|
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 KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,635.31
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$11,081.25 |
| Max. Negotiated Rate |
$11,635.31 |
| Rate for Payer: BCBS Complete |
$11,635.31
|
| Rate for Payer: Mclaren Medicaid |
$11,081.25
|
| Rate for Payer: Meridian Medicaid |
$11,635.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,081.25
|
| Rate for Payer: UHCCP Medicaid |
$11,081.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$21,770.96
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$20,734.25 |
| Max. Negotiated Rate |
$21,770.96 |
| Rate for Payer: BCBS Complete |
$21,770.96
|
| Rate for Payer: Mclaren Medicaid |
$20,734.25
|
| Rate for Payer: Meridian Medicaid |
$21,770.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,734.25
|
| Rate for Payer: UHCCP Medicaid |
$20,734.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$17,427.11
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$16,597.25 |
| Max. Negotiated Rate |
$17,427.11 |
| Rate for Payer: BCBS Complete |
$17,427.11
|
| Rate for Payer: Mclaren Medicaid |
$16,597.25
|
| Rate for Payer: Meridian Medicaid |
$17,427.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,597.25
|
| Rate for Payer: UHCCP Medicaid |
$16,597.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$14,376.08
|
|
|
Service Code
|
APR-DRG 3252
|
| Min. Negotiated Rate |
$13,691.50 |
| Max. Negotiated Rate |
$14,376.08 |
| Rate for Payer: BCBS Complete |
$14,376.08
|
| Rate for Payer: Mclaren Medicaid |
$13,691.50
|
| Rate for Payer: Meridian Medicaid |
$14,376.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,691.50
|
| Rate for Payer: UHCCP Medicaid |
$13,691.50
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$20,633.29
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$19,650.75 |
| Max. Negotiated Rate |
$20,633.29 |
| Rate for Payer: BCBS Complete |
$20,633.29
|
| Rate for Payer: Mclaren Medicaid |
$19,650.75
|
| Rate for Payer: Meridian Medicaid |
$20,633.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,650.75
|
| Rate for Payer: UHCCP Medicaid |
$19,650.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 7941
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$9,456.00 |
| Max. Negotiated Rate |
$9,928.80 |
| Rate for Payer: BCBS Complete |
$9,928.80
|
| Rate for Payer: Mclaren Medicaid |
$9,456.00
|
| Rate for Payer: Meridian Medicaid |
$9,928.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,456.00
|
| Rate for Payer: UHCCP Medicaid |
$9,456.00
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,050.36
|
|
|
Service Code
|
APR-DRG 9521
|
| Min. Negotiated Rate |
$5,762.25 |
| Max. Negotiated Rate |
$6,050.36 |
| Rate for Payer: BCBS Complete |
$6,050.36
|
| Rate for Payer: Mclaren Medicaid |
$5,762.25
|
| Rate for Payer: Meridian Medicaid |
$6,050.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,762.25
|
| Rate for Payer: UHCCP Medicaid |
$5,762.25
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$7,830.75 |
| Max. Negotiated Rate |
$8,222.29 |
| Rate for Payer: BCBS Complete |
$8,222.29
|
| Rate for Payer: Mclaren Medicaid |
$7,830.75
|
| Rate for Payer: Meridian Medicaid |
$8,222.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,830.75
|
| Rate for Payer: UHCCP Medicaid |
$7,830.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 9523
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,030.20
|
|
|
Service Code
|
APR-DRG 9524
|
| Min. Negotiated Rate |
$18,124.00 |
| Max. Negotiated Rate |
$19,030.20 |
| Rate for Payer: BCBS Complete |
$19,030.20
|
| Rate for Payer: Mclaren Medicaid |
$18,124.00
|
| Rate for Payer: Meridian Medicaid |
$19,030.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,124.00
|
| Rate for Payer: UHCCP Medicaid |
$18,124.00
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 4262
|
| 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-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 4261
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.48 |
| Rate for Payer: BCBS Complete |
$2,792.48
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 0462
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$7,963.72
|
|
|
Service Code
|
APR-DRG 0463
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.72 |
| Rate for Payer: BCBS Complete |
$7,963.72
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,067.82
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$4,826.50 |
| Max. Negotiated Rate |
$5,067.82 |
| Rate for Payer: BCBS Complete |
$5,067.82
|
| Rate for Payer: Mclaren Medicaid |
$4,826.50
|
| Rate for Payer: Meridian Medicaid |
$5,067.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,826.50
|
| Rate for Payer: UHCCP Medicaid |
$4,826.50
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$13,962.38
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$13,297.50 |
| Max. Negotiated Rate |
$13,962.38 |
| Rate for Payer: BCBS Complete |
$13,962.38
|
| Rate for Payer: Mclaren Medicaid |
$13,297.50
|
| Rate for Payer: Meridian Medicaid |
$13,962.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,297.50
|
| Rate for Payer: UHCCP Medicaid |
$13,297.50
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 7623
|
| Min. Negotiated Rate |
$4,925.00 |
| Max. Negotiated Rate |
$5,171.25 |
| Rate for Payer: BCBS Complete |
$5,171.25
|
| Rate for Payer: Mclaren Medicaid |
$4,925.00
|
| Rate for Payer: Meridian Medicaid |
$5,171.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,925.00
|
| Rate for Payer: UHCCP Medicaid |
$4,925.00
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 7622
|
| Min. Negotiated Rate |
$3,102.75 |
| Max. Negotiated Rate |
$3,257.89 |
| Rate for Payer: BCBS Complete |
$3,257.89
|
| Rate for Payer: Mclaren Medicaid |
$3,102.75
|
| Rate for Payer: Meridian Medicaid |
$3,257.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,102.75
|
| Rate for Payer: UHCCP Medicaid |
$3,102.75
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 7624
|
| 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
|
|