|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$6,648.75 |
| Max. Negotiated Rate |
$6,981.19 |
| Rate for Payer: BCBS Complete |
$6,981.19
|
| Rate for Payer: Mclaren Medicaid |
$6,648.75
|
| Rate for Payer: Meridian Medicaid |
$6,981.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,648.75
|
| Rate for Payer: UHCCP Medicaid |
$6,648.75
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$8,077.00 |
| Max. Negotiated Rate |
$8,480.85 |
| Rate for Payer: BCBS Complete |
$8,480.85
|
| Rate for Payer: Mclaren Medicaid |
$8,077.00
|
| Rate for Payer: Meridian Medicaid |
$8,480.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,077.00
|
| Rate for Payer: UHCCP Medicaid |
$8,077.00
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 3442
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 8622
|
| Min. Negotiated Rate |
$4,777.25 |
| Max. Negotiated Rate |
$5,016.11 |
| Rate for Payer: BCBS Complete |
$5,016.11
|
| Rate for Payer: Mclaren Medicaid |
$4,777.25
|
| Rate for Payer: Meridian Medicaid |
$5,016.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,777.25
|
| Rate for Payer: UHCCP Medicaid |
$4,777.25
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 8624
|
| Min. Negotiated Rate |
$6,107.00 |
| Max. Negotiated Rate |
$6,412.35 |
| Rate for Payer: BCBS Complete |
$6,412.35
|
| Rate for Payer: Mclaren Medicaid |
$6,107.00
|
| Rate for Payer: Meridian Medicaid |
$6,412.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,107.00
|
| Rate for Payer: UHCCP Medicaid |
$6,107.00
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,171.92
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$2,068.50 |
| Max. Negotiated Rate |
$2,171.92 |
| Rate for Payer: BCBS Complete |
$2,171.92
|
| Rate for Payer: Mclaren Medicaid |
$2,068.50
|
| Rate for Payer: Meridian Medicaid |
$2,171.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,068.50
|
| Rate for Payer: UHCCP Medicaid |
$2,068.50
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 8623
|
| Min. Negotiated Rate |
$6,107.00 |
| Max. Negotiated Rate |
$6,412.35 |
| Rate for Payer: BCBS Complete |
$6,412.35
|
| Rate for Payer: Mclaren Medicaid |
$6,107.00
|
| Rate for Payer: Meridian Medicaid |
$6,412.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,107.00
|
| Rate for Payer: UHCCP Medicaid |
$6,107.00
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 2533
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 2532
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 2531
|
| Min. Negotiated Rate |
$3,940.00 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: BCBS Complete |
$4,137.00
|
| Rate for Payer: Mclaren Medicaid |
$3,940.00
|
| Rate for Payer: Meridian Medicaid |
$4,137.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,940.00
|
| Rate for Payer: UHCCP Medicaid |
$3,940.00
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.92 |
| Rate for Payer: BCBS Complete |
$6,308.92
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 6634
|
| 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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$4,186.25 |
| Max. Negotiated Rate |
$4,395.56 |
| Rate for Payer: BCBS Complete |
$4,395.56
|
| Rate for Payer: Mclaren Medicaid |
$4,186.25
|
| Rate for Payer: Meridian Medicaid |
$4,395.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.25
|
| Rate for Payer: UHCCP Medicaid |
$4,186.25
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 3473
|
| Min. Negotiated Rate |
$6,845.75 |
| Max. Negotiated Rate |
$7,188.04 |
| Rate for Payer: BCBS Complete |
$7,188.04
|
| Rate for Payer: Mclaren Medicaid |
$6,845.75
|
| Rate for Payer: Meridian Medicaid |
$7,188.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,845.75
|
| Rate for Payer: UHCCP Medicaid |
$6,845.75
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$8,842.84
|
|
|
Service Code
|
APR-DRG 3474
|
| Min. Negotiated Rate |
$8,421.75 |
| Max. Negotiated Rate |
$8,842.84 |
| Rate for Payer: BCBS Complete |
$8,842.84
|
| Rate for Payer: Mclaren Medicaid |
$8,421.75
|
| Rate for Payer: Meridian Medicaid |
$8,842.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,421.75
|
| Rate for Payer: UHCCP Medicaid |
$8,421.75
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 3471
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 3472
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,912.01
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$7,535.25 |
| Max. Negotiated Rate |
$7,912.01 |
| Rate for Payer: BCBS Complete |
$7,912.01
|
| Rate for Payer: Mclaren Medicaid |
$7,535.25
|
| Rate for Payer: Meridian Medicaid |
$7,912.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,535.25
|
| Rate for Payer: UHCCP Medicaid |
$7,535.25
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$11,687.02
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$11,130.50 |
| Max. Negotiated Rate |
$11,687.02 |
| Rate for Payer: BCBS Complete |
$11,687.02
|
| Rate for Payer: Mclaren Medicaid |
$11,130.50
|
| Rate for Payer: Meridian Medicaid |
$11,687.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,130.50
|
| Rate for Payer: UHCCP Medicaid |
$11,130.50
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 4453
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,877.09
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$9,406.75 |
| Max. Negotiated Rate |
$9,877.09 |
| Rate for Payer: BCBS Complete |
$9,877.09
|
| Rate for Payer: Mclaren Medicaid |
$9,406.75
|
| Rate for Payer: Meridian Medicaid |
$9,877.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,406.75
|
| Rate for Payer: UHCCP Medicaid |
$9,406.75
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$39,611.78
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$37,725.50 |
| Max. Negotiated Rate |
$39,611.78 |
| Rate for Payer: BCBS Complete |
$39,611.78
|
| Rate for Payer: Mclaren Medicaid |
$37,725.50
|
| Rate for Payer: Meridian Medicaid |
$39,611.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,725.50
|
| Rate for Payer: UHCCP Medicaid |
$37,725.50
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$21,719.25
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$20,685.00 |
| Max. Negotiated Rate |
$21,719.25 |
| Rate for Payer: BCBS Complete |
$21,719.25
|
| Rate for Payer: Mclaren Medicaid |
$20,685.00
|
| Rate for Payer: Meridian Medicaid |
$21,719.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,685.00
|
| Rate for Payer: UHCCP Medicaid |
$20,685.00
|
|