.50
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,355.24
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$28,909.75 |
| Max. Negotiated Rate |
$30,355.24 |
| Rate for Payer: BCBS Complete |
$30,355.24
|
| Rate for Payer: Mclaren Medicaid |
$28,909.75
|
| Rate for Payer: Meridian Medicaid |
$30,355.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,909.75
|
| Rate for Payer: UHCCP Medicaid |
$28,909.75
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,169.90
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$10,638.00 |
| Max. Negotiated Rate |
$11,169.90 |
| Rate for Payer: BCBS Complete |
$11,169.90
|
| Rate for Payer: Mclaren Medicaid |
$10,638.00
|
| Rate for Payer: Meridian Medicaid |
$11,169.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,638.00
|
| Rate for Payer: UHCCP Medicaid |
$10,638.00
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,048.34
|
|
|
Service Code
|
APR-DRG 9122
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$15,203.48
|
|
|
Service Code
|
APR-DRG 3434
|
| Min. Negotiated Rate |
$14,479.50 |
| Max. Negotiated Rate |
$15,203.48 |
| Rate for Payer: BCBS Complete |
$15,203.48
|
| Rate for Payer: Mclaren Medicaid |
$14,479.50
|
| Rate for Payer: Meridian Medicaid |
$15,203.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.50
|
| Rate for Payer: UHCCP Medicaid |
$14,479.50
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$6,515.78
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.78 |
| Rate for Payer: BCBS Complete |
$6,515.78
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$9,566.81
|
|
|
Service Code
|
APR-DRG 3433
|
| Min. Negotiated Rate |
$9,111.25 |
| Max. Negotiated Rate |
$9,566.81 |
| Rate for Payer: BCBS Complete |
$9,566.81
|
| Rate for Payer: Mclaren Medicaid |
$9,111.25
|
| Rate for Payer: Meridian Medicaid |
$9,566.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,111.25
|
| Rate for Payer: UHCCP Medicaid |
$9,111.25
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 3431
|
| 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: NEONATAL AFTERCARE
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$11,721.50 |
| Max. Negotiated Rate |
$12,307.58 |
| Rate for Payer: BCBS Complete |
$12,307.58
|
| Rate for Payer: Mclaren Medicaid |
$11,721.50
|
| Rate for Payer: Meridian Medicaid |
$12,307.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,721.50
|
| Rate for Payer: UHCCP Medicaid |
$11,721.50
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$46,179.26
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$43,980.25 |
| Max. Negotiated Rate |
$46,179.26 |
| Rate for Payer: BCBS Complete |
$46,179.26
|
| Rate for Payer: Mclaren Medicaid |
$43,980.25
|
| Rate for Payer: Meridian Medicaid |
$46,179.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,980.25
|
| Rate for Payer: UHCCP Medicaid |
$43,980.25
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$21,564.11
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$20,537.25 |
| Max. Negotiated Rate |
$21,564.11 |
| Rate for Payer: BCBS Complete |
$21,564.11
|
| Rate for Payer: Mclaren Medicaid |
$20,537.25
|
| Rate for Payer: Meridian Medicaid |
$21,564.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,537.25
|
| Rate for Payer: UHCCP Medicaid |
$20,537.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 6031
|
| Min. Negotiated Rate |
$3,693.75 |
| Max. Negotiated Rate |
$3,878.44 |
| Rate for Payer: BCBS Complete |
$3,878.44
|
| Rate for Payer: Mclaren Medicaid |
$3,693.75
|
| Rate for Payer: Meridian Medicaid |
$3,878.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,693.75
|
| Rate for Payer: UHCCP Medicaid |
$3,693.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$25,339.12
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$24,132.50 |
| Max. Negotiated Rate |
$25,339.12 |
| Rate for Payer: BCBS Complete |
$25,339.12
|
| Rate for Payer: Mclaren Medicaid |
$24,132.50
|
| Rate for Payer: Meridian Medicaid |
$25,339.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,132.50
|
| Rate for Payer: UHCCP Medicaid |
$24,132.50
|
|