|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 3474
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 3472
|
| 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
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 3473
|
| 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 BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 3471
|
| 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
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 4453
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$5,688.38
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$5,417.50 |
| Max. Negotiated Rate |
$5,688.38 |
| Rate for Payer: BCBS Complete |
$5,688.38
|
| Rate for Payer: Mclaren Medicaid |
$5,417.50
|
| Rate for Payer: Meridian Medicaid |
$5,688.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,417.50
|
| Rate for Payer: UHCCP Medicaid |
$5,417.50
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,860.30
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$7,486.00 |
| Max. Negotiated Rate |
$7,860.30 |
| Rate for Payer: BCBS Complete |
$7,860.30
|
| Rate for Payer: Mclaren Medicaid |
$7,486.00
|
| Rate for Payer: Meridian Medicaid |
$7,860.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,486.00
|
| Rate for Payer: UHCCP Medicaid |
$7,486.00
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$16,030.88
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$15,267.50 |
| Max. Negotiated Rate |
$16,030.88 |
| Rate for Payer: BCBS Complete |
$16,030.88
|
| Rate for Payer: Mclaren Medicaid |
$15,267.50
|
| Rate for Payer: Meridian Medicaid |
$16,030.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,267.50
|
| Rate for Payer: UHCCP Medicaid |
$15,267.50
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$16,858.28
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$16,055.50 |
| Max. Negotiated Rate |
$16,858.28 |
| Rate for Payer: BCBS Complete |
$16,858.28
|
| Rate for Payer: Mclaren Medicaid |
$16,055.50
|
| Rate for Payer: Meridian Medicaid |
$16,858.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,055.50
|
| Rate for Payer: UHCCP Medicaid |
$16,055.50
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$13,341.83
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$12,706.50 |
| Max. Negotiated Rate |
$13,341.83 |
| Rate for Payer: BCBS Complete |
$13,341.83
|
| Rate for Payer: Mclaren Medicaid |
$12,706.50
|
| Rate for Payer: Meridian Medicaid |
$13,341.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,706.50
|
| Rate for Payer: UHCCP Medicaid |
$12,706.50
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$36,250.46
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$34,524.25 |
| Max. Negotiated Rate |
$36,250.46 |
| Rate for Payer: BCBS Complete |
$36,250.46
|
| Rate for Payer: Mclaren Medicaid |
$34,524.25
|
| Rate for Payer: Meridian Medicaid |
$36,250.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,524.25
|
| Rate for Payer: UHCCP Medicaid |
$34,524.25
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$23,012.06
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$21,916.25 |
| Max. Negotiated Rate |
$23,012.06 |
| Rate for Payer: BCBS Complete |
$23,012.06
|
| Rate for Payer: Mclaren Medicaid |
$21,916.25
|
| Rate for Payer: Meridian Medicaid |
$23,012.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,916.25
|
| Rate for Payer: UHCCP Medicaid |
$21,916.25
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 6963
|
| 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: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$15,100.05
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$14,381.00 |
| Max. Negotiated Rate |
$15,100.05 |
| Rate for Payer: BCBS Complete |
$15,100.05
|
| Rate for Payer: Mclaren Medicaid |
$14,381.00
|
| Rate for Payer: Meridian Medicaid |
$15,100.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,381.00
|
| Rate for Payer: UHCCP Medicaid |
$14,381.00
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,067.82
|
|
|
Service Code
|
APR-DRG 6962
|
| 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: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$5,368.25 |
| Max. Negotiated Rate |
$5,636.66 |
| Rate for Payer: BCBS Complete |
$5,636.66
|
| Rate for Payer: Mclaren Medicaid |
$5,368.25
|
| Rate for Payer: Meridian Medicaid |
$5,636.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,368.25
|
| Rate for Payer: UHCCP Medicaid |
$5,368.25
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$10,549.35
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$10,047.00 |
| Max. Negotiated Rate |
$10,549.35 |
| Rate for Payer: BCBS Complete |
$10,549.35
|
| Rate for Payer: Mclaren Medicaid |
$10,047.00
|
| Rate for Payer: Meridian Medicaid |
$10,549.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,047.00
|
| Rate for Payer: UHCCP Medicaid |
$10,047.00
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$3,693.75 |
| Max. Negotiated Rate |
$3,878.44 |
| Rate for Payer: BCBS Complete |
$3,878.44
|
| Rate for Payer: Mclaren Medicaid |
$3,693.75
|
| Rate for Payer: Meridian Medicaid |
$3,878.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,693.75
|
| Rate for Payer: UHCCP Medicaid |
$3,693.75
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$19,909.31
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$18,961.25 |
| Max. Negotiated Rate |
$19,909.31 |
| Rate for Payer: BCBS Complete |
$19,909.31
|
| Rate for Payer: Mclaren Medicaid |
$18,961.25
|
| Rate for Payer: Meridian Medicaid |
$19,909.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,961.25
|
| Rate for Payer: UHCCP Medicaid |
$18,961.25
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$11,770.75 |
| Max. Negotiated Rate |
$12,359.29 |
| Rate for Payer: BCBS Complete |
$12,359.29
|
| Rate for Payer: Mclaren Medicaid |
$11,770.75
|
| Rate for Payer: Meridian Medicaid |
$12,359.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,770.75
|
| Rate for Payer: UHCCP Medicaid |
$11,770.75
|
|