|
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
|
$10,342.50
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$9,850.00 |
| Max. Negotiated Rate |
$10,342.50 |
| Rate for Payer: BCBS Complete |
$10,342.50
|
| Rate for Payer: Mclaren Medicaid |
$9,850.00
|
| Rate for Payer: Meridian Medicaid |
$10,342.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,850.00
|
| Rate for Payer: UHCCP Medicaid |
$9,850.00
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 6961
|
| 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 CHEMOTHERAPY
|
Facility
|
IP
|
$16,392.86
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$15,612.25 |
| Max. Negotiated Rate |
$16,392.86 |
| Rate for Payer: BCBS Complete |
$16,392.86
|
| Rate for Payer: Mclaren Medicaid |
$15,612.25
|
| Rate for Payer: Meridian Medicaid |
$16,392.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,612.25
|
| Rate for Payer: UHCCP Medicaid |
$15,612.25
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 6962
|
| 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 CHEMOTHERAPY
|
Facility
|
IP
|
$8,894.55
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$8,471.00 |
| Max. Negotiated Rate |
$8,894.55 |
| Rate for Payer: BCBS Complete |
$8,894.55
|
| Rate for Payer: Mclaren Medicaid |
$8,471.00
|
| Rate for Payer: Meridian Medicaid |
$8,894.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,471.00
|
| Rate for Payer: UHCCP Medicaid |
$8,471.00
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,515.78
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.78 |
| Rate for Payer: BCBS Complete |
$6,515.78
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 2071
|
| 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: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,014.76
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$10,490.25 |
| Max. Negotiated Rate |
$11,014.76 |
| Rate for Payer: BCBS Complete |
$11,014.76
|
| Rate for Payer: Mclaren Medicaid |
$10,490.25
|
| Rate for Payer: Meridian Medicaid |
$11,014.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,490.25
|
| Rate for Payer: UHCCP Medicaid |
$10,490.25
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$18,461.36
|
|
|
Service Code
|
APR-DRG 1804
|
| 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: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$11,738.74
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$11,179.75 |
| Max. Negotiated Rate |
$11,738.74 |
| Rate for Payer: BCBS Complete |
$11,738.74
|
| Rate for Payer: Mclaren Medicaid |
$11,179.75
|
| Rate for Payer: Meridian Medicaid |
$11,738.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,179.75
|
| Rate for Payer: UHCCP Medicaid |
$11,179.75
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,118.86
|
|
|
Service Code
|
APR-DRG 1801
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,398.25 |
| Max. Negotiated Rate |
$3,568.16 |
| Rate for Payer: BCBS Complete |
$3,568.16
|
| Rate for Payer: Mclaren Medicaid |
$3,398.25
|
| Rate for Payer: Meridian Medicaid |
$3,568.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,398.25
|
| Rate for Payer: UHCCP Medicaid |
$3,398.25
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 8132
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,515.78
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.78 |
| Rate for Payer: BCBS Complete |
$6,515.78
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,515.10
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$9,062.00 |
| Max. Negotiated Rate |
$9,515.10 |
| Rate for Payer: BCBS Complete |
$9,515.10
|
| Rate for Payer: Mclaren Medicaid |
$9,062.00
|
| Rate for Payer: Meridian Medicaid |
$9,515.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,062.00
|
| Rate for Payer: UHCCP Medicaid |
$9,062.00
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$16,909.99
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$16,104.75 |
| Max. Negotiated Rate |
$16,909.99 |
| Rate for Payer: BCBS Complete |
$16,909.99
|
| Rate for Payer: Mclaren Medicaid |
$16,104.75
|
| Rate for Payer: Meridian Medicaid |
$16,909.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,104.75
|
| Rate for Payer: UHCCP Medicaid |
$16,104.75
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,359.96
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$8,914.25 |
| Max. Negotiated Rate |
$9,359.96 |
| Rate for Payer: BCBS Complete |
$9,359.96
|
| Rate for Payer: Mclaren Medicaid |
$8,914.25
|
| Rate for Payer: Meridian Medicaid |
$9,359.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.25
|
| Rate for Payer: UHCCP Medicaid |
$8,914.25
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,238.40
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$12,608.00 |
| Max. Negotiated Rate |
$13,238.40 |
| Rate for Payer: BCBS Complete |
$13,238.40
|
| Rate for Payer: Mclaren Medicaid |
$12,608.00
|
| Rate for Payer: Meridian Medicaid |
$13,238.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,608.00
|
| Rate for Payer: UHCCP Medicaid |
$12,608.00
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 2291
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,463.39
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$9,012.75 |
| Max. Negotiated Rate |
$9,463.39 |
| Rate for Payer: BCBS Complete |
$9,463.39
|
| Rate for Payer: Mclaren Medicaid |
$9,012.75
|
| Rate for Payer: Meridian Medicaid |
$9,463.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,012.75
|
| Rate for Payer: UHCCP Medicaid |
$9,012.75
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|