|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,065.80
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$13,396.00 |
| Max. Negotiated Rate |
$14,065.80 |
| Rate for Payer: BCBS Complete |
$14,065.80
|
| Rate for Payer: Mclaren Medicaid |
$13,396.00
|
| Rate for Payer: Meridian Medicaid |
$14,065.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,396.00
|
| Rate for Payer: UHCCP Medicaid |
$13,396.00
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 9121
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$5,368.25 |
| Max. Negotiated Rate |
$5,636.66 |
| Rate for Payer: BCBS Complete |
$5,636.66
|
| Rate for Payer: Mclaren Medicaid |
$5,368.25
|
| Rate for Payer: Meridian Medicaid |
$5,636.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,368.25
|
| Rate for Payer: UHCCP Medicaid |
$5,368.25
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 3433
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 3431
|
| Min. Negotiated Rate |
$4,531.00 |
| Max. Negotiated Rate |
$4,757.55 |
| Rate for Payer: BCBS Complete |
$4,757.55
|
| Rate for Payer: Mclaren Medicaid |
$4,531.00
|
| Rate for Payer: Meridian Medicaid |
$4,757.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,531.00
|
| Rate for Payer: UHCCP Medicaid |
$4,531.00
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 3434
|
| 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: NEONATAL AFTERCARE
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$47,782.35
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$45,507.00 |
| Max. Negotiated Rate |
$47,782.35 |
| Rate for Payer: BCBS Complete |
$47,782.35
|
| Rate for Payer: Mclaren Medicaid |
$45,507.00
|
| Rate for Payer: Meridian Medicaid |
$47,782.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,507.00
|
| Rate for Payer: UHCCP Medicaid |
$45,507.00
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$24,460.01
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$23,295.25 |
| Max. Negotiated Rate |
$24,460.01 |
| Rate for Payer: BCBS Complete |
$24,460.01
|
| Rate for Payer: Mclaren Medicaid |
$23,295.25
|
| Rate for Payer: Meridian Medicaid |
$24,460.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,295.25
|
| Rate for Payer: UHCCP Medicaid |
$23,295.25
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$6,599.50 |
| Max. Negotiated Rate |
$6,929.48 |
| Rate for Payer: BCBS Complete |
$6,929.48
|
| Rate for Payer: Mclaren Medicaid |
$6,599.50
|
| Rate for Payer: Meridian Medicaid |
$6,929.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,599.50
|
| Rate for Payer: UHCCP Medicaid |
$6,599.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 6031
|
| 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: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$31,492.91
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$29,993.25 |
| Max. Negotiated Rate |
$31,492.91 |
| Rate for Payer: BCBS Complete |
$31,492.91
|
| Rate for Payer: Mclaren Medicaid |
$29,993.25
|
| Rate for Payer: Meridian Medicaid |
$31,492.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,993.25
|
| Rate for Payer: UHCCP Medicaid |
$29,993.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$25,701.11
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$24,477.25 |
| Max. Negotiated Rate |
$25,701.11 |
| Rate for Payer: BCBS Complete |
$25,701.11
|
| Rate for Payer: Mclaren Medicaid |
$24,477.25
|
| Rate for Payer: Meridian Medicaid |
$25,701.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,477.25
|
| Rate for Payer: UHCCP Medicaid |
$24,477.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$55,590.94
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$52,943.75 |
| Max. Negotiated Rate |
$55,590.94 |
| Rate for Payer: BCBS Complete |
$55,590.94
|
| Rate for Payer: Mclaren Medicaid |
$52,943.75
|
| Rate for Payer: Meridian Medicaid |
$55,590.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$52,943.75
|
| Rate for Payer: UHCCP Medicaid |
$52,943.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$76,017.38
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$72,397.50 |
| Max. Negotiated Rate |
$76,017.38 |
| Rate for Payer: BCBS Complete |
$76,017.38
|
| Rate for Payer: Mclaren Medicaid |
$72,397.50
|
| Rate for Payer: Meridian Medicaid |
$76,017.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$72,397.50
|
| Rate for Payer: UHCCP Medicaid |
$72,397.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$42,197.40
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$40,188.00 |
| Max. Negotiated Rate |
$42,197.40 |
| Rate for Payer: BCBS Complete |
$42,197.40
|
| Rate for Payer: Mclaren Medicaid |
$40,188.00
|
| Rate for Payer: Meridian Medicaid |
$42,197.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,188.00
|
| Rate for Payer: UHCCP Medicaid |
$40,188.00
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$52,798.46
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$50,284.25 |
| Max. Negotiated Rate |
$52,798.46 |
| Rate for Payer: BCBS Complete |
$52,798.46
|
| Rate for Payer: Mclaren Medicaid |
$50,284.25
|
| Rate for Payer: Meridian Medicaid |
$52,798.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$50,284.25
|
| Rate for Payer: UHCCP Medicaid |
$50,284.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$31,441.20
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$29,944.00 |
| Max. Negotiated Rate |
$31,441.20 |
| Rate for Payer: BCBS Complete |
$31,441.20
|
| Rate for Payer: Mclaren Medicaid |
$29,944.00
|
| Rate for Payer: Meridian Medicaid |
$31,441.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,944.00
|
| Rate for Payer: UHCCP Medicaid |
$29,944.00
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$20,012.74
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$19,059.75 |
| Max. Negotiated Rate |
$20,012.74 |
| Rate for Payer: BCBS Complete |
$20,012.74
|
| Rate for Payer: Mclaren Medicaid |
$19,059.75
|
| Rate for Payer: Meridian Medicaid |
$20,012.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,059.75
|
| Rate for Payer: UHCCP Medicaid |
$19,059.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$28,907.29
|
|
|
Service Code
|
APR-DRG 6083
|
| Min. Negotiated Rate |
$27,530.75 |
| Max. Negotiated Rate |
$28,907.29 |
| Rate for Payer: BCBS Complete |
$28,907.29
|
| Rate for Payer: Mclaren Medicaid |
$27,530.75
|
| Rate for Payer: Meridian Medicaid |
$28,907.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,530.75
|
| Rate for Payer: UHCCP Medicaid |
$27,530.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$11,531.89
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$10,982.75 |
| Max. Negotiated Rate |
$11,531.89 |
| Rate for Payer: BCBS Complete |
$11,531.89
|
| Rate for Payer: Mclaren Medicaid |
$10,982.75
|
| Rate for Payer: Meridian Medicaid |
$11,531.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,982.75
|
| Rate for Payer: UHCCP Medicaid |
$10,982.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$33,509.70
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$31,914.00 |
| Max. Negotiated Rate |
$33,509.70 |
| Rate for Payer: BCBS Complete |
$33,509.70
|
| Rate for Payer: Mclaren Medicaid |
$31,914.00
|
| Rate for Payer: Meridian Medicaid |
$33,509.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,914.00
|
| Rate for Payer: UHCCP Medicaid |
$31,914.00
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$21,512.40
|
|
|
Service Code
|
APR-DRG 6071
|
| Min. Negotiated Rate |
$20,488.00 |
| Max. Negotiated Rate |
$21,512.40 |
| Rate for Payer: BCBS Complete |
$21,512.40
|
| Rate for Payer: Mclaren Medicaid |
$20,488.00
|
| Rate for Payer: Meridian Medicaid |
$21,512.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,488.00
|
| Rate for Payer: UHCCP Medicaid |
$20,488.00
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$40,284.04
|
|
|
Service Code
|
APR-DRG 6073
|
| Min. Negotiated Rate |
$38,365.75 |
| Max. Negotiated Rate |
$40,284.04 |
| Rate for Payer: BCBS Complete |
$40,284.04
|
| Rate for Payer: Mclaren Medicaid |
$38,365.75
|
| Rate for Payer: Meridian Medicaid |
$40,284.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,365.75
|
| Rate for Payer: UHCCP Medicaid |
$38,365.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$30,096.67
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$28,663.50 |
| Max. Negotiated Rate |
$30,096.67 |
| Rate for Payer: BCBS Complete |
$30,096.67
|
| Rate for Payer: Mclaren Medicaid |
$28,663.50
|
| Rate for Payer: Meridian Medicaid |
$30,096.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,663.50
|
| Rate for Payer: UHCCP Medicaid |
$28,663.50
|
|