|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$14,220.94
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$13,543.75 |
| Max. Negotiated Rate |
$14,220.94 |
| Rate for Payer: BCBS Complete |
$14,220.94
|
| Rate for Payer: Mclaren Medicaid |
$13,543.75
|
| Rate for Payer: Meridian Medicaid |
$14,220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,543.75
|
| Rate for Payer: UHCCP Medicaid |
$13,543.75
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
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
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 0413
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 0414
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$19,702.46
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$18,764.25 |
| Max. Negotiated Rate |
$19,702.46 |
| Rate for Payer: BCBS Complete |
$19,702.46
|
| Rate for Payer: Mclaren Medicaid |
$18,764.25
|
| Rate for Payer: Meridian Medicaid |
$19,702.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,764.25
|
| Rate for Payer: UHCCP Medicaid |
$18,764.25
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 0501
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$7,550.02
|
|
|
Service Code
|
APR-DRG 0502
|
| Min. Negotiated Rate |
$7,190.50 |
| Max. Negotiated Rate |
$7,550.02 |
| Rate for Payer: BCBS Complete |
$7,550.02
|
| Rate for Payer: Mclaren Medicaid |
$7,190.50
|
| Rate for Payer: Meridian Medicaid |
$7,550.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,190.50
|
| Rate for Payer: UHCCP Medicaid |
$7,190.50
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$11,480.17
|
|
|
Service Code
|
APR-DRG 0503
|
| Min. Negotiated Rate |
$10,933.50 |
| Max. Negotiated Rate |
$11,480.17 |
| Rate for Payer: BCBS Complete |
$11,480.17
|
| Rate for Payer: Mclaren Medicaid |
$10,933.50
|
| Rate for Payer: Meridian Medicaid |
$11,480.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,933.50
|
| Rate for Payer: UHCCP Medicaid |
$10,933.50
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$18,461.36
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$17,582.25 |
| Max. Negotiated Rate |
$18,461.36 |
| Rate for Payer: BCBS Complete |
$18,461.36
|
| Rate for Payer: Mclaren Medicaid |
$17,582.25
|
| Rate for Payer: Meridian Medicaid |
$18,461.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,582.25
|
| Rate for Payer: UHCCP Medicaid |
$17,582.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,118.86
|
|
|
Service Code
|
APR-DRG 3231
|
| 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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 3232
|
| 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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,186.69
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$12,558.75 |
| Max. Negotiated Rate |
$13,186.69 |
| Rate for Payer: BCBS Complete |
$13,186.69
|
| Rate for Payer: Mclaren Medicaid |
$12,558.75
|
| Rate for Payer: Meridian Medicaid |
$13,186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,558.75
|
| Rate for Payer: UHCCP Medicaid |
$12,558.75
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$20,116.16
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$19,158.25 |
| Max. Negotiated Rate |
$20,116.16 |
| Rate for Payer: BCBS Complete |
$20,116.16
|
| Rate for Payer: Mclaren Medicaid |
$19,158.25
|
| Rate for Payer: Meridian Medicaid |
$20,116.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,158.25
|
| Rate for Payer: UHCCP Medicaid |
$19,158.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 3252
|
| 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: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,082.59
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$15,316.75 |
| Max. Negotiated Rate |
$16,082.59 |
| Rate for Payer: BCBS Complete |
$16,082.59
|
| Rate for Payer: Mclaren Medicaid |
$15,316.75
|
| Rate for Payer: Meridian Medicaid |
$16,082.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,316.75
|
| Rate for Payer: UHCCP Medicaid |
$15,316.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$8,717.25 |
| Max. Negotiated Rate |
$9,153.11 |
| Rate for Payer: BCBS Complete |
$9,153.11
|
| Rate for Payer: Mclaren Medicaid |
$8,717.25
|
| Rate for Payer: Meridian Medicaid |
$9,153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,717.25
|
| Rate for Payer: UHCCP Medicaid |
$8,717.25
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,360.64
|
|
|
Service Code
|
APR-DRG 7942
|
| Min. Negotiated Rate |
$6,057.75 |
| Max. Negotiated Rate |
$6,360.64 |
| Rate for Payer: BCBS Complete |
$6,360.64
|
| Rate for Payer: Mclaren Medicaid |
$6,057.75
|
| Rate for Payer: Meridian Medicaid |
$6,360.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,057.75
|
| Rate for Payer: UHCCP Medicaid |
$6,057.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$19,030.20
|
|
|
Service Code
|
APR-DRG 7944
|
| 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-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 7941
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 9521
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,325.04
|
|
|
Service Code
|
APR-DRG 9523
|
| Min. Negotiated Rate |
$10,785.75 |
| Max. Negotiated Rate |
$11,325.04 |
| Rate for Payer: BCBS Complete |
$11,325.04
|
| Rate for Payer: Mclaren Medicaid |
$10,785.75
|
| Rate for Payer: Meridian Medicaid |
$11,325.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,785.75
|
| Rate for Payer: UHCCP Medicaid |
$10,785.75
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,702.46
|
|
|
Service Code
|
APR-DRG 9524
|
| Min. Negotiated Rate |
$18,764.25 |
| Max. Negotiated Rate |
$19,702.46 |
| Rate for Payer: BCBS Complete |
$19,702.46
|
| Rate for Payer: Mclaren Medicaid |
$18,764.25
|
| Rate for Payer: Meridian Medicaid |
$19,702.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,764.25
|
| Rate for Payer: UHCCP Medicaid |
$18,764.25
|
|