|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$982.54
|
|
|
Service Code
|
APR-DRG 5812
|
| Min. Negotiated Rate |
$935.75 |
| Max. Negotiated Rate |
$982.54 |
| Rate for Payer: BCBS Complete |
$982.54
|
| Rate for Payer: Mclaren Medicaid |
$935.75
|
| Rate for Payer: Meridian Medicaid |
$982.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$935.75
|
| Rate for Payer: UHCCP Medicaid |
$935.75
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$620.55
|
|
|
Service Code
|
APR-DRG 5811
|
| Min. Negotiated Rate |
$591.00 |
| Max. Negotiated Rate |
$620.55 |
| Rate for Payer: BCBS Complete |
$620.55
|
| Rate for Payer: Mclaren Medicaid |
$591.00
|
| Rate for Payer: Meridian Medicaid |
$620.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$591.00
|
| Rate for Payer: UHCCP Medicaid |
$591.00
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,585.62
|
|
|
Service Code
|
APR-DRG 5802
|
| Min. Negotiated Rate |
$2,462.50 |
| Max. Negotiated Rate |
$2,585.62 |
| Rate for Payer: BCBS Complete |
$2,585.62
|
| Rate for Payer: Mclaren Medicaid |
$2,462.50
|
| Rate for Payer: Meridian Medicaid |
$2,585.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,462.50
|
| Rate for Payer: UHCCP Medicaid |
$2,462.50
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,706.51
|
|
|
Service Code
|
APR-DRG 5801
|
| Min. Negotiated Rate |
$1,625.25 |
| Max. Negotiated Rate |
$1,706.51 |
| Rate for Payer: BCBS Complete |
$1,706.51
|
| Rate for Payer: Mclaren Medicaid |
$1,625.25
|
| Rate for Payer: Meridian Medicaid |
$1,706.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,625.25
|
| Rate for Payer: UHCCP Medicaid |
$1,625.25
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 5804
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 5803
|
| 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: NEONATE WITH ECMO
|
Facility
|
IP
|
$98,874.30
|
|
|
Service Code
|
APR-DRG 5832
|
| Min. Negotiated Rate |
$94,166.00 |
| Max. Negotiated Rate |
$98,874.30 |
| Rate for Payer: BCBS Complete |
$98,874.30
|
| Rate for Payer: Mclaren Medicaid |
$94,166.00
|
| Rate for Payer: Meridian Medicaid |
$98,874.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$94,166.00
|
| Rate for Payer: UHCCP Medicaid |
$94,166.00
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$313,222.61
|
|
|
Service Code
|
APR-DRG 5834
|
| Min. Negotiated Rate |
$298,307.25 |
| Max. Negotiated Rate |
$313,222.61 |
| Rate for Payer: BCBS Complete |
$313,222.61
|
| Rate for Payer: Mclaren Medicaid |
$298,307.25
|
| Rate for Payer: Meridian Medicaid |
$313,222.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$298,307.25
|
| Rate for Payer: UHCCP Medicaid |
$298,307.25
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$88,738.65
|
|
|
Service Code
|
APR-DRG 5831
|
| Min. Negotiated Rate |
$84,513.00 |
| Max. Negotiated Rate |
$88,738.65 |
| Rate for Payer: BCBS Complete |
$88,738.65
|
| Rate for Payer: Mclaren Medicaid |
$84,513.00
|
| Rate for Payer: Meridian Medicaid |
$88,738.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$84,513.00
|
| Rate for Payer: UHCCP Medicaid |
$84,513.00
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$178,356.41
|
|
|
Service Code
|
APR-DRG 5833
|
| Min. Negotiated Rate |
$169,863.25 |
| Max. Negotiated Rate |
$178,356.41 |
| Rate for Payer: BCBS Complete |
$178,356.41
|
| Rate for Payer: Mclaren Medicaid |
$169,863.25
|
| Rate for Payer: Meridian Medicaid |
$178,356.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$169,863.25
|
| Rate for Payer: UHCCP Medicaid |
$169,863.25
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 4623
|
| 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: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 4621
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$18,151.09
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$17,286.75 |
| Max. Negotiated Rate |
$18,151.09 |
| Rate for Payer: BCBS Complete |
$18,151.09
|
| Rate for Payer: Mclaren Medicaid |
$17,286.75
|
| Rate for Payer: Meridian Medicaid |
$18,151.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,286.75
|
| Rate for Payer: UHCCP Medicaid |
$17,286.75
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 4622
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 0412
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 0411
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$9,566.81
|
|
|
Service Code
|
APR-DRG 0414
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$7,387.50 |
| Max. Negotiated Rate |
$7,756.88 |
| Rate for Payer: BCBS Complete |
$7,756.88
|
| Rate for Payer: Mclaren Medicaid |
$7,387.50
|
| Rate for Payer: Meridian Medicaid |
$7,756.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,387.50
|
| Rate for Payer: UHCCP Medicaid |
$7,387.50
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 0501
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$8,170.58
|
|
|
Service Code
|
APR-DRG 0502
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.58 |
| Rate for Payer: BCBS Complete |
$8,170.58
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 0503
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.78 |
| Rate for Payer: BCBS Complete |
$10,652.78
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$28,286.74
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$26,939.75 |
| Max. Negotiated Rate |
$28,286.74 |
| Rate for Payer: BCBS Complete |
$28,286.74
|
| Rate for Payer: Mclaren Medicaid |
$26,939.75
|
| Rate for Payer: Meridian Medicaid |
$28,286.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,939.75
|
| Rate for Payer: UHCCP Medicaid |
$26,939.75
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,272.65
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$13,593.00 |
| Max. Negotiated Rate |
$14,272.65 |
| Rate for Payer: BCBS Complete |
$14,272.65
|
| Rate for Payer: Mclaren Medicaid |
$13,593.00
|
| Rate for Payer: Meridian Medicaid |
$14,272.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,593.00
|
| Rate for Payer: UHCCP Medicaid |
$13,593.00
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,601.06
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$10,096.25 |
| Max. Negotiated Rate |
$10,601.06 |
| Rate for Payer: BCBS Complete |
$10,601.06
|
| Rate for Payer: Mclaren Medicaid |
$10,096.25
|
| Rate for Payer: Meridian Medicaid |
$10,601.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,096.25
|
| Rate for Payer: UHCCP Medicaid |
$10,096.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,961.02
|
|
|
Service Code
|
APR-DRG 3234
|
| 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
|
|